Turkish Archives of Otorhinolaryngology最新文献

Management of Disseminated Rhinosporidiosis: Experience From a Single Tertiary Institution. 散发型鼻孢子虫病的治疗：一家高等院校的经验。

IF 0.7

Turkish Archives of Otorhinolaryngology Pub Date : 2024-10-23 DOI: 10.4274/tao.2023.2022-9-5

Kalaiarasi Raja, Saranya Thangavel, Akshat Kushwaha, Bheemanathi Hanuman Srinivas, Rakhee Kar, Arun Alexander, Lokesh Kumar Penubarthi, Sunil Kumar Saxena

{"title":"Management of Disseminated Rhinosporidiosis: Experience From a Single Tertiary Institution.","authors":"Kalaiarasi Raja, Saranya Thangavel, Akshat Kushwaha, Bheemanathi Hanuman Srinivas, Rakhee Kar, Arun Alexander, Lokesh Kumar Penubarthi, Sunil Kumar Saxena","doi":"10.4274/tao.2023.2022-9-5","DOIUrl":"https://doi.org/10.4274/tao.2023.2022-9-5","url":null,"abstract":"Objective: This study aims to present a series of patients with disseminated rhinosporidosis with diagnostic and therapeutic features.Methods: A retrospective study was conducted in a tertiary health care centre in South India from 2007 to 2020 with disseminated rhinosporidiosis. Twelve patients with multiple sites of involvement like the nose, nasopharynx, oropharynx, larynx, lacrimal sac and skin were included in the study. All patients underwent surgical excision, followed by peroral dapsone for one year.Results: The age group was around 30-55 years, with male predominance (11:1). Pond bathing history was present in 50% (n=6). The most common site of lesion was the nose (100%), oropharynx (83.3%), skin (75%), larynx (50%) and less commonly, nasopharynx (41.6%) and lacrimal sac (25%). One patient underwent surgery four times (8.3%), followed by thrice and twice by five (41.6%) and six (50%) patients, respectively. On two years of follow-up, two patients (16.6%) had a recurrence in the nose and larynx whereas eight patients (66.6%) had no recurrence and two patients (16.6%) were lost to follow-up.Conclusion: This original article highlights the rare occurrence of disseminated rhinosporidiosis, the possibility of which should be kept in mind, mainly when two or more sites are involved. The most significant number of disseminated rhinosporidiosis cases in the literature is reported here. Dissemination with the cutaneous and multisite disease is rarely reported and poses difficulty in management. Early diagnosis and intervention prevent the dissemination of spores into various parts of the body.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510062","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}

引用次数: 0

Investigation of Acoustic Voice Characteristics of Individuals Diagnosed with Muscle Tension Dysphonia. 被诊断为肌肉张力性发音障碍者的声音特征调查

IF 0.7

Turkish Archives of Otorhinolaryngology Pub Date : 2024-10-23 DOI: 10.4274/tao.2024.2024-3-15

Elife Barmak, Esma Altan, Dilara Söylemez, Emel Çadallı Tatar

{"title":"Investigation of Acoustic Voice Characteristics of Individuals Diagnosed with Muscle Tension Dysphonia.","authors":"Elife Barmak, Esma Altan, Dilara Söylemez, Emel Çadallı Tatar","doi":"10.4274/tao.2024.2024-3-15","DOIUrl":"https://doi.org/10.4274/tao.2024.2024-3-15","url":null,"abstract":"Objective: Muscle tension dysphonia (MTD) is a functional voice condition that causes irregular and imbalanced laryngeal and paralaryngeal muscle activation. Our study aimed to examine the acoustic characteristics of patients with MTD and reveal the differences between genders.Methods: The study retrospectively reviewed the acoustic examination findings from the files of patients diagnosed with MTD during evaluations in the laryngology outpatient clinic at a tertiary reference hospital between 2015 and 2022. The parameters assessed in prolonged vowel phonation analysis were fundamental frequency (F0), jitter, shimmer, noise-to-harmonic-to-ratio, and soft phonation index; in the counting task analysis, they were intensity, frequency, and semitone. Gender differences in acoustic measurements obtained during prolonged vowel phonation and counting tasks were also examined.Results: The study included 80 individuals diagnosed with MTD. Although all parameters in the acoustic analysis of/a/ phonation were increased, differences were statistically significant only in the F0 and jitter parameters between females and males (p≤0.05). In the analysis of the counting task, the mean and minimum F0 parameters were significantly higher in females than in males (p=0.000). The mean dB level was decreased, particularly in the counting task, but the results for the intensity parameter did not differ significantly between genders (p>0.05).Conclusion: The values in the acoustic voice analysis parameters of patients with MTD were determined. These acoustic parameters are thought to guide the clinician in evaluating voice and determining voice therapy goals for MTD patients.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510061","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}

引用次数: 0

Evaluating the Performance of ChatGPT, Gemini, and Bing Compared with Resident Surgeons in the Otorhinolaryngology In-service Training Examination. 评估 ChatGPT、Gemini 和 Bing 在耳鼻喉科在职培训考试中与住院外科医生的表现。

IF 0.7

Turkish Archives of Otorhinolaryngology Pub Date : 2024-10-23 DOI: 10.4274/tao.2024.3.5

Utku Mete

{"title":"Evaluating the Performance of ChatGPT, Gemini, and Bing Compared with Resident Surgeons in the Otorhinolaryngology In-service Training Examination.","authors":"Utku Mete","doi":"10.4274/tao.2024.3.5","DOIUrl":"https://doi.org/10.4274/tao.2024.3.5","url":null,"abstract":"Objective: Large language models (LLMs) are used in various fields for their ability to produce human-like text. They are particularly useful in medical education, aiding clinical management skills and exam preparation for residents. To evaluate and compare the performance of ChatGPT (GPT-4), Gemini, and Bing with each other and with otorhinolaryngology residents in answering in-service training exam questions and provide insights into the usefulness of these models in medical education and healthcare.Methods: Eight otorhinolaryngology in-service training exams were used for comparison. 316 questions were prepared from the Resident Training Textbook of the Turkish Society of Otorhinolaryngology Head and Neck Surgery. These questions were presented to the three artificial intelligence models. The exam results were evaluated to determine the accuracy of both models and residents.Results: GPT-4 achieved the highest accuracy among the LLMs at 54.75% (GPT-4 vs. Gemini p=0.002, GPT-4 vs. Bing p<0.001), followed by Gemini at 40.50% and Bing at 37.00% (Gemini vs. Bing p=0.327). However, senior residents outperformed all LLMs and other residents with an accuracy rate of 75.5% (p<0.001). The LLMs could only compete with junior residents. GPT- 4 and Gemini performed similarly to juniors, whose accuracy level was 46.90% (p=0.058 and p=0.120, respectively). However, juniors still outperformed Bing (p=0.019).Conclusion: The LLMs currently have limitations in achieving the same medical accuracy as senior and mid-level residents. However, they outperform in specific subspecialties, indicating the potential usefulness in certain medical fields.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510060","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}

引用次数: 0

Salvage Endoscopic Nasopharyngectomy for Recurrent Nasopharyngeal Cancer: an Institutional Experience. 鼻咽癌复发的抢救性内窥镜鼻咽切除术：机构经验。

IF 0.7

Turkish Archives of Otorhinolaryngology Pub Date : 2024-10-23 DOI: 10.4274/tao.2024.2024-1-2

Ergin Eroğlu, A Erim Pamuk, Serdar Özer, Tevfik Metin Önerci

{"title":"Salvage Endoscopic Nasopharyngectomy for Recurrent Nasopharyngeal Cancer: an Institutional Experience.","authors":"Ergin Eroğlu, A Erim Pamuk, Serdar Özer, Tevfik Metin Önerci","doi":"10.4274/tao.2024.2024-1-2","DOIUrl":"https://doi.org/10.4274/tao.2024.2024-1-2","url":null,"abstract":"Objective: This study aims to present the surgical and oncological long-term outcomes of patients with locally recurrent nasopharyngeal cancer (NPC) following endoscopic endonasal nasopharyngectomy (EEN).Methods: The medical records of 11 patients who underwent EEN due to recurrent NPC were retrospectively reviewed.Results: The mean age of the patient cohort, consisting of 10 males (90.9%) and one female (9.1%), was 44±13.01 years at the time of initial diagnosis. Seven patients (63.7%) had local recurrence, and four patients (36.3%) had loco-regional recurrence. The mean time to first recurrence from the initial diagnosis was 40.3 months, with a 5-year overall survival (OS) rate of 72.7% and a disease-free survival (DFS) rate of 27.3%. There were no significant differences between the concurrent chemoradiotherapy (CRT) and induction chemotherapy+concurrent CRT treatment groups in terms of DFS and OS as a first-line treatment (p=0.645).Conclusion: EEN is a viable alternative approach for selected cases of locally recurrent NPC, considering the morbidities associated with re-irradiation.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510063","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}

引用次数: 0

Patulous Eustachian Tube Accompanied by Internal Carotid Artery Anomalies 伴有颈内动脉异常的咽鼓管发育不良

IF 0.7

Turkish Archives of Otorhinolaryngology Pub Date : 2024-07-03 DOI: 10.4274/tao.2024.2023-9-7

Mehmet Atalar, Nisa Başpınar, Mansur Doğan

引用次数: 0

Retrospective Analysis of Laryngeal Cancer Patients in a Tertiary Referral Center 对一家三级转诊中心喉癌患者的回顾性分析

IF 0.7

Turkish Archives of Otorhinolaryngology Pub Date : 2024-07-03 DOI: 10.4274/tao.2024.2023-12-2

Ali Can Sungur, Ö. Bayır, Gökhan Toptaş, Şevket Aksoy, Sevilay Karahan, Volkan Yücel, Emel Çadallı Tatar, G. Saylam, M. Korkmaz

{"title":"Retrospective Analysis of Laryngeal Cancer Patients in a Tertiary Referral Center","authors":"Ali Can Sungur, Ö. Bayır, Gökhan Toptaş, Şevket Aksoy, Sevilay Karahan, Volkan Yücel, Emel Çadallı Tatar, G. Saylam, M. Korkmaz","doi":"10.4274/tao.2024.2023-12-2","DOIUrl":"https://doi.org/10.4274/tao.2024.2023-12-2","url":null,"abstract":"locoregional-free survival (LRFS), and factors affecting recurrence were analyzed. Results: We included 573 patients with a mean age of 60.1±9.8 years. Of the 573 patients, 94.2% (540) were men, 93.7% (537) were smokers, 40.1% had at least one comorbid disease, and 69.8% (400) presented with glottic LSCC. The five-year OS, DSS, DFS, and LRFS rates for all cases were 65.7%, 79.9%, 67%, and 74.7%, respectively. In early-stage LSCC treatment, the rates of OS (p=0.008), DFS (p=0.024) and LRFS (p=0.01) were statistically significantly higher in the endolaryngeal laser surgery (ELS) group compared with the radiotherapy (RT) group. In advanced-stage LSCC treatment, total laryngectomy had statistically significantly higher five-year DFS (p=0.003) and LRFS (p=0.002) rates compared to chemoradiotherapy. Conclusion: Our study showed that ELS provided higher rates of OS, DFS, and LRFS compared to RT in the treatment of early-stage LSCC. Recurrence was significantly higher in supraglottic tumors, advanced-stage tumors, and in patients with clinical N positivity.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141683390","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}

引用次数: 0

Angiosarcoma Arising in a Vagal Schwannoma - Report and Literature Review 血管肉瘤源于迷走神经束瘤--报告和文献综述

IF 0.7

Turkish Archives of Otorhinolaryngology Pub Date : 2024-07-03 DOI: 10.4274/tao.2024.2023-6-2

Zeeshan Ali Shaikh, I. Khyani, Asad Diwan, Paras Naseem, Hasan Abbas

引用次数: 0

The Effect of Rheumatoid Arthritis on Middle and Inner Ear Functions 类风湿性关节炎对中耳和内耳功能的影响

IF 0.6

Turkish Archives of Otorhinolaryngology Pub Date : 2024-06-03 DOI: 10.4274/tao.2024.2024-2-2

Serpil Demir, M. Pamukçu, Selim S. Erbek

引用次数: 0

Case Series of Endoscopic Transoral Excision of Huge Parapharyngeal Tumors: Pushing the Boundaries 内镜下经口切除巨大咽旁肿瘤的病例系列：突破界限

IF 0.6

Turkish Archives of Otorhinolaryngology Pub Date : 2024-06-03 DOI: 10.4274/tao.2024.2023-12-15

C. Lim, Y. Liew, Sakina Ghauth, P. Narayanan

引用次数: 0

The Effect of Cochlear Implant Stimulation on Postural Control 人工耳蜗刺激对姿势控制的影响

IF 0.6

Turkish Archives of Otorhinolaryngology Pub Date : 2024-05-24 DOI: 10.4274/tao.2024.2023-12-9

F. Ardıç, Funda Tümkaya, A. Atıgan, F. Ardıç

引用次数: 0