Publications by authors named "Secaattin Gulsen"

Article Synopsis
  • The study compares surgical and hearing results of two techniques—incus interposition (IP) and malleostapediopexy (MS)—for repairing large defects in the incus bone of the ear.
  • A total of 71 patients were involved, with significant improvements in hearing observed in the MS group, showing an average auditory gain of 18.3 dB compared to 14.7 dB in the IP group.
  • The MS technique also had a higher success rate in achieving a postoperative air-bone gap of less than 20 dB at 88.2%, while the IP group had a 70.3% success rate, suggesting MS is a more effective option for these
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Objectives: Misplacement of the CI electrode array is one of the rarest complications of cochlear implant surgery. This condition can be noticed intraoperatively and diagnosed radiologically in the early postoperative period. To present a novel and minimally invasive revision approach for a misplaced cochlear implant (CI) electrode array.

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Background: To report the presentation, diagnostic process, management and results of cochlear implantation of patients diagnosed with Bjornstad syndrome with profound sensorineural hearing loss (SNHL).

Case Presentation And Management: A retrospective report of two siblings with Bjornstad syndrome suffering profound SNHL unresponsive to conventional hearing aids treated with bilateral simultaneous cochlear implantation.

Setting: Tertiary-referral center.

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Purpose: The objectives of the present clinical trial are to describe our surgical technique for advanced tympanosclerosis (TS) and to present the comparison of pre-and postoperative audiometric results.

Methods: 21 patients suffering from advanced TS (Only type III and IV patients according to Wielinga-Kerr classification) were enrolled in this prospective study. A pure transcanal endoscopic approach was preferred for all patients included in the study.

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Article Synopsis
  • The study compared hearing screening results of Turkish (host) newborns and Syrian (refugee) newborns, finding notable differences in outcomes.
  • The Automated Auditory Brainstem Response (AABR) test was used on 874 newborns, revealing that refugees had higher rates of hearing loss compared to host newborns.
  • Factors such as delivery method, socio-economic conditions, and the necessity for newborn ICU care were identified as significant influences on hearing outcomes.
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Article Synopsis
  • Endoscopic push-through myringoplasty (PTM) is a minimally invasive technique for repairing anterior tympanic membrane perforations, requiring no skin incisions and offering a simpler approach compared to traditional tympanoplasty methods.
  • A study comparing PTM and conventional underlay cartilage tympanoplasty (UCT) with 71 subjects found similar graft uptake rates and audiological improvements in both techniques, but PTM had a significantly shorter surgery duration.
  • The results suggest that PTM could be a more efficient alternative to UCT, as it leads to fewer complications and comparable outcomes, making it a promising option for treating anterior tympanic membrane perforations.
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Introduction: Transcervical approach (TCA) is a widely accepted method of surgery in submandibular gland (SMG) excision. The main purpose of the present study is to compare the surgical and functional outcomes of TCA and transoral approach (TOA) in SMG excision.

Methods: The participants of this prospective study are 31 consecutive patients in whom SMG excision was performed via TOA (n = 14) and TCA (n = 17).

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Introduction: Adenoidectomy is one of the most common surgical procedures performed in children in otorhinolaryngology practice. This study aims to compare the conventional curettage adenoidectomy (CCA) and the endoscope-assisted coblation adenoidectomy (EACA) in terms of the postoperative Eustachian tube function and the surgical outcomes.

Methods: A prospective, randomized, controlled study was carried out at a tertiary referral center and private hospital.

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Purpose: To compare the surgical outcomes of endoscopic transcanal tympanoplasty (ETT) and conventional microscopic tympanoplasty (CMT) in repairing anterior tympanic membrane perforations (ATMPs).

Methods: We retrospectively analyzed the graft success rate, hearing outcomes, operative time, hospitalization period and complications in patients who underwent ETT and CMT between October 2015 and July 2018. In addition, the authors investigated whether anterior canal wall protrusion (ACWP) affects the graft success rate and operative time.

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Introduction: Endoscopic tympanoplasty is a minimally invasive surgery that may be performed via a solely transcanal approach. The use of endoscopes in otologic procedures has been increasing worldwide. The endoscopic approach facilitates the transcanal tympanoplasty, even in patients having the narrow external ear canal with an anterior wall protrusion.

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Objective: The main objectives of the present study were to compare the surgical and audiological outcomes of endoscopic and microscopic approach in stapes surgery.

Methods: Sixty-one patients who underwent the stapes surgery with the endoscopic and microscopic approach between January 2012-November 2018 were included in the study. Patients were divided into two groups as a Group-I (endoscopic) and Group-II (microscopic).

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Article Synopsis
  • Osteomas are non-cancerous, slow-growing bone tumors that are often found incidentally during imaging for other health issues, particularly in the paranasal region.
  • These tumors, particularly in the frontal and ethmoid sinuses, can occasionally lead to headaches, although most are asymptomatic.
  • The report highlights a unique case of an osteoma in the middle concha bullosa that caused headaches and was successfully removed using an endoscopic procedure without complications.
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Objevtives: Otorhinologic trauma is an important condition at the ear, nose and throat (ENT) outpatient clinic in children. Attention deficit hyperactivity disorder (ADHD) has been identified as a potential risk factor that may contribute to the incidence of traumatic injuries. The aim of the study was to investigate whether there is an association between otorhinologic trauma and ADHD symptoms in children.

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In this study the authors evaluated the outcomes of tracheal resection and anastomosis in postintubation tracheal stenosis. The authors also aimed to identify clinical and radiological factors associated with restenosis. Thirty-four consecutive patients were included in the study.

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Objective: Tinnitus is described as the perception of sound without any external acoustic stimulation. Any pathology of auditory pathways or any system of the human body may result with tinnitus. The pathophysiology of tinnitus accompanying the disorders of auditory system is not fully understood and there is not any particular effective treatment method has been specified.

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Objectives: Congenital choanal atresia (CCA) is a very rare abnormality of the nose, but in the case of bilateral presence, it becomes a life-threatening malformation. Various surgical treatment options, such as transpalatal, transseptal, and open rhinoplasty techniques, as well as the transnasal approach, have been defined for the repair of CCA. In this study, the authors intended to evaluate the outcomes of transnasal endoscopic surgery for CCA, and stent implementation's impact on surgical success.

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Objectives: Otosclerosis is a disease involving abnormal bone turnover in the human otic capsule that results in hearing loss. Several hypotheses have been suggested for the etiopathogenesis of otosclerosis; however, its etiology remains unclear.

Methods: This study evaluated the correlation between otosclerosis and levels of paraoxonase-1 (PON1), arylesterase, total antioxidant status, total oxidant status (TOS), oxidative stress index (OSI), total sulfhydryl (-SH) groups, lipid hydroperoxide, and ceruloplasmin in the serum of otosclerosis patients and healthy subjects with respect to oxidative stress.

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Objectives: The aim of this study was to evaluate patients who underwent endoscopic sphenoid sinus surgery for isolated sphenoid sinus disease. We also investigated the impact of sphenoid sinus surgery on headache intensity.

Material And Methods: Twenty-one consecutive patients who underwent endoscopic sphenoidotomy for isolated sphenoid sinus disease were included in the study.

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The aim of this study was to identify clinical factors that can predict malignancy in patients with persistent cervical lymphadenopathy. This retrospective study included 575 patients with persistent cervical lymphadenopathy who underwent surgical excision. The patients were divided into two groups according to their ages: group 1 (≤18 years) and group 2 (>18 years).

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