Multiple eccrine spiradenoma in zosteriform distribution [14]

Altinyazar H.C. | Kargi E. | Özen Ö. | Koca R. | Babucçu O.

Letter | 2003 | Plastic and Reconstructive Surgery112 ( 3 ) , pp.927 - 928

[No abstract available]

Fascia lata grafts for closure of secondary urethral fistulas

Kargi E. | Yeşilli Ç. | Akduman B. | Babucçu O. | Hoşnuter M. | Mungan A.

Article | 2003 | Urology62 ( 5 ) , pp.928 - 931

Objectives. To evaluate the efficacy of fascia lata graft in the repair of secondary urethral fistulas. Urethral fistulas may result from a complication of hypospadias repair. The treatment of urethral fistulas is quite challenging. Methods. This technique was used in 8 patients between 2000 and 2002. All patients had undergone hypospadias repair and had recurrent fistula formation. A 2 × 2-cm fascia lata graft was harvested from the lateral aspect of the thigh. After repair of the fistula, the fascia lata graft was placed between the urethra and skin. The mean age of the patients was 8 years (range 5 to 13). Results. During 8 to 22 . . . months (average 11) of follow-up, no recurrence of urethral fistula was observed. No complications occurred, and patients were completely satisfied with the results. Conclusions. The results of this study show that the fascia lata graft can be used for the closure of urethral fistula secondary to hypospadias repair. Additional studies are warranted. © 2003 Elsevier Inc Daha fazlası Daha az

Dual preconditioning: Effects of pharmacological plus ischemic preconditioning on skin flap survival

Hosnuter M. | Babucçu O. | Kargi E. | Altinyazar C.

Article | 2003 | Annals of Plastic Surgery50 ( 4 ) , pp.398 - 402

To enhance skin flap viability, pharmacological and ischemic preconditioning methods were investigated intensively. This study was designed to determine whether combined local dexamethasone administration and pedicle clamping would result in an additive enhancement of skin flap survival in the rat model. Twenty-eight male Sprague-Dawley rats were included in dexamethasone injection, clamping, clamping plus dexamethasone injection, and control groups. A rectangular random skin flap (3 x 11 cm) was outlined as bipedicled on the back of the animals. The dexamethasone or saline injection points in the flap were standardized. In the dexa . . .methasone injection group, after raising the flaps, a total of 2.5 mg/kg dexamethasone was injected into the flaps. In the ischemic preconditioning group, 1 hour after saline injection, the cranial pedicle was clamped for 20 minutes and then 40 minutes reperfusion was performed. The clamping-plus-dexamethasone injection group was the same as the clamping group except dexamethasone was injected instead of the saline. In the control group, saline was injected instead of dexamethasone. Regardless of the group, all flaps were cut at the cranial side at the end of the 2 hours and were sutured back. On day 7, the surviving area was significantly greater in all experimental groups compared with the control group (p < 0.05). Furthermore, the clamping-plus-dexamethasone group demonstrated the highest flap viability Daha fazlası Daha az

A Training Model for Cutaneous Surgery

Altinyazar H.C. | Hosnuter M. | Ünalacak M. | Koca R. | Babucçu O.

Article | 2003 | Dermatologic Surgery29 ( 11 ) , pp.1122 - 1124

BACKGROUND. Training models are necessary for development of many skills in medical education. OBJECTIVE. To develop a training model for improvement of simple surgical procedure skills. METHODS. A convex, rectangular, smooth-surfaced wooden plate covered by first cotton material and then polyethylene stretch film was used. Skins of rats that had been used previously for experimental studies were attached on the wooden plate. In order to see efficacy of our model, we decided to use it in a cutaneous surgery workshop. Theoretical and practical information about surgical sutures, punch biopsy, excisional biopsy, rotational flap, and Z . . .-plasty procedures was given to the participant physicians. Surgical skills of participants were scored before and after the practical part of workshop. RESULTS. Thirty-three physicians were enrolled voluntarily to the workshop. All participants showed statistically significant increase in scores (P < 0.05). CONCLUSION. The similarity to human skin and the easy setup make this training model an ideal teaching tool to improve the skills of physicians for simple cutaneous surgery Daha fazlası Daha az

Polypoid formation of cysts in scrotal calcinosis: An uncommon case [15]

Hoşnuter M. | Kargi E. | Babucçu O. | Babucçu B. | Işikdemi¸r A.

Letter | 2003 | Plastic and Reconstructive Surgery111 ( 6 ) , pp.2117 - 2118

[No abstract available]

Effect of Steroids on Edema, Ecchymosis, and Intraoperative Bleeding in Rhinoplasty

Kargi E. | Hoşnuter M. | Babucçu O. | Altunkaya H. | Altinyazar C.

Article | 2003 | Annals of Plastic Surgery51 ( 6 ) , pp.570 - 574

A double-blind, randomized study was designed to determine the efficacy of dexamethasone in decreasing periorbital edema and ecchymosis after rhinoplasty. Sixty rhinoplasty patients undergoing hump resection and lateral osteotomy were included in the study and were divided into 6 groups: group 1 (n = 10), single dose of 8 mg intravenous (IV) dexamethasone 1 hour before the operation; group 2 (n = 10), single dose of 8 mg IV dexamethasone at the beginning of the operation; group 3 (n = 10), 3 doses of 8 mg IV dexamethasone 1 hour before the operation, and 24 and 48 hours after the operation; group 4 (n = 10), 3 doses of 8 mg IV dexam . . .ethasone at the beginning of the operation, and 24 and 48 hour after the operation; group 5 (n = 10), 3 doses of 8 mg IV dexamethasone immediately after the operation, and 24 and 48 hours after the operation; group 6 (n = 10), control, no dexamethasone administration before or after the operation. Intraoperative blood loss was recorded for each patient. Patients were evaluated at 24 hours and days 2, 5, 7, and 10. For the postoperative evaluation of periorbital ecchymosis and edema, a scale of 0 to 4 points was used. There was no significant difference between groups in terms of bleeding (P > 0.05). In the groups using steroid before osteotomy, edema and ecchymosis were significantly lower during the first 2 days compared with the control group (P < 0.05). No significant difference was seen between groups 1 and 2. When patients were evaluated on day 5, edema and ecchymosis were significantly lower in groups 3 and 4 (P < 0.05) compared with other groups, but there was no difference between them. Group 5 had a significantly higher level of edema and ecchymosis compared with groups 1 through 4 at 24 hours and at days 2, 5, and 7 (P > 0.05). There was no significant difference between groups on day 10. In conclusion, if the first dose is given before osteotomy, triple-dose steroid application is the best bet for decreasing postoperative edema and ecchymosis. None of the patients had any complications related to the use of dexamethasone Daha fazlası Daha az

A case of lipoma of the deep lobe of the parotid gland.

Hoşnuter M. | Kargi E. | Babucçu O. | Yenidünya S.

Article | 2003 | Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat10 ( 4 ) , pp.167 - 170

Lipoma of the deep lobe of the parotid gland is extremely rare. A forty-two-year-old man presented with a painless, soft, and slow-growing mass in the left preauricular area. Ultrasonography and computed tomography findings were consistent with lipoma. The patient was treated with superficial parotidectomy and total excision of the mass with preservation of the facial nerve. Histologic findings confirmed the diagnosis. No recurrences were detected during 1.5 years in the postoperative period.

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