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Öğe Assesment of anxiety and depression frequency in patients with subjective tinnitus accompanied by presbyacusis: A pilot study(Galenos Yayincilik, 2012) Simsek, G.; Demirtas, E.; Karatas, E.Objectives: Presbyacusis is one of the most common choronic diseases in geriatric patients. Most of the cases have only hearing loss however; accompanying subjective tinnitus might be the predominant symptom in a number of patients and a negative factor on quality of life. In this study, we aimed to investigate the frequency of depression and anxiety in geriatric population who diagnosed with presbyacusis and also suffering from tinnitus. Methods: The study group consisted of patients older than 65 years those admitted to outpatient clinic between the dates of 11.01.2011 and 07.01.2012 with the complaints of hearing loss and tinnitus (n=30). Patients only diagnosed with presbyacusis was chosen as the control group (n=30). Basic laboratory tests were performed to the patients together with pure tone audiometry, speech audiometry and tympanometry. In addition, Beck anxiety and depression questionnaires filled out by interviewing method and the results were compared. Results: The main clinical and laboratory characteristics of the groups were similar. There was no significant difference in education and monthly income levels for each of the two groups. Beck anxiety and depression scores in patients with subjective tinnitus were found to be 17.8+/-3.6 and 19.8+/-4.2; in control group were 12.7+/-3.7 and 13.1+/-4.0 respectively (p<0.001). Conclusion: According to our preliminary findings insidence of depression and anxiety can be significantly increased in elderly patients who were describing subjective tinnitus with hearing loss. In the management of this group, psychiatric consultation in addition to the conventional hearing aid can increase the success of treatment and patient satisfaction with the correction of accompanying anxiety and depression.Öğe Endoscopic stapes surgery: our clinical experience and learning curve(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2019) Gulsen, S.; Cikrikci, S.; Karatas, E.Objective: The purpose of this study was to assess the audiological results and surgical outcomes of patients who underwent endoscopic stapes surgery (ESS). Methods: This study included 40 consecutive patients who underwent stapes surgery with a fully endoscopic approach at Dr. Ersin Arslan Research and Training Hospital between January, 2015 and April, 2018. We retrospectively evaluated the patients' audiological results, surgery duration, surgical findings, and complications. To assess the learning curve, participants were divided into two groups based on their date of surgery: first twenty patients (FTPs) and last twenty patients (LTPs). Results: The mean operative duration was 43.4 +/- 11.3 minutes among all patients, 51.5 +/- 9.2 minutes among FTPs, and 35.3 +/- 3.9 minutes among LTPs (p < 0.05). The average air-bone gap (ABG) values were 33.7 +/- 8.5 dB preoperatively and 8.7 +/- 6.9 dB postoperatively (p < 0.05). The incudostapedial joint (ISJ) of 24 patients (60%) and the stapes footplate of 13 patients (32%) were directly visible without requiring bone curettage. None of the patients experienced major complications, such as facial paralysis or sensorineural hearing loss. Conclusions: The present results show the surgical and audiological outcomes of exclusively endoscopic transcanal stapes surgery, indicating the advantages, limitations, and learning curve for this procedure. ESS appears to be a safe and effective alternative technique that produces reasonable surgical and functional outcomes.Öğe Evaluation of auditory functions in patients with asthma(Verduci Publisher, 2014) Kilic, T.; Karatas, E.; Toplu, Y.; Koc, A.; Bulam, N.; Kaya, O.OBJECTIVE: The objective of this study is to evaluate the auditory functions in chronic asthma patients with the use of pure tone high frequency audiometry. PATIENTS AND METHODS: Twenty-two healthy controls and 42 adult patients were included as a prospective, randomized, and controlled study. Pulmonary function tests and blood gas studies were completed on all subjects. Asthma patients have divided into two groups [Group A: Arterial oxygen tension (PaO2) > 75 mmHg, Group B: PaO2 <= 75 mmHg, Group C: Control group). Acoustic assessments of patients were performed in 250-20000 Hz by using pure-tone audiometry (PTA) and tympanometry. RESULTS: The mean value of air and bone conduction hearing threshold levels were in normal range for all groups. All patients had normal peripheral hearing all threshold levels across 250 Hz to 3000 Hz in the both ears. Significant differences were observed between the chronic asthma patients and control group for the extended high frequencies (10000-20000 Hz). Group B had statistically more significant increased hearing threshold levels than Group A in frequencies higher than 10000 Hz. There were no statistical differences between the hearing threshold levels and FEV1, FVC, FEV1/FVC and tympanogram results in the groups. CONCLUSIONS: This is the first study of evaluating the auditory functions in asthma patients. Sensorineural hearing loss in high frequencies (10000 Hz-20000 Hz) is common in chronic asthma and is probably present more often than were formerly thought.Öğe Intraosseous lipoma presenting as a sphenoid sinus mass(Verduci Publisher, 2011) Dogan, M.; Kahraman, A. S.; Firat, C.; Kahraman, B.; Karatas, E.; Kizilay, A.Intraosseous lipoma is an uncommon mesenchymal tumor that is frequently found in appendecular skeleton. In extremely rare conditions, it can appear in sphenoid bone, and only 2 cases have been described in literature until now. We present a case of lipoma in the body of the sphenoid bone mimicking sphenoid sinus tumor. A 16-year-old man presented to Department of Otorhinolaryngology with a complaint of nonspecific headache. There were any clinical findings on physical examination. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed and the diagnosis was made on these imaging findings. Other diagnostic technique, invasive histopathological assessment was not necessary. To our knowledge, this is the first case of lipoma in the body of the sphenoid bone with indentation to sphenoid sinus. The patient has been followed-up radiologically without the need for surgery for two years.Öğe Management of cerebrospinal fluid gusher in pediatric cochlear implantation(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2018) Karatas, E.Management of cerebrospinal fluid gusher in pediatric cochlear implantation. Objectives: This study's aim is to evaluate the management of Cerebrospinal Fluid (CSF) gusher after cochlear implantation in children postoperatively. Methodology: 120 children (age ranges 13 to 72 months) who underwent cochlear implantation and eight of them had CSF gusher intraoperatively. Successful cochlear implantations and intraoperative management performed by complete packing of the electrode around in cochleostomy with muscle for Case I to III. CSF gusher was observed in these cases postoperatively. Second and third look revision surgeries were performed. Also, fat tissue was used for the sealing of leakage in Case IV to VIII. Results: Severe CSF gusher occurred in 6 children with the common cavity, moderate in one child with Incomplete Partition (IP) type 1 and mild in one child with normal cochlea. Sealing the cochleostomy with muscle performed in the first 3 children intraoperatively and they also had CSF gusher postoperatively. Revision surgeries were performed for 3 children. Sealing the cochleostomy with fat tissue was successful in Case I and II but not in Case III. Subtotal petrosectomy and obliteration of cavity with fat tissue had been performed for Case III. CSF leakage has not been seen in the other 5 children with fat tissue packing for the postoperative long term. Conclusions: CSF gusher may occur in pediatric cochlear implantation with inner ear malformations postoperatively. Packing around the electrode in cochleostomy with muscle may not be enough. Fat tissue packing is more effective than muscle for the postoperative long term.Öğe Promontory hemangioma mimics glomus tympanicum in the middle ear (promontory hemangioma)(Verduci Publisher, 2012) Karatas, E.; Durucu, C.; Baglam, T.Hemangiomas, common benign vascular tumors, have been well reported in the head and neck region. They have rarely been reported in the ear. Ear involvement hemangiomas are usually seen in the together with external auditory channel and middle ear. We presented a 62-year-old woman of capillary promontory hemangioma which was mimicking as glomus tympanicum with a review of the literature.
