No abstract

Sessiz mastoidit mastoid hücrelerin kemik yapılarında ve mukozal tabakadaki subklinik enfeksiyöz enflamatuar süreci tanımlamaktadır. Hayatının belli döneminde akut otitis media (AOM) geçiren ve yanlış antibiyotik tercihi veya yetersiz dozda antibiyotik kullanımı sonucunda hastaların kliniğinde gerileme olmasına rağmen; bakterilerin eredike olmaması sonucunda sessiz mastoidit gelişmektedir. Bu hastaların kliniğinde genellikle hiçbir semptom olmamakla birlikte bazı hastalarda baş ağrısıyla karışan kulak ağrısı, mastoid bölgede duyarlılık, işitme kaybı, kulakta dolgunluk hissi ve subfebril ateş gibi semptomlar olabilmektedir. Sessiz mastoidit subklinik seyirli olması ve fizik muayenede tipik bulgusunun olmaması sebebiyle gözden kaçmakta ve hastalarda yaşam kalitesini bozan şikayetler oluşturmaktadır. Bu çalışmadaki amacımız kliniğimizde sessiz mastoidit tanısı konularak tedavileri gerçekleştirilen iki olgunun literatür eşliğinde tartışılması ve sessiz mastoiditin öneminin vurgulanmasıdır.

Choristoma, a salivary gland tumor, may localize at unforeseen locations. Since 1961 when it was first described, roughly 50 cases of choristoma have been accounted for, including 30 cases among pediatric-adolescents. The patient in this current study is a girl of 14 years of age. She was admitted to a tertiary otolaryngology polyclinic with right-sided hearing problems and aural fullness complaint. Her average airway hearing level measured using the pure tone audiometry hearing test was 70 dB, whereas the bone conduction pure tone average was 6 dB. A high-resolution computerized tomography of the temporal bone demonstrated a mass behind the intact tympanic membrane. The tumor was excised entirely over the facial nerves tympanic part of the facial nerve with careful dissection. Histopathological examination revealed the tumor to be a salivary gland choristoma. In this article, we present the case of a 14-year-old girl with unilateral conductive hearing loss caused by salivary gland choristoma.

Tek taraflı işitme kaybı bir kulakta normal işitme varken, karşı kulakta 20 dB ve daha fazla sensörinöral işitme kaybı olmasıdır. İki taraflı işitme yön tayini ve özellikle gürültüde konuşmaların ayırt edilmesi ve ses kalitesi açısından önem-lidir. Tek taraflı işitme çocuk hastalarda, çevresel faktörle-rin de etkisiyle, dil gelişiminde gerilik, akademik başarıda düşüklük ve davranış sorunlarına neden olurken, erişkin hastalarda hayal kırıklığı, özellikle gürültüde konuşmala-rı ayırt edememe ve iş ve sosyal hayatta zorluklara neden olur. Viral nedenler, doğuştan anomaliler, pre-ve perinatal faktörler, kafa travması, menenjit, tümörler ve ani işitme kaybı en sık nedenlerindendir. Bu hastaların rehabilitasyonuna hastanın durumu ve isteğine göre karar verilmelidir. Rehabilitasyon seçenekleri arasında klasik işitme cihazı, sinyallerin karşı taraf yönlendirmesi, frekans modülasyon cihazı, kemiğe monte edilebilir işitme cihazı ve koklear implantasyon sayılabilir.Anahtar Sözcükler: Değerlendirme; rehabilitasyon; sensörinöral işitme kaybı; tek taraflı işitme kaybı.Unilateral hearing loss can be defined as normal hearing in one ear, while 20 dB or more sensorineural hearing loss is present in the opposite ear. Bilateral hearing is important for localization and speech discrimination in the noise particularly, and the sound quality. Unilateral hearing may lead to delayed language development, decreased academic performance, and behavioral problems with the environmental factors in pediatric patients, whereas it may cause frustration, inability to distinguish speech in noise particularly, and difficulties at work and social life in adult patients. The most common causes are viral culprits, congenital abnormalities, pre-and perinatal factors, head trauma, meningitis, tumors and sudden hearing loss. Rehabilitation of these patients should be based on the patient's condition and patient's request. The options of rehabilitation include conventional hearing aid, contralateral routing of signals, frequency modulation device, bone-anchored hearing aids and cochlear implantation.

Aim: Sensorineural hearing losses in adults may prevent communication with the environment, leading to social isolation, mental problems, loss of business and a reduced quality of life. Cochlear implantation is an important treatment method enabling restoration of hearing in selected patients who have postlingual severe hearing loss and fail to benefit from hearing aids. In this study, we aimed to research the effect of cochlear implant on the quality of life of geriatric patients aged 60 and over with post lingual hearing loss, who underwent unilateral cochlear implantation due to severe and profound sensorineural hearing loss.Materials and Method: 17 geriatric post lingual patients aged 60 and older who underwent unilateral cochlear implantation due to severe and profound sensorineural hearing loss between 2008 and 2015 were included in this study.A Turkish language version of the Short-Form 36 survey was used to evaluate the patient's quality of life. Results:The patients were aged between 61 and 84 years, and the mean age of the patients was 69,5±7 years. The etiology of hearing loss included sudden hearing loss 6 patients, progressive hearing loss in 10 patients, and a sequel of meningitis in 1 patient. According to the result of the Short-Form 36 survey, physical condition, general condition, and psychological condition results were found to be positive at the rates of 76,4%, 88,2%, and 94,1% respectively. Conclusion:In selected patients of advanced age, cochlear implantation is a treatment method that improves, aside from hearing rehabilitation, the patients' relationship with the environment, eliminating the need for additional care and support, contributing to increased self-confidence and emotional happiness, and consequently, positively affecting the quality of life.