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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 (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 The effect of adenoid hypertrophy on maxillofacial development: an objective photographic analysis(Biomed Central Ltd, 2016) Koca, Cigdem Firat; Erdem, Tamer; Bayindir, TubaBackground: Deformity in the dental arc and facial skeleton by adenoid hypertrophy due to chronic mouth breathing is a well-known process. Most of the related studies have been based on cephalometric analyses. The aim of this study is to detect the presence of skeletal deformities on the soft tissue by analyzing distances and angles on photographs. Methods: Ninety-seven children having between 25 and 100 % of adenoids, ages 4-12 years (48 boys, 49 girls), and 90 cases having 0-25 % adenoid tissue, ages 4-12 years (54 boys, 36 girls), were studied by clinical history, physical examination (including endoscopy), and standardized clinical photographs. The children and parents were asked if any of the following were present in the children: snoring, sleep apnea, daytime sleepiness, poor school performance, mouth breathing during sleep, smoking parents, and restlessness during sleep. Results: The assessment of linear and angular measurements on the clinical photographs showed, in the group having thicker adenoids compared with controls, a statistically significant increase in the distance between nasion and tip and nasion and subnasale and in the angle between Frankfort horizontal plane-gnathion-angulus mandible; there was also a statistically significant decrease in the distance between endocanthion and exocanthion and the angles between tragion-angulus mandible and gnathion and between nasion-angulus mandible and gnathion. Conclusions: The analyses showed a significant increase in the anterior face height and increase in the angle between Frankfort horizontal plane-gnathion-angulus mandible and a retropositioned and posterior-rotated mandible due to thicker adenoids.Öğe The effect of coronary artery bypass grafting procedure on audiovestibular system(Bayrakol Medical Publisher, 2023) Koca, Cigdem Firat; Koca, ErdincAim: Coronary artery bypass grafting surgery may affect end-organ perfusion. Our aim was to examine the effect of this method on audiovestibular system.Material and Methods: Patients who had CABG were called and invited. Pure tone audiometric test, c-and o-VEMP tests were performed for all participants.Results: The results at 250, 500, 2000 and 4000 Hz differed for the left ears (p=0,013, p=0,045, p=0,028, p=0,045 ) and in the right ears, p13 (p = 0.040) were differentiated among the groups and the p13-n23 amplitude was lower in the bypass group (p=0,013). In the left ear results , p13-n23 amplitude (p= 0.007) and n10-p15 amplitudes (p = 0.006) differed between the groups, and the right ear n10-p15 amplitudes were lower in the bypass group (p = 0,005). Mean n10 (p=0,006) and p15 latency were high in the bypass patients (p= 0,005).Discussion: CBAG may affect balance-connected mechanisms at varied levels and intensity.Öğe The effect of the severity of COVID-19 on the sequelae of the audiovestibular system(Sage Publications Inc, 2023) Aydin, Sukru; Koca, Cigdem Firat; Celik, Turgut; Kelles, Mehmet; Yasar, Seyma; Oguzturk, SaadetObjectives: The neurotropic and neuroinvasive properties of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) have been described. It remains unknown how SARS-CoV-2 affects the audiovestibular system when it causes mild or severe disease. In this study, the sequelae effect of SARS-CoV-2 on the audiovestibular systems of different patient groups was investigated using objective and subjective test batteries. Methods: In this present study, we evaluated vestibulocochlear functions of patients who previously had Coronavirus Disease-2019 (COVID-19) with pure tone audiometry, ocular vestibular-evoked myogenic potential (o-VEMP), and cervical vestibular-evoked myogenic potential (c-VEMP) tests to identify possible sequelae by comparing them with the control group. Results: We found that the amplitude of p13-n23 was lower in both groups of patients than in the control group (p < 0.001). In the results of the left ear c-VEMP, the amplitude of p13-n23 was statistically different between the outpatient, inpatient, and control groups. The amplitude of p13-n23 was lower in both groups of patients than in the control group (p < 0.001). In the evaluation of the o-VEMP in the left ear, we observed a statistically significant difference in the latency of n10 (p = 0.006) and the amplitude of n10-p15 (p < 0.001) between the groups. The n10 latency was prolonged in both groups of patients compared to the control group and there was no statistically significant difference between groups of patients. Furthermore, the amplitude of n10-p15 was lower in both groups of patients compared to the control group and there were no statistically demonstrable differences between the groups of patients. Conclusions: In conclusion, our results suggest that SARS-CoV-2 may affect the vestibulocochlear system. But we could not find a direct relationship according to the severity of the disease.Öğe Effects of the COVID-19 Pandemic on Pediatric Nasal Fractures(Sage Publications Inc, 2022) Koca, Cigdem Firat; Celik, Turgut; Aydin, Sukru; Kelles, Mehmet; Yasar, SeymaObjectives Nasal bone fracture is a frequent entity consulted to the otolaryngologists, approximately accounting for 39% of all facial bone fractures. The most frequent mechanisms of injury consist of assault, sport-related injuries, falls, and motor vehicle accidents. In this study, we examined the effects of the COVID-19 pandemic on pediatric nasal fractures. Methods Children with nasal fracture who applied to Malatya Training and Research Hospital during the year before the first case and the following year were included in this study. Data of 172 patients for the pre-pandemic period and 79 patients for pandemic were available and included in the study. Demographic information, clinical features, nasal fracture etiology, nasal fracture type, type and time of intervention, and other accompanying pathologies were recorded. Results While falls was the leading cause of fracture etiology before the pandemic (64 patients [37.21%]), assault seems to be the leading cause during the pandemic period (27 children [34.18%]). In the pre-pandemic period, the intervention for patients with nasal fractures was performed on an average of 5 days, while this period was calculated as an average of 6 days during the pandemic period. When the 2 groups are compared in terms of nasal fracture intervention time, it was seen that the intervention time was statistically significantly later in the pandemic period (P < .001). According to the results of the analysis, the most cases in the pandemic period were seen in the fourth month, which indicated a-month period between 11 June and 11 July. Conclusions In conclusion, our number of nasal fracture cases was decreased during the pandemic period compared to the 1-year period before the pandemic. We observed the most common type IIA nasal fracture. We gave outpatient treatment to most of the patients. Our most common cause of fracture was assault. We intervened in our cases in an average of 6 days and preferred closed reduction most frequently. We could not find any study on the same subject in the literature, and we aimed to contribute to the literature with this study.Öğe Endoscopic Management of Maxillary Sinus Schwannoma(Lippincott Williams & Wilkins, 2022) Celik, Turgut; Koca, Cigdem Firat; Aydin, SukruSchwannomas are benign tumors originate from nerve sheath. In this article, the authors aimed to share our experience and review the literature on endonasal endoscopic intervention for a maxillary sinus schwannoma. A 30-year-old Caucasian female patient applying to ophthalmology clinic due to exophthalmos and proptosis in her left eye for the last 6 months. A well-defined mass was detected in left maxillary sinus that was filling and expanding the sinus. Endoscopic biopsy from the patient was reported as ancient schwannoma. The encapsulated mass was completely removed by performing a combined endoscopic medial maxillectomy and Caldwell-Luc procedure under general anesthesia. The authors have been following the patient for 2 years and there was no evidence of recurrence, however, a decrease in the volume of the maxillary sinus occurred, suggesting chronic maxillary atelectasis. In conclusion, schwannoma should be considered in the differential diagnosis of sinonasal masses.Öğe Endoscopic Transoral Resection of Parapharyngeal Osteoma: A Case Report(W B Saunders Co-Elsevier Inc, 2016) Yaslikaya, Serhat; Koca, Cigdem Firat; Toplu, Yuksel; Kizilay, Ahmet; Akpolat, NusretOsteoma is a benign, mesenchymal, slow-growing, osteogenic tumor commonly occurring in the craniofacial bones and is characterized by the proliferation of compact or cancellous bone. Solitary osteomas can be classified as peripheral (parosteal, periosteal, or exophytic) when arising from the periosteum or central (endosteal) when arising from soft tissue. Peripheral osteoma occurs most frequently in the paranasal sinuses. Other locations include the orbital wall, temporal bone, pterygoid processes, external ear canal, and, rarely, the mandible. Osteomas in the oromandibular region often appear in the jaw in the canine fossa, hard palate, and maxillary sinus and in the lower jaw in the inner mandible and outer circumference and lingual side of the molar region. At radiologic imaging, a peripheral osteoma of the mandible appears as a well-circumscribed, round to oval, mushroom-like radiopaque mass with distinct borders. Computed tomography is the best imaging modality for determining the location and actual extension of the lesion. Parapharyngeal space tumors are rare tumors of the head and neck region. Benign tumors of the parapharyngeal space are more common than malignant tumors. A foreign body sensation in the pharynx, difficulty with deglutition, and hoarseness are symptoms generally related to the position of the tumor. Upper airway obstruction, painful throat, unilateral tinnitus, trismus, dysarthria, glossopharyngeal neuralgia, and cranial nerve palsies are other reported symptoms. This report presents the case of a huge osteoma of the left mandibular condyle extending to the parapharyngeal space. (C) 2016 American Association of Oral and Maxillofacial SurgeonsÖğe Evaluation of cochlear functions in infants exposed to SARS-CoV-2 intrauterine(W B Saunders Co-Elsevier Inc, 2021) Celik, Turgut; Simsek, Agit; Koca, Cigdem Firat; Aydin, Sukru; Yasar, SeymaPurpose: The novel coronavirus (SARS-CoV-2) caused an acute respiratory illness named COVID-19 and the disease spread all over the World. Fever, cough, fatigue, gastrointestinal infection symptoms form the main clinical symptoms. Pregnants and newborns form a vulnerable population and urgent measures must be addressed. Studies about the effect of COVID-19 on pregnant women, developing fetuses, and infants are limited. Various viral diseases can cause congenital or acquired, unilateral or bilateral hearing loss. Methods: 37 infants whose mother was pregnant between March 2020 and December 2020 and were born after the diagnosis of COVID- 19 during pregnancy and 36 healthy infants were included in the study. Transient evoked otoacoustic emission (TEOAE), distortion product otoacoustic emission (DPOAE) and contralateral suppression of OAE (CLS OAE) tests were performed on all infants. Results: According to the TEOAE results of patients and controls in the silent a statistically significant difference was observed between the two groups at 3 kHz and 4 kHz (p < 0.05). Contralateral suppression of OAE test results of patients and controls a statistically significant difference was found in all frequencies (p< 0.05). Suppression was much more effective at all frequencies in the normal group than patient group. This difference was found to be more significant at higher frequencies (2,3 and 4 kHz) (p < 0.001). Conclusions: Our results suggest an insufficiency in medial olivocochlear efferent system in infants exposed to SARS-CoV-2 intrauterine. Cochlear functions should be examined in infants whose mothers had COVID-19.Öğe Our tracheostomy results in the intensive care unit, outcomes of 199 patients(Bayrakol Medical Publisher, 2022) Koca, Erdinc; Koca, Cigdem FiratAim: The history of tracheostomy goes back to 3600 BC. Percutaneous dilatational tracheostomy was described in 1985 by Ciaglia. Percutaneous dilatational tracheostomy is quick, less traumatic, and has fewer complications. The aim of our study was to analyze the tracheostomy results of 199 patients in our Intensive Care Units. Material and Methods: We included patients who underwent tracheostomy in our Intensive Care Units between January 2014 and December 2018 in Malatya Training and Research Hospital. A retrospective analysis was carried out for diagnosis, complications, surgical tracheostomy requirement reasons, demographics, comorbidity, ICU stay period, date of tracheostomy procedure, days to tracheostomy procedure from day of admission to ICU, days to tracheostomy procedure from initial tracheal intubation, days connected to mechanical ventilation, tracheostomy technique, urgent or elective, the final state of the patients were analyzed. Data were collected from the patients' records. The data of the study was evaluated through SPSS 'statistical package for social sciences' (spss17.0) 'program. Results: The average age of discharged patients was 56.3 years and 74.4 for the dead patient group. There was a statistically significant increase between age and mortality, and between Apache II score and mortality (p<0.05). Discussion: According to our study results, percutaneous tracheostomy is a method with a low complication rate and easy applicability. No statistically significant results were found between the time from admission to the intensive care unit to the day of tracheostomy opening, the time to stay intubated, and mortality.Öğe An Overview of Attitude, Behavior, and Knowledge Level Toward COVID-19 Among Patients Visiting the Otolaryngology Clinic after 1 Year of COVID-19 Pandemic(Galenos Yayincilik, 2021) Koca, Cigdem FiratIntroduction: In December 2019, a new variant of coronavirus was identified in Wuhan city, China. It was named Severe acute respiratory syndrome-Coronavirus-2 (SARS-CoV-2), and the disease it caused was defined as Coronavirus disease-2019 (COVID-19). The attitude of people and their knowledge level play an important role in coping with pandemics. Determining the level of public knowledge is also critical for identifying gaps in disease protection and strengthening disease prevention efforts. The present study aimed to describe the general knowledge regarding COVID-19 and the attitude toward the disease among patients applying to an otolaryngology clinic approximately one year after the COVID-19 pandemic. Materials and Methods: We prepared a questionnaire comprising two sections with a total of 19 items. The first section had questions regarding demographic data including age, sex, education level, and job, and the second section had questions assessing knowledge and attitude toward COVID-19. Each correct answer was assigned 1 point; incorrect answers or unknown answers were assigned 0 points. A participant could receive a total knowledge score of 0-19; higher scores indicate better knowledge of COVID-19. Results: A total of 404 participants were included in our study. The median knowledge score among all participants was 15.0 +/- 3.0. There was a statistically significant difference between primary school and university graduates (p<0.05) and between secondary school and university graduates in terms of knowledge scores (p=0.012). Similar to the primary and secondary school graduates, high school and university graduates differed significantly in terms of knowledge level (p=0.0001). Conclusion: The mean rate of correct answers among patients regarding knowledge and perception questions on COVID-19 was 77.67%. Our results demonstrated that the sample we selected from the patients visiting our otolaryngology clinic had a high COVID-19 knowledge score. The average knowledge score was possibly high in our study owing to the fact that the participants were mostly university graduates (52.5%).Öğe Pediatric Sudden Sensorineural Hearing Loss(Lippincott Williams & Wilkins, 2016) Kizilay, Ahmet; Koca, Cigdem FiratSudden sensorineural hearing loss is defined as sudden unilateral or bilateral sensorineural hearing loss with at least 30 dB decrease in threshold in 3 contiguous test frequencies occurring over 72 hours or less. It is rare among children. The mechanism of the process and prognosis of the disorder remains unclear. The current incidence of sudden sensorineural hearing loss among pediatric population is unknown. The authors carried out a retrospective chart analysis of patients under 15 years of age from 2004 to 2015, who consulted to the Otolaryngology Head and Neck Surgery Department of Inonu University Medical Faculty. Age, sex, number of affected ear and side, audiometric evaluations, medical follow-up, treatment method, duration of treatment recovery, associated complaints; tinnitus and/or vertigo, presence of mumps disease were recorded for each patient. A 4-frequency pure-tone average (500, 1000, 2000, and 4000 Hz) was calculated for each ear. Complete recovery, defined as some hearing level compared with the nonaffected ear, was observed in 3 patients (21.4 %) and there was no partial hearing recovery. The hearing loss of 11 patient remained unchanged after prednisolone treatment. Two of the 11 patients had bilaterally total sensorineural hearing loss and evaluated as appropriate for cochlear implantation. Sex of patient and laterality of hearing loss were not correlated with hearing recovery. Sensorineural hearing loss among pediatrics has been the issue of otolaryngologists. The incidence, etiology, and treatment methods should be more studied.Öğe Percutaneous or surgical tracheotomy when, why, and selection criteria(2016) Koca, Cigdem Firat; Bayındır, Tuba; Koca, Erdinç; Kızılay, AhmetAmaç: Trakeotomi; özellikle yoğun bakımlarda en sık uygulanan prosedürlerden biridir. Ve en temel endikasyonu uzamış entübasyondur. Trakeotomi uzamış mekanik ventilasyon desteği veya hava yolunu korumak için uygulanan bir prosedürdür. Bu yolla akciğerleri koruma ve mekanik ventilasyondan uyanma daha kolay ve konforlu olacaktır. Trakeotomi hasta toleransını arttırır, sedasyon ihtiyacını azaltır, laringeal irritasyonu engeller, hemşirelik bakımını kolaylaştırır ve ölü boşluğu azaltır. Yoğun bakım hastalarının yaklaşık %8-24 üne trakeotomi prosedürü uygulanmaktadır. Bu karar, uzamış entübasyona karşı trakeotominin yararına, hastadan beklenen klinik sonuçlara ve riske göre bireyseldir. Ancak prosedürün zamanlaması hakkında hala tam bir konsensus bulunmamaktadır. Klasik olarak trakeotomi prosedürü ventilasyondan 10-14 günde uyanamayacak hastalarda ve optimal koşullarda planlanmalıdır. Trakeotomi oranı son dekadda artış göstermiştir. Ama prosedür için optimal zaman, hasta seçim kriterleri, teknik tipi ve dekanülasyon zamanı hakkında hala bir konsensus bulunmamaktadır. En yaygın, geleneksel trakeotomi yöntemi, operasyon odasında gerçekleştirilen açık cerrahi trakeotomi yaklaşımıdır. Perkütan teknik ise nisbeten daha kolay bir tekniktir. Ve daha kısa süreye sahip bir prosedürdür. Perkütan trakeotomi cerrahi trakeotomiye alternatif, maliyet etkinliği olan, hızlı, kolay, güvenli ve popüler bir yöntem haline gelmiştir. Optimal bir trakeotomi yöntemi yoktur, klinisyen en iyi tekniği hastaya ve uygun zamana göre seçmelidir. Ama; optimal prosedür zamanı, hasta seçim kriterleri, teknik tipi ve dekanülasyon zamanı hakkında hala tam bir konsensus bulunmamaktadırÖğe 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]Öğe Review of pathophysiology, epidemiology, diagnosis and treatment methods in motion sickness; a special issue(2017) Koca, Cigdem Firat; Bayındır, TubaMotion sickness (MS) is a syndrome characterized with nausea and vomiting, pallor, cold sweating, headache, dizziness, increased salivation, apathy, hyperventilation, and stomach awareness. Nausea is one of the most prominent symptoms of MS and very little known about the neural substrate of this sensation. There is no abrupt accepted explanation about why people get motion sickness. It has long been suspected that genetic and /or evoluntary factors govern motion sickness susceptibility. The prevalence is higher among the female gender. The main causes in adulthood are still unknown, but it has been suggested that this condition can be related to the hormonal cycle. Patients with migraine and Meniere’s disease are prone to experience MS especially in female patients. MS is a common physiological response to real or virtual motion. Numerous studies have investigated the neurobiological mechanism and the control measures of MS. The sensory conflict hypothesis is the most widely accepted theory for MS. Questionnaires, hearth rate variability and electrogastrogram are useful for diagnosis and evaluating MS. Habitual training and drugs are the treatment modalities. The drugs can be divided into the categories: antimuscarinics, H1 antihistamines, and sempathomimetics. The aim of this review is to remind the current knowledge about pathogenesis, epidemiology, diagnosis and treatment methods of the special issue: motion sickness.Öğe Successful localization of abnormal parathyroid tissue with ultrasound-guided methylene blue dye injection before surgery for metastatic or recurrent thyroid cancers and parathyroid adenomas(W B Saunders Co-Elsevier Inc, 2023) Koca, Cigdem Firat; Yildirim, Ismail Okan; Cicek, Mehmet Turan; Aslan, MehmetObjectives: A surgery to be performed on a previously operated neck includes difficulties such as increased risk of complications and prolonged operation time. The aim of the present study is to analyze the benefit of pre -anesthetic ultrasound-guided injection of methylene blue into parathyroid adenomas and abnormal lymph nodes to simplify their safe and satisfactory extraction. Methods: We analyzed the case series records of 14 patients who were operated for reoperative neck surgery due to recurrent thyroid cancer (8 patients) and parathyroid adenoma (6 patients) and in the technique; 0.2 ml of a 1:5 dilution of 1 % methylene blue solution was injected directly onto the target during real-time ultrasound guidance before the operating room. Results: In adenomas, ultrasound-guided methylene blue injection was successfully applied in all cases, an average of 33.1 min before entering the operating room (range = 28-38 min). There were no complications related to dye injection. For patients with recurrent thyroid tumors, preoperative ultrasound-guided methylene blue injection was successfully applied in all patients, on average 27.5 min before entering the operating room (range = 20-35 min). No complications occurred due to dye injection. The blue stained lesion was easily identified during surgery. Conclusions: We analyzed the feasibility of the injection process, the certainty of defining pathological lymph nodes, and the complications of the procedure. Preoperative administration of methylene blue preserved its intraoperative efficacy and maintained the easy the detection of reoperative or primary pathologies. The present study suggest that methylene blue dye injection is a safe, sufficient, and quietly effective method for identifying recurrent tumors and parathyroid adenomas in scarred reoperative neck surgeries. Our cases had comparatively short operative times and lower complication rates.
