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Article Citation - WoS: 1Citation - Scopus: 1A Retrospective Study of Tracheostomy Care and Decannulation of the Patients in a Palliative Care Center(Sage Publications inc, 2024) Zengin, Hilal; Karahan, Zehra CanBackground: World Health Organization defines palliative care as a multidisciplinary approach to enhancing patients physical, psychological, and emotional well-being. Our study investigated palliative care unit decannulation rates and factors affecting success. Methods: The data of patients hospitalized in the palliative care clinic between 2017 and 2019 were analyzed retrospectively. Demographic data, diagnoses, comorbidities, nutritional status, Norton and Braden Scale scores, day of hospitalization, and discharge direction of the patients were recorded. All patients were evaluated and treated by a multidisciplinary team. Results: One hundred two tracheostomy patients were monitored. Patients in the palliative care clinic had an average stay of 22.19 +/- 13.67 days (median: 21, min: 4, max: 66). Forty-one patients were decannulated. Statistically significant age difference was observed between decannulated and non-cannulated groups, with the decannulated group having a significantly lower mean age (52.10 +/- 20.54, median: 53) compared to the non-decannulated group (61.48 +/- 18.07) (z = -2.516, P = .012). The mean Braden scale score of the decannulated group (14.29 +/- 2.50) was significantly higher than that of the non-decannulated group (12.20 +/- 2.82) (z = 3.823, P < .001), and the mean Norton scale score of the decannulated group (11.34 +/- 2.50) was significantly higher than that of the non-decannulated group (9.46 +/- 2.46) (z = 3.472, P = .001). Conclusion: Patients with tracheostomy can be easily followed and decannulated in palliative care clinics. It is important that a multidisciplinary team is involved in palliative care units. Age, immobility, Norton and Braden scales, and level of consciousness are factors affecting the success of decannulation.Article Citation - WoS: 2Citation - Scopus: 2Protective Effect of Aerobic Exercise on the Nasal Mucosa of Rats Against the Histopathologic Changes in Cigarette Smoke Exposure(Sage Publications inc, 2020) Akkoca, Ozlem; Unlu, Ceren Ersoz; Tatar, Ilkan; Sargon, Mustafa Fevzi; Zeybek, Dilara; Oguztuzun, SerpilIntroduction: Smoking is a public health problem that has been proven to have adverse effects on human health. Aerobic exercise has positive effects on the human body, especially on the respiratory system. Objective: The aim of this experimental animal model study was to determine whether regular aerobic exercise has a protective effect against the harmful effects of cigarette smoke on the nasal mucosa of rats. Methods: A total of 24 male Wistar albino rats were randomly separated into 3 groups of 8: group 1 (cigarette smoking), group 2 (cigarette smoking and exercise), and group 3 (control group). At the end of the experiment period, histopathological (light and electron microscopy) and immunohistochemical (GSTA 1, CYP1A1, and CYP2E1) evaluations were made of the nasal mucosa of the animals. Results: Goblet cell loss and basal membrane thickening were significantly lower in group 2 and group 3 compared to group 1. In the electron microscope evaluation, the inflammatory expressions of the goblet cells were observed in a very small area in group 2. In group 1, these were distributed over large areas between the mucosal cells. There was seen to be significant swelling of the mitochondria in group 1 compared to the other groups. No statistically significant difference was determined between the groups with respect to GSTA1, CYP2E1, and CYP1A1 scores (P> .05). Conclusion: The results of this study showed that regular aerobic exercise has a protective effect against the harmful effects of smoking on the nasal mucosa of rats.Article Citation - WoS: 2Citation - Scopus: 1Cerebellar Developmental Venous Anomaly Causing Tinnitus and Hemifacial Spasm: a Case Report(Sage Publications inc, 2022) Ogul, Hayri; Unlu, Elif Nisa; Guclu, Derya; Koksal, Ali[No Abstract Available]Editorial Citation - WoS: 1Citation - Scopus: 1Multiple Oncocytomas of Bilateral Parotid Glands: a Case Report(Sage Publications inc, 2022) Aydin, Fahri; Ayyildiz, Veysel; Gozgec, Elif; Koksal, Ali; Ogul, Hayri; Kantarci, Mecit[No Abstract Available]Article The Effect of Instant Stimulation To Kidney 3 Acupuncture Point on DPOAE Responses in Patients With Tinnitus(Sage Publications inc, 2025) Arslan, Berkay; Tuncer, SebahattinIntroduction Tinnitus is the perception of sound in the ear or brain in the absence of any external stimulation. Theories regarding tinnitus pathology often involve both cochlear involvement and central regions. Different and alternative medical treatment options have been widely used to help individuals suffering from tinnitus. Objective This study aims to investigate the effect of instant stimulation to the Kidney 3 (KI3) acupuncture point on distortion product otoacoustic emissions (DPOAE) in patients with tinnitus. Material and Method Thirty patients (21 male, 9 female) with subjective tinnitus and normal hearing were included in the study. A total of 39 ears (22 left ears, 17 right ears) were evaluated. After audiological evaluations, the effects of instantaneous stimulation of the bilateral KI3 acupuncture point on DPOAE at frequencies ranging from 1,000 to 6,000 Hz were measured. Results There was a significant difference between amplitudes before and during acupuncture application at all tested frequencies, except at 4,000 Hz in patients with tinnitus in the right ear. There was also a significant difference between amplitudes of before and after acupuncture application at 3,000 and 4,000 Hz in patients with tinnitus in the left ear. Lower amplitude was observed at these frequencies compared with before the application. In patients with bilateral tinnitus, there was a significant amplitude difference between before and during application at 1,000, 2,000, and 3,000 Hz frequencies for the left ear. Conclusion Instant stimulation to the KI3 acupuncture point changed DPOAE amplitude values in patients with tinnitus.Article Citation - WoS: 1Citation - Scopus: 3Case Report of a Patient With Posttraumatic Perilymphatic Fistula(Sage Publications inc, 2022) Koksal, Ali; Ayyildiz, Veysel; Ogul, Hayri; Kantarci, MecitOn a perilymphatic fistula, there is an extravasation of the perilymph fluid into the middle ear cavity. Cross-sectional imaging techniques have very important role in evaluation of inner and middle ear structures and temporal bone. While thin section CT scans can show successfully pneumolabyrinth and temporal bone fracture, high-resolution 3D volumetric MRI sequences can help to demonstrate posttraumatic ear effusion and cerebrospinal fluid fistula into inner ear or middle ear.
