{"title":"Otolaryngology Residents' Attitudes, Experiences, and Barriers Regarding the Medical Research.","authors":"Hülya Eyigör, Cüneyt Orhan Kara","doi":"10.4274/tao.2021.2021-4-11","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-4-11","url":null,"abstract":"<p><strong>Objective: </strong>It was aimed to investigate the attitudes, experiences, and barriers towards scientific research among otolaryngology residents in Turkey.</p><p><strong>Methods: </strong>Anonymous data were collected via an online survey. The demographic characteristics and experience in scientific research were investigated in the first section of the survey. The attitudes of participants towards scientific research and the barriers to the scientific research were examined in the second section of the survey using 17 items.</p><p><strong>Results: </strong>The present study involved 119 otolaryngology residents continuing their education. It was determined that 68.1% of participants think that \"<i>participating in scientific research</i>\" is a part of otolaryngology training. In the present study, it was shown that the residents having journal club hours in clinics on regular basis participated in various steps of scientific research projects (p<0.05). Residents stated that they participated in the \"<i>literature review</i>\" stage of the preparation of a scientific publication (mean value of 2.58±1.88) most and in \"<i>verbal presentation in a congress</i>\" least (mean value of 0.74±1.44). It was determined that 80.7% of participants have not attended in any training on scientific research. It was found that the residents receiving structured scientific research training participated more in steps of scientific research projects which was statistically significantly (p<0.05).</p><p><strong>Conclusion: </strong>In our country, otolaryngology residents are very enthusiastic about having research education and participating in researches. However, residency students frequently have time deficiency, lack of knowledge-skill, and lack of financial support. Dedicated time should be allocated for research training and practice in specialty programs. Journal club activities should be organized on regular basis and integrated with research education. On the other hand, the scholarly activities of residents should be supported by means of various countrywide educational activities on research training.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/61/tao-59-215.PMC8527532.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39676411","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":"A Patient with Severe Cervicofacial Subcutaneous Emphysema Associated with Munchausen's Syndrome: A Case Report.","authors":"Serap Şahin Önder, Ayşe Aslı Şahin Yılmaz, Ceyhan Şahin, Zekeriya İlçe, Sevinç Kalın","doi":"10.4274/tao.2021.2021-3-16","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-3-16","url":null,"abstract":"<p><p>Subcutaneous cervicofacial emphysema is a rare and life-threatening condition that results from various causes. In this report, we documented a case of a patient with severe subcutaneous cervicofacial emphysema a condition that falls under the umbrella of Munchausen's syndrome and discussed the workup of this patient. Thorough diagnostic investigations seeking the etiology of the condition proved unsuccessful. When faced with cases of recurring subcutaneous cervicofacial emphysema, where the root cause remains ambiguous a diagnosis of Munchausen's Syndrome should be considered.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/84/tao-59-230.PMC8527538.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39572382","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}
Lukoye Atwoli, Abdullah H Baqui, Thomas Benfield, Raffaella Bosurgi, Fiona Godlee, Stephen Hancocks, Richard Horton, Laurie Laybourn-Langton, Carlos Augusto Monteiro, Ian Norman, Kirsten Patrick, Nigel Praities, Marcel Gm Olde Rikkert, Eric J Rubin, Peush Sahni, Richard Smith, Nicholas J Talley, Sue Turale, Damián Vázquez
{"title":"Call for Emergency Action to Limit Global Temperature Increases, Restore Biodiversity, and Protect Health: Wealthy nations must do much more, much faster.","authors":"Lukoye Atwoli, Abdullah H Baqui, Thomas Benfield, Raffaella Bosurgi, Fiona Godlee, Stephen Hancocks, Richard Horton, Laurie Laybourn-Langton, Carlos Augusto Monteiro, Ian Norman, Kirsten Patrick, Nigel Praities, Marcel Gm Olde Rikkert, Eric J Rubin, Peush Sahni, Richard Smith, Nicholas J Talley, Sue Turale, Damián Vázquez","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d8/31/tao-59-162.PMC8527533.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39675994","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":"Author Self-Citation in the Turkish Otorhinolaryngology Literature.","authors":"Ali Bayram","doi":"10.4274/tao.2021.2021-5-16","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-5-16","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the prevalence and other characteristics of author self-citations in six Turkey-originated general otorhinolaryngology (ORL) journals of Turkish ORL literature.</p><p><strong>Methods: </strong>A total of 970 articles published in six Turkey-originated general ORL journals (ENT Updates, Journal of Ear Nose Throat and Head Neck Surgery, KBB-Forum, Praxis of Otorhinolaryngology, The Turkish Journal of Ear Nose and Throat, and Turkish Archives of Otorhinolaryngology) in 2016-2020 were analyzed for author self-citations. The association between author self-citations and journal types, study types, study topics, country of origin, and compatibility with the topic were also evaluated.</p><p><strong>Results: </strong>There were 265 author self-citations (0.273 per article) which corresponded to 1.36% of all citations. There was no significant difference between the journal types, study topics, and origin of the studies in terms of mean self-citation values per study, whereas case reports had significantly lower self-citations than review and original investigations. There were three citations (1.1%) that were irrelevant to the study topic.</p><p><strong>Conclusion: </strong>To the best of our knowledge, this is the first study that investigated the practice of author self-citation in Turkish ORL literature. Author self-citation rate in the Turkish-originated general ORL journals was found remarkably lower than the medical literature, whereas the self-citations were found compatible with the study topic to a very large extent. Members of the scientific community including authors, readers, and journal editors should be cautious regarding the unethical practices of self-citations.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/d2/tao-59-210.PMC8527536.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39676410","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, Yusuf Çağdaş Kumbul, İbrahim Metin Çiriş, Mehmet Emre Sivrice, Erdoğan Okur
{"title":"The Importance of Prostate-Specific Membrane Antigen Expression in Carotid Body Paragangliomas.","authors":"Hasan Yasan, Yusuf Çağdaş Kumbul, İbrahim Metin Çiriş, Mehmet Emre Sivrice, Erdoğan Okur","doi":"10.4274/tao.2021.2021-3-17","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-3-17","url":null,"abstract":"<p><strong>Objective: </strong>Prostate-specific membrane antigen (PSMA) is a transmembrane protein expressed in prostate cancer. It is, however, also expressed in the neovasculature of some non-prostatic solid tumors. Carotid body paragangliomas (CBPs) are highly vascular neoplasms. In this study, we aimed to investigate the possible role of PSMA expression in CBPs. There are no studies in the literature that report to have investigated the relationship between PSMA and CBPs.</p><p><strong>Methods: </strong>This study is a retrospective analysis of cases diagnosed with CBP based on their demographic, clinical, radiological, surgical and immunohistochemical findings. Immunohistochemical examination results of Ki-67, S100, synaptophysin, chromogranin were retrieved from patient files. Then, the paraffin blocks of CBPs specimens, stained by PSMA-antibody by immunohistochemical methods were examined histopathologically.</p><p><strong>Results: </strong>The number of patients operated on for CBP was 12 (four men and eight women). Ten out of 12 specimens were suitable for staining and histopathological examination. Capsular and/or vascular invasions of tumors were seen in complicated cases. Intratumoral vascular PSMA expression was seen in all specimens except one. Extratumoral vascular PSMA expression was not detected in any of the cases. Tumoral cell PSMA staining was seen in six of ten cases.</p><p><strong>Conclusion: </strong>We found higher intratumoral vascular expressions of PSMA nearly in all CBPs, but we could not assess the statistical significance because of the small number of specimens. These data might be a guide for future studies that are planned for either diagnostic or therapeutic approaches to CBPs.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/d2/tao-59-203.PMC8527544.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39676409","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}
Nurcan Kılıç, Gurbet İpek Şahin Kamışlı, Bülent Gündüz, İsmet Bayramoğlu, Yusuf K Kemaloğlu
{"title":"Turkish Validity and Reliability Study of the Speech, Spatial and Qualities of Hearing Scale.","authors":"Nurcan Kılıç, Gurbet İpek Şahin Kamışlı, Bülent Gündüz, İsmet Bayramoğlu, Yusuf K Kemaloğlu","doi":"10.4274/tao.2021.2021-4-3","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-4-3","url":null,"abstract":"<p><strong>Objective: </strong>The Speech, Spatial and Qualities of Hearing Scale (SSQ) is a self-report scale that evaluates hearing in complex daily life situations in the areas of hearing quality, speech perception, and spatial perception. It is also frequently used in the follow-up of hearing-impaired people, hearing aid and cochlear implant users. It is aimed to translate and adapt SSQ into Turkish, and to investigate its test-retest reliability, and construct validity and reliability, and further to present associations of SSQ scores with the pure tone averages (PTA).</p><p><strong>Methods: </strong>The Turkish SSQ (Tr-SSQ) scale was administered on 114 adults including those with and without hearing loss. Cronbach's alpha was used to assess its reliability. The reliability coefficient of the scale was calculated by test-retest method. Associations of SSQ scores with PTAs in better and worse hearing ears (BHE and WHE) were evaluated.</p><p><strong>Results: </strong>Tr-SSQ presented high internal consistency (Cronbach's alpha = 0.984) and test-retest reliability (r=0.994). Tr-SSQ scores were lower in the subjects with hearing loss and correlated with PTAs. Age was found to be correlated with PTAs; regression analysis demonstrated that only WHE-PTA was extracted as explanatory variable for average Tr-SSQ, speech perception and spatial perception scores while both BHE-PTA and WHE-PTA were found to be predictors of hearing quality, but not age for any of Tr-SSQ scores.</p><p><strong>Conclusion: </strong>Tr-SSQ is a convenient tool for assessing the hearing abilities of individuals with hearing impaired.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/62/fb/tao-59-172.PMC8527537.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39676406","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":"The Bibliometric Aspects of Case Report/Series in Science Citation Index Otorhinolaryngology Journals.","authors":"Nesibe Gül Yüksel Aslıer, Mustafa Aslıer","doi":"10.4274/tao.2021.2021-4-12","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-4-12","url":null,"abstract":"<p><strong>Objective: </strong>The rate of case report/series (CR/S) acceptance by the high impact journals is steadily declining mainly due to low citations. The aim of this study is primarily to investigate the bibliometric aspects of CR/S in the field of otorhinolaryngology (ORL) and secondarily to guide prospective authors as to which type of CR/S have better chances of acceptance and citation in the current publication climate.</p><p><strong>Methods: </strong>Bibliometric and citation analysis of CR/S published in Science Citation Index (SCI) journals of ORL covering the years of 2012-2016 was conducted.</p><p><strong>Results: </strong>There were 1332 (8.9%) CR/S among 14900 publications in 11 SCI ORL journals published between January 1<sup>st</sup>, 2012 and December 31st, 2016. The most common published field and subject were the 'pediatric ORL' (33.2%) and 'rare cases/conditions' (47.1%) respectively. 'General ORL' (5.13) and 'treatment' (4.93) categories had the highest citations. Only 10% of CR/S had ≥10 citations. The mean citation counts were positively correlated with impact factors of journals (r=0.131, p<0.001), mean number of authors (r=0.151, p<0.001), mean number of cases (r=0.192, p<0.001), mean number of references (r=0.315, p<0.001) and mean number of Web of Science visits (r=0.291, p<0.001).</p><p><strong>Conclusion: </strong>Although CR/S provides low citation rates in ORL SCI journals, they may serve important topics in terms of diagnosis, treatment, or complications. The findings and the main discussions of this study may direct the rationale for the consistent publication of CR/S in the evidence-based medicine era.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c1/d7/tao-59-193.PMC8527534.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39676408","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}
Kasım Durmuş, Murat Öztürk, Büşra Yaprak Bayrak, Çiğdem Vural
{"title":"An Incidental Chorda Tympani Schwannoma Identified During Middle Ear Surgery.","authors":"Kasım Durmuş, Murat Öztürk, Büşra Yaprak Bayrak, Çiğdem Vural","doi":"10.4274/tao.2021-5-2","DOIUrl":"https://doi.org/10.4274/tao.2021-5-2","url":null,"abstract":"<p><p>Chorda tympani schwannomas are rare benign tumors of the middle ear cleft. This is a case of incidental chorda tympani schwannoma identified intraoperatively. The patient was a 50-year-old male with chronic active otitis media complicated by left-sided facial paralysis. During closed mastoidectomy and tympanoplasty approach, a well-demarcated swelling on the left chorda tympani nerve was identified and sectioned for pathologic evaluation. The histopathologic evaluation established the diagnosis of schwannoma. Although the tumor was unlikely the cause of the disease process in this patient, his facial paralysis and middle ear disease were resolved after surgery.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/6e/tao-59-234.PMC8527539.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39572828","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":"Where is my ear? - Cervical Chondrocutaneous Branchial Remnant.","authors":"Smile Kajal, Anam Ahmed, Anurag Gupta","doi":"10.4274/tao.2021.2021-6-13","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-6-13","url":null,"abstract":"A 6-year-old boy presented with the absence of pinna on the left side since birth. A cutaneous appendage emerging from the neck on the left side was discovered during the examination (Figure 1). Deep palpation revealed a firm texture like cartilage. On the left side, a primitive firm cartilage was palpated in the helix region (Figure 2). The rest of the cartilaginous framework and external auditory canal (EAC) opening was absent on the left side. On the right side, the pinna was smaller in size and loped. High resolution computed tomography (HRCT) of temporal bone showed an atretic and stenosed EAC on the left and ride side, respectively. Ossicular lump was noted on both sides on HRCT, but all inner ear structures appeared normal in both ears. Pure tone audiometry revealed moderate and mild conductive hearing loss on the left and right sides, respectively. Magnetic resonance imaging of the neck was done to rule out any branchial abnormality. It did not reveal any cyst/sinus/fistula. A provisional diagnosis of cervical chondrocutaneous branchial remnant (CCBR) with leftsided microtia and EAC atresia was made on clinico-radiological basis. After a thorough discussion with the father, the patient was planned for the excision of the cervical mass and staged pinnaplasty and canaloplasty on the left side at a later stage. Histopathological examination after excision showed elastic cartilage rests covered by normal skin consisting of epidermis, dermis, adnexal structures, and subcutaneous fat compatible with CCBR.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/94/19/tao-59-242.PMC8527535.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39572830","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}
Hussain Albaharna, Mohammad Alshareef, Saud Alromaih, Mohammad Aloulah, Saad Alsaleh, Ahmad Alroqi
{"title":"Topical Intranasal Fluorescein to Diagnose and Localize Cerebrospinal Fluid Leak: A Systematic Review.","authors":"Hussain Albaharna, Mohammad Alshareef, Saud Alromaih, Mohammad Aloulah, Saad Alsaleh, Ahmad Alroqi","doi":"10.4274/tao.2021.2021-3-12","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-3-12","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluates the available evidence regarding using topical intranasal fluorescein (TINF) to diagnose and localize nasal cerebrospinal fluid (CSF) leak.</p><p><strong>Methods: </strong>A literature search was conducted through PubMed, the Cochrane Database, Scopus, and Ovid to identify the articles providing insight into using TINF to diagnose CSF leak preoperatively or to localize the leak intraoperatively. The articles from the database were screened and filtered by two authors according to the selection criteria. A spreadsheet was created to collect the data including demographic characteristics, the sensitivity and specificity of TINF for diagnosing and localizing a CSF leak, the protocol of applying TINF, and the complications.</p><p><strong>Results: </strong>After excluding duplicates and articles that did not meet our selection criteria, we included five reports in the final analysis. The average age of the 94 participants was 39.5, and there was an equal distribution of males and females. The sensitivity of TINF to make a preoperative diagnosis of CSF leak was 100%, and it was 97% to localize the site intraoperatively. Complications associated with TINF were not reported in any of the reports. This review showed a grade C recommendation based on five case series.</p><p><strong>Conclusion: </strong>Based on the current evidence, TINF cannot be recommended for standard clinical practice. It can, however, be considered in situations where other gold standard tools are unavailable since it is feasible and easy to use. A standardized control trial should be conducted to yield additional unbiased evidence.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/51/2f/tao-59-223.PMC8527542.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39572381","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}