Person: ÇİPRUT, AYŞE AYÇA
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ÇİPRUT
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AYŞE AYÇA
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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 Metadata only Cochlear implantation in patients with bilateral cochlear trauma(W B SAUNDERS CO-ELSEVIER INC, 2010) BATMAN, ABDULLAH ÇAĞLAR; Serin, Gediz Murat; Derinsu, Ufuk; Sari, Murat; Gergin, Oezguel; Ciprut, Ayca; Akdas, Ferda; Batman, CaglarPurpose: Temporal bone fracture, which involves the otic capsule, can lead to complete loss of auditory and vestibular functions, whereas the patients without fractures may experience profound sensorineural hearing loss due to cochlear concussion. Cochlear implant is indicated in profound sensorineural hearing loss due to cochlear trauma but who still have an intact auditory nerve. Material and methods: This is a retrospective review study. We report 5 cases of postlingually deafened patients caused by cochlear trauma, who underwent cochlear implantation. Preoperative and postoperative hearing performance will be presented. These patients are cochlear implanted after the cochlear trauma in our department between 2001 and 2006. Results: All patients performed very well with their implants, obtained open-set speech understanding. They all became good telephone users after implantation. Their performance in speech understanding was comparable to standard postlingual adult patients implanted. Conclusion: Cochlear implantation is an effective aural rehabilitation in profound sensorineural hearing loss caused by temporal bone trauma. Preoperative temporal bone computed tomography, magnetic resonance imaging, and promontorium stimulation testing are necessary to make decision for the surgery and to determine the side to be implanted. Surgery could be challenging and complicated because of anatomical irregularity. Moreover, fibrosis and partial or total ossification within the cochlea must be expected. (C) 2010 Published by Elsevier Inc.Publication Metadata only Outcomes of cochlear implantation in children with inner ear malformations(SPRINGER, 2019) BATMAN, ABDULLAH ÇAĞLAR; Demir, Berat; Cesur, Sidika; Sahin, Akin; Binnetoglu, Adem; Ciprut, Ayca; Batman, CaglarPurpose To evaluate the surgical experience and auditory functions and progress of speech development of cochlear implantation in malformed ears. Materials and methods Between November 1995 and July 2017, thirty-seven patients (26 females and 11 males; mean age: 138.275 +/- 96.24 months) with diverse anomalies of the inner ear were retrospectively examined for surgical and audiological results. Speech Intelligibility Rating (SIR), Categories of Auditory Perception (CAP), Pure Tone Average (PTA), Speech Intelligibility Rating (SRT), and Word Discrimination Score (WDS) were the audiological tests used to evaluate the efficacy of CI in the malformed inner ears. Results CSF gusher was experienced by six patients (three with LVA (large vestibular aqueduct), one with IP (incomplete partition) I, and two with both IP II Mondini malformations and LVA). Two patients had transient facial paresis after surgery. All patients fully recovered within 6 months. The postoperative PTA, SRT, and WDS test results showed significant differences between progressive and congenital sensorineural hearing loss (p values < 0.05 for all). On the other hand, the postoperative CAP and SIR test results revealed no significant differences between the two groups. According to etiology, the PTA and SRT values were significantly lower in common cavity patients than the LVA patients (p values < 0.01); no significant differences were found among the other etiological groups. Conclusions Cochlear implantation is safe in children with inner ear malformations. However, the success rate is low compared to patients with normal anatomy in terms of audiological results; the most successful group of patients with inner ear malformation is large vestibular aqueduct.