Epidermoid kistler, vucudun her yerinde gorulebildigi gibi bas-boyun bolgesinde de yerlesim goste... more Epidermoid kistler, vucudun her yerinde gorulebildigi gibi bas-boyun bolgesinde de yerlesim gosterebilirler. Agiz tabaninda dilalti yerlesimli epidermoid kistler literaturde sinirli sayida rapor edilmistir. Bunlar iyi huylu kitleler olup cogu zaman herhangi bir semptom ve bulgu vermezler. Ancak, boyutlari artip kitle etkisiyle komsu anatomik yapilara basi yaparak cigneme, yutma ve konusma fonksiyonlarini aksatarak degisik semptom ve bulgulara yol acabilirler. Sublingual yerlesimli epidermoid kistler intra ve ekstraoral yaklasimla tedavi edilebilir. Mumkun oldugu durumlarda intraoral yaklasimin tercih edilmesi ile ilerde gelisebilecek olasi estetik problemlerden de kacinilabilir. Bu calismada, nadir gorulen agiz taban yerlesimli epidermoid kist olgusuna ait klinik veriler guncel literatur bilgileri esliginde sunulmustur. Anahtar Kelimeler: sublingual, epidermoid kist, dermoid kist, agiz tabani
Giris: Kendini yaralama davranisi (self-mutilasyon, self-injury, self-harm) bilincli bir intihar ... more Giris: Kendini yaralama davranisi (self-mutilasyon, self-injury, self-harm) bilincli bir intihar amaci olmaksizin, tasarlanmis bir sekilde beden dokularina zarar verici karmasik bir grup davranis olarak tanimlanmaktadir. Bir belirti olarak kendini yaralama davranisi, agir mental retardasyon gosteren kimselerde, borderline ve diger kisilik bozukluklarinda, yeme bozukluklarinda ve yapay bozukluklarda gorulen bir durumdur. Bu calismanin amaci, yanik yaralanmasi ile basvuran bir olgu esliginde, kendini yaralama davranisinin etiyolojisinin, kliniginin ve tedavisinin gozden gecirilmesidir. Olgu Sunumu: Acil servise 20 yasinda erkek hasta sag el dorsumunda yanik sikayeti ile basvurdu. Hastanin yapilan muayenesinde sag el dorsumunda kenarlari krutlu ortasi eritemli 2. ve 3. derece kontakt yanigi ile uyumlu gorunum mevcuttu. Anamnezde olusan yaniklarin sigara ile hasta tarafindan olusturuldugu hasta tarafindan ifade edildi. Hasta ilk mudahalenin ardindan noropsikiyatrik acidan degerlendirildi. Borderline kisilik bozuklugu ile uyumlu tablo oldugu goruldu ve uygun medikasyon baslandi. Tartisma ve Sonuc: Kendine zarar verici davranislar en sik 19-29 arasi yas grubunda gorulur. Bu yas grubunda kendine zarar verici davranis orani %1 den fazladir. Kendini yaralayici davranislara siklikla bosluk, hiclik, caresizlik, yetersizlik, ofke, hissizlik duygulari ve katlanilmaz gerginlik eslik eder. Dusunsel olarak ise kotu oldugu, zararli oldugu, aciyi yada cezalandirmayi hak ettigi, sevilmedigi-istenmedigi, yalniz desteksiz ve kimsesiz oldugu, kimsenin kendisine yardim etmeyecegi ya da edemeyecegi hissi vardir. Literatur verileri incelendiginde en sik gorulen kendine zarar verici davranislar, ozellikle borderline kisilik bozukluklarinda kollarini, bileklerini kesme ve cesitli vucut bolgelerine jilet atma seklinde gorulur. Olgumuzda literature benzer sekilde noropsikiyatrik bulgular olmakla beraber kendine zarar verici olarak kesici alet yerine yanan sigaranin kullanildigi gorulmektedir. Bu sekilde sigara ile olusan self-mutilasyon olgusu literaturde sinirli sayida bildirilmistir. Bu tur hastalarda farmakolojik tedavinin yaninda destekleyici dinamik psikoterapi uygulanmasi onerilmektedir. Anahtar Sozcukler: Borderline Kisilik Bozuklugu, Self-Mutilasyon, Sigara Yanigi
Türk Plastik, Rekonstrüktif ve Estetik Cerrahi Dergisi (Turk J Plast Surg), Apr 23, 2014
Introduction: Tattoo is a kind of body modification as a skin art, made by inserting indelible in... more Introduction: Tattoo is a kind of body modification as a skin art, made by inserting indelible ink into the dermis of the skin. The aim of this study was to present an unusual case that developed after tattooing and to draw attention to the problem of public health in the light of the current literature. Case Report: A 17-year-old male suffering from pain, edema and redness of his left forearm was admitted to emergency department. History revealed tattooing 24 hours ago. He was diagnosed as contact dermatitis and wound dressing with chlorhexidine ointment was performed. Discussion: Medical complications in varying proportions associated with these decorative techniques have been reported in parallel with the rise in their popularity. Analysis of data in the literature revealed the most common complications were related with skin (67.5 %) and allergic problems (6.6%). Conclusion: As a result, intensifying inspections of tattoo salons by local authorities and serious sanctions for uncertified tattoo performers will minimize the potential for complication. Keywords: Tattto, public health, wound care, acute, contact dermatitis
Yanik sonrasi bakim imkanlarinin gelismesi ve mortalite/morbidite oranlarinin dusmesi ile birlikt... more Yanik sonrasi bakim imkanlarinin gelismesi ve mortalite/morbidite oranlarinin dusmesi ile birlikte psikiyatrik rehabilitasyon onem kazanmistir. Yanik travmasi sonrasi inkar, ofke, sucluluk duygusu, konfuzyon, utanc, kaygi, uzuntu, sinirlilik gibi psikiyatrik belirtiler gozlenebilir. Deliryum, depresyon, anksiyete, travma sonrasi stres bozuklugu, cinsel sorunlar gibi psikiyatrik rahatsizliklar gelisebilir. Bu belirti ve rahatsizliklar duzenli gorusmelerde ve yapilacak uygun psikometrik testlerle arastirilmalidir. Tedavi ve rehabilitasyon sureci hekim, hemsire, diyetisyen, psikolog, sosyal hizmet uzmani, ilgili diger saglik calisanlarindan olusan ve yanikli hastanin ve bakim saglayan yakinlarinin gereksinimlerini karsilayan multidisipliner bir ekip calismasini gerektirir. Bu ekip hastanin ve ailesinin gerek hastane surecinde gerekse sosyal ortaminda yasayabilecegi tum sorunlarda gerekli destegi vermek icin gayret gostermelidir. Yanik yaralanmasi sirasinda ya da sonrasinda ortaya cikan psikiyatrik belirtilerin etkin bir sekilde degerlendirilmesi ve uygun sekilde tedavi edilmesi ile hastalarin yasam kalitesinde belirgin iyilesme oldugu gozlenmektedir.
Türk Plastik, Rekonstrüktif ve Estetik Cerrahi Dergisi (Turk J Plast Surg), Aug 25, 2016
Igsi hucreli lipom (IHL), degisen oranlarda kollajen yapici igsi hucrelerin yer aldigi, matur yag... more Igsi hucreli lipom (IHL), degisen oranlarda kollajen yapici igsi hucrelerin yer aldigi, matur yag dokusunun tumorudur. En sik govde ve boyun yerlesimli olup genellikle subkutan dokuda lokalize olur. Siklikla 4-5. dekatta ve erkek hastalarda gorulur. Ayirici tani icin histopatolojik incelemenin yaninda immunohistokimyasal inceleme gerekir. Bu calismada ayak dorsumunda yerlesim gosteren IHL olgusu guncel literatur verileri ile tartisildi.
Objective: During wars, many soldiers and civilians either get injured or die. In civil wars, old... more Objective: During wars, many soldiers and civilians either get injured or die. In civil wars, older people, women, and children are more vulnerable to injuries and traumas. The aim of this study is to reveal the demographic features and variety as well as the characteristicsof the injuries in children who were impacted from the Syrian civil war and underwent surgeries in the plastic, reconstructive and aesthetic surgery department. Patients and Methods: This is a retrospective study which initially included 121 children aged 0–18 years out of a total of 402 Syrian patients treated in the plastic, reconstructive and aesthetic surgery department between December 2011 and December 2016. Results: Of 83 children with war injuries treated in our clinic, 42% were female and 58% were male. Forty-one percent of the injuries were located in the head-neck region. 43.4% of the injuries were due to burns. Thirty-six percent of the injuries were located on the extremities. All the patients underwent a total of 242 surgeries. The mean number of surgeries per child was 2.9. The mean time of hospitalization was 17.12% days. Conclusion: The results of the study show that children are impacted just as much or more thanadults in the Syrian civil war and had more severe injuries than those effected by similar wars and terrorist attacks.
Objective: Different treatment modalities have been used either alone, or in combination to achie... more Objective: Different treatment modalities have been used either alone, or in combination to achieve an optimum improvement for hypertrophic scars. Intralesional injections of corticosteroids and 5-fluorouracil are among the most commonly used treatments. Recently, botulinum toxin is proposed as a new treatment option. In this study, it is aimed to compare the efficacies of intralesional triamcinolone acetonide, 5-fluorouracil and botulinum toxin-A for hypertrophic scars. In order to minimize the variables affecting scar formation, standardized wounds in rabbit ear hypertrophic scar model was used. Materials and methods: Four surgical wounds were created on both ears of eight rabbits. Injections to be compared (triamcinolone acetonide, 5-fluorouracil, botulinum toxin-A and control) are administered intralesionally to established scars on day 30. Scars were harvested on day 60 for morphometric analysis including hypertrophic index, fibroblast density, and relative collagen density. Results: Triamcinolone acetonide and 5-fluorouracil injections decreased hypertrophic indexes significantly compared to botulinum toxin-A and control group. However, only 5-fluorouracil was effective to reduce fibroblast counts significantly. No statistically significant differences were found between the treatment groups in terms of collagen index. Conclusions: According to the results of our study, triamcinolone acetonide and 5-fluorouracil are comparatively effective as monotherapy, but botulinum toxin-A was not effective on established hypertrophic scars.
This paper presents a case in which a chemical burn resulted from the use of garlic as a naturopa... more This paper presents a case in which a chemical burn resulted from the use of garlic as a naturopathic medicine for knee pain.
Epidermoid kistler, vucudun her yerinde gorulebildigi gibi bas-boyun bolgesinde de yerlesim goste... more Epidermoid kistler, vucudun her yerinde gorulebildigi gibi bas-boyun bolgesinde de yerlesim gosterebilirler. Agiz tabaninda dilalti yerlesimli epidermoid kistler literaturde sinirli sayida rapor edilmistir. Bunlar iyi huylu kitleler olup cogu zaman herhangi bir semptom ve bulgu vermezler. Ancak, boyutlari artip kitle etkisiyle komsu anatomik yapilara basi yaparak cigneme, yutma ve konusma fonksiyonlarini aksatarak degisik semptom ve bulgulara yol acabilirler. Sublingual yerlesimli epidermoid kistler intra ve ekstraoral yaklasimla tedavi edilebilir. Mumkun oldugu durumlarda intraoral yaklasimin tercih edilmesi ile ilerde gelisebilecek olasi estetik problemlerden de kacinilabilir. Bu calismada, nadir gorulen agiz taban yerlesimli epidermoid kist olgusuna ait klinik veriler guncel literatur bilgileri esliginde sunulmustur. Anahtar Kelimeler: sublingual, epidermoid kist, dermoid kist, agiz tabani
Giris: Kendini yaralama davranisi (self-mutilasyon, self-injury, self-harm) bilincli bir intihar ... more Giris: Kendini yaralama davranisi (self-mutilasyon, self-injury, self-harm) bilincli bir intihar amaci olmaksizin, tasarlanmis bir sekilde beden dokularina zarar verici karmasik bir grup davranis olarak tanimlanmaktadir. Bir belirti olarak kendini yaralama davranisi, agir mental retardasyon gosteren kimselerde, borderline ve diger kisilik bozukluklarinda, yeme bozukluklarinda ve yapay bozukluklarda gorulen bir durumdur. Bu calismanin amaci, yanik yaralanmasi ile basvuran bir olgu esliginde, kendini yaralama davranisinin etiyolojisinin, kliniginin ve tedavisinin gozden gecirilmesidir. Olgu Sunumu: Acil servise 20 yasinda erkek hasta sag el dorsumunda yanik sikayeti ile basvurdu. Hastanin yapilan muayenesinde sag el dorsumunda kenarlari krutlu ortasi eritemli 2. ve 3. derece kontakt yanigi ile uyumlu gorunum mevcuttu. Anamnezde olusan yaniklarin sigara ile hasta tarafindan olusturuldugu hasta tarafindan ifade edildi. Hasta ilk mudahalenin ardindan noropsikiyatrik acidan degerlendirildi. Borderline kisilik bozuklugu ile uyumlu tablo oldugu goruldu ve uygun medikasyon baslandi. Tartisma ve Sonuc: Kendine zarar verici davranislar en sik 19-29 arasi yas grubunda gorulur. Bu yas grubunda kendine zarar verici davranis orani %1 den fazladir. Kendini yaralayici davranislara siklikla bosluk, hiclik, caresizlik, yetersizlik, ofke, hissizlik duygulari ve katlanilmaz gerginlik eslik eder. Dusunsel olarak ise kotu oldugu, zararli oldugu, aciyi yada cezalandirmayi hak ettigi, sevilmedigi-istenmedigi, yalniz desteksiz ve kimsesiz oldugu, kimsenin kendisine yardim etmeyecegi ya da edemeyecegi hissi vardir. Literatur verileri incelendiginde en sik gorulen kendine zarar verici davranislar, ozellikle borderline kisilik bozukluklarinda kollarini, bileklerini kesme ve cesitli vucut bolgelerine jilet atma seklinde gorulur. Olgumuzda literature benzer sekilde noropsikiyatrik bulgular olmakla beraber kendine zarar verici olarak kesici alet yerine yanan sigaranin kullanildigi gorulmektedir. Bu sekilde sigara ile olusan self-mutilasyon olgusu literaturde sinirli sayida bildirilmistir. Bu tur hastalarda farmakolojik tedavinin yaninda destekleyici dinamik psikoterapi uygulanmasi onerilmektedir. Anahtar Sozcukler: Borderline Kisilik Bozuklugu, Self-Mutilasyon, Sigara Yanigi
Türk Plastik, Rekonstrüktif ve Estetik Cerrahi Dergisi (Turk J Plast Surg), Apr 23, 2014
Introduction: Tattoo is a kind of body modification as a skin art, made by inserting indelible in... more Introduction: Tattoo is a kind of body modification as a skin art, made by inserting indelible ink into the dermis of the skin. The aim of this study was to present an unusual case that developed after tattooing and to draw attention to the problem of public health in the light of the current literature. Case Report: A 17-year-old male suffering from pain, edema and redness of his left forearm was admitted to emergency department. History revealed tattooing 24 hours ago. He was diagnosed as contact dermatitis and wound dressing with chlorhexidine ointment was performed. Discussion: Medical complications in varying proportions associated with these decorative techniques have been reported in parallel with the rise in their popularity. Analysis of data in the literature revealed the most common complications were related with skin (67.5 %) and allergic problems (6.6%). Conclusion: As a result, intensifying inspections of tattoo salons by local authorities and serious sanctions for uncertified tattoo performers will minimize the potential for complication. Keywords: Tattto, public health, wound care, acute, contact dermatitis
Yanik sonrasi bakim imkanlarinin gelismesi ve mortalite/morbidite oranlarinin dusmesi ile birlikt... more Yanik sonrasi bakim imkanlarinin gelismesi ve mortalite/morbidite oranlarinin dusmesi ile birlikte psikiyatrik rehabilitasyon onem kazanmistir. Yanik travmasi sonrasi inkar, ofke, sucluluk duygusu, konfuzyon, utanc, kaygi, uzuntu, sinirlilik gibi psikiyatrik belirtiler gozlenebilir. Deliryum, depresyon, anksiyete, travma sonrasi stres bozuklugu, cinsel sorunlar gibi psikiyatrik rahatsizliklar gelisebilir. Bu belirti ve rahatsizliklar duzenli gorusmelerde ve yapilacak uygun psikometrik testlerle arastirilmalidir. Tedavi ve rehabilitasyon sureci hekim, hemsire, diyetisyen, psikolog, sosyal hizmet uzmani, ilgili diger saglik calisanlarindan olusan ve yanikli hastanin ve bakim saglayan yakinlarinin gereksinimlerini karsilayan multidisipliner bir ekip calismasini gerektirir. Bu ekip hastanin ve ailesinin gerek hastane surecinde gerekse sosyal ortaminda yasayabilecegi tum sorunlarda gerekli destegi vermek icin gayret gostermelidir. Yanik yaralanmasi sirasinda ya da sonrasinda ortaya cikan psikiyatrik belirtilerin etkin bir sekilde degerlendirilmesi ve uygun sekilde tedavi edilmesi ile hastalarin yasam kalitesinde belirgin iyilesme oldugu gozlenmektedir.
Türk Plastik, Rekonstrüktif ve Estetik Cerrahi Dergisi (Turk J Plast Surg), Aug 25, 2016
Igsi hucreli lipom (IHL), degisen oranlarda kollajen yapici igsi hucrelerin yer aldigi, matur yag... more Igsi hucreli lipom (IHL), degisen oranlarda kollajen yapici igsi hucrelerin yer aldigi, matur yag dokusunun tumorudur. En sik govde ve boyun yerlesimli olup genellikle subkutan dokuda lokalize olur. Siklikla 4-5. dekatta ve erkek hastalarda gorulur. Ayirici tani icin histopatolojik incelemenin yaninda immunohistokimyasal inceleme gerekir. Bu calismada ayak dorsumunda yerlesim gosteren IHL olgusu guncel literatur verileri ile tartisildi.
Objective: During wars, many soldiers and civilians either get injured or die. In civil wars, old... more Objective: During wars, many soldiers and civilians either get injured or die. In civil wars, older people, women, and children are more vulnerable to injuries and traumas. The aim of this study is to reveal the demographic features and variety as well as the characteristicsof the injuries in children who were impacted from the Syrian civil war and underwent surgeries in the plastic, reconstructive and aesthetic surgery department. Patients and Methods: This is a retrospective study which initially included 121 children aged 0–18 years out of a total of 402 Syrian patients treated in the plastic, reconstructive and aesthetic surgery department between December 2011 and December 2016. Results: Of 83 children with war injuries treated in our clinic, 42% were female and 58% were male. Forty-one percent of the injuries were located in the head-neck region. 43.4% of the injuries were due to burns. Thirty-six percent of the injuries were located on the extremities. All the patients underwent a total of 242 surgeries. The mean number of surgeries per child was 2.9. The mean time of hospitalization was 17.12% days. Conclusion: The results of the study show that children are impacted just as much or more thanadults in the Syrian civil war and had more severe injuries than those effected by similar wars and terrorist attacks.
Objective: Different treatment modalities have been used either alone, or in combination to achie... more Objective: Different treatment modalities have been used either alone, or in combination to achieve an optimum improvement for hypertrophic scars. Intralesional injections of corticosteroids and 5-fluorouracil are among the most commonly used treatments. Recently, botulinum toxin is proposed as a new treatment option. In this study, it is aimed to compare the efficacies of intralesional triamcinolone acetonide, 5-fluorouracil and botulinum toxin-A for hypertrophic scars. In order to minimize the variables affecting scar formation, standardized wounds in rabbit ear hypertrophic scar model was used. Materials and methods: Four surgical wounds were created on both ears of eight rabbits. Injections to be compared (triamcinolone acetonide, 5-fluorouracil, botulinum toxin-A and control) are administered intralesionally to established scars on day 30. Scars were harvested on day 60 for morphometric analysis including hypertrophic index, fibroblast density, and relative collagen density. Results: Triamcinolone acetonide and 5-fluorouracil injections decreased hypertrophic indexes significantly compared to botulinum toxin-A and control group. However, only 5-fluorouracil was effective to reduce fibroblast counts significantly. No statistically significant differences were found between the treatment groups in terms of collagen index. Conclusions: According to the results of our study, triamcinolone acetonide and 5-fluorouracil are comparatively effective as monotherapy, but botulinum toxin-A was not effective on established hypertrophic scars.
This paper presents a case in which a chemical burn resulted from the use of garlic as a naturopa... more This paper presents a case in which a chemical burn resulted from the use of garlic as a naturopathic medicine for knee pain.
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Papers by Muzaffer Durmuş