Cüneyt Orhan Kara

Assessment of the Learning Processes of Otorhinolaryngology Residents in Performing Rhinomanometry and Acoustic Rhinometry - Turkish Archives of Otorhinolaryngology

Stapes surgery using Teflon prostheses is widely performed for otosclerosis; however, prosthesis dislocation has been reported in approximately 3.5% of cases within the first two postoperative years. To evaluate the seven-year audiological and patient-reported outcomes of stapedotomy with bone cement fixation. This retrospective cohort study with prospective follow-up included patients who underwent stapedotomy with bone cement fixation between 2012 and 2022. Air conduction and bone conduction thresholds were assessed at short-term (0-1 years), mid-term (1-4 years), and long-term (4- years) follow-up. Patient-reported outcomes were evaluated using a procedure-specific questionnaire and the Glasgow Benefit Inventory (GBI). Postoperative ABG improved significantly (p < 0.001) and remained stable during long-term. Progressive elevation in bone conduction thresholds was observed in both operated and contralateral ears. The mean GBI score was 47.5 ± 34.2, with 89% of patients reporting moderate to substantial benefit. Perceived benefit and willingness to recommend surgery were negatively associated with hospitalization difficulties, hearing aid use, and lifestyle limitations, and positively associated with tinnitus improvement and higher GBI scores. Bone cement fixation in stapedotomy provides durable long-term hearing outcomes without adverse effects. Patient-perceived benefit is primarily determined by stable ABG closure and limited progression of sensorineural hearing loss.

Amaç; Dix Halpike Testi ve Epley Manevrası Eğitimi 2020 Ulusal Çekirdek Eğitim Programına beceri eğitimi olarak eklenmiştir. Bu yazıda da Dix Halpike Testi ve Epley Manevra Eğitiminin Pamukkale Üniversitesi Tıp Fakültesi Kulak Burun Boğaz klinik eğitim programına nasıl yerleştirildiği ve nasıl uygulandığı paylaşılmıştır. Ayrıca öğrencilerin performansları değerlendirilerek beceri eğitimin başarısı da gösterilmiştir. Gereç ve Yöntem; Kliniğimizde klinik eğitimde ters yüz sınıf modeli uygulanmaktadır. Ters yüz sınıf uygulamasında öğrencilere tüm sunumlar çevrimiçi sunulmaktadır. Bu nedenle öncelikle Dix Halpike Testi ve Epley Manevrası ile ilgili teorik ders sunumu ve beceri eğitim videoları hazırlanmıştır. Beceriyi basamak basamak açıklayan beceri eğitim formları geliştirilmiştir. Performans her madde için “yetersiz”, “geliştirilebilir” ve “yeterli” şeklinde üç seçenekle değerlendirilmiştir. Eğitim videoları ve beceri eğitim formu klinik eğitim başlamadan çevrimiçi olarak öğrencilerle paylaşılmıştır. Beceri eğitimi klinik eğitim haftasının 2. gününde beceri laboratuvarında gerçekleştirilmiştir. Klinik eğitim haftasının 4. gününde de öğrencilerin performansı değerlendirilmiştir. Beceri eğitim videolarını izlemenin performansa etkisini değerlendirmek amacıyla öğrencilere beceri eğitim videolarını izleyip izlemedikleri de beceri değerlendirme sırasında sorulup kaydedilmiştir. Bulgular; 470 öğrenciye ait sonuçlar değerlendirilmiştir. Öğrencilerin %80’i Dix Halpike, %69,8’i de Epley manevrası tüm basamaklarından tam puan almayı başarmışlardır. Öğrencilerin %90’ı beceri videolarını izlediğini belirtmiştir. Eğitim videolarını izleyen öğrenciler performans değerlendirmesinden daha yüksek puan almışlardır. (Dix Halpike için p=0,0001 (z=-3,379) Epley için p=0,0001 (z=-4,031) *p

A Bibliometric Review of Residency Theses on Vertigo in Türkiye - Turkish Archives of Otorhinolaryngology

BACKGROUND: This study examines low-dose botulinum toxin at acupuncture points for its effects on vestibular symptoms, headaches, depression, anxiety, and stress in vestibular migraine patients. METHODS: This prospective study included patients with vestibular migraine per Barany Society criteria. Fifty units of Onabotulinum toxin were injected using a 31-gauge needle at 5 units/0.1 mL, diluted from 100 units with 2 mL of 0.9% sodium chloride. The injections were given at predetermined acupuncture points: Yintang (EX-HN3), Taiyang (EX-HN5), Baihui (GV20), Shuaigu (GB8), Fengchi (GB20), and Tianzhu (BL10). Six-month follow-up assessments included assessments using the Migraine Disability Assessment Scale (MIDAS), Dizziness Handicap Inventory-Screening Form (DHI-S), Vertigo Symptom Scale-Short Form (VSS-SF), Depression Anxiety Stress Scale (DASS-21), and Allodynia Symptom Checklist (ASC-12). RESULTS: Statistically significant improvements were observed in MIDAS, VSS-SF, DHI-S, and DASS-21 scores at both 3 and 6 months (P < .05). CONCLUSION: Application of Onabotulinum toxin A (BoNT-A) to acupuncture points alleviated headache, vestibular symptoms, and anxiety, with benefits persisting for up to 6 months.

Turkish Validation and Reliability Study of the Carcinologic Handicap Index for Head and Neck Cancer Patients - Turkish Archives of Otorhinolaryngology

Background: Neck ultrasound (US) and neck dissection are skills of ear nose throat (ENT) specialists would master in order to diagnose and treat disorders in the head and neck region. Identifying areas that need improvement and updating the training programs accordingly will contribute to ENT specialists providing safer and more effective care to their patients. Methods: Afterward, practical neck US training was performed and then selective neck dissections were performed on a fresh frozen cadaver. In both applications, the previously prepared neck US skill assessment scale and neck dissection surgical skill scale were used to assess the skills. Feedback was given to the students according to the evaluation results. At the end of the course, the general course evaluation was made with the SETh short course evaluation scale. Results: Of the 14 specialists participated (6 were female and 8 were male) with an age range of 31-38 (average 33.64) participated in the BB and TCO 2024-2025 period training. The shortest experience time was a 1-year specialist and the longest was a 6-year specialist (average: 3.03). The average scores obtained from the students’ performance for each process step were calculated and presented comparatively in the tables. Conclusion: These results can be used in developing the training program in future course planning. This research will also be an example for the development of skill laboratory applications in ENT and other branches.Cite this article as: Kara CO, Hafız AM, Gökcan MK, Başak HS, Hafız G. Evaluation of neck ultrasound and neck dissection skills training course. Balkan ORL-HNS 2025;2(2):54-58.

Purpose: The aim of this study was to determine the relationship between the prevalence of and risk factors for dysphonia among teachers. Materials and methods: According to the questionnaire results of 167 teachers, 87 teachers who described dysphonia were included in the patient group and 80 teachers who did not describe dysphonia were included in the control group. For both groups, statistical evaluations were performed using non-parametric statistical methods. Results: 87 (52.1%) of 167 teachers included in the study had the complaint of dysphonia. The presence of laryngopharyngeal reflux and allergic diseases caused increase in the risk of dysphonia. The risk of dysphonia was also increased with increasing stage of education that the teachers were responsible for. Laryngeal endoscopy revealed no organic lesion in 65.5% of the patients, whereas showed laryngopharyngeal reflux findings in 26.4%, vocal cord nodule in 6.8% and vocal cord polyp in 1.1%. Conclusion: This study showed that dysphonia is a common disorder among teachers and while evaluating these subjects the presence of laryngopharyngeal reflux and allergic diseases should primarily be considered.

To investigate head and neck paraganglioma cases treated at a tertiary center from 2007 to 2023. The research includes a thorough examination of published studies that have focused on long-term outcomes. The additional goal is to contribute to the existing knowledge on head and neck paraganglioma, with a particular emphasis on refining diagnostic algorithms, treatment selection, and follow-up procedures. A total of 44 patients were retrospectively analyzed, and 39 were included. Demographic information, symptoms, radiological examination results, types, stages, and postoperative complications were recorded. A review was conducted to select articles that reported single-center experiences with large cohorts, long follow-ups, and different treatment modalities since 2010. The mean age of the patients was 54 years, and the female/male ratio was 3.55:1. Among the 39 cases examined, 18 and 19 were identified as cervical paraganglioma and 19 as temporal bone paraganglioma. All patients initially underwent surgical resection. The mean follow-up duration was 5.42 years. Four residual cases and two recurrences were identified postoperatively, and a Gamma Knife was used as additional treatment. Subsequently, 17 articles were selected and summarized, and then a flowchart was prepared showing the possible options for diagnosis, treatment, and follow-up. Preoperative staging is essential for surgical planning and predicting potential intraoperative complications. Based on our findings and review of the articles, we have prepared a flowchart that includes all possibilities depending on the tumor stage to help in the diagnosis, treatment, and follow-up of head and neck paragangliomas.