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    Evaluation of the effect of CPAP treatment on voice in obstructive sleep apnea with objective and subjective voice analyzes
    (Verduci Publisher, 2022) Geckil, A. Altintop; Yaslikaya, S.; Aycan, Z. Birisik
    OBJECTIVE: Obstructive sleep ap-nea (OSA) is a multifactorial disease that is the most common among sleep-related respirato-ry disorders. In our study, we aimed to compare the objective and subjective voice analysis re-sults of the patients with CPAP treatment indi-cation after polysomnography performed in the sleep disorders center before the start of CPAP treatment, the 1st month, and the 3rd month after the treatment.PATIENTS AND METHODS: Patients were asked to say the vowels /alpha:/ for 5 seconds, re-spectively for voice recording. MPT and S/Z ra-tios were also recorded. Using the Praat voice analysis program Jitter%, Shimmer%, HNR, f0 values were obtained. VHI-10 questionnaire was applied. The voice analysis results of the patients before and after the treatment were compared.RESULTS: 26 patients were included in the study. Since 8 of these patients did not come to the 3rd month evaluation, the study was complet-ed with the data of 18 patients. In our study, at the end of the 3rd month, no difference was found in terms of the fundamental frequency, Shimmer%, HNR, and S/Z values. There was a statistically significant decrease in Jitter% at the 1st month after treatment and 3rd month after treatment compared to pre-treatment (p=0.05, p=0.018). There was a statistically significant decrease in MPT at the 1st month after treatment and 3rd month after treatment compared to pre-treatment (p<0.001, p<0.001). There was a statistically sig-nificant decrease in VHI-10 at the 1st month and 3rd month after treatment compared to pre-treat-ment. Furthermore, there was statistically signifi-cant difference between 3rd month after treatment compared to 1st month after treatment. (p=0.043, p=0.030, p=0.029).CONCLUSIONS: Our study showed that CPAP treatment had both objective and subjective pos-itive effects on voice recovery in the OSA patient group.
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    A rare cause of dysphagia and halitosis: zenker’s diverticulum
    (2018) Yaslikaya, S.; Kizilay, S.
    In this article, we present a rare case which was diagnosed as Zenker’s diverticulum that was treated with external approach by performing cricopharyngeal myotomy and diverticulectomy. Zenker’s diverticulum occurs by herniation of the pharynx mucosa and submucosa from the weakened area between the cricop-haryngeus and the inferior constructor muscles, because of the increased pressure created by the spasm of the upper esopha-geal sphincter. It is usually seen in 7-8th decades of life and more common among men. Patients usually present with complaints of dysphagia, odynophagia, regurgitation, halitosis, and chronic cough. Currently, treatment for Zenker’s diverticulum has been mostly defined, however it has not determined precisely. The purpose of the treatment is to create a uniform flow in the lumen by preventing the diverticulum from being a reservoir. Today, endoscopic approach is frequently preferred because of low complication rates and operation times and short hospital stay. However, some authors also advocate that external approach should be applied with greater success rates for a large diverticulum and in patients who can not undergo endoscopy. In determining the treatment, the preference of the doctor, the patient’s expectation, general conditions and possibilities should be considered. © 2018, Logos Medical Publishing. All rights reserved.