Uğur Kamiloğlu, Mürsel Delil, Sabri Mutlu, Ayça Tan, Görkem Eskiizmir
{"title":"Oncocytic Sialolipoma of the Submandibular Gland: Case Report and Literature Review.","authors":"Uğur Kamiloğlu, Mürsel Delil, Sabri Mutlu, Ayça Tan, Görkem Eskiizmir","doi":"10.4274/tao.2025.2025-9-13","DOIUrl":"10.4274/tao.2025.2025-9-13","url":null,"abstract":"<p><p>Sialolipoma is a rare benign salivary gland tumor, most commonly arising in the parotid gland. Its oncocytic variant is exceedingly uncommon, particularly in the submandibular gland. We report a 58-year-old woman presenting with a painless, enlarging left submandibular mass. Imaging revealed a heterogeneous fat-containing lesion with calcifications and suspicious lymphadenopathy, and fine-needle aspiration suggested a salivary gland neoplasm of uncertain malignant potential. The patient underwent submandibular gland excision with selective neck dissection. Histopathological examination confirmed oncocytic sialolipoma, and no recurrence was observed during 24 months of follow-up. A literature review identified only nine previously reported submandibular sialolipoma cases, several with oncocytic features. Preoperative findings, including calcifications and oncocytic cytology, may mimic malignancy. However, a well-circumscribed lesion composed of mature adipose tissue with salivary gland elements is diagnostic. Oncocytic sialolipoma of the submandibular gland is exceptionally rare. Despite its potential to mimic malignancy, it is benign, and complete excision provides definitive diagnosis and excellent prognosis.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"40-44"},"PeriodicalIF":0.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147521919","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}
Abdullah Dalğıç, Canberk Kertmen, Enes Aydın, Hüseyin Berk Yaramış
{"title":"Clinical Outcomes Following Revision Cochlear Implantation: A Single-Center Experience.","authors":"Abdullah Dalğıç, Canberk Kertmen, Enes Aydın, Hüseyin Berk Yaramış","doi":"10.4274/tao.2026.2025-10-3","DOIUrl":"10.4274/tao.2026.2025-10-3","url":null,"abstract":"<p><strong>Objective: </strong>Cochlear implant surgery enables individuals with severe hearing loss to regain auditory function. With the increasing number of implant recipients, complications have become more common, leading to a greater need for revision procedures. This study aimed to analyze and assess the underlying causes of revision surgeries performed in our clinic.</p><p><strong>Methods: </strong>This retrospective study reviewed 1,800 patients who underwent cochlear implantation in our clinic. Of these, 118 patients who required revision operations were included in the analysis. Causes of revision, observed complications, and demographic profiles of the patients were studied.</p><p><strong>Results: </strong>No significant differences were found in age, gender, implantation side, presence of inner ear anomalies, or etiology between patients with and without complications (p>0.05). Complications were observed in 22.9% of female patients (n=11) and 8.6% of male patients (n=6). The cochlear implant brand, failure type (soft or hard), and revision indication were not statistically related to complication status (p>0.05). Although not significant, complication rates were higher among patients who required revision due to device malfunction or cholesteatoma.</p><p><strong>Conclusion: </strong>Revision cochlear implantation should be considered in patients presenting with symptoms such as hearing deterioration, tinnitus, pain or swelling at the implant site, redness, delayed wound healing, or atypical facial sensations. This study summarizes our clinical experience and highlights the primary causes leading to revision cochlear implantation.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"11-17"},"PeriodicalIF":0.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575845","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":"Toward Dynamic and De-escalated Care: Insights from the ATA 2025 DTC Guidelines.","authors":"Ali Bayram, Görkem Eskiizmir","doi":"10.4274/tao.2026.2026-2-2","DOIUrl":"10.4274/tao.2026.2026-2-2","url":null,"abstract":"","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"3-5"},"PeriodicalIF":0.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522085","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":"Animal Research in Otorhinolaryngology: Shifts in Publication and Practice Over Two Time Periods.","authors":"Ahmet Kısa","doi":"10.4274/tao.2025.2025-11-6","DOIUrl":"10.4274/tao.2025.2025-11-6","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this bibliometric analysis is to assess the evolving trends in animal research in otorhinolaryngology over two different time periods.</p><p><strong>Methods: </strong>Articles published in the Science Citation Index Expanded general otorhinolaryngology journals in 2005-2007 and 2018-2020 were retrieved. The relationship of these studies to the Replacement, Reduction, and Refinement (3Rs) principles, emphasizing evidence of Reduction, and Animal Research: Reporting of In Vivo Experiments (ARRIVE) guidelines were examined, and the predominant subspecialties and the contributions of journals and countries were evaluated. Keyword, research focus, and citation analyses were performed using VOSviewer.</p><p><strong>Results: </strong>Despite a 51.8% increase in the total number of publications between the two study periods, the number of animal studies decreased by 41.5%, along with a 49.1% reduction in the number of animals used. In vivo studies lacking reported animal numbers constituted 10.9% in the first period and 10.3% in the second. \"Cochlea\" and \"ototoxicity\" were the most frequent keywords, with seven of the top ten appearing in both periods. Although 58.6% of the animal studies received ten or fewer citations, The Laryngoscope published the most animal studies and was the most-cited journal.</p><p><strong>Conclusion: </strong>This study underscores the importance of adopting the 3Rs and enhancing adherence to guidelines such as ARRIVE. Evaluating the outcomes of animal studies will be essential for responsible and impactful research in otorhinolaryngology. By revealing current research focuses, leading journals, and countries, this study also presents clues for future animal research in the field.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"25-32"},"PeriodicalIF":0.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533404","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":"Assessment of the Learning Processes of Otorhinolaryngology Residents in Performing Rhinomanometry and Acoustic Rhinometry.","authors":"Alaz Arabacı, Erdem Mengi, Cüneyt Orhan Kara","doi":"10.4274/tao.2026.2025-10-2","DOIUrl":"10.4274/tao.2026.2025-10-2","url":null,"abstract":"<p><strong>Objective: </strong>To develop an assessment tool for evaluating the ability of otorhinolaryngology (ORL) residents to perform rhinomanometry and acoustic rhinometry (R-AR), and therewith to assess their learning processes in acquiring R-AR skills.</p><p><strong>Methods: </strong>Firstly, a \"procedural skill rating scale (PSRS)\" was designed for the assessment process. The R-AR performances of 10 residents, each performing 20 procedures, were observed and scored using the PSRS. The correlation between the increase in the number of procedures performed, the improvement in scores, and the reduction in procedure duration was studied. Interrater reliability was evaluated independently by two raters using 20 R-AR procedures. Cronbach's alpha was calculated for reliability.</p><p><strong>Results: </strong>The correlation between the number of procedures performed and the increase in scores was r=0.911 (p<0.001) for rhinomanometry-PSRS and r=0.832 (p<0.001) for acoustic rhinometry-PSRS. Mean procedure duration was 2.11±0.39 minutes (min: 1.17, max: 3.95) for rhinomanometry and 1.55±0.34 minutes (min: 1.07, max: 3.19) for acoustic rhinometry. The correlation between the increase in the number of procedures performed and the reduction in duration was r=-0.937 (p<0.001). Interrater reliability was r=0.788 for rhinomanometry-PSRS and r=0.795 for acoustic rhinometry-PSRS (p<0.001). Cronbach's alpha was 0.971 for rhinomanometry-PSRS and 0.969 for acoustic rhinometry-PSRS.</p><p><strong>Conclusion: </strong>A valid and reliable assessment tool has been developed to evaluate ORL residents' skills in performing R-AR. Both tools are recommended for assessing ORL residents' proficiency and determining their achievement of competence.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"6-10"},"PeriodicalIF":0.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515628","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}
Mehmet H Atalar, Nisa Başpınar, Serdar Aktı, Adem Bora
{"title":"Herniation of the Flocculus Cerebellaris into the Internal Auditory Canal: A Rare Anatomical Variant Mimicking a Vestibular Pathology.","authors":"Mehmet H Atalar, Nisa Başpınar, Serdar Aktı, Adem Bora","doi":"10.4274/tao.2025.2025-7-2","DOIUrl":"10.4274/tao.2025.2025-7-2","url":null,"abstract":"<p><p>We report a rare case of herniation of the flocculus cerebellaris into the internal auditory canal (IAC) and discuss the radiologic features and clinical implications in light of the current literature. A 19-year-old male with vestibular symptoms underwent high-resolution magnetic resonance imaging (MRI), which revealed cerebellar tissue within the right IAC. Multiplanar MRI sequences showed extension of the flocculus into the IAC with no evidence of mass effect or neurovascular compression. Herniation of the flocculus cerebellaris into the IAC is a rare anatomic variant that can mimic neoplastic lesions. Awareness of this entity is critical to avoid misdiagnosis and unnecessary intervention. This case report highlights the importance of a rare anatomical variant in the differential diagnosis.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"45-49"},"PeriodicalIF":0.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533393","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":"Union for International Cancer Control 9<sup>th</sup> Edition TNM Classification for Head and Neck Malignancies: What is New?","authors":"Ali Bayram, Özlem Çelebi Erdivanlı","doi":"10.4274/tao.2025.2025-11-14","DOIUrl":"10.4274/tao.2025.2025-11-14","url":null,"abstract":"","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"166-168"},"PeriodicalIF":0.6,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12746165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811687","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}
Jad Hosri, Omar Aboul Hosn, Anthony Ghanem, Anne Marie Daou, Justin Ghadieh, Nader Zalaquett, Randa Barazi
{"title":"Comparing Flexible Nasal Endoscopy and Lateral Neck Radiography When Diagnosing Children with Adenoid Hypertrophy: A Case-Control Study.","authors":"Jad Hosri, Omar Aboul Hosn, Anthony Ghanem, Anne Marie Daou, Justin Ghadieh, Nader Zalaquett, Randa Barazi","doi":"10.4274/tao.2025.2025-9-4","DOIUrl":"10.4274/tao.2025.2025-9-4","url":null,"abstract":"<p><strong>Objective: </strong>To compare the reliability of flexible nasal endoscopy and lateral neck radiography in grading adenoid hypertrophy preoperatively in children.</p><p><strong>Methods: </strong>A retrospective study was performed at a single tertiary care center. Medical records of children who underwent adenoidectomy between January 2019 and December 2023 were reviewed. Preoperative adenoid size was assessed by radiography or endoscopy and compared to intraoperative grading, the reference. Adenoid hypertrophy was graded as mild (25-50%), moderate (51-75%), or severe (76-100%).</p><p><strong>Results: </strong>A total of 360 patients, 199 males and 161 females, were included. The mean age was 4.29±2.39 years. Preoperative and intraoperative grading matched in 58% of cases using endoscopy and 44.5% using radiography (p=0.028). Accurate grading was 1.7 times more likely with nasal endoscopy than radiography [odds ratio=1.72; 95% confidence interval (1.06-2.79)].</p><p><strong>Conclusion: </strong>Flexible nasal endoscopy is more reliable than radiography in preoperative grading of adenoid hypertrophy in children.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"185-189"},"PeriodicalIF":0.6,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12746159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828808","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":"Vestibulo-ocular Reflex Gain Asymmetry in Unilateral Ménière's Disease: Insights from HIMP and SHIMP Tests and Correlations with Audio-vestibular Findings.","authors":"Nesibe Gül Yüksel Aslıer, Buse Ekim","doi":"10.4274/tao.2025.2025-10-8","DOIUrl":"10.4274/tao.2025.2025-10-8","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to calculate the vestibulo-ocular reflex (VOR) gain asymmetry ratios obtained from head impulse paradigm (HIMP) and suppression HIMP (SHIMP) tests in patients with unilateral definite Ménière's disease (MD) and to investigate their relationships with clinical, audiologic and vestibular parameters.</p><p><strong>Methods: </strong>The study included 35 (18 female, 17 male) unilateral MD patients with a median age of 50 (24-65). All patients underwent pure-tone audiometry, video-nystagmography, including caloric test, and video head impulse test. The VOR gain asymmetry indices were computed and the demographic, clinical and audio-vestibular variables were analyzed.</p><p><strong>Results: </strong>Mean HIMP lateral canal VOR gain asymmetry ratio was -11.27±25.276 and mean SHIMP lateral canal VOR gain asymmetry was -15.63±23.993. While differences in caloric response asymmetry ratios were observed among hearing-loss severity groups (p=0.05), HIMP and SHIMP asymmetry ratios did not differ. VOR gain asymmetry ratios showed significant differences among dizziness handicap inventory groups, SHIMP saccade group and visually enhanced VOR saccade group (p<0.05). Significant correlations were found between SHIMP and caloric asymmetry ratios with air-conduction pure-tone averages (r=-0.337, p=0.047 and r=-0.358, p=0.035), and between HIMP lateral canal asymmetry and hearing at 500 Hz (r=-0.362, p=0.032).</p><p><strong>Conclusion: </strong>Our study confirmed that VOR gain asymmetry assessed by SHIMP and HIMP differs across hearing levels; and further that caloric response asymmetry is also correlated with audio-vestibular parameters in patients with unilateral MD.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"169-178"},"PeriodicalIF":0.6,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12746167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811690","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}
Gökçe Aydemir, Cüneyt Orhan Kara, Fazıl Necdet Ardıç
{"title":"A Bibliometric Review of Residency Theses on Vertigo in Türkiye.","authors":"Gökçe Aydemir, Cüneyt Orhan Kara, Fazıl Necdet Ardıç","doi":"10.4274/tao.2025.2025-8-13","DOIUrl":"10.4274/tao.2025.2025-8-13","url":null,"abstract":"<p><strong>Objective: </strong>In our study we analyzed the residency theses on vertigo in Türkiye by year, subject, and specialty with the aim of identifying academic trends.</p><p><strong>Methods: </strong>A bibliometric review was conducted using the National Thesis Database (1972-2025). The search was performed with the keywords vertigo, vestibular, dizziness, and Ménière. Only medical specialization theses were included. Titles and abstracts were screened, and eligible theses were classified by year, specialty, and topic.</p><p><strong>Results: </strong>A total of 180 theses were identified. The highest number of theses was produced between 2016 and 2020, followed by a decline after 2021. In the study period 103 theses were published in otorhinolaryngology, 29 in neurology, 10 in physical medicine and rehabilitation, 23 in emergency and family medicine, and 15 in other specialties. While studies showed an apparent increase in vestibular testing and rehabilitation in recent decades, these emphasized etiology and diagnostic approaches in the earlier years.</p><p><strong>Conclusion: </strong>Most theses on vertigo were produced between 2016 and 2020, with otorhinolaryngology providing the most significant contribution. Over time, interest shifted from etiology and diagnosis towards vestibular testing and rehabilitation. The findings confirm that vertigo is a central subject in otorhinolaryngology, but also attracts growing attention in neurology, physical medicine and rehabilitation, emergency medicine, and family medicine.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"196-200"},"PeriodicalIF":0.6,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12746161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439521","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}