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Öğe ANİ İŞİTME KAYIPLI HASTALARDA RUTİN HEMOGRAM İÇİNDEKİ İNFLAMATUAR MARKIRLARIN PROGNOZA ETKİSİ(2021) TAN, Mehmet; CENGİZ, Deniz Uğur; KARAKAŞ, Oguz; Bayindir, TubaBu çalışma; ani işitme kayıplı (AİK) hastaların hemogram sonuçlarının hastalığın derecesi ve prognozuna etkisini değerlendirmektedir. Çalışmaya, 2015-2020 yılları arasında kliniğimizde AİK tanısı konulan 325 hastanın 70’i dâhil edildi. Hastaların tedavi öncesindeki rutin hemogram parametreleri ve işitme testleri incelendi. Hastalar ile benzer özelik taşıyan sağlıklı bireylerden kontrol gurubu oluşturuldu. Hastalar işitme kaybı derecesi kaybına göre de 3 guruba ayrıldı. Çalışmamızda; hemoglobin, trombosit hacmi (MPV), platelet, nötrofil, nötrofil lenfosit oranı (NLO) ve platelet lenfosit oranı (PLO), platelet x nötrofil / lenfosit (PxN/L) değerleri karşılaştırıldı. AİK’lı gurup ile kontrol gurubu arasında hemoglobin, nötrofil, lenfosit, MPV, PLO, NLO, PxN/Ldeğerleri açısından istatiksel fark saptandı. Hastalığın tanı aşamasında yapılan rutin ve ucuz bir tetkik ile AİK tanısında ve prognozunda bu parametreler yeni bir belirteç olarak kullanılabilir.Öğe Evaluation of utricular and saccular function in BPPV patients: The role of VEMP in diagnosis(2020) CENGİZ, Deniz Uğur; TAN, Mehmet; BAYINDIR, Tuba; CAN ÇOLAK, Sanem; EMEKCİ, Tuğba; DEMİREL, SümeyyeAim: The pathological cause of Benign Paroxysmal Positional Vertigo (BPPV) is the degeneration of the otolith organs (utricle and sacculus). Vestibular Evoked Myogenic Potentials (VEMP) assess the functions of the otolith organs. The objective of this research was to evaluate the otolith organ functions of patients with unilateral idiopathic BPPV (canalolithiasis of the posterior and lateral semicircular canals) by cVEMP and oVEMP tests. Material and Methods: The study prospectively included 35 patients with BPPV (canalolithiasis of the posterior and lateral semicircular canals) and 30 healthy individuals. Bilateral cVEMP and oVEMP tests were administered to all participants. Participants were divided into three groups: control, BPPV-affected ear, and unaffected ear.Results: In our study, cVEMP and oVEMP abnormalities were statistically significantly different both between the affected and unaffected ear groups and between the affected ear and control groups. There were statistically significant differences in the cVEMP and oVEMP amplitude values both between the affected and unaffected ear groups and between the affected ear and control groups. Also, the asymmetry ratios of the cVEMP and oVEMP tests were statistically significantly different between the case group and the control group. The cVEMP and oVEMP wave latencies (p1, n1, p1-n1) were not statistically significantly different among the BPPV-affected ear, unaffected ear, and control groups. The results of measurements were not statistically significantly different between the posterior and lateral canal involvement subgroups of BPPV patients.Conclusion: Abnormal cVEMP and oVEMP test results, which are observed more frequently in patients with BPPV compared to the control group, indicate utricular and saccular degeneration. Higher oVEMP abnormality ratios compared to those of cVEMP in BPPV patients suggest that utricular dysfunction may be more common than saccular dysfunction.Öğe VESTIBULAR NEURONITIS: A CASE REPORT(2020) CENGİZ, Deniz Uğur; Tan, Mehmet; SAĞLAM, Zeynep; Bayındır, TubaVestibular neuronitis (VN) is a selective, acute or subacute inflammation of the vestibular nerve. The typical VN clinical picture is generally characterized by signs of isolated vestibular syndrome following a previous upper respiratory tract infection and does not present acoustic symptoms or signs such as hearing impairment or tinnitus at this stage. Patients may also complain of oscillopsia and imbalance. The clinical picture peaks within 1–2 days and resolves in a few weeks. It is the 3rd common cause of peripheral vertigo after benign paroxysmal positional vertigo and Meniere’s disease. It constitutes about 7–10% of all vertigo cases.