Yazar "Kanlikama, Muzaffer" seçeneğine göre listele

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    Evaluation of the treatment results of laryngeal carcinoma: our experience over 10 years
    (Tubitak Scientific & Technological Research Council Turkey, 2012) Karatas, Erkan; Baysal, Elif; Durucu, Cengiz; Baglam, Tekin; Bayazit, Yildirim Ahmet; Kanlikama, Muzaffer
    Aim: To retrospectively analyze the treatment results for laryngeal carcinoma and to find the impact of the clinical parameters on the survival of the patients. Materials and methods: The medical records of 150 consecutive patients, operated on for laryngeal squamous cell carcinoma between 1991 and 2009, were reviewed. Tumor localization, TNM stages, treatment modalities, radiotherapy, second primary tumors, and tumor recurrence were recorded, and the survival data were obtained. Results: Neck metastasis was rare (3.6%) in T1 and T2 glottic tumors, while there was a significant increase in the rate of N+ neck (35%) in T3 and T4 glottic tumors (P < 0.05). N+ neck was encountered in 28% of the early and 33% of the late-stage supraglottic cancers (P > 0.05). There was a significant relation between survival and tumor recurrence (P < 0.05), whereas the other clinical parameters were not associated with survival (P > 0.05). The risk for death of the disease increased by 63.3% when tumor recurrence occurred (odds ratio = 6.3573). Conclusion: Aggressive treatment of the primary tumor and neck may eliminate the impact of advanced tumor stage on survival. Local and regional recurrence and second primary diagnosis are the most important factors involved in survival in laryngeal carcinoma.
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    Intraoperative electrically evoked stapedius reflex thresholds in children undergone cochlear implantation: Round window and cochleostomy approaches
    (Elsevier Ireland Ltd, 2011) Karatas, Erkan; Aud, Murat Deniz; Baglam, Tekin; Durucu, Cengiz; Baysal, Elif; Kanlikama, Muzaffer
    Objectives: To study the best electrically stimulation in cochlear implant surgery with round window (RW) and Promontory cochleostomy approaches with electrically evoked stapedius reflex thresholds (ESRT) intraoperatively. Methods: Thirty-nine children underwent CI surgery were included for this study. The surgical procedures consisted of RW and Promontory cochleostomy. ESRT for each 1st, 3rd, 6th and 12th electrodes (E) were determined. Statistical evaluation was done for the comparison of the thresholds and duration times for both groups. Results: The duration times of ESRT for E1, E3, E6 and E12 electrodes was shorter in RW group compared with the Promontory group (p < 0.05). The statistical evaluation of ESRT measurements of E1, E3, E6 found p < 0.001 and E12 electrode p < 0.05 in RW group. ESRT measurements were recorded at lower threshold in the RW group compared with the Promontory group. Conclusion: The duration of electrically stimulation thresholds were shorter in RW group. ESRT measurements were recorded at lower threshold in the RW group compared with the Promontory group. RW insertion offers best electrically stimulation relative to electrode insertion via a promontory cochleostomy. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
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    Outcomes of cochlear implantation in children with and without inner ear malformations
    (Professıonal medıcal publıcatıons, panorama centre, rm 522, 5th floor, bldg 2, raja ghazanfar alı rd, po box 8766, saddar, karachı 00000, pakıstan, 2018) Celik, Mustafa; Karatas, Erkan; Kanlikama, Muzaffer
    Objective: To evaluate the auditory functions and progress of speech development in children with and without cochlear anomalies who underwent cochlear implantation due to prelingual profound sensorineural hearing loss (SNHL). Methods: This study was conducted at Gaziantep University Faculty of Medicine Ear-Nose-Throat Department, between October 2006 and December 2007. A total of 69 children (aged 6 to 24 months) diagnosed with profound SNHL were included. Patients were divided into two groups with respect to the presence of inner ear anomalies: Group-1 consisted of 41 children without inner ear anomaly, whereas Group-2 was composed of 28 patients with inner ear anomalies. The auditory performance was assessed using Listening Progress Profile Test (LPPT) and Monosyllabic Trochee Polysyllabic Test (MTP), the subsections of Evaluation of Auditory Responses to Speech (EARS) test battery. Results: Preoperative LPPT scores were 5 (12%) in both groups. Mean LPPT values after fitting in Group-1 and Group-2 on 1st, 3rd and 6th months were 18.5 (44.1%) and 19 (45.6%); 27 (64.2%) and 28 (67.3%); 31 (75%) and 34 (83%), respectively. Postoperatively, MTP scores in Group-1 and Group-2 were 7.5 (62%) and 7.7 (64%) for 3-words set; 10.4 (58%) and 10.6 (59%) for 6-words set; 14.3 (60%) and 14 (59%) for 12-words set, respectively. The rate of stimulation for electrodes was 1345 q/u (quick/unit) in Group-1 and 1310 q/u in Group-2. No statistically significant difference was detected between groups for variables under investigation. Conclusion: Cochlear implantation is an effective treatment in children with prelingual profound SNHL. Auditory performance and advancement of speech are similar for children with and without inner ear anomalies.
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    Outcomes of cochlear implantation in children with and without inner ear malformations
    (Professional Medical Publications, 2018) Celik, Mustafa; Karatas, Erkan; Kanlikama, Muzaffer
    Objective: To evaluate the auditory functions and progress of speech development in children with and without cochlear anomalies who underwent cochlear implantation due to prelingual profound sensorineural hearing loss (SNHL). Methods: This study was conducted at Gaziantep University Faculty of Medicine Ear-Nose-Throat Department, between October 2006 and December 2007. A total of 69 children (aged 6 to 24 months) diagnosed with profound SNHL were included. Patients were divided into two groups with respect to the presence of inner ear anomalies: Group-1 consisted of 41 children without inner ear anomaly, whereas Group-2 was composed of 28 patients with inner ear anomalies. The auditory performance was assessed using Listening Progress Profile Test (LPPT) and Monosyllabic Trochee Polysyllabic Test (MTP), the subsections of Evaluation of Auditory Responses to Speech (EARS) test battery. Results: Preoperative LPPT scores were 5 (12%) in both groups. Mean LPPT values after fitting in Group-1 and Group-2 on 1st, 3rd and 6th months were 18.5 (44.1%) and 19 (45.6%); 27 (64.2%) and 28 (67.3%); 31 (75%) and 34 (83%), respectively. Postoperatively, MTP scores in Group-1 and Group-2 were 7.5 (62%) and 7.7 (64%) for 3-words set; 10.4 (58%) and 10.6 (59%) for 6-words set; 14.3 (60%) and 14 (59%) for 12-words set, respectively. The rate of stimulation for electrodes was 1345 q/u (quick/unit) in Group-1 and 1310 q/u in Group-2. No statistically significant difference was detected between groups for variables under investigation. Conclusion: Cochlear implantation is an effective treatment in children with prelingual profound SNHL. Auditory performance and advancement of speech are similar for children with and without inner ear anomalies.
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    Pediatric parotid gland tumors: Evaluation of 33 cases
    (2021) Tunc, Orhan; Gonuldas, Burhanettin; Kanlikama, Muzaffer
    Aim: Diagnosis and treatment of parotid gland tumors is a problem for clinicians and pathologists because these tumors are rare in children. We aimed to contribute to the literature by retrospectively evaluating 33 patients that we operated for a parotid tumor in our clinic.Materials and Methods: Thirty-three pediatric patients operated from parotid gland tumor in the otolaryngology department between 2000-2019 were included in the study. All patients in the study were under the age of 18. Clinicopathologic data of pediatric parotid gland tumors were reviewed including age, sex, results of histopathologic tumor examination and surgical procedures.Results: Patient group consists of 25 (76%) males and 8 females (24%). The age range of the patients is between 1-18 and the average age is 10,6. Benign tumors were observed in 28 patients (85%) and malignant tumors in 5 patients (15%). The most common benign parotid gland tumor was Pleomorphic Adenoma. Among malignant tumors, adenoid cystic carcinoma was observed in 2 patients, mucoepidermoid carcinoma in 2 patients, and acinic cell tumor in 1 patient.Conclusions: Parotid gland tumors are rare in the pediatric age group, so it is difficult to manage. It should be aimed to apply the appropriate treatment in which every patient has the least risk of complications. Studies with much more patients about pediatric parotid tumors need to be done to further contribute to the literature.
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    Treatment of Congenital Choanal Atresia via Transnasal Endoscopic Method
    (Lippincott Williams & Wilkins, 2017) Gulsen, Secaattin; Baysal, Elif; Celenk, Fatih; Aytac, Ismail; Durucu, Cengiz; Kanlikama, Muzaffer; Mumbuc, Semih
    Objectives: Congenital choanal atresia (CCA) is a very rare abnormality of the nose, but in the case of bilateral presence, it becomes a life-threatening malformation. Various surgical treatment options, such as transpalatal, transseptal, and open rhinoplasty techniques, as well as the transnasal approach, have been defined for the repair of CCA. In this study, the authors intended to evaluate the outcomes of transnasal endoscopic surgery for CCA, and stent implementation's impact on surgical success. Methods: Patients who were admitted to the Otorhinolaryngology Department of Gaziantep University and patients who had not undergone CCA surgery before were included in the study. Patients who underwent transnasal endoscopic choanal atresia surgery (TECAS) were advised to have regular nasal endoscopic examinations performed at check-ups; after a 6-month follow-up period, surgical results were evaluated concerning whether stenosis had occurred or not. Results: Of the 48 patients who underwent TECAS after a minimum 6-month follow-up period, 34 of patients revealed no stenosis, so the overall surgical success rate was 70.8%. Fourteen (29.2%) patients who underwent TECAS developed stenosis and required revision surgery. Conclusions: Transnasal endoscopic choanal atresia surgery is the most preferred approach for CCA repair and has many advantages, such as excellent vision, shorter operative time, minimal bleeding, and minimum complication. Despite advances in endovision systems and surgical instruments, stenosis is the most challenging problem after TECAS, so new treatment strategies should be developed to prevent stenosis.