Person: ENVER, NECATİ
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ENVER
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NECATİ
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Publication Metadata only A Very Rare Complication of Hyaluronic Acid Injection for Medialization Laryngoplasty: A Case With Laryngeal Abscess(MOSBY-ELSEVIER, 2020) ENVER, NECATİ; Enver, Necati; Asya, Orhan; Abuzaid, Ghazi; Gurol, EceHyaluronic acid injection for medialization laryngoplasty is a safe procedure performed on patients with glottic incompetence. Laryngeal abscess formation as a complication of injection laryngoplasty is a very rare complication, and, as we know from the literature, there has been only one case of laryngeal abscess after injection laryngoplasty in a patient with a type-I laryngeal cleft. We document for the first time a laryngeal abscess resulting from hyaluronic acid injection laryngoplasty for unilateral vocal fold paralysis. Prompt evaluation of the patient was necessary. Our patient was treated with antibiotics and corticosteroids without a need for intubation. One year after injection, the patient's Voice Handicap Index-10 score was still good and within the range of normal values.Publication Open Access Laryngoscopic Examination During the COVID-19 Pandemic: Turkish Voice Speech and Swallowing Disorders Society and Turkish Professional Voice Society Recommendations(GALENOS YAYINCILIK, 2021-01-18) ENVER, NECATİ; Cobanoglu, H. Bengu; Enver, Necati; Akbulut, Sevtap; Atmis, E. Ozlem; Birkent, Hakan; Buyukatalay, Ciler; Demirhan, Erhan; Denizoglu, Ilter; Hasimli, Ramil; Korkmaz, Muge Ozcelik; Ozgursoy, Selmin Karatayli; Ozturk, Kayhan; Paltura, Ceki; Sirin, Seher; Tatar, Emel Cadalli; Tuzuner, Arzu; Yelken, Kursat; Coskun, H. Hakan; Oguz, Haldun; Oz, FerhanCOVID-19 is highly transmissible and spreads rapidly in the population. This increases the occupational risk for health care workers. In otolaryngology clinic practice, patients with upper respiratory tract infection symptoms are common. Also, routine head and neck examinations such as oral cavity examination, nasal/nasopharyngeal examination, or video laryngostroboscopic evaluation are highly risky because of the aerosol formation. To emphasize this issue, two leading otolaryngology organizations in Turkey; 'Voice Speech and Swallowing Disorders Society', and 'Professional Voice Society' gathered a task force. This task force aimed to prepare a consensus report that would provide practical recommendations of the safety measurements during routine clinical care of laryngology patients. To fulfill this, universal aim, on the 2nd and 9th of May 2020, two web-based meetings were conducted by 20 expert physicians. This eighteen items list was prepared as an output.Publication Open Access Sarcopenic dysphagia following COVID-19 infection: A new danger(WILEY, 2021-08) TUFAN ÇİNÇİN, ASLI; Can, Busra; Ismagulova, Narkiza; Enver, Necati; Tufan, Asli; Cinel, IsmailOropharyngeal dysphagia is one of the complications of endotracheal intubation. As expected, cases of dysphagia following coronavirus disease 2019 (COVID-19) reported to date have all been intubated. We here report a case of sarcopenic dysphagia following severe COVID-19 pneumonia in a nonintubated older adult. The patient was an 85-year-old male who was readmitted to the hospital with dysphagia and subsequent aspiration pneumonia in the first week after his discharge from the COVID-19 unit. On physical examination, the patient was sarcopenic and malnourished. Flexible endoscopic evaluation of swallowing (FEES) revealed aspiration into the airway. Enteral feeding was initiated and the infusion rate gradually increased to achieve the desired protein-energy targets. Control FEES 2 months after discharge showed recovery of swallowing function, with no apparent penetration or aspiration. Clinicians caring for patients with COVID-19 should be aware that dysphagia, which is associated with increased mortality in older adults, may occur even in the absence of intubation. We recommend that the evaluation of dysphagia be part of the clinical assessment in older COVID-19 patients with malnutrition or sarcopenia.Publication Open Access The promising role of Gelsolin expression to predict survival in patients with squamous cell carcinoma of the larynx(2021-06) BATMAN, ABDULLAH ÇAĞLAR; Şahin, Akın; Enver, Necati; Erçetin, Selim Yiğit; Cinel, Zeliha Leyla; Batman, Abdullah ÇağlarPublication Open Access Using generative artificial intelligence in the production and dissemination of innovation in otolaryngology—ethical considerations(2023-01-01) ENVER, NECATİ; Khoury C. J., ENVER N., Paderno A., Ratti E., Rameau A.A team of otolaryngologists is studying the efficacy of early detection strategies in patients affected by idiopathic subglottic stenosis. They use an interactive artificial intelligence (AI) chatbot to prompt patients to report symptoms from home to remotely monitor the progression of stenosis. The chatbot prompts patients to provide feedback on their satisfaction with remote monitoring. Primary endpoints include extent of stenosis at evaluation (noted by flexible laryngoscopy in the office), number of unnecessary visits, and frequency of surgical interventions to relieve stenosis, such as CO2‐laser use, balloon dilation, or laryngotracheal resection. Secondary endpoints include oxygen saturation, spirometry score, pulse, and patient‐reported outcomes. Because idiopathic subglottic stenosis is rare, the study did not have as large of a data set as they had hoped. Therefore, the team augments their existing data set via a generative adversarial network (GAN) trained on their existing data. The team reports significant improvement in the measured endpoints, with marked decrease in unnecessary visits and surgeries. The team has become occupied with clinical duties and does not have time to compose the manuscript. Moreover, they have a history of submitting poorly written manuscripts. Therefore, they decide to use generative AI to aid in manuscript production.Publication Metadata only YouTube (TM) as an information source for larynx cancer: a systematic review of video content(SPRINGER, 2020) ENVER, NECATİ; Enver, Necati; Doruk, Can; Kara, Hakan; Gurol, Ece; Incaz, Sefa; Mamadova, UlkerPurpose The increasing availability of Internet as a health-care source causes both positive and negative effects on public health. Though reaching to information about diseases is faster and easier, the contents are not always correct and might be misleading. In our study, we aim to investigate the quality of YouTube (TM) videos on larynx cancer. Methods A YouTube (TM) search by using terms throat cancer and larynx cancer was done and, after eliminating the irrelevant videos, the first 200 videos were evaluated by three authors on quality, content and usefulness by using a pre-developed questionnaire. Videos were categorized according to the type and uploader separately to two (testimonial and educational) and five groups (health care, university, individual users, television channel/news and undetermined), respectively. Results Videos that are uploaded by university-affiliated accounts have significantly better audiovisual quality score and have significantly higher accuracy and usefulness score results. Furthermore, the accuracy and usefulness scores of the educational group were found to be statistically higher than those of the testimonial group. Conclusions Videos uploaded by universities and videos that are created for educational purposes are superior to other sources in terms of quality, accuracy and content. Patient information videos discussing common health problems should be prepared and disseminated only by universities or health-care institutionsPublication Metadata only Awareness of Thyroid Surgeons on Voice and Airway Complications: An Attitude Survey in Turkey(MOSBY-ELSEVIER, 2021) ENVER, NECATİ; Enver, Necati; Doruk, Can; Sormaz, Ismail C.; Makay, Ozer; Uludag, MehmetIntroduction. Thyroidectomy is one of the most commonly performed surgical procedures. Preoperative patient education and postoperative management of complications are vital to avoid postoperative medicolegal problems. Objective. The aim of this study was to assess the attitudes of thyroid surgeons about voice and airway complications of the surgery and the approaches used to avoid or handle these complications. Methods. A questionnaire based on surgeons' attitudes and behaviors on thyroidectomy was answered by 177 thyroid surgeons. Questions regarding demographic information, preoperative information methods, preoperative laryngeal examination, intraoperative nerve preservation techniques, and methods to avoid and handle postoperative complications were asked. Surgeons who completed the questionnaire were divided into three groups based on their annual volumes: less than 50 (low volume), 50-100 (middle volume), and more than 100 (high volume) for statistical analysis. The differences between the subgroups were compared using the chi-squared test. Results. During the preoperative disclosure, nearly all surgeons (97.2%) gave information about possible hoarseness; however, this high rate fell to 79.7% for possible voice changes, and to the lowest level of 36.7% for ability to change the voice pitch. Only 53.7% of the surgeons discussed the possibility of postoperative tracheostomy requirement. The surgeons with high annual volumes were found to perform vocal fold examination prior to a second surgery significantly higher than other groups (P=0.015). In the postoperative period, 84.2% of physicians indicated that they perform a laryngoscopic examination only for patients with voice problems. There was no statistically important difference between subgroups. Conclusions. Our study is unique to provide information from the surgeons' perspective by evaluating preoperative patient information, and intraoperative and postoperative protective and curative methods. The training of residents and fellows who are expected to perform thyroidectomies can be revised to compromise all aspects of complications.Publication Metadata only Readibility, Understandability, and Quality of Online Education Materials for Vocal Fold Nodules(MOSBY-ELSEVIER, 2020) ENVER, NECATİ; Doruk, Can; Enver, Necati; Caytemel, Berkay; Azezli, Elad; Basaran, BoraObjective. Vocal fold nodules are benign vocal fold lesions that can adversely affect quality of life. Differential diagnosis and treatment modalities of this disease are variable and patients often tend to use online materials to learn the insights. Access to knowledge via Internet is very easy; however, it is important to choose wisely because false and biased information might lead the patient to an inappropriate decision. In this study, we have evaluated the quality, readability, and understandability of online materials for vocal fold nodules. Methods. An Internet search was performed for Vocal fold nodule, vocal fold nodule treatment, and voice therapy for vocal fold nodule by using Google search engine. Readability of each website was evaluated by using v readable Understandability and actionability of pages were measured by using the Patient Education Materials Assessment Tool (PEMAT). In the end, DISCERN instrument was used to measure the quality of information presented. Results. After exclusion, total of 26 web pages were evaluated during the study. Four web pages graded as A level, 5 as B level, 11 as C level, and 5 as D level for language use. Average grade level for all of the web pages is 11.14 +/- 1.75. Overall understandability score was found 59.0+ 12.1 (26.7-77.1), and overall quality score was measured 34.95 + 6.58 (53.75-26.5). Conclusion. The quality, readability, and understandability of the written materials are very low and in order for patients to read and learn from the online sources, contents of the written materials should be revised.Publication Metadata only The Role of Vocal Fold Bowing on Cough and Swallowing Dysfunction in Progressive Supranuclear Palsy(WILEY, 2021) ENVER, NECATİ; Enver, Necati; Borders, James C.; Curtis, James A.; Sevitz, Jordanna S.; Vanegas-Arroyave, Nora; Troche, Michelle S.Objectives: Progressive supranuclear palsy (PSP) is a neurodegenerative disease which results in cough and swallowing dysfunction and aspiration pneumonia. Relationships among vocal fold atrophy, cough, and swallowing have been identified in related diseases, but remain unknown in PSP. This study examined: 1) the prevalence of vocal fold bowing in PSP, and 2) the influence of vocal fold bowing on cough and swallowing in PSP. Study Design: Prospective Cohort Study. Methods: Twenty-three participants with PSP completed instrumental assessments of cough and swallowing. Vocal fold bowing (BI) and swallowing safety (PAS) was assessed using flexible laryngoscopy. Measures of cough effectiveness were obtained using spirometry. Statistical analyses were used to determine the frequency of mild-moderate (BI > 0) and severe (BI > 12.2) bowing, and to assess the influence of BI on PAS and cough effectiveness in PSP. Results: Fifty-two percent (n = 12) of participants exhibited severe bowing while 48% (n = 11) exhibited mild-to-moderate bowing. Voluntary cough peak expiratory flow rate (P= .01), as well as reflex (P= .02) and voluntary (P= .005) cough volume acceleration were lower for participants with severe BI when compared to mild-to-moderate BI. However, BI did not influence PAS (P> .05). Conclusions: Findings from this study suggest that vocal fold bowing is highly prevalent in PSP and associated with reduced reflex and voluntary cough effectiveness. These findings provide insight into the pathophysiology of compromised airway protection in this patient population. Future studies should examine vocal fold atrophy as a treatment target for behavioral and medical intervention in PSP.Publication Metadata only Does Size Matter in Laryngology? Relation Between Body Height and Laryngeal Morphometry(MOSBY-ELSEVIER, 2021) ENVER, NECATİ; Enver, Necati; Doruk, Can; Kara, Erdogan; Kasali, Kamber; Asliyuksek, Hizir; Basaran, BoraObjective. Laryngeal framework surgery has been a topic of interest since last decades. To succeed with least morbidity, the most important step is mastering the anatomy of larynx. In this study, we aim to show the relation between body height and laryngeal morphometrics that are important during laryngeal framework surgeries. Data Sources. Larynges of 187 fresh cadavers were dissected within 24 hours after death at the Council of Forensic Medicine. Methods. Age, sex, weight, height, and a total of 12 measurements were taken from each cadaver. Results were subgrouped according to gender, age of 45, body height of 165 millimeters (mm), and thyroid cartilage height of 17 mm. These subgroups were compared for each measurement and ratio. Results. A positive correlation was found between body height and thyroid cartilage height (hTC), thyroid cartilage width, vocal fold length, and distance from projection of anterior commissure (pAC) to inferior border of thyroid cartilage (TIB). Male gender, higher body heights, and higher thyroid cartilage heights significantly higher results were obtained. The ratio between pAC-TIB distance to hTC was found to be 0.54 in males and 0.52 in females, and this ratio was not statistically different in subgroups. Conclusion. Although all of the laryngeal measurements were found to be statistically significant in patients with higher body height, the ratio between pAC-TIB distance to hTC was independent. Thus, especially in patients with body heights longer than average, it should be safer to use the midpoint of the thyroid cartilage as a landmark for anterior commissure.
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