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Öğe Comparison of the Fistula Risk Associated With Rotation Palatoplasty and Conventional Palatoplasty for Cleft Palate Repair(Lippincott Williams & Wilkins, 2014) Kahraman, Ahmet; Yuce, Serdar; Kocak, Omer Faruk; Canbaz, Yasin; Guner, Sukriye Ilkay; Atik, Bekir; Isik, DaghanThe aims of the cleft palate repair techniques are to reduce the velopharyngeal insufficiency risk and oronasal fistula development to minimal levels without affecting the maxillofacial development. In this article, we present a retrospective study comparing the conventional palatoplasty techniques with the new technique of rotation palatoplasty for the risk of development of oronasal fistula. Materials and Methods: Of the 100 patients who were operated on because of cleft palate between the years 2002 and 2008, 12 patients had Furlow palatoplasty, and 88 patients received the Veau-Wardill-Kilner (V-Y pushback) operation (group C). A total of 67 patients who were operated on between 2008 and 2011 had rotation palatoplasty (group R). Results: One hundred patients were men, and 67 were women. Among all the patient groups, 22.8% were classified as Veau 1, 24.6% were classified as Veau 2, 37.1% were classified as Veau 3, and 15.6% were classified as Veau 4. The rate of fistula was found to be 17.7% in all patients. Fistula development was found in 6% of the patients in group R (4/67) and in 18% of the patients in group C (18/100). The difference between group R and group C regarding the number of patients who developed fistula was statistically significant (P = 0.011). Conclusions: The Veau classification of the cleft palate affects the risk of fistula development, and the risk for fistula after rotation palatoplasty is lower than that associated with the V-Y pushback technique.Öğe Eldeki yumuşak doku defektlerinin rekonstrüksiyonunda kasık flebi deneyimlerimiz(2016) Yüce, Serdar; Öksüz, Mustafa; Ersöz, Muhammet Eren; Koçak, Ömer Faruk; Kahraman, Ahmet; Işık, Dağhan; Atik, BekirAmaç: Pediküllü kasık flebi uzun süredir elin rekonstrüktif cerrahisinde önemli rol oynamaktadır. Bu çalışmada, eldeki yumuşak doku defektlerinin rekonstrüksiyonunda pediküllü kasık flebi kullanılan olgular literatür eşliğinde değerlendirilerek sunuldu.Gereç ve Yöntemler: Çalışmaya 2010-2014 yılları arasında Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı'nda el defektleri için kasık flebi kullanılan olgular dahil edildi. Yaş, cinsiyet, defekt nedeni, lokalizasyonu, kasık flebi büyüklüğü, verici saha kapatılma yöntemi, flep ayrılma zamanı, eşlik eden tedaviler ve komplikasyonlar gözden geçirildi. Bulgular: On üç erkek, yedi kadın olmak üzere toplam 20 hastada 22 kasık flebi kullanıldı. Kasık flebi sekiz hastada parmak amputasyonu ve degloving yaralanma sonrası ampute parçayı kapatmak için, üç hastada el ve parmak ezilme yaralanmasına bağlı defekt, bir hastada yanığa bağlı parmaklarda doku defekti, 5 hastada yanık sekeline bağlı ekstansiyon kontraktürü, üç hastada yanık sekeline bağlı fleksiyon kontraktürü nedeniyle kullanıldı. Hiçbir olguda flep kaybı olmadı.Sonuç: Pediküllü kasık flebi el defektlerinin rekonstrüksiyonunda önemli bir yeri olan güvenli, kolay uygulanabilen uygun vakalarda akılda bulundurulacak iyi bir alternatifdirÖğe Groin Flap Experience in the Reconstruction of Soft Tissue Defects of the Hand(Medknow Publications & Media Pvt Ltd, 2016) Yuce, Serdar; Oksuz, Mustafa; Ersoz, Muhammet Eren; Kocak, Omer Faruk; Kahraman, Ahmet; Isik, Daghan; Atik, BekirObjective: Pediculated groin flap has been playing an important role in hand reconstructive surgery for a long time. In this study, the cases where pediculated groin flap in the reconstruction of soft tissue defects of the hand was used are presented in terms of literature. Material and Methods: The cases included in the study where a groin flap was used for hand defects between 2010 and 2014 in the Plastic, Reconstructive, and Aesthetic Surgery Department. The age, gender, reason of defect, its localization, groin flap size, donor area closure method, flap separation time, other treatments, and complications were thoroughly examined. Results: Twenty-two groin flaps were used in 13 male and 7 females. It was used to close the amputated part in 8 patients as a result of finger amputation and degloving injury, in 3 patients as a result of hand and finger crush defect, in 1 patient as a result of burn finger defect, in 5 patients for extension contracture, and in 3 patients for flexion contracture due to burn sequel. Flap loss was not recorded in any of the cases. Conclusion: Pediculated groin flap is a good alternative that can be easily and safely used in suitable cases and has an important place in the reconstruction of hand defects.Öğe Investigation of geriatric age group trauma cases applying to plastic surgery clinic(2015) Yüce, Serdar; Öksüz, Mustafa; Ersöz, Muhammet Eren; Kahraman, Ahmet; Işık, Dağhan; Atik, BekirAmaç: Plastik Cerrahi Kliniğine travma nedeniyle başvuran 65 yaş üstü hastaların değerlendirilmesi yapıldı. Yöntem: Çalışmaya 2010-2014 yılları arasında Plastik Cerrahi Kliniğine başvuran geriatrik yaş grubu travma hastaları dahil edildi. Hastaların, yaşları, cinsiyetleri, tanıları, travma nedenleri, lokalizasyonları, yapılan cerrahi işlemler, ek dahili problemler, anestezi türleri, verilen ek tedaviler sınıflandırıldı. Bulgular: Travma nedenleri incelendiğinde 9 (%39.13) hastada düşme, 6 (%26.09) hastada trafik kazası, 2 (%8.7) hastada kesici alet yaralanması, 2 (%8.7) hastada hayvan yaralanması, 2 (%8.7) hastada traktör kayış yaralanması, 1 (%4.34) hastada darp, 1 (%4.34) hastada ip yaralanması olduğu saptandı. Yapılan cerrahi işlemler incelendiğinde 6 (%26.09) hastada maksillofasiyal fraktür için açık redüksiyon ve internal tespit, 6 (%26.09) hastada kesi nedeniyle sütürasyon, 5 (%21.74) hastada maksillofasiyal travma nedeniyle medikal tedavi ile takip, 4 (%17.40) hastada tendon onarımı, 1 (%4.34) hastada mandibula fraktürü nedeniyle intermaksiller fiksasyon, 1 (%4.34) hastada doku defekti nedeniyle fleple onarım yapıldı. Sonuç: İyi bir preoperatif hazırlıkla birçok yaşlı travma olgusunun cerrahi tedavisi güvenle yapılabilmekte ve yeterli fonksiyonel ve estetik sonuç alınabilmektedir.Öğe Investigation of skin cancer in the geriatric age group(2014) Yüce, Serdar; Öksüz, Mustafa; Ersöz, Muhammed Eren; Kahraman, Ahmet; Işık, Dağhan; Atik, BekirGiriş: Yaşam süresindeki artışla birlikte yaşla ilişkili hastalıklar, bunların içinde kanserde olacak şekilde artmaktadır. Çalışmamızda bu amaçla Plastik Cerrahi servisinde cilt kanseri nedeniyleameliyat edilen 65 yaş üstü hastaların tedavi yöntemleri ve sonuçları değerlendirildi.Gereç ve Yöntem: Çalışmaya 2010-2014 yılları arasında Plastik Cerrahi Anabilim Dalı'nda ciltkanseri nedeniyle ameliyat edilen 65 yaş üstü hastalar dahil edildi. Hastaların, yaşları, cinsiyetleri,tanıları, lokalizasyonu, yapılan işlemler, lenf nodu diseksiyonları ve verilen ek tedaviler sınıflandırıldı.Bulgular: 91 cilt kanserli geriatrik hasta olduğu tespit edildi. Hastaların yaş ortalaması 74,4olarak bulundu. Hastaların 47 (51,65%)'si kadın, 44 (48,35%) erkek idi. Hastaların tanıları incelendiğinde 58 (63,74%) hastada bazal hücreli karsinom, 27 (29,67%) hastada skuamöz hücrelikarsinom ve 6 (6,59%) hastada kutanöz melanoma olduğu saptandı. Yapılan cerrahi işlemler incelendiğinde 22 (24,17%) hastada lezyon eksizyonu + primer sütürasyon, 19 (20,88%) hastadalezyon eksizyonu + greftle onarım, 48 (%52,75) hastada lezyon eksizyonu + lokal fleple onarım,2 (2,20%) hastada ampütasyon yapıldı. Sonuç: Yaşlılarda cilt kanseri özellikle kutanöz melanoma insidans ve mortalitesi son yıllardagenç hastalardan daha fazla artmıştır. Sağlık kontrollerinde geriatrik yaş grubuna dikkat edilerekcilt kanserleri ile ilgili mortalite azaltılabilir.Öğe INVESTIGATION OF SKIN CANCER IN THE GERIATRIC AGE GROUP(Gunes Kitabevi Ltd Sti, 2014) Yuce, Serdar; Oksuz, Mustafa; Ersoz, Muhammed Eren; Kahraman, Ahmet; Isik, Daghan; Atik, BekirIntroduction: With the increase in lifespan, age related diseases including cancer also increase. With this in mind, in our study we evaluated treatment methods and results of patients who were older than age 65 and operated for skin cancer in the Plastic Surgery Clinic. Material and Method: Patients older than age 65 who were operated between 2010 and 2014 for skin cancer in the Department of Plastic Surgery were included in our study. Age, gender, diagnosis, localization, operation, lymph node dissection and additional treatments were analysed. Results: 91 geriatric patients with skin cancer were detected. The average age of patients was 74.4 years. 47 (51.65%) patients were female; 44 patients (48.35 %) were male. With respect to diagnosis, 58 (63.74%) had basal cell carcinoma, 27 (29.67%) had squamous cell carcinoma, and in 6 (6.59%) patients cutaneous melanoma was detected. A review of surgical operations showed that 22 (24.17%) patients had lesion excision + primary suturation, 19 (20.88%) had lesion excision + graft repair, 48 (52.75%) had lesion excision + local flap repair, and 2 (2.20%) had amputation. Conclusion: In recent years, skin cancer, especially the incidence and mortality of cutaneous melanoma, has been seen more frequently in elders, compared to younger patients. In health controls, the mortality of skin cancer may be reduced by taking into account the geriatric age group.Öğe Use with Tissue Expander Face, Scalp and Neck Reconstruction(Modestum Ltd, 2015) Yuce, Serdar; Oksuz, Mustafa; Ersoz, Muhammet Eren; Kahraman, Ahmet; Isik, Daghan; Atik, BekirThe tissue expander has found widespread use in reconstructive surgery. The donor area is needed, the recipient site with similar characteristics (color, thickness, hair follicle) features, minimal scarring and leads to donor site morbidity. In our study, presented face, scalp and neck reconstruction results obtained with the use of expander. The face, scalp and neck areas expander was used to evaluate patients in the Plastic, Reconstructive and Aesthetic Surgery Department of Yuzuncu Yil University. Age, gender, expander indication, defect or scar area localization, expander residential area, expander shape, volume, valve location (internal-external), expansion time, major and minor complications were reviewed. 30 number expanders were used in 17 patients (8 male, 9 female patients). Expanders were used burn sequelae in 14 patients, tumor-related defects in 2 patients and due to giant hairy nevus in 1 patient. The expanders are scalp (19 cases), face (3 cases), supraclaviculer (7 cases) and the neck (1 case) has to be placed. In 4 of 17 patients (three major and one minor) complications were encountered. Use the expander is a good option especially in the reconstruction of soft tissue defects in the head and neck region.
