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Biomedical subjects

Gürol Gültekin

Publications and source records attributed to Gürol Gültekin.

6 recordsLinked to original sources
PubMed2006

[Evaluation of dysphonia in partial laryngectomy patients].

OBJECTIVES: The purpose of this study was to research and compare the affects of cordectomy, frontolateral laryngectomy or cricohyoidopexy techniques over voice parameters prospectively. PATIENTS AND METHODS: Fifty-six larynx cancer patients (56 males; mean age 59; range 48 to 71 years) whom cordectomy, frontolateral laryngectomy or cricohyoidopexy was applied in S.B. Izmir Training Hospital were included in this study. In the subjective evaluation of the patients voices and RBH scoring, in the aerodynamic evaluation, MPT measurements and in the objective evaluation computerized voice analysis was used. In calculating the dysphonia severity index (DSI), this formula (DSI=0.13xMPT+0.0053xF0 (high)-0.26xI (low)-1.18x jitter (%)+12.4) was used. RESULTS: In the subjective (RBH) evaluation of voices of these three group of patients and their DSI scores, there wasn't any statistically differences among them. When arytenoidectomized patients were evaluated as a separate group, this procedure was found not to have a significant impact over DSI. CONCLUSION: From phoniatric point of view, there wasn't any difference of cordectomy, frontolateral laryngectomy or cricohyoidopexy techniques over voice.

Adult↗
PubMed2006

[The effect of cochlear implantation on voice development].

OBJECTIVES: The effect of cochlear implantation on voice development in prelingually deaf children was investigated. PATIENTS AND METHODS: The study included 60 prelingually deaf children (28 girls, 32 boys; mean age 68 months; range 37 to 128 months) who underwent cochlear implantation. Voice analyses were made between 6 to 21 months after the first fitting and six months after the baseline. The patients were divided into two groups (i) according to age (younger or older than 48 months) and (ii) to the duration of implant use (more or less than 18 months) to observe the changes in fundamental frequency (F(0)), and two formant frequencies (F(1) and F(2)). Forty-seven children (22 girls, 25 boys; mean age 62 months; range 38 to 118 months) with normal speech and language development comprised the control group. In all the cases, F(0), F(1), and F(2) values of the vowel /a/ were studied. RESULTS: In the patient group, F(0) and F(2) values significantly differed between the first and second voice analyses, whereas the change in F(1) values was insignificant. No significant differences were found in terms of F(0), F(1) and F(2) values between the patients younger than 48 months and age-matched controls; however, F(0) and F(1) values significantly differed in those older than 48 months while F(2) values remained insignificant. Albeit statistically insignificant, F(0), F(1), and F(2) values approximated normal levels in children in whom the duration of implant use exceeded 18 months. CONCLUSION: Our study confirms that early cochlear implantation and longer implant use result in improved development of voice, speech, and language.

Case-Control Studies↗
PubMed2005

Local anesthesia for middle ear surgery.

The adequacy of anesthesia and comfort during surgery was assessed for 100 consecutive patients undergoing middle ear surgery using local anesthesia, both by the patients themselves and by the surgeon. The possibility of inducing an iatrogenic facial weakness was also evaluated. Both the surgeon and the majority of patients were pleased with the quality of anesthesia and little adverse effects occurred as a consequence of local anesthesia itself.

Adolescent↗
PubMed2005

[Long-term results of functional surgery for attic cholesteatoma].

OBJECTIVES: We evaluated the long-term results of functional surgery for attic cholesteatoma. PATIENTS AND METHODS: In this study, we presented the results of 81 patients (42 males 39 females; mean age 34 years; range 8 to 59 years) who underwent functional surgical techniques for attic cholesteatomas between January 1992 and January 1998. All the patients were followed-up for at least five years. RESULTS: For eradication of attic cholesteatoma, canal wall-down technique tympanoplasty was required in the majority of the patients. After surgery there was a statistically significant hearing improvement in all but four cases. In the postoperative period, residual cholesteatoma and graft perforation were found in five and six patients, respectively. Two patients required revision meatoplasty for problems related with cavity clearance. CONCLUSION: Apart from satisfactory hearing improvement with functional surgery, a successful self-clearance was obtained in mastoid cavities with saucerization and meatoplasty. Canal wall-down tympanoplasty is associated with very low incidences of residual or recurrent cholesteatoma in the majority of patients.

Adolescent↗
PubMed2003

Causes of dysphonia in patients above 60 years of age.

OBJECTIVES: We evaluated the causes of hoarseness in patients above 60 years of age. PATIENTS AND METHODS: The study included 98 patients (40 females, 58 males; mean age 64 years; range 60 to 77 years) who presented with hoarseness. All the patients were examined by videolaryngoscopy. Temporary hoarseness secondary to respiratory tract infections was excluded. RESULTS: The most common cause of hoarseness was benign vocal fold lesions (28.6%) followed by malignant lesions (27.6%), vocal fold paralysis (25.5%), functional dysphonia (10.2%), and presbyphonia (8.2%). Laryngopharyngeal reflux was found in 13 patients (13.3%). Fourteen male and 11 female patients had paralysis of the recurrent laryngeal nerve. Malignancies that caused hoarseness without paralyzing the vocal folds were larynx carcinoma (n=18), hypopharynx carcinoma (n=8), and multiple malignancy (n=1). CONCLUSION: Our data show that dysphonia develops due to disease processes associated with aging rather than to physiologic aging alone. Considering adverse influences of dysphonia on the quality of life of elderly population, efforts should be directed to elucidation of the cause and to performing appropriate treatment.

Age Factors↗