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    Investigation of the monocyte/high-density lipoprotein ratio as a prognostic criterion in burn patients
    (John Wiley and Sons Inc, 2023) Akkoç, Mehmet Fatih; Bülbüloğlu, Semra; Kapı, Emin; Bayram, Mehmet; Gurgah, Tuba
    In this study, it was aimed to investigate the monocyte/high-density lipoprotein ratio as a prognostic criterion in adult burn patients. A descriptive and cross-sectional method was adopted in this study. The sample included 177 patients with burn injuries. This study was conducted in a research and training hospital in Turkey. Data were collected by the researchers in the burn unit. Descriptive methods, Kruskal–Wallis, Mann–Whitney U, ROC curve, and correlation analyses were used for the statistical analyses of the data. While 66.1% of the patients were second-degree burn patients, 96.6% of all patients recovered and were discharged from the hospital, and the rest died. In this study, the monocyte/high-density lipoprotein ratios of the patients decreased as their clinical condition worsened. The mean C-reactive protein value of the patients was 8.52 ± 5.02 on the 7th day. A statistically significant correlation was found between an increase in monocyte counts and a decrease in high-density lipoprotein concentrations at the 24th hour, 3rd day and 7th day after the burn (p < 0.01). The monocyte/high-density lipoprotein ratio can be considered a biomarker in the identification and follow-up of sepsis and morbidity durations in burn patients. A low monocyte/high-density lipoprotein ratio in burn patients can provide an insight into the severity of sepsis.
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    Medial canthus reconstruction with a propeller skin flap from the nasolabial fold region
    (Wolters Kluwer Medknow Publications, 2023) Akkoç, Mehmet Fatih; Özdemir, Mehmet; Bayram, Mehmet; 0000-0002-5714-0499
    Introduction: The propeller flap taken from the nasolabial flap is well suited for the medial canthal reconstruction. The propeller flap used in one-stage reconstruction is suitable for maintaining the normal concavity of the medial canthus; however, sometimes, the use of the propeller flap can lead to various complications. Aim: In this research article, we aimed to investigate the results of repairing the medial canthus defect using a propeller flap from the nasolabial fold. Materials and Methods: This study was a descriptive and cross-sectional research. We performed this retrospective study with the participation of 37 patients with medial canthal defects who underwent surgical treatment at a research and training hospital in the past 3 years. Data were obtained from the electronic medical records. In patients with medial canthal defects, the results of patients reconstructed with a propeller flap taken from the nasolabial fold were observed. Results: Of the patients, 37.8% were between 65 and 74 years old, and 59.5% were male. 83.8% of the medial defects resulted from the excision of basal cell carcinoma. After repair of the medial canthal defect, venous stasis developed in 8.1% of patients and trapdoor deformity in 13.5% of patients. Patients who developed venous stasis recovered without intervention, and those with trapdoor deformity underwent surgical intervention again. Smokers had a higher risk of venous stasis, and women had a higher risk of developing trapdoor. Conclusion: Successful patient outcomes after surgery are very important in the repair of medial canthal defects. The use of the propeller flap has produced excellent results. However, it is very important to stop smoking during the perioperative process. We recommend more detailed studies in larger sample groups on the development of the trapdoor in women. We conclude that the propeller flap taken from the nasolabial fold is effective and safe in the medial canthal reconstruction.
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    Öğe
    Reconstruction for Skin Defects Occurring due to Resection of Midface Malignancies with Cervicofacial Advancement-Rotational Flap
    (Springer India, 2024) Akkoc, Mehmet Fatih; Ozdemir, Mehmet; Bayram, Mehmet; Bulbuloglu, Semra
    ObjectiveThis study aims to present surgical experience and clinical outcomes regarding the reconstruction for malignancy-induced midfacial skin defects using varying patterns of cervicofacial advancement-rotational flaps (CARFs).MethodsThis is a descriptive study, and 25 patients with midfacial skin defect participated in this study. Defect repair was performed using CARF and descriptive statistics were used in data analysis.ResultsThe CARF was designed over perforators arising from branches of the anterior-based external carotid artery in all patients. 48% of the patients developed midfacial skin defects due to basal cell carcinoma, and 40% due to squamous cell carcinoma. Two patients developed ectropion, one patient developed base positivity, and one patient developed necrosis distal to the flap.DiscussionThe CARF has a good pattern and minimal tension, thus closing midface skin defects without bunching. The reconstruction for midfacial skin defects with CARF decreases both functional and aesthetic morbidity and improves patient outcomes.