European Archives of Oto-rhino-laryngology, May 3, 2021
Chronic rhinosinusitis with nasal polyps (CRSwNP) is a frequently occurring condition involving t... more Chronic rhinosinusitis with nasal polyps (CRSwNP) is a frequently occurring condition involving type 2 inflammation. It has a global prevalence of approximately 4% and has a major effect on the quality of life of those affected by it. CRSwNP is a complex condition for otorhinolaryngologists to manage, since its precise pathogenic basis has not been established, treatment is challenging and the condition often recurs. It is common to find abnormalities in smelling in those with CRSwNP. This cross-sectional study enrolled patients suffering from CRS. Three groups were compared: 1812 patients with CRS, 571 with CRSwNP, and 120 with CRSwNP treated by FESS. The Sniffin’ Sticks® olfactory test was used to measure olfactory function in all patients. Olfactory dysfunction was a common symptom in patients with CRS, ranging in frequency from 56 to 74%. In patients with CRSwNP, impairment of sense of smell affected 64% of subjects (42% with anosmia, 10% with hyposmia, and 12% with cacosmia). After surgery, there was a significant improvement in the ability to smell normally. The present study confirms that impairment of smell is a common symptom in patients with chronic rhinosinusitis, mainly in subjects with nasal polyps. FESS reduces the prevalence of olfactory dysfunction.
Tables, figures and graphs help authors to present detailed results and complex relationships, pa... more Tables, figures and graphs help authors to present detailed results and complex relationships, patterns and trends clearly and concisely [1–4]; they also reduce the length of the manuscript and enhance readers’ understanding of the study results. However, while well-presented tables and figures in research papers can efficiently capture and present information, poorly crafted tables and figures can confuse readers and impair the effectiveness of a paper [1].
Objectives: Sensorineural hearing loss is caused by problems in the inner ear, vestibulocochlear ... more Objectives: Sensorineural hearing loss is caused by problems in the inner ear, vestibulocochlear nerve, or brain central processing centers. This study aimed to analyze the patient-reported etiology, clinical aspects, and hearing evolution of patients with profound sensorineural hearing loss (PSNHL). Study design: Retrospective. Methods: A total of 310 adult patients diagnosed with PSNHL in one or both ears between January 2002 and January 2008 were studied at a secondary center. Most subjects were military-aged males who were diagnosed with PSNHL during routine examinations prior to recruitment. A pure-tone audiometry test was performed in all patients. Auditory brainstem response was recorded in 142 (45.8%) patients. Results: A total of 310 adult patients (276 males [89%] and 34 females [11%]) with a mean age of 23.1 (range 20-81) years comprising 486 ears consisting of 176 (56.8%) bilateral and 134 (43.2%) unilateral PSNHL cases were evaluated. Etiology was based on patient self reporting. The disease was congenital in 93 (30%) patients and acquired in 217 (70%). Etiology was unknown in 35 (11.3%) patients. Acquired hearing losses were rapid in 188 (86.6%) and progressive in 29 (13.4%) patients. Articulation was impaired (no understandable speech) in a total of 146 patients (47.1%), including all patients with congenital PSNHL. Conclusion: The cause of hearing loss is often understood from medical history. Taking measures for the most common causes (congenital hearing loss and childhood infectious diseases) may reduce occurrences of PSNHL cases. Auditory screening and beginning hearing rehabilitation as soon as possible in newborns is vital.
The most frequent and probably the earliest described surgical intervention of ENT field is tonsi... more The most frequent and probably the earliest described surgical intervention of ENT field is tonsillectomy. Various methods were described and devices were invented up to now in order to increase safety and decrease time consumption and complications. All new created devices promises lower intraoperative blood loss, intraoperative time, postoperative pain and bleeding. But with their widely use it is seen that they cannot fulfill what they promise. Debate also continues as to which technique yields the best outcome. This study reports a summary for common medical devices which were previously used in tonsillectomy.
Tick-borne diseases are seen all over the world and their importance rises increasingly. It is no... more Tick-borne diseases are seen all over the world and their importance rises increasingly. It is noticeably important that disease and death rates due to tick-bites in our country in different areas increased in 2008. In Turkey, the numbers of diseases which are transmitted by ticks are considerably large and all of them are not detected. Reports of isolated facial paralysis cases due to tick infestation in the ear are infrequent in literature. The development of isolated facial paralysis due to ticks can be explained by several theories. This article reports a case report of a 3 year- old girl who was bought to our clinic with severe left ear pain and paresthesia on the left half of her face. She couldn't close her left eye and she lisped. The tick was removed from her external auditory canal surgically.
Objective: In this study, we aimed to review the National Newborn Hearing Screening (NNHS) progra... more Objective: In this study, we aimed to review the National Newborn Hearing Screening (NNHS) programme data obtained from Corlu, located in west part of Turkey for the last 4 years. Subjects and methods: A total 11575 newborns that were either born in Çorlu State Hospital or referred from other Health Care Centers, between September 2009 and November 2012 were included into the study. Automated-Transient Evoked Otoacoustic Emission (A-TEOAE) test and Automated-Auditory Brainstem Response (A-ABR) were used as screening tests. When the newborn had failed at the initial A-TEOAE test, then the test was repeated after 15 days. If the same result was obtained at the second test; the newborns were referred for ENT examination. A-TEOAE and A-ABR screening tests were performed as the third stage evaluation. The failed newborns were referred for clinical ABR test. Results: Out of 11575 newborns, 593 (5.12%) had failed the test and they were referred for clinical ABR. Out of these 593 neonates, 470 had passed the diagnostic ABR test at the referral center. Bilateral and unilateral sensori-neural hearing loss (SNHL) was detected at 15 and 7 babies respectively, 10 of 22 of these babies had risk factors such as family history of hearing loss, and parental consanguinity. Conclusions: The final hearing impairment and risk factor rates of our study was similar with literature. Although referral rates and the number of default babies gradually decreased in the last 4 years; definitive diagnosis and hearing aid initiation times need to improvement.
Background: Body piercing confined to the ears, mouth, and nose has been a common practice in alm... more Background: Body piercing confined to the ears, mouth, and nose has been a common practice in almost every society around the world as far back as can be traced. As the popularity of piercing increasing, there is a soaring urgency of understanding the subsequent complications. Objective: A survey was designed to analyze the attitudes and practices of a group of volunteers wearing nose piercing. The questionnaire aimed to establish where and how the individuals had their piercing and what kind of complications they had when they got pierced, if any. Also evaluated are the psychosocial consequences of piercing and the reason behind the body jewelry. Methods: A 15-question survey was offered on a voluntary and anonymous basis to individuals wearing nose jewels at various public places in Eskisehir and Izmir, Turkey, over a span of 4 months period. Questionnaire data were analyzed using the SPSS 15.0. Independent variables included various health complications, location of the piercing and the instrument by which the piercing is performed. Results: A total of 74 female volunteers responded to the questionnaire. There were 87% had the procedure performed in an unregulated shop while 65% had it done by non-professional personnel. In 85%, the procedure was executed with a sterile injection/needle or a piercing gun, assuming both were sterilized instruments. Nearly 70% noted at least one symptom of local infection. A 30% observed bleeding. No correlation was found between various complications and the location of the piercing or the instrument by which the piercing is performed (p＜0.05). Over 90% were clearly happy with their piercing. Adornment is the number one reason (in 38%) of having nose piercing. Conclusion: Results showed that body piercing, which was common among adolescents, may pose a significant risk to one's health. Studies with larger sample size and among different populations with various cultural backgrounds are needed to delineate the rate of health complications we have observed. Exploration of psychological and sociological consequences of body piercing through long-term follow-up would be desired.
European Archives of Oto-rhino-laryngology, May 3, 2021
Chronic rhinosinusitis with nasal polyps (CRSwNP) is a frequently occurring condition involving t... more Chronic rhinosinusitis with nasal polyps (CRSwNP) is a frequently occurring condition involving type 2 inflammation. It has a global prevalence of approximately 4% and has a major effect on the quality of life of those affected by it. CRSwNP is a complex condition for otorhinolaryngologists to manage, since its precise pathogenic basis has not been established, treatment is challenging and the condition often recurs. It is common to find abnormalities in smelling in those with CRSwNP. This cross-sectional study enrolled patients suffering from CRS. Three groups were compared: 1812 patients with CRS, 571 with CRSwNP, and 120 with CRSwNP treated by FESS. The Sniffin’ Sticks® olfactory test was used to measure olfactory function in all patients. Olfactory dysfunction was a common symptom in patients with CRS, ranging in frequency from 56 to 74%. In patients with CRSwNP, impairment of sense of smell affected 64% of subjects (42% with anosmia, 10% with hyposmia, and 12% with cacosmia). After surgery, there was a significant improvement in the ability to smell normally. The present study confirms that impairment of smell is a common symptom in patients with chronic rhinosinusitis, mainly in subjects with nasal polyps. FESS reduces the prevalence of olfactory dysfunction.
Tables, figures and graphs help authors to present detailed results and complex relationships, pa... more Tables, figures and graphs help authors to present detailed results and complex relationships, patterns and trends clearly and concisely [1–4]; they also reduce the length of the manuscript and enhance readers’ understanding of the study results. However, while well-presented tables and figures in research papers can efficiently capture and present information, poorly crafted tables and figures can confuse readers and impair the effectiveness of a paper [1].
Objectives: Sensorineural hearing loss is caused by problems in the inner ear, vestibulocochlear ... more Objectives: Sensorineural hearing loss is caused by problems in the inner ear, vestibulocochlear nerve, or brain central processing centers. This study aimed to analyze the patient-reported etiology, clinical aspects, and hearing evolution of patients with profound sensorineural hearing loss (PSNHL). Study design: Retrospective. Methods: A total of 310 adult patients diagnosed with PSNHL in one or both ears between January 2002 and January 2008 were studied at a secondary center. Most subjects were military-aged males who were diagnosed with PSNHL during routine examinations prior to recruitment. A pure-tone audiometry test was performed in all patients. Auditory brainstem response was recorded in 142 (45.8%) patients. Results: A total of 310 adult patients (276 males [89%] and 34 females [11%]) with a mean age of 23.1 (range 20-81) years comprising 486 ears consisting of 176 (56.8%) bilateral and 134 (43.2%) unilateral PSNHL cases were evaluated. Etiology was based on patient self reporting. The disease was congenital in 93 (30%) patients and acquired in 217 (70%). Etiology was unknown in 35 (11.3%) patients. Acquired hearing losses were rapid in 188 (86.6%) and progressive in 29 (13.4%) patients. Articulation was impaired (no understandable speech) in a total of 146 patients (47.1%), including all patients with congenital PSNHL. Conclusion: The cause of hearing loss is often understood from medical history. Taking measures for the most common causes (congenital hearing loss and childhood infectious diseases) may reduce occurrences of PSNHL cases. Auditory screening and beginning hearing rehabilitation as soon as possible in newborns is vital.
The most frequent and probably the earliest described surgical intervention of ENT field is tonsi... more The most frequent and probably the earliest described surgical intervention of ENT field is tonsillectomy. Various methods were described and devices were invented up to now in order to increase safety and decrease time consumption and complications. All new created devices promises lower intraoperative blood loss, intraoperative time, postoperative pain and bleeding. But with their widely use it is seen that they cannot fulfill what they promise. Debate also continues as to which technique yields the best outcome. This study reports a summary for common medical devices which were previously used in tonsillectomy.
Tick-borne diseases are seen all over the world and their importance rises increasingly. It is no... more Tick-borne diseases are seen all over the world and their importance rises increasingly. It is noticeably important that disease and death rates due to tick-bites in our country in different areas increased in 2008. In Turkey, the numbers of diseases which are transmitted by ticks are considerably large and all of them are not detected. Reports of isolated facial paralysis cases due to tick infestation in the ear are infrequent in literature. The development of isolated facial paralysis due to ticks can be explained by several theories. This article reports a case report of a 3 year- old girl who was bought to our clinic with severe left ear pain and paresthesia on the left half of her face. She couldn't close her left eye and she lisped. The tick was removed from her external auditory canal surgically.
Objective: In this study, we aimed to review the National Newborn Hearing Screening (NNHS) progra... more Objective: In this study, we aimed to review the National Newborn Hearing Screening (NNHS) programme data obtained from Corlu, located in west part of Turkey for the last 4 years. Subjects and methods: A total 11575 newborns that were either born in Çorlu State Hospital or referred from other Health Care Centers, between September 2009 and November 2012 were included into the study. Automated-Transient Evoked Otoacoustic Emission (A-TEOAE) test and Automated-Auditory Brainstem Response (A-ABR) were used as screening tests. When the newborn had failed at the initial A-TEOAE test, then the test was repeated after 15 days. If the same result was obtained at the second test; the newborns were referred for ENT examination. A-TEOAE and A-ABR screening tests were performed as the third stage evaluation. The failed newborns were referred for clinical ABR test. Results: Out of 11575 newborns, 593 (5.12%) had failed the test and they were referred for clinical ABR. Out of these 593 neonates, 470 had passed the diagnostic ABR test at the referral center. Bilateral and unilateral sensori-neural hearing loss (SNHL) was detected at 15 and 7 babies respectively, 10 of 22 of these babies had risk factors such as family history of hearing loss, and parental consanguinity. Conclusions: The final hearing impairment and risk factor rates of our study was similar with literature. Although referral rates and the number of default babies gradually decreased in the last 4 years; definitive diagnosis and hearing aid initiation times need to improvement.
Background: Body piercing confined to the ears, mouth, and nose has been a common practice in alm... more Background: Body piercing confined to the ears, mouth, and nose has been a common practice in almost every society around the world as far back as can be traced. As the popularity of piercing increasing, there is a soaring urgency of understanding the subsequent complications. Objective: A survey was designed to analyze the attitudes and practices of a group of volunteers wearing nose piercing. The questionnaire aimed to establish where and how the individuals had their piercing and what kind of complications they had when they got pierced, if any. Also evaluated are the psychosocial consequences of piercing and the reason behind the body jewelry. Methods: A 15-question survey was offered on a voluntary and anonymous basis to individuals wearing nose jewels at various public places in Eskisehir and Izmir, Turkey, over a span of 4 months period. Questionnaire data were analyzed using the SPSS 15.0. Independent variables included various health complications, location of the piercing and the instrument by which the piercing is performed. Results: A total of 74 female volunteers responded to the questionnaire. There were 87% had the procedure performed in an unregulated shop while 65% had it done by non-professional personnel. In 85%, the procedure was executed with a sterile injection/needle or a piercing gun, assuming both were sterilized instruments. Nearly 70% noted at least one symptom of local infection. A 30% observed bleeding. No correlation was found between various complications and the location of the piercing or the instrument by which the piercing is performed (p＜0.05). Over 90% were clearly happy with their piercing. Adornment is the number one reason (in 38%) of having nose piercing. Conclusion: Results showed that body piercing, which was common among adolescents, may pose a significant risk to one's health. Studies with larger sample size and among different populations with various cultural backgrounds are needed to delineate the rate of health complications we have observed. Exploration of psychological and sociological consequences of body piercing through long-term follow-up would be desired.
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