2022-09-01, Balikci H., YENİGÜN A., ÇELİK İ., AKSOY F., DOĞAN R., ÖZTURAN O., YENİGÜN, ALPER, ÇELİK, İSMAİL, AKSOY, FADLULLAH, DOĞAN, REMZI, ÖZTURAN, ORHAN

© 2022 Elsevier Inc.Objective: The aim of this study is to propose a new approach in crooked nose deformity with key-stone plasty and asymmetric hump resection. Method: Twelve patients with crooked nose deformities were operated using the open rhinoplasty technique. Our method, unlike other methods, has two different steps. Following asymmetric hump resection, cartilaginous and osseous septum were cut separated at the key stone area or more caudally and fix the septum with sutures again by allowing them to slide over each other in a way that directs the septum to the midline. If there is an inability to reveal the septum, we apply a longer spreader graft to the cartilage septum side. Results: The mean ages were 27.4 years. The mean follow-up time of the patients was 19.1 months. No complications were observed due to this technique. This technique was effective in the treatment of all our patients with crooked nose deformities. Conclusion: A novel surgical approach with key-stone plasty and asymmetric hump resection method was proposed in crooked nose deformity with a video animation.

2024-06-01, POLAT E., Polat Y. B., ŞENTÜRK E., DOĞAN R., YENİGÜN A., Tugrul S., EREN S. B., AKSOY F., ÖZTURAN O., POLAT, EMRE, ŞENTÜRK, EROL, DOĞAN, REMZI, YENİGÜN, ALPER, TUĞRUL, SELAHATTİN, EREN, SABRİ BAKİ, AKSOY, FADLULLAH, ÖZTURAN, ORHAN

Objectives: This study examined the potential of ChatGPT as an accurate and readable source of information for parents seeking guidance on adenoidectomy, tonsillectomy, and ventilation tube insertion surgeries (ATVtis). Methods: ChatGPT was tasked with identifying the top 15 most frequently asked questions by parents on internet search engines for each of the three specific surgical procedures. We removed repeated questions from the initial set of 45. Subsequently, we asked ChatGPT to generate answers to the remaining 33 questions. Seven highly experienced otolaryngologists individually assessed the accuracy of the responses using a four-level grading scale, from completely incorrect to comprehensive. The readability of responses was determined using the Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level (FKGL) scores. The questions were categorized into four groups: Diagnosis and Preparation Process, Surgical Information, Risks and Complications, and Postoperative Process. Responses were then compared based on accuracy grade, FRE, and FKGL scores. Results: Seven evaluators each assessed 33 AI-generated responses, providing a total of 231 evaluations. Among the evaluated responses, 167 (72.3 %) were classified as ‘comprehensive.’ Sixty-two responses (26.8 %) were categorized as ‘correct but inadequate,’ and two responses (0.9 %) were assessed as ‘some correct, some incorrect.’ None of the responses were adjudged ‘completely incorrect’ by any assessors. The average FRE and FGKL scores were 57.15(±10.73) and 9.95(±1.91), respectively. Upon analyzing the responses from ChatGPT, 3 (9.1 %) were at or below the sixth-grade reading level recommended by the American Medical Association (AMA). No significant differences were found between the groups regarding readability and accuracy scores (p > 0.05). Conclusions: ChatGPT can provide accurate answers to questions on various topics related to ATVtis. However, ChatGPT\"s answers may be too complex for some readers, as they are generally written at a high school level. This is above the sixth-grade reading level recommended for patient information by the AMA. According to our study, more than three-quarters of the AI-generated responses were at or above the 10th-grade reading level, raising concerns about the ChatGPT text\"s readability.