Browsing by Author "Gormez, Aysegul"

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Can Manual Therapy Alter Muscle Stiffness in Patients With Spinal Accessory Nerve Injury
(Wiley, 2025) Simsek, Ferhat; Naci, Baha; Kilicoglu, Meltem Bozaci; Alkan, Zeynep; Topcuoglu, Osman Melih; Gormez, Aysegul; Okyar, Ali Fethi
Objective. Shoulder and neck dysfunctions resulting from spinal accessory nerve injury impair quality of life. This study aims to investigate the effects of manual therapy in combination with standard physiotherapy on the mechanical properties of muscle, neck and shoulder function, pain, and quality of life in head and neck cancer patients. Study Design. Prospective, randomized, controlled, double-blind clinical trial. Setting. Department of Otorhinolaryngology Head and Neck Surgery of a university hospital. Methods. A total of 26 participants were randomized into two groups. The control group (n = 11) received standard physiotherapy including therapeutic exercises, scar tissue massage, and education. The intervention group (n = 10) received manual therapy consisting of soft tissue, myofascial release, and mobilization techniques in combination with standard physiotherapy. Outcome measures were mechanical properties of muscle, neck and shoulder active range of motion, shoulder pain and disability, and quality of life. Results. Upper trapezius and sternocleidomastoid muscle stiffness increased significantly in the control group (P < .01), whereas a significant reduction was observed in the intervention group compared to the control group (P = .001). A reduction in muscle thickness was observed bilaterally in both groups (P < .01). Moreover, all participants showed improvements in neck and shoulder active range of motion, shoulder pain, and quality of life (P < .01). Conclusion. Manual therapy in addition to standard physiotherapy was more effective in improving neck and shoulder function, quality of life, and reducing muscle stiffness compared to standard physiotherapy alone. Therefore, clinicians should consider incorporating manual therapy into their treatment protocols to optimize patient outcomes.
Citation - WoS: 1
Citation - Scopus: 1
Evaluation of the Compatibility of Preoperative Mrcp and Intraoperative Cholangiography in Imaging of the Bile Ducts in Living Donor Liver Transplantation
(Springer india, 2022) Dönmez, Ramazan; Gormez, Aysegul; Tıbbi Hizmetler ve Teknikler Bölümü
To evaluate the compatibility of preoperative 3D magnetic resonance cholangiopancreatography (3D MRCP) and intraoperative cholangiographies (IOC) of donors using Huang classification in living donor liver transplantation. Thirty-six consecutive right donor hepatectomy cases were retrospectively analyzed with preoperative MRCP and intraoperative cholangiography. Biliary variants were determined according to the Huang classification. Compatibility in MRCP and IOC was evaluated. 3D MRCP accurately determined the biliary anatomy in 32 of 36 cases (88.88%). The IOC of the 36 donors showed 25 normal bifurcations and 11 biliary variants. For detecting normal and variant anatomy, sensitivity, specificity, PPV, and NPV were 96.0%, 72.7%, 88.9%, and 88.9.0%, respectively. There was a substantial inter-rater agreement between IOC and MRCP in determining normal and variant anatomy (kappa = 0.724, p < 0.001). 3D MRCP is a non-invasive useful method to evaluate non-dilated bile ducts preoperatively in living donor liver transplantation. The eligibility criteria determined according to preoperative MRCP images should also be confirmed by intraoperative cholangiography.