Browsing by Author "Topal K."

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Cacosmia and Cacogeusia in Patients with Persistent Anosmia and Ageusia due to COVID-19
(2021-12-01) Topal K.; Atalay F.; Kars A.
Effect of intranasal Merocel packs, silicone splint, and trans-septal suture after septoplasty on Eustachian dysfunction
(2020-12-01) Topal K.; Kars A.; Bingol F.; Kılıc K.; Atalay F.
Objective: In this study, we aimed to compare the effects of nasal obstruction caused by nasal packing, trans-septal suture, and silicon splint after septoplasty on the Eustachian tube functions and middle ear ventilation. Methods: The study included 60 patients who were operated on for septum deviation between January and July 2017. The ages of the patients ranged from 19 to 53 years. A total of 24 patients were female, and 36 patients were male. The patients were divided into three groups. Group 1 comprised patients who received trans-septal suture, Group 2 comprised patients who received silicon splint, and Group 3 comprised patients who received Merocel packing. The preoperative and postoperative tympanometric evaluations were performed for each patient. Results: The middle ear pressures of the patients in the three groups were compared; there was no significant difference between the second and the third groups in the right and left middle ear pressures. The middle ear pressures of the first group were significantly lower in both ears than those of the other groups. We have found that trans-septal suture after septoplasty without using a splint or Merocel packing did not affect the middle ear pressure. Conclusion: Trans-septal U suture application after septoplasty did not increase middle ear pressure and did not affect Eustachian tube functions in comparison with the other alternative methods.
Effect of the COVID-19 pandemic on anxiety, stress, and insomnia in ear, nose and throat physicians
(2021-07-01) Atalay F.; Topal K.; Kars A.
Objective: Health workers are generally the group at highest risk of contagion in pandemics, which result in physical and mental burnout in them. Ear, nose, and throat (ENT) physicians are at severe risk both as patients presenting to ENT clinics are potential carriers of coronavirus disease 2019 (COVID-19) and because of procedures producing aerosols during upper airway examination. In this study, we aimed to examine the effect of the COVID-19 pandemic on anxiety, stress, and insomnia in ENT physicians. Methods: A hundred and three ENT physicians working in various provinces of Turkey were included in the study. The study data were collected using an online questionnaire. In addition to questions involving participants’ demographic characteristics, the questionnaire also contained the Generalized Anxiety Disorder Scale (GAD-7), the Insomnia Severity Index (ISI), and the Perceived Stress Scale (PSS). Results: Anxiety, stress, and insomnia scores were statistically significantly higher in female physicians than in men. No statistically significant variation was observed in terms of physicians’ age groups, possession of children, or presence of chronic disease. Significantly higher anxiety was determined in physicians working for 16–25 years than in those working for one to five years. The physicians’ anxiety levels also highly correlated with insomnia and stress levels. No significant association was observed between insomnia and stress levels. Conclusion: The physicians’ mean scores indicated mild anxiety, clinically insignificant insomnia, and moderate levels of stress. In addition, in agreement with the previous literature, anxiety, insomnia, and stress levels were significantly higher in women than in men.
Effect of thyroidectomy in patients with tracheal compression
(2021-01-01) Koycegiz S.; Mutlu V.; Atalay F.; Kars A.; Topal K.; Yesilyurt M.
OBJECTIVE: Various therapeutic methods are employed to reduce thyroid gland compression of the trachea. Differences in the amount of shrinkage in the thyroid gland, in the amount of amelioration of tracheal compression, and in the amount of fibrosis after treatment may occur with these different methods. Although the compression of the trachea decreases after thyroidectomy, the number of studies showing the extent of this is limited. The purpose of this study was to investigate the effect of thyroidectomy performed due to tracheal compression, to reveal the extent of improvement using magnetic resonance imaging (MRI), and to evaluate our results. METHODS: In total, 30 patients, i.e., 24 women and 6 men, with tracheal compression secondary to thyroid gland enlargement and undergoing total thyroidectomy were included in this study. MRI performed before surgery and 6 months after surgery. The amount of deviation from the tracheal midline and the tracheal lateral and anteroposterior (AP) diameters were measured, compared, and subjected to statistical analysis. RESULTS: Statistical analysis revealed significant differences between pre- and postoperative tracheal deviations, and lateral and AP diameters (p<0.001, p<0.001, and p=0.006, respectively). Histopathologically, benign or malignant pathology caused no significant difference in the postoperative improvement of tracheal anatomy (p=0.348 and p=0.148, respectively). CONCLUSIONS: Thyroidectomy performed due to tracheal compression provides significant improvement in tracheal anatomy. Due to its rapid and effective results, thyroidectomy should be one of the first options considered in the treatment of thyroid diseases with compression findings.
Effects of Nasal and Paranasal Sinus Variations on Chronic Otitis Media Development in Pediatric Patients
(2021-10-01) Atila N.E.; Topal K.; Bulut Y.E.; Kaya Z.; Arslan B.
Objective: Chronic otitis media is an inflammatory disease of the middle ear. The airflow in the nasal passage affects the development of mastoid air cells through the eustachian tube.Nasal and paranasal pathologies and their anatomical variations cause chronic sinonasal inflammation and affect the middle ear mucosa. This study aims to reveal whether the nasal and paranasal sinus variations in pediatric patients are a factor in developing chronic otitis media. Materials and Methods: Eighty patients, with unilateral chronic otitis media, who were admitted to the otorhinolaryngology clinic between May 2015 and July 2019, were included in this retrospective study. The control group (Group 2) consisted of a total of 51 patients. None of the patients in Group 2 had otorrhea history and no signs of chronic otitis in their otoscopic examination, middle ear pathologies. The patient’s anatomical variations of the nasal cavity and sinuses were evaluated with CT by a radiologist Results: Nasal septum deviation was found to be 53% in children with chronic otitis media. It was found 31.4% in the control group. Since the P value was found to be.04, this rate was considered as significant. Inferior concha hypertrophy was found to be 17.6% in the control group and 38.8% in the group with chronic otitis media, and this rate was considered significant since the P value was.035 Conclusion: We detected that septum deviation and inferior concha hypertrophy increased chronic otitis media formation in children. All these studies show that cases causing nasal obstruction, such as septum deviation, have a negative effect on middle ear pressure and increase the rate of ear diseases.
Evaluation of effect of septoplasty on nasal mucosal dryness using intranasal Schirmer test
(2022-01-01) Topal K.; Kars A.; Atalay F.; Kılıc K.
Background: Septal deviation causes the air entering the nose to encounter resistance and leads to turbulent flow formation by disrupting laminar air flow. In the literature, the Schirmer test has been recommended to evaluate the moistening of the nasal mucosa. Aims/Objectives: The purpose of this study was to evaluate the degree of nasal humidification using the intranasal schirmer test in patients with septal deviation and to reveal changes in mucosal dryness and humidity in both nasal cavities following septoplasty surgery. Material and Methods: Fifty-three patients with septal deviation detected at endoscopic rhinoscopic examination and scheduled for surgery were enrolled. Schirmer test was performed twice, at a one-month interval, pre- and postoperatively and test records were compared. Results: The Schirmer test value for the deviated side of the septum was significantly lower than that for the contralateral side, for both nasal cavities. Schirmer test values increased significantly on the side of the septal deviation compared to the preoperative values. Conclusions and Significance: Septoplasty surgery performed for septal deviation significantly and reduces nasal mucosa dryness so increases Schirmer test results on the deviated side. We attribute this to septal deviation impairing air flow in the nasal cavity and causing nasal mucosa dryness.
Olfactory Dysfunction Following CoronaVac Coronavirus Disease 2019 Vaccination: A Case Report
(2023-04-01) Kars A.; Topal K.; Atalay F.
Sinonasal Abnormalities on Cranial Magnetic Resonance Imaging in Patients with Tension-Type Headache
(2022-04-01) Atalay F.; Kars A.; Topal K.; Kul B.; Yavuz Z.
Systemic immune inflammation index in patients with recurrent aphthous stomatitis
(2022-07-01) Atalay F.; Kars A.; Topal K.; Yavuz Z.
Objectives: Recurrent Aphthous Stomatitis (RAS) a chronic idiopathic oral mucosal disease. But yet the etiology and pathogenesis of RAS are not exactly known, it is thought that inflammation play an important role in the pathogenesis. The aim of this study is to demonstrate the role of systemic inflammation among the possible etiological factors of RAS and to find the possible diagnostic correlation between Systemic Immune Inflammation Index (SII). Methods: Patients who were consulted the otolaryngology outpatient clinic and diagnosed with RAS between 2019–2021 were retrospectively analyzed. Neutrophil/Lymphocyte Ratio (NLR), Platelet/Lymphocyte Ratio (PLR) and SII values were calculated based on the results of complete blood count. Demographic and hematological parameters between control and RAS groups were compared. The statistical significance level was considered as <0.05. Results: There was no statistically significant difference between the control and RAS groups in terms of sex and age distributions (p = 0.566 and p = 0.173, respectively). SII, NLR and PLR values were significantly higher in the RAS group compared to the controls (p < 0.001, p < 0.001 and p = 0.001, respectively). A very strong correlation between SII and NLR, moderately strong correlation between SII and PLR and moderate correlation between NLR and PLR values were detected (respectively ρ: 0.813, 0.719, 0.532; p-values <0.001). Conclusion: SII, NLR and PLR has significantly higher levels in the RAS group compared to the control group, that it supports the role of systemic inflammation in the etiopathogenesis of RAS. In addition, the results show that SII is a valuable marker for inflammation. Level of evidence: 4.
The Role of Manganese, Cadmium, Chromium and Selenium on Subjective Tinnitus
(2021-08-01) Atila N.E.; Atila A.; Kaya Z.; Bulut Y.E.; Oner F.; Topal K.; Bayraktutan Z.; Bakan E.
Elevated levels of heavy metals like cadmium (Cd) and manganese (Mn) are known to lead to oxidative damage-related oto-toxicity and decreased levels of chromium (Cr) and selenium (Se) are known to lead to oto-toxicity due to reduced anti-oxidant activity. The aim of the present study was to evaluate serum levels of Cd, Mn, Cr, and Se and their relationship with tinnitus. A total of 48 patients with tinnitus (Group 1) and 40 healthy controls (Group 2) were included in the study. All participants were applied audiology tests. Severity of tinnitus was measured with Tinnitus Severity Index Questionnaire (TSIQ) in group 1. Serum Mn, Cd, Cr, and Se measurements were done by using The Agilent ICP-MS system consisted of a 7700 coupled plasma mass spectrometry (ICP-MS). Serum Cd, Mn, and Cr levels were higher in group 1 and Se level was lower in group 1 than that of group 2. We may conclude that Cd, Mn, Cr, and Se levels could play an important role in etio-pathogenesis of tinnitus, and thereby supplementation or reduction of these elements could be considered as novel therapeutic goals.