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Öğe Bilateral orofasiyal yarıklı bir infantın anestezi yönetimi (Tessier Tip 3): Olgu sunumu(2014) Demirhan, Abdullah; Akkaya, Akcan; Tekelioğlu, Ümit Yaşar; Karabekmez, Furkan Erol; Bilgi, Murat; Yıldız, İsa; Koçoğlu, HasanTessier yüz yarıkları çok nadir görülmekte olup konjenital olarak birçok anomaliyi de içinde barındırmaktadır. Özelikle Tessier tip 3 de bulunan oblik yüz yarığı, yarık dudak ve damak bu hastaların havayolu yönetimini oldukça güçleştirmektedir. Uygulanacak olan anestezisi için multidisipliner bir yaklaşım gerekmektedir. Bu olguda Tessier tip 3 yüz yarıklı bir hastanın anestezi uygulaması ve anestezi yönetimi tartışılmıştır.Öğe Comment on "effects of reduction mammaplasty operations on the spinal column: clinical and radiological response"(Springer, 2016) Sağlam, İbrahim; Karabekmez, Furkan Erol; Yavuz, ŞerifDear Editor, We read with interest the manuscript entitled ‘Effects of reduction mammaplasty operations on the spinal column: Clinical and radiological response’ by Berberoglu and colleagues [1]. The authors point out that due to the mass effect of breasts spinal incline increases, the center of gravity of the body changes, and permanent contraction of the posterior spinal muscles occurs. If the increase in cervical lordosis and thoracic kyphosis is sustained for long periods, osteophytes on the posterior surface of the vertebrae, pain, and spondylosis develop. We strongly agree with these statements and would like to point out that we too recently looked into the effects of reduction mammaplasty on skeletal disturbances in the vertebral column [2]. However, there are many factors effecting the altered pain and angles of the spinal column after breast reduction surgery. Our results were very similar to those presented in Berberog˘lu et al.’s paper. In addition to improved thoracic and cervical Cobb angles after reduction mammaplasty procedures, we also found statistically significant improvement in the sagittal balance, which, as analyzed and described in the recent literature, is closely related to lumbar degenerative pathologies.Öğe Dermabrasion and staged excision of facial lesions in a neurofibromatosis case for improvement of facial appearance(B C Decker Inc, 2013) Karabekmez, Furkan Erol; Duymaz, Ahmet; Karaçor, ZeynepBackground: Neurofibromatosis may present with different skin lesions. Disfiguring lesions on the face might be challenging for the surgeon or clinician to correct and may have adverse effects on patients' social lives, especially in young women. Objective: To present the dermabrasion technique combined with serial excisions of a deeper accompanying lesion to treat superficial facial lesions in a young neurofibromatosis patient. Methods: Dermabrasion was applied to superficial lesions on the face, and staged excision was applied to the deeper lesion located on the forehead. Results: We obtained high patient satisfaction with the result. The deep lesion was excised totally, and superficial lesions were decreased with dermabrasion. Conclusion: Dermabrasion may become a good alternative in cases of neurofibromatosis with superficial facial lesions.Öğe Dimensions of velopharyngeal space following maxillary advancement with Le Fort I osteotomy compared to Zisser segmental osteotomy: a cephalometric study(Hindawi Ltd, 2015) Karabekmez, Furkan Erol; Kleinheinz, Johannes; Jung, SusanneThe objectives of this study are to assess the velopharyngeal dimensions using cephalometric variables of the nasopharynx and oropharynx as well as to compare the Le Fort I osteotomy technique to Zisser's anterior maxillary osteotomy technique based on patients' outcomes within early and late postoperative follow-ups. 15 patients with severe maxillary deficiency treated with Le Fort I osteotomy and maxillary segmental osteotomy were assessed. Preoperative, early postoperative, and late postoperative follow-up lateral cephalograms, patient histories, and operative reports are reviewed with a focus on defined cephalometric landmarks for assessing velopharyngeal space dimension and maxillary movement (measured for three different tracing points). A significant change was found between preoperative and postoperative lateral cephalometric measurements regarding the distance between the posterior nasal spine and the posterior pharyngeal wall in Le Fort I osteotomy cases. However, no significant difference was found between preoperative and postoperative measurements in maxillary segmental osteotomy cases regarding the same measurements. The velopharyngeal area calculated for the Le Fort I osteotomy group showed a significant difference between the preoperative and postoperative measurements. Le Fort I osteotomy for advancement of upper jaw increases velopharyngeal space. On the other hand, Zisser's anterior maxillary segmental osteotomy does not alter the dimension of the velopharyngeal space significantly.Öğe Does reduction mammaplasty revert skeletal disturbances in the vertebral column of patients with macromastia? A preliminary study(Springer, 2014) Karabekmez, Furkan Erol; Gökkaya, Ali; Işık, Cengiz; Sağlam, İbrahim; Efeoğlu, Fatih Burak; Görgü, MetinEnlarged breasts are associated with many physical and psychological symptoms. It is important to use objective criteria in documenting physical changes of a patient's body due to enlarged breasts and the benefits of surgery. This preliminary study aimed to determine whether the reduction mammaplasty procedure changes the angles of cervical lordosis, thoracic kyphosis, and lumbar lordosis. The study population consisted of 22 patients who underwent breast reduction surgery. All the patients had lateral cervicothoracolumbar radiographs taken preoperatively and at least 2 months postoperatively. Cervical lordosis, thoracic kyphosis, and lumbar lordosis angles, as well as sagittal balance, were examined. The body mass index (BMI), breast tissue volume, and excised tissue amount of each patient were recorded. All the patients had increased cervical lordosis and thoracic kyphosis angles preoperatively, and the angles were significantly decreased postoperatively. Of the 22 patients, 7 had decreased and 8 had increased lumbar lordosis angles. All the lordosis angles showed significant improvement at the last examination. Seven patients had disturbed sagittal balance preoperatively, and all had normal sagittal balance postoperatively. Preoperative total breast tissue volume was positively correlated with the differences in cervical lordosis angles, BMI, preoperative cervical lordosis angles, and cervical lordosis angles. Hypertrophic breasts are not only a cosmetic but also a functional problem complicated by pathologic conditions in the vertebral column such as increased cervical lordosis, thoracic kyphosis, and increased or decreased lumbar lordosis. Breast reduction may improve these pathologic angles. Reducing the nonphysiologic weight of enlarged breasts located anterior to the main axis of the body may correct pathologic angulation and disturbed sagittal balance of the vertebral column. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.Öğe Early and late term microsurgical free flap reconstruction and risks in high voltage electrical injury(Carbone Editore, 2013) Karabekmez, Furkan Erol; Duymaz, Ahmet; Tosun, Zekeriya; Keskin, Mustafa; Savacı, NedimThe aim of the study is to discuss and compare the early and late micro vascular flap reconstruction's outcomes, importance, risks, advantages and disadvantages with review of our 13 high voltage electrical burn injury cases. Medical records have been reviewed for electrical burns in last three years. 13 cases fitting the criterion were included into the study. Four of them have been hospitalized for late complication such as severe contracture; nine of them have been hospitalized for acute treatment. Five patients had latissimus dorsi muscle flap, three patients had parascapular flap, two patients had latissimus dorsi and scapula osteomusculo-cutaneous flap, two patients had reams abdominis musculocutaneous flap, and one patient had parascapular and scapular flap. Early reconstruction applied group showed a significant difference regarding to flap failure rates. Electrical injuries are more complex than regular burn injuries related with heat, and the reconstruction of these cases also should be special. One of the most important factor for free flap viability in electrical injury cases is surgery timing. All of the complications were seen in the patients who had surgery at 12th and 19th days after the electrical injury. No complication has seen in the group of patients who had surgery on late term period. However microsurgical reconstruction should be considered to cover exposed bony tissues on the extremities in the short term period in order to prevent possible limb shortening procedures.Öğe Effect of pregabalin and dexamethasone addition to multimodal analgesia on postoperative analgesia following rhinoplasty surgery(Springer, 2013) Demirhan, Abdullah; Tekelioğlu, Ümit Yaşar; Akkaya, Akcan; Bilgi, Murat; Apuhan, Tayfun; Karabekmez, Furkan Erol; Bayır, Hakan; Kurt, Adem Deniz; Koçoğlu, HasanWe investigated the effect of a combination of pregabalin and dexamethasone, when used as part of a multimodal analgesic regimen, on pain control after rhinoplasty operations. Sixty patients were enrolled in this study. They were randomly assigned into three groups: Group C (placebo + placebo), Group P (pregabalin + placebo), and Group PD (pregabalin + dexamethasone). Patients received either pregabalin 300 mg orally 1 h before surgery, dexamethasone 8 mg intravenously during induction, or placebo according to their allocation. Postoperative pain was treated with intravenous patient-controlled analgesia (tramadol, 20-mg bolus dose, 45-min lockout time). The numeric rating scale (NRS), side effects, and consumption of tramadol, pethidine, and ondansetron were assessed. The median NRS scores at 0, 1, and 6 h after surgery were significantly higher in Group C than in Group PD (p < 0.001 for all). The 24-h consumption of tramadol and pethidine was significantly reduced in Groups P and PD compared to Group C (p < 0.01 and p < 0.01). The total tramadol consumption was decreased by 54.5 % in Group P and 81.9 % in Group PD compared to Group C (p < 0.001 for both). The incidence of nausea was higher in Group C than in Groups P and PD between the postoperative 0-2 and 0-24-h periods (p < 0.05 for both). The frequency of blurred vision was significantly higher in Groups P and PD than in Group C within the 0-24-h period (p < 0.05 for both). We found that the addition of a single dose of pregabalin and dexamethasone to multimodal analgesia in rhinoplasty surgeries provided efficient analgesia and thus decreased opioid consumption. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.Öğe Effects of device variables to radiofrequency (RF) applications(Taylor & Francis Inc, 2019) Görgü, Metin; Gökkaya, Ali; Karabekmez, Furkan Erol; Aytar, Oktay; Kızılkan, Jehat; Karanfil, Ertuğrul; Astarcı, Hesna MüzeyyenRF devices have frequency, power and duration setting options, it is important to make sure that the device meets the targeted values at the head output. This study was made to evaluate the RF device output value accuracy and the effects of different frequencies on the tissue heat levels. RF was applied to invitro tissues obtained from surgical operations, and invivo tissues during operations. Heat differences and depth were measured by laser/IR thermometer and thermal infrared camera. First, the output frequency and power values provided by the device were approved. Then, three three heads (monopolar, bipolar and tripolar) with three different frequencies (1,7, 20 MHz) were used. Depth of heat increase was evaluated in millimeters. The results showed that temperature increase varied between 10 degrees C and 30 degrees C at different depths using different frequencies. Heating of the skin with a radiofrequency device in a therapeutic dose is possible if the appropriate frequency and adequate power values are applied. Because the therapeutic temperature is close to the complication limit, the practitioner should be an expert using the device, well-knowledgeable about the regional skin structure and thickness, as well as be able to properly adjust the application doses in order to get therapeutic results.Öğe The effects of diabetes on symptoms of carpal tunnel syndrome treated with mini-open surgery(Acta Medica Belgica, 2013) Işık, Cengiz; Uslu, Mustafa; İnanmaz, Mustafa Erkan; Karabekmez, Furkan Erol; Köse, Kamil ÇağrıThis study aimed to evaluate the influence of type H diabetes mellitus (DM) on the postoperative outcomes of mini-open carpal tunnel syndrome (CTS) surgery. A total of 99 hands in 74 patients were included in the study. Of these, 36 patients (54 hands) had type H DM (Group A), and 38 patients (45 hands) had idiopathic CTS (Group B). Mini-open carpal tunnel release surgery was performed on all the hands. The night pain, weakness, paraesthesia, numbness complaints were significantly improved in both groups after surgery. However, thenar atrophy was improved significantly only in group A. Night pain, weakness, paraesthesia, numbness, and pillar pain were significantly worse in Group A than in Group B on postoperative examination. Postoperatively, Tinnel and Phalen tests were positive in 32 hands in Group A and 6 hands in Group B. Persistence of symptoms in diabetic patients was found to be more prevalent compared to non-diabetic controls after mini-open carpal tunnel release.Öğe Effects of omentin on flap viability: An experimental research on rats(Taylor & Francis Ltd, 2019) Efeoğlu, Fatih Burak; Gökkaya, Ali; Karabekmez, Furkan Erol; Fırat, Tülin; Görgü, MetinBackground: Viability decreases at the distal parts with an increase in the length of flaps. In this study, we evaluated the effects of subcutaneously administered omentin on flap viability, where it is applied to distal one-third part of McFarlane flaps elevated from the rat's dorsal skin. Materials and methods: Twenty-four adult, female, Sprague-Dawley rats were used. Subjects were divided into three groups; group 1 is the control group, group 2 received omentin 1 week before flap elevation, and group 3 received omentin 2 d before and at the day of flap elevation. About 1 cc (300 nanogram/cc) omentin applied by subcutaneous injections to the distal one-third flap. Photos are taken daily for macroscopic evaluations. The 3-mm full thickness punch biopsies at the third day and 1-cm(2) biopsies at the seventh day from the middle of the one-third distal third of the flaps were taken. Necrotic and viable areas were measured. Neutrophil counting, epidermis thickness, inflammation, edema, and vascular endothelial growth factor (VEGF) immune staining were evaluated using histopathological analyses. Endothelial Nitric Oxide Synthase (eNOS) expression was performed by ELISA. Results: Omentin increased the percentage of the viable areas of flaps, epidermal thickness, number of newly formed blood vessels, and eNOS expression levels. The results showed statistical significance. Conclusions: Omentin human increases the viable areas of flaps and may be used for enhancement of flap survival.Öğe The effects of peroperatif application of infiltration with vasoconstructive agents on blood loss in breast reduction(2013) Karabekmez, Furkan Erol; Selimoǧlu, Muhammed Nebil; Gökkaya, Ali; Karameşe, Mehtap; Görgü, MetinIntroduction: Breast reduction is a common operation in the field of the Plastic Surgery. Bleeding is one of the most common complications during the surgical procedure and infiltration with diluted epinephrine has been used to decrease blood loss. The aim of this study is evaluating the efficacy of infiltration with diluted epinephrine regarding to the blood hemoglobin level and other clinical parameters in the breast reduction surgery. Material and Methods: The study was planned a retrospective manner and patients' charts are reviewed for cases had breast reduction surgery. 80 patients fit with the criterion were included to the study. 46 patients have not applied infiltration during the surgery named as Group 1, and 34 patients have applied infiltration named as Group 2. Results: Group 1 patients mean hemoglobin levels are 13.5 (±1.2) and 10.4 (±1.3) before and after the surgery respectively, and Group 2 patients mean hemoglobin levels are 13.4 (±1.0) and 11.4 (±1.2) before and after the surgery respectively. Mean decrease on the hemoglobin levels with surgery (postoperative hemoglobin - preoperative hemoglobin) were 3.1 (±1.0) and 2.0 (±1.0) for group 1 and 2 respectively, and the difference between groups were statistically significant (p<0.0001). Conclusions: Infiltration with dilute adrenaline solution before reduction mammoplasty procedure will help surgeon to have confortable and bloodless area during the surgery, and will reduce the decrease in the patient's hemoglobin levels. Infiltration with diluted adrenaline solution should be kept in mind as a routine part of the surgery in the breast reduction procedure.Öğe THE EFFECTS OF PEROPERATIF APPLICATION OF INFILTRATION WITH VASOCONSTRUCTIVE AGENTS ON BLOOD LOSS IN BREAST REDUCTION(Medknow Publications & Media Pvt Ltd, 2013) Karabekmez, Furkan Erol; Selimoglu, Muhammed Nebil; Gokkaya, Ali; Karamese, Mehtap; Gorgu, MetinIntroduction: Breast reduction is a common operation in the field of the Plastic Surgery. Bleeding is one of the most common complications during the surgical procedure and infiltration with diluted epinephrine has been used to decrease blood loss. The aim of this study is evaluating the efficacy of infiltration with diluted epinephrine regarding to the blood hemoglobin level and other clinical parameters in the breast reduction surgery. Material and Methods: The study was planned a retrospective manner and patients' charts are reviewed for cases had breast reduction surgery. 80 patients fit with the criterion were included to the study. 46 patients have not applied infiltration during the surgery named as Group 1, and 34 patients have applied infiltration named as Group 2. Results: Group 1 patients mean hemoglobin levels are 13.5 (+/- 1.2) and 10.4 (+/- 1.3) before and after the surgery respectively, and Group 2 patients mean hemoglobin levels are 13.4 (+/- 1.0) and 11.4 (+/- 1.2) before and after the surgery respectively. Mean decrease on the hemoglobin levels with surgery (postoperative hemoglobin - preoperative hemoglobin) were 3.1 (+/- 1.0) and 2.0 (+/- 1.0) for group 1 and 2 respectively, and the difference between groups were statistically significant (p<0.0001). Conclusions: Infiltration with dilute adrenaline solution before reduction mammoplasty procedure will help surgeon to have confortable and bloodless area during the surgery, and will reduce the decrease in the patient's hemoglobin levels. Infiltration with diluted adrenaline solution should be kept in mind as a routine part of the surgery in the breast reduction procedure.Öğe Ektropion düzeltilmesinde etkin bir yöntem: Kuhnt Szymanowski tekniğinin smith modifikasyonu(2013) Akdağ, Osman; Karabekmez, Furkan Erol; Sütçü, Mustafa; Duymaz, Ahmet; Karameşe, Mehtap; Tosun, ZekeriyaAmaç: Ektropiyon göz kapağı kenarının dışa doğru kıvrılm asıdır. Bu çalışmanın amacı; involüsyonel ve paralitik ektrop i yon onarımında kullanılabilecek kolay ve etkin bir yöntem olan Kuhnt Szymanowski tekniğinin Smith modifikasyonunun etkinliğinin ve estetik olarak kabul edilebilirliğinin değerle n dirilme sidir . Yöntem: Alt göz kapağında ektropiyon şikayeti ile kliniğimize başvuran ve Kuhnt Szymanowski tekniğinin Smith modifikasyonu ile tedavi edilen 5 hasta klinik ve fotoğrafik olarak incelendi. Bulgular : Hiçbir olguda majör bir komplikasyon ya da nüks gözlenmedi. Ortalama 10 ay olan takip süresi sonunda tüm hastalar cerrahi sonuçtan memnundu. Sonuç : Alt göz kapağında horizontal gevşekliğin daha ön planda olduğu involüsyonel ve paralitik ektropiyon olgul arında Kuhnt Szymanowski tekniğinin Smith modifikasyo nu nun uygun bir cerrahi yöntem olduğu kanaatindeyiz.Öğe Forearm compartment syndrome owing to being stuck in the birth canal: a case report(W B Saunders Co-Elsevier Inc, 2012) Işık, Cengiz; Demirhan, Abdullah; Karabekmez, Furkan Erol; Tekelioğlu, Ümit Yaşar; Altunhan, Hüseyin; Özlü, TülayNeonatal compartment syndrome is a rare condition mainly involving the upper extremity associated with necrotic lesions. It is often initially misdiagnosed because the skin lesions mimic several other conditions of the newborn. Early diagnosis and timely intervention are of paramount importance to achieve the best outcome. In the present case, we describe a newborn with forearm compartment syndrome owing to being stuck in the birth canal. (C) 2012 Elsevier Inc. All rights reserved.Öğe A long-term clinical and cephalometric study of cleft lip and palate patients following intraoral maxillary quadrangular le fort I osteotomy(Alliance Communications Group Division Allen Press, 2015) Karabekmez, Furkan Erol; Keller, Eugene E.; Stork, James T.; Regenitter, Fredrick J.; Bite, UldisObjective: To evaluate the horizontal and vertical stability of the quadrangular Le Fort I in patients with congenital cleft lip and palate. Design: Prospective longitudinal study. Patients: A total of 15 congenital cleft lip and palate patients treated with the maxillary quadrangular Le Fort I were enrolled. Intervention: Lateral cephalometric radiographic examinations were obtained preoperatively, early postoperatively, and late postoperatively for four dental and skeletal landmarks. A questionnaire regarding patients' satisfaction with treatment and functional/cosmetic outcomes (airway, speech, mastication) was administered. Main Outcome Measures: Surgical horizontal and vertical movement, late postsurgical horizontal and vertical movement, and surgical and postsurgical movement in relation to age and cleft type were evaluated using Spearman correlation coefficients, Wilcoxon signed rank tests, and Mann-Whitney tests. Results: Surgical horizontal movements of all measured points showed significant changes. Significant differences of postsurgical horizontal movement were observed in younger patients versus adult patients. Significant differences of postsurgical horizontal movement were observed in unilateral cleft patients versus bilateral cleft patients. A high percentage of patients showed significant functional improvement in nasal airflow, speech, mastication, temporomandibular joint function, and mouth versus nose breathing. Conclusions: The quadrangular Le Fort I is a functionally stable and a surgically predictable procedure for cleft lip and palate patients who present with midface deficiency. Patients under the age of 18 at the time of the osteotomy had a higher relapse rate than patients over 18 years of age. Younger patients who need surgery should be advised regarding the increased risk of skeletal relapse. Patients' satisfaction was high in all aesthetic- and function-related items on the questionnaire.Öğe Maksillofasiyal kırık cerrahisinde submental orotrakeal entübasyon: İki olgu(2013) Tekelioğlu, Ümit Yaşar; Karabekmez, Furkan Erol; Demirhan, Abdullah; Akkaya, Akcan; Bayır, Hakan; Koçoğlu, HasanAraç içi trafik kazası nedeniyle orta yüz bölge travmasına maruz kalan, maksillofasyal travmalı 18 ve 28 yaşındaki iki olgu, plastik cerrahi ekibi tarafından ameliyata alındı. Bu çalışmamızda, panfasyal kırık nedeniyle, orotrakeal ve nazotrakeal entübasyonun mümkün olmadığı hastalarda gerçekleştirdiğimiz, submental entübasyon işlemini ve tecrübelerimizi sunmayı amaçladıkÖğe Management of neglected periorbital squamous cell carcinoma requiring orbital exenteration(Lippincott Williams & Wilkins, 2014) Karabekmez, Furkan Erol; Selimoğlu, Muhammed Nebil; Duymaz, Ahmet; Şen Karameşe, Mehtap; Keskin, MustafaWith its perineural invasion capacity, periorbital squamous cell carcinoma (SCC) may easily invade orbital structures. When SCC invades the orbital musculature or the orbit itself, orbital exenteration, one of the most disfiguring operations on the face, is required. We reviewed elderly patients with periorbitally localized SCC requiring orbital exenteration to evaluate reconstructive options and survival. A chart review of patients' records was conducted to identify all patients older than 65 years with periorbital malignancy requiring orbital exenteration from 2006 to 2011. A total of 9 patients who met the criteria were included in the study. The mean age at surgery was 77 +/- 6.7 years, and the mean defect size was 74.2 cm(2). All patients had a similar history of late presentation to a doctor because of hesitation to undergo surgery. The temporoparietal fascia flap, galeal flap, free gracilis flap, and free vastus lateralis musculocutaneous flap were the treatment options for reconstruction of the defects. All patients died during follow-up, and the mean survival was 15.7 months (range, 6-36 months). Only 2 of them had relapse before the death. Our small series suggest that elderly patients with periorbital SCC requiring orbital exenteration may not have enough survival to relapse because of the death from different causes without relapse or any sign of spreading cancer. Also, prolonged surgery with free flap reconstruction may increase the risk of postoperative intensive care unit requirement. Because local flaps may work very well for reconstructing the orbital exenteration defects, free flap option should be kept for selected cases.Öğe Mandibular corpus horizontal distraction in an edentulous case and its effects on the contralateral coronoid processus-arcus zygomaticus relation(2015) Karabekmez, Furkan Erol; Irgin, Celal; Günbey, Leman Karabekmez; Duymaz, AhmetInteraction between the coronoid processus and the arcus-zygomaticus on contralateral hemi-mandible often drops off the radar in case of distraction osteogenesis of the mandibular corpus. We presented a 42 years old male without any teeth applied to hospital for facial asymmetry, short hemi-mandible and chewing problems. 2D and 3D computerized tomography and stereo-lithographic models were used for planning, predicting possible movements on the contralateral condyle and anticipate the relation of contralateral coronoid process the with zygomatic arc. Maximum safe amounts of distraction were calculated with cooperation with orthodontics and radiology. The rotation angle on the axis of the contralateral condyle is calculated in order to measure the defect to be corrected to take the maxillary and mandibular midlines to the same plane. Total calculated defect were shortened for preventing any interaction between the coronoid processus and the arcuszygomaticus on contralateral hemi-mandible. Patient was satisfied and started to use new dentures two months after removal of the distraction device. In order to achieve successful distraction without any problem regarding to opposite side rotation angles of the condyle, and position changes in the coronoid processus, collaboration and multidisciplinary approach are essential with orthodontics and radiologist in case of unilateral mandibular corpus distraction.Öğe Pediküllü rektus abdominis kas deri flebinin uyluk ve sırt defektlerinde kullanımı(2014) Duymaz, Ahmet; Karabekmez, Furkan Erol; Keskin, MustafaAMAÇ: Daha önce tanımlanmış, fakat az kullanılan "ekstended" veya vertical rektus abdominis muskulokutan ("Ekstended" RAM, VRAM) fleplerinin çok nadir endikasyonlardaki kullanımları incelendi. GEREÇ VE YÖNTEM: Beş hastada, 28x8 ile 35x10 cm ebatlarında cilt adası içeren flepler kullanıldı. Dört flep uyluk ve diz proksimal bölgedeki defekt onarımları için inguinal ligamentin altından, bir flep lomber gölgedeki defekt onarımı için transabdominal olarak defekt alanlara taşındı. BULGULAR: Hiçbir olguda flep kaybı görülmedi. Bir olguda yara yeri enfeksiyonu gelişti ve cerrahi ile tedavi edildi. Uyluk ve lomber bölge defektleri onarımlarında düşük komplikasyon oranlarıyla "ekstended" RAM ve VRAM fleple başarılı transfer gerçekleştirildi ve çok güvenli ve uygun bir seçenek olduğu sunuldu.SONUÇ:Avantajları bol miktarda ve iyi kanlanan doku taşımasını sağlar, flep kolay ve hızlı hazırlanır ve mikrocerrahi deneyimi gerektirmezÖğe Penetrant injury of the nose with a foreign material(Lippincott Williams & Wilkins, 2013) Duran, Arif; Ocak, Tarık; Karabekmez, Furkan Erol; Şimşek, Tuğçe; Çetin, Ayşe; Karabekmez, Leman Günbey
