Person: ÇİPRUT, AYŞE AYÇA
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ÇİPRUT
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AYŞE AYÇA
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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 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 Open Access Observational study of pediatric cochlear implant recipients: Two-year follow-up outcomes(2023-01-01) ÇİPRUT, AYŞE AYÇA; CESUR S., Ciprut A., Terlemez S.Objective: The aim of this study was to evaluate the improvements in quality of life and auditory performance via a descriptive report using patient-related outcomes measures in a group of children with cochlear implants (CI). Methods: This was a longitudinal and retrospective study based on the analysis of patient records of a total of 28 children with CI, 18 of whom had bilateral (64.3%) and 10 had unilateral (35.7%). The study included repeated within-subject measures of Hearing Implants Quality of Life (CuHI-QoL), Categories of Auditory Performance (CAP-II), Speech, Spatial, and Qualities of Hearing scale-Parents’ version (SSQ-P) scales, and Implant Recipient Follow-up (IRF) form at 6-month intervals from baseline up to 24 months. Results: During the 2-year follow-up assessments, all children with CI showed statistically significant improvement over time in their CAP-II, SSQ-P, CuHI-QoL, and IRF scores (p<0.001). The most significant increase in scores occurred within the first six months following the baseline and then continued to increase gradually at a slower pace over time. A moderate negative relationship was found between the age of implantation and SSQ-P and family satisfaction scores of IRF (p<0.05). Conclusions: Family expectations, overall well-being, quality of life, auditory, and verbal skills increase positively with earlier CI intervention. Moreover, the subjective assessment results showed that parents-positive attitudes toward implantation, and willingness to recommend it to others have steadily increased in time. Although the cohort is relatively small and variable, the results offer a descriptive view to outcomes in real-world practice.Publication Open Access Evaluation of the Reading and Writing Skills of Children with Cochlear Implants(2019-10-09) ÇİPRUT, AYŞE AYÇA; Department of Audiology, Marmara University School of Medicine, Istanbul, Turkey; Cizmeci, Hulya; Ciprut, Ayca; Department of Audiology, Marmara University School of Medicine, Istanbul, TurkeyPublication Open Access The Relationship between Electrical Stapedius Reflex Thresholds and Behaviorally Most Comfortable Levels in Experienced Cochlear Implant Users(AVES, 2020-04-07) ÇİPRUT, AYŞE AYÇA; Ciprut, Ayca; Adigul, CaglayanOBJECTIVES: Programming the cochlear implant's speech processor with subjective methods in young, uncooperative children is difficult. Since young children cannot provide adequate feedback to the clinician, objective methods which do not require patient's response were often used. Electrical Stapedius Reflex Test is one of the most common procedures used. The goal of this study was to investigate the relationship between electricalstapedius reflex thresholds and behaviorally most comfortable levels in experienced cochlear implant users. MATERIALS and METHODS: The patients implanted with two brands of cochlear implants were compared in terms of electrical stapedius reflex thresholds versus most comfortable levels. Speech tests results were also compared between the two groups. 46 cochlear Implanted patients who had at least 1 year of cochlear implant experience were included in the study. 28 patients were implanted with Nucleus, 18 patients with Med-El devices. RESULTS: Moderate correlations were obtained between Electrical Stapedius Reflex (ESR) thresholds and the comfort (C) levels in Nucleus users; higher correlations were obtained for Med-El patients. ESR thresholds were present at higher levels than the most comfortable and the comfort (MCUC) levels in both Nucleus and Med-El users. No significant difference was obtained between the two groups in terms of speech tests. CONCLUSION: ESR test can be very informative for programming young and uncooperative patients.Publication Open Access A longitudinal study of cortical auditory maturation and implications of the short inter-implant delay in children with bilateral sequential cochlear implants(2023-03-01) ÇİPRUT, AYŞE AYÇA; ATILGAN A., CESUR S., Çiprut A.© 2023 Elsevier B.V.Objective: This longitudinal study aimed to investigate the maturational development of P1 latency and the effects of a short inter-implant delay in children who received bilateral sequential cochlear implants. Materials and methods: Fourteen children (first CI mean age: 1.4 ± 0.4 years and Second CI mean age: 3.3 ± 0.5 years) who had received sequential bilateral cochlear implants during the sensitive period for auditory maturation participated in our study. The speech-evoked cortical P1 response was recorded after the activation of the second CI at four intervals (implant activation, 3 months, 6 months, 12 months) under three listening conditions (first CI, second CI, binaural). Results: Our results showed that the P1 latencies of the second CI reached normative values within 3 months, but did not reach the P1 latency of the first CI until 12 months. We found a strong negative correlation between the inter-implant delay and the P1 latencies of the second CI when the second CI was activated. Conclusion: Changes in cortical auditory responses over time resulted in normal auditory maturation in children with sequential bilateral cochlear implants during the sensitive period. The results also provide evidence that the timing of auditory experience in the first ear during the sensitive period may influence the speed of compensation in children receiving sequential cochlear implants.Publication Open Access P149 The association between the cumulative dose of aminoglycoside exposure and hearing loss in children with cystic fibrosis(2022-06-01) ÇİPRUT, AYŞE AYÇA; Yegit C. Y. , Ergenekon P., Yanaz M., Guliyeva A., Kalyoncu M., Meral O., Selcuk M., Taştan G., Uzunoglu B., Ozturk N., et al.We discuss the excitation of sterile neutrinos in the early universe using general quantum kinetic equations, which also incorporate a possible primordial magnetic field $B$. We find a new contribution to the excitation propability, which has its origin in the shrinkage of the spin vector. In the absence of $B$ nucleosynthesis implies the constraint $\mid \Delta m^2\mid\sin^22\theta_0\lsim 1.6\times 10^{-6}~{\rm eV}^2$ which is more restrictive than previous estimates. We also present examples of possible stringent limits for $B\ne 0$.Publication Open Access Evaluation of Speech, Spatial Perception and Hearing Quality in Unilateral, Bimodal and Bilateral Cochlear Implant Users(GALENOS YAYINCILIK, 2019-10-01) ÇİPRUT, AYŞE AYÇA; Erdem, Busra Kocak; Ciprut, AycaObjective: The aim of the study was to conduct a scale-based evaluation of the hearing skills of unilateral, bimodal and bilateral cochlear implant (CI) users, including distinguishing, orientating and locating speech and environmental sounds in their surrounding environment that they are exposed to in different contexts of everyday life. The scale results were compared between groups. Methods: A total of 74 cochlear implant users, 30 unilateral, 30 bimodal and 14 bilateral, were included in the study. Their ages ranged from 11 to 64 years. Participants were assessed using the Speech, Spatial and Qualities of Hearing Scale (SSQ). Results: Bilateral CI users' subjective ratings of their own hearing skills were found to be significantly better than those of bimodal and unilateral CI users; bimodal users' subjective ratings were also found to be significantly better than those of unilateral Cl users. Paired comparisons showed statistically significant differences between the groups in terms of total scores of Speech, Spatial, Qualities of Hearing and General SSQ(p<0.05). Conclusion: Our findings show that bilateral use of cochlear implants should be recommended for those presently using bimodal and unilateral devices. Moreover, subjective tests should be used regularly along with objective tests for evaluating CI patients.Publication Open Access A Case with Brown-Vialetto-Van Laere Syndrome: A Sudden Onset Auditory Neuropathy Spectrum Disorder(GALENOS YAYINCILIK, 2019-12-31) ÇİPRUT, AYŞE AYÇA; Mutlu, Basak; Topcu, Merve Torun; Ciprut, AycaThe Brown-Vialetto-Van Laere syndrome (BVVLS) is a rare neurological disorder that may present at all ages with sensorineural hearing loss, bulbar palsy and respiratory compromise. We describe a 6-yearold male patient who suffered bilateral sudden onset severe hearing loss for two years. Audiological investigations revealed sudden onset auditory neuropathy spectrum disorder bilaterally. He also had neurological complaints. During riboflavin therapy an improvement in hearing loss and the benefit of hearing aids were observed. In BVVLS, it is difficult to plan and apply auditory rehabilitation interventions and the results vary from patient to patient. In audiological evaluation, it should be borne in mind that subjective and objective tests are complemental. Early medical intervention and regular audiological follow-up are very important for effective hearing rehabilitation in the patients with BVVLS.Publication Open Access Music Listening Habits and Music Perception Abilities of Prelingually Deafened Adolescent Cochlear Implant Recipients(THIEME MEDICAL PUBL INC, 2020-11) ÇİPRUT, AYŞE AYÇA; Yuksel, Mustafa; Atilgan, Atilim; Ciprut, AycaBackground Music is a very important art form that can evoke strong emotions and involvement with it can have a considerable impact on cochlear implant (CI) recipients' quality of life. It is well known that music perception is limited in CI with fully electric hearing and CI recipients have significantly poorer music-appraisal ability when compared with normal hearing subjects. Considering the importance of music on the life of an adolescent and negative impact of hearing loss on mental health, understanding and improving music listening habits and perception abilities can have a positive impact on the mental health of CI user adolescents. Purpose This study aims to evaluate music listening habits and music perception abilities of prelingually deafened adolescent CI users to reveal the relationship between self-reported assessment and psychophysical measurement. Research Design The psychophysical measures of music perception and self-reported music listening habits of adolescent CI users were obtained. Study Sample Twenty-nine prelingually deafened adolescent CI users were evaluated in this study. Data Collection and Analysis The Turkish Clinical Assessment of Music Perception (T-CAMP) test was used to evaluate music perception abilities. These abilities were evaluated with a three-item questionnaire assessing enjoyment of music, listening habits, and comprehension of lyrics. Pearson's correlation coefficients were calculated to assess the relationship between the T-CAMP subtests and questionnaire items. Results Statistically significant correlations were observed between the melody-recognition subtest of T-CAMP and all three questionnaire items. The correlation between the enjoyment and rate items on the questionnaire was also statistically significant. Conclusion The present study shows that adolescent CI users also enjoy and listen to music in ways similar to postlingually deafened adult CI users. It also demonstrates that melody-recognition abilities have a significant relationship with music enjoyment and listening habits in prelingually deafened adolescent CI users.