Recep Karamert

Gazi University · Department of Otorhinolaryngology

ZET Amaç: Tonsillektomi ve adenotonsillektomi, pediatrik ve erişkin yaş grubunda en sık uygulanan Kulak Burun Boğaz (KBB) ameliyatlarındandır. Ameliyat sonrasında kanama en sık ve ciddi komplikasyondur. Bu çalışmada kliniğimizde tonsillektomi ameliyatı yapılmış olan hastalarda ameliyat sonrası kanamaya neden olabilecek faktörlerin incelenmesi ve ka...

Purpose: The purpose of this study was to evaluate the stress, quality of life, and access to hearing health services experienced by adults and children who use hearing aid and/or cochlear implant and their families during the COVID-19 pandemic. Method: Perceived Stress Scale, Personal Wellbeing Index, and World Health Organization Quality of Li...

Purpose The ongoing literature suggests that COVID-19 may have a potential impact on voice characteristics during the infection period. In the current study, we explored how the disease deteriorates different vocal parameters in patients who recovered from COVID-19. Methods A total of 80 participants, 40 patients with a prior history of COVID-19 (...

Infections of the upper respiratory tract are the most common infectious diseases in the general population. Including acute pharyngitis, they account for about 5% of ambulatory care visits, which make them the most common acute diagnosis in office settings [1]. They range from self-limiting viral infections like common cold to severe infections re...

Introduction: There are particular challenges in the implantation of malformed cochleae, such as in cases of facial nerve anomalies, cerebrospinal fluid (CSF) leaks, erroneous electrode insertion, or facial stimulation, and the outcomes may differ depending on the severity of the malformation. The aim of this study was to assess the impact of inne...

Background/aim: This study aims evaluation of olfactory and gustatory function of COVID-19 patients and possible risk factors for olfactory and gustatory disfunction. Materials and methods: The study included adult patients who diagnosed with COVID-19 in XXXX University Hospital between April 2020 and June 2020. Volunteered patients participated...

Background/aim: The study aims to evaluate the usage of gold weight implants and monitor complaints and comfort of patients. Methods: A hundred and ninety-one implantations performed between January 2009 and January 2019 were analyzed. Patient satisfaction was measured through telephone surveys. Results: Seventy-eight patients included in this...

Introduction: Cochlear implant (CI) surgery is a safe and standardized procedure in the presence of normal temporal bone anatomy. However, in the surgery of patients with chronic otitis media (COM), the surgeon may encounter several problems. The aim of this study was to evaluate the impact of COM with and without cholesteatoma on surgical and aud...

Objective: To evaluate the long-term balance outcomes of vestibular nerve section (VNS) and labyrinthectomy (L) operations. The indirect outcomes will be the correlation of objective and subjective test results and an analysis of anterior-posterior versus medial-lateral computerized posturography (CP) scores. Methods: This retrospective study ev...

Background/Aim: We aimed to compare the size of upper airway soft tissue structures between obstructive sleep apnea (OSA) patients and normal controls by using magnetic resonance imaging (MRI). Methods: Sixty-eight subjects available with neck MRI and polysomnography (PSG) were retrospectively included in the study. The subjects were divided into t...

Purpose The effects of neurological diseases on the auditory system have been a notable issue for investigators because the auditory pathway is closely associated with neural systems. The purposes of this study are to evaluate the efferent auditory system function and hearing quality in Parkinson's disease (PD) and to compare the findings with age...

A ralık 2019'da Çin'in Wuhan şehrinde görülen ilk vakalar sonrası COVID-19 kısa süre içerisinde bir salgına dönüşmüştür. Mart 2020 itibarı ile Avrupa ve ABD başta olmak üzere ülkemiz de dahil birçok ülke salgın ile yüzleşmek zo-runda kalmış ve artan vaka sayıları gerek sosyal hayat gerekse de sağlık sisteminin yö-netimi konusunda birçok önlemin yür...

PurposeTo investigate and provide objective documentation of the possible differences in the axonal reinnervation process of facial muscles after hypoglossal-facial nerve anastomosis. Then, to search for the presence of the trigemino-hypoglossal reflex and determine whether it indicates better peripheral recovery.Methods Electrophysiological examin...

Cholesteatomas are derived from gradual epithelial cell proliferation and granulation tissue formation due to repeated inflammation or for congenital reasons in the middle ear. Although cholesteatoma needs to be differentiated from chronic otitis media. Moreover, the accurate diagnosis of cholesteatomas is more important because they may result bon...

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was isolated as the causative agent following the first case reports of pneumonia with unknown etiology in China. The 2019 novel coronavirus disease (COVID-19) significantly affected the health care systems in the world. The disease was accepted as COVID-19 pandemic by WHO. Diagnosis...

Background/aim: Subjective noise sensitivity (SNS) is not only one of the most important predictors of perceived noise annoyance for the subjects exposed to the noise, but also strongly related with some psychological conditions and poor health perception of the subjects. Weinstein’s Noise Sensitivity Scale (WNSS) is widely used for measuring of S...

Objective: To draw attention to the changes in the surgical method and indications of the Caldwell-Luc (CL) operation in the endoscopic era. Method: The patients who underwent the CL operation in the last seven years were included in the study. All operations were performed by otolaryngologists. The CL operation was implemented as two different typ...

Amaç: Brankial yarık anomalileri (BYA), en sık karşılaşılan konjenital boyun patolojileridir ve genellikle boynun lateralinde karşımıza çıkarlar. Genellikle benign karakterde lezyonlar olup, tedavide ilk seçenek cerrahi eksizyondur. Bu çalışmada, kliniğimizde BYA nedeniye opere olan hastalar analiz edilerek, bulgularımızın literatür eşliğinde değer...

Beyin omurilik sıvısı (BOS) rinore, nazal mu-koza ile subaraknoid boşluk arasında kafa tabanı, dura ve araknoid tabakalarını içeren bir defekte bağlı olarak gelişen ve burundan berrak renkli akıntıyla ka-rakterize bir klinik durumdur. Travma, BOS rinore vakalarında en sık saptanan etiyolojik sebeptir ve has-taların yaklaşık %70-80'inde görüldüğü bi...

Aim: The aim of this study is to report the results of our facial nerve decompression series and to define predictive factors on postoperative outcomes in temporal bone fractures. Methods: Between May 2011 and July 2019, facial nerve decompression surgery was performed in 18 patients. Patients were operated by either transmastoid extralabyrinthine...

Objective To evaluate VIIth–XIIth cranial nerve (hypoglossal–facial nerve) anastomosis results by age. Method A total of 34 patients who attended a follow-up visit in 2016, aged 20–63 years, were enrolled. The House–Brackmann facial nerve function grading system and the Facial Clinimetric Evaluation scale were applied. Results Regarding post-anas...

Maxillary sinus approaches are the basic interventions in endoscopic sinus surgery. Identification of the maxillary sinus ostium usually is a simple procedure depending on its localization and easily recognizable surrounding landmarks. Exposure of the ostium starts with uncinectomy under direct visualization with a 0o endoscope. Angled endoscopes a...

Background: The surgical success related with many factors belonging to the patient and disease. This study aims to analyze the preoperative, intraoperative characteristics and postoperative results, and factors affecting the surgical success in different types of chronic otitis media (COM). Methods: A total of 1510 ears of 1398 patients who exp...

The relationship between objective vestibular tests and subjective vestibular tests is a controversial topic. In this study, to contribute to this issue, the vestibulo-ocular reflex features and their relationship with balance perception at long-term follow-up in vestibular neurectomy (VN) and total labyrentectomy patients were evaluated. Prospecti...

Introduction: Autoimmune diseases is a remarkable issue for researchers due to their adverse effects on auditory system, but especially for primary Sjögren?s syndrome (pSS) there is little research into the comprehensive audiological findings in literature. Objectives: This study firstly sought to medial olivocochlear efferent functions of the s...

Background/aim: To compare outcomes of canal wall up (CWU) and canal wall down (CWD) techniques in the treatment of middle ear cholesteatoma. Materials and methods: Medical records of 76 patients who had a primary surgery due to middle ear cholesteatoma between July 2015 and November 2017 were reviewed retrospectively. Hearing thresholds, speech di...

Objective: To assess the etiology, demographics, rates and outcomes of revision surgeries, and device survival rates after cochlear implantation. Study design: Retrospective case review. Setting: Tertiary Otology & Neurotology center. Patients: Cochlear implantees who received revision surgeries after implantation INTERVENTIONS:: Any surgica...

Özet Vasküler kompresyon sendromları, kraniyal sinirlere vasküler bası nedeniyle ortaya çıkan, hiperaktif semptomlara ya da ilerleyici fonksiyon kayıplarına yol açan otonörolojik problemlerdir. İlk olarak 1934 yılında Dandy tarafından trigeminal nevralji etyolojisi için gündeme getirilmiştir. Vestibüler sinir kompresyonu sendromu ise ilk olarak Jan...

Objective: This study investigated effects of S-allylmercaptocysteine (SAMC), diallyl disulfide (DADS), and vitamin B12 on inner ear functions and morphology after long-period high-level broadband noise exposure. Materials and methods: Twenty-four healthy rats were randomly divided into four groups. First group was chosen as the control group. V...

Extra-cardiac rhabdomyomas are rare benign soft tissue tumors accounting for 2% of sk eletal muscle neoplasms. Oral cavity and pharynx are the most common sites for rhabdomyomas origina ting from the head and neck region. The presenting symptom for head and neck rhabdomyomas may change according to tumor size and location. The main treatment modali...

Objective: : We aimed to present our clinical experience with maxillomandibular advancement (MMA) for the treatment of obstructive sleep apnea (OSA) syndrome and to compare our results with literature data. Materials and methods: : The patients who were operated for OSA in the last 10 years were included in the study. A detailed patient's charts...

Siryngocystadenoma Papilliferum (SCAP) is an rare and slowly grow benign tumor that originates from modified apocrine sweat (ceruminous) glands. We report the case of a syringocystadenoma papilliferum (SCAP) that caused long time ear discharge and conductive hearing loss in an atypical location in the external auditory canal. SCAP is an extremely r...

Background/aim: Obstructive sleep apnea syndrome (OSAS) is a disease characterized by repeated hypoxia attacks during sleep. The effect of hypoxia on the central nervous system is a well-known entity. In this study we aimed to investigate the effect of OSAS on the central auditory system. Materials and methods: Twenty-one OSAS patients diagnosed by...

Aim: In this study, we aimed to evaluate the diagnostic role of neutrophil-lymphocyte ratio (NLR) and other hemogram parameters in differentiating nonmalignant oral cavity lesions from oral cavity cancers. Methods: Ninety-five patients who were performed oral cavity biopsy between the years 2013 and 2015 were retrospectively reviewed. The contro...

Türkiye Klinikleri Nöroşirürji-Özel Konular 8.3 (2018): 44-50 ÖZET: Akustik beyin sapı implantı (ABİ), bilateral vestibüler schwannom ile ilişkili koklear sinir disfonksiyonu olan Nörofibromatozis tip 2 (NF2) hastalarında görülen işitme kaybının tedavi- sinde uzun süredir bir tedavi seçeneği olarak kullanılmaktadır. Bazı NF2 olgularında elde edile...

Nasal obstruction is known to cause resistance to continuous positive airway pressure (CPAP) therapy in obstructive sleep apnea syndrome (OSAS). In this paper, short- and long-term nasal congestion in OSAS patients receiving CPAP treatment were evaluated with acoustic rhinometry (AR). A total of 36 patients with moderate-to-severe OSAS, diagnosed w...

Aim: The aim of this study was to evaluate the effects of the duration of Cochlear Implant (CI) use on Speech Discrimination Scores and auditory perception in 18­80 year old post­lingual cochlear implant users. Materials and Methods: 24 patients (13 females, 11 males) who had cochlear implantation due to post­lingual hearing loss were included in t...

Objective: To evaluate the effects of otitis media with effusion on surgical parameters, patient safety, perioperative and postoperative complications. Methods: Total 890 children who underwent cochlear implantation between 2006 and 2015 were included. The ages ranged from 12 months to 63 months (mean: 32 months). The patients were divided into...

Aim: Carotid body paraganglioma (CBP) is a usually slow growing benign tumor originating from neural crest. Surgery and radiotherapy options are available for the treatment. In this study, we aimed to present our surgical results with KCP tumors and to compare them with literature data. Methods: Twenty-four patients who were operated for CBP in our...

Turkiye Klinikleri J E.N.T.-Special Topics 2017;10(1):96-104 ÖZET: Boyun diseksiyonları metastatik boyun hastalığının tedavisinde sıklıkla uygulanmaktadır. Boyun, içerdiği hayati yapılar ve karmaşık anatomisi nedeniyle cerrahi komplikasyonlara açık bir bölgedir. Bu derlemede boyun diseksiyonları sonrası en sık karşılaşılan komplikasyonlar, klasik v...

Background/aim: This study aimed to examine the demographics and histopathological features of oral cavity cancers (OCCs) managed in our clinic. Materials and methods: Patients who were diagnosed with OCCs in the Gazi University Otorhinolaryngology Department between the years 1993 and 2013 were retrospectively enrolled in the study. Surgical ar...

Introduction: Temporal bone paragangliomas (TBPs) are benign tumors arising from neural crest cells located along the jugular bulbus and the tympanic plexus. In general surgical excision, radiotherapy and wait-and-scan protocols are the main management modalities for TBPs. Objective: In this paper we aim to present our clinical experience with T...

Objective: To assess the histopathological effects of parylene C (PC) (poly-chloro-p-xylylene) in the inner ear. Methods: Nine adult Dunkin Hartley guinea pigs (500-600 g) were included in the study. PC pieces were inserted into the cochlea in the right ear of the animals (study group). The round windows were punctured in the left ears comprised...

Nasal type natural killer/T-cell lymphoma is a rare type of extranodal non-Hodgkin lymphoma which originates from nasal cavity and paranasal sinuses. Exact diagnosis of nasal natural killer/T-cell lymphoma, which is a rapidly progressive clinical condition, may be established by immunohistochemical analysis on biopsy material after clinical suspici...

Objectives: This study aims to examine the relationship between nasal pathologies and positional (PP) obstructive sleep apnea (OSA) or nonpositional (NPP) OSA. Patients and methods: A total of 44 male OSA patients (mean age 48.0±6.8 years; range 31 to 60 years) suffering from nasal obstruction were retrospectively evaluated for nasal obstruction...

Objective: To compare the auditory outcomes of Carina middle-ear implants with those of conventional hearing aids in patients with moderate-to-severe mixed hearing loss. Methods: The study comprised nine patients (six males, three females) who underwent middle-ear implantation with Carina fully implantable active middle-ear implants to treat bil...

Background: Sodium-2-mercaptoethanesulfonate (MESNA) is a protective agent that is also used as "a chemical dissector" in various surgical fields. The aim of this study is to evaluate the toxic effects of MESNA on neural and neurovascular structures based on a morphological analysis and examine its safety in neurotological applications. Methods:...

To identify the potential prognostic role of the neutrophil/lymphocyte (N/L) ratio in larynx carcinoma. Oncologic archive charts of patients with a larynx carcinoma diagnosis between the years 2010 and 2013 were retrospectively reviewed. The inclusion criterion was to be available with hemogram test prior to diagnostic procedure. Patients undergoin...

Turkiye Klinikleri J E.N.T.-Special Topics 2015;8(2):86-93 ÖZET: Akustik beyin sapı implantasyonu, Nörofibromatozis Tip2 (NF2) ile ilişkili işitme kayıpla- rında uzun süredir bir tedavi seçeneği olarak kullanılmaktadır. Bazı NF2 olgularında elde edilen tatmin edici sonuçlar, cerrahları akustik beyin sapı implantını (ABİ) tümör dışı vakalarda hatta...

Polysomnography is currently considered as the gold standard for the diagnosis of obstructive sleep apnea syndrome (OSAS). But high expense and the backlog of the sleep centers have resulted in a search for an alternative method of diagnosis. The aim of this study is to assess the efficacy and reliability of Watch PAT as an alternate option in OSAS...

The most common malignant diseases of the head and neck in the adolescent period are acute leukemia, Hodgkin's disease, non-Hodgkin's lymphoma, nasopharyngeal carcinoma, and thyroid carcinoma. Although renal cell carcinoma (RCC) may metastasize in the cervical lymph nodes, both occurrence and presentation as a neck mass are rare in the childhood pe...

Epistaxis is a frequent health problem and the most common cause of emergency in otorhinolaryngology practice. In this report, a case of a 26-year-old patient with intractable epistaxis after endoscopic sinus surgery was presented. The epistaxis began at the fourth postoperative day and was unresponsive to endoscopic cauterization and anterior and...

Turkiye Klinikleri J E.N.T.-Special Topics 2014;7(1):49-56 ÖZET: Boyun diseksiyonları metastatik boyun hastalığının veya bazı kronik lenfadenitlerin tedavi- sinde önemli bir yere sahiptir. Boyun, hassas ve karmaşık yapısı nedeniyle cerrahi komplikasyon- lara açık bir bölgedir. Cerrahi prosedürler uygulanmaya devam ettiği müddetçe komplikasyonlar da...

doi: http://dx.doi.org/10.12996/gmj.2014.34 ÖZET: Papiller kistadenoma lenfomatozum (Warthin tümörü) parotis bezi kaynaklı benign bir tükrük bezi neoplazisidir. Genellikle parotis bezi kuyruğunda yerleşik olan ve yavaş büyüme şekli gösteren bu tümör nadiren parotis bezi dışında; servikal lenf nodlarında ve minör tükrük bezlerinde de görülebilir. Bi...

Turkiye Klinikleri J E.N.T.-Special Topics 2012;5(1):1-7 ÖZET: Elektroakustik stimulasyon (EAS) alçak frekanslardaki normal veya rezidüel işitmenin a korunarak yüksek frekansların implant elektrodu sayesinde elektriksel olarak uyarılabilmesi tekniğidir. Standart bir koklear implantasyonda rezidüel işitme kaybı hemen hemen kaçınılmaz olmakla birlikt...

Turkiye Klinikleri J E.N.T.-Special Topics 2012;5(2):15-20 ÖZET: Konjenital işitme kaybı, dünyada en sık görülen konjenital hastalıktır. Konjenital işitme kayıplarının %50-60’ını genetik faktörlerden kaynaklanmaktadır. Herediter işitme kaybı kalıtım şekline göre; farklı klinik bulguların varlığı (sendromik) veya yokluğu (sendromik olmayan) şeklinde...

To analyze the association of GJB2 gene mutations with cochlear implant performance in children. Sixty-five consecutive children who underwent cochlear implantation due to congenital profound senseurineural hearing between 2006 and 2008 were included in the study. In children, GJB2 gene mutation analysis was performed. Their auditory performance wa...

Most nonsyndromic hearing losses are caused by mutations in the GJB2 gene, and studies have revealed that the forms and frequencies of these mutations are largely dependent on ethnic origin. In the present study, we aimed to characterize the mutation profiles of 151 patients with hearing loss in Turkey. The entire coding region of the GJB2 was dire...

Turkiye Klinikleri J Surg Med Sci 2006, 2(28):36-42 ÖZET: Periferik fasiyal paralizi (PFP) en sık karşılaşılan kraniyal nöropatilerden biridir. En sık nedenleri herpes simplex virus aktivas- yonuna bağlı olduğu düşünülen idiyopatik PFP, travmalar ve enfeksi- yonlardır. Tanı ve tedavi yöntemlerindeki gelişmelere rağmen, PFP’nin tedavi sonuçları her...