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    Comparing anterior palatoplasty and modified uvulopalatopharyngoplasty for primarysnoring patients: Preliminary results
    (2013) Uğur, Kadriye Şerife; Kurtaran, Hanifi; Ark, Nebil; Kizilbulut, Gultekin; Yüksel, Alper; Gündüz, Mehmet
    Objectives: To evaluate and compare the long-term efficacy of modified uvulopalatopharyngoplasty (mUP3) and anterior palatoplasty (AP) techniques for treating snoring in a prospective clinical trial. Methodology: Patients with total apnea-hypopnea index values <5/per hour sleep were included in the study. Patients completed the Epworth sleepiness scale (ESS) and snoring visual analogue scale (VAS) before and 24 months after surgery, and a VAS for pain after the operation. Results: Twenty-four patients were in the mUP3 group with a mean age of 42.1 ± 11.8 years, and 26 in AP group with a mean age of 43.2 ± 10.4 years. Snoring VAS values were significantly decreased after surgery in both groups (p<0.025), but changes between operative groups were not statistically significant (p>0.05). Patients' ESS scores in both groups significantly decreased (p<0.025), but ESS score changes between groups were not significantly different (p>0.05). Two years postoperatively, patient satisfaction was 85% in the AP group, and 70% in the mUP3 group. Pain VAS values were significantly lower in the AP group than in the mUP3 group (p<0.001). Eight patients (33.3%) in the mUP3 group and one (7.7%) in the AP group reported nasal regurgitation of liquids upon swallowing during the first week postoperatively. Two years after the operation, 10 patients (41.6%) in the mUP3 group and 9 (34.6%) in AP group still had a lump sensation in the throat. Conclusions: We compared the efficacy of the mUP3 and AP techniques to treat patients with primary snoring and found less morbidity and more patient satisfaction in the AP group. © 2014 Elsevier B.V., All rights reserved.
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    Hearing loss after spinal anesthesia: A comparative prospective randomized cohort study
    (ARSMB-KVBMG aob.edit@skynet.be Avenue W. Churchill-laan 11/30 Brussels B-1180, 2016) Karabayirli, Safinaz; Uğur, Kadriye Şerife; Ayrim, Aylin; Demircioğlu, Rüveyda İrem; Ark, Nebil; Usta, Burhanettin; Kurtaran, Hanifi
    Objective: In this comparative randomized cohort study, we aimed at evaluating the occurrence of sensorineural hearing loss after general and spinal anesthesia using both subjective and objective tests. Material and Methods: Fifty patients scheduled for elective cesarean section were approached, of which 21 patients received spinal anesthesia (group S), and 16 patients received general anesthesia (group G). In group S, a 27 G pencil point spinal needle was used. Pure tone audiometry and Distortion Product Otoacoustic Emissions (DPOAE) were performed before and 48 hours after surgery. Results: No between-group significant difference in pre and postoperative audiometric hearing threshold and pure tone average value were noticed, as well as in pre and postoperative DPOAE amplitude and signal-to-noise ratio (SNR). Conclusion: In this study, we did not observe any hearing loss after cesarean section under general or spinal anesthesia. Using the non-traumatic 27 gauge pencil point needle for performing spinal anesthesia does not seem to be associated with a risk of hearing loss, similarly to general anesthesia. © 2018 Elsevier B.V., All rights reserved.
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    Natural and easily accessible sinonasal care product, virgin olive oil: A prospective controlled clinical trial
    (Acta Medica Mediterranea, 2015) Kankılıç, Ekrem Said; Kurtaran, Hanifi; Yüksel, Alper; Ark, Nebil; Uğur, Kadriye Şerife; Yildirim, Yusuf; Kurt, Kenan
    Introduction: We aimed to investigate the efficiency of virgin olive oil for postoperative nasal care in patients who underwent sinonasal surgery. Materials and methods: Forty patients who underwent sinonasal surgery were prospectively randomized into two groups (Groups S, the study group, and C, the control group). In both groups, isotonic saline was applied to both nasal cavities, and subsequently, virgin olive oil was applied to a random nasal cavity in the study group during the postoperative period. Patients were examined at postoperative day 2, 7, and 15, and crusting and wound healing were evaluated. Patient nasal comfort was assessed using the Visual Analogue Scale (VAS). Results: When the groups were evaluated for crusting, wound healing, and the VAS, the results for Groups S and C were significantly different. The VAS scores were statistically significant in Group S compared with Group C only on postoperative day 15. Crusting was statistically significant on the Group S compared with Group C on postoperative days 2 and 15. Wound healing was statistically significant in Group S compared with Group C only on postoperative day 15. Conclusion: We have demonstrated that the benefit of using virgin olive oil after sinonasal surgery. Olive oil was found to be effective for increasing patient comfort, decreasing crusting, and accelerating wound healing. © 2020 Elsevier B.V., All rights reserved.