Person: YÜKSEL, MUSTAFA
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YÜKSEL
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MUSTAFA
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Publication Open Access No Adverse Outcomes of Video-Assisted Thoracoscopic Surgery Resection of cT2 Non-Small Cell Lung Cancer during the Learning Curve Period(2017-08-05) YILDIZELİ, BEDRETTİN; Bilgi, Zeynep; Batırel, Hasan Fevzi; Yıldızeli, Bedrettin; Bostancı, Korkut; Laçin, Tunç; Yüksel, MustafaPublication Metadata only Reconstruction of sternal cleft with autologous cartilage graft in an adult(2015-06-01) ERMERAK, NEZİH ONUR; BOSTANCI, KORKUT; YÜKSEL, MUSTAFA; KURU P., ERMERAK N. O., BOSTANCI K., YÜKSEL M.Sternal cleft is a rare chest wall deformity associated with various malformations. Primary closure is the gold standard in the newborn period. Alternative techniques are possible for older patients. A 23-year-old woman with a partial sternal cleft and no additional deformity, underwent reconstruction using costal cartilage grafts. Postoperative physical and functional were excellent.Publication Metadata only Ultrasonografi̇ ile tanimlanan sternum kırığı(2006-10-16) LAÇİN, TUNÇ; BUĞDAYCI, ONUR; ÇİMŞİT, NURİ ÇAGATAY; BOSTANCI, KORKUT; YÜKSEL, MUSTAFA; CENGİÇ İ., LAÇİN T., BUĞDAYCI O., AKPINAR İ. N. , ÇİMŞİT N. Ç. , BOSTANCI K., YÜKSEL M.Publication Metadata only Music and psychoacoustic perception abilities in cochlear implant users with auditory neuropathy spectrum disorder(ELSEVIER IRELAND LTD, 2020) ÇİPRUT, AYŞE AYÇA; Yuksel, Mustafa; Ciprut, AycaObjective: Auditory neuropathy spectrum disorder (ANSD) is a condition wherein the pre-neural or cochlear outer hair cell activity is intact, but the neural activity in the auditory nerve is disrupted. Cochlear implant (CI) can be beneficial for subjects with ANSD; however, lithe is known about the music perception and psychoacoustic abilities of CI users with ANSD. Music perception in CI users is a multidimensional and complex ability requiring the contribution of both auditory and nonauditory abilities. Even though auditory abilities lay the foundation, the contribution of patient-related variables such as ANSD may affect the music perception. This study aimed to evaluate the psychoacoustic and music perception abilities of CI recipients with ANSD. Study design: Twelve CI users with ANSD and twelve age- and gendermatched CI users with sensorineural hearing loss (SNHL) were evaluated. Music perception abilities were measured using the Turkish version of the Clinical Assessment of Music Perception (T-CAMP) test. Psychoacoustic abilities were measured using the spectral ripple discrimination (SRD) and temporal modulation transfer function (TMTF) tests. In addition, the age of diagnosis and implantation was recorded. Results: Pitch direction discrimination (PDD), timbre recognition, SRD, and TMTF performance of CI users with ANSD were concordant with those reported in previous studies, and differences between ANSD and SNHL groups were not statistically significant. However, the ANSD group performed poorly compared with SNHL group in melody recognition subtest of T-CAMP, and the difference was statistically significant. Conclusion: CI can prove beneficial for patients with ANSD with respect to their music and psychoacoustic abilities, similar to patients with SNHL, except for melody recognition. Recognition of melodies requires both auditory and non-auditory abilities, and ANSD may have an extensive but subtle effect in the life of CI users.Publication Metadata only Variations in pulmonary fissural anatomy: a medicolegal autopsy study of 256 cases(WILEY, 2020) BATIREL, HASAN FEVZİ; Bostanci, Korkut; Ozyurtkan, Mehmet Oguzhan; Polat, Mehmet Oguz; Batirel, Hasan; Lacin, Tunc; Yuksel, Mustafa; Stamenovic, DavorBackground We aimed to document the anatomical variations of pulmonary fissures found during routine forensic autopsies. Methods A total of 256 pairs of lungs were investigated. Presence of any variant and accessory fissures was noted. Results Seventy-seven percent of the lungs had anatomical variations. In about 2/3 of the cases, oblique fissures were incomplete on both sides. The horizontal fissure was incomplete in 68.4%, and absent in 4.3% of the lungs. Twelve left lungs (4.7%) had a horizontal fissure. Accessory fissures were observed in 35 lungs (13.7%). Azygos lobe variations were detected in 1.7% of the lungs. A superior accessory fissure was present in 6.2% and 2% of right and left lungs, respectively. Conclusion This and previous similar studies demonstrate the existence of several different anatomical fissural variations in the lungs. Clinicians, radiologists and surgeons should keep these in mind to better evaluate and treat their patients.Publication Metadata only Pectus cross bars increase hospital readmission rates due to serous pleural effusion(SPRINGER JAPAN KK) BEKİROĞLU, GÜLNAZ NURAL; Sayan, Bihter; Bekiroglu, Nural; Yuksel, MustafaObjective Pectus Excavatum's (PE) surgical treatment should be patient specific. In this article, we aimed to compare parallel and cross bar variations of the Nuss method and analyze if there is any difference in results. Methods In this study, a total of 891 patients treated with the Nuss method between August 2005 and February 2018 were considered. These were retrieved from a prospectively recorded PE database. Of these, 276 double-bar patients were included in the study. Patients with parallel bars (225 cases) and patients with crossed bars (51 cases) were compared in terms of age, gender, symmetry, family history, additional anomalies, mean operation time, postoperative hospital stay (days) and hospital readmission rate. Results The mean age was measured at 20.7 for parallel bar patients and 20.1 for crossed bars patients. There was no statistically significant difference in terms of age, gender, and mean operation time between two groups. On the other hand, statistical significance was found between two groups when analyzing the deformities' symmetry, patients' family history and additional anomalies. The statistically significant difference of postoperative hospital stay between two groups is clinically negligible. Postoperative hospital readmission rates due to serous pleural effusion were found to be significantly increased in patients with crossed bars (p < 0.001). Conclusion While pleural effusion requiring readmission was statistically more frequent in cross bars, in centers where thoracentesis can be managed, Nuss method can still be applied safely, even in cases with difficult, complex deformities.Publication Open Access Musical mistuning perception and appraisal in cochlear implant recipients(2023-06-01) YÜKSEL, MUSTAFA; ÇİPRUT, AYŞE AYÇA; Kösemihal E., Yüksel M., CESUR S., Çiprut A.Objective Music is a very crucial art form that can evoke emotions, and the harmonious presence of the human voice in music is an impactful part of this process. As a result, vocals have had some significant effects on contemporary music. The mechanism behind the cochlear implant (CI) recipients perceiving different aspects of music is clear; however, how well they perceive vocal tuning within music it is not well known. Hence, this study evaluated the mistuning perception of CI recipients and compared their performance with normal-hearing (NH) listeners. Study Design, Setting, and Patients A total of 16 CI users (7 cisgender men, 9 cisgender women) and 16 sex-matched NH controls with an average age of 30.2 (±10.9; range, 19-53) years and 23.5 (±6.1; range, 20-37) years, respectively, were enrolled in this study. We evaluated the mistuning ability using the mistuning perception test (MPT) and assessed self-perceived music perception and engagement using the music-related quality-of-life questionnaire. Test performance was measured and reported on the item-response theory metric with a z score ranging from -4 to +4. Results A significant difference in the MPT scores was found between NH and CI recipients, whereas a significant correlation was noted between the music-related quality-of-life questionnaire-frequency subscale and MPT scores. No significant correlations were found between age, CI age, and CI usage duration and MPT performance. Conclusions This study revealed that musical mistuning perception is a limitation for CI recipients, similar to previously evaluated aspects of music perception. Hence, it is important to consider this aspect in the assessment of music perception, enjoyment, and music-based auditory interventions in CI recipients, as vocals are paramount in music perception and recreation. The MPT is a convenient and accessible tool for mistuning assessment in CI and hearing-aid users.Publication Metadata only Thymic Neuroendocrine Carcinoma Presenting as Cushing's Syndrome: Treatment with Octreotide Combined with Surgery and Radiotherapy(KARGER, 2011) VELİOĞLU, ARZU; Asicioglu, Ebru; Gonenli, Gokhan; Kahveci, Arzu; Yildizeli, Bedrettin; Deyneli, Oguzhan; Yavuz, Dilek; Yuksel, Mustafa; Akalin, SemaPublication Metadata only Data logging variables and speech perception in prelingually deafened pediatric cochlear implant users(ELSEVIER IRELAND LTD, 2020) ÇİPRUT, AYŞE AYÇA; Cesur, Sidika; Yuksel, Mustafa; Ciprut, AycaObjectives: To investigate the relationship among objectively gathered data logging measurements, patient-related variables, and speech recognition performance of pediatric CI users. Methods and materials: Thirty-two prelingually implanted children who have the ability to perform word discrimination test were included in this study. To reveal the relationship between speech perception abilities and auditory exposure, seven data logging variables were analyzed: on-air, off-air, coil-off, speech, speech in noise, music and noise. In addition, implantation age (months) and CI usage duration (months) were taken into account. Finally, it was investigated the differences between unilateral, sequential bilateral, and simultaneous bilateral CI users in terms of all study variables. Results: The average on-air time ranged between 10.52 and 12.30 in the groups. In the case of sequential implantation, smaller on-air and higher coil off values were observed with the second CI. In the case of simultaneous bilateral implantation, data logging measurements were almost the same in both implants. WRS was significantly correlated (p < 0.05) with on-air time (r = 0.62), coil-off count (r = - 0.48), chronological age (r = -0.48), and CI duration (r = 0.44). Multiple linear regression model was fit to predict the WRS, with on-air time, CI duration, and chronological age as predictors. Conclusions: The critical importance of early intervention and long-term use of CI is well-established in the literature and is also corroborated by our findings. However, the key findings of the present study are that consistent CI use and the quality of daily listening environment also exerted a major and positive effect on the speech recognition performance of pediatric CI users. Therefore, during the monitoring of pediatric CI recipients, it is important to know the device usage data in order to detect problems in the early stages after CI.Publication Metadata only Oxygen reserve index guided oxygen titration in one lung ventilation with low fresh gas flow(TUBITAK SCIENTIFIC & TECHNICAL RESEARCH COUNCIL TURKEY, 2021) SARAÇOĞLU, AYTEN; Saracoglu, Ayten; Sirzai, Esra Yamansavci; Yildizeli, Bedrettin; Yuksel, Mustafa; Aykac, Zeynep ZuhalBackground/aim: Continuous oxygen reserve index (ORI) measurement with multiple wave pulse co-oximetry is a noninvasive measurement. The decrease in the ORI trend provides a prediction for the development of hypoxemia and provides information on hyperoxia. Our aim is to determine the effect of ORI-guided oxygen titration on hyperoxemia-mediated morbidity. Materials and methods: Consecutive 120 ASA I-III patients, 18-70 years of age, without severe obstruction or restriction, undergoing one lung ventilation (OLV), were included in the study. Patients were divided into 4 groups. Oxygen titration without ORI monitoring with low-flow anesthesia (1 L/min, Group 1, n = 25) and high-flow anesthesia (4 L/min, Group 2, n = 28). Oxygen titration by ORI monitoring with low flow anesthesia (1 L/min, Group 3, n = 25) and high flow anesthesia (4 L/min, Group 4, n = 25). FiO(2) increased up to 100% if necessary. OLV time, duration of surgery and anesthesia, FiO(2) applied during OLV, oxygen application time (T) over 60%, vital signs, hospital and ICU stay time, and complications were recorded. Results: There was a statistically significant difference in terms of FiO(2) used during OLV (p < 0.05). There was no difference in ORI values (p < 0.05). In Group 3, both PaO2 and SpO(2) were significantly lower than the others both before and during OLV. There was no significant difference in terms of ORI parameters between low flow and high flow anesthesia groups. There was a strong, positive correlation between the duration of hospital stay and FiO(2) used above 80% during OLV. Conclusion: We concluded that ORI-guided thoracic anesthesia may reduce hospital stay and increase patient safety.
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