Sarı, Neslihan
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Sarı, N.
Job Title
Dr. Öğr. Üyesi
Email Address
neslihansari@artuklu.edu.tr
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Department of Surgical Medical Sciences / Cerrahi Tıp Bilimleri Bölümü
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Current Staff
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Sustainable Development Goals
17
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0
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2
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0
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5
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0
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6
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0
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13
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0
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10
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0
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16
PEACE, JUSTICE AND STRONG INSTITUTIONS
0
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8
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0
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15
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0
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3
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1
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9
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0
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14
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1
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4
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1
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7
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11
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0
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12
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0
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12
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75
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4
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11
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64
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8
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5
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69/1024
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8
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7
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1
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1
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2
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1.00
Scopus Citations per Publication
0.88
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6
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| Journal | Count |
|---|---|
| 15. Uluslararası Kulak Burun Boğaz ve Baş Boyun Cerrahisi Kongresi | 1 |
| Airway Diseases: Volume 1-3 | 1 |
| Bratislava Medical Journal-Bratislavske Lekarske Listy | 1 |
| Cukurova Medical Journal | 1 |
| European Journal of Rhinology and Allergy | 1 |
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Now showing 1 - 8 of 8
Article Citation - WoS: 8Citation - Scopus: 6The association of allergic rhinitis severity with neutrophil-lymphocyte and platelet-lymphocyte ratio in children(Northern Clinics of İstanbul, 2022) Cansever, Murat; Sarı, NeslihanObjective: The aim of the study was to investigate the relationship between the severity of allergic rhinitis (AR) and neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) in pediatric patients. Methods: This study is a retrospective, cross-sectional, and observational study including 200 AR patients and 160 healthy controls. Of the patients, 39% were boys with a mean age of 10.5 years. The study included children with persistent and intermittent AR. Of the controls, 50.6% were boys with a mean age of 10.3 years. We compared NLR and PLR from blood test between study and control groups. They were also compared according to AR severity within the patient group. Results: The NLR was 1.64±1.29 in the study group whereas 1.18±0.31 in the control group. The PLR was 102.72±31.20 in the study group whereas 79.36±11.72 in the control group. When NLR and PLR were compared between groups, we found statistically significant differences in both NLR and PLR (p=0.003, p=0.001, respectively). We found a statistically significant difference when comparing both NLR and PLR in patients with intermittent and persistent AR. These rates increased with disease severity (p=0.000, p=0.000, respectively). Conclusion: Both NLR and PLR are useful markers for the diagnosis and severity of AR. Clinicians can use these markers to assess disease severity in pediatric patients at the beginning of the diagnostic process.Book Part Voice Disorders: Overview(Springer Science+Business Media, 2025) Sarı, N.; Bayar Muluk, N.; Plzák, J.Producing a human voice requires precise regulation of airflow from the lungs to the oropharynx in tandem with the glottic posture. The vocal folds need to be in the correct compliance to display their dynamic vibratory properties. Dysphonia can be caused by factors that affect the glottis’s vibratory nature (such as a laryngeal cyst) or its aerodynamic structure (such as vocal fold paralysis). However, a functional voice problem should be considered when vocal quality declines without corresponding changes in anatomy or the nervous system. Up to 40% of dysphonia cases referred to a multidisciplinary voice clinic may be due to functional voice problems. Even when the anatomy is regular, changes in laryngeal muscle tension are thought to lead to changes in laryngeal function. Now, when people talk about functional dysphonia, they usually say muscle tension dysphonia (MTD). Research from Italy indicated that functional dysphonia was present in over 90% of kids whose dysphonia was caused by a vocal fold injury. © 2025 Springer Nature Switzerland AG.Article Citation - Scopus: 1Inferior Turbinate Variations: a Radioanatomic Study(AVES, 2022) Demir, B.T.; Sarı, N.; Çankal, F.Objective: Although inferior turbinate variations are asymptomatic in most cases, symptoms may occur due to inferior turbinate hypertrophy or nasal cavity obstruction. They may even play a role in rhinogenic headache or allergic fungal sinusitis. This study, which has been studied very little and is not found much in the literature, was carried out to investigate and clinically evaluate inferior turbinate variations, Methods: This study was conducted with a total of 376 patients, 176 women (44.8%) and 200 men (50.9%), with a mean age of 36.73 ± 11.62 years, who underwent paranasal sinus computed tomography. Inferior turbinate variations were evaluated in the sections. Results: It was determined that 4.5% (n = 17) of the patients had inferior turbinate variation and 95.5% (n = 359) had no variation. Anatomical variations of inferior turbinate on paranasal sinus computed tomography scan of the 376 patients were examined: serrated 10 (2.5%), bullous 3 (0.8%), paradoxical 1 (0.3%), accessory bifid 2 (0.5%), and hypoplasia 1 (0.3%). Conclusions: In this study, it was determined that inferior turbinate variations were more prevalent than expected, and accessory bifid, serrated, and paradoxical subgroups, which have been reported to be very rare in the literature, were more commonly seen than expected. © Author(s).Article Evaluation of Children with Hearing Loss in a Special Education Centre in Mardin by TEDIL-3 Test(Kulak Burun Boğaz ve Baş Boyun Cerrahisi, 2022) Sarı, Neslihan; İmrak, İbrahim HalilABS TRACT Objective: To assess the conditions based on Early Language Development Test (TEDIL-3) scores after rehabilitation in children with hearing loss who continue special education in a single centre in Mardin, a city in southeast Türkiye. Material and Methods: Demography, auditory findings, depression status of 53 (53% male, 47% female, aged 3-7 years) children, given a special education, in July and October 2021, were evaluated by TEDIL-3 test. Group P consisted of patients with scores above average and F group consist of children having scores below average on the TEDIL-3 test. Scores in different characteristics and between groups were compared with analysis of correlations and factor analysis. Results: As a result of the study, 30 (57%) children have been found to be in Group P, 23 (43%) of them in Group F. Statistical significance and higher scores were seen in children with families with monolanguage than bilanguage (p<0.05). Diagnosis age was higher in Group F (mean±SD; 18.5±18.1) than group P (mean±SD; 7.5±11.4). Cochlear implant age was correlated with diagnostic age (p=0.013, n=35, r=0.64). Although neonatal hearing screening (NHS) does not have prognostic significance, in the NHS, 41.5% of children were false positives and 7.5% of them had no application to NHS (p>0.05). Conclusion: Bilingualism and the higher age of diagnosis in hearing loss are major negative factors that we encounter in the auditory rehabilitation by TEDIL scores in Mardin. Correct and compulsory implementation in NHS and raising awaireness on both issues will contribute to auditory rehabilitaion in children in MardinConference Object Çocuklarda Burun Kanaması Prevalansı, İlişkili Faktörler, Sebepler ve Tedavi Yaklaşımları: Mardin İli Örneği(15. Uluslararası Kulak Burun Boğaz ve Baş Boyun Cerrahisi Kongresi, 2023) Sarı, Neslihan; Yeşil, Yeşim; Mungan, Feride; Bütün, AhmetGiriş: Burun kanaması çocukluk çağında sık karşılaşılan bir tablodur. Çoğunluğu hafif seyirli olmakla birlikte acil servise ciddi kanamalarla başvuracak geniş spektrumda klinik seyir gösterdiği izlenmektedir. Bu çalışmanın amacı ilkokul çağındaki çocuklarda burun kanaması yaygınlığını belirlemek ve burun kanaması ile aile ve çevresel faktörler arasındaki ilişkiyi değerlendirmek, sebep ve tedavi yaklaşımlarını gözden geçirmektir. Gereç ve Yöntem: Çalışmaya Mardin il merkezindeki üç ilköğretim okulunda 7-11 yaş arası 817 öğrenci alınmıştır. Burun kanaması prevalansı, demografik faktörler, kanama nedenleri ve tedavi yaklaşımları hakkında bilgiler içeren anket yoluyla veriler yüz-yüze görüşme tekniği kullanılarak toplanmıştır. Araştırma verileri SPSS 25 programı ile değerlendirilmiş olup tanımlayıcı istatistikler ve ki-kare analizi kullanılmış, p<0,05 istatistiksel olarak anlamlı kabul edilmiştir Bulgular: Mardin il merkezinde 7-11 yaş arası çocukların burun kanaması prevalansı 283 hasta (%34,6) olarak saptanmıştır. Burun kanamasının %5,7’sinde 2 yaş altında başladığı, %64,3’ünde yılda 5-14 kez kanadığı, ailedede burun kanaması varlığı %28,5 ve en çok %85,3’ünde yaz aylarında kanama izlendiği belirlenmiştir. Burun kanaması ile ailede sigara içilmesi arasında anlamlı bir ilişki olduğu görülmüştür (p<0.05). Ailede burun kanama varlığı, allerji, sinüzit, burun tıkanıklığı, burunda kabuklanma ve burun içinde yara olması burun kanaması ile ilişkilendirilmiştir (p<0.05). Burun kanaması olanların %80,2’sinin kendiliğinden iyileştiği, %26,1’inin tedavi aldığı ve bu tedavilerin sırasıyla %39,9’una burun kanaması ile ilgili bir müdahale yapıldığı, %16,3’ünün acil servise başvurduğu, %32,2’nin Kulak Burun Boğaz polikliniğine başvurduğu, %3,2’sinin burun kanaması nedeni ile hastanede yattığı, %4,2’sine burun kanaması nedeni ile kan verildiği saptanmıştır. Burun kanaması vakaları ebeveynlerin %55,1’inde korku yarattığı belirlenmiştir. Sonuç: Burun kanaması çocukluk çağında sık görülmekte olup, çoğunluğu kendiliğinden iyileşmektedir. Mardin il merkezinde burun kanamasının çocuklarda daha çok yaz aylarında izlendiği görülmüştür. Burun kanaması ailede sigara içilmesi ile ilişkili bulunmuş olup, ailede burun kanama varlığı, sinüzit, allerji, burun tıkanıklığı, burunda kabuklanma ve burunda yara olması ile ilişkili bulunmuştur.Article Role of Oxidative Stress in Serous Otitis Media and Myringosclerosis(Springer Nature, 2025) Sari, Neslihan; Savas, Hasan Basri; Ugras, Seda; Durucu, CengizBackground Ventilation tube insertion (VTI) is the surgical treatment of serous otitis media (SOM). Myringosclerosis (MS) commonly appears after ventilation tube insertion (VTI). The exact etiology of both MS and SOM remains unclear. Objective The role of oxidative stress (OS) markers-total antioxidant status (TAS), total oxidant status (TOS), oxidative stress index (OSI), paraoxonase (PON1), arylesterase (ARES), and zinc (Zn) levels-in the advancement of SOM and MS in patients following VTI was examined. Methods The study comprised 100 children aged six to thirteen, categorized into MS + SOM (n = 34), MS-SOM (n = 34), and control (n = 32) groups. Serum levels of TAS, TOS, OSI, PON1, ARES, and Zn were evaluated. ANOVA, independent t-test, and Receiver Operating Characteristic (ROC) analysis were used for statistical analysis (p < 0.05). Results For SOM, the means of TOS and OSI were greater than those of the control group, whereas ARES and Zn were found to be lower than those of the control group (p < 0.05). ANOVA results for MS revealed that TOS (p = 0.026), OSI (p = 0.009), PON1 (p = 0.047), ARES (p = 0.00), and Zn (p = 0.00) levels differed among the groups. In ROC analysis, TOS (AUC = 0.697, p = 0.0002), OSI (AUC = 0.701, p = 0.0002), ARES (AUC = 0.777, p = 0.0001), and Zn (AUC = 0.817, p = 0.0001) are predictive for SOM. No predictive parameters of OS for MS were identified (p > 0.05). Conclusion Serum TOS, OSI, ARES, and Zn can serve as diagnostic indicators in SOM. None of the serum OS markers is predictive of MS. More research is needed to support these conclusions.Article Common and atypical otorhinolaryngological findings of Covid-19(Cukurova Medical Journal, 2021) Sarı, Neslihan; Arslan, Nurgül; Bayram Değer, VasfiyePurpose: Several atypical presentations of COVID-19 like anosmia, conjuctivitis, and gastrointestinal findings are seen in the literature. The purpose of this study was to investigate the common and atypical symptoms of COVID-19 among the patients admitted to the otorhinolaryngology (ENT) outpatient clinic. Materials and Methods: This case series was conducted with 49 patients who applied to hospital between April 1, 2020 and April 30, 2020. Common and atypical otolaryngological findings were recorded. Sociodemographic findings and blood parameters were also evaluated. Results: Of the patients, 59.18% were aged 40 and over, 46.94% were of the A blood group, 55.10% were male and 24.49% were smokers, 51.02% had a chronic disease. Among typical symptoms; fever (71.43%), a dry cough (46.94%), shortness of breath (42.86%) was seen. Diarrhea (48.98%), runny nose (51.02%), nasal congestion (42.85%), sore throat (22.44%), headaches (32.65%), 18.36% olfactory disorder, 26.53% gustatory disturbance were noted. Olfactory and gustatory disturbances are found to be related to good prognosis and mild clinical course. The difference between Hg and D–dimer levels of the female and male patients were found to be statistically significant. The D-dimer levels determined in the present study were higher than those reported in the literature. Conclusion: While COVID-19 present with common symptoms, sometimes atypical symptoms can be the only finding during initial application to the hospital. Olfactory and gustatory disturbances point to the effects of COVID-19 on neurons. Neuronal effects like olfactory and gustatory disturbances should be closely monitored in COVID-19 patients in long term.Book Part Snoring and Apnoea: a Sign of an Underlying Disease and Its Treatment(Springer International Publishing, 2023) Sarı, N.; Muluk, N.B.The term sleep-disordered breathing (SDB) applies to a range of conditions which impact numerous branches of medical science. The range extends from primary snoring, via upper airway resistance syndrome (UARS), to obstructive sleep apnea/hypopnea syndrome (OSAH). The most commonly encountered manifestation of SDB is snoring. Sometimes, snoring does not signify disease, or may be the result of a modifiable factor (a blocked nose, being overly tired, agents that cause central nervous depression, sleeping in a particular way). It may also be due to both disease and another non-pathological factor. The definition of apnea is a pause in breathing with a duration of at least ten seconds. Apnea in the context of OSA is linked to a cessation in the mechanical events of respiration (i.e.] thoracic movement). Central apnea is not associated with chest wall movement, but it is seldom seen. Mixed apnea refers to a derangement in respiration consisting of initial central apnea followed by obstructive apnea. Hypopnea involves a degree of lessened ventilation but with ongoing mechanical effort to breathe, and lasting a minimum of ten seconds. Obstructive sleep apnea syndrome (OSAS) is by definition a longstanding condition affecting sleep in which the airway keeps becoming partly or totally blocked and thus the flow of air ceasing, in spite of the continuation of muscular effort supporting ventilation. The intermittent obstruction keeps causing arousal in patients and thus interrupts their sleep. Diagnosis and treatment of OSAS are reviewed. © Springer Nature Switzerland AG 2023.
