Person: ŞANAL TOPRAK, CANAN
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ŞANAL TOPRAK
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Publication Metadata only Böbrek nakli adaylarında kırılganlık tanımlanması ve gözlemi(2021-10-13) ŞANAL TOPRAK, CANAN; BARUTÇU ATAŞ, DİLEK; TUFAN ÇİNÇİN, ASLI; VELİOĞLU, ARZU; TUĞLULAR, ZÜBEYDE SERHAN; Rustamzade A., BARUTÇU ATAŞ D., ŞANAL TOPRAK C., TUFAN ÇİNÇİN A., VELİOĞLU A., TUĞLULAR Z. S.Publication Open Access The effect of central sensitization on interlaminar epidural steroid injection treatment outcomes in patients with cervical disc herniation: an observational study(2022-09-01) SAÇAKLIDIR, REKİB; ŞANAL TOPRAK, CANAN; GÜNDÜZ, OSMAN HAKAN; ŞENCAN, SAVAŞ; Sacaklidir R., ŞANAL TOPRAK C., Yucel F. N. , GÜNDÜZ O. H. , ŞENCAN S.© 2022, American Society of Interventional Pain Physicians. All rights reserved.Background: Central sensitization (CS) is a hyperexcitability that is manifested by the increased response of the central nervous system to sensory stimuli. It has been shown that the presence of CS may have a negative effect on the clinical picture in some musculoskeletal diseases and also have a negative effect on spinal procedures. Objectives: To investigate the effect of CS on interlaminar epidural steroid injection (ILESI) treatment outcomes in patients with cervical disc herniation (CDH). Study Design: An observational study. Setting: A university hospital pain management center. Methods: Patients, who underwent ILESI between 2020-2021 due to CDH, were included in the study. The Numeric Rating Scale (NRS-11), Neck Pain and Disability Scale (NPDS), Self-Administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS), and Short Form-12 (SF-12) were used for evaluation of patients. Patients were assessed before the procedure, at the first hour, and 3 months after the procedure. The presence of CS was investigated by the Central Sensitization Inventory (CSI). Results: A total of 51 patients were included in the study. Twenty-three of the patients had CS, as assessed by the CSI. Although, patients who underwent ESI, had significantly lower NRS-11, S-LANSS, and NPDS scores, and higher SF-12 scores at all follow-up points. The first and third months, NRS-11, S-LANSS, and NPDS were significantly higher, and SF-12 scores were lower in the CS group compared to patients without CS. Limitations: The short follow-up period and relatively low number of patients can be considered as a limitation. The fact that CS is not evaluated with a more objective method, such as Quantitative Sensory Testing (QST), can be considered as another limitation. Since most clinicians use CSI, so from a \"real world\" perspective the lack of QST may be observed as a strength of the study. The third limitation is that we did not evaluate the patients’ pre-and posttreatment analgesic consumption. Finally, we did not include patients with a history of psychiatric illness, but not evaluating the current psychiatric conditions of the patients could be considered a limitation. Nevertheless, the main strengths of this study are its prospective design and, to our knowledge, it is the first study to explore the effects of CS on cervical ESI treatment. Conclusions: The presence of CS has a negative effect on pain scores, disability, and quality of life in patients undergoing cervical ESI due to CDH.Publication Metadata only Soft tissue sarcoma of the upper extremity: oncological and functional results after surgery(SAGE PUBLICATIONS LTD, 2021) EROL, BÜLENT; Baysal, Ozgur; Toprak, Canan Sanal; Gunar, Berkin; Erol, BulentThis retrospective study evaluates outcomes after treatment of upper-extremity soft tissue sarcoma in 44 patients. We re-resected 19 tumours that had been resected elsewhere without adequate preoperative planning, and we made 25 well-planned primary resections. Four patients in the unplanned group and five in the planned group eventually received amputations. Thirty-three patients were alive at a median follow-up time of 33 months (IQR 18 to 57). Tumour size > 7 cm, tumour Grade 3 and the presence of distant organ metastases were the main factors affecting the oncological outcomes. We found no statistical differences between the planning groups. Functional outcomes and quality of life were significantly worse after amputation or major nerve resections. We conclude with this sized sample that the lack of planning in itself did not influence the final results, but there were differences in tumour size, grade and localization between the groups that may play a role.Publication Metadata only Romatizmal hastlıklarda akılcı ilaç kullanımına multidisipliner yaklaşım(2020-11-27) ŞANAL TOPRAK, CANAN; ŞANAL TOPRAK C.Publication Open Access Assessment of the factors affecting the loss of workforce in patients with traumatic hand injury(2022-01-01) ŞANAL TOPRAK, CANAN; Atalay K. G. , Demirci M., Baysal O., ŞANAL TOPRAK C.Objective: This study aimed to examine the factors affecting the loss of workforce, including the time to return to work and workrelated situations in patients with traumatic hand injury who were taken to a hand rehabilitation program.Publication Metadata only El rehabilitasyonuna alınan hastaların işe dönüş oranı ve süresini etkileyen faktörlerin retrospektif incelenmesi(2021-04-11) ŞANAL TOPRAK, CANAN; GENÇER, ZEYNEP KARDELEN; DEMİRCİ M., ŞANAL TOPRAK C., BAYSAL Ö., GENÇER Z. K.Publication Metadata only Servi̇kal di̇sk herni̇asyonunda kuru iğnelemeni̇n İnterlami̇nar epi̇dural steroi̇denjeksi̇yonu tedavi̇ sonuçlarına etki̇si̇(2021-04-08) ŞANAL TOPRAK, CANAN; ŞENCAN, SAVAŞ; GÜNDÜZ, OSMAN HAKAN; YOLCU G., ŞANAL TOPRAK C., ŞENCAN S., GÜNDÜZ O. H.Publication Metadata only Effect of hand dominance on functional outcomes in paediatric patients with flexor tendon injuries: A cross-sectional study(WILEY, 2021) ŞANAL TOPRAK, CANAN; Sanal-Toprak, Canan; Yigit, Okan; Kuzu, Zeynep; Baysal, OzgurIntroduction There are limited data in the literature about the short- to mid-term results of children with flexor tendon injuries. We aim to evaluate the short- to mid-term functional outcomes of children with flexor tendon injuries and to disclose whether the injured side affects the results. Materials and methods Patients who had undergone primary flexor tendon repair were included in the study. The demographic and clinical characteristics of the patients were recorded. Modified Hand Injury Severity Score was calculated for each patient. Sensory, motor and functional assessments of the bilateral hand were performed. Results A total of 44 patients (female = 16, male = 28) with a median age of 13 (6-17) were evaluated. Significant differences between the affected and healthy hands of the patients in terms of grip and pinch strengths and monofilament sensory test results were demonstrated while the Jebson Taylor Hand Function Test (JTHFT) scores were similar. No factor other than the injury side was found to be related to the affected hand functions. In patients with dominant hand injuries, JTHFT results of the affected hands were similar to the results of healthy dominant hands (P = .935). However, JTHFT results were found to be worse in the affected non-dominant hands compared to healthy non-dominant hands (P = .01). Conclusion This study demonstrated that paediatric population with flexor tendon injuries in their dominant hands has better short- to mid-term functional outcomes. These results may be attributed to use their injured dominant hand more actively in daily activities.Publication Metadata only Staphylococcus aureus costochondritis and chest wall abscess in a COVID-19 patient treated with tocilizumab(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2021) ŞANAL TOPRAK, CANAN; Ergenc, Ilkay; Toprak, Canan Sanal; Odabasi, ZekaverCoronavirus disease 2019 (COVID-19) is a worldwide pandemic, causing a global health threat. Up to 15% of the confirmed cases develop severe disease, requiring hospitalization or intensive care unit (ICU) admission. Tocilizumab, an IL-6 receptor antagonist, is a promising treatment of severe pneumonia with acute respiratory distress syndrome (ARDS) or cytokine release syndrome (CRS) in the course of COVID-19. We report a suppurative costochondritis and chest wall abscess in a severe COVID-19 patient treated with tocilizumab.Publication Open Access Effectiveness of dry needling in the treatment of neck pain and disability associated with myofascial trigger points(MARMARA UNIV, FAC MEDICINE, 2021-01-22) ŞANAL TOPRAK, CANAN; Sanal Toprak, Canan; Ozsoy Unubo, TugbaObjective: The aim of this study is to evaluate the effectiveness of dry needling (DN) with fast-in and fast-out technique for myofascial trigger points (MTrPs) in the upper trapezius muscle associated with neck pain. Patients and Methods: Patients aged 18-70 years, who have had neck pain at least one active MTrP in the upper trapezius muscle treated with DN, were included in the study. Pain and disability were assessed with Numeric Rating Scale (NRS) and Neck Disability Index (NDI) before treatment (T0), after first session (T1) and after last session (T2). Number of MTrPs where DN was performed and the number of DN sessions were recorded. Patients were evaluated based on the minimal clinically important change (MCIC) scores for NRS and NDI. Results: A total of 76 patients (Female: 67, Male: 9) were included in the study. Median number of DN sessions was 3 and median of MTrPs that DN performed was 4. Both NRS and NM showed significant improvement at T1 and T2. More than 90% of patients had MCIC at T1 and T2. Conclusion: Dry needling with fast-in and fast-out technique is effective for pain and disability management in patients with neck pain due to MTrPs.