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MERİÇ HAFIZ, AYŞENUR

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AYŞENUR
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MERİÇ HAFIZ
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    PublicationOpen Access
    Letter to the Editor regarding article by Hussein et al. doi:10.1007/s00405-014-3309-7
    (2015-10-01) Eren, SABRİ BAKİ; TUGRUL, Selahattin; OZUCER, Berke; Meric, Aysenur; Ozturan, ORHAN; EREN, SABRİ BAKİ; MERİÇ HAFIZ, AYŞENUR; ÖZTURAN, ORHAN
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    PublicationOpen Access
    Factors influencing the longevity and replacement frequency of Provox voice prostheses.
    (2015-11-01) OZKUL, MH; Meric, AYŞENUR; TUGRUL, SELHATTİN; EREN, SABRİ BAKİ; YENIGUN, A; YENİGÜN, ALPER; EREN, SABRİ BAKİ; TUĞRUL, SELAHATTİN; MERİÇ HAFIZ, AYŞENUR
    INTRODUCTION This study aimed to assess the factors that influence the longevity and replacement frequency of Provox voice prostheses following their placement. METHODS The medical records of 27 patients who received Provox voice prostheses after total laryngectomy and attended follow-up regularly between 1998 and 2012 were retrospectively reviewed. The success rate of the Provox voice prostheses (i.e. whether speech was achieved), quality of speech achieved, number and type of complications encountered, frequency of prostheses replacement and reasons for prostheses replacements were evaluated. RESULTS All 27 patients were men and their mean age was 63.0 (range 43–78) years. The mean follow-up period was 60.3 (range 1–168) months. Fluent and understandable speech was achieved in 85.0% of the patients. The mean duration before prosthesis replacement had to be performed was 17.1 (range 1–36) months. The most frequent complication was fluid leakage through the prosthesis. There was a strong positive correlation of 77.1% between the longevity of prostheses and postoperative follow-up duration (r = 0.771; p < 0.01). CONCLUSION The voice prosthesis is a tool that can be delivered in a practical fashion and replaced easily with no serious complications. It is a means by which speech can be restored, with a high success rate, after total laryngectomy. In the present study, we found that postoperative follow-up duration was the most important factor influencing the longevity of the Provox voice prosthesis.
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    PublicationOpen Access
    A randomised prospective trial of trans-septal suturing using a novel device versus nasal packing for septoplasty.
    (2010-06-01T00:00:00Z) KORKUT, AY; Teker, AYŞENUR; EREN, SABRİ BAKİ; GEDIKLI, O; ASKINER, O; MERİÇ HAFIZ, AYŞENUR; EREN, SABRİ BAKİ
    Background: Nasal packing or trans-septal sutures are used to prevent postoperative complications in septoplasty. Trans-septal suturing is not commonly used, since it takes time and is technically difficult with the available devices following septoplasty. Methods: This study included 64 patients who underwent septoplasty. Following septoplasty, the patients were divided into two groups: group I had trans-septal sutures placed using a novel device and group 2 had the nose packed with a tampon. The duration of surgery, postoperative symptoms and complications were compared. Results: All of the postoperative symptoms were significantly less in the group with trans-septal sutures. The mean duration of surgery was 34.9 minutes in the nasal packing group and 37.8 minutes in the trans-septal suture group, and the difference was significant (p = 0.026). No postoperative bleeding, submucoperichondrial haematomas, infections or abscesses occurred in any of the patients, whilst nasal perforation was observed in one patient in each group. Two (5.4%) patients in group I and one (3.7%) patient in group 2 had postoperative adhesions. Conclusions: We have developed a simple, inexpensive device for performing trans-septal suturing that is easy to use in the nasal cavity. We conclude that the use of continuous septal suturing with our device is an easy modification of the standard procedure, with only a small increase in operating time.