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    Childhood Traumas and Personality Traits' Impact on Rhinoplasty Decision
    (Springer, 2024) Yilmaz, Yavuz; Aksoy, Ahmet; Altuntas, Emine Elif
    ObjectiveAesthetic surgeries are increasingly common procedures today, with rhinoplasty being the most frequently performed. The desire for improved appearance is closely linked to an individual's psychological health. It is known that patients seeking rhinoplasty tend to be more anxious and have experienced more negative childhood experiences. However, the impact of personality traits and adverse childhood experiences on the decision to undergo rhinoplasty remains unclear.MethodsThe study included 256 individuals, consisting of 106 who had undergone rhinoplasty, 46 considering rhinoplasty, and 104 not considering rhinoplasty. All participants completed the Eysenck Personality Questionnaire Revised Short Form and the Childhood Trauma Questionnaire.ResultsNeuroticism increased the likelihood of undergoing rhinoplasty by 16.3%, and this rate rose to 29.3% if a family member had undergone rhinoplasty. Psychoticism increased the likelihood by 15.4%, and the rate increased to 19.1% if no family member had undergone rhinoplasty. Extraversion increased the likelihood by 24.4%, and this rose to 30.9% if a family member had undergone rhinoplasty. Emotional abuse, mediated by neuroticism, increased the likelihood of undergoing rhinoplasty by 5.4%, and this increased to 17.7% if a family member had undergone rhinoplasty. Physical neglect increased the likelihood by 17.9%, and this rate rose to 22% if no family member had undergone rhinoplasty.ConclusionOur findings indicate that both personality traits and childhood traumas influence the decision to undergo rhinoplasty. These results will serve as an important guide for future research.Level of Evidence IIThis 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.
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    Comprehensive evaluation of deep neck infections: A retrospective analysis of 111 cases
    (Wiley, 2024) Aksoy, Ahmet; Demirkiran, Berat Baturay; Bora, Adem; Dogan, Mansur; Altuntas, Emine Elif
    Purpose: Our study will analyze patients' clinical characteristics, treatment strategies, and complications with deep neck infection (DNI) using their medical records for five years. Methods: The present study included 111 patients diagnosed with DNI in our clinic between January 2018 and March 2023. The patients' complaints at admission, sociodemographic characteristics, season of diagnosis, findings from laboratory tests, radiological imaging performed at the time of first diagnosis, abscess localization, medical and surgical treatment methods used, and complications developing during follow-up were retrospectively examined. Results: The mean age of the patients included in the study was 38.51 +/- 16.92 (6-87 years). There was a significant correlation between chronic disease, smoking behaviours, oral hygiene, and DNI among patients based on their sociodemographic characteristics and medical history (p < .005). DNI development did not differ by season (p > .005). Physical examination findings predominantly revealed neck masses (39.6%) and peritonsillar abscesses (32.4%), and patients with peritonsillar abscesses had a shorter length of hospital stay than those with other localizations. No severe complications occurred during the clinical follow-up. Conclusion: Chronic diseases, smoking, and poor oral hygiene are the primary risk factors for developing DNIs. If an abscess is located in a critical area, it may require extended hospitalization and surgery under general anesthesia. Therefore, addressing these risk factors and encouraging good oral hygiene practices are crucial to preventing DNIs and reducing the need for intensive treatment.
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    Evaluation of the Nasal Olfactory Mucosal Area in Patients Affected by Olfactory Dysfunction Associated with Coronavirus Disease 2019
    (AVES, 2023) Aksoy, Ahmet; Çırakoğlu, Mehmet Furkan; Bingöl, Fatih; Bingöl, Buket Özel
    Objective: While researchers have posited various factors, the precise etiology of anosmia in coronavirus disease 2019 (COVID-19) patients remains elusive. We aimed to investigate the relationship between the status of the nasal olfactory mucosal area and medical and demographic variables in patients with COVID-19-related olfactory dysfunction. Methods: In a retrospective analysis, we scrutinized data from 65 adult COVID-19 patients who exhibited olfactory impairment, excluding those with specific medical histories or age-related criteria. Our assessment comprised the analysis of paranasal sinus computed tomography scans to assess inflammation within the nasal olfactory mucosa. Olfactory testing was not employed in this study. We conducted a comprehensive investigation to explore potential associations with gender, age, septal deviation status, taste disorders, and the timing of the onset of olfactory dysfunction. Results: The average age of the patients was 31.6 ± 12.4 years, with 18 (27.7%) male and 47 (72.3%) female patients. Of 65 patients, 43 (66.2%) reported olfactory dysfunction simultaneously with COVID-19, while 22 (33.8%) experi-enced it after testing positive. Taste abnormalities were present in 49 patients (75.4%). Thirty-seven patients (56.9%) had a nasal septum deviation. Inflammation in the olfactory mucosal region was found in 8 patients (12.3%). The study did not find any significant association between inflammation in the olfactory mucosa and factors like age, gender, taste disorders, or the type of olfactory dysfunction. Still, a significant correlation was found between inflammation in the olfactory mucosal region and nasal septal deviation (P = .009). Conclusion: In COVID-19 patients with olfactory dysfunction, nasal septal deviation was the most common accom-panying factor with olfactory mucosal area inflammation, suggesting it may be a potential risk factor. © Author(s).
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    Isolated Cricoid Cartilage Fracture After Blunt Thoracocervical Trauma: A Case Report
    (Emergency Medicine Physicians Assoc Turkey, 2024) Aksoy, Ahmet; Guresci, Kursat
    Although cricoid cartilage fracture is rare because of the firm and stable structure of the cricoid cartilage, it can cause fatal complications. Prompt diagnosis and rapid airway safety are incredibly vital. A 24-year-old male patient was admitted to the emergency department due to blunt trauma to the thoracocervical region. The computed tomography taken after the first interventions detected a displaced fracture of the cricoid cartilage. In light of the patient's clinical findings, the patient was treated conservatively and non-surgically with close follow-up of the airway safety.
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    Migration of the Dental Implant Into Sinus and Secondary Odontogenic Maxillary Sinusitis: Case Report
    (Sivas Cumhuriyet Üniversitesi, 2024) Aksoy, Ahmet; Salık, Kazım Tuğberk; Avşar, Burak; Ergül, Deniz
    Due to the close relationship between the maxillary sinus and the posterior maxillary tooth apices, oro-antral fistula and maxillary sinusitis may occur after interventional procedures performed in this region. In this case, a 53-year-old male patient placed an implant for his left second premolar tooth 7 months ago, but migration of the implant into the maxillary sinus has been detected. Nasal endoscopic examination revealed edema and hyperemia at the level of the left maxillary sinus ostium, but no foreign body was observed. A hyperdense image was reported on paranasal sinus tomography, narrowing the left maxillary sinus ostium and creating an obstruction in the osteomeatal unit. Surgical intervention was planned for the patient, implant material was removed, and the maxillary sinus was cleared of inflamed tissues by the functional endoscopic sinus surgery performed under general anesthesia. With this case that we present to the literature, we aimed to draw attention to odontogenic factors in the etiology of maxillary sinusitis and to raise awareness for the diagnosis and treatment of the disease.
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    Our 5-Year Clinical Experience in Idiopathic Sudden Sensorineural Hearing Loss
    (Aves, 2023) Aksoy, Ahmet; Gungor, Ozge Ozata
    Background: The aim of the study was to determine which steroids effectively treat idiopathic sudden sensorineural hearing loss (ISSNHL). Methods: Records of patients who were followed up for ISSNHL diagnosis between 2014 and 2018 were retrospectively analyzed. The efficacy of different steroids (systemic, intratympanic, and systemic + intratympanic) in the treatment of ISSNHL was evaluated. Eighty-nine patients diagnosed with ISSNHL were included in the study. In addition to steroid treatment, all groups received standard treatment. It was observed that 43 patients received steroid treatment orally, 17 received intratympanic, and the remaining 23 received combination treatment. The recovery was evaluated according to the modified Siegel's criteria. Results: The mean age of the patients was 50.2 +/- 14.7 years; 60% (n = 53) were male, and 40% (n = 36) were female. The median values of pure tone averages before treatment were 43.41 +/- 17.92 dB, 53.9 +/- 14.70 dB, and 51.86 +/- 12.76 dB in the systemic steroid, intratympanic steroid, and combined treatment groups, respectively. After treatment, hearing levels improved by 22.62 +/- 15.87 dB, 38.4 +/- 18.83 dB, and 34.26 +/- 17.98 dB, respectively. The treatment efficacy of the groups was statistically significant in terms of pure tone averages (P <.05). The improvement rate with systemic treatment was 4.25 times higher than that of intratympanic treatment. There was no significant difference between patients who received intratympanic treatment and those who received combination therapy (P =.55). There was no significant difference between patients receiving systemic and combination treatments (P =.058). Conclusion: Systemic steroids are more effective than intratympanic treatment for ISSNHL. This study showed that systemic steroids were more effective during initial treatment.