Toprak, Serdar Ferit
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Doktor Öğretim Üyesi
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Department of Audiology/ Odyoloji Bölümü
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5
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5
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4
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| Journal | Count |
|---|---|
| Behavioral Sciences | 1 |
| Bioengineering-Basel | 1 |
| Dicle Tıp Dergisi | 1 |
| Neuropsychiatric Disease and Treatment | 1 |
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5 results
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Now showing 1 - 5 of 5
Article Hoarseness, Quality of Life, and Social Anxiety: A Case-Control Study(MDPI, 2025) Donmezdil, Suleyman; Toprak, Serdar FeritHoarseness is a common voice symptom that can impair communication and lead to psychosocial difficulties. It has been hypothesized that chronic hoarseness may contribute to elevated social anxiety. This study aimed to assess the impact of hoarseness on quality of life and social anxiety in affected individuals. Thirty-eight patients with chronic hoarseness (voice disorders) and 40 matched healthy controls were evaluated in a prospective case-control study. Quality of life was measured using the WHOQOL-BREF questionnaire (Physical, Psychological, Social, and Environmental domains). Social anxiety was assessed with the Liebowitz Social Anxiety Scale (LSAS), and general anxiety and depression with the Hospital Anxiety and Depression Scale (HADS). Group scores were compared using appropriate statistical tests, and effect sizes with 95% confidence intervals were calculated. Patients with hoarseness had significantly lower Psychological Health and Social Relationships scores on the WHOQOL-BREF than controls (p < 0.01 for both; large effect sizes), indicating worse quality of life in these domains. Physical Health and Environmental domain scores did not differ between groups. The hoarseness group also showed higher social anxiety: LSAS total scores and Social Interaction subscale scores were significantly greater than those of controls (p < 0.01 and p < 0.05, respectively; moderate-to-large effects), whereas the Performance Anxiety subscale was similar between groups. By contrast, HADS anxiety and depression scores did not differ significantly between patients and controls. Notably, mean HADS scores in both groups fell in the mild (borderline) range rather than the normal range. Chronic hoarseness is associated with reduced quality of life in emotional and social domains and with increased social anxiety symptoms, but not with elevated general anxiety or depression. These findings underscore the need to address psychosocial factors, particularly social anxiety, in the clinical management of patients with voice disorders.Article Retrospective Observational Study of Computed Tomography-Based Vascular Risk Assessment During Needle Drainage of Peritonsillar Abscess(Journal of Visualized Experiments, 2026) Samanci, Serhat; Toprak, Serdar Ferit; Ayral, Muhammed; Dedeoglu, Serkan; Temiz, HakanPeritonsillar abscess (PTA) is a common deep neck infection in which bedside drainage is performed close to major cervical vessels. Although catastrophic vascular complications are rare, clinicians have limited quantitative information on how far the internal carotid artery (ICA), external carotid artery (ECA), and internal jugular vein (IJV) lie from the abscess in individual patients. This protocol describes a contrast-enhanced computed tomography (CT)-based workflow to confirm unilateral PTA, acquire neck CT images under standard clinical settings, measure linear distances from the anterior and posterior abscess capsule to the ipsilateral ICA, ECA, and IJV, compare these distances with the contralateral healthy side as an internal control, and classify the theoretical risk of ICA injury during needle drainage using a modified Pfeiffer system. The procedure includes patient selection, safety screening for iodinated contrast, contrast-enhanced CT acquisition, standardized axial image review by a head and neck radiologist, and structured data recording and analysis. In a retrospective cohort of 94 adult patients, PTA consistently displaced the ICA, ECA, and IJV away from the tonsillar space, increasing both anterior and posterior distances compared with the healthy side. The mean posterior PTA-ICA distance was approximately 14 mm, whereas the contralateral tonsil-ICA distance was about 9 mm. ICA course anomalies (tortuosity or coiling) were detected in a minority of patients, and roughly one in seven cases met moderate-risk criteria because of shorter distances and/or aberrant ICA anatomy. Age, sex, and abscess volume did not significantly alter these relationships. This CT-based protocol provides a reproducible method to quantify PTA-vessel distances and identify patients with potentially higher vascular risk anatomy prior to drainage. It supports cautious, controlled-depth needle aspiration in most cases and highlights scenarios in which image-guided or operating-room drainage may be preferable.Article Psychiatric Comorbidity in Chronic Tinnitus: Depression and Anxiety in an Otolaryngology Outpatient Cohort(Dove Medical Press Ltd, 2026) Sirma, Enes; Toprak, Serdar Ferit; Dedeoglu, Serkan; Donmezdil, SuleymanPurpose: Chronic subjective tinnitus is commonly accompanied by psychological distress; however, its independent relationship with depressive and anxiety symptoms in otolaryngology outpatients has not been fully delineated. This study sought to estimate the prevalence of mood symptoms among adults with chronic tinnitus and to determine whether tinnitus severity contributes independently to psychological burden. Patients and Methods: In this cross-sectional study, 100 adults with subjective tinnitus of at least six months' duration were evaluated at a tertiary otolaryngology clinic. Participants completed the Tinnitus Handicap Inventory (THI), Beck Depression Inventory-II (BDI-II), and Beck Anxiety Inventory (BAI). Prevalence estimates were compared with population-level data. Associations between tinnitus severity and mood symptoms were examined using correlation analyses and multivariable linear regression adjusted for age, sex, and hearing status. Results: Mean scores were 47.2 +/- 18.3 for THI, 16.1 +/- 10.4 for BDI-II, and 19.5 +/- 11.2 for BAI. Tinnitus severity showed moderate positive associations with depressive (r = 0.50) and anxiety symptoms (r = 0.48), both p < 0.001. After adjustment, THI scores remained independently associated with higher BDI-II ((3 = 0.42, p < 0.001) and BAI scores ((3 = 0.39, p < 0.001). Severe tinnitus (THI >= 58) was linked to increased odds of moderate-to-severe depression (OR 3.10, 95% CI 1.52-6.30) and anxiety (OR 2.84, 95% CI 1.40-5.72). Clinically relevant depressive and anxiety symptoms were identified in 28% and 31% of participants, respectively. Conclusion: Greater tinnitus severity is independently associated with elevated symptom severity of depression and anxiety. These findings underscore the importance of routine mental health screening and multidisciplinary management in ENT practice.Article The Long-Term Results of Suture and Graft Techniques Used To Increase Tip Projection and Rotation in Open Technique Septorhinoplasty(2022) Erdem, Tamer; Toprak, Serdar Ferit; Can, Sermin; Bayındır, TubaBackground: In this study, we aimed to evaluate the long-term results of suture and graft techniques used to increase tip projection and rotation in Open Technique Septorhinoplasty. Methods: In this study, the data of 89 patients who underwent Open Technique Septorhinoplasty were analysed retrospectively. The patients were divided into groups 1,2,3,4 and 5 according to the suture and graft techniques used. Preoperative and postoperative photographs of all patients included in the study at the 1st, 3rd, 6th, 12th, 36th and 60th months were analyzed. To measure and compare these techniques, tip projection and rotation losses were measured on all photographs using a computer program called Imagej. Results: A statistically significant increase was found between the preoperative mean Nasolabial Angle (NLA), Type Angle (TA), Byrd–Hobar Method (BHM) and Nasofacial Angle (NFsA) measurement values and the measurement values at 36th months postoperatively in Groups 1 and 4 (p < 0.05). In Group 2, a statistically significant increase was found between preoperative mean NLA, TA and BHM measurement values and postoperative 36th month measurement values (p < 0.05). In group 1 only, there was a statistically significant difference between the preoperative mean TA, BHM, Simons Method (SM), Goode Method (GM) and Powell-Modified Baum Method (PMBM) measurement values and the postoperative measurement values at 60th months (p < 0.05). Conclusions: Our results showed that suture techniques were more effective on projection and rotation than graft techniques in the long term.Article Automated Mucormycosis Diagnosis from Paranasal CT Using ResNet50 and ConvNeXt Small(MDPI, 2025) Toprak, Serdar Ferit; Dedeoglu, Serkan; Kozan, Gunay; Ayral, Muhammed; Can, Sermin; Turk, Omer; Akdag, MehmetPurpose: Mucormycosis is a life-threatening fungal infection, where rapid diagnosis is critical. We developed a deep learning approach using paranasal computed tomography (CT) images to test whether mucormycosis can be detected automatically, potentially aiding or expediting the diagnostic process that traditionally relies on biopsy. Methods: In this retrospective study, 794 CT images (from patients with mucormycosis, nasal polyps, or normal findings) were analyzed. Images were resized and augmented for training. Two transfer learning models (ResNet50 and ConvNeXt Small) were fine-tuned to classify images into the three categories. We employed a 70/30 train-test split (with five-fold cross-validation) and evaluated performance using accuracy, precision, recall, F1-score, and confusion matrices. Results: The ConvNeXt Small model achieved 100% accuracy on the test set (precision/recall/F1-score = 1.00 for all classes), while ResNet50 achieved 99.16% accuracy (precision approximate to 0.99, recall approximate to 0.99). Cross-validation yielded consistent results (ConvNeXt accuracy similar to 99% across folds), indicating no overfitting. An ablation study confirmed the benefit of transfer learning, as training ConvNeXt from scratch led to lower accuracy (similar to 85%) Conclusions: Our findings demonstrate that deep learning models can accurately and non-invasively detect mucormycosis from CT scans, potentially flagging suspected cases for prompt treatment. These models could serve as rapid screening tools to complement standard diagnostic methods (histopathology), although we emphasize that they are adjuncts and not replacements for biopsy. Future work should validate these models on external datasets and investigate their integration into clinical workflows for earlier intervention in mucormycosis.

