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Öğe Doku kaybına neden olan dürtü kontrol bozukluğu(Medknow Publications & Media Pvt Ltd, 2013) Akdağ, Osman; Sütçü, Mustafa; Karameşe, Mehtap; Karabekmez, Furkan Erol; Tosun, ZekeriyaMany factors experience with tissue defects in plastic surgery, which is an impulse control disorder, trichotillomania and skin picking are rare causes. Trichotillomania is a chronic impulse control disorder characterized by people to pull out the hair from their scalp, eyelashes, eyebrows, or other parts of the body. This conscious or subconscious habit is most commonly performed by young children, adolescents and women. To cause tissue defects is extremely rare. Factors that plastic surgery is a rare skin defects, two cases have been presented in this psychiatric disorder.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 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 The interdisciplinary treatment of anterior openbite(2012) Aksakallı, Sertaç; Irgın, Celal; Tosun, Zekeriya; İnan, ÖzgürSkeletal anterior openbites are complicated malocclusions characterized usually by overgrowth of the maxillary-mandibular posterior dentoalveolar heights. Several methods were introduced to treat skeletal openbites such as passive bite blocks, high pull headgears, fixed mechanics and vertical elastics. In this case report, the purpose was to present the interdisciplinary treatment of the skeletal anterior openbite malocclusion and polydiastema. The adult female patient had skeletal (ANB=6°) and dental Class II relationship and 7, 8 mm anterior openbite with increased lower facial height. Our objectives were to: 1- impact maxilla, advance-rotate mandible 2-correct the positions of the anterior teeth 3-enhance facial profile and lip closure 4-establish ideal occlusion 5-improve smile and dental esthetics. Ideal overjet and overbite values were obtained. The prosthodontic and periodontal treatments were performed after orthodontic treatment. Better esthetics, improved smile and function were also obtained with the patient's satisfaction.Öğe A RARE ETIOLOGY FOR FROSTBITE: DRY ICE(Medknow Publications & Media Pvt Ltd, 2013) Akdag, Osman; Sutcu, Mustafa; Karabekmez, Furkan; Karamese, Mehtap; Tosun, Zekeriya
