Person: ÇİPRUT, AYŞE AYÇA
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ÇİPRUT
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AYŞE AYÇA
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Publication Metadata only Brainstem auditory evoked potentials and middle latency auditory evoked potentials in patients with impaired glucose tolerance(WILEY, 2008) ÇİPRUT, AYŞE AYÇA; Yitmen, I.; Oflazoglu, B.; Isak, B.; Ciprut, A.; Akdas, F.; Tanridag, T.; Us, O.Aims The aim was to investigate the effects of impaired glucose tolerance (IGT) on the central nervous system via brainstem auditory evoked potentials (BAEPs) and middle latency auditory evoked potentials (MLAEPs), and on the peripheral nervous system via nerve conduction studies (NCS). Methods Thirty patients with IGT and 20 control subjects underwent NCS, BAEPs and MLAEPs. Results Tibial distal motor latencies were significantly prolonged in the IGT group; no differences in other parameters, including BAEPs and MLAEPs, were observed between the IGT and control subjects. Conclusion Brainstem involvement may not be seen in IGT patients as in DM. The was no obvious electrophysiological finding indicating peripheral nervous system disfunction in our patients.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 Parry romberg sendromu tanılı bir kadın hastadaki bulgularımız(2023-06-03) BAL, NİLÜFER; ÇİPRUT, AYŞE AYÇA; Öztürk N., BAL N., ÇİPRUT A. A.Publication Metadata only Effects of spatial separation with better- ear listening on N1-P2 complex(ELSEVIER SCI LTD, 2021) ÇİPRUT, AYŞE AYÇA; Atilgan, Atilim; ciprut, AycaObjective: The purpose of this study was to determine better-ear listening effect on spatial separation with the N1-P2 complex. Methods: Twenty individuals with normal hearing participated in this study. The speech stimulus /ba/ was presented in front of the participant (0 degrees). Continuous Speech Noise (5 dB signal-to-noise ratio) was presented either in front of the participant (0 degrees), left-side (-90 degrees), or right-side (+ 90 degrees). N1-P2 complex has been recorded in quiet and three noisy conditions. Results: There was a remarkable effect of noise direction on N1, P2 latencies. When the noise was separated from the stimulus, N1 and P2 latency increased in terms of when noise was co-located with the stimulus. There was no statistically significant difference in N1-P2 amplitudes between the stimulus-only and co-located condition. N1-P2 amplitude was increased when the noise came from the sides, according to the stimulus-only and co-located conditions. Conclusion: These findings demonstrate that the latency shifts on N1-P2 complex explain cortical mechanisms of spatial separation in better-ear listening. (C) 2021 Oto-Rhino-Laryngological Society of Japan Inc. Published by Elsevier B.V. All rights reserved.Publication Metadata only Gecikmiş dil ve konuşma tanısı almış çocukların ilerleyen dönem izlem çalışması(2022-10-10) YURDAKUL ÇINAR, FATMA; ÇİPRUT, AYŞE AYÇA; Yurdakul Çınar F., Çiprut A. A.Gecikmiş dil ve konuşma tanısı almış çocukların ilerleyen dönem izlem çalışmasıGiriş ve Amaç: Gecikmiş dil ve konuşma, yaşıtlarına kıyasla çocuğun beklenen oranda konuşma ve dil geliştirememesidir. Dil ve konuşma gelişimindeki gecikme; işitme kaybı, mental retardasyon, ifade edici dil bozukluğu, psikososyal yoksunluk, otizm spektrum bozukluğu, selektif mutizm, alıcı afazi ve serebral palsi gibi birçok bozukluğun belirtisi olabilir. Çalışmamızın amacı, dil ve konuşma gecikmesinin başka sorunların belirteçi olma durumunu değerlendirmek ve ilerleyen dönem takiplerinin önemini vurgulamaktır.Yöntem: 2013-2019 tarihleri arasında, Marmara Üniversitesi, Pendik Eğitim ve Araştırma hastanesi, Çocuk ve ergen ruh sağlığı ve hastalıkları anabilim dalına gecikmiş dil ve konuşma şikayeti başvuran, Kulak burun boğaz hastalıkları ve odyoloji kliniğine yönlendirilen periferik işitmesi normal sınırlarda bulunan 12-60 ay arası çocukların (n=105) bilgilerinin değerlendirildiği retrospektif bir dosya tarama çalışmasına ait veriler kullanılmıştır. Çocukların ebeveynlerine ait telefon numaraları sistem kayıtlarından elde edilerek çocukların dil gelişimi, konuşma ve sosyal etkileşimlerine yönelik en az 3 yıl ve sonraki mevcut durumları, süreç içerisinde aldıkları tanılar ve eğitsel müdahaleler hakkında bilgi edinilmesi amacıyla yarı-yapılandırılmış telefon görüşmeleri yapılmıştır. Elde edilen veriler tanımlayıcı istatistik ile sunulmuştur.Bulgular: 84’ü (% 80) erkek, 21’i (% 20) kız olmak üzere değerlendirilen 105 çocuktan, 54’ ü (% 51.4) ilerleyen dönemde başka tanılar almıştır. Bu tanılar arasında; otizm spektrum bozukluğu=21 (%20), genel gelişimsel gecikme=13 (%12.3), dikkat eksikliği ve hiperaktivite bozukluğu (DEHB)=9 (%8.5), epilepsi=4 (%3.8) yer alırken, bu durumların dışında metabolizma, endokrin, nöroloji, genetik, kardiyoloji, nefroloji, göz hastalıkları gibi bölümlerden takipli 7 (% 6.6) kişi bulunmaktadır. 51 çocuk ise (% 48.57) ilerleyen süreçte ortalama gelişim düzeyini yakalamış ve hiçbir yerden tıbbi takipli değildir. Başka tıbbi tanısı olmayan çocukların 22’si (% 20.9) sadece öneriler ve sosyal ortam desteği ile ortalama gelişim düzeyini yakalarken, 29’su ise öneri, sosyal ortam desteği ve dil konuşma terapisi desteği (terapi süresi= ortalama 14.1± 4.5 ay) ile ortalama gelişim düzeyini yakalamış ve hiç bir yerden tıbbi takipleri mevcut değildir.Sonuç ve Öneriler: Dil ve konuşma gecikmesi şikayetiyle başvuru yapan çocukların bu durumlarına çoğunlukla ek bir tanının eşlik ettiği gözlenmiştir. Bunun yanı sıra gerekli müdahalelerle ortalama gelişim düzeyini yakalamış çocuklar da mevcuttur. Dil ve konuşma gecikmesi şikayetiyle başvuran çocukların multidisipliner yaklaşımla değerlendirilip, dil ve konuşma gecikmesinin bir belirteç olabileceği gözünde bulundurulmalıdır.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 Unknown 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 The effect of canal diameter on audiologic results in patients with cochlear implantation with large vestibular aqueduct syndrome(Springer, 2020) BATMAN, ABDULLAH ÇAĞLAR; Demir B., Cesur S., Incaz S., Alberalar N.D., Ciprut A., Batman C.Purpose: To compare audiologic results according to vestibular aqueduct (VA) diameter in patients who have undergone cochlear implantation and were diagnosed with LVAS. Methods: This was a retrospective study detailing the outcomes of 18 patients with LVAS and 18 patients undergone cochlear implants. VA diameter was assessed by magnetic resonance imaging and computed tomography. Categories of Auditory Perception (CAP) and Speech Intelligibility Rating (SIR) were assessed in all patients, and speech audiometry, including speech recognition thresholds (SRT) and word discrimination scores, was applied for all subjects who were able to perform these tests. All audiologic parameters were compared between patients with and without LVAS, and the relationship of these parameters with VA diameter was investigated. Results: The control group consisted of 18 subjects (5 males, 13 females), ranging in age between 2 and 34 years (mean 13.17 ± 8.97 years). The research group consisted of 18 subjects (8 males, 10 females), ranging in age between 2 and 35 years (mean 13.28 ± 8.96 years). There was a statistically significant difference between the groups in terms of SIR and CAP pre-post differences (Mann–Whitney U test, p < 0.05), with higher averages in the LVAS group. No statistically significant correlations were found between VA diameter on computed tomography and magnetic resonance imaging and the audiologic variables collected. Conclusions: Patients with LVAS benefit from cochlear implant surgery and VA parameters do not affect audiologic parameters. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.Publication Open Access The body image in hearing aid and cochlear implant users in Turkey(2022-11-01) ÇİPRUT, AYŞE AYÇA; Ozturk S., ÇİPRUT A. A.Purpose We investigated the relationship between hearing aid or cochlear implants usage and body image, and quality of life. Methods Of the 96 participants studied, 26 were cochlear implant users, 20 hearing aid users, 20 non-device users with hearing loss, and 30 normal hearing. The inclusion criteria for the study for all groups were subjects 18 years or older with no other physical complaints. The average age of groups and gender distributions were similar. The Body Image Scale (BIS) and World Health Organization Quality of Life Scale were applied to all participants, whereas the International Outcome Inventory for Hearing Aids, Turkish Version, was applied only to device users. Results A significant difference in body image scores was identified between non device users with hearing loss group and normal hearing group, device users group (HA/CI), and cochlear implant users group. In contrast, no significant difference in body image scores between normal hearing group and the device users group was identified. Finally, a positive correlation between body image scores and quality of life scores in all groups was identified. Conclusions Non-device users with hearing loss have a lower body image and quality of life than those in the other groups, and device usage has a positive effect on body image and quality of life.Publication Metadata only Evaluation of gap filling skills and reading mistakes of cochlear implanted and normally hearing students(ELSEVIER IRELAND LTD, 2018) ÇİPRUT, AYŞE AYÇA; Cizmeci, Hulya; Ciprut, AycaObjective: This study aimed to (1) evaluate the gap filling skills and reading mistakes of students with cochlear implants, and to (2) compare their results with those of their normal-hearing peers. The effects of implantation age and total time of cochlear implant use were analyzed in relation to the subjects' reading skills development. Methods: The study included 19 students who underwent cochlear implantation and 20 students with normal hearing, who were enrolled at the 6th to 8th grades. The subjects' ages ranged between 12 and 14 years old. Their reading skills were evaluated by using the Informal Reading Inventory. Results: A significant relationship were found between implanted and normal-hearing students in terms of the percentages of reading error and the percentages of gap filling scores. The average order of the reading errors of students using cochlear implants was higher than that of normal-hearing students. As for the gap filling, the performances of implanted students in the passage are lower than those of their normal-hearing peers. No significant relationship was found between the variables tested in terms of age and duration of implantation on the reading performances of implanted students. Conclusion: Even if they were early implanted, there were significant differences in the reading performances of implanted students compared with those of their normal-hearing peers in older classes.