Dirsegin dorsal tarafindaki ve antekubitealdeki defektlerin onarimi oldukca zordur. Sinirli defektlerin tedavisi icin lokal deri flepleri kullanilabilir. Fakat genis defektlerde lokal deri, kas ve kas-deri flepleri yetersizdir. Genis ust... more
Dirsegin dorsal tarafindaki ve antekubitealdeki defektlerin onarimi oldukca zordur. Sinirli defektlerin tedavisi icin lokal deri flepleri kullanilabilir. Fakat genis defektlerde lokal deri, kas ve kas-deri flepleri yetersizdir. Genis ust ekstremite defektli dort hastada konvansiyonel metodlara alternatif olarak latisimus dorsi transpozisyon flebi kullanilmistir. Bu flep guvenilir, tek evreli olup, minimal donor alan marbiditesi birakir. Bu nedenle bu transpozisyon flebi ust ekstremite ortulmesi icin secilecek flep olarak goz onunde bulundurulmalidir.
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Comparation of Effects of Pentoxfylline and Nitroderm on Skin Flap Viability Flap necrosis is still a significant problem in flap surgery. Nitroglycerin is a direct-acting vascular smooth muscle relaxant whereas pentoxifylline is a... more
Comparation of Effects of Pentoxfylline and Nitroderm on Skin Flap Viability Flap necrosis is still a significant problem in flap surgery. Nitroglycerin is a direct-acting vascular smooth muscle relaxant whereas pentoxifylline is a hemorrheologic agent. In this experimental study, we attempted to compared the effect of topical nitroglycerin and parenteral pentoxifylline on skin flap survival in rats. Necrotic flap area was calculated to be 789±216 mm square, in the control group, 580+161 mm square in pentoxfylline treated group, and 493+160 mm square in the nitroglycerin treated group. Living flap length was measured as 6.26±0.72 cm in control group, 7.0+0.57 cm in the pentoxfylline treated group, and 7.3+0.70 cm in the nitroglycerin treated group. It has been found that topical nitroglycerin and parenteral pentoxifylline is effective on skin flap survival in the rats. Flep nekrozu cerrahide hala onemli bir problemdir. Nitrogliserin direk duz adele gevseticisidir, buna karsin pentoksifilin hemoreolojik bir ajandir. Bu calismada ratlardaki flep yasayabilirligi uzerine topikal nitrogliserin ve parenteral pentoksifilinin etkileri karsilastirilmistir. Nekrotik flep alani kontrol grubunda 789+216, pentoksifilinle tedavi edilen grupta 580+161, ve nitrogliserinle tedavi edilen grupta 493±160 milimetre kare bulunmustur. Canli flep uzunlugu kontrol grubunda 6.26±0.72 cm, pentoksifilinle tedavi edilen grupta 7.0±0.57 cm, ve nitrogliserinle tedavi edilen grup¬ta ise 7.3±0.70 cm olculmustur. Topikal nitrogliserinin ve parenteral pentoksifilinin ratlarda flep yasayabilirligi uzerine et-kili oldugu sonucuna varilmistir.
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Repair of lateral nasal defect with median forehead flap and cheek flap i/ A 46 years old female patient who was operated for maxillary carcinoma; had a defect in¬volving half of the nose and some of the maxilla. The defect was... more
Repair of lateral nasal defect with median forehead flap and cheek flap i/ A 46 years old female patient who was operated for maxillary carcinoma; had a defect in¬volving half of the nose and some of the maxilla. The defect was reconstructed using me¬dian forehead flap for nasal lining, Mustarde's cheek flap for external covering and septal osteocartilaginous graft for skeletal support. Maksilla Karsinomu nedeniyle opere edilmis 46 yasindaki hastada; burun lateral yansinda ve maksillanin bir kismini kapsayan defekt mevcuttu. Bu defekt; ic ortu olarak mediyan alin flebi, dis ortu olarak Mustarde'nin yanak flebi ve cati olarak da septal osteokartila-jinoz greft kullanilarak rekonstrukte edildi.
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The Treatment of Isolated Nasal Fractures with Closed Reduction Nose is prone to trauma because of its prominent position. Although nasal fractures are usually seen with other facial fractures, they also may be isolated. Early and late... more
The Treatment of Isolated Nasal Fractures with Closed Reduction Nose is prone to trauma because of its prominent position. Although nasal fractures are usually seen with other facial fractures, they also may be isolated. Early and late complication of nasal fractures are important both aesthetically and functionally. Isolated nasal fractures are usually treated by closed reduction. Between 1993 and 1995, 12 patients with isolated nasal fractures were treated by closed reduction. During the 6 to 24 months follow up, no complication has been seen. Burun, cikintili pozisyonundan dolayi travmaya yatkindir. Burun kiriklari genellikle diger yuz kiriklari ile birlikte gorulmesine ragmen, ayni zamanda izole de olabilir. Burun kiriklarinin erken ve gec komplikasyonlan estetik ve fonksiyonel yonden onemlidir. Burun kiriklan genellikle kapali reduksiyonla tedavi edilir. 1993 ile 1995 yillan arasinda izole burun kirigi olan 12 hasta kapali reduksiyon ile tedavi edildi. 6-24 aylik takip doneminde hicbir komplikasyon gozlenmedi.
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Pilar tumors are benign, but they may be locally aggressive. These tumors may become quite large and often associated with pilar cysts. The case of a patient with multiple pilar cysts and tumurs of scalp is presented. Features, histologic... more
Pilar tumors are benign, but they may be locally aggressive. These tumors may become quite large and often associated with pilar cysts. The case of a patient with multiple pilar cysts and tumurs of scalp is presented. Features, histologic description, and recommen¬ded treatment for these tumors are reviewed. Pilar tumorler benigndir, fakat lokal olarak agresif davranabilirler. Bu tumorler oldukca buyuk boyutlara ulasabilirler ve pilar kistlerle birlikte bulunurlar. Skalpte pilar tumor ve kistleri olan bir olgu sunulmustur. Bu tumorlerin klinik ozellikleri, histolojik tanimi ve te¬davisi gozden gecirilmistir.
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The aim of abdominoplasty is to restore a normal abdominal contour, with minimal signs of the surgery. The purpose of this study was to determine the feasibility, safety, and advantages of en block removal of a skin island before upper... more
The aim of abdominoplasty is to restore a normal abdominal contour, with minimal signs of the surgery. The purpose of this study was to determine the feasibility, safety, and advantages of en block removal of a skin island before upper abdominal dissection during abdominoplasty. Five hundred-forty female patients who underwent abdominoplasties between January 2004 and December 2018 were retrospectively analyzed. In these cases, the planned skin resection was initially made en block, as done with an elliptic skin excision. In this way, symmetric skin removal is achieved. After the removal of this skin, epigastric skin undermining was easily achieved. The mean age of the patients was 41.4 y, and the mean body mass of index was 27.3 kg/m2. The mean operative time for abdominoplasty only was 98 min. Eight patients had minor skin problems, 22 patients needed aspiration for seroma formation, and 7 patients needed scar revision surgery. There was only one hematoma postoperatively. The final position of the scar from the upper vulvar commissure was 8.9 cm. The results obtained were comparable to those of classical abdominoplasty, suggesting that en block removal of the skin before upper flap dissection is a safe maneuver. En block removal of skin island at the start of the surgery has the added advantage of a reduced operative time and acceptable aesthetic outcome, without an increase in complication rates. In cases of planned abdominoplasties, we suggest that removal of the abdominal skin at the beginning of the operation is a safe and feasible procedure.Abbreviation: PDS: polydioxanone.
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Research Interests: Surgery, Adolescent, Medicine, Humans, Child, and 8 moreClinical Sciences, Burns, Adult, Contracture, Neck, Tissue Expansion, Deformity, and Surgical Flaps
Research Interests: Surgery, Treatment, Medicine, Physical Therapy, Technique, and 4 moreClinical Sciences, Burns, Contracture, and Axilla
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Yarik dudak burnu deformitesinin basarili bir sekilde onarilmasi guctur. Nasal deformiteyi onarmak icin bir cok yontem onerilmistir. 1992-1994 yillari arasinda 9 yarik dudak burnu deformitesi olan hastalari onarmak icin acik rinoplasti... more
Yarik dudak burnu deformitesinin basarili bir sekilde onarilmasi guctur. Nasal deformiteyi onarmak icin bir cok yontem onerilmistir. 1992-1994 yillari arasinda 9 yarik dudak burnu deformitesi olan hastalari onarmak icin acik rinoplasti yontemi kullanildi. Hastalar 6 ay 2 yil arasi takip edilerek sonuclar degerlendirildi. Alinan sonuclar ve kullanilan teknik tanimlanmistir.
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Isolated alar cleft associated with hamartoma is a very rare congenital anomaly. In this paper, this rare anomaly is presented with its clinical findings and the treatment.
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Bu calismada distal tabanli dorsalis pedis adipofasyal ada flebi tanimlanmistir. Bu flep yanik kontrakturlu iki hasta basarili bir sekilde uygulanmistir. Kontrakturlerin serbestlestirilmesinden sonra ortaya cikan ayak dorsalinin distal... more
Bu calismada distal tabanli dorsalis pedis adipofasyal ada flebi tanimlanmistir. Bu flep yanik kontrakturlu iki hasta basarili bir sekilde uygulanmistir. Kontrakturlerin serbestlestirilmesinden sonra ortaya cikan ayak dorsalinin distal kismindaki defekt tanimlanan bu fleple onarilmistir. Bu flebin donor alan morbiditesi minimaldir. Cunku donor alandaki deri korunmus ve alan primer kapatilmistir.
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Various surgical methods for reconstruction of vaginal agenesis have been described in the past. One of these is the neurovascular pudendal thigh flap described by Wee and Joseph [20] after they studied the blood and nerve supply of upper... more
Various surgical methods for reconstruction of vaginal agenesis have been described in the past. One of these is the neurovascular pudendal thigh flap described by Wee and Joseph [20] after they studied the blood and nerve supply of upper thigh skin, medial groin, and perineum in fresh cadavers. This technique involves elevation of two flaps extending laterally to labia majora in the groin crease and suturing them to each other in the midline after bringing them through tunnels formed under the labia majora, thus, creating a new vagina. In our clinic, 24 cases of vaginal agenesis have been reconstructed with neurovascular pudendal thigh flaps in a period of 33 months. The patients were observed for eight months to three years following the operation, and only in three cases did necrosis of the distal flaps occur; hair grew in the vagina in five cases, and shrinkage was observed in only one case. This rather easy technique is the ideal reconstructive method in the vaginal agenesis. However, hair growth in the vagina must be prevented, since this is the main patient complaint.
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Bas boyun defekt ve deformiteleri bircok cerrahi metodla onarilmaktadir. Bas ve boyunun kendine ozgu renk, yapi ve kil tasima ozelligi, komsu dokular yetrsiz oldugunda, benzer kalitede expanse edilmis lokal dokularla yeniden saglanir.... more
Bas boyun defekt ve deformiteleri bircok cerrahi metodla onarilmaktadir. Bas ve boyunun kendine ozgu renk, yapi ve kil tasima ozelligi, komsu dokular yetrsiz oldugunda, benzer kalitede expanse edilmis lokal dokularla yeniden saglanir. Ocak 1991 ve Eylul 1994 tarihleri arasinda 36 hastada 41 ekspansiyon islemi yapilmistir. Bizim serimizde ekspander ekspojuru en sik karsilasilan komplikasyon olmustur.
Hydradenitis Supurativa (Case Report) Hydradenitis Supurativa is a chronic, recurrent and inflamatuar disease of apocrin glands. Etiology is unknown but genetic disposition, bacterial infections and hormonal factors are contributory... more
Hydradenitis Supurativa (Case Report) Hydradenitis Supurativa is a chronic, recurrent and inflamatuar disease of apocrin glands. Etiology is unknown but genetic disposition, bacterial infections and hormonal factors are contributory factors, if medical treatment is inadequate, surgical treatment is performed. 33 year old male patient with hidradenitis supurativa was presented in this paper. Patient was treated with surgical excision and skin grefting and followed two year. Recurrens was not seen Hldradenitis Supurativa apokrin ter bezlerinin kronik rekurrent ve inflamatuar bir has-taligidir. Etiyoloji bilinmemektedir fakat genetik yatkinlik, bakteriyel enfeksiyonlar ve hormonal nedenler katkida bulunan faktorlerdir. Eger tibbi tedavi yetersiz olursa cerrahi tedavi yapilir. Bu yazida hidradenitis supurativali 33 yasinda bir erkek hasta sunuldu. Hasta cerrahi eksizyon ve deri grefti ile tedavi edildi ve 2 yil sureyle takip edildi. Rekurrens gorulmedi
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REPAIR OF PENIL HYPOSPADIAS WITH VASCULARIZED PREPUTIAL ISLAND FLAP In the recent years, one-stage repair is being used for hypospadias .One of these is vascula¬rized preputial Island flap. Between 1990-91, fifteen patients with penil... more
REPAIR OF PENIL HYPOSPADIAS WITH VASCULARIZED PREPUTIAL ISLAND FLAP In the recent years, one-stage repair is being used for hypospadias .One of these is vascula¬rized preputial Island flap. Between 1990-91, fifteen patients with penil hypospadias were ope¬rated by this method. Patients were followed ten months. Results and complications were eva¬luated. Two fistulas and one stenosis occurred. Son yillarda hipospadias onariminda kullanilan tek seansli yontemlerden biri de vaskularize prepusyal ada flep yontemidir. Bu calismada, 1990-91 yillari arasinda 15 penil hipospadias ol¬gusuna uygulanan vaskularize prepusyal ada flep yonteminin sonuclari ve komplikasyonlan degerlendirilmistir. 10 ay sure ile izlenen olgularin ikisinde (% 13) fustul gelismis, bir olguda (%6) fleple uretranin anostomoz yaptigi yerde darlik olusmustur.
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Reconstruction of extensive middle third defects of the lower leg has always presented problems. Seven patients with large anterior middle third crural defects were included in this study. A combination of two different flaps were used to... more
Reconstruction of extensive middle third defects of the lower leg has always presented problems. Seven patients with large anterior middle third crural defects were included in this study. A combination of two different flaps were used to reconstruct the defects. In all cases, the defects were reconstructed successfully.
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Yanik sonrasi olusan inguinal kontrakturlerin tedavisi guc bir problemdir. Inguinal kontrakturlerin tedavisinde bir cok operasyon tanimlanmistir. Yedili flep teknigi ve fasyokutan me-diyal uyluk flepleri bu teknikler icindedir. Bu... more
Yanik sonrasi olusan inguinal kontrakturlerin tedavisi guc bir problemdir. Inguinal kontrakturlerin tedavisinde bir cok operasyon tanimlanmistir. Yedili flep teknigi ve fasyokutan me-diyal uyluk flepleri bu teknikler icindedir. Bu calismada, inguinal kontrakturleri yedili flep teknigi ve fasyokutan mediyal uyluk flebi ile tedavi edilen iki olgu sunuldu. Vakalar bir yil takip edildi. Sonuclar tatmin edici idi. Releasing of inguinal Contractures: Two Case Reports Treatment of inguinal post-burn contractures is a difficult problem. Multiple operations have been described for treatment of inguinal contractures. Seven flap-plasty and medial thigh fasciocutaneous flaps are among these techniques. In this paper, we report two patients with inguinal contractures, which have treated by seven flap-plasty and medial thigh fasciocutaneous flaps. The cases followed up one year. The results were satisfactory.
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The aim of abdominoplasty is to restore a normal abdominal contour, with minimal signs of the surgery. The purpose of this study was to determine the feasibility, safety, and advantages of en block removal of a skin island before upper... more
The aim of abdominoplasty is to restore a normal abdominal contour, with minimal signs of the surgery. The purpose of this study was to determine the feasibility, safety, and advantages of en block removal of a skin island before upper abdominal dissection during abdominoplasty. Five hundred-forty female patients who underwent abdominoplasties between January 2004 and December 2018 were retrospectively analyzed. In these cases, the planned skin resection was initially made en block, as done with an elliptic skin excision. In this way, symmetric skin removal is achieved. After the removal of this skin, epigastric skin undermining was easily achieved. The mean age of the patients was 41.4 y, and the mean body mass of index was 27.3 kg/m2. The mean operative time for abdominoplasty only was 98 min. Eight patients had minor skin problems, 22 patients needed aspiration for seroma formation, and 7 patients needed scar revision surgery. There was only one hematoma postoperatively. The fina...
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Congenital blepharophimosis is a congenital anomaly characterized by abnormalities in the area of the eyes, including bilateral ptosis, shortening of the horizontal fissure of the lid, expansion of the intercanthal distance, and... more
Congenital blepharophimosis is a congenital anomaly characterized by abnormalities in the area of the eyes, including bilateral ptosis, shortening of the horizontal fissure of the lid, expansion of the intercanthal distance, and epicanthus inversus. The condition is subject to autosomal-dominant heredity and is said to occur more frequently in Orientals than in Occidentals. Over the past 9 years, we have surgically treated 11 cases of congenital blepharophimosis using a procedure in which levator resection and medial canthoplasty are performed in one stage. It has been commonly believed that when levator resection and medial canthoplasty are performed at the same time, tension in the eyelid becomes too strong to achieve favorable results; therefore, the standard procedure has been to divide the operation into two stages. In all 11 cases we experienced, however, it was possible to obtain good results with a single-stage operation.
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Blepharophimosis is a congenital malformation involving the orbital region. It is associated with ptosis of the upper eyelids, epicanthal folds, telecanthus, and flattened and widened nasal bridge. We have surgically treated five cases of... more
Blepharophimosis is a congenital malformation involving the orbital region. It is associated with ptosis of the upper eyelids, epicanthal folds, telecanthus, and flattened and widened nasal bridge. We have surgically treated five cases of blepharophimosis by a procedure in which nasal bone graft, medial canthoplasty, and fascial suspension are performed in one stage. There is not any kind of operation for repair of the flattened and widened bridge of the nose in the literature. We have treated this anomaly using bone grafts. The follow-up period was 1 to 2 years, and good results have been obtained. A flattened and widened nasal bridge should be repaired by using bone grafts in addition to medial canthoplasty and fascial suspension in blepharophimosis.