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    Comparing anterior palatoplasty and modified uvulopalatopharyngoplasty for primary snoring patients: preliminary results
    (Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2013) Ugur, K. S.; Kurtaran, H.; Ark, N.; Kizilbulut, G.; Yuksel, A.; Gunduz, M.
    Objectives: To evaluate and compare the long-term efficacy of modified uvulopalatopharyngoplasty (mUP(3),) and anterior palatoplasty (AP) techniques for treating snoring in a prospective clinical trial. Methodology: Patients with total apnea-hypopnea index values <5/per hour sleep were included in the study. Patients completed the Epworth sleepiness scale (ESS) and snoring visual analogue scale (VAS) before and 24 months after surgery, and a VAS for pain after the operation. Results: Twenty-four patients were in the mUP(3), group with a mean age of 42.1 +/- 11.8 years, and 26 in AP group with a mean age of 43.2 +/- 10.4 years. Snoring VAS values were significantly decreased after surgery in both groups (p<0.025), but changes between operative groups were not statistically significant (p>0.05). Patients' ESS scores in both groups significantly decreased (p<0.025), but ESS score changes between groups were not significantly different (p>0.05). Two years postoperatively, patient satisfaction was 85% in the AP group, and 70% in the MVP, group. Pain VAS values were significantly lower in the AP group than in the mUP(3), group (p<0.001). Eight patients (33.3%) in the mUP(3) group and one (7.7%) in the AP group reported nasal regurgitation of liquids upon swallowing during the first week postoperatively. Two years after the operation, 10 patients (41.6%) in the mUP(3) group and 9 (34.6%) in AP group still had a lump sensation in the throat. Conclusions: We compared the efficacy of the mUP(3), and AP techniques to treat patients with primary snoring and found less morbidity and more patient satisfaction in the AP group.
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    Hearing loss after spinal anesthesia : A comparative prospective randomized cohort study
    (Acta Medical Belgica, 2016) Karabayirli, S.; Ugur, K. S.; Ayrim, A.; Demircioglu, R. I.; Ark, N.; Usta, B.; Kurtaran, H.
    Objective : In this comparative randomized cohort study, we aimed at evaluating the occurrence of sensorineural hearing loss after general and spinal anesthesia using both subjective and objective tests. Material and Methods : Fifty patients scheduled for elective cesarean section were approached, of which 21 patients received spinal anesthesia (group S), and 16 patients received general anesthesia (group G). In group S, a 27 G pencil point spinal needle was used. Pure tone audiometry and Distortion Product OtoAcoustic Emissions (DPOAE) were performed before and 48 hours after surgery. Results : No between-group significant difference in pre and postoperative audiometric hearing threshold and pure tone average value were noticed, as well as in pre and postoperative DPOAE amplitude and signal-to-noise ratio (SNR). Conclusion : In this study, we did not observe any hearing loss after cesarean section under general or spinal anesthesia. Using the non-traumatic 27 gauge pencil point needle for performing spinal anesthesia does not seem to be associated with a risk of hearing loss, similarly to general anesthesia.