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Öğe Comparison between cartilage and fascia grafts in type 1 tympanoplasty(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2013) Kalcioglu, M. T.; Tan, M.; Croo, A.Objectives: We retrospectively analysed long-term hearing results and graft take rates in our cases with both temporalis muscle fascia and the cartilage island technique. Methodology: Between September 2000 and October 2011, a total of 489 patients underwent cartilage tympanoplasty, while 318 patients had tympanoplasty using fascia. In this study we included patients with a follow-up period of at least 3 years. Exclusion criteria were ossicular chain defects, cholesteatoma, otorrhoea, middle ear granulation or effusion, and a history of middle ear surgery. Results: The cartilage group consisted of 49 patients, with 28 patients being included in the fascia group. Both air conduction hearing thresholds and air bone gaps improved significantly in both groups. However, no statistical significance was found between the results for the two groups (p>0.05). Conclusion: Our study concurs with many others in the literature, clearly indicating that cartilage produces hearing results that are comparable to temporalis muscle fascia grafts.Öğe Does Nasal Septal Deviation Affect the Success of Tympanoplasty Surgery?(Univ West Indies Faculty Medical Sciences, 2015) Tan, M.; Kalcioglu, M. T.; Akarcay, M.; Toplu, Y.; Karaca, S.Objective: This paper deals with the investigation of the effects of nasal septal deviation evaluated by acoustic rhinometry (ARM) in the success of tympanoplasty surgery. Subject and Methods: All patients who underwent tympanoplasty surgery by the same surgeon were reviewed. The patients with nasopharyngeal or nasal masses, polyps, symptoms of allergic rhinitis or rhinosinusitis, or concha bullosa were excluded from the study. Forty patients who underwent tympanoplasty at least one year ago were included in the study. The patients were divided into two groups according to the graft success results. Acoustic rhinometry evaluations of the patients were performed. Results: There were 25 and 15 cases in the intact graft (group A) and re-perforated group (group B), respectively. For the same side of the operated ear, ARM values of group A were 0.47 cm(2) at the first narrowest cross-sectional area (MCA 1), 0.43 cm(2) at the second narrowest cross-sectional area (MCA 2), 1.51 cm(3) volume at the first 2 cm of the nasal cavity (Vol 1) and 3.33 cm(3) volume between the second and fifth cm of the nasal cavity (Vol 2). Acoustic rhinometry values of group B were 0.50 cm(2), 0.47 cm(2), 1.60 cm3 and 3.19 cm(3) for MCA 1, MCA 2, Vol 1, and Vol 2, respectively. Conclusion: The results of this study showed that nasal septal deviation may not affect the success of tympanoplasty surgery, and septoplasty may not be necessary before ear surgery.Öğe Histopathological changes of nasal mucosa after nasal packing with Merocel(Cambridge Univ Press, 2022) Tan, M.; Bayindir, T.; Cicek, M. T.; Aslan, M.; Gul, M.Objective To determine histopathological changes in nasal mucosa associated with duration of nasal packing with Merocel tampons. Methods This study included 24 healthy rabbits, 6 rabbits per group. In group A, no tampon was applied. In group B, Merocel nasal tampons were applied and removed after 24 hours. In group C, the tampons were removed after 48 hours. In group D, the tampons were removed after 5 days. Specimens were obtained from the septum of each rabbit, including cartilage. Histopathological examination was performed. Results Significant differences were observed in terms of inflammatory infiltration and loss of cilia between groups A and B. Significant differences were also observed in terms of inflammatory infiltration, haematoma, cilia loss, epithelium dysplasia and cartilage degeneration between groups B and C. There were significant differences in terms of cilia loss, epithelium dysplasia and subepithelial fibrosis between groups C and D. Cartilage degeneration was mild in one animal in group B and in two animals in group C, and was moderate in four animals in group C. Conclusion It is recommended that Merocel nasal tampons are removed within 48 hours to preserve nasal mucosal function. Keeping the pack longer may cause cartilage degeneration and other complications.Öğe Levels of mobbing perception among nurses in Eastern Turkey(Wiley, 2012) Akyil, R. Cevik; Tan, M.; Saritas, S.; Altuntas, S.CEVIK AKYIL R., TAN M., SARITAS S. & ALTUNTAS S. (2012) Levels of mobbing perception among nurses in Eastern Turkey. International Nursing Review59, 402408 Purpose: This is a descriptive and comparative study of levels of mobbing perception among nurses, causes and perpetrators of mobbing, reactions to and factors affecting mobbing. Method: Data for the study were collected from a sample of 180 Turkish nurses between July 2007 and January 2008 using a three-part questionnaire. Findings: Nurses were frequently subjected to mobbing. Younger nurses, nurses with less institutional and professional experience, nurses with lower levels of education, and nurses working in internal medicine clinics and night shifts reported higher levels of mobbing. Nurses reported their managers as the most frequent perpetrators of mobbing, and bad working conditions as the most important cause of mobbing. Conclusion: Many participants reported that they had come to accept mobbing incidents and did not lodge any complaints prior to the study. However, they claimed that they will not tolerate mobbing any longer, and will lodge verbal and written complaints.