Publications by authors named "Mehmet Yarali"

Article Synopsis
  • This study explores the outcomes and management of pediatric auditory brainstem implantation (ABI) for children with severe inner ear malformations, aiming to unify clinical practices and address current challenges.
  • A systematic review of relevant findings from the Third International Pediatric ABI Symposium analyzed data from multiple countries, highlighting trends in auditory outcomes, surgical approaches, and rehabilitation strategies.
  • Key conclusions emphasize the need for standardized guidelines and improved collaboration among healthcare professionals to enhance patient outcomes and guide future research in this specialized field.
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Objectives: After auditory brainstem implant (ABI) surgery, stimulation of certain cranial nerves may result in a non-auditory response, and the electrodes that stimulate these nerves may be deactivated. The goals of this study are to compare the number of active electrodes in the initial activation and the last fitting, to investigate non-auditory response types and their frequency as a result of non-auditory stimulation, to compare the placements of deactivated electrodes as a result of non-auditory stimulation in the initial activation and the last fitting.

Methods: The computer software system was used to perform a retrospective analysis of the fitting data of 69 ABI users who underwent auditory brainstem implant surgery between January 1997 and January 2019.

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Article Synopsis
  • The study aimed to assess cochlear implant (CI) mapping parameters in users with inner ear malformation (IEM) and examine changes over time compared to those with normal cochlear anatomy.
  • A total of 118 CI users were analyzed at various time points post-surgery, focusing on parameters like impedance measurements, threshold levels (THR), most comfortable levels (MCL), pulse width (PW), and rates.
  • Results indicated significant differences in several mapping parameters between IEM users and control groups over time, suggesting that pediatric CI users with IEM require individualized fitting adjustments and more frequent mapping sessions.
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Objective: To report the audiological, rehabilitative, and surgical outcomes of revision surgery for pediatric auditory brainstem implant (ABI) users.

Study Design: Retrospective cohort.

Setting: Tertiary referral center.

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Eye movements are guided by vestibular and visual information. The vestibulo-ocular knowledge of the vestibule includes eye movements in the opposite direction of head movements. This study investigated the effect of auditory "what" and "where" tasks on the visual "where" to evaluate the effects of cognitive tasks on eye movements.

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Objectives: To introduce the concept of stapedotomy as a new treatment alternative in cochlear hypoplasia (CH) and propose a new guideline for its management.

Methods: Forty-two primary cases out of 355 presented with congenital stapes fixation between January 2003 and September 2015 were included in the study. Computed tomography scans of all cases with congenital stapes fixation were reviewed, and cases with inner ear anomalies were taken into account.

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Objective: The objective of this study was to determine the fastest and the most effective auditory brainstem response (ABR) measurement protocol for audiological diagnosis in babies up to three months of age.

Methods: Twenty-two newborns (aged 0 to 63 days) who passed the newborn screening test in at least one ear were evaluated in the study. The ABR were recorded with click stimulus using two different electrode montages (1 montage: ipsilateral mastoid, contralateral mastoid, vertex.

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The anatomical cause of congenital sensorineural hearing loss can be atresia of the bony cochlear nerve canal (BCNC). It has been reported that the cochlear nerve (CN) can be either hypoplastic or aplastic when the BCNC width is <1.5 mm radioanatomically.

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Introduction: According to previous studies noise causes prolonged latencies and decreased amplitudes in acoustic change evoked cortical responses. Particularly for a consonant-vowel stimulus, speech shaped noise leads to more pronounced changes on onset evoked response than acoustic change evoked response. Reasoning that this may be related to the spectral characteristics of the stimuli and the noise, in the current study a vowel-vowel stimulus (/ui/) was presented in white noise during cortical response recordings.

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Objective: To report the initial surgical and audiological outcomes of three pediatric patients with severe inner ear malformations who were simultaneously implanted with cochlear and brainstem implants in the same surgical session.

Study Design: Retrospective case review.

Setting: Tertiary referral center.

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Objective: To determine audiological outcomes of children who use a cochlear implant (CI) in one ear and an auditory brainstem implant (ABI) in the contralateral ear.

Design: Retrospective case review.

Setting: Tertiary referral hospital.

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Background: Cochlear implantation (CI) is an effective treatment option for patients with severe-to-profound hearing loss. When CI first started, it was recommended to wait until at least 4 weeks after the CI surgery for the initial activation because of possible complications. Advances in the surgical techniques and experiences in fitting have made initial activation possible within 24 h.

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Background: Cochlear nerve deficiency is a general term used to describe both cochlear nerve hypoplasia (CNH) and cochlear nerve aplasia. Although these two conditions can have similar results on audiological evaluation, CNH yields more variation in audiological tests.

Objectives: To describe the audiological characteristics of the CNH cases in our series in relation to radiological findings.

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Objective: To compare P1-N1-P2-N2 response latencies and amplitudes evoked by voiced and unvoiced consonant-vowel syllables (CVS) /bi/-/pi/ and /di/-/ti/ by analyzing how the cortical responses to consonants and vowels interact during the formation of a syllable-evoked response.

Materials And Methods: Auditory late latency responses were recorded from 12 healthy individuals between the ages of 20 and 40 years with normal hearing while presenting /bi/-/pi/ and /di/-/ti/ tokens and individual consonant-vowel parts of syllables. Amplitude/latency values of P1-N1-P2-N2 responses were compared between /bi/-/pi/ and /di/-/ti/ pairs.

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The objective of the study was to discuss the findings of intraoperative electrically evoked auditory brainstem response (eABR) test results with a recently designed intracochlear test electrode (ITE) in terms of their relation to decisions of cochlear or auditory brainstem implantation. This clinical study was conducted in Hacettepe University, Department of Otolaryngology, Head and Neck Surgery and Department of Audiology. Subjects were selected from inner ear malformation (IEM) database.

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Objective: To analyze the cortical representations of auditory regularities and the relation between these representations and speech-in-noise (SIN) abilities and to compare two groups of participants with different SIN abilities on these cortical measures.

Materials And Methods: In total, 22 participants aged 20-40 years with normal hearing and without noise exposure, brain stem level-processing issues, neurological/psychiatric issues, or related medication were presented with three different stimuli resembling auditory regularities appearing after random sounds as well as a random series of sounds. Participants received a total of 480 stimuli in passive and active phases each (in which they actively detected regularities).

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Objective: In this study, functional results of different bone cement ossiculoplasty techniques are compared.

Methods: Retrospective case review at a tertiary referral center. Patients who underwent middle ear surgery and bone cement ossiculoplasty between 2006-2012 were included.

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