1
|
Işik ÜG, Ensari N, Sarikçioğlu L, Sonbay Yilmaz ND, Yüksel Y, Senirli RT, Yildiz M, Selçuk ÖT, Çetinkaya EA, Eyigör H, Gür ÖE. Effects of platelet-rich fibrin and dexamethasone on nerve regeneration after acute facial-nerve injury. Acta Otolaryngol 2023; 143:623-629. [PMID: 37452661 DOI: 10.1080/00016489.2023.2233085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 06/22/2023] [Accepted: 06/24/2023] [Indexed: 07/18/2023]
Abstract
BACKGROUND Acute facial-nerve injury. OBJECTIVE To investigate the effects of platelet-rich fibrin (PRF) and dexamethasone on nerve regeneration. MATERIALS AND METHODS Thirty-six rats were randomly divided into six groups. Facial-nerve injury was created using a full-thickness incision in all groups except Group E. Next, primary anastomosis, PRF application, topical dexamethasone application, primary anastomosis with topical PRF and dexamethasone application, and no facial-nerve repair were performed in Groups A, B, C, D, and F, respectively. Clinical, functional, and structural improvements were evaluated at eight weeks. RESULTS The mean eye-closure movement score in Group B was significantly higher than that in Group F (p < .001). The mean whisker-movement score in Group B was significantly higher than that in Group F (p = .001). The mean amplitude of whisker movement in Group F was significantly lower than those in Groups A, B, C, and E, and the mean amplitude in Group D was significantly lower than that in Group E (p < .001). Furthermore, an improvement in nerve ultrastructure was observed in Group B. CONCLUSION PRF application has a positive effect on nerve recovery after anastomosis. SIGNIFICANCE Contribute to the literature to improve nerve regeneration.
Collapse
Affiliation(s)
- Ünal Gökalp Işik
- Otorhinolaryngology Department, Antalya Health Sciences University, Antalya, Turkey
| | - Nuray Ensari
- Otorhinolaryngology Department, Antalya Health Sciences University, Antalya, Turkey
| | | | | | - Yeşim Yüksel
- Otorhinolaryngology Department, Antalya Health Sciences University, Antalya, Turkey
| | - Rezarta Taga Senirli
- Otorhinolaryngology Department, Antalya Health Sciences University, Antalya, Turkey
| | - Muhammet Yildiz
- Otorhinolaryngology Department, Antalya Health Sciences University, Antalya, Turkey
| | - Ömer Tarik Selçuk
- Otorhinolaryngology Department, Antalya Health Sciences University, Antalya, Turkey
| | | | - Hülya Eyigör
- Otorhinolaryngology Department, Antalya Health Sciences University, Antalya, Turkey
| | - Özer Erdem Gür
- Otorhinolaryngology Department, Antalya Health Sciences University, Antalya, Turkey
| |
Collapse
|
2
|
Cetinkaya EA, Yildiz M, Ensari N, Gokalp Isik U, Yılmaz GO, Aydenizoz D, Selcuk OT, Eyigor H. Reliability of CIR-S using the subperiosteal pocket technique under 2 years of age. Cochlear Implants Int 2021; 23:109-113. [PMID: 34852725 DOI: 10.1080/14670100.2021.2007633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE It is aimed in this study to investigate the reliability of the cochlear implant receiver-stimulator (CIR-S) placement using unfixed subperiosteal tight pocket technique and the postoperative soft tissue changes that occur around the CIR-S, in toddlers under 2 years of age. METHODS Nonsyndromic toddlers with normal radiological findings and who were planned to have cochlear implantation were included in the study. Preoperative and postoperative complications, device migration, and postoperative soft tissue changes occurred around the CIR were analyzed using objective methods. RESULTS Twenty-six toddlers aged between 12 and 24 months who met the study criteria were followed up for a mean follow-up duration of 18 months. No intraoperative and postoperative surgical complications and device migration were observed in any of the cases included in the study. CONCLUSION It was concluded as a result of this study that cochlear implant receiver-stimulator placement using the subperiosteal pocket technique is reliable in toddlers under 2 years of age, provided that the small incision tight subperiostal pocket technique is performed meticulously without fixation and well drilling, and that device-protective changes occur in the tissues around the CIR-S over time with the use of the device and as the child skull develops.
Collapse
Affiliation(s)
- Erdem Atalay Cetinkaya
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey
| | - Muhammet Yildiz
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey
| | - Nuray Ensari
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey
| | - Unal Gokalp Isik
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey
| | - Gamze Ozturk Yılmaz
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey
| | - Dogukan Aydenizoz
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey
| | - Omer Tarik Selcuk
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey
| | - Hulya Eyigor
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey
| |
Collapse
|
3
|
Selcuk OT, Ozturk Yılmaz G, Ellidag HY, Ilden O, Turkoglu Selcuk N, Yilmaz G, Ensari N, Konsuk Unlu H, Eyigor H. Can we use serum SCUBE 1 levels as a biomarker in obstructive sleep apnea hypopnea syndrome? Cranio 2021:1-9. [PMID: 34842057 DOI: 10.1080/08869634.2021.2005917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To examine the SCUBE1 level, a biomarker in vascular biology that could determine the prognosis of cardiovascular events during OSA treatment. METHODS In total, 129 patients were included in the study. Thirty were diagnosed with simple snoring and 99 with OSA. RESULTS In males, significant correlation was determined between SCUBE1 non-REM AHI, hypopnea index, total apnea index, mean SO2, minimum SO2, and < 90% saturation duration. CONCLUSION Serum SCUBE1 levels increased more in male patients with severe OSA compared to other OSA levels, and high serum SCUBE1 levels were found to be associated with lower oxygen levels in OSA patients. The SCUBE1 biomarker can correlate with severe OSA in males. There was a statistically significant difference between OSA groups in terms of SCUBE1 score for male patients (p = 0.002) but not for females (p = 0.498). It is important that future SCUBE1 studies evaluate males vs. females.
Collapse
Affiliation(s)
- Omer Tarik Selcuk
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Gamze Ozturk Yılmaz
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Hamit Yasar Ellidag
- Department of Biochemistry, Antalya Training and Research Hospital, Antalya, Turkey
| | - Oğuzhan Ilden
- Department of Otorhinolaryngology, Kumluca Public Hospital, Antalya, Turkey
| | | | - Gokhan Yilmaz
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Nuray Ensari
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | | | - Hülya Eyigor
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| |
Collapse
|
4
|
Gur OE, Ozturk Yilmaz G, Ensari N, Arslan MO. Human nasal myiasis caused by oestrus ovis: two case reports and review of the literature. B-ENT 2021. [DOI: 10.5152/b-ent.2021.21301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
|
5
|
Sonbay Yılmaz ND, Afyoncu C, Ensari N, Yıldız M, Gür ÖE. The Effect of the Mother's Participation in Therapy on Children with Vocal Fold Nodules. Ann Otol Rhinol Laryngol 2021; 130:1263-1267. [PMID: 33733874 DOI: 10.1177/00034894211002430] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVES Vocal fold nodules (VFN) are a bilateral epithelial thickening of the membranous vocal folds. In this study, children with VFN and their mothers took part in voice therapy. We then compared acoustic analyzes and subjective evaluations to those in previous literature to determine whether voice therapy is more effective for children with VFN when their mothers also take part in therapy. METHODS Children aged eight to 12 years who were diagnosed with bilateral VFN between January 2018 and January 2020 were included in this study. Participating children diagnosed with bilateral VFN were divided into two groups based on the wishes and cooperation of their families. Group 1 consisted of 16 patients; Group 2 included 17 patients. The children in Group 1 received voice therapy alone; children in Group 2 took part in therapy with their mothers. For all participants, the average fundemental frequency (F0), jitter percentages, shimmer percentages, maximum phonation time (MPT) and s/z ratios were measured. Pediatric voice handicap index (p-VHI) values were calculated as well. RESULTS The two groups' measures pre-treatment and post-treatment were compared. Except for p-VHI, no significant difference was observed between the two groups. However, p-VHI post-treatment was significantly lower in Group 2 than in Group 1. CONCLUSIONS Involving the families and even teachers of children with VFN in voice therapy can increase the effectiveness of therapy. The family's involvement increases the child's motivation in therapy. The mother's presence during therapy, supporting the child or even doing the work with the child, can be a very important source of motivation for the child, who may already be tired from school and other activities. Thus, the mother's involvement increases the child's compliance with and interest in therapy.
Collapse
Affiliation(s)
| | - Cansu Afyoncu
- Depatment of Speech and Language Therapy, Antalya Training and Research Hospital, Antalya, Turkey
| | - Nuray Ensari
- Depatment of Otolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Muhammet Yıldız
- Depatment of Otolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Özer Erdem Gür
- Depatment of Otolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| |
Collapse
|
6
|
Yildiz M, Ozkan MB, Selcuk OT, Cetinkaya EA, Ensari N, Yilmaz NDS, Gur OE. Quantitative assessment of temporal skin elasticity using shear wave elastography in pediatric cochlear implant users. Int J Pediatr Otorhinolaryngol 2020; 137:110257. [PMID: 32896336 DOI: 10.1016/j.ijporl.2020.110257] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 07/08/2020] [Accepted: 07/08/2020] [Indexed: 12/20/2022]
Abstract
OBJECTIVE To evaluate temporal skin thicknesses and stiffness values using shear wave elastography (SWE) in asymptomatic pediatric patients who underwent cochlear implantation. SUBJECTS AND METHODS Sixty-four deafened pediatric patients with unilateral cochlear implant (CI) who had no complications were enrolled. The age, sex, weight, height, body mass index (BMI), CI side, duration of CI use and CI device brand of all participants were noted. Temporal skin thickness and stiffness values were measured from implanted and contralateral unimplanted sides using SWE. RESULTS The mean skin thickness measurements of implanted and unimplanted sides were 11.87 ± 3.42 and 5.34 ± 1.56 mm, respectively. The mean skin stiffness measurements of implanted and unimplanted sides were 3.08 ± 0.7 and 1.29 ± 0.26 m/s, respectively. There were statistically significant differences in skin thickness and stiffness between implanted and unimplanted sides (P < .001, P < .001). The mean skin thickness and stiffness measurements did not differ among types of CI devices (P = .948, P = .362). Age had positive correlation with implanted (P < .001, P = .019) and unimplanted sides (P < .001, P < .001) skin thickness and stiffness. BMI had positive correlation with implanted (P < .001, P = .023) and unimplanted sides (P < .001, P < .001) skin thickness and stiffness. Duration of CI use had positive correlation with implanted side skin thickness (P < .001) and stiffness (P = .031). CONCLUSION Temporal skin thickness and stiffness increase after CI surgery. SWE has the potential to improve diagnostic accuracy, and our results may provide important data for evaluation of clinical entities that affect temporal skin structures.
Collapse
Affiliation(s)
- Muhammet Yildiz
- Department of Otorhinolaryngology-Head and Neck Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
| | - Mehmet Burak Ozkan
- Department of Pediatric Radiology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Omer Tarik Selcuk
- Department of Otorhinolaryngology-Head and Neck Surgery, Antalya Training and Research Hospital, Antalya, Turkey
| | - Erdem Atalay Cetinkaya
- Department of Otorhinolaryngology-Head and Neck Surgery, Antalya Training and Research Hospital, Antalya, Turkey
| | - Nuray Ensari
- Department of Otorhinolaryngology-Head and Neck Surgery, Antalya Training and Research Hospital, Antalya, Turkey
| | - Nevreste Didem Sonbay Yilmaz
- Department of Otorhinolaryngology-Head and Neck Surgery, Antalya Training and Research Hospital, Antalya, Turkey
| | - Ozer Erdem Gur
- Department of Otorhinolaryngology-Head and Neck Surgery, Antalya Training and Research Hospital, Antalya, Turkey
| |
Collapse
|
7
|
Ensari N, Gur O, Gur N, Selcuk O, Renda L, Yilmaz M, Eyigor H, Cekin Y. Apelin hormone level and its role in the etiology of sudden hearing loss. Med-Science 2020. [DOI: 10.5455/medscience.2020.04.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
|
8
|
Yildiz M, Cetinkaya E, Eyigor H, Selcuk O, Yilmaz N, Ensari N, Gur N, Gur O. Seroprevalence of human immunodeficiency virus, hepatitis B virus, and hepatitis C virus in patients undergoing nasopharyngeal biopsy. Med-Science 2020. [DOI: 10.5455/medscience.2020.06.113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
|
9
|
Yılmaz N, Ensari N, Gur O. Seasonal distribution of sudden sensori and #775;neural hearing loss. Med-Science 2020. [DOI: 10.5455/medscience.2020.09.9232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
|
10
|
Yılmaz NDS, Gür ÖE, Ensari N, Bulut E, Kaya OT, Sırvancı S, Danısman B, Derin N, Gezgin B, Aygener N, Yılmaz MD. Effect of perinatal biotin deficiency on auditory pathway of the Wistar-Albino rats. Acta Otolaryngol 2019; 139:677-684. [PMID: 31124733 DOI: 10.1080/00016489.2019.1614665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Aim: Severe biotin deficiency associated with biotinidase enzyme deficiency in newborns is seen as severe neurological problems and hearing loss. However, the effect on the infant of deficiencies in the maternal diet during pregnancy are not clear. Material and methods: The study included 16 female Wistar albino rats and 4 male Wistar albino rats, that were mated and then the females were separated into 4 groups. At 40 days after the birth, 3 pups were selected from each group, and these 12 pups were evaluated with DPOAE and ABR electrophysiologically and the cochlea was examined ultrastructurally with electron microscopy. Results: In the DPOAE evaluation, At 8000 and 11,000 Hz, the signal-noise ratios in the B-N and B-B groups were statistically significantly higher (p < .05). In ABR, lengthening of the latency periods was determined in all the waves at both 8 and 16 kHz in the B-B group. When the IPL periods were examined, lengthening in IPL 1-5 was statistically significant in the B-B group only at 8 kHz. Conclusions: Biotin can be said to have an effect on hearing pathways. However, specifically where on the hearing pathways that biotin is involved has not been clarified.
Collapse
Affiliation(s)
| | - Özer Erdem Gür
- Depatment of Otolaryngology, Antalya Training and Research Hospital, Turkey
| | - Nuray Ensari
- Depatment of Otolaryngology, Antalya Training and Research Hospital, Turkey
| | - Erdogan Bulut
- Faculty of Health Sciences, Department of Audiology, Trakya University, Turkey
| | - Ozlem Tugce Kaya
- Department of Histology and Embryology, Marmara University, Istanbul, Turkey
| | - Serap Sırvancı
- Department of Histology and Embryology, Marmara University, Istanbul, Turkey
| | | | - Narin Derin
- Department of Biophysics, Akdeniz University, Turkey
| | - Bahri Gezgin
- Department of Biophysics, Akdeniz University, Turkey
| | - Nurdan Aygener
- Department of Audiology, Konya Medicana International Hospital, Turkey
| | | |
Collapse
|
11
|
|
12
|
Ensari N, Gür ÖE, Öztürk MT, Süren D, Selçuk ÖT, Osma Ü. The effect of platelet-rich fibrin membrane on the repair of perforated tympanic membrane: an experimental study. Acta Otolaryngol 2017; 137:695-699. [PMID: 28498077 DOI: 10.1080/00016489.2017.1282169] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
CONCLUSION Platelet-rich fibrin (PRF) membrane could be used successfully in the repair of tympanic membrane perforation and wound healing. OBJECTIVES To evaluate the effect of platelet-rich fibrin membrane in the repair of perforated tympanic membrane. METHODS After otoscopic examination, a 3-mm perforation was made in the posterior quadrant of both tympanic membranes of 50 adult male Sprague-Dawley rats. Venous blood was withdrawn from the rats, then centrifuged. PRF was obtained in membrane form. The membrane was placed on the right tympanic membrane perforation. The perforations on the left side were left to spontaneously heal and, thus, formed the control group. Daily examinations were made of 20 rats and the time to healing of the tympanic membrane was recorded. The remaining 30 rats were separated into five groups of six, and histopathological examination was made. Evaluation was made in respect of the presence of oedema in the lamina propria, neovascularization, fibroblastic reaction, and inflammatory cells. RESULTS The healing time of the tympanic membrane perforation was determined as mean 10.3 ± 2.18 days in the study group applied with PRF and 17 ± 2.40 days in the control group. Higher values in respect of fibrosis and neovascularization were obtained in the study group.
Collapse
Affiliation(s)
- Nuray Ensari
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
| | - Özer Erdem Gür
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
| | | | - Dinç Süren
- Department of Pathology, Antalya Education and Research Hospital, Antalya, Turkey
| | - Ömer Tarık Selçuk
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
| | - Üstün Osma
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
| |
Collapse
|
13
|
Gür ÖE, Öztürk MT, Ensari N, Şenen D, Sonbay ND. Plexiform neurofibroma: An uncommon cause of conductive-type hearing loss. Acta Oto-Laryngologica Case Reports 2017. [DOI: 10.1080/23772484.2017.1316174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- Özer Erdem Gür
- Department of ENT, Antalya Education and Training Hospital, Antalya, Turkey
| | - M. Türker Öztürk
- Department of ENT, Antalya Education and Training Hospital, Antalya, Turkey
| | - Nuray Ensari
- Department of ENT, Antalya Education and Training Hospital, Antalya, Turkey
| | - Dilek Şenen
- Department of Plastic and Reconstructive Surgery, Antalya Education and Training Hospital, Antalya, Turkey
| | | |
Collapse
|
14
|
Gür ÖE, Ensari N, Boztepe OF. The advantages of platelet-rich fibrin membrane in the treatment of traumatic tympanic membrane perforations. Acta Otolaryngol 2017; 137:44-46. [PMID: 27546584 DOI: 10.1080/00016489.2016.1217563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
15
|
Gür ÖE, Ensari N, Yılmaz NDS. The Effects of Platelet-Rich Fibrin Membrane on Secondary Healing After Pleomorphic Adenoma Excision in the Hard Palate: A Preliminary Study. Ann Maxillofac Surg 2017; 7:78-81. [PMID: 28713740 PMCID: PMC5502520 DOI: 10.4103/ams.ams_182_16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Aim: This study aims to evaluate the effects of platelet-rich fibrin (PRF) membrane on secondary healing after pleomorphic adenoma (PA) excision in the hard palate. Materials and Methods: PRF membranes were laid over mucosal defects which occurred following PA excision in the hard palate. The secondary healing process was monitored in the patients by follow-up examinations on postoperative days 5, 10, 15, 20, 25, 30, 35, and 40. Results: In this preliminary study, epithelialization was observed to have completed on the 30th day of follow-up in the first patient and on the 35th day in the second and third patients. No bleeding or infection was seen in any of the three patients. Conclusions: PRF membrane as a new method in the secondary healing after PA excision in the hard palate provided rapid healing and reduced complications such as bleeding and infection.
Collapse
Affiliation(s)
- Özer Erdem Gür
- Department of ENT, Antalya Education and Training Hospital, Antalya, Turkey
| | - Nuray Ensari
- Department of ENT, Antalya Education and Training Hospital, Antalya, Turkey
| | | |
Collapse
|
16
|
Gür ÖE, Ensari N, Öztürk MT, Boztepe OF, Gün T, Selçuk ÖT, Renda L. Use of a platelet-rich fibrin membrane to repair traumatic tympanic membrane perforations: a comparative study. Acta Otolaryngol 2016; 136:1017-23. [PMID: 27192505 DOI: 10.1080/00016489.2016.1183042] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVES (1) To evaluate the effects of a platelet-rich fibrin (PRF) membrane in the repair of traumatic tympanic membrane (TM) perforations; and (2) to compare the use of a PRF membrane with the paper patch technique with regard to recovery rates, healing time, and correction of the mean air-bone gap. METHODS A randomized, prospective analysis was performed for 60 patients who were treated for traumatic TM perforations using one of the two methods. Closure rate, speed of healing, and hearing gain were compared between the PRF (Group 1) and paper patch (Group 2) groups. RESULTS Closure was obtained in 28 (93%) perforations in Group 1 and 25 (83%) perforations in Group 2 (p > 0.05). On day 10, full closure of the TM was observed in 24 (80%) patients in Group 1 and 16 (53%) patients in Group 2 (p < 0.05). The improvement in the mean air-bone gap was 14.1 dB in Group 1 and 12.4 dB in Group 2 on post-operative day 45 (p < 0.05). CONCLUSIONS In comparison with the paper patch method, PRF, a new method, provided more rapid healing with more successful audiological results, and with no requirement for a second procedure.
Collapse
Affiliation(s)
- Özer Erdem Gür
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
| | - Nuray Ensari
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
| | | | | | - Taylan Gün
- Department of ENT, Bahçeşehir University, Faculty of Medicine, Medical Park Hospital, Ankara, Turkey
| | - Ömer Tarık Selçuk
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
| | - Levent Renda
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
| |
Collapse
|
17
|
Abstract
OBJECTIVES Otosclerosis is a disease involving abnormal bone turnover in the human otic capsule that results in hearing loss. Several hypotheses have been suggested for the etiopathogenesis of otosclerosis; however, its etiology remains unclear. METHODS This study evaluated the correlation between otosclerosis and levels of paraoxonase-1 (PON1), arylesterase, total antioxidant status, total oxidant status (TOS), oxidative stress index (OSI), total sulfhydryl (-SH) groups, lipid hydroperoxide, and ceruloplasmin in the serum of otosclerosis patients and healthy subjects with respect to oxidative stress. RESULTS In our study, TOS and OSI levels were higher in the otosclerosis patients than in the controls. The PON1 levels showed that oxidative stress was severe, and as a result, antioxidants were consumed and depleted. DISCUSSION When an imbalance between oxygen free radical production and antioxidative defense mechanisms occurs, reactive oxygen species levels may increase, which in turn may damage cells and tissues through the peroxidation of phospholipid membrane structures. The body initially responds with increased antioxidant production, but if the oxidative stress is severe, decreased antioxidant levels may result. This study reports expression levels of oxidative stress species in otosclerosis patients.
Collapse
Affiliation(s)
- Elif Baysal
- a Faculty of Medicine, Otolaryngology Department , Inonu University , Malatya , Turkey
| | | | | | - Fatih Celenk
- d Faculty of Medicine, Otolaryngology Department , Gaziantep University , Gaziantep , Turkey
| | - Nuray Ensari
- e Antalya Education and Research Hospital , Antalya , Turkey
| | - Seyithan Taysi
- f Faculty of Medicine, Biochemistry Department , Gaziantep University , Gaziantep , Turkey
| | - Habib Binici
- g Faculty of Medicine, Otolaryngology Department , Harran University , Sanliurfa , Turkey
| | - Cengiz Durucu
- d Faculty of Medicine, Otolaryngology Department , Gaziantep University , Gaziantep , Turkey
| | - Semih Mumbuc
- d Faculty of Medicine, Otolaryngology Department , Gaziantep University , Gaziantep , Turkey
| | - Muzaffer Kanlikama
- d Faculty of Medicine, Otolaryngology Department , Gaziantep University , Gaziantep , Turkey
| |
Collapse
|
18
|
|
19
|
Yilmaz M, Baysal E, Gunduz B, Aksu A, Ensari N, Meray J, Bayazit YA. Assessment of the ear and otoacoustic emission findings in fibromyalgia syndrome. Clin Exp Rheumatol 2005; 23:701-3. [PMID: 16173251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
OBJECTIVE We aimed to assess otoacoustic emission (OAE) findings in fibromyalgia (FM) syndrome. METHODS Thirty-two ears of 16 female patients with FM syndrome and 30 ears of 15 healthy female controls were also included in the study. Pure tone audiometry, speech discrimination testing, tympanometry and otoacoustic emission testing (both transiently evoked and distortion product) were performed. RESULTS There was no significant difference between the pure tone hearing results of the patients and controls (p > 0.05). There was no significant difference between the distortion-product-otoacoustic emission results of the patients and controls. Audiologic findings of the patients with and without otologic symptoms were not significantly different than controls (p > 0.05). CONCLUSION Although FM patients generally have subjective symptoms related to ear, clinical or laboratory assessments usually fail to find out any objective finding related to these subjective symptoms. The otologic functions seem spared in FM syndrome.
Collapse
Affiliation(s)
- M Yilmaz
- Department of Otolaryngology, Faculty of Medicine, Gazi University, Besevler, Ankara, Turkey
| | | | | | | | | | | | | |
Collapse
|