Özlem Konukseven, Yeter Saçlı, Ayşenur Küçük Ceyhan
{"title":"Can Dizziness Be Related to Insomnia Severity and Sleep Quality in Young Adults?","authors":"Özlem Konukseven, Yeter Saçlı, Ayşenur Küçük Ceyhan","doi":"10.4274/tao.2025.2025-1-5","DOIUrl":"https://doi.org/10.4274/tao.2025.2025-1-5","url":null,"abstract":"<p><strong>Objective: </strong>Despite the many medical problems arising from sleep disturbances, few studies have been conducted on vestibular disorders. In this study, we aimed to investigate the relationship between dizziness, sleep quality, severity of insomnia and duration of sleep, in young adults with dizziness.</p><p><strong>Methods: </strong>Forty-nine individuals aged 20-40 years, with normal hearing and complaints of dizziness with an unknown origin were included. The Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI), and the Dizziness Handicap Inventory (DHI) were used.</p><p><strong>Results: </strong>There was a very strong positive correlation between the PSQI and the ISI (r=0.838, p<0.001). Strong positive correlations were observed between PSQI and the total DHI scores (r=0.660, p<0.001), as well as between ISI and DHI scores (r=0.673, p<0.001). In addition, both PSQI and ISI showed strong positive correlations with the physical subscale of the DHI (r=0.673 and r=0.662, respectively; p<0.001 for both). A significant positive correlation was also found between the daytime dysfunction component of the PSQI and the total DHI score (r=0.640, p<0.001). Moreover, sleep duration was moderately and negatively correlated with the emotional subscale of the DHI (r=-0.454, p=0.001), indicating that shorter sleep duration was associated with greater emotional impairment related to dizziness.</p><p><strong>Conclusion: </strong>Our study showed a high correlation between sleep quality, insomnia severity and dizziness in young adults with dizziness. With inventory, clinicians can contribute to improving people's quality of life by detecting dizziness associated with sleep disorders.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mehmet Birinci, Gökçe Aydın Balaban, Oğuzhan Okcu, Oğuz Gül, Tuğba Yemiş, Metin Çeliker, Özlem Çelebi Erdivanlı
{"title":"Extracranial Head and Neck Schwannomas.","authors":"Mehmet Birinci, Gökçe Aydın Balaban, Oğuzhan Okcu, Oğuz Gül, Tuğba Yemiş, Metin Çeliker, Özlem Çelebi Erdivanlı","doi":"10.4274/tao.2025.2024-12-3","DOIUrl":"10.4274/tao.2025.2024-12-3","url":null,"abstract":"<p><strong>Objective: </strong>Schwannomas are benign tumors originating from the nerve sheath. Extracranial schwannomas account for 25-45% of schwannomas in the head and neck region. This study aimed to evaluate the clinical presentation, diagnostic modalities, and postoperative outcomes of extracranial non-vestibular head and neck schwannomas and to discuss the findings in the context of the literature.</p><p><strong>Methods: </strong>Medical records of patients who underwent surgical treatment for extracranial schwannomas between 2014 and 2022 were retrospectively reviewed. A total of 25 patients met the inclusion criteria and were included in the study.</p><p><strong>Results: </strong>The mean age of the patients was 49 years, with a male-to-female ratio of 16/9. The most common presenting symptom was painless swelling. The face was the most affected site, followed by the oropharynx and scalp. Preoperative imaging was performed in nine patients, with ultrasound being the preferred modality. Preoperative biopsy was conducted in only two patients. The mean follow-up duration was 54 months, with no reported recurrences.</p><p><strong>Conclusion: </strong>This study represents the largest national series of extracranial head and neck schwannomas, providing valuable insights into their clinical presentation, diagnostic approach, and long-term outcomes.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"21-26"},"PeriodicalIF":0.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nuri Ünsal, Esma Hande Baldır, Serap Bulut Çöbden, Yunus Kantekin, Altan Kaya, Mehmet Yaşar, İbrahim Özcan, Ali Bayram
{"title":"Retrospective Analysis of Hemorrhage After Pediatric Tonsillectomy.","authors":"Nuri Ünsal, Esma Hande Baldır, Serap Bulut Çöbden, Yunus Kantekin, Altan Kaya, Mehmet Yaşar, İbrahim Özcan, Ali Bayram","doi":"10.4274/tao.2025.2025-2-7","DOIUrl":"https://doi.org/10.4274/tao.2025.2025-2-7","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to retrospectively analyze pediatric tonsillectomy in patients aged <18 years treated over the past five years, focusing on factors such as sex, surgical method, season of occurrence, transfusion requirement, and surgical intervention in patients presenting with post-tonsillectomy hemorrhage.</p><p><strong>Methods: </strong>Tonsillectomies performed in the Otorhinolaryngology Clinic of the Kayseri City Training and Research Hospital between June 2019 and June 2024 were retrospectively analyzed using the hospital information management system. Patients re-admitted for post-tonsillectomy secondary hemorrhage were identified, including those managed conservatively, requiring surgical intervention, and/or needing blood transfusion. Hemorrhage incidents were categorized by season (warm: March-August; cold: September-February), and hemorrhage rates were calculated. Surgical methods and the first surgical techniques in patients presenting with hemorrhage were recorded.</p><p><strong>Results: </strong>In total, 4,994 tonsillectomies had been performed in the study period. Sixty patients (1.20%) were re-admitted and hospitalized due to postoperative hemorrhage, of whom 22 (0.44%) were reoperated and 38 (0.76%) were managed conservatively. Ten patients (0.20%) needed transfusion. Of the patients presenting with hemorrhage, 39 (65%) were admitted during the warm season, and 21 (35%) during the cold season. The cold dissection technique was used in 95.03% of the cases, with a hemorrhage rate of 1.2%.</p><p><strong>Conclusion: </strong>Tonsillectomy is a common procedure worldwide and post-tonsillectomy hemorrhages are a frequent complication. Reducing morbidity and mortality through preventive strategies is crucial. Patients presenting with post-tonsillectomy hemorrhage should be hospitalized, monitored closely, and evaluated with hemogram and coagulation tests to assess hemorrhage volume and transfusion needs.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vural Akın, Hasan Yasan, Çağlar Irmak, Erdinç Tanlak, Bekir Büyükçelik
{"title":"Cervicofacial Emphysema: A Rare and Potentially Fatal Complication of Tonsillectomy.","authors":"Vural Akın, Hasan Yasan, Çağlar Irmak, Erdinç Tanlak, Bekir Büyükçelik","doi":"10.4274/tao.2025.2024-12-11","DOIUrl":"10.4274/tao.2025.2024-12-11","url":null,"abstract":"<p><p>Tonsillectomy is commonly performed in otorhinolaryngology clinics and is a relatively reliable procedure. Nevertheless, several complications, most notably postoperative bleeding, have been identified. Cervicofacial emphysema following tonsillectomy is exceedingly rare. This complication can lead to high-mortality outcomes, such as necrotizing fasciitis, mediastinitis, and pneumomediastinum. In this case report, we present the diagnosis and treatment of cervicofacial emphysema that developed on the third postoperative day in a 25-year-old female patient, along with a review of the relevant literature.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"40-43"},"PeriodicalIF":0.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fazıl Necdet Ardıç, Mehmet İhsan Gülmez, Şemsettin Okuyucu, Mehmet İlhan Şahin, Ayça Başkadem Yılmazer, Ömer Afşin Özmen, Mehmet Ekim, Ece Altınöz Baykal, Emel Aslantaş, Serap Uçar, Ali Tanrıöven, Mahmut Tayyar Kalcıoğlu
{"title":"Evaluation of Bone-Anchored Hearing Instruments in Chronic Otitis Media: A Multicenter Prospective Study.","authors":"Fazıl Necdet Ardıç, Mehmet İhsan Gülmez, Şemsettin Okuyucu, Mehmet İlhan Şahin, Ayça Başkadem Yılmazer, Ömer Afşin Özmen, Mehmet Ekim, Ece Altınöz Baykal, Emel Aslantaş, Serap Uçar, Ali Tanrıöven, Mahmut Tayyar Kalcıoğlu","doi":"10.4274/tao.2025.2024-12-6","DOIUrl":"10.4274/tao.2025.2024-12-6","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess the effectiveness of bone-anchored hearing instruments (BAHIs) in patients with chronic otitis media (COM), using objective and subjective measures. It is a multicenter, prospective trial involving patients with COM who have undergone surgical treatment and have been rehabilitated using BAHIs.</p><p><strong>Methods: </strong>COM Questionnaire-12 (COMQ-12), Speech, Spatial, and Qualities of Hearing Scale (SSQ), World Health Organization (WHO) Quality of Life-BREF questionnaire, and audiometric tests were used for assessment.</p><p><strong>Results: </strong>Twenty-eight patients were included. The average duration of COM was 20.1±13.32 years. Among the patients, 60.7% (17) were using hearing aids, with a mean usage duration of 10.8±10.7 years (ranging from 1 to 36 years). Seven patients received the PONTO device, two received the BAH aid (BAHA) connect system, and 19 were implanted with the BAHA attract system. COMQ-12, SSQ, WHO questionaries, and audiometric tests showed significant improvement, and the results were found stable during follow-up.</p><p><strong>Conclusion: </strong>This study reinforces the effectiveness of BAHIs in improving hearing thresholds and quality of life for patients with COM.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"10-15"},"PeriodicalIF":0.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infected Thyroglossal Duct Cyst with an Emergent Airway Threat.","authors":"Teng Huei Lee, Shangeetha Anbalagan, Santhi Kalimuthu, Norsyamira Aida Mohamad Umbaik","doi":"10.4274/tao.2025.2024-12-4","DOIUrl":"10.4274/tao.2025.2024-12-4","url":null,"abstract":"<p><p>Thyroglossal duct cyst (TDC) is a common congenital neck anomaly that typically presents as a midline neck mass and is most often diagnosed in the second decade of life. Although TDCs are generally painless and asymptomatic, infection of the cyst can lead to significant airway obstruction. We report the case of a 31-year-old male who experienced upper airway obstruction due to an acute TDC infection. We performed a curative modified Sistrunk procedure to relieve the obstruction during the acute episode. This case underscores the critical need for prompt diagnosis and intervention to prevent morbidity and mortality associated with airway emergencies in infected TDCs. We also discuss the challenges of managing an acutely infected TDC with emergent airway involvement, necessitating a more complex surgical approach.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"36-39"},"PeriodicalIF":0.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hasan Yasan, Mehmet Emre Sivrice, Yusuf Çağdaş Kumbul, Bekir Büyükçelik, Mustafa Kayan
{"title":"Is There a Relationship Between Tonsillolith Formation and Nasal Septal Deviation or Chronic Sinusitis, with or without Nasal Polyps?","authors":"Hasan Yasan, Mehmet Emre Sivrice, Yusuf Çağdaş Kumbul, Bekir Büyükçelik, Mustafa Kayan","doi":"10.4274/tao.2025.2024-12-10","DOIUrl":"10.4274/tao.2025.2024-12-10","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to assess the prevalence of tonsilloliths and investigate the potential role of nasal septal deviation (NSD) and/or chronic rhinosinusitis (CRS), with or without nasal polyps, in their development.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on computed tomography (CT) images of 3,516 patients obtained between January 2017 and December 2020. The presence of tonsilloliths was recorded along with NSD and CRS, with or without nasal polyps. The effects of age, gender, NSD, and CRS (with or without nasal polyps) on tonsillolith formation were analyzed. All CT images were re-evaluated for tonsilloliths, CRS, NSD and other pathological findings. The relationships between tonsillolith presence and NSD and CRS were statistically analyzed.</p><p><strong>Results: </strong>A significant difference in age was observed between individuals with and without tonsillolith (p<0.001). Additionally, the prevalence of tonsillolith was markedly higher in patients diagnosed with NSD compared to those without this condition (p<0.001). Similarly, patients diagnosed with CRS exhibited a significantly increased incidence of tonsillolith when compared to individuals without CRS (p<0.001).</p><p><strong>Conclusion: </strong>The incidence of tonsilloliths in this study was 27.6%. Tonsillolith prevalence increased with age, while no significant difference was observed based on gender. The presence of NSD, a condition associated with nasal obstruction, or CRS, an inflammatory disorder, was linked to a higher incidence of tonsilloliths.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"16-20"},"PeriodicalIF":0.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and Evaluation of the Cadaver Dissection Training Program for the Resident School.","authors":"Hülya Eyigör, Murat Öztürk","doi":"10.4274/tao.2025.2024-9-3","DOIUrl":"10.4274/tao.2025.2024-9-3","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate and improve the cadaver dissection training program given by the Turkish Otorhinolaryngology and Head and Neck Surgery Association's resident school. The program addresses goals, outcomes, content, implementation sequence, educational strategies, and the steps for evaluation and regulation.</p><p><strong>Methods: </strong>The Kern educational program development model was used by the 2023-2025 ENT Resident School Management for cadaver dissection training: both qualitative and quantitative research methods were employed. A needs analysis was conducted with structured focus interviews with the 12 students accepted into the course. Dissection steps, educational resources, and dissection videos were shared with residents before the training. A personalized cadaver dissection training plan, aligned with the Curriculum Development and Standardization System, was developed and shared with the instructors. Post-training, the Kirkpatrick program evaluation model was used to conduct first and second-level program evaluations.</p><p><strong>Results: </strong>The first-level evaluation revealed high satisfaction with the training program, and the second-level evaluation indicated a statistically significant increase between pre-test and post-test scores (p=0.015). There was a significant positive correlation between the total mastoidectomy success scale scores and the difference scores (pre- and post-test) (p=0.019; r=0.663), while no significant correlation was found for the endoscopic sinus surgery success scale scores (p=0.996).</p><p><strong>Conclusion: </strong>The Resident School, developed by the members of the Turkish Otorhinolaryngology and Head and Neck Surgery Association, is a high-participation, skill-intensive training program. The program, conducted with great dedication, received high participant satisfaction and assessed knowledge and skill learning levels.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":"63 1","pages":"27-35"},"PeriodicalIF":0.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne Marie Daou, Omar Aboul Hosn, Jad Hosri, Afif Mufarrij, Zeina Korban
{"title":"Unusual Case of Fishhook Lodged in the Neck: A Case Report and Literature Review","authors":"Anne Marie Daou, Omar Aboul Hosn, Jad Hosri, Afif Mufarrij, Zeina Korban","doi":"10.4274/tao.2025.2024-9-2","DOIUrl":"10.4274/tao.2025.2024-9-2","url":null,"abstract":"<p><p>Fishing constitutes a widely practiced sport considered pleasant and harmless. Yet, there are specific risks associated with fishhook injuries specifically in the neck. To the best of our knowledge, only few articles on fishhook injury in the neck were reported in the literature. We present the case of a 57-year-old previously healthy male coming to the emergency department with a J-type fishhook accidentally lodged in his neck. Prompt management with bedside removal of the sharp foreign body from the neck was achieved with no subsequent complications. In this case report, literature review of fishhook types and injuries as well as management options of such penetrating injuries will be detailed.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"44-47"},"PeriodicalIF":0.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial Self-Publication in Scientific Journals: Insights and Implications for Otorhinolaryngology Practice.","authors":"Ali Bayram","doi":"10.4274/tao.2025.2024-12-16","DOIUrl":"10.4274/tao.2025.2024-12-16","url":null,"abstract":"","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":"63 1","pages":"1-2"},"PeriodicalIF":0.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}