Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğu... more Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğun işitme cihazı kullanma süresi, koklear implant yaşı gibi bazı değişkenler ile eğitim, meslek gibi aile özelliklerinin bu işlevler üzerindeki etkisini araştırmaktır.
Öz Purpose: Swallowing is a complex neuromuscular process requiring the integrity of many muscles... more Öz Purpose: Swallowing is a complex neuromuscular process requiring the integrity of many muscles and nerves. The natural aging process can result in deterioration of the swallowing structures and result in functional changes in healthy older adults. The Test of Masticating and Swallowing Solids is the only non-instrumental test that provides quantitative measures for solid food ingestion. This study aimed to establish normative data for the Test of Masticating and Swallowing Solids in healthy Turkish adults to potentially serve as a standard in dysphagia evaluation. Materials and Methods: A total of 144 healthy Turkish adults (ages 20-80+ years) grouped by age and gender participated in this study. The test required participants to eat a regional cracker. Per the protocol, the number of masticatory cycles, number of swallows, number of bites, and total duration to eat the cracker were recorded. Results: Normative data were obtained for the Test of Masticating and Swallowing Solids from 144 healthy adults, stratified by age and gender. Younger participants took fewer bites (2.00 versus 2.65), chewed less (34.50 versus 51.02), swallowed less (2.06 versus 3.39), and swallowed quicker (30.14 versus 49.20) than older participants. In terms of gender, males took fewer bites (1.94 versus 2.59), chewed less (40.98 versus 45.83), and swallowed quicker (36.72 versus 41.23) than females. Conclusion: The Test of Masticating and Swallowing Solids is a quick, sensitive, and objective measure of solid bolus ingestion that may be useful for identifying dysphagic patients at bedside and for tracking the efficiency of the oral phase of swallowing.
International Journal of Pediatric Otorhinolaryngology, Aug 1, 2021
OBJECTIVES To use multifrequency multicomponent tympanometry (MF-MCT) for evaluating the middle e... more OBJECTIVES To use multifrequency multicomponent tympanometry (MF-MCT) for evaluating the middle ear mechano-acoustics of children with a history of ventilation tube (VT) insertion and to determine the effects of tube insertion sequelae on middle ear function. METHODS A prospective case-control study in a tertiary referral center involving 26 children (51 ears) aged 3-15 years. The children had undergone VT insertion surgery at least one-year previously and had no other known ear diseases. In addition, 13 age-matched healthy controls (26 ears) with no prior history of ear disease were included. The patients and control subjects underwent an otoscopic examination, standard 226 Hz tympanometry, and MF-MCT. RESULTS In 13.7% of cases, the VT was still in place in the operated ears. Post-operative myringosclerosis and/or eardrum retraction were noticed in 30% of ears with intact tympanic membranes in the patient group. While patients exhibited a great variability of tympanometric types (with standard 226 Hz tympanometry and tympanometric patterns with 1000 Hz MF-MCT), all cases in the control group had type A tympanograms and 3B1G patterns. CONCLUSION The effects of VT treatment on the mechano-acoustics of the middle ear have been revealed in this study. It has also been determined that VT application may increase the mass effect on the middle ear functions, which can be detected in the tympanometric shape and pattern.
Objective. This study aimed to investigate the correlation between morphological features of voca... more Objective. This study aimed to investigate the correlation between morphological features of vocal fold polyps (VFPs) and subjective/objective voice parameters. Methods. Perceptual evaluations, aerodynamic and acoustic tests were performed on 47 patients with VFPs. Still images were captured from video and the morphological features associated with the size of VFP were quantified. To reveal the correlation between size-related morphological features (length of polyp base, the ratio of polyp base to vocal fold length, glottal gap area) and objective/subjective parameters of voice, Pearson's and Spearman's tests were carried out. Results. This cohort was composed of 30 (63.8 %) male and 17 (36.2%) female patients with the mean age of 45.2 years and 41.3 years, respectively. No correlation was found between the morphological features of VFPs and any of perceptual, aerodynamic and acoustic voice parameters. Conclusions. Our findings indicated that controversies still exist regarding the role of vocal fold polyp morphology in clinical decision making.
Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğu... more Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğun işitme cihazı kullanma süresi, koklear implant yaşı gibi bazı değişkenler ile eğitim, meslek gibi aile özelliklerinin bu işlevler üzerindeki etkisini araştırmaktır.
Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğu... more Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğun işitme cihazı kullanma süresi, koklear implant yaşı gibi bazı değişkenler ile eğitim, meslek gibi aile özelliklerinin bu işlevler üzerindeki etkisini araştırmaktır.
Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğu... more Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğun işitme cihazı kullanma süresi, koklear implant yaşı gibi bazı değişkenler ile eğitim, meslek gibi aile özelliklerinin bu işlevler üzerindeki etkisini araştırmaktır.
Öz Purpose: Swallowing is a complex neuromuscular process requiring the integrity of many muscles... more Öz Purpose: Swallowing is a complex neuromuscular process requiring the integrity of many muscles and nerves. The natural aging process can result in deterioration of the swallowing structures and result in functional changes in healthy older adults. The Test of Masticating and Swallowing Solids is the only non-instrumental test that provides quantitative measures for solid food ingestion. This study aimed to establish normative data for the Test of Masticating and Swallowing Solids in healthy Turkish adults to potentially serve as a standard in dysphagia evaluation. Materials and Methods: A total of 144 healthy Turkish adults (ages 20-80+ years) grouped by age and gender participated in this study. The test required participants to eat a regional cracker. Per the protocol, the number of masticatory cycles, number of swallows, number of bites, and total duration to eat the cracker were recorded. Results: Normative data were obtained for the Test of Masticating and Swallowing Solids from 144 healthy adults, stratified by age and gender. Younger participants took fewer bites (2.00 versus 2.65), chewed less (34.50 versus 51.02), swallowed less (2.06 versus 3.39), and swallowed quicker (30.14 versus 49.20) than older participants. In terms of gender, males took fewer bites (1.94 versus 2.59), chewed less (40.98 versus 45.83), and swallowed quicker (36.72 versus 41.23) than females. Conclusion: The Test of Masticating and Swallowing Solids is a quick, sensitive, and objective measure of solid bolus ingestion that may be useful for identifying dysphagic patients at bedside and for tracking the efficiency of the oral phase of swallowing.
International Journal of Pediatric Otorhinolaryngology, Aug 1, 2021
OBJECTIVES To use multifrequency multicomponent tympanometry (MF-MCT) for evaluating the middle e... more OBJECTIVES To use multifrequency multicomponent tympanometry (MF-MCT) for evaluating the middle ear mechano-acoustics of children with a history of ventilation tube (VT) insertion and to determine the effects of tube insertion sequelae on middle ear function. METHODS A prospective case-control study in a tertiary referral center involving 26 children (51 ears) aged 3-15 years. The children had undergone VT insertion surgery at least one-year previously and had no other known ear diseases. In addition, 13 age-matched healthy controls (26 ears) with no prior history of ear disease were included. The patients and control subjects underwent an otoscopic examination, standard 226 Hz tympanometry, and MF-MCT. RESULTS In 13.7% of cases, the VT was still in place in the operated ears. Post-operative myringosclerosis and/or eardrum retraction were noticed in 30% of ears with intact tympanic membranes in the patient group. While patients exhibited a great variability of tympanometric types (with standard 226 Hz tympanometry and tympanometric patterns with 1000 Hz MF-MCT), all cases in the control group had type A tympanograms and 3B1G patterns. CONCLUSION The effects of VT treatment on the mechano-acoustics of the middle ear have been revealed in this study. It has also been determined that VT application may increase the mass effect on the middle ear functions, which can be detected in the tympanometric shape and pattern.
Objective. This study aimed to investigate the correlation between morphological features of voca... more Objective. This study aimed to investigate the correlation between morphological features of vocal fold polyps (VFPs) and subjective/objective voice parameters. Methods. Perceptual evaluations, aerodynamic and acoustic tests were performed on 47 patients with VFPs. Still images were captured from video and the morphological features associated with the size of VFP were quantified. To reveal the correlation between size-related morphological features (length of polyp base, the ratio of polyp base to vocal fold length, glottal gap area) and objective/subjective parameters of voice, Pearson's and Spearman's tests were carried out. Results. This cohort was composed of 30 (63.8 %) male and 17 (36.2%) female patients with the mean age of 45.2 years and 41.3 years, respectively. No correlation was found between the morphological features of VFPs and any of perceptual, aerodynamic and acoustic voice parameters. Conclusions. Our findings indicated that controversies still exist regarding the role of vocal fold polyp morphology in clinical decision making.
Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğu... more Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğun işitme cihazı kullanma süresi, koklear implant yaşı gibi bazı değişkenler ile eğitim, meslek gibi aile özelliklerinin bu işlevler üzerindeki etkisini araştırmaktır.
Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğu... more Bu çalışmanın amacı, koklear implantlı çocuğu olan ailelerin aile işlevlerini incelemek ve çocuğun işitme cihazı kullanma süresi, koklear implant yaşı gibi bazı değişkenler ile eğitim, meslek gibi aile özelliklerinin bu işlevler üzerindeki etkisini araştırmaktır.
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