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    Öğe
    The effects of limited adventitiectomy on vascular anastomosis: An experimental study in rats
    (Taylor & Francis Ltd, 2017) Ugurlu, Alper Mete; Basat, Salih Onur; Ceran, Fatih; Ozalp, Burhan; Berkoz, Omer
    Objective: Blockages in anastomotic vessels cause complete loss of free tissue transfer and replanted limb. Many studies have been conducted in the last 30 years to solve this problem. There are insufficient studies dealing with the effects of the limited adventitiectomy done before surgery for sympathetic overactivity leading situations. The aim of this experimental study is to reveal the effects of limited adventitiectomy. Methods: In this study, limited adventitiectomy was performed in a wide area before surgery, and the effect of this practice on the vessel diameter and anastomosis was investigated. Results: Rapidly growing dilatation and increase in vessel diameter was observed, and dilatation continued in the limited adventitiectomy group. Conclusions: The preoperative performed limited adventitiectomy is a useful preparation for super microsurgery. Especially in clinical practice before the free flap surgery, limited adventitiectomy can be applied if the recipient site is expected to have vascular problems.
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    Öğe
    Reconstruction of intraoral defects with superior labial artery musculo-mucosal flap: a preliminary clinical study
    (İstanbul Üniversitesi, 2010) Güven, Erdem; Uğurlu, Alper Mete; Başaran, Karaca; Basat, Salih Onur; Yiğit, Barış; Hafız, Günter; Kuvat, Samet Vasfi
    Objectives: In this article, we present the use of the superior labial artery musculo-mucosal SLAMM flap for intraoral reconstruction. Patients and Methods: The study included five patients 2 females, 3 males; mean age 36 years; range 11 to 56 years who consulted at our clinic between October 2008 and January 2010. Five oral defects were reconstructed with the SLAMM flap. Three patients underwent reconstruction with SLAMM flap following oncologic resection. The other two patients had traumatic defects in the oral cavity which necessitated flap application. First, the distal end of the flap was incised and the superior labial artery was identified after dissection. After ligation of the artery, the mucosa, submucosa and the cuff of orbicularis oris muscle were elevated. The dissection was extended laterally and anteriorly, depending on the necessary flap size. Results: None of the patients had partial or total flap necrosis. During the follow-up period, contracture developed in only one patient. Successful reconstruction was observed in all patients. Conclusion: The superior labial artery musculo-mucosal flap is a simple and feasible technique which can be used for reconstruction of intraoral defects.