Sürdürülebilir Kalkınma Amaçları

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• MakaleYalnız künye2026Scopus SJRQ2/r/kostu/10203
  Clinical Characteristics and Management Outcomes of Pediatric Temporal Bone Fractures: A Retrospective Cohort Study

  Bulut, Oktay; Şevik Eliçora, Sultan; Erdem, Duygu

  Background: – Pediatric temporal bone fractures may lead to facial paralysis, hearing loss, and cerebrospinal fluid (CSF) leakage. Understanding their clinical and radiologic characteristics is essential for effective management. Methods: – This retrospective, single-center descriptive study included 50 pediatric patients diagnosed with temporal bone fractures between 2013 and 2020. Demographic data, mechanisms of injury, fracture types, facial nerve function, CSF leakage, and audiological findings were analyzed. Fractures were classified according to the McHugh system (longitudinal, transverse, and mixed) and the Kelly-Tami classification [otic capsule sparing (OCS) versus otic capsule violating (OCV)]. Hearing was evaluated using auditory brainstem response (ABR) in children under 6 years and pure-tone audiometry (PTA) with age-appropriate behavioral techniques in older children. Results: – The cohort included 50 patients (mean age: 7.8±3.8 years; 64% boys). Falls were the leading cause of injury, while high-energy traumas such as gunshot and penetrating orbital injuries were rare but associated with complete facial paralysis and total hearing loss. Most fractures were longitudinal and OCS, showing favorable recovery, whereas OCV fractures caused irreversible deficits. CSF leakage occurred in 4 patients, all resolving spontaneously. Surgery was required only for persistent conductive hearing loss, and ossicular reconstruction restored normal hearing. Conclusion: – Pediatric temporal bone fractures are mostly OCS and longitudinal, typically caused by falls. OCV fractures are uncommon but linked to irreversible facial nerve and cochlear injury.

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• MakaleAçık Erişim2023Scopus SJRQ2/r/kostu/10591
  The effects of cognition, quality of life, and fatigue on olfactory function in patients with multiple sclerosis

  Acikgoz, Mustafa; Piri Cinar, Bilge; Aciman Demirel, Esra; Celebi, Ulufer; Cekic, Sibel; Elicora, Sultan; Atasoy, Hüseyin Tugrul

  Aim: The frequency of olfactory dysfunction in patients with Multiple Sclerosis (MS) has revealed very different results in studies. Some studies have shown that olfactory dysfunction may be associated with cognitive impairment and poor quality of life. In these studies, different odor tests and cognitive tests were used and different results were obtained. Materials and methods: Forty literate patients over the age of 18 and 24 healthy volunteers of similar age and education were included in the study. Sniffin' Sticks Odor Test, California Verbal Learning Test II, Symbol Digit Modalities Test, Revised Brief Visuospatial Memory Test, Trail-Making Test, Quality of Life Short Form-36, Fatigue Impact Scale, Beck Depression Inventory, and Beck Anxiety Inventory were applied to the individuals. Results: Olfactory dysfunction was detected in 50 % of the patients. High disability rate, low cognitive functions, low quality of life, and fatigue were identified as the factors affecting olfactory function negatively. Odor discrimination and identification abilities were associated with disability level and cognitive functions, whereas quality of life was linked to odor threshold scores. The olfactory function and cognitive abilities of patients with progressive MS (n = 5) were worse than those of patients with relapsing remitting MS (n = 35). Conclusion: Olfactory dysfunction is common in patients with MS and is associated with disability and quality of life. Olfactory function can be used in the follow-up of patients and olfactory dysfunction deserves further study as a metric that might emerge as a biomarker.

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  AtıfScopus1·WoS1·OpenAlex1

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• MakaleAçık Erişim2022Scopus SJRQ4/r/kostu/10749
  Examination of the Correlation of Fine-Needle Aspiration Biopsy Results with Final Pathology in Parotid Tumors Based on MRI Images

  Eliçora, Sultan Şevik; Say, Mehmet Ali; Erdem, Duygu; Bilgin, Ergin; Baklacı, Deniz

  Objective: The aim of this study was to compare the preoperative fine-needle biopsy results and magnetic resonance imaging findings in parotid tumors with the final pathology results. Methods: The study included a total of 77 patients who underwent parotidectomy. The fine-needle biopsy procedure was performed under ultrasonography guidance in all the patients. The fine-needle aspiration cytology results of the patients were classified into benign, malignant, and undiagnosed groups. Facial magnetic resonance imaging was used to record the tumor side, localization, and size (longest axis), as well as the distance of the tumors from the skin. In addition, the final pathology volumes of the tumors were determined by calculating their dimensions on 3 axes. Results: The preoperative fine-needle biopsy results had 71.4% sensitivity and 96.4% specificity with reference to the final pathology results. There were no differences in terms of the size, side, localization, or skin distance of the masses according to the fine-needle aspiration cytology results (P > .05). However, the mass volume of the masses significantly differed according to the fine-needle aspiration cytology results (P < .05). The tumor volume measured on magnetic resonance imaging was significantly lower in the undiagnosed masses compared to the benign group. Conclusion: Our results showed that the mean volume of the undiagnosed tumors in fine-needle biopsy was lower. Considering the similar sensitivity and specificity of magnetic resonance imaging and fine-needle biopsy, a second fine-needle biopsy procedure may not be requested in the presence of small-volume masses, depending on the clinician’s preference.

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