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    The effect of different types of music on patients' preoperative anxiety: A randomized controlled trial
    (Elsevier Sci Ltd, 2018) Ugras, Gulay Altun; Yildirim, Guven; Yuksel, Serpil; Ozturkcu, Yusuf; Kuzdere, Mustafa; Oztekin, Seher Deniz
    Objective: The purpose of this study was to determine effect of three different types of music on patients' preoperative anxiety. Method: This randomized controlled trial included 180 patients who were randomly divided into four groups. While the control group didn't listen to music, the experimental groups respectively listened to natural sounds, Classical Turkish or Western Music for 30 min. The State Anxiety Inventory (STAI-S), systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and cortisol levels were checked. Findings: The post-music STAI-S, SBP, DBP, HR and cortisol levels of the patients in music groups were significantly lower than pre-music time. All types of music decreased STAI-S, SBP, and cortisol levels; additionally natural sounds reduced DBP; Classical Turkish Music also decreased DBP, and HR. Conclusions: All types of music had an effect on reducing patients' preoperative anxiety, and listening to Classical Turkish Music was particularly the most effective one. (C) 2018 Elsevier Ltd. All rights reserved.
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    Reconstruction of the Orbit With a Temporalis Muscle Flap After Orbital Exenteration
    (Korean Soc Otorhinolaryngol, 2015) Uyar, Yavuz; Kumral, Tolgar Lutfi; Yildinm, Guven; Kuzdere, Mustafa; Arbag, Hamdi; Jorayev, Chary; Kilic, Mehmet Vefa
    Objectives. This study presents the role of the temporalis muscle flap in primary reconstruction after orbital exenteration. Methods. A retrospective nonrandomized study of orbital exenterations performed between 1990 and 2010 for malignant tumors of the skin, paranasal sinus, and nasal cavity is presented. Results. The study included 13 patients (nine men, four women; age range, 30-82 years) with paranasal sinus, nasal cavity, or skin carcinomas. Primary reconstruction of the cavity was performed in all patients after orbital exenteration. No visible defects in the muscle flap donor site were present. Local recurrences were readily followed up with nasal endoscopy, whereas radiology helped to diagnose intracranial involvement in three patients. Two patients died of systemic metastases and five died for other reasons Conclusion. The temporalis muscle flap is readily used to close the defect after orbital exenteration, and does not prevent the detection of recurrence.