E-ISSN 2602-4837
Tr-ENT: 28 (4)

Cilt: 28  Sayı: 4 - 2018


Sayfalar I - IV

Frequency of central auditory processing disorder in attention deficit hyperactivity disorder and specific learning disorder
Selçuk Güneş, Semra Yılmaz, Ayse Öznur Akidil, Tayfun Kara, Levent Küfeciler, Dila Begüm Ubay, Zahide Mine Yazıcı
doi: 10.5606/Tr-ENT.2018.52714  Sayfalar 155 - 160
INTRODUCTION: This study aims to investigate the prevalence of individuals with central auditory processing disorder (CAPD) among children with neurodevelopmental disorder, to establish whether there is an objective screening test parameter that identifies individuals with neurodevelopmental disorder without CAPD, and to scan the history of these individuals for a unique feature.
METHODS: The study included 94 patients (69 males, 25 females; mean age 8.5±1.2 years; range, 7 to 13 years) with specific learning disorder (SLD) and/or attention deficit hyperactivity disorder (ADHD). After assessment by child and adolescent psychiatry, the Staggered Spondaic Word (SSW) test was performed in addition to a full audiologic evaluation.
RESULTS: Twenty-four patients (27.2%) with SLD and/or ADHD had CAPD according to SSW criteria. Twenty-eight patients had SLD, 27 had ADHD, and 39 had mixed-type neurodevelopmental disorder. Central auditory processing disorder rate was significantly higher in the mixed group than in the ADHD group (p<0.05). There was a significant relationship between term birth and the absence of CAPD. Auditory Brainstem Response test revealed a significant correlation between the III-V wave interval evaluation in the left ear and CAPD frequency.
DISCUSSION AND CONCLUSION: A significant proportion of patients with SLD and/or ADHD in this study had CAPD. Patients with mixed-type neurodevelopmental disorder in particular were at risk for CAPD. Success of rehabilitation may increase if combined with CAPD-specific programs.

Medicolegal issues in head and neck practices
Mehmet Çelik, Necati Enver, Kadir Serkan Orhan, Hizir Asliyuksek, Emre Özdemir, Yahya Güldiken
doi: 10.5606/Tr-ENT.2018.54154  Sayfalar 161 - 167
INTRODUCTION: This study aims to investigate causes of malpractice claims in head and neck practices in order to create more awareness and to prevent future claims.
METHODS: The database of the National Institute of Forensic Medicine (NIFM) was retrospectively reviewed between March 2005 and August 2017 and 219 malpractice cases related to the head and neck practices were found.
RESULTS: Of the 219 cases 122 (55.7%) were female and 97 (44.3%) were male. Of these cases, 194 were related to surgical procedures and 25 were related to non-surgical procedures. The most procedures included thyroidectomy, followed by tonsillectomy and open neck biopsy. The most frequent causes of claims were dyspnea (n=53) and dysphonia (n=49) after thyroidectomy. Of the 219 cases, 57 (26%) received a unanimous verdict of 'malpractice' (deciding in favor of plaintiffs) by the NIFM grand jury. No delinquency was found in the other 162 cases (74%).
DISCUSSION AND CONCLUSION: Physicians should be educated in the medicolegal aspects of malpractice and awareness should be raised accordingly. Despite the increasing number of studies, further research, collaboration with jurists and a universal language are required.

The importance of serum paraoxonase, arylesterase and ischemia modified albumin levels in evaluation of patients with Bell palsy
Esin Çalcı, Çiğdem Yücel, Burak Türkay, Turan Turhan, Aydın Acar
doi: 10.5606/Tr-ENT.2018.25744  Sayfalar 168 - 172
INTRODUCTION: This study aims to evaluate the possible roles of paraoxonase (PON), arylesterase (ARE), ischemia-modified albumin (IMA) and albumin-adjusted IMA levels in patients with Bell palsy.
METHODS: Thirty patients with Bell palsy and 30 healthy control subjects were included in the study. Serum PON, ARE, IMA, albumin-adjusted IMA and lipid profiles were measured.
RESULTS: Paraoxonase and ARE levels of the patient group were significantly lower than controls (p<0.001, p<0.001, respectively) and IMA, albumin-adjusted IMA levels were significantly higher than controls (p<0.001, p=0.002, respectively).
DISCUSSION AND CONCLUSION: This study suggests that oxidative stress may have a role in the pathophysiology of Bell palsy.

What is the consistency between clinical and pathological staging in tongue cancer?
Bilge Türk, Kerem Sami Kaya, Özlem Ünsal, Fatih Tetik, Irfan Çelebi, Gülpembe Bozkurt, Berna Uslu Coşkun
doi: 10.5606/Tr-ENT.2018.32042  Sayfalar 173 - 180
INTRODUCTION: This study aimed to evaluate the consistency between clinical and pathological staging in tongue cancer.
METHODS: We retrospectively evaluated 33 patients (24 male, 9 female; mean age 56±13 years; range, 31-87 years) who were admitted to the Şişli Hamidiye Etfal Training and Research Hospital Otorhinolaryngology Head and Neck Surgery Clinic and operated on for tongue cancer. The clinical stages were determined with physical examination and radiological findings. The consistency of the clinical stages with pathological stages was evaluated with Mc Nemar Analysis and Kappa test.
RESULTS: For tumor (T) stage, the clinical and pathological stage estimate was 60.6% compatible whereas for cervical lymph node (N) stage it was 54.5%. There was poor agreement between clinical and pathological stages.
DISCUSSION AND CONCLUSION: In order to make more accurate clinical staging and to overcome poor agreement between clinical and pathological staging, more detailed and additional radiological imaging with a comprehensive physical examination are required. Routine preoperative positron emission tomography scanning and radiological examination of the tumor by an expert head and neck radiologist and evaluation by a pathologist experienced in head and neck malignancies is recommended.

Evaluation of sexual functions in patients with chronic suppurative otitis media
Ömer Faruk Çalım, Gökhan Altın, Vahit Güzelburç, Rasim Yılmazer, Ahmet Keleş, Ahmet Mahmut Tekin, Erkan Soylu
doi: 10.5606/Tr-ENT.2018.79553  Sayfalar 181 - 186
INTRODUCTION: The aim of this study is to evaluate sexual function scores in patients with chronic suppurative otitis media.
METHODS: A total of 35 patients (20 male, 15 female) who had purulent discharge in one or both ears for at least three months and were diagnosed with chronic otitis media were included in the study group, while 30 volunteers (15 males, 15 females) who had no problem with their ears were included in the control group. Patients and controls underwent otolaryngology and urology examinations; female participants were asked to fill the female sexual function index and male participants were asked to accomplish the international index of erectile function. Pure tone audiometry, tympanometry and speech discrimination tests were applied on all participants.
RESULTS: A significant difference was found between patients and controls in terms of scores for the subscales sexual desire (p=0.044), erectile function (p=0.012), and overall satisfaction (p=0.002) of the international index of erectile function in males. No significant difference was found between both groups in terms of other subscale scores (p>0.05). A significant difference was found (p<0.05) between patients and controls in terms of scores for the subscales orgasm (p=0.004), satisfaction (p=0.007), desire (p=0.020), arousal (p=0.002), and lubrication (p=0.015) in the female sexual function index. No significant difference was found (p>0.05) between both groups only in the subscale pain (p=0.450).
DISCUSSION AND CONCLUSION: Chronic otitis media also negatively affected sexual function scores and it should also be examined from this aspect.

Isolated tracheal rupture: A case report
Nur Yücel Ekici, Suheyl Haytoğlu, Özkan Kılıç, Osman Kürşat Arıkan
doi: 10.5606/Tr-ENT.2018.73603  Sayfalar 187 - 191
Tracheobronchial injuries are well-recognized sequelae of massive blunt or penetrating injuries of the neck or chest especially from motor vehicle accidents, and rarely due to simple trauma. Tracheal laceration is more common in adults, since adult’s trachea is relatively more unprotected compared to children. Bronchoscopy is fundamental for diagnosis. CT is useful in visualization the level of rupture. Herein, we report on an instance of a minor cervical trauma leading to isolated posterolateral tracheal wall laceration in a 46-year-old woman. We emphasize the importance of suspected tracheal injury, even with minimal trauma. We also review the literature on posterolateral tracheal wall laceration as an isolated feature after blunt cervical trauma in adults, the mechanism of membranous tracheal rupture, diagnostic features and management options.

Neck mass as a consequence of surgical implantation of cervical chordoma: A case report
Zekiye Kabaş Uysal, Bekir Tatar, Demet Etit, Yusuf Çağdaş Kumbul
doi: 10.5606/Tr-ENT.2018.40085  Sayfalar 192 - 197
Chordoma is a rare primary malignant tumor of notochord origin along the craniospinal axis. Extranotochordal chordoma is extremely rare. These slow-growing but highly destructive tumors have worrisome local recurrence rates following successful primary treatment. Symptoms and findings are due to localization of the lesion. The primary treatment option is surgery because of weak chemotherapy and radiotherapy response. The size of surgical resection in these tumors has a major effect in ensuring disease-free surveillance. Recurrence throughout the surgical site is a rare form of treatment failure. A case of cervical chordoma diagnosis and chordoma recurrence on follow-up is presented in this study because of its rare clinical course.

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