{"title":"Retrograde Transillumination: A Reliable Guide for Frontal Sinus Opening in Endoscopic Sinus Surgery.","authors":"Özgür Kemal, Emre Demirel, Mehmet Çelebi","doi":"10.4274/tao.2026.2025-11-20","DOIUrl":"10.4274/tao.2026.2025-11-20","url":null,"abstract":"<p><p>To describe and assess the feasibility of a simple, low-cost retrograde transillumination technique for identifying and confirming the frontal sinus opening during endoscopic frontal sinus surgery in a small series of patients. This single-center descriptive surgical series, conducted between November 2024 and January 2025, included five patients who underwent endoscopic frontal sinus surgery. The technique's five steps were standardized: angled endoscopic view (45°) of the frontal recess, probing the probable opening with angled instruments, darkening the room, placing the light source of the endoscope superomedial to the eyebrow, and observing a retrograde endonasal glow at the true ostium. In all cases, localization of the frontal opening was achieved by retrograde transillumination and independently verified with neuronavigation. Representative scenarios included nasal polyposis, pansinusitis, revision surgery (Draf III), and a pediatric patient with complicated sinusitis with epidural abscess. Retrograde transillumination enabled identification of the frontal sinus opening in all five cases and guided the extent of surgery (Draf IIa-b/III as indicated). It proved especially helpful when landmarks were distorted or when frontal recess cell variants obscured the pathway. In this limited series, retrograde transillumination appeared to be a pragmatic, cost-effective adjunct that complemented anatomical expertise, surgical experience, and neuronavigation for intraoperative localization of the frontal sinus opening. Larger comparative studies are needed to further evaluate its accuracy and generalizability.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"117-121"},"PeriodicalIF":0.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319797","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 Life Dedicated to Science, Education, and the Homeland: In Memory of Prof. Dr. Şinasi Yalçın (1955-2025).","authors":"İrfan Kaygusuz, Turgut Karlıdağ","doi":"10.4274/tao.2026.2026-4-16","DOIUrl":"https://doi.org/10.4274/tao.2026.2026-4-16","url":null,"abstract":"","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785032","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}
{"title":"Commentary on \"Comparing Flexible Nasal Endoscopy and Lateral Neck Radiography When Diagnosing Children with Adenoid Hypertrophy\".","authors":"Ahmet Kısa","doi":"10.4274/tao.2026.2026-2-5","DOIUrl":"10.4274/tao.2026.2026-2-5","url":null,"abstract":"","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":"64 1","pages":"55-56"},"PeriodicalIF":0.7,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595389","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}
Hilal Yücel, Abitter Yücel, Mehmet Akif Alan, Mehmet Akif Eryılmaz, Muhammet Cemal Kızılarslanoğlu, Berat Demirci, Erdem Bayrakçı, Mustafa Güllüev
{"title":"Translation and Validation of the Turkish Parotidectomy Outcome Inventory-8.","authors":"Hilal Yücel, Abitter Yücel, Mehmet Akif Alan, Mehmet Akif Eryılmaz, Muhammet Cemal Kızılarslanoğlu, Berat Demirci, Erdem Bayrakçı, Mustafa Güllüev","doi":"10.4274/tao.2026.2025-7-14","DOIUrl":"10.4274/tao.2026.2025-7-14","url":null,"abstract":"<p><strong>Objective: </strong>Salivary gland tumors are common tumors of the head and neck region, and most are located in the parotid gland and the majority are benign. Parotidectomy, which is applied in the treatment of these tumors, is a very specific procedure in terms of both surgical technique and complications. Many quality of life (QoL) questionnaires have been used to evaluate the patient after parotid surgery; however, none are specific to parotidectomy. The Parotidectomy Outcome Inventory-8 (POI-8) was developed and validated in German to measure QoL after parotidectomy in patients with benign tumors. In this study, our aim was to translate POI-8 into Turkish and study its validity and reliability.</p><p><strong>Methods: </strong>Fifty patients had parotidectomy due to benign pathologies and they were included in the study. All participants were administered the Turkish version of the University of Washington QoL questionnaire (UW-QoL), which had previously been validated in Turkish, and the Turkish version of the POI-8, which was prepared with expert committee evaluation. Validity assessment, internal consistency analysis, intra-rater and inter-rater reliability assessment were performed for POI-8.</p><p><strong>Results: </strong>In the Turkish version of POI-8, a high level of intra-rater and inter-rater reliability was detected. A high-level, negative correlation was observed between POI-8 and UW-QoL. A strong internal consistency was detected with a high Cronbach's alpha coefficient.</p><p><strong>Conclusion: </strong>POI-8, which we translated into Turkish and validated, can be used safely by head and neck surgeons to measure QoL after parotidectomy with its high reliability values.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"33-39"},"PeriodicalIF":0.7,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575850","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":"Pediatric Tracheostomy: A Five-year Retrospective Review at a Tertiary Care Center.","authors":"Afshan Fathima, Prem Kumar P, Sahana Raju","doi":"10.4274/tao.2026.2025-11-19","DOIUrl":"10.4274/tao.2026.2025-11-19","url":null,"abstract":"<p><strong>Objective: </strong>Tracheostomy in the pediatric population is a technical and demanding procedure due to the smaller, more pliable trachea and the limited exposure of the operating field. It has been documented to have higher morbidity and mortality, especially among low birth weight and pre-term infants. A review of the existing literature shows that indications, epidemiology, and complications are changing dynamically, and no definite guidelines have been established.</p><p><strong>Methods: </strong>A five-year retrospective observational study on pediatric tracheostomy was carried out at a pediatric tertiary care center. All children aged between 1 day and 18 years who had undergone tracheostomy were included. Case records of all children were analyzed meticulously for age, sex, indications, procedure, and complications of tracheostomy.</p><p><strong>Results: </strong>During the study period, 148 children underwent tracheostomy at our pediatric tertiary care center. The most common indication for tracheostomy was neurological causes, noted in 77 patients (52.02%). The most common early postoperative complication was tube obstruction in 13 patients (8.78%), and the most common delayed postoperative complication was suprastomal collapse in 52 patients (35.13%). In total, 104 patients (70.27%) underwent successful decannulation.</p><p><strong>Conclusion: </strong>Pediatric tracheostomy is a very demanding and challenging procedure owing to the alterations in the neck anatomy, variations in the airway, and several associated complications. There is a growing need to know the change in indications, complications, and overall outcome of pediatric tracheostomies for better care and efficient management of children requiring tracheostomies.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"18-24"},"PeriodicalIF":0.7,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505155","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":"Transparency in Research: What is Clinical Trial Registration and Why It Matters.","authors":"Özlem Önerci Çelebi","doi":"10.4274/tao.2026.2026-3-3","DOIUrl":"10.4274/tao.2026.2026-3-3","url":null,"abstract":"","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"1-2"},"PeriodicalIF":0.7,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575805","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}
Alliah Hanum Mohd Yusoff, Cheah Jian Kent, Noor Elyana Ahmad Fawzi, Khairil Afif Mahmud, Mohd Razif Mohamad Yunus
{"title":"Dual Ectopic Thyroid Tissue: Diagnostic Approaches to a Rare Clinical Anomaly.","authors":"Alliah Hanum Mohd Yusoff, Cheah Jian Kent, Noor Elyana Ahmad Fawzi, Khairil Afif Mahmud, Mohd Razif Mohamad Yunus","doi":"10.4274/tao.2026.2025-5-5","DOIUrl":"10.4274/tao.2026.2025-5-5","url":null,"abstract":"<p><p>Dual ectopic thyroid tissue represents an exceedingly rare developmental anomaly, with only a handful of cases described in the literature. The simultaneous occurrence of two ectopic thyroid foci in the presence of a normally sited gland is particularly uncommon. We present the case of a 60-year-old Chinese woman who presented with a painless swelling in the left mid-lateral neck of six months' duration. Clinical assessment and contrast-enhanced computed tomography suggested thyroid-like tissue in the mid-lateral neck area, while thyroid function tests remained normal. Fine needle aspiration cytology yielded benign follicular nodules, and radionuclide single photon emission computed tomography demonstrated two hyperfunctioning ectopic thyroid foci at the base of the tongue and in the left mid-lateral neck region, with preserved uptake in the orthotopic gland. The left neck mass was excised and confirmed histologically as thyroid tissue without evidence of malignancy. The patient made a full recovery with no further treatment required. This case illustrates the value of considering ectopic thyroid tissue in the differential diagnosis of neck masses, particularly when encountered in atypical locations.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"50-54"},"PeriodicalIF":0.7,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575790","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":0.7,"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}
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":0.7,"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}
{"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":0.7,"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}