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    The Effects of the COVID-19 Pandemic on Patients with Trauma Presented to the Emergency Department: A Multicentre Experience in Istanbul
    (Galenos Publ House, 2023) Ceylan, Ahmet; Kara, Eyyup; Kesimli, Mustafa Caner; Kaya, Deniz; Atas, Ahmet
    Objective: This study examines the characteristics of patients with trauma who presented to the emergency department before and after the novel coronavirus disease-2019 (COVID-19) pandemic and analyze the effects on the traumatic injuries.Methods: In this study, medical records of patients who presented to the emergency departments of seven hospitals operating as tertiary level hospitals in Istanbul between March-June 2018, March-June 2019, and March-June 2020 are due to trauma were retrospectively analyzed. The clinical and demographic characteristics of traumatic injuries before and after the pandemic were compared.Results: In our study, 4088 trauma patients' data were reviewed: 1279 in March-June 2018, 1684 in March-June 2019, and 1125 in March-June 2020. When the total number of patients was examined, it was noticed that the number of patients decreased significantly during the COVID-19 pandemic. No significant difference was found between the periods regarding the sex and trauma mechanisms of the patients. The mean age was higher in patients admitted in 2020 compared to previous years. In our study, incidences of intracranial hemorrhage, femur fracture, lung injuries, and mortality rates were higher in March-June 2020 compared to previous years.Conclusion: In March-June 2020, compared to the previous year, there was a 34% decrease in trauma cases admitted to the emergency department. Albeit no difference was found between the periods regarding trauma mechanisms, the higher mortality in the March-June 2020 period indicates that trauma continues to be one of the major causes of death despite the pandemic.
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    The efficacy of Epley and Semont maneuvers in posterior semicircular canal benign paroxysmal positional vertigo treatment: A short-term comparative study
    (KBB-BBC Uzmanları Derneği, 2021) Kesimli, Mustafa Caner; Kaya, Deniz; Ceylan, Sedanur; Ceylan, Ahmet; Ünal, Murat
    Objectives: This study aimed to compare the effectiveness of the Epley maneuver with the Semont maneuver in the treatment of posterior semicircular canal benign paroxysmal positional vertigo and observe differences in the resolution time of symptoms in the short-term follow-up. Patients and Methods: Sixty patients with posterior semicircular canal benign paroxysmal positional vertigo (23 males, 37 females; median age: 44.9 years; range, 14 to 80 years) were included in the prospective randomized comparative study conducted in our clinic between April 2019 and October 2019. Diagnosis and treatment maneuvers were performed under videonystagmography examination. Participants were randomly selected after the diagnostic tests for the Epley maneuver and the Semont maneuver treatment groups. Results: In the evaluation of vertigo with videonystagmography, 25 (83.3%) patients in the Epley maneuver group and 20 (66.6%) patients in the Semont maneuver group recovered in the one-week follow-up, and 28 (93.3%) patients in the Epley maneuver group and 24 (80%) patients in the Semont maneuver group recovered in the two-week follow-up. All patients in the Epley maneuver group recovered at the end of one month; four patients in the Semont maneuver group still had vertiginous symptoms (100% vs. 86.6%, p=0.04). There was a statistically significant difference between the Epley and Semont groups regarding visual analog scores at the one-week, two-week, and onemonth follow-ups (p=0.002, p<0.001, p=0.001, respectively). Conclusion: The Epley maneuver was significantly more effective than the Semont maneuver in resolving vertigo in the short-term treatment of posterior semicircular canal benign paroxysmal positional vertigo
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    Evaluation of School-age Hearing Screening Applications: The Tele-audiological Perspective
    (Galenos Publ House, 2023) Ceylan, Ahmet; Kara, Eyyup; Kesimli, Mustafa Caner; Kaya, Deniz; Atas, Ahmet
    Objective: Hearing health is one of the areas that should be considered especially in childhood. School-age hearing screening (SAHS) is important for the detection and prevention of hearing loss. The aim of our study is to compare the use of teleaudiological applications for SAHS with standard SAHS applications and to determine possible similarities or differences between the methods. Methods: The study was carried out with a total of 224 students who were first-year students in the same primary school within the borders of Istanbul. The study was completed in two phases with a test session at 15-day intervals. In the first stage, video-otoscope images of all individuals who would be subjected to standard SAHS were recorded and tympanometry test was performed. In the second stage, SAHS results were recorded with the tele-audiological method. Results: According to the tympanometry results obtained from the participants, it was determined that the rate of abnormal hearing was 4.5%. According to the video-otoscope results, which were evaluated as asynchronous, the number of students suspected of dense earwax plug and membrane pathology was 6.7% in the left ear and 5.8 in the right ear. According to the SAHS method results, the average rate of passing and failing the test in the standard method was 12.9% in the right ear, and 12.9% in the left ear. According to the results of the tele-audiological method of the same student group, the rate of failing the test was 16.1% in the right ear and 15.2 in the left ear. Conclusion: Measuring tele-audiologically or using the standard method did not affect the test results. Accordingly, the test result is independent of whether the test is performed with the tele-audiological or standard method.
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    A simple method for olfactory rehabilitation following total laryngectomy
    (Springer Link, 2021) Kesimli, Mustafa Caner; Kaya, Deniz; Aydemir, Levent; Durmaz, Haci Omer
    Purpose: The aim of the study is to demonstrate the effectiveness of spraying odor particles using sinus rinse kits for olfactory rehabilitation in patients with total laryngectomy. Methods: Olfactory rehabilitation was performed by applying four different odorant particles orthonasally using a sinus rinse kit pump for 30 min each day for a duration of 6 months. Olfactory function was evaluated by performing olfactory tests before the rehabilitation and at sixth month after the rehabilitation process. Results: The average CCCRC score prior to olfactory rehabilitation was 2.28 ± 0.79 (between 1.50 and 3.75), while it was 4.46 ± 0.5 (between 3.50 and 5.25) out of a maximum score of 7 after 6 months of olfactory rehabilitation (p value < 0.0001) CONCLUSION: Our results suggest that the use of sinus rinse kits is very simple, inexpensive, easy-to-use, and effective in providing passive olfaction to patients requiring olfactory rehabilitation.