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Öğe An Alternative Surgical Procedure for Anterosuperior Dislocation of Intact Mandibular Condyle(Lippincott Williams & Wilkins, 2014) Ozalp, Burhan; Elbey, Huseyin; Durgun, Mustafa; Selcuk, Caferi TayyarSuperolateral and anterolateral dislocations of the intact mandibular condyle can be easily overlooked because of their rarity among maxillofacial injuries. In this report, we present the surgery of delayed anterosuperior dislocation of intact mandibular condyle into the temporal fossa. A 17-year-old adolescent girl with anterosuperior dislocation of left intact condyle and associated mandible and zygomatic body fracture underwent surgery 33 days after trauma because of priority accompanied life-threatening intracranial and intra-abdominal injuries. Temporalis muscle shortening with soft tissue attachment prevented closed reduction of the temporomandibular joint; therefore, the temporalis muscle was divided from its insertion on coronoid in a process that, to our knowledge, has never before been described. Although good occlusion was achieved at operation, open bite deformity and laterognathism were observed at the sixth month of follow-up.Öğe Breast Augmentation Combining Fat Injection and Breast Implants in Patients With Atrophied Breasts(Lippincott Williams & Wilkins, 2017) Ozalp, Burhan; Aydinol, MustafaBreast augmentation is a challenging issue in atrophied breasts related to breastfeeding. Here, we describe a modification combining breast implants and fat grafting to obtain a successful outcome without implant edge visibility and palpability. Thirty-four women with atrophied breasts underwent breast augmentation over a 6-year period. The breast implants were placed in the subglandular plane to obtain optimal filling and expansion of atrophied breast tissue. Autologous fat grafting was performed above the inframammary sulcus to prevent implant visibility and palpability due to insufficient soft tissue coverage. Rippling, implant visibility, palpability, and capsular contracture were examined in the follow-up controls. Twenty anatomical and 48 round-shaped breast implants were placed with an average size of 321 cc (range, 200-415 cc). The mean injected fat volume was 114 cc (range, 98-142 cc) per breast. The mean follow-up period was 22 months (range, 19-31 months). The implants were palpable in only 1 breast; however, there was no implant visibility or rippling. Of the 68 breasts, 2 presented with cyst formations, and 4 with Becker Grade 2 capsular contracture, but no fat necrosis was observed. Overall, patient satisfaction in terms of breast shape, size, and coverage of the breast implant was 90%. A breast implant placed in the subglandular plane with fat injection throughout the lower quadrants of the breast may provide the desired increase in size and expansion of atrophied tissue while preventing implant visibility and palpability.Öğe Cartilage-Supported Paramedian Forehead Flaps for Reconstruction of Full-Thickness Nasal Defects(Lippincott Williams & Wilkins, 2013) Selcuk, Caferi Tayyar; Durgun, Mustafa; Ozalp, Burhan; Bozkurt, MehmetThe nose is an important esthetic structure of the human face, and its defects may lead to serious esthetic and functional losses. In the current study, our aim was to present the results of the repairs that we performed using cartilage-supported forehead flaps in patients with full-thickness nasal defects in various locations. Between March 2009 and March 2012, a total of 6 patients with full-thickness nasal defects underwent repairs using cartilage-supported forehead flaps. Among the patients, 4 were women, whereas 2 were male. The median age of the patients was 60.3 (38-67) years. The defects were caused by either tumor excision or burn wounds. Defect areas were at the dorsum of the nose, the medial canthal area, and the distal half of the nose. The repairs in all patients were performed using cartilage-supported median forehead flaps. In the method we applied, to provide framework support, a cartilage graft was placed into the pouch formed between the frontal muscle and the subcutaneous tissue within the flaps to be adapted to the defect area. The patients were followed up for a median period of 11 (4-27) months. In the long-term follow-up of all patients, satisfactory results in terms of the functional and cosmetic outcomes were obtained. Through the technique we applied, a simple and safe repair with adequate framework support and full color and texture harmony is achieved.Öğe Comparison of the antibacterial effect of silver sulfadiazine 1%, mupirocin 2%, Acticoat and octenidine dihydrochloride in a full-thickness rat burn model contaminated with multi drug resistant Acinetobacter baumannii(Elsevier Sci Ltd, 2012) Selcuk, Caferi Tayyar; Durgun, Mustafa; Ozalp, Burhan; Tekin, Alicem; Tekin, Recep; Akcay, Cemal; Alabalik, UlaIn this study, our aim is to compare the efficacy of different topical antibacterial agents in a rat model contaminated with a multi drug resistant (MDR) standard Acinetobacter baumannii strain. The study was carried out on 40 Sprague-Dawley rats of 250-300 g each. For the purposes of this study, the rats were divided into 5 groups, with 8 rats in each group: Group 1 control; Group 2 silver sulfadiazine; Group 3 mupirocin; Group 4 Acticoat group; and Group 5 octenidine dihydrochloride group. Following to the formation of the full-thickness burn areas in rats, the MDR A. baumannii standard strain was inoculated into the burned area. The rats in all the groups were sacrificed at the end of the 10th day and subjected to histopathological and microbiological evaluation. In the histopathological evaluation, the lowest inflammatory cell response and bacterial density in the eschar and muscle tissues were observed in the Acticoat group. While these results were found to be statistically significant compared to the silver sulfadiazine group, only the bacterial density in the muscle tissue was found as significant in comparison to the mupirocin and octenidine groups. In the microbiological evaluation, the lowest growth in the muscle tissue culture among all the groups was observed in the Acticoat group. The growth in the eschar tissue culture was significantly lower in the Acticoat and octenidine groups in comparison to the silver sulfadiazine group. At the end of the study, it has been observed that Acticoat was effective both in eschar and muscle, while octenidine was effective in eschar tissues in a rat burn model contaminated with MDR A. baumannii. (C) 2012 Elsevier Ltd and ISBI. All rights reserved.Öğe DERMATOFIBROSARCOMA PROTUBERANS: ANALYSIS OF 14 CASES TREATED WITH WIDE EXCISION(Medknow Publications & Media Pvt Ltd, 2013) Durgun, Mustafa; Selcuk, Caferi Tayyar; Ozalp, Burhan; Ozakpinar, Hlda Rifat; Seven, Ergin; Bozkurt, Mehmet; Tellioglu, Ali TeomanIntroduction: Dermatofibrosarcoma protuberans is a painless, slow growing, plaque or noduler shaped fibrocystic tumor taking origin from dermis and subcutaneous tissue. In this study 14 patients operated because of dermatofibrosarcoma protuberans has been evaluated for sufficient surgical border and reccurence. Material and Methods: Patiens included in this study were operated between January 2007-October 2012 in Diskapi Yildirim Beyazit Training and Research Hospital Department of Plastic Reconstructive and Aesthetic Surgery and Dicle University Plastic Reconstrucitve and Aesthetic Surgery diagnosed with dermatofibrosarcoma protuberans. Patients evaluated for age, sex, reconstructive method and postoperative follow duration. Lesions excised widely including 4 cm of intact skin border and fasia below. Results: Among 14 patients who were included 6 were male 8 were female. Age of patients varied between 18-89 with an average of 45 years. Lesions were on trunk in 9 patients (%64), on upper extremity in 3 patients (%21), and on lower extremity in 2 patients (%15). Average follow up duration were 21 months. A patient with a lesion on wrist recieved radiotherapy additional to surgery. No reccurence observed in any patient. Conclusions: In our study, a wide excision of skin with 4 cm can provide histopathologically negative border.Öğe The effect of coenzyme Q10 on venous ischemia reperfusion injury(Academic Press Inc Elsevier Science, 2016) Ozalp, Burhan; Elbey, Huseyin; Aydin, Hulya; Tekkesin, Merva S.; Uzun, HafizeBackground: Coenzyme Q(10) (CoQ(10)) is a lipid-soluble benzoquinone with antioxidant features that make it important in the treatment of ischemia reperfusion injury. In this study, we aimed to investigate the beneficial effect of CoQ(10) in the treatment of venous ischemia/reperfusion injury. Methods: Eighteen Sprague-Dawley male rats were randomly divided into two equal groups: the control group and an experimental group (n = 9 rats). The experimental group received CoQ(10) orally, and the control group received a control diet for 8 wk. An inferior epigastric island flap was raised, and the inferior epigastric vein was clamped for 9 h; the flap was then reperfused. All rats were sacrificed on postoperative day 5. The flap survival rate and levels of CoQ(10), malondialdehyde, glutathione, and superoxide dismutase were assessed, and flap tissues were examined under a light microscope (x200 magnification) after being stained with Hematoxylin & Eosin. Results: The flap survival rate and levels of CoQ(10), glutathione, and superoxide dismutase were significantly higher, but level of malondialdehyde was lower in the experimental group. The mean flap survival rates and plasma levels of CoQ(10) were 51% +/- 24% and 251 +/- 11 ng/mL in the control group, whereas they were 88% +/- 7% and 692.8 +/- 79.7 ng/mL in the experimental group with statistically significant differences (P < 0.001). Polymorphonuclear leukocyte infiltration was higher, and surface epithelial integrity was more impaired in the control group. Conclusions: We concluded that CoQ(10) supplementation has a beneficial effect on venous ischemia and/or reperfusion injury and improves flap survival rate. (C) 2016 Elsevier Inc. All rights reserved.Öğe The Effect of Hyperbaric Oxygen Treatment on the Healing of Burn Wounds in Nicotinized and Nonnicotinized Rats(Oxford Univ Press, 2013) Selcuk, Caferi Tayyar; Ozalp, Burhan; Durgun, Mustafa; Tekin, Alicem; Akkoc, Mehmet Fatih; Alabalik, Ulas; Ilgezdi, SavasThe importance of oxygen in wound healing and the negative effects of cigarette smoking have been demonstrated in various studies. In this study, our aim was to investigate the effect of hyperbaric oxygen (HBO2) treatment on wound healing in nicotinized and nonnicotinized rats. The study was conducted on 32 Sprague Dawley rats. The rats were divided into four groups, with eight rats in each: group 1, nonnicotinized rats; group 2, nonnicotinized rats treated with HBO2; group 3, nicotinized rats; and group 4, nicotinized rats treated with HBO2. To prepare the nicotinized groups, the rats were given nicotine for 28 days. At the end of day 28, standard, deep, second-degree to third-degree burns were created on the rats. The HBO2-treated groups underwent HBO2 treatment once a day for 7 days after the creation of the burn damage. All rats were killed 21 days after injury, and the burns were subjected to macroscopic, histopathological, and microbiological evaluation. During this evaluation, the smallest necrotic areas and the lowest rate of fibrosis were observed in group 2. The largest necrotic areas and the highest inflammation and fibrosis rates were observed in the nicotine-treated group 3. When the nicotinized and nonnicotinized groups were compared separately, there was a significant difference in favor of the groups treated with HBO2. Bacterial growth was the highest in the nicotinized group 3, whereas no statistically significant difference was observed among the other groups. We conclude that HBO treatment accelerates the recovery of burn wounds and provides more effective healing by reducing the development of scars both in nicotinized and nonnicotinized rats.Öğe The Effect of Smoking on Facial Fat Grafting Surgery(Lippincott Williams & Wilkins, 2017) Ozalp, Burhan; Cakmakoglu, CagriFacial fat grafting has been increasingly performed to create a more youthful face. Cigarette smoking might have potential harmful effects on fat graft survival. The aim of this study was to evaluate the effects of cigarette smoking on facial lipofilling. Eighteen smoker patients (13 females and 5 males) with a mean age of 37.4 years (range: 21-53 years) who underwent facial lipofilling were enrolled in this retrospective study. The patients were followed up for an average of 19.3 months (range: 14-32 months). The fat-graft survival rate, degree of skin improvement, and presence and severity of surgical complications (fat necrosis, oil cysts, and infection) were evaluated. A 10-point Likert scale was used to assess patient satisfaction with facial fat grafting surgery. The mean injected fat volume was 42mL (range: 30-80 mL). Clinical and photographic evaluation by the surgical team led to an estimation of 40% for the mean fat survival rate. Four instances of fat necrosis, 2 oil cysts, and 1 infection were diagnosed and treated conservatively. Five patients underwent a second fat grafting surgical procedure; 3 of these had a third fat grafting surgery to obtain the desired facial fullness. Improvement of skin quality was better during the first months after surgery, but not long standing. Overall patient satisfaction in terms of aesthetic appearance, facial fullness, and rejuvenation was 74%. Although cigarette smoking causes low fat survival rates and impairs the improvement of skin quality, successful results can be obtained with facial lipofilling in the smokers.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, OmerObjective: 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.Öğe Foreign body penetrations of hand and wrist: a retrospective study(Turkish Assoc Trauma Emergency Surgery, 2013) Hocaoglu, Emre; Kuvat, Samet Vasfi; Ozalp, Burhan; Akhmedov, Anvar; Dogan, Yunus; Kozanoglu, Erol; Mete, Fethi SarperBACKGROUND Despite significant practical knowledge and experience on foreign body penetration injuries to the hand and/or wrist, deficient management and complications can still be encountered, and ignorance of its causative and eventual social aspects unfortunately is a substantial fact. This study aims to cover the clinical and social properties and the management of these kinds of injuries. METHODS A retrospective analysis of 86 patients requiring evaluation and treatment in a Hand Surgery Division of a university hospital was performed. RESULTS The median age was 32 (min: 4, max: 63). Industrial workers constituted the largest occupational group (n=22, 25.6%). Twenty-three (26.7%) of the cases were elective admissions. Thirteen (15.1%) patients had various comorbidities, and five (5.8%) had psychiatric diagnoses at the time of the injury. The index finger was the most frequent site of injury (n=29, 33.7%). General anesthesia was not necessary for the management of 94.2% of the cases. In 26 (30%) of the patients, neural, tendinous or osseous damage was observed. Twenty-four (30%) patients were included in a postoperative hand physiotherapy program. CONCLUSION The practically well-known general features of the issue and those aspects that may still be overlooked currently are reevaluated herein, in light of our observational data.Öğe HIGH VOLTAGE UPPER EXTREMITY ELECTRICAL BURNS REPAIR WITH GROIN FLAP(Medknow Publications & Media Pvt Ltd, 2012) Selcuk, Caferi Tayyar; Bozkurt, Mehmet; Durgun, Mustafa; Ozalp, Burhan; Kapi, Emin; Akkoc, Mehmet FatihBackground: Upper extremities are significantly affected by high-voltage electrical injuries. In this study, the repair of the upper extremity tissue defects due to high-voltage electrical injuries using groin flaps is discussed. Methods: Ten patients who developed upper extremity tissue defects following high-voltage (> 1000 V) electrical injuries between April 2009 and October 2011 were enrolled in our study. All the patients underwent reconstructions with pedicled groin flaps. All the patients were male. The areas on which the reconstructions were performed were hand and wrist areas where structures like the bones, tendons and nerves are accessible. The separation of the pedicles was performed on days 20-27 (average period: 23 days) after the pedicle ligation examination revealed no problems. Result: Adequate soft tissue coverage was obtained in all patients following the reconstruction. All the flaps healed without problem. No donor area morbidity was observed. No articular rigidity related to the operation was observed in any of the patients. Conclusion: We are of the opinion that in soft tissue defects that form in the upper extremities subsequent to high-voltage electrical injuries, when local flaps or free tissue transplants are risky or inapplicable, reconstruction with pedicled groin flaps constitutes an ideal treatment alternative.Öğe Immediate Reconstruction of a Soft-Tissue Defect in a Burn Patient whit a Peroforator-Based Propeller Flap: A Case Report(Wolters Kluwer Medknow Publications, 2017) Ozalp, Burhan; Ugurlu, Alper Mete; Calavul, Abdulkadir; Taskan, SinanSoft tissue reconstruction of the distal lower leg is a challenging issue for plastic surgeons. Immediate coverage of exposed anatomical structures with soft tissue after trauma prevents these structures from being infected, and this is very important for burn patients. Free flaps have recently been accepted as the gold-standard technique for ankle and foot reconstruction; however, this is changing with the increasing popularity of the perforator flaps. Today, perforator flaps are commonly performed for the reconstruction of the soft-tissue defects across the body. In this report, we want to present the reconstruction of a soft-tissue defect case using perforator-based propeller flap in a burn patient for immediate reconstruction. A 45-year-old male patient had a soft-tissue defect over the medial side of the ankle and foot due to a high-voltage electrical burn. The exposed bone tissue was covered with a propeller flap of 15x6 cm size, without any circulation problems during the postoperative period. In conclusion, we want to state that perforator-based propeller flaps are reliable, successful, and effective techniques for the immediate reconstruction of distal leg and foot. These flaps can be easily performed without requiring any microsurgical technique thus, they can be commonly performed by most of the plastic surgeons.Öğe Is the transposition of the nipple-areolar complex necessary in Simon grade 2b gynecomastia operations using suction-assisted liposuction?(Taylor & Francis Ltd, 2018) Ozalp, Burhan; Berkoz, Omer; Aydinol, MustafaObjective: The aim of this study was to assess the efficacy of suction-assisted liposuction (SAL) in Simon grade 2b gynecomastia and its effect on sternal notch to nipple areola (SNN) distance. Methods: A retrospective analysis was performed on 21 patients with grade 2b gynecomastia who underwent SAL. Preoperative and postoperative SNN distances of the patients were measured, the results were analysed using a Mann-Whitney U test and a p-value <.05 was accepted as statistically significant. Aesthetic results were evaluated by the surgical team considering five criteria: breast size, breast shape, nipple-areolar complex positioning, scarring, and skin tightness of the breast envelope. A 10-point Likert scale was used to assess patient satisfaction with SAL surgery. Results: All of the patients were followed up for an average period of 17.8 months (range = 12-28 months). The mean amount of lipoaspirate was 232 mL per breast (range = 190-310 mL). The mean preoperative SNN distance was 22.3 cm (range = 20-23.5 cm), whereas postoperative was 21.3 cm (range = 19.2-22.8 cm); the difference was statistically significant (p < .05). There was one case of nipple areola necrosis, three hypoesthesia, five persistent pains, and four slight buttonhole deformities. The aesthetic result was evaluated as very good by the surgical team, and the overall patient satisfaction rate in terms of breast shape and volume was 92%. Conclusions: It was concluded that SAL provides a good aesthetic outcome in patients with Simon grade 2b gynecomastia and shortens the SNN distance by 1 cm, but further clinical studies are required to support this conclusion.Öğe Lip Nose Surgery in a Patient With Hemophilia C (Rosenthal Disease)(Lippincott Williams & Wilkins, 2012) Ozalp, Burhan; Selcuk, Tayyar; Durgun, Mustafa; Elbey, Huseyin[Abstract Not Available]Öğe Multiple disseminated pyogenic granuloma after second degree scald burn: a rare two case(E-Century Publishing Corp, 2013) Durgun, Mustafa; Selcuk, Caferi Tayyar; Ozalp, Burhan; Aydinol, Mustafa; Alabalik, UlasPyogenic granuloma is a benign lesion and usually occurs after trauma. Disseminated pyogenic granuloma, is a rare form of pyogenic granuloma. There are 9 cases of disseminated pyogenic granuloma in literature and most of them are hot milk burns. First case describes an 18-month-old girl who developed disseminated pyogenic granulomas on her right cheek, neck, and right nasal ala. Lesions on her right cheek and neck were excised and sutured primarily. Lesion on right nasal ala was excised and repaired with full thickness skin graft. Second case describes a 7-years-old boy who developed pyogenic granulomas on his left forearm. These lesions were excised and sutured primarily. In both cases lesions were developed after scald burn. During 6-month follow-up, no recurrence was observed in both cases.Öğe Perforator-based propeller flaps for leg reconstruction in pediatric patients(Elsevier Sci Ltd, 2016) Ozalp, Burhan; Aydinol, MustafaBackground: Perforator-based propeller flaps provide adequate soft tissue coverage for leg reconstruction. The aim of this study was to assess the versatility and reliability of the use of propeller flaps for leg reconstruction in pediatric patients. Method: Seven male pediatric patients ranging in age from 2 to 13 years with a mean age of 6.7 underwent perforator-based propeller flap surgery over a four-year period. The defects resulted from burn injuries (n = 4) and traffic accidents (n = 3). The injuries were located on the ankles of four patients and on the knee, anterior lower tibia, and foot dorsum of the other three patients, respectively. Results: The flap sizes ranged from 5 x 3 to 10 x 6 cm with a mean flap size of 7.6 x 4.3 cm. Flap harvesting time ranged from 38 to 56 m with a mean of 46 m. The rotation degree range of the flaps was from 90 degrees to 180 degrees. The propeller flaps were based on the posterior tibial artery (n = 4), anterior tibial artery (n = 2), and the descending branch of the lateral circumflex femoral artery (n = 1). All flaps survived completely without surgical complication; however, one patient developed disseminated intravascular coagulation syndrome two days post-surgery and died within four days. Conclusion: Perforator-based propeller flap reconstruction is a safe, reliable, and versatile method for lower extremities in pediatric patients; however, it requires meticulous surgical dissection and extreme patience during the surgical procedure. (C) 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.Öğe A Progressed Case of Stewart-Treves Syndrome in a Patient with Chronic Idiopathic Lymphedema in the Lower Extremity(Wolters Kluwer Medknow Publications, 2019) Ozdemir, Mehmet; Sultany, Mohammed Suleiman; Celikkaleli, Ercan; Ozalp, BurhanAngiosarcomas are uncommon malignant tumors that arise from vascular endothelial cells with poor prognosis. Stewart-Treves syndrome (STS) is a type of cutaneous angiosarcoma that develops in chronic lymphedema. Although the majority of lymphangiosarcomas arise from areas of lymphedema as a consequence of lymph node dissection in radical mastectomy, it has also occurred in other causes of lymphedema. In the pathophysiology of lymphangiosarcoma, impairment of the local immune response and induced angiogenesis are emphasized. A 69-year-old male patient with a previous diagnosis of chronic lymphedema in his left lower limb presented with STS and widespread metastases. The patient refused the treatment for lymphedema and ignored the lesion due to its innocuous appearance. In addition, during the presentation, he had Stage 4 disease and, therefore, he was not a candidate for curative operative treatment. Early tumor resection or limb amputation has the best outcomes in the treatment.Öğe Reconstruction of Full-Thickness Nasal Alar Defects Using Cartilage-Supported Nonfolded Nasolabial Flaps(Lippincott Williams & Wilkins, 2012) Selcuk, Caferi Tayyar; Ozalp, Burhan; Durgun, Mustafa; Bozkurt, Mehmet; Baykan, HalitThe difficulties faced in the reconstruction of the nasal alar defects are still continuing because of their unique anatomy, free margin, and triple-layered complex structure. In this study, we would like to present the results of the cartilage-supported nonfolded nasolabial flap reconstruction method that we applied to full-thickness alar defects involving the alar rim. Between March 2009 and October 2011, 5 patients with full-thickness alar defects underwent cartilage graft-supported nasolabial flap reconstructions. Three of the patients were men, whereas 2 patients were women. Their median age was 54.2 years (range, 43-62 y). The defects were caused by either tumor excision or trauma. According to the method we applied, cartilage grafts were placed into the pouches formed between the skin and the adipose tissue to provide cartilaginous support to the nasolabial flaps to be adapted to the defect areas. The deep surfaces that were going to form the nasal mucosa were grafted using postauricular full-thickness skin grafts. Patients were followed up for a median period of 7.3 months (range, 3-21 mo). In all patients, the flaps fully fitted the defect areas and provided enough coverage over the defects. Although minimal graft contractions were observed in the later phase because of the cartilage support placed within the pouches formed in the flaps, no nasal airway constrictions were observed. The technique we applied is a simple and reliable method providing adequate framework support, full color and texture harmony, an open nasal passage, and a single-session reconstruction in most cases.Öğe Reconstruction of vaginal agenesis with pudendal thigh flaps thinned with liposuction(Elsevier Sci Ltd, 2013) Selcuk, Caferi Tayyar; Evsen, Mehmet Siddik; Ozalp, Burhan; Durgun, MustafaAim: The aim of this study is to describe a technique for and data from vaginoplasty surgeries performed using a pudendal thigh flap (PTF) thinned with liposuction. Method: A total of six patients diagnosed with Mullerian agenesis underwent vaginoplasty procedures using this technique between January 2009 and April 2012. The age range of the patients was 19-24 years. In the first stage, the subcutaneous fat tissue under the planned skin flap islands was thinned with liposuction. After 3 months, the second stage of the procedure was carried out and the PTFs were elevated. Results: Complications such as infection, dehiscence of the suture line and haematoma were not observed in any of the patients. Although a partial flap loss was observed at the distal aspect of a flap in one patient, total healing was achieved through debridement and local wound care. Mean tissue flap thickness was found to be thinner, and adequate vaginal depth was achieved in all patients on average 13 months following surgery. Conclusion: We are of the opinion that PTFs thinned with liposuction enable both a thinner tissue flap and a vaginal reconstruction that more closely resembles natural anatomy. (C) 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.Öğe Security Sutures as an Alternative to Classic Wound Dressing for Otoplasty(Lippincott Williams & Wilkins, 2014) Ozalp, Burhan; Elbey, Huseyin; Durgun, Mustafa; Selcuk, Caferi Tayyar[Abstract Not Available]
