Browsing by Author "Sönmez, B."

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A Computed Tomography Study of the Sella Turcica in Chiari Malformation Type 2
(Lippincott Williams and Wilkins, 2025) Yalinkiliç, A.; Beger, B.; Erdem, M.Z.; Sönmez, B.; Karaaslanli, A.; Çetin, C.Ş.; Beger, O.
Objective: To reveal differences in morphology of the sella turcica (ST) in patients with Chiari malformation type 2 (CMT2) by comparison normal subjects. Methods: Computed tomography slices of 46 CMT2 (sex: 22 females and 24 males, and mean age: 8.80±5.87 y) and 46 controls (sex: 22 females and 24 males, and mean age: 8.48±5.13 y). Results: Patients with CMT2 had statistically similar ST size (its surface area, height, width, length, and diameter) to controls. Four configurations regarding Axelsson shape types were detected in CMT2s (normal sella: 71.70%, oblique anterior wall: 15.30%, irregularity: 6.50%, and pyramidal shape of the dorsum sellae: 6.50%) and controls (normal sella: 76.10%, oblique anterior wall: 10.90%, irregularity: 6.50%, and pyramidal shape of the dorsum sellae: 6.50%). Three configurations regarding Camp shape types were detected in CMT2s (oval: 28.30%, round: 67.40%, and flattened: 4.30%) and controls (oval: 26.10%, round: 71.70%, and flattened: 2.20%). CMT2 did not correlate with Axelsson (P=0.942) or Camp (P=0.804) shape types. Conclusion: The authors' computed tomography study displays that ST size and shape in CMT2s were similar to that of healthy subjects. © 2025 by Mutaz B. Habal, MD.
Evaluation of the Effect of Sound Intensity on Vital Signs in Neonatal Intensive Care Unit
(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Başaranoğlu, M.; Karaman, S.; Sönmez, B.; Tuncer, O.
Newborns, and especially prematures, suffer acute and chronic damage from noise during hospitalization. Therefore, it is important to monitor the noise levels of both the in-tub and out-of-tub environment. In this study we aimed to evaluate the effects of sound level measurement, noise sources and sound level on the vital signs of infants in Neonatal Intensive Care Unit. We measured the sound levels at three different time point and two different sites during the day to determine the sources of the noise using the Benetech Sound Level Meter GM1352. During each measurement, the number of people in two sections of the NICU, the number of devices working, and the vital signs of the patients were recorded. The average noise level in the first region was 58.58±10.7 dB and the average noise level in the second region was 50.17±6.407 db. There was a significant decrease in SaO2 values, especially during periods when the volume was high (p<0.01). It was also determined that the number of breaths, pulse and sleeplessness levels increased during periods when the sound level rose above a certain level. As a source of noise the number of people working devices used and the presence of the nurse desk in the section were found. İt was determined that the recommended sound level in our unit was generally exceeded and that these levels had various adverse effects on infants. It is necessary to take measures to reduce the negative effects of noise on babi es. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
A Randomized Trial of the Effects of Platelet- Rich Plasma on Postoperative Complications After Meningomyelocele Sac Repair
(NLM (Medline), 2023) Arabacı, Ö.; Akyol, M.E.; Çelikkaleli, E.; Sönmez, B.; Çetin, E.; Beger, B.
OBJECTIVE: Meningomyelocele is a common congenital neural tube defect. To reduce complications, we need early surgery and a multidisciplinary approach. In this study, we administered platelet-rich plasma (PRP) to babies with meningomyelocele following corrective surgery to minimize cerebrospinal fluid (CSF) leakage and accelerate the healing of the immature pouch tissue. We compared these with a control group that did not receive PRP. PATIENTS AND METHODS: Of the 40 babies who had surgery with the diagnosis of meningomyelocele, 20 patients received PRP after surgical repair, and 20 were followed up without PRP. In the PRP group, 10 of the 20 patients underwent primary defect repair, the other 10 underwent flap repair. In the group that did not receive PRP, primary closure was performed in 14 patients and flap closure in six. RESULTS: In the PRP group, CSF leakage occurred in one (5%) patient, and none developed meningitis. Partial skin necrosis occurred in three (15%) patients and wound dehiscence in three (15%) patients. In the group that did not receive PRP, CSF leakage occurred in nine (45%) patients, meningitis in seven (35%), partial skin necrosis in 13 (65%), and wound dehiscence in seven (35%) patients. The rate of CSF leakage and skin necrosis in the PRP group was significantly (p<0.05) lower than that in the PRP group. Furthermore, wound closure and healing were also improved in the PRP group. CONCLUSIONS: We have shown that PRP treatment of postoperative meningomyelocele infants facilitates healing and lowers the risk of CSF leakage, meningitis, and skin necrosis.