Psychosocial difficulties and quality of life in children with hearing impairment and their association with parenting styles
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EARLY CHILD DEVELOPMENT AND CARE
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The aim of this study was to investigate the relationship between the psychosocial problems, quality of life and parenting styles in children with hearing impairment. A total of 84 children (42 children with hearing impairment and 42 healthy children) and their parents were included. The emotional, behavioural, peer and school-related problems were significantly higher, and self-esteem levels were significantly lower in the case group compared to the healthy children. We also determined that the parents of children with hearing impairment had overprotective and authoritarian parenting styles compared. The findings showed that there was a significant correlation between the emotional problems of children and the overprotective and authoritarian parenting style. These findings indicated that the intervention should not focus solely on the existing disabilities of these children. It also pointed at the importance of the parental attitudes in both the treatment and protection of mental health.
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Children with hearing impairment psychosocial difficulties quality of lifeparenting styles parental attitudes
First-Line Molecular Genetic Evaluation of Autosomal Recessive Non-Syndromic Hearing Loss
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Özyilmaz, B (Ozyilmaz, Berk) ; Mercan, GC (Mercan, Gul Caner) ; Kirbiyik, Ö (Kirbiyik, Ozgur) ; Özdemir, TR (Ozdemir, Taha Resid) ; Özkara, S (Ozkara, Samira) ; Kaya, ÖÖ (Kaya, Ozge Ozer) ; Kutbay, YB (Kutbay, Yasar Bekir) ; Erdogan, KM (Erdogan, Kadri Murat) ; Güvenç, MS (Guvenc, Merve Saka) ; Koç, A (Koc, Altug)
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TURKISH ARCHIVES OF OTORHINOLARYNGOLOGY
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Objective: The aim of this study is to investigate the efficiency of a first-line molecular genetic evaluation approach, in children with deafness.
Methods: Patients who were found to have sensorineural hearing loss by age-appropriate audiological tests were selected for the molecular genetic evaluation. The molecular genetic evaluation was carried out with GJB2 gene sequence analysis and mtDNA m.1555A> G mutation Restriction Fragment Length Polymorphism (RFLP) analysis. Additionally, in a small group of patients, hearing loss Multiplex Ligation-dependent Probe Amplification (MLPA) analysis was done out to identify the possible role of copy number changes.
Results: In this Turkish cohort, which included 104 index patients and 78 relatives, 33 (31.7%) had Pathogenic/Likely Pathogenic variants. One or more GJB2 sequence variants were identified in 46 (44.1%) of the 104 index patients. The homozygous c.35delG mutation by itself explained the etiology in 24% of our ARSNHL group. In one (5%) of the 20 patients of MLPA group, a hemizygous deletion in POU3F4 gene was detected.
Conclusion: In our Turkish cohort, we applied a first-line molecular genetic evaluation approach using G . GJB2 gene sequence analysis and mtDNA in .1555A> G RFLP analysis. This approach revealed the genetic etiology of 44.1% of our index patients. Additionaly, the results of hearing loss MLPA analysis revealed the limited role of copy number changes in this patient group. Furthermore, with a detailed genotype-phenotype association workup, 2 rare cases of Deafness with Palmoplantar Hyperkeratosis and Keratitis-lchthyosis-Deafness syndrome were reported.
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Deafness hearing loss genetics GJB2
Endoscopic dacryocystorhinostomy: outcomes using mucosal flap preserving technique
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Çukurova, I (Cukurova, Ibrahim) ; Mercan, GC (Mercan, Gul Caner) ; Çetinkaya, E (Cetinkaya, Erdem) ; Gümüsssoy, M (Gumusssoy, Murat) ; Söken, H (Soken, Hakan)
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EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
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Currently, transnasal approaches are preferred widely for treating chronic dacryocystitis. Restenosis which count for the most common causes of failure in endoscopic dacryocystorhinostomy (EDCR) reduces the success rate. We intended to make a large fistula, potentially minimizing granulation tissue, and synechiae by means of creating a large bony ostium and preserving mucosal flaps and intubation with silicone tube (STI). In this study, long-term follow-up results of EDCR with mucosa preservation were discussed. 126 patients underwent endonasal DCRs from January 2004 to March 2009. A large ostium was created preserving mucosa; nasal and lacrimal flaps were approximated and the new ostium was stented with silicone tube. Surgical success rate was 93 % with STI and with preservation of nasal and lacrimal flaps. In conclusion, EDCR is an easy surgical procedure with low complication rates. Intranasal pathologies can also be corrected in the meantime. Success depends on creating a large bony ostium and preventing restenosis. EDCR preserving nasal and lacrimal flaps with STI is recommended as an alternative procedure in chronic dacryocystitis with high success rates.
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Nasal endoscopy Dacryocystorhinostomy (EDCR) Dacryocystitis Lacrimal gland Epiphora
A Rare Cause of Fluctuant Hearing Loss: Cerebellar Peduncle Cavernoma
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Arslan, IB (Arslan, Ilker Burak) ; Arslan, Y (Arslan, Yildiz) ; Mercan, GC (Mercan, Gul Caner) ; Aslan, GG (Aslan, Gulay Guclu) ; Çukurova, I (Cukurova, Ibrahim)
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JOURNAL OF NEUROLOGICAL SCIENCES-TURKISH
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Background: Cavernomas are an unusual type of intraparenchymal vascular malformations which are generally located in the cerebral hemispheres, brainstem and midbrain, but they occur rarely within cerebellum.
Case Report: A 41-year-old man with cavernoma of the middle cerebellar peduncle and complaints of tinnitus, hearing loss and vertigo was presented. Treatment was initiated with concurrent transtympanic and systemic corticosteroids. It was learned that, two years ago he had suffered from tinnitus, hearing loss and had been diagnosed as idiopathic high frequency hearing loss. Magnetic resonance imaging (MRI) revealed middle cerebellar peduncle localization of a 15x13 mm cavernoma with subacute hemorrhage. Auditory brainstem response showed lengthened in I-III and III-V interpeak latencies. The patient was managed conservatively. At the end of the third month hearing was improved significantly.
Conclusions: Consideration of clinical, audiological and imaging findings together is important for accurate diagnosis in sensorineural hearing loss.
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Cavernoma fluctuant hearing loss cerebellar peduncle
Outcomes of Tinnitus Masking Therapy in Patients Selected Based on Audiological and Psychological Criteria
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Ogut, F (Ogut, Fatih) ; Mercan, GC (Mercan, Gul Caner) ; Ozturk, K (Ozturk, Kerem) ; Bilgen, C (Bilgen, Cem) ; Kilic, MA (Kilic, Mehmet Akif) ; Pehlivan, M (Pehlivan, Murat) ; Kirazli, T (Kirazli, Tayfun)
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JOURNAL OF INTERNATIONAL ADVANCED OTOLOGY
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Background: It has been shown that tinnitus can be masked with acoustic signals. These signals must be tailored for each patient and can be incorporated to a hearing aid to assist hearing loss accompanying hearing loss. Psychological criteria are as important as audiological criteria in patient selection to achieve success in tinnitus therapy.
Objective: To assess the effectiveness of wide-band acoustic signals based on tinnitus frequency for each individual patient, delivered through a hearing-aid to aid in relief of tinnitus (Tinnitus masking therapy-TMT). Tinnitus handicap scales were used to assess the degree of relief both in 42 patients with normal hearing or some degree of hearing loss.
Results: The relief from annoyance was 55.9% and decrease of negative effect on life was 67.2% after three months of treatment. Total rate for any degree of relief was 79.3% in normal hearing group, where in hearing-loss group it remained at 61.2%. Emotional, social and hearing-related scores were similar evaluated by different types of questionnaires. Intensity of masking noise was decreased gradually in all patients but two. Five patients who were completely free of tinnitus completed follow-up although they stopped using their hearing aids.
Conclusion: We conclude that the success rates, cost-effectiveness and absence of side effects makes TMT first choice treatment method in all tinnitus patients either with normal hearing or sensorineural hearing loss. The key to success is proper patient selection based on various audiological, clinical and psychological parameters. Regular follow-up is essential.
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PSYCHOMETRIC PROPERTIES HANDICAP QUESTIONNAIRE RETRAINING THERAPY CLINICAL-TRIAL MELATONIN
Bilateral Sudden Hearing Loss Due to Carbonmonoxide Poisoning: Case Report
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Çelik, BA (Celik, Buket Aslan) ; Çukurova, I (Cukurova, Ibrahim) ; Kaptaner, S (Kaptaner, Suat) ; Mercan, GC (Mercan, Gul Caner) ; Yigitbasi, OG (Yigitbasi, Orhan Gazi)
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TURKIYE KLINIKLERI TIP BILIMLERI DERGISI
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Carbon monoxide (CO) poisoning is the leading cause of intoxications that occur as a result of chemical agent inhalation, and affects all systems particularly the cardiovascular and central nervous system; causing fatal complications-Although it is known to cause cochleovestibular dysfunction, sudden hearing loss related to CO intoxication is encountered quite rarely. A case with bilateral sudden hearing loss occurring as a complication of carbon monoxide intoxication is presented in order to stress possible otologic effects which may occur besides systemic effects and possible physiopathologic mechanisms are discussed.
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Carbon monoxide poisoning hearing loss sudden