Dil ve Konuşma Terapisi Bölümü Makale Koleksiyonu

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https://hdl.handle.net/20.500.12713/189

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Zihinsel engelli 3-7 yaş arasındaki çocuklarda sesletim (Artikülasyon) bozukluklarının değerlendirilmesi
(DergiPark, 2017) Ünsal, Selim; Uçak, Meryem Merve; Bal, Fatih; Sarıgül, Ahmet Yasin; Cengiz, Deniz Uğur
Introduction: The aim of this thesis is to make a scientific research about the effects of mental deficiency on articulation disorders in mentally retarded children by comparing those children to the regular ones and provide the findings. Methods: The sample group of the research consists of 30 children (23 males and 7 females) with mild mental retardation whose ages range from 3 to 7 years old and 30 children (13males and 17 females) with regular mental development. The participants receive education in a special education and rehabilitation centre located. Both of the sample groups have received Ankara Articulation Test (AAT) developed by Ege, Acarlar and Turan (2004). The effects of family income, educational background of the family, gender and age factors on articulation disorders have been examined.Getting a hıgh score from AAT test shows that is articulation disorder. Results: Mentally retarded children got higher scores than the children with normal development (p=0,000). When these two groups analysed in terms of gender, it is identified that there is a huge difference between the genders in respect to articulation sores (p?0,05). When the groups analysed according to their economic situation, mentally retarded children coming from low and lower-middle income families have less articulation problems than those who are in the high- income group (p?0,05). When the groups analysed according to educational backgrounds of the parents, there is no statistically striking difference (p>0,05), in lower education than high school while there is a noticeable difference in higher education than high school. (p?0,05).When the groups analysed according to the age factor,articulation points with no meaningful difference in the direction 3-4 years (p>0,05) but significant difference was observed between the two groups in age 5-6-7 (p?0,05). Discussion and Conclusion: Children with mild mental disabilities has articulation disorder more than the normal children
Pediatric nodular fasciitis in the head and neck region
(DergiPark, 2021) Kesimli, Mustafa Caner; Yağcı, İbrahim; Yılmaz, Eren; Bayram, Ayel; Ünal, Murat
Nodular fasciit is a rare benign tumor and may occur anywhere in the body. Pediatric patients constitute approximately 10% of the entire patient group. The disease may show clinical and pathological features resembling malignancy. Therefore, it can be mistaken as sarcoma. This report shows two cases of pediatric nodular fasciitis localized in the parotid region and maxillary sinus.
A simple method for olfactory rehabilitation following total laryngectomy
(Springer Link, 2021) Kesimli, Mustafa Caner; Kaya, Deniz; Aydemir, Levent; Durmaz, Haci Omer
Purpose: The aim of the study is to demonstrate the effectiveness of spraying odor particles using sinus rinse kits for olfactory rehabilitation in patients with total laryngectomy. Methods: Olfactory rehabilitation was performed by applying four different odorant particles orthonasally using a sinus rinse kit pump for 30 min each day for a duration of 6 months. Olfactory function was evaluated by performing olfactory tests before the rehabilitation and at sixth month after the rehabilitation process. Results: The average CCCRC score prior to olfactory rehabilitation was 2.28 ± 0.79 (between 1.50 and 3.75), while it was 4.46 ± 0.5 (between 3.50 and 5.25) out of a maximum score of 7 after 6 months of olfactory rehabilitation (p value < 0.0001) CONCLUSION: Our results suggest that the use of sinus rinse kits is very simple, inexpensive, easy-to-use, and effective in providing passive olfaction to patients requiring olfactory rehabilitation.
Hearing status in vitamin B12-deficient children
(WILEY, 2021) Akyay, Arzu; Soylu, Erkan; Ünsal, Selim; Demirol, Hatice; Bahçeci, Semiha
Aim: The aim of this study is to investigate the effects of vitamin B12 deficiency on hearing in school-aged children by pure-tone audiometry. Methods: Forty-three vitamin B12-deficient children and 37 age-matched control subjects were enrolled in the study. Tympanometric evaluations and pure-tone audiometry including high frequencies were performed on the subjects. The results were compared between the two groups. Results: Both right and left ear pure-tone hearing thresholds (PTHTs) at 0.25-4 kHz, and four-frequency pure-tone average values were significantly better in the control group compared with the patient group (P < 0.05). However, PTHTs at 8-16 kHz were not different between the two groups (P > 0.05). Vitamin B12 level also did not show any significant correlation with the PTHTs at 0.25-16 kHz (P > 0.05). Conclusion: This study indicates that vitamin B12 deficiency may contribute to hearing impairment at low frequencies as a possible aetiological factor in children.
Dil ve konuşma terapisi bölümü öğrencilerinin ders seçim sürecinde karşılaştıkları sorunlar
(DergiPark, 2020) Irklı, Furkan; Çelik, Seher; Çiyiltepe, Müge Müzeyyen
Amaç: Ders seçimi; öğrencilerin mesleki gelişimlerini etkileyen önemli süreçlerden biridir ve bu süreçte karşılaşılan sorunlar öğrencilerin öğrenim süresini uzatabilir, derslerdeki yeterliliklerini etkileyebilir, uygulamalar sırasında ders almayı zorunlu kılabilir, mesleki gelişimi için gerekli olan dersleri daha az almasına veya mesleki gelişimi için gerekli olmayan dersleri almasına neden olabilir. Bu nedenle ders seçim sürecinde karşılaşılan sorunların araştırılması önemlidir. Bu çalışma Dil ve Konuşma Terapisi Bölümü (DKTB) lisans öğrencilerinin ve lisans mezunlarının ders seçim sürecinde karşılaştıkları sorunları incelemeyi amaçlamaktadır. Yöntem: Çalışma kapsamında 7 üniversiteden DKTB lisans öğrencisi veya lisans mezunu 152 katılımcıya ulaşılmıştır. 25 katılımcının daha önce ders seçim sürecinde bulunmadığı göz önünde bulundurularak, bu katılımcılar çalışma dışında tutulmuş ve kalan 127 katılımcıdan elde edilen veriler bu çalışmaya dahil edilmiştir. Çalışma verileri; öğrencilere yöneltilen 3’ü çoktan seçmeli, 30’u likert tip ölçek olmak üzere toplam 33 maddeden oluşan anket sonuçlarının analizidir. Anket maddeleri üniversite, yönetmelik, öğrenci işleri ve sistem kaynaklı; bilgilendirme eksikliği ve danışman kaynaklı; kişisel nedenlerden kaynaklı karşılaşılan sorunlar başlıkları altında 3 kategoriye ayrılmış ve betimsel araştırma modeli ile değerlendirilmiştir. Veriler frekans analizi ve çapraz tablo teknikleri kullanılarak çözümlenmiştir. Bulgular ve Sonuç: Üniversite, yönetmelik, öğrenci işleri ve sistem kaynaklı karşılaşılan sorunlar başlığı altında bulunan maddeler arasında katılımcılar en çok; seçmeli dersler arasında yeteri kadar alternatif olmadığı için ders seçim sürecinde sorun yaşamaktadır(%87,4). Bilgilendirme eksikliği ve danışman kaynaklı sorunlar başlığı altında bulunan maddeler arasında katılımcılar en çok; bilgilendirme eksikliği nedeniyle ders seçim sürecinde sorun yaşamaktadır(%78). Kişisel nedenlerden kaynaklı karşılaşılan sorunlar başlığı altında bulunan maddeler arasında katılımcılar en çok; ders içeriğine yönelik bilgisizliği/düşünceleri/ön yargıları nedeniyle ders seçim sürecinde sorun yaşamaktadır(%78,7). Bu anlamda ulaşılan sonuçların, DKTB lisans öğrencilerinin ders seçim sürecinde yaşadığı sorunlara çözümsel yaklaşım için veri ortaya koyacağı düşünülmektedir
Evaluation of the effect of frequency-shifting technique used in hearing aids for speech discrimination
(2021) Palabıyık, Gökhan; Ünsal, Selim; Gündüz, Mehmet
Background: To evaluate the effect of frequency-shifting techniques recently used in hearing aids for speech discrimination scores and hearing thresholds. Methods: Thirty individuals (16 men and 14 women) with sensorineural hearing loss who used normal fitting monaural hearing aids and frequency-shifting feature for at least 2 months and whose 4000–8000 Hz hearing threshold was over 70 dB participated. The average age was 69.73 ± 10 (range: 65–80 years). We detected the types and degree of each participant’s hearing loss. Measurements with and without hearing aids were made in a free field. For speech discrimination scores, 6 listings consisting of 25 monosyllables have been used. It has been avoided to learn words thanks to presentation of words in different listings to subjects. Results: Pure-tone averages of the participants were measured using a supra-aural headphone, normal fitting hearing aid, and frequency-shifting feature. The results were 55.93 ± 6.89, 40.47 ± 5.48, and 36.73 ± 5.72 dB, respectively (p?0.05). Speech discrimination scores for hearing aids worn on the right ear were measured as 67.73 ± 12.42%, 77.33 ± 10.33%, and 82.13 ± 10.46% with supra-aural headphones, normal fitting hearing aids, and frequency-shifting feature, respectively. Scores for hearing aids worn on the left ear were 68 ± 7.56%, 76.80 ± 6.96%, and 82.13 ± 6.67% with supra-aural headphone, normal fitting hearing aid, and frequency-shifting feature, respectively (p?0.05). Conclusion: Elderly individuals using hearing aids had low speech discrimination scores. The frequency-shifting feature recently used in hearing aids significantly increased the scores, making a significant contribution to the solution of speech reception and communication problems in cases of high-frequency hearing loss caused by presbyacusis in elderly individuals.
Evaluation of vestibular system with vHIT in industrial workers with noise-induced hearing loss
(Springer, 2018) Yılmaz, Nihat; İla, Kadri; Söylemez, Emre; Özdek, Ali
PurposeIndustrial workers are frequently exposed to noise and the noise can cause hearing loss. The relationship between vestibular abnormalities and long-term exposure to occupational noise has been reported. The aim of this study was to use vHIT (video head impulse test) to evaluate the semicircular canal's function in industrial workers with noise-induced hearing loss.MethodsIn the present study, we included 36 male patients (aged 28-55years, mean 44.46.1years) with hearing loss due to noise exposure from working in the steel and metal industry for at least 4years, and a control group of 30 healthy men (aged 34-50years, mean 41.14.5years) without hearing loss. The gain of the vestibulo-ocular reflex for all 6 semicircular canals was examined by vHIT in 66 patients.Results p id=Par3 Canal deficit was detected in 20 (55.5%) of 36 patients in the noise exposure hearing loss group and was detected in 2 (6.6%) of 30 participants in the control group. There was significant loss of capacity for VOR gain in patients with noise exposure hearing loss.Conclusions p id=Par4 In the present study we found that exposure to noise can cause vestibular dysfunction. And the vHIT is easily applicable, quick and practical and can individually evaluate all semicircular channels. Therefore, to evaluate vestibular function with vHIT is quick and practical.
Evaluation of articulation disorder on mental disabled children between 3-7 ages
(Galenos Yayincilik,, 2017) Ünsal, Selim; Uçak, Meryem Merve; Bal, Fatih; Sarıgül, Ahmet Yasin; Cengiz, Deniz Uğur
Introduction: The aim of this thesis is to make a scientific research about the effects of mental deficiency on articulation disorders in mentally retarded children by comparing those children to the regular ones and provide the findings. Methods: The sample group of the research consists of 30 children (23 males and 7 females) with mild mental retardation whose ages range from 3 to 7 years old and 30 children (13males and 17 females) with regular mental development. The participants receive education in a special education and rehabilitation centre located. Both of the sample groups have received Ankara Articulation Test (AAT) developed by Ege, Acarlar and Turan (2004). The effects of family income, educational background of the family, gender and age factors on articulation disorders have been examined.Getting a hıgh score from AAT test shows that is articulation disorder. Results: Mentally retarded children got higher scores than the children with normal development (p=0,000). When these two groups analysed in terms of gender, it is identified that there is a huge difference between the genders in respect to articulation sores (p?0,05). When the groups analysed according to their economic situation, mentally retarded children coming from low and lower-middle income families have less articulation problems than those who are in the high-income group (p?0,05). When the groups analysed according to educational backgrounds of the parents, there is no statistically striking difference (p>0,05), in lower education than high school while there is a noticeable difference in higher education than high school. (p?0,05).When the groups analysed according to the age factor,articulation points with no meaningful difference in the direction 3-4 years (p>0,05) but significant difference was observed between the two groups in age 5-6-7 (p?0,05). Discussion and Conclusion: Children with mild mental disabilities has articulation disorder more than the normal children. © 2017, Galenos Yayincilik. All rights reserved.
Peripheral and central vestibular system findings in Meniere's disease
(International Tinnitus Journal, 2019) Ünsal, Selim; Gümüş N.M.; Gündüz M.
Aim: Meniere's Disease (MD) is a chronic disease that is characterized by intermittent episodes of tinnitus, vertigo, and progressive-fluctuating sensorineural hearing loss together with aural fullness. The aim of this study is to evaluate Meniere's disease patients with vestibular test battery as Videonystagmography (VNG), Vestibular Evoked Myogenic Potentials (VEMPs) and Video Head Impulse Test (V-HIT) to assess peripheral and central vestibular systems. Methods: 16 bilateral, 17 unilateral patients suffering from MD (mean age, 40.90 years, range, 23 to 66 years; 20 women and 13 men) comprised the study group, and 39 healthy (mean age, 38.10 years, range from 21 to 60 years; 22 women and 17 men) volunteers formed control group. Evaluation of peripheral and central vestibular systems changes with oculomotor tests, caloric test, C-VEMPs, O-VEMPs, and the evaluation of the vestibular ocular reflex (VOR) using the V-HIT. Result: Twenty-six ears out of the forty-nine ears that were affected by Meniere's disease were diagnosed as otolith or ampullary dysfunction. As to O-VEMPs testing, N1 and P1 waves could not be obtained from thirty of the forty-nine ears affected by Meniere's disease. As for obtained N1 and P1 waves, prolonged N1 and P1 wave latencies, and reduced amplitude was observed in Meniere's group. P1 and N1 waves were not observed in 5 bilateral and 2 unilateral Meniere's patients (12 ears out of 49 affected ears) in C-VEMPs recordings (23.9%). In Meniere's patients' group, 44.9% of the velocity gain values were obtained in the pathologic borders of v- HIT. In addition to lower velocity gain, higher ratios of asymmetry were obtained from the ears affected with Meniere's disease. Conclusion: According to these results, it can be concluded that Meniere's disease significantly affects the peripheral vestibular system but the functions of the central vestibular system were not affected. © 2019 International Tinnitus Journal. All rights reserved.
Satisfaction assessment with Abbreviated profile of hearing aid benefit (APHAB) questionnaire on people using hearing aid having real ear measurement (REM) eligibility
(International Tinnitus Journal, 2019) Turan S.; Ünsal, Selim; Kurtaran H.
Aim: Benefit and satisfaction from hearing aids can be measured in different ways. The aim of this study is to evaluate the benefits and satisfaction of the users from the hearing aids whose fitting are done suitably for hearing loss including ear mould. Material and method: In this study Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire which consists of 24 questions was used for hearing aid satisfaction assessment. Total 301 people having different type and degree hearing loss participated in the study. The ages of 141 men and 160 women participants were between 18-65 and the average age was 49.11 ± 13.89 year. 187 of the participants had hearing aid in only one ear and the 114 had in both ears. Degree of unilateral hearing loss was 31 slight, 64 moderate, 49 moderately severe, 35 severe and 8 profound. In the ear in which hearing aid was used, there was 134 sensorineural hearingloss, 53 mixture hearing loss. Degree of hearing loss of the people using hearing aid bilaterally was 24 slight, 79 moderate, 54 moderately severe, 48 severe and 23 profound. In 162 ears of people using hearing aid bilaterally there was sensorineural hearing loss and in 53 ears there was mixture hearing loss. Results: In right ear average score of the maximum satisfaction was between 4.23-5.75 and in left ear it was between 4.20-5.72. While the degree of hearing loss was increasing, the average of satisfaction score was decreasing. In terms of using unilateral and bilateral hearing aid, statistically considerable difference was found. In terms of hearing loss statistically considerable difference couldn't be found. Conclusion: Satisfaction of hearing aid is decreasing inversely proportional with increasing of hearing loss (slight- profound degree) While the furthest satisfaction for right and left ear was slight degree, the least satisfaction was observed for profound hearing loss. Aid using satisfaction changes depend on using the aid in the right ear or in the left ear. Using bilateral hearing aid has increased patient satisfaction much more. © 2019 International Tinnitus Journal. All rights reserved.
Evaluation of vestibular evoked myogenic potentials (VEMP) individuals with tinnitus and normal hearing
(International Tinnitus Journal, 2019) Admis A.; Ünsal S.; Gündüz M.
The aim the present study is to evaluate ocular and cervical Vestibular Evoked Myogenic Potentials (VEMPs) of adult individuals with and without tinnitus who have normal hearing. Thirty one patients who have normal hearing, complaining about unilateral or bilateral subjective tinnitus and 30 volunteers who without tinnitus and vestibular complains were enrolled into the present study. Following examination by of Ear Nose Throat (ENT) physician, Tinnitus Disability Questionnaire (TDQ), pure tone audiometry (125-16.000 Hz) speech tests, oVEMP and cVEMP tests were applied to all participants. Fourteen individuals with normal hearing and tinnitus were male (44%) and 17 (56%) were female with an age average of 35.8 ± 10.2.30 years; the control group consisted of 16 males (53%) and 14 females (47%) with an age average of 37.5 ± 12 years. Two individuals of the tinnitus group had bilateral tinnitus and 29 individuals had unilateral tinnitus. A statistically significant difference in individuals without tinnitus and tinnitus must be normal at work between test answers that are not available 125-16000 Hz range Air Conduction (AC) hearing thresholds, speech tests, cVEMP and oVEMP responses. Tinnitus may appear due to many reasons. Vestibular system is one of the conditions that can cause tinnitus. According to the findings obtained from adult individuals with normal hearing, the vestibular system does not cause tinnitus. © 2019 International Tinnitus Journal. All rights reserved.
Comparison of neural response telemetry (NRT) results of cochlear implanted children in view of pre-operative Auditory Brainstem Response (ABR)
(NLM (Medline), 2019) Ünsal, Selim; Gündüz M.
OBJECTIVES: To compare the Neural Response Telemetry (NRT) results of the cochlear implanted children who showed wave 5 and who could not, in preimplantation ABR. MATERIAL AND METHOD: 24 children (11 boys, 13 girls) with bilateral profound sensorineural hearing loss participated in this study. Age of children ranged between 13 and 60 months (mean 30 months). All participated children were implanted with Cochlear® Nucleus brand devices. In preoperative ABR evaluation with click stimulus in 100 dBnHL intensity level, 9 children showed wave V and 15 children did not. We compared intraoperative NRT results of 1st, 6th, 11th, 16th and 22nd electrodes, those were selected from 22 electrodes, of the two groups. RESULTS: There was no statistically significant difference between the children who showed wave V and who did not in preoperative ABR, when compared the intraoperative NRT results of 1st, 6th, 11th, 16th and 22nd electrodes (p>0,05). CONCLUSION: intraoperative NRT was obtained in all the implanted children with bilateral profound sensorineural hearing loss, even if they received wave V or not in preoperative ABR. There was no difference between any of the parameters of the test results of the two groups. Normal NRT results can be achievable when there is no wave V in preoperative ABR.
Last-acquired-first-forgotten: Interpretation of turkish relative clauses in typically developing children and adults with broca’s aphasia
(Bogazici University Press, 2020) Özge D.; Çiyiltepe, Müge Müzeyyen; Tekman H.G.
The present study addresses whether adults with Broca’s aphasia who have damage in their Posterior Left Inferior Frontal Gyrus (PLIFG) show similar performance to typically developing children in their processing of complex syntax. We tested comprehension of Turkish relative clauses using a sentence-picture matching task in Broca’s patients and children with typical development (aged: 3;04-4;03). Both groups showed better performance in subject relative clauses compared to object relative clauses. Children's similar performance to Broca's patients might be due to the fact that PLIFG is a late-maturing neural region. Our participants had more errors in object relative clauses despite the first referent was the agent so there was no evidence for the agent-first strategy. Poor performance in object relative clauses was linked to the morphosyntactic complexity in these structures. © 2018 Boğaziçi Üniversitesi Yayınevi, İstanbul.
Recurrent multifocal pleomorphic adenoma of the parotid gland, a case report
(2018) Soysal, Vasıf; Cantürk, Mustafa; Atahan, Şafak; Kaya, Özgür Çakır; Günen, Abdullah
Pleomorphic adenoma is the most common benign tumor of the parotid gland .The treatment is surgery.The rate of reccurence is high when the enucleation surgery is performed. İn order to minimize the reccurences, a superficial parotidectomy by protecting facial nerve should be performed. Treatment for reccurences is total parotidectomy, recurrences may be single nodule or multifocal. Magnetic Resonance İmaging (MRI) is known to be the most important diagnostic method for recurrent multifocal pleomorphic adenmas. İn this article we present a recurrent multifocal pleomorphic adenoma of the parotid gland

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