Browsing by Author "Garça, M.F."

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Comparison of the Efficacy of Auditory Steady-State Response (Assr) and Otoacoustic Emission (Oae) in Neonatal Hearing Screening
(Yuzuncu Yil Universitesi Tip Fakultesi, 2024) Erdem, M.Z.; Garça, M.F.
To investigate the correlation among auditory steady-state response (ASSR) and transient evoked otoacoustic emission (TEOAE) and screening brainstem auditory evoked response (s-BAER) tests in children with sensorineural hearing loss (SNHL). TEOAE, multiple-ASSR, and click s-BAER recordings and analyses of 30 healthy newborns and 74 newborns with high-risk of SNHL were performed prospectively. The three techniques were compared between healthy and high-risk SNHL newborns. In addition, average test durations were calculated in minutes. Hyperbilirubinemia requiring transfusion was the most common ris k factor in the high-risk SNHL group. In the ASSR test, the rate of failure was higher at low frequencies and was dramatically lower at high frequencies. In both ASSR and TEOAE, the sensitivity and accuracy rates increased at high frequencies. Average test duration (including preparations) was 30.2±6.45 min for multiple-ASSR, 1.26±0.81 min for TEOAE, and 1.86±0.87 min for s-BAER. Multiple-ASSR was found to be more sensitive in predicting behavioral hearing status compared to TEOAE. Based on our findings, we consider that multiple-ASSR is an objective test that can be used safely in predicting rapid frequency-specific behavioral hearing of bilateral ears simultaneously without requiring practitioner’s interpretation, particularly in high-risk neonates. However, further evidence and studies are needed to ensure that the newborn’s hearing prediction alone is sufficient. © 2024, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Juvenile Nasopharyngeal Angiofibroma
(2010) Garça, M.F.; Yuca, S.A.; Yuca, K.
Review of the literature was performed to define the optimal treatment of patients with juvenile nasopharyngeal angiofibroma (JNA). The prognosis for this disease is extremely good if diagnosed well in time and if the tumor has not extended intracranially. Preoperative selective arterial embolization has decreased intraoperative blood loss and facilitated resection of larger tumors. Transnasal endoscopic resection preserves both the anatomy and physiology of the nose, requires less rehabilitation days after surgery, and is highly successful for selected patients. Radiation therapy is generally reserved for larger and/or unressectable tumors but has severe complications. Radiosurgery has several advantages over surgery or classic radiation therapy. However, further experiences and studies are required to confirm the usefulness of radiosurgery on JNA.
Subcutaneous Dermatofibrosarcoma Protuberans in Parotid Region: Case Report
(2013) Garça, M.F.; Kösem, M.; Turan, M.; Bozan, N.; Çankaya, H.
Dermatofibrosarcoma protuberans (DFSP) is a low-grade soft tissue sarcoma (fibrosarcoma) originated from dermal and subdermal layer of the skin. But subcutaneous localization is quite rare. It is one of the rare tumors and accounts for 0.1% of all malignancies. The tumor infiltrates into the deeps in the villous and finger shape. For this reason, it is quite difficult to get surgical margins in the tumor excision and the recurrence is a problem encountered frequently. An excision or Mohs technique of micrographic surgery is suggested by leaving a surgical space up to 5 cm from the tumor margines. In this case report, a case with DFSP atypically subcutaneous localized on superficial parotis gland was presented. It should be kept in mind that probability of the microscopic spread is high in these patients and they should be followed by reminding that the disease can recur in the following long years.