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Öğe Comparison of the Ankaferd Blood Stopper Tampon and the Merocel Nasal Tampon after Septoplasty Surgery(Springer, 2023) Kar, Murat; Çetinkaya, Erdem Atalay; Ünlü, Hande KonşukObjective: In this study, we aimed to investigate the effects of the Ankaferd Blood Stopper (ABS) on nasal bleeding, pain, eating disorders, and sleeping problems in patients undergoing septoplasty. Methods: The prospective study included 100 patients who underwent septoplasty surgery. Patients were divided into two groups based on the chronological order of hospital admission: Group I was administered the ABS, and Group II was administered a standard Invotec Merocel nasal tampon. In both groups, the intensity of pain experienced by patients postoperatively during tampon use and tampon removal was assessed using the visual analogue scale (VAS). Results: A significant difference was found between the two groups with regard to VAS scores assessed during tampon use. In the ABS group, the VAS scores assessed during tampon use were significantly lower, and the incidence of nasal obstruction, eating disorders, dripping-type bleeding before tampon removal, and sleeping problems was significantly lower in the ABS group than in the Merocel group. Conclusions: The ABS may be a viable alternative to other nasal packs, as it did not lead to a significant reduction in postoperative patient comfort during tampon use and caused a lower incidence of postoperative pain, eating disorders, sleeping problems, and nasal obstruction than standard Merocel tampons. Level of Evidence III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. © 2022, Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.Öğe Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study(2025) Özkan, İlknur; Kar, Murat; Taylan, SeçilObjective: Sexual dysfunction, a key component of adults’ quality of life, is under-studied in allergic rhinitis. This study aimed to compare sexual dysfunction in individuals with and without allergic rhinitis and to examine the effects of physiological, psychological, and situational factors, as conceptualized by the Theory of Unpleasant Symptoms. Methods: This descriptive and between-groups comparative study was conducted between September 2020 and September 2021 in the otorhinolaryngology outpatient clinic. Data were collected from 249 patients with allergic rhinitis and 235 healthy individuals using validated scales that assess depression, anxiety, fatigue, sleep quality, nasal symptoms, and sexual function. Logistic regression analysis was used to identify factors associated with sexual dysfunction. Results: Compared to the healthy group, individuals with allergic rhinitis had more sexual dysfunction, sleep problems, fatigue, depression, anxiety, and nasal and non-nasal symptoms (pÖğe Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study(Marmara Univ, Inst Health Sciences, 2025) Ozkan, lknur; Kar, Murat; Taylan, SecilObjective: Sexual dysfunction, a key component of adults' quality of life, is under-studied in allergic rhinitis. This study aimed to compare sexual dysfunction in individuals with and without allergic rhinitis and to examine the effects of physiological, psychological, and situational factors, as conceptualized by the Theory of Unpleasant Symptoms. Methods: This descriptive and between-groups comparative study was conducted between September 2020 and September 2021 in the otorhinolaryngology outpatient clinic. Data were collected from 249 patients with allergic rhinitis and 235 healthy individuals using validated scales that assess depression, anxiety, fatigue, sleep quality, nasal symptoms, and sexual function. Logistic regression analysis was used to identify factors associated with sexual dysfunction. Results: Compared to the healthy group, individuals with allergic rhinitis had more sexual dysfunction, sleep problems, fatigue, depression, anxiety, and nasal and non-nasal symptoms (p<.01). Based on the results of logistic regression analysis, factors contributing to sexual dysfunction in women with allergic rhinitis included anxiety, depression, the presence of asthma, and the severity of physiological symptoms (Nagelkerke R-2: 0.345; Model: x(2)= 18.759 p= .000). Factors affecting sexual dysfunction in men with allergic rhinitis were determined as sleep quality, depression, the severity of physiological symptoms, fatigue, and smoking (Nagelkerke R-2: 0.194; Model: x(2)= 17.761; p= .023). Conclusions: Sexual dysfunction in allergic rhinitis patients is influenced by a range of symptoms, as outlined by the Unpleasant Symptoms Theory. These findings highlight the need for targeted intervention programs to manage sexual dysfunction by addressing both illness symptoms and related factors.Öğe Digital Infrared Thermal Imaging Assistance for Laryngectomy and Neck Dissection Flap Monitoring in Elderly Patients(2024) Cetinkaya, Erdem Atalay; Kar, Murat; Yıldız, Muhammet; Yılmaz, Gökhan; Işık, Ünal Gökalp; Çetin, Kadir; Gür, Özer ErdemObjective: In flap survival, close postoperatively monitoring of neck flaps is essential; instant action increases the rate of flap salvage. The purpose of this research was to assess the ability of digital infrared thermal Imaging and software during laryngectomy and neck dissection monitoring to detect failure of neck flaps. Methods: Twelve elderly patients who required total laryngectomy and bilateral neck dissection for advanced laryngeal cancer participated in this study. The hourly clinical examination of skin colour, capillary refilling and turgor were evaluated for both flaps. In addition, thermal images were taken synchronously with the digital camera. Such images were processed and analyzed as an indication of flap failure on their additional value. Results: Out of 12 flaps, one failed due to hematoma, and venous congestion formed in two flaps. The mean flap temperature demonstrated to be most predictive of flap failing relative to the adjacent control skin. In contrast to the uncompromised flaps, both failed flaps demonstrated lower temperatures after failure. Conclusion: An efficient thermal camera imaging can possibly improve post-operative flap monitoring. It could play an additional part in the non-invasive early diagnosis of flap failure if used in conjunction with other modalities. By analyzing relative differences in temperature between the flap and reference tissue, vascular occlusion in flaps may be differentiated.Öğe Exploring the Life Experiences of Bell’s Palsy Patients: A Qualitative Study(2025) Özkan, İlknur; Kar, Murat; Taylan, SeçilObjective: Bell’s palsy is the most common type of peripheral facial paralysis. The sudden onset and unknown cause of Bell’s palsy lead to significant psychological distress and social disabilities in patients, which can severely impact their quality of life. This study aimed to explore the experiences of patients with Bell’s palsy using a qualitative approach to gain a better understanding of the outcomes from the patient’s perspectives. Material and Methods: This study was conducted as a qualitative research employing a hermeneutic phenomenological framework. Inductive thematic analysis was used for data analysis Results: The study included a total of 11 participants (six females and five males) from different phases of Bell’s palsy. Because of the inductive thematic analysis, the experiences of patients with Bell’s palsy were categorised into six main themes: “First Confrontation with Bell’s Palsy,” “Treatment and Self-Management Experiences”, “Physical Challenges Experienced”, “Psychological Effects”, “Social Effects”, and “Impact of Bell’s Palsy on Today” Conclusion: Bell’s palsy is understood to be a traumatic experience that affects the physiological, psycho- logical, and social aspects of patients’ lives, thereby significantly impacting their quality of life. Although patients receive medical treatment for Bell’s palsy, they often face the physiological and psychological challenges alone. Therefore, treatment should not be solely prescription-based; it must address the physiological, psychological, and social challenges through an interdisciplinary approach, including the involvement of nurses.Öğe Exploring the Life Experiences of Bell’s Palsy Patients: A Qualitative Study(Istanbul University Press, 2025) Özkan, İknur; Kar, Murat; Taylan, SeçilObjective: Bell’s palsy is the most common type of peripheral facial paralysis. The sudden onset and unknown cause of Bell’s palsy lead to significant psychological distress and social disabilities in patients, which can severely impact their quality of life. This study aimed to explore the experiences of patients with Bell’s palsy using a qualitative approach to gain a better understanding of the outcomes from the patient’s perspectives. Material and Methods: This study was conducted as a qualitative research employing a hermeneutic phenomenological framework. Inductive thematic analysis was used for data analysis Results: The study included a total of 11 participants (six females and five males) from different phases of Bell’s palsy. Because of the inductive thematic analysis, the experiences of patients with Bell’s palsy were categorised into six main themes: “First Confrontation with Bell’s Palsy,” “Treatment and Self-Management Experiences”, “Physical Challenges Experienced”, “Psychological Effects”, “Social Effects”, and “Impact of Bell’s Palsy on Today” Conclusion: Bell’s palsy is understood to be a traumatic experience that affects the physiological, psychological, and social aspects of patients’ lives, thereby significantly impacting their quality of life. Although patients receive medical treatment for Bell’s palsy, they often face the physiological and psychological challenges alone. Therefore, treatment should not be solely prescription-based; it must address the physiological, psychological, and social challenges through an interdisciplinary approach, including the involvement of nurses. © 2025. Özkan İ, Kar M, Taylan S.Öğe Functional Endoscopic Sinus Surgery: Key Points for Safer Surgery(Sage Publications Inc, 2024) Kar, Murat; Muluk, Nuray Bayar; Alqunaee, Marwan; Manole, Felicia; Cingi, CemalObjectives: To review measures for safer functional endoscopic sinus surgery (FESS). Methods: PubMed, EBSCO, UpToDate, Proquest Central at K & imath;r & imath;kkale University, Google, and Google Scholar were used in the literature review. The search was performed using keywords of functional endoscopic sinus surgery, FESS, Safety, Image-Guided, and complications between 2000 and 2024. Results: Inflammatory and infectious sinus illnesses are the most prevalent indications for FESS. The 4 most common methods for FESS are endoscopic uncinectomy, maxillary antral ostomy/ethmoidectomy, anterior ethmoidectomy, and posterior ethmoidectomy. FESS has a complication rate of 0% to 1.5% for significant problems and 1.12% to 20.8% for minor issues. Sinus surgery outcomes can be improved and problems avoided with careful preoperative preparation. Powered instrumentation may enhance the severity of the problems rather than the number of occurrences. Intraoperative detection of cerebrospinal fluid leakage necessitates immediate localization and fixing of the leaking structure. The danger of infection increases and hospital stays are longer when investigation is delayed. In image-guided surgery, surgeons employ preoperative imaging data to pinpoint the exact position of a surgical tool concerning surrounding anatomical structures in real time. Although initially designed for use in neurosurgery, endoscopic sinus surgery has quickly become one of the most popular applications of this technique. Conclusion: Safer FESS can be accomplished with accurate CT scans, good patient preparation, surgical knowledge and training, and by using image guidance for endoscopic sinus surgery.Öğe Management of Pediatric Trauma: ENT View(Springer International Publishing, 2021) Kar, Murat; Altin, Fazilet; Zabolotny, Dmytro IllichPediatric trauma refers to injuries that cause damage in infants, children, and young adolescents, which are an issue that threatens children’s lives and should be carefully evaluated. Often children must be hospitalized and require immediate attention. Due to the severe anatomical and physiological differences between adults and children, trauma intervention must also be different. Due to the small body surface areas, vital organs in children are located very close to each other, so they become more sensitive to trauma than adults. Trauma is the most common cause of death in children in the United States, and it has been reported that 59.5% of child deaths under 18 years old are from trauma in 2004 [1]. The pediatric trauma approach should include the prevention of injury, the fastest transfer of the patient to the pediatric trauma center, the emergency intervention by the educated and related branches, the children’s rehabilitation, and long-term follow-up. This section will discuss pediatric trauma management in terms of ear, nose, and throat. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.Öğe Methicillin Resistance and Staphylococcus aureus in Nasal Cultures Before and During the Covid-19 Pandemic: A Comparison of the Results(2022) Altıntaş, Mustafa; Kar, Murat; Tığlı, Gül Aydın; Çekin, YeşimBackground: The COVID-19 pandemic remains a serious problem adversely affecting public health. The present study has been conducted in an attempt to evaluate the nasal carriage of Staphylococcus aureus before and during the pandemic. Methods: In this study, the results of nasal cultures taken from patients who applied to our hospital for screening before and during the pandemic were retrospectively analyzed. Results: In total, 2707 patients participated in the study. Out of these patients, 1602 were admitted to our hospital in 2019 and 1105 in 2020. According to the results of the study, the detection rates of Staphylococcus aureus were found to be 5.1% and 0.8% in 2019 and 2020, respectively. Such a decrease occurring during the time of the Covid-19 pandemic period was found to be statistically significant (?2 = 36.61; P = .000). On the other hand, an increase was detected in the rate of methicillin-resistant Staphylococcus aureus during the pandemic. It was determined to be 17.3% in 2019 whereas it was 55.6% in 2020. This was found to be statistically significant (?2 = 7.12; P = .008). Conclusions: According to this study, there was a sharp decrease in Staphylococcus aureus carriage during the pandemic period compared to pre-pandemic, while methicillin-resistant Staphylococcus aureus rates increased more than 3 folds. This increase in methicillin-resistant Staphylococcus aureus rates may be due to the increasing trend of methicillin-resistant Staphylococcus aureus in recent years or may indicate that it depends on the measures associated with the pandemic. Further research in this area is essential.Öğe Nasal Obstruction: Symptoms, Causes and Treatment(Springer International Publishing, 2023) Dilek, Deniz; Kar, Murat; Bedrosian, Jeffrey C.Troubling symptoms affecting the nose and sinuses are one of the most frequent causes for patients to present to their GP, ENT, or allergy specialist. While some specialists use the term “nasal obstruction” only when the nose has something physically blocking it, in general use it refers to the symptom of feeling that air cannot pass adequately through the nose [1]. Feeling that the nose is blocked can be the main complaint of patients suffering from a range of common disorders, including rhinitis, sinusitis, deviation of the septum, adenoidal hypertrophy, and traumatic injury to the nose [2]. © Springer Nature Switzerland AG 2023.Öğe Olfactory Function in Greenhouse Workers With Allergic Rhinitis Assessed by Sniffin' Sticks Testing(Lippincott Williams and Wilkins, 2025) Altintaş, Mustafa; Kar, Murat; Bayar Muluk, Nuray; Cingi, CemalObjectives: The authors assessed olfactory perceptual ability in greenhouse workers with allergic rhinitis (AR) using the Sniffin’ Sticks test battery. Methods: The study group (group 1) was formed from 51 greenhouse workers with allergic rhinitis (AR) (group 1) in the Antalya Province of Turkey. The control group (group 2) was formed from 49 healthy volunteers. The olfactory perception was assessed for each subject enrolled in the trial utilizing the Sniffin’ Sticks’ odorous felt-tipped pens. Results: There were significant differences between the scores obtained for pen 6 and pen 12, which the study group could not correctly identify (P < 0.05). Overall, the score for the groups was also significantly different, with the study group (group 1) having a lower olfactory perceptual ability (9.39 ± 2.87) than the control group (10.4 ± 2.19) (P < 0.05). Within the study group (group 1), men and women did not differ in total scores (P = 0.791). The authors noted that 19.6% of the study group was anosmic, compared with 10.2% in the controls. 27.5% of the study group were hyposmic, and 52.9% were normosmic. In the control group, 22.4% were hyposmic, and 67.3% were normosmic (P = 0.274, ?2 = 2.588). Conclusion: In our study, a decrease in total odor score was detected in greenhouse workers with allergic rhinitis, and this decrease did not correlate with working duration. Gases and pesticides encountered in greenhouse areas may also affect this olfactory decrease. Smoking also affected the total odor scores as they decreased. The use of protective masks and clothes may play a preventive role. © © 2025 by Mutaz B. Habal, MD.Öğe Olfactory function in patients undergoing hemodialysis as assessed by Sniffin’ Sticks testing(Verduci Editore s.r.l, 2023) Kar, Murat; Altintaş, Mustafa; Bayar Muluk, Nuray; Cingi, CemalOBJECTIVE: This study evaluated olfactory function in patients undergoing hemodialysis. The evaluation utilized the Sniffin’ Sticks test. PATIENTS AND METHODS: The study enrolled 56 individuals undergoing hemodialysis for chronic renal failure alongside 54 healthy controls. The Sniffin’ Sticks battery was used to assess olfactory function in all subjects. The battery included 12 separately identifiable odors. A score below 6 was considered anosmia, whilst scores ranging from 7 to 10 were classed as hyposmia. A score of at least 11 indicated normal olfaction. RESULTS: There was a statistically significant difference in scores between the two groups. The hemodialysis patients scored 9.12±2.77 compared to 10.72±1.94 in the controls. In the hemodialysis patients, scores for males and females did not differ significantly. Furthermore, there was no correlation between score and age, sex or length of renal failure. Some 12.5% of hemodialysis patients were anosmic, whilst 50% were hyposmic. The corresponding rates in the control group were 7.4% and 20.4%. CONCLUSIONS: Undergoing hemodialysis is associated with a decreased total score on the Sniffin’ Sticks battery, with anosmia in 12.5% of patients and hyposmia in 50.0%. Thus, olfactory impairment is present in 62.5% of hemodialysis patients. According to previous research, renal transplantation results in an improved ability to smell, depending on how plastic the neurons involved in olfaction are. © 2023 Verduci Editore s.r.l. All rights reserved.Öğe Phytotherapy in Otorhinolaryngology Disorders(Springer Science+Business Media, 2025) Kar, Murat; Altintaş, Mustafa; Karpischenko, Sergei A.Herbs, plants with biological activity, have both good and harmful consequences when used medicinally. Many people know that plants can be toxic, especially those commonly regarded as “poison” plants (such as poison ivy, poison oak, and poison sumac). However, what hurts one person can help another. An old and well-known homeopathic treatment for some types of joint pain, such as that caused by fibromyositis or fibromyalgia, is poison ivy (Rhus toxicodendron). Raw honey, aloe vera, chamomile, and red tea (Aspalathus linearis), a medicinal plant introduced to the USA from South Africa, can be used internally or externally. The presence of alpha-hydroxy acids in red tea has piqued interest in its external uses. It is important to note that herbs administered topically can cause unpleasant reactions in dermatology, just as herbs taken internally might cause unfavorable cutaneous reactions. © 2025 Springer Nature Switzerland AG.Öğe The incidence of concha bullosa: a retrospective radiologic study(Springer Science and Business Media Deutschland GmbH, 2023) Kar, Murat; Altintaş, MustafaAim: This study was conducted to discuss the incidence, directions, and types of concha bullosa using studies in the literature. Materials and methods: The images of patients who presented to the ENT clinic with different ENT symptoms in the last 7 years and had paranasal sinus tomography were analyzed retrospectively. Results: The study consisted of a total of 3133 patients, including 1534 females (48.96%) and 1599 males (51.03%). The age range of the cases was between 12 and 85 years, and the mean age was 57.25 years. Middle concha bullosa was detected in 1402 (44.74%) of the cases. Of these cases, it was determined that 320 (22.82%) had right, 311 (22.18%) had left, and 771 (54.99%) had bilateral middle concha bullosa. Of middle types of concha bullosa, lamellar type concha bullosa was detected in 575 (41.01%) patients, bulbous type in 363 (25.89%), and extensive type in 464 (33.09%). Of the cases with lamellar type middle concha bullosa, it was found that 130 (22.60%) had right side, 105 (18.26%) had left side, and 340 (59.13%) had bilateral lamellar type middle concha bullosa. Of the cases that were determined to have bulbous type middle concha bullosa, 97 (26.72%) had right side, 99 (27.27%) had left side, and 167 (46.00%) had bilateral bulbous type middle concha bullosa. Of the cases that were determined to have extensive type middle concha bullosa, 93 (20.04%) had right side, 107 (23.06%) had left side, and 264 (56.89%) had bilateral extensive type middle concha bullosa. The incidence of superior concha bullosa was determined in 487 (15.54%) of 3133 cases. Of these, bilateral superior concha bullosa was detected in 332 (68.17%) cases and unilateral in 155 (31.82%) cases. Conclusions: Our study has the largest case series among studies investigating the incidence of concha bullosa. The incidence of concha bullosa appears to be common in the community. Additional studies may be useful to determine whether its high incidence is associated with other sinus pathologies and the extent of its effect on other rhinological complaints. © 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
