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Article Citation - Scopus: 2The Distribution of Geriatric Problems in Otolaryngology and Their Alteration From Young Adults(Wolters Kluwer Medknow Publications, 2021) Onay, O.; Aydin, C.Background: Many changes occur in human physiology with aging, and as expected complaints of geriatric patients differ from the other age groups in population. Aims: The objective of the study was to investigate the common complaints of geriatric patients attending to an otolaryngology clinic (ENT clinic), and to compare their complaints with the 18-65 years aged patients'. Materials and Methods: A total number of 41888 adult patients who visited the ENT clinic from 2015 to 2018 were retrospectively investigated. Patient complaints were scanned, and subcategorized as five groups (otologic/rhinologic/head and neck/ others/ neoplasias) and all data were evaluated. Results: Forty-one thousand, eight hundred and eighty-eight patients were included in the study, and 3946 of them were geriatric patients. The most frequent problem was otologic problems, followed by rhinologic problems among geriatric patients. However, rhinologic problems were the major complaint among the 18-65-year-old patients. A comparison of all the individual complaints bringing the geriatric patients to the ENT clinic revealed the three most frequent complaints: 1. hearing loss, 2. balance disorders, and 3. common cold. However, the three major complaints beyond nongeriatric adults were 1. tonsillopharyngeal disease, 2. common cold, and 3. inflammatory and infectious diseases of the sinuses, and these differences were statistically significant (P = 0.001*). Conclusion: It was found in this study that the five most frequently reported complaints of geriatric patients when applying to an ENT clinic are hearing loss, loss of balance, common cold, cerumen, and tonsillopharyngeal diseases. Unlike from nongeriatric population, otologic problems (most commonly hearing loss) were the essential ENT clinic complaints of geriatric patients.Article Citation - Scopus: 4Sedation With Propofol and Propofol.ketamine (ketofol) in Flexible Bronchoscopy: a Randomized, Double.blind, Prospective Study(Wolters Kluwer Medknow Publications, 2023) Ulutas,H.; Ucar,M.; Celik,M.R.; Agar,M.; Gulcek,I.Background: The flexible bronchoscopy procedure, which is performed in awake conditions or under local anesthesia, is a difficult and complicated procedure for patients and physicians. Propofol is a fast-acting sedative-hypnotic anesthetic with a rapid return. Ketamine hydrochloride is a fast-acting general anesthetic producing an anesthetic state characterized by deep analgesia, normal pharyngeal, and laryngeal reflexes. Materials and Method: The study was planned in a randomized, prospective, and double-blind design. The drug(s) administered by the anesthesiologist was not known to the bronchoscopist and the patient. A total of 64 cases were included in the study (34/propofol, 30/ketamine-propofol (ketofol) group). Group propofol received 0.1 mL/kg propofol, and group ketofol received 0.1 mL/kg ketofol intravenously over approximately 30 seconds. Vital signs, non-invasive blood pressure, peripheral oxygen saturation, and pulse values of all cases were measured three times and were recorded just before the start of the procedure, after entering the trachea, and after the procedure was terminated. The Visual Analogue Scale (VAS) and The Ramsay scoring were additionally used in the present study. Results: Statistically significant differences were detected between the groups in terms of blood pressure and heart rates. Statistically significant differences were detected between the two groups according to The VAS scoring and additional dose requirement. Conclusion: It must be noted that flexible bronchoscopy procedures, which are performed with local anesthesia by both the patient and the physician with a high degree of difficulty, especially combined drugs to be applied with anesthesia support, are more effective/comfortable/reliable, and have fewer complications and higher tolerability if there are no contraindications. © 2023 Wolters Kluwer Medknow Publications. All rights reserved.Article Citation - WoS: 19Citation - Scopus: 21Psychometric Properties of a Turkish Version of the Oral Health Impact Profile-14(Wolters Kluwer Medknow Publications, 2017) Balci, N.; Alkan, N.; Gurgan, C. A.Objectives: The purpose of this study was to analyze and evaluate a Turkish translation of the oral health impact profile-14 (OHIP-14) in a Turkish population to provide an objective standard for future studies. Methods: This cross-sectional research study consisted of three independent studies. Data were collected utilizing a personal interview and a review of periodontal records. This study was performed on 1205 subjects who were visiting for routine medical check-ups. The OHIP-14 was administered to measure oral health related to the quality of life, along with a questionnaire addressing demographic information, such as age, gender, and education. Results: The reliability coefficient (Cronbach's alpha) of the Turkish version OHIP-14-TR (OHIP-14-TR) was reported to be nearly perfect in all 3 parts of our study (alpha 1: 0.82; alpha 2: 0.76; alpha 3: 0.91); additionally, values were greater than the recommended 0.70 threshold. Spearman's correlation coefficients showed that both OHIP scores significantly correlated with periodontal parameters, serving as proof of convergent validity (P < 0.01, P < 0.001). The principal component analysis with varimax rotation revealed seven factors. The OHIP-14-TR was more than 95% comprehensible. Conclusion: The OHIP-14-TR is a reliable, valid, and comprehensible scale for measuring oral health-related quality of life in the Turkish population.Article Topographic Radioanatomical Analysis of the Singular Canal: Computed Tomography Study(Wolters Kluwer Medknow Publications, 2024) Demir, Berin Tugtag; Koksal, Ali; Cankal, FatihPurpose: The singular canal (SC) is where the singular nerve, a branch of the inferior vestibular nerve, which carries afferent information from the posterior semicircular canal (PSCC), passes and is important in the surgical approach of the presigmoid retrolabyrinthine. This study was carried out to evaluate the visibility of the SC on standard computed tomography (CT) images, its distance to the surrounding structures, and to investigate the variations of its anatomy and its relationship with the meatus acusticus internus.Materials and Methods: The study was carried out retrospectively using images of 194 temporal bones on temporal bone CT scans of 44 men and 53 women aged 18-65. In the study, various measurements were made, especially the presence of the SC, its length, its angle with the internal acoustic canal (IAC), and the distance between the internal acoustic pore (IAP) and the singular foramen. In addition, the presence of the high jugular bulb and PSCC dehiscence images were investigated.Results: The SC was detected in 85.1% of the analyzed images. The mean canal length was 3.93 +/- 1.22 mm, the angle between the SC and the IAC was 22.68 degrees +/- 3.60 degrees, and the distance between the SC and the IAP was 7.70 +/- 0.83 mm. While no difference was found between the sides, it was determined that the length and diameter of the SC did not differ according to gender.Conclusion: Detailed morphometric analysis of the SC and a thorough understanding of its relationship with the IAC, vestibulum, and PSCC will help to accurately define the posterior and lateral borders of the dissection for this region.
