[Show abstract][Hide abstract] ABSTRACT: Fibrous dysplasia of the paranasal sinuses is mostly asymptomatic, but sometimes may cause signs and symptoms depending on its location. We report two cases of maxillary fibrous dysplasia obstructing the lacrimal drainage system as a reason of chronic dacryocystitis, and reviewed the related literature. The first case underwent an endonasal endoscopic approach combined with external dacryocystorhinostomy. He had a patent lacrimal system at one-year follow-up. The lesion was completely removed via an endonasal endoscopic approach in the second case, wherein the patient was asymptomatic of the six-month follow-up period.
[Show abstract][Hide abstract] ABSTRACT: Dermoid cysts are rare, benign, congenital ectodermal inclusion cysts in the skull base, comprising skin supplements surrounded by squamous epithelium. In the period of embryological development, the cysts originate from ectodermal cells left behind in the cranial region by the closure of the neural tube and are primarily located at the midline, especially in the subarachnoid spaces. These lesions are usually asymptomatic and diagnosed incidentally. When the cysts reach large sizes, they can be symptomatic due to infection, rupture, or mass effect around neurovascular tissue. The cysts typically demonstrate accurate radiological diagnostic features. In this case report, we present a rare dermoid cyst in the middle cranial fossa, treated by an endonasal endoscopic approach. The endonasal endoscopic management of appropriate middle cranial fossa is discussed as a recent advance in the extended applications of endoscopic sinus surgery.
The Journal of craniofacial surgery 06/2015; 26(4):e333-5. DOI:10.1097/SCS.0000000000001737 · 0.68 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Objective
In this study, we aimed to investigate the presence and copy number of six different viruses in tonsillar tissue samples removed surgically because of chronic recurrent tonsillitis or chronic obstructive tonsillar hypertrophy.
In total, 56 tissue samples (tonsillar core) collected from 44 children and 12 adults were included in this study. The presence of viruses was investigated using a new TaqMan-based quantitative real-time PCR assay.
Of the 56 tissue samples, 67.9% (38/56) were positive for at least one of the six viruses. Epstein-Barr virus was the most frequently detected virus, being found in 53.6% (30/56), followed by human parvovirus B19 21.4% (12/56), human adenovirus 12.5% (7/56), human cytomegalovirus 5.4% (3/56), BK polyomavirus 1.8% (1/56), and herpes simplex virus 1.8% (1/56). Precancerous or cancerous changes were not detected in the tonsillar tissue samples by pathologic examination, whereas lymphoid hyperplasia was observed in 24 patients. In contrast to other viruses, B19 virus was present in high copy number in tonsillar tissues. The rates of EBV and B19 virus with high copy number (> 500.000 copies/ml) were higher in children than in adults, and a positive relationship was also found between the presence of EBV and the presence of B19 virus with high copy number (P = 0.037).
It is previously reported that some viral agents are associated with different chronic tonsillar pathologies. In the present study, the presence of B19 virus in tonsillar core samples was investigated quantitatively for the first time, and our data suggests that EBV infections could be associated with B19 virus infections or could facilitate B19 virus replication. However, further detailed studies are needed to clarify this observation.
International Journal of Pediatric Otorhinolaryngology 08/2014; 78(8). DOI:10.1016/j.ijporl.2014.05.012 · 1.32 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: There are some subjective symptoms involving the nasal cavity such as nasal congestion during a migraine attack. In this study, we aimed to evaluate the possible changes occurring in the nasal cavity during headache in patients with migraine.
Journal of Craniofacial Surgery 07/2014; 25(5). DOI:10.1097/SCS.0b013e31827c80b1 · 0.68 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The aim of this study was to define the types of endoscopic endonasal resection for sinonasal malignancies according to their origin and extension.
Patients who underwent endoscopic endonasal surgery for the removal of malignant tumors of the nasal passages, paranasal sinuses, and the anterior cranial base between 2003 and 2010 were included in the study. Patients' data were collected retrospectively. Patients were grouped according to types of endoscopic tumor resection as follows: type I: en bloc resection, type II: resection of intranasal free part piecemeal and origin of tumor en bloc, type III: resection of intranasal free part and origin of tumor piecemeal with curative intent, and type IV: resection of intranasal free part and origin of tumor piecemeal with palliative intent or removal of tumor with positive margin. The follow-up period varied from 2 to 7 years (mean, 4.35 years).
Twenty patients were included in the study. Five patients underwent type I, 6 patients type II, 4 patients type III, and 5 patients underwent type IV resection. No local tumor recurrence was seen after types I, II, and III resections, whereas 2 patients (10%) with the type IV resection had a local recurrence. Distant metastasis was observed in 4 patients (20%) postoperatively (1 patient in type I, 1 patient in type III, and 2 patients in type IV resection). Disease-specific death was 15% (1 case in type I and 2 cases in type IV).
Classification of endoscopic tumor resection used in the present study may help preoperative planning.
The Journal of craniofacial surgery 01/2014; 25(2). DOI:10.1097/SCS.0000000000000455 · 0.68 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Objective: The aim of the study was to determine effectiveness of intratympanic methyl prednisolone injection as a salvage therapy for sudden sensorineural hearing loss in patients who did not have complete recovery with systemic treatment. Material and Methods: Sixteen patients with sudden hearing loss who did not have complete recovery or had a partial recovery with systemic treatment enrolled in this prospective study. After the topical anesthesia, 0.4-0.5 mL of methyl prednisolone (40 mg/mL) was administered into the middle ear from the postero-inferior quadrant of the tympanic membrane. Pure tone audiometry test was performed before each injection and after the final injection. A change more than 10 dB in the pure tone average was considered as an alteration in hearing (improvement or worsening). Complete recovery was accepted when the pure tone average was 20 dB or lower. Results: The mean onset of intratympanic methyl prednisolone treatment after the hearing loss was 16 +/- 6.6 days (range: 7-30 days). The average number of injections was 3.8 +/- 1.3 (range: 2-6). The improvement in pure tone average was statistically significant [initial median of pure tone average was 85 dB (minimum 28 dB, maximum 107 dB), final median of pure tone averages was 42.5 dB (minimum 12 dB, maximum 107dB), p=0.007]. Eleven (68.75%) patients improved, but no change was observed in 5 (31.25%) patients. Two (12.5%) patients attained complete recovery. Four (25%) patients improved to 30 dB or less in pure tone average. Statistically significant improvement was also obtained at 250, 500, 1,000, 2,000, 4,000 and 6,000 Hz frequencies. Conclusion: These results suggested that intratympanic methyl prednisolone treatment for sudden hearing loss in patients who did not respond to systemic therapy appears to be a good alternative for better hearing results.
Turkiye Klinikleri Journal of Medical Sciences 12/2012; 32(6):1501-1506. DOI:10.5336/medsci.2011-24911 · 0.10 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Surgical approaches to the anterior cranial base have changed considerably with the introduction of endonasal endoscopic surgery. This study aims to define the factors which help in selecting the optimal surgical approach for the treatment of anterior cranial base encephaloceles. Patients who received treatment for anterior cranial base encephaloceles at our department between 1996 and 2011 were included in the study. Patients' charts were reviewed retrospectively to collect the necessary data. Treatment periods were classified as before 2000, between 2000 and 2005, and after 2005. The relationship between the treatment period, localization of encephalocele, symptoms related with the lesion, size of skull base defect, and selected treatment modality were investigated. Twenty-five patients, aged between 1 and 61 years with anterior encephaloceles were included in the study. Patients with small asymptomatic frontonasal and trans-ethmoidal encephaloceles (n = 5) were followed without surgery. An external approach with or without subfrontal craniotomy was mainly preferred for resection of sincipital encephaloceles (n = 10), especially with facial deformity. A subfrontal craniotomy approach was used for resection of basal encephaloceles in two cases before 2000. Two cases with sincipital encephaloceles and six cases with basal encephaloceles underwent pure endonasal endoscopic surgery after 2000. Cranial base defects of every size could be repaired using the endoscopic approach. Hydrocephalus and meningitis were the two complications seen after craniotomy in a follow-up period of 13-26 (mean 14.5) months. An external approach with or without craniotomy is needed for encephaloceles with external mass and facial deformity. Otherwise, sincipital and basal encephaloceles can be repaired successfully using the endonasal endoscopic approach.
Archives of Oto-Rhino-Laryngology 09/2012; 270(4). DOI:10.1007/s00405-012-2174-5 · 1.61 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Pollybeak deformity due to abundant fibrosis formation in the supratip region after rhinoplasty is still a common problem. The aim of this study was to investigate the effects of a modified subcutaneous approximation suture on pollybeak deformity of soft tissue origin.
Three groups, each consisting of eight rabbits, were included in the study. Nasal skin was elevated with an open rhinoplasty approach in all groups. During closure of the skin, to minimize supratip dead space, a horizontal subcutaneous approximation suture was used in group I, external tape fixation was used in group II, and no further action was taken for supratip skin approximation in the control group. Full-thickness supratip skin biopsy specimens reaching down to the underlying cartilage tissue were taken from each subject on the 60th day after the operation. Thicknesses of subcutaneous scar tissues were measured histologically in all groups and compared.
The mean thickness of the subcutaneous scar tissues was significantly lower (0.98 ± 0.32 mm) in group I than in group II (1.65 ± 0.61 mm; p = 0.036) and the control group (1.72 ± 0.49 mm; p = 0.019). However, there were no significant differences between group II and the control group in the mean thickness of subcutaneous scar tissues (p = 1.000).
The findings of this study indicate that the subcutaneous approximation suture is effective for preventing excessive scar tissue formation in the supratip area after rhinoplasty in rabbits. Further clinical studies are needed to determine its efficacy in humans.
American Journal of Rhinology and Allergy 07/2012; 26(4):e111-4. DOI:10.2500/ajra.2012.26.3780 · 2.18 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: It is well known that the nasal cavity and paranasal sinuses affect the acoustic characteristics of the voice as resonators. Any expansion in nasal valve area, the narrowest segment of the nasal cavity, affects the nasal resistance and therefore has the potential to alter the nasalance. The aim of this study was to investigate the effect of nasal valve changes on nasalance of the voice by using an external nasal dilator strip that widens the nasal valve area.
Tertiary university hospital.
Healthy volunteer subjects who had no nasal or voice-related complaints were enrolled in the study. All subjects underwent acoustic rhinometry and nasometry before and while wearing a commercially available external nasal dilator strip. The data with and without the nasal strip were compared.
Twenty-five subjects were enrolled in the study. After the application of nasal strips, statistically significant increases were observed in the minimal cross-sectional area of the nasal valve. However, there were no significant changes in the nasalance measurements.
Despite increasing the nasal valve area, application of the nasal strips did not cause any significant change in nasalance scores in healthy subjects, showing no relationship between the nasal valve and nasalance of the voice.
Otolaryngology Head and Neck Surgery 02/2012; 147(1):98-101. DOI:10.1177/0194599812438846 · 1.72 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Background
Computed tomography (CT), a standard diagnostic technique used to evaluate the extent of the sinus disease, fails to show bone involvement in patients with sinusitis. Bone scintigraphy is the gold standard procedure for detecting the bone involvement. Osteitis may be one of the reasons for discrepancies between extent of the disease as evaluated by CT and symptom scores. The aim of the study was to determine whether or not nuclear scintigraphy is useful in the diagnosis and management of acute, complicated acute and chronic sinusitis.
Forty patients with sinusitis were involved (9 acute, 4 complicated acute, 27 chronic sinusitis). 20 of the chronic sinusitis patients were with nasal polyps. All patients were evaluated with CT and SPECT (Single-photon emission tomography). 99Technetium-methylenediphosphate (99Tc-MDP) was administered for scintigraphic examination of the skull. Abnormal patterns of increased radionuclide uptake were identified and subjectively described. The mucosal involvement of sinusitis graded on Lund-Mackay Scale (LMS) was compared to degree of bone involvement evaluated by SPECT.
While, SPECT uptakes were negative (mean uptake index is less than about 2.5) in acute sinusitis, it's highly positive (mean uptake index is more than about 4) in complicated acute sinusitis. In group of chronic sinusitis, a positive correlation between the SPECT uptakes and LMS grade was found (P < 0.05).
In our view, the bone involvement as evaluated by SPECT correlates with the stage of chronic sinusitis. Poorer subjective response was observed in patients with positive SPECT. The clinical value of scintigraphy, is limited to special indications.
World Allergy Organization Journal 02/2012; 5(Suppl 2):S65-S65. DOI:10.1097/01.WOX.0000411889.29277.dc
[Show abstract][Hide abstract] ABSTRACT: Congenital clefts of the larynx are rare and usually found dorsally. An anterior or ventral cleft of the larynx is extremely rare. Only a few patients with this defect have been reported in the literature. The purpose of this paper is to present a patient having an anterior and posterior laryngeal cleft together. A 20-year-old man presented with a history of dysphonia since childhood. He did not report symptoms of swallowing or respiration, and had no history of neck trauma. Findings of videolaryngoscopy showed a grossly abnormal larynx. The anterior commissure was wider than normal, and the vocal folds did not show a fusion anteriorly. There was an interarytenoid cleft posteriorly. A neck CT with 3D reconstruction demonstrated a ventral cleft or nonfusion of the thyroid cartilage with a posterior cricoid cleft. Barium swallow study was in normal limits. Since the patient did not have any problem with swallowing or respiration, no surgical intervention was planned, and the patient was put on speech therapy, which revealed improvement in voice. To our knowledge, this is the first case of a combined laryngeal cleft. The diagnosis is established by the clinical symptoms, endoscopic evaluation, and radiographic examinations including 3D and barium studies.
Archives of Oto-Rhino-Laryngology 01/2012; 269(1):345-8. DOI:10.1007/s00405-011-1793-6 · 1.61 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The external branch of the superior laryngeal nerve gives off many branches above the upper pole of the thyroid gland. Differentiating the branch innervating the cricothyroid muscle from the others may be important during surgery. Therefore, we aimed to demonstrate the branching pattern of this nerve in detail. In 34 human cadavers (59 sides), branches of the nerve were exposed and measurements related to them and neighboring structures were made. A cricothyroidal branch was present on all sides. This branch pierced the inferior pharyngeal constrictor muscle 3.9-17.6 mm above, 3.1-9.9 mm below, or at the level of the upper pole of the thyroid gland. On all sides, the nerve provided one or two thyroidal branches. The thyroidal branch was generally thinner than the cricothyroidal branch. But they were equal in size on three (5%) sides. The external laryngeal nerve provided two or three pharyngeal branches on all sides. These branches arose from the nerve 3.5-12.7 mm from the upper pole of the thyroid gland. Although the branch was generally thinner than the cricothyroidal branch, both branches were equal on four (6.7%) sides. Two cardiac branches were observed on two (3.3%) left sides. In conclusion, the cricothyroidal branch was generally thicker than the other branches. But on seven (11.8%) sides, thyroidal or pharyngeal branches and the cricothyroidal branch were equal in size. These data may be important during surgery as the surgeon may confuse the cricothyroidal branch with other branches of the external laryngeal nerve.
[Show abstract][Hide abstract] ABSTRACT: Isolated hypermobile tongue is extremely rare. We present a case of isolated hypermobile tongue that caused several life-threatening airway obstructions during sleep. The tongue could reach to the nasopharynx and clear and moisten the nasopharynx by its movement.
The Journal of craniofacial surgery 07/2011; 22(4):1529-31. DOI:10.1097/SCS.0b013e31821da1cc · 0.68 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: We present the anatomic and cadaveric foundations for novel modifications of the occipital galeopericranial flap for reconstruction of ventral skull base defects.
Using cadaveric dissections and measurements, we investigated the feasibility of transposing pedicled occipital galeopericranial flaps into the nasal cavity and skull base. Two fresh and five preserved human specimens were dissected.
Pedicled occipital flaps were transposed into the nasal cavity via a transparapharyngeal-transpterygoid corridor into the nasopharynx. It was demonstrated that the pedicled occipital galeopericranial flap reaches the anterior skull base.
Pedicled occipital flaps transposed into the nasal cavity can reach the anterior skull base and provide another option for vascularized reconstruction in selected patients.
The Laryngoscope 05/2011; 121(5):914-22. DOI:10.1002/lary.21376 · 2.03 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Regional vascularized flaps, such as the pericranial and temporoparietal fascia flaps, are currently used for reconstruction of skull base defects after endoscopic endonasal surgery whenever local vascularized flaps, such as the nasoseptal flap, are not available. Two different transposition pathways, infratemporal transpterygoid and subfrontal, have been proposed for regional flaps. The objective of this study was to describe and assess the feasibility of the transposition of a vascularized pedicled flap from the occipital galeopericranium via the prevertebral space corridor into the nasopharynx.
Ten heads were injected with colored silicone. An endoscopic endonasal anterior craniofacial resection and panclival approach were performed in each specimen. The occipital flap was harvested using a previously described technique. The prevertebral corridor, extending from the neck to the nasopharynx, was dissected superficial to the paraspinal muscles. Computed tomography-based image guidance was used to assess the relationship between the corridor and adjacent neurovascular structures. Length of the corridor and pedicle and area of the donor flap were measured.
The flap was harvested and successfully transposed into the nasopharynx using the proposed corridor in all studied specimens (10 heads, 20 sides). All flaps provided complete coverage of the skull base defects. The average length of the pedicle was 70.5 (SD, 6.5) mm, and the average length and width of the flap were 99.9 (SD, 14.6) mm and 59.3 (SD, 10.9) mm, respectively. The average length of the prevertebral corridor was 49.7 (SD, 4.8) mm.
The occipital flap has favorable anatomic characteristics for use in skull base reconstruction. Transposition of the flap via the prevertebral corridor is a suitable option for vascularized reconstruction of expanded endonasal skull base defects when other local or regional flaps are not available. Additional clinical studies are necessary to define its role in endoscopic endonasal surgery.
The Journal of craniofacial surgery 05/2011; 22(3):848-53. DOI:10.1097/SCS.0b013e31820f7d86 · 0.68 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The purpose of this study was to investigate the optimum height that the sphenoid sinus ostium can be probed safely from the roof of choana in a large group of patients.
The study was performed retrospectively. The 200 sphenoid ostia of the 100 patients whose thin-section computed tomography (CT) including the sphenoid sinus region, made for various reasons, were included in the study. The height of the sphenoid ostium and the skull base from the choana roof were measured on sagittal images of CT. Also, by calculating the ratio of first measurement to the second one, the location of the sphenoid ostium at the anterior wall of sphenoid sinus was determined proportionally.
The mean height of the sphenoid ostium from the choana roof was 10.9 (SD, 2.3) mm (range, 5.7-21.5 mm), and the mean height of skull base along the anterior wall of sphenoid sinus from the choana roof was 21.3 (SD, 3.2) mm (range, 13.3-30.6 mm). The ratio of the first measurement to the second measurement was 0.5 (SD, 0.08) (range, 0.29-0.77).
In conclusion, under endoscopic view, the sphenoid sinus ostium can be safely probed between 13.3 mm (the minimum skull base height) and 5.7 mm (the minimum sphenoid sinus ostium height) distance upward from the choana, but determining the height of the sphenoid sinus ostium preoperatively on CTs for each patient separately will increase the chance of success in probing the sphenoid sinus.
The Journal of craniofacial surgery 05/2011; 22(3):1077-9. DOI:10.1097/SCS.0b013e31821075c1 · 0.68 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The objective of the study was to investigate the postoperative tumor incidence on routine histopathologic examination of surgical specimens in patients who underwent endoscopic sinus surgery with the preoperative diagnosis of unilateral or bilateral nasal polyposis.
Patients who underwent endoscopic sinus surgery with the preoperative diagnosis of unilateral or bilateral nasal polyposis between 2000 and 2009 were included in the study as the 2 separate groups. In both groups, tumor incidence that had been noticed on routine postoperative histopathologic examination was recorded retrospectively. Patients who had a preoperative diagnosis other than nasal polyposis, determined on biopsy, were excluded.
Of 251 patients included, 197 had the preoperative diagnosis of bilateral nasal polyposis, and 54 had unilateral nasal polyposis. No tumor was diagnosed on postoperative histopathologic examinations in patients with preoperative bilateral nasal polyposis. Seven patients (12.96%) with the preoperative diagnosis of unilateral nasal polyposis had tumors on postoperative histopathologic examinations. Two of these 7 patients had malignant tumors that were reported preoperatively by intranasal biopsy as inflammatory polyps.
Diagnosis of a neoplasia is an extremely rare situation, unless there are special findings of tumor in patients with preoperative diagnosis of bilateral nasal polyposis. On the other hand, histopathologic examinations should be carried out in every case operated with preoperative diagnosis of unilateral nasal polyposis, as the tumor incidence is higher.
The Journal of craniofacial surgery 03/2011; 22(2):751-4. DOI:10.1097/SCS.0b013e3182085598 · 0.68 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The aim of the study was to evaluate the clinical features and treatment outcomes of patients with a thyroglossal duct cyst (TGDC) or fistula.
The records of 49 patients (9 female, 40 male; mean age: 23.16 +/- 1.13 years; range 6 to 56 years) operated on between January 1995 and July 2009 were reviewed retrospectively. Patient's age, sex, duration of symptoms, clinical features, pre-operative diagnostic tests, treatment, histopathologic diagnosis, and post-operative complications were noted. All patients underwent the Sistrunk procedure.
Fifteen patients (30.6%) were < or = 20 years old, while 3 (6.1%) patients were 40 years old at the time of operation. There was cyst formation in 26 patients (53.1%) and fistula formation in 23 patients (46.9%). The lesions of 41 patients (83.7%) were located in the midline, while the lesions of 8 patients (16.3%) were located in the paramedian neck (5 left side, 3 right side). The most common presenting symptoms were painless mass in the midline of the neck and recurrent suppuration of fistula formation. Neck ultrasonography (USG) was the most common pre-operative diagnostic procedure and was performed on all patients with cyst formations. There were no major complications postoperatively. There was recurrence in only one patient after the Sistrunk procedure. One patient was incidentally diagnosed with thyroid papillary carcinoma after histopathological examination.
A TGDC is the most common congenital mass in the neck and is usually located midline. USG is suggested for a clinically suspected TGDC. The Sistrunk procedure is a safe and successful technique with low complication and recurrence rates. Even though carcinomas arising in TGDCs are uncommon, histopathological examination must be routinely performed to confirm the diagnosis and rule out malignancy.
[Show abstract][Hide abstract] ABSTRACT: YAfiLILARDA ‹fi‹TME KAYBI VE ‹fi‹TME C‹HAZI KULLANIMI ÖZ Girifl: Bu araflt›rmada yafll›lardaki iflitme kay›plar›n›n özellikleri ve iflitme cihazlar›n›n kullan›m durumlar› ile hasta memnuniyetinin araflt›r›lmas› amaçlanm›flt›r. Gereç ve Yöntem: ‹flitme cihaz› önerilen altm›fl befl yafl ve üzerindeki olgular›n 1 y›l sonra iflitme cihaz›ndan memnuniyetlerini 1'den 10'a kadar derecelendirmeleri istendi. ‹flitme cihaz› al-mayan ve alan olgular›n demografik özellikleri ve iflitme kayb› özellikleri karfl›laflt›r›ld›. ‹flitme ciha-z› alan olgular, saf ses ortalamalar›na göre (50dB ve küçük, 50dB'den büyük), yüksek frekans or-talamalar›na göre (75dB ve küçük, 75dB'den büyük) ve konuflmay› ay›rt etme skorlar›na göre (%60 ve küçük, %60'dan büyük) ikili gruplara ayr›larak iflitme cihaz›ndan memnuniyetleri karfl›lafl-t›r›ld›. Bulgular: Çal›flmaya dahil edilen 50 olgudan 34'ünün (%68) iflitme cihaz›n› ald›¤› ve 16's›n›n (%32) iflitme cihaz›n› almad›¤› bulundu. Ortalama cihaz memnuniyeti 4.6±4.1 idi. ‹flitme cihaz› alan olgular›n yafl ortalamalar› daha fazla (p=0.006), saf ses ve yüksek frekans ortalamalar› daha yüksek (s›ras›yla p=0.016; p=0.034), konuflmay› ay›rt etme skorlar› daha düflük bulundu (p=0.014). ‹flitme cihaz› alan olgular ikili gruba ayr›larak bak›ld›¤›nda memnuniyetleri aras›nda is-tatistiksel olarak fark yoktu (s›ras›yla p=0.939; p=0.072; p=0.852). Saf ses ortalamas› >50 dB olan olgular›n daha fazla oranda iflitme cihaz› ald›klar› bulundu (p=0.008 Ki kare=7.123). Sonuç: ‹flitme cihaz› önerilen yafll›larda, yafl artt›kça, saf ses ve yüksek frekans ortalamalar› artt›kça, konuflmay› alma skorlar› azald›kça iflitme cihaz› kullan›m›n›n artt›¤›n› gözlemledik. ‹flitme kayb›n›n fliddeti iflitme cihaz› memnuniyetini etkilememektedir. Anahtar Sözcükler: Yafll›l›k; ‹flitme Kayb›; ‹flitme Cihazlar›. ABSTRACT Introduction: In this research, it is aimed to investigate properties of hearing loss, status of using of hearing aids, and satisfaction with hearing aids in elderly. Materials and Method: Hearing aid proposed elderly patients were asked one year later to rate their satisfaction from one to ten points. Properties of hearing loss and demographics were compared between hearing aids users and non-users. Hearing aids users were divided into groups according to averages of pure tone (£50dB and >50dB), high frequency thresholds (£75dB and >75dB), and speech discriminations (£60% and >60%). Satisfaction was compared between these groups. Results: 34 of 50 cases (68%) in the study group used a hearing aid and 16 (32%) didn't. Mean satisfaction rate was 4.6±4.1. Hearing aids users were older (p=0.006), had greater pure tone and high frequency averages than non-users (p=0.016; p=0.034, respectively), but speech discriminations were lower (p=0.014). There were no statistically differences with respect to sat-isfaction, when hearing aids users were divided into two groups each according to pure tone averages, high frequency averages and speech discriminations (p=0.939; p=0.072; p=0.852, respectively). Patients with >50dB hearing loss showed a greater tendency to use hearing aids (p=0.008, chi square= 7.123). Conclusion: We observed that use of hearing aids increased through older age, greater pure tone and high frequency averages and with lower speech discriminations in the elderly. Severity of hearing loss didn't affect satisfaction with hearing aids in the study.