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Öğe Coblation cryptolysis method in treatment of tonsil caseum-induced halitosis(W B Saunders Co-Elsevier Inc, 2021) Erdur, Omer; Celik, Turgut; Gul, Osman; Koca, Cigdem Firat; Yasar, SeymaPurpose: Halitosis, is a social problem affecting many patients seeking help from clinicians. Tonsil stones can cause halitosis and especially occur in crypts of palatine tonsils. Coblation cryptolysis is an alternative method for tonsil caseum treatment. The coblation technology includes passing a radiofrequency bipolar electrical current through a medium of normal saline which results in the production of a plasma field of sodium ions. In this study, our aim was to investigate the effectiveness of coblator cryptolysis treatment method in chronic caseous tonsillitis-induced halitosis. Methods: We included in our study 28 patients who underwent coblator cryptolysis surgery for halitosis due to chronic caseous tonsillitis. The efficacy of treatment and the presence of caseoma were evaluated with the Finkelstein test, organoleptic test and VAS before the procedure and at the 6th month control after the treatment was completed. Results: At the 6th month follow-up after the procedure (a single coblation cryptolysis) we found that 23 of the patients (82.1%) had no caseum. There was a statistically significant change in Finkelstein measurements before and after the procedure (p < 0.001). Organoleptic measurements demonstrated that 21 patients had no halitosis postoperatively and the mean organoleptic test score was calculated as 0.39 +/- 0.79 after the procedure. The recovery was statistically significant (p < 0.001). The mean VAS score before coblation cryptolysis was 8.0 +/- 1.33 (range 5-10). On the other hand 6 months after a single coblation cryptolysis session, the mean VAS score was 1.25 +/- 1.78 (range: 0-6). This difference was statistically significant (p < 0.001). Conclusions: Our results suggest that coblation crptolysis is an effective, safe, minimally invasive and practical alternative method in treatment of halitosis due to tonsil caseums. We did not observe any complication after the procedure.Öğe Comparison of endoscopic and microscopic methods in stapedotomy: a retrospective analysis(Springer, 2023) Celik, Turgut; Erdur, Omer; Gul, Osman; Firat Koca, Cigdem; Colpan, BaharPurpose The goal of the present study was to compare the audiologic results, complications, and advantages/disadvantages of endoscopic and microscopic stapedotomy. Methods Patients who experienced stapedotomy surgery in the Ear Nose Throat Clinic (ENT) of XXXX University Faculty of Medicine between September 2011 and January 2018 were included in the study. The data of all patients were analyzed and divided into two groups. Those who underwent endoscopic stapedotomy were included in group I, and patients who underwent microscopic stapedotomy formed group II. Surgical findings, complications, and operation times were compared for the two groups. Air and bone conduction thresholds were evaluated at the frequencies of 500, 1000, 2000, and 4000 Hz pre- and postoperatively at 1, 3, and 6 months, and the mean (+/- SD) air-bone gap value was recorded. Results While the mean pre- and postoperative air-bone gaps were 34.38 +/- 7.47 dB (23-53 dB) and 9.69 +/- 4.43 dB (0-19 dB), respectively, in group I, 34.32 +/- 7.57 dB (23-6 dB) and 9.62 +/- 4.25 dB (2-23 dB) were the respective means calculated in group II (p < 0.05). When the mean postoperative air-bone gap was compared, there was no statistically significant difference between the two groups (p = 0.774). The mean operative times for groups I and II were 57.22 +/- 4.37 min and 63.70 +/- 7.34 min, respectively (p < 0.001). The requirement for chorda tympani nerve manipulation and scutum curettage was significantly less in group I compared to group II (p = 0.003). Postoperative dysgeusia and postoperative pain were found to be higher in group II than group I, but they were not statistically significant (p > 0.05). Conclusion Endoscopic stapedotomy displayed similar audiological results, shorter operation times, and similar complication rates, as well as being a less invasive surgery, compared to the microscopic approach.Öğe Comparison of endoscopic and microscopic methods in stapedotomy: a retrospective analysis (Jun, 10.1007/s00405-022-07507-3, 2022)(Springer, 2023) Celik, Turgut; Erdur, Omer; Gul, Osman; Koca, Cigdem Firat; Colpan, Bahar[Abstract Not Available]Öğe Does SARS-CoV-2 affect cochlear functions in children?(Saudi Med J, 2022) Koca, Cigdem F.; Celik, Turgut; Simsek, Agit; Aydin, Sukru; Kelles, Mehmet; Yasar, Seyma; Erdur, OmerObjectives: To determine the influence of coronavirus disease-19 (COVID-19) on cochlear tasks of children who had COVID-19 previously, and the relevance among disease seriousness and cochlear involvement by otoacoustic emissions (OAEs). Methods: The study included 24 hospitalized children after COVID-19 diagnosis, 23 pediatrics that received outpatient treatment, and 21 children who were without COVID-19 diagnosis as the control group between June 2021 and July 2021. Transient evoked otoacoustic emission ( TEOAE), distortion product otoacoustic emission, and contrlateral suppression of otoacoustic emission measurements were carried out for each child. Symptoms of patients, the treatments they received, and the duration of hospitalization of the children in the hospitalized group were recorded. Results: The comparison of TEOAE test results under masking showed a considerable difference between 3 groups at 1 kHz (p=0.033) and 4 kHz (p=0.021) frequencies (p<0.05). Distortion product otoacoustic emission test results of hospitalized outpatient and control group showed a statistically significant difference at 2 kHz among themselves (p=0.009). Conclusion: Our results suggest that severe acute respiratory syndrome coronavirus-2 may influence the medial olivocochlear system of children and have irreversible effects on the cochlear functions. Early detection of problems that may affect cochlear functions is a special critical task, especially in children, who are a particularly vulnerable group in terms of hearing and related speech problems.Öğe Reply to the Letter to the Editor regarding 'The long-term effectiveness of coblation cryptolysis treatment for tonsillar-induced halitosis'(W B Saunders Co-Elsevier Inc, 2022) Celik, Turgut; Koca, Cigdem Firat; Gul, Osman; Erdur, Omer[Abstract Not Available]
