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    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 Teoman
    Introduction: 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.
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    GIANT ADENOID CYSTIC CARCINOMA: A CASE REPORT
    (Medknow Publications & Media Pvt Ltd, 2012) Sari, Elif; Ozakpinar, Hulda Rifat; Eker, Esabil; Durgun, Mustafa; Tellioglu, Ali Teoman
    Adenoid cystic carcinoma (ACC) usually present as tumors of the major and minor salivary glands. Other less frequent primar locations have been described in the breast, bronchi, lacrimal glands, cervix, Bartholin glands of the vulva, prostate, and external auditory canal. The skin can also be involved with adenoid cystic carcinoma through direct or perineural invasion or as a site of distant metastasis. Primary cutaneus adenoid cystic carcinoma is a rare entity. We describe one such a case and present review of literature.
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    Our Experience in Progressive Tension Sutures in Abdominoplasty
    (Gazi Univ, Fac Med, 2012) Tellioglu, Ali Teoman; Eryilmaz, Tolga; Inozu, Emre; Ozakpinar, Hulda Rifat; Durgun, Mustafa; Guler, Ilgi
    Objective: The most common local complications following abdominoplasty are flap necrosis, hypertrophic scar formation, seroma, and hematoma. Progressive tension sutures were introduced in order to decrease the local complications. In this study, we present our experience in progressive tension sutures in abdominoplasty patients. Methods: Nineteen female abdominoplasty patients were included in this study. The mean age was 42 years (35-59). The progressive tension sutures were placed from the superficial fascia to the deep fascia as the flap was advanced. Results: The mean follow-up was 11 (6-26) months. No hypertrophic scar formation, flap necrosis, infection, seroma, or hematoma developed. Minimal localized fat necrosis in 1 patient (5%) and pulmonary embolus in 1 patient (5%) occurred. Both patients healed uneventfully. Conclusion: The progressive tension sutures decrease flap necrosis and hypertrophic scarring by preserving the distal flap perfusion. Additionally, it reduces seroma and hematoma formation by reducing the dead space volume. In conclusion, although increasing the operation time, it may be a useful method for decreasing local complications.
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    The Versatile Facial Artery Perforator-Based Nasolabial Flap in Midface Reconstruction
    (Lippincott Williams & Wilkins, 2015) Durgun, Mustafa; Ozakpinar, Hulda Rifat; Sari, Elif; Selcuk, Caferi Tayyar; Seven, Ergin; Tellioglu, Ali Teoman
    Introduction: Defects in the lower two thirds of the face occur due to trauma, tumoral masses, or infections. In this study, repairs of various defects located in the midface using facial artery perforator-based nasolabial flaps are presented. Patients and Methods: Between January 2009 and June 2013, 15 patients with defects in the lower two thirds of the face or the intraoral region underwent repairs with facial artery perforator-based nasolabial flaps. The etiology was malignant skin tumor excisions in 11 patients, infection in 2 patients, and trauma in 2 patients. Among the patients, 10 were male and 5 were female. Their mean age was 65.1 (range: 20-86) years. The mean duration of follow-up was 14 (7-24) months. The defects were located at the upper lip, cheek, lower lip, intraoral region, and the nasal area. The size of the defects varied between 10 x 10mm and 40 x 50 mm. All the flaps were prepared as perforator flaps. The flap donor area was primarily closed. Results: No partial or total flap loss was observed in any of the flaps. The flap donor areas healed without problem. Full patient satisfaction was achieved both aesthetically and functionally. Conclusion: The nasolabial perforator flap has certain advantages such as the 1-stage application, repair using a similar tissue, a wider rotation arc around the pedicle compared to the other regional flaps, and the primary closure of the donor area. Based on these characteristics, itis an ideal alternative for the repairs of the defects located in the lower two thirds of the face or the intraoral region.