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Öğe Algorithmic approach to the prevention of unnecessary fasciotomy in extremity snake bite(Elsevier Sci Ltd, 2016) Turkmen, Arif; Temel, MetinBackground: In the literature, there is a lack of a consensus about the occurrence of the compartment syndrome due to the snake bites. There are different concepts for the surgical treatment of the threshold value of the chamber pressure. There are many different classifications and assessment criteria for the snakebites. Purpose: There is not any appropriate classification in order to the assessment of extremity snake bites while making a decision for fasciotomy. We aimed to standardize the follow-up and decision making to perform fasciotomy with a new classification system for the snakebites using objective data. Patients and methods: The data of all patients were recorded prospectively between 2006 and 2011. A total of 97 patients (64 male, 33 female) with a mean age of 30.94 +/- 14.04 were followed-up. During the evaluation of the patients, we used a new classification system that was improved for the extremity bites. We classified the patients due to their signs into four groups as for the classification system. Results: 40 patients with compartment like symptoms were carefully followed for 48-72 h, and only three patients required fasciotomy where full recovery was achieved in 37 patients. Coverage of the defects was performed with full thickness skin grafting in 4 patients and cross finger flap in two patient. In two patients, the defects were located on the palmar aspect of the thumb. Thus, we applied Kite flap for skin coverage. Reverse dorsal digital artery flap was performed in eight patients and dorsal interosseous metacarpal flap in six patients. Four patients underwent an amputation. Two patients had web reconstruction due to first web contracture. Conclusions: We present a large series of snake bite injuries and propose a classification and treatment recommendations. Fasciotomy should only be done while the measurement of intra-compartment pressure is above 55 mm Hg as snakebite can mimic the compartment syndrome. Level of evidence: III-IV. (C) 2016 Elsevier Ltd. All rights reserved.Öğe A basic algorithmic surgical approach for nicolau syndrome(Wolters Kluwer Medknow Publications, 2020) Yeniocak, Ali; Özkan, Mustafa; Temel, Metin; Güneren, Ethem; Kelahmetoğlu, OsmanBackground: Nicolau syndrome (NS) is a rare complication that develops after the administration of intramuscular diclofenac sodium. The etiology and surgical treatments of 11 patients with NS were evaluated and studies in the literature were examined. The aim of this study was to compose a basic algorithm for surgical approaches to treat NS. Materials and Methods: Eleven patients were evaluated for NS between December 2013 and January 2018. Two patients did not accept treatment, and nine patients underwent surgical debridement of necrotic tissues. The tissue defects of five patients were closed with a fasciocutaneous flap and, in four patients, the defects were repaired primarily. Results: No complications, such as wound infection, wound dehiscence, seroma, or flap necrosis, were encountered. Of the seven patients who received concurrent antibiotic therapy, no patient had any problems at their follow-up (2-30 months). The results were satisfactory from an aesthetic and functional point of view. Conclusion: NS was more frequent in women with a high body mass index and high fat in gluteal regions. We considered that any kind of medication could lead to NS. Different methods are discussed for treatment. © 2020 Journal of Cutaneous and Aesthetic Surgery | Published by Wolters Kluwer - Medknow 154Öğe Comparison of the result of consolidative technique otoplasty and incisionless otoplasty in the repairs of prominent ears(Springer, 2016) Temel, Metin; Kahraman, S. Samil; Berber, Ozge; Cevik, Cengiz; Akoglu, ErtapWe aimed to compare the long-term results of complications of consolidative technique otoplasty (CTO) and incisionless otoplasty (IO). The study consists of 156 patients who were operated between 2006 and 2015. According to surgical techniques, these patients were divided into two groups as IO group and CTO group. The distance between the head and the ear was assessed by measuring the four points preoperatively and postoperatively (SUP: most superior helical point, SCA: superior conchal attachment, ICA: inferior conchal attachment, and lobule). Early and late postoperative complications, operative time were recorded. 128 ears in IO group, 163 ears in CTO group were prominent. When postoperative SUP, SCA, ICA, lobule values for right and left ears in both groups were statistically evaluated, it was found that CTO technique has led to significantly greater improvement compared to the IO technique (p < 0.001). The success rate in IO technique and CTO technique was 72 and 96 %, respectively. Early complications were similar in both groups. The late period complication determined much more frequently was seen in the IO group. Concerning operative time, it was identified as significantly lower in the IO group (p < 0.001). The early-term outcomes of both techniques were similar; however, the complication rates due to suture material and needed for revision in IO technique were higher whereas CTO technique was more permanent with lower complication risks.Öğe Consolidative Technique Otoplasty: Comprehensive Approach in Combining Techniques(Springer, 2016) Temel, MetinThis study aimed to present the long-term results of the consolidative technique otoplasty (CTO). Patient age, sex, duration of follow-up, and how the deformity (bilateral-unilateral) occurred were determined. The kind of anesthesia, duration of surgery, surgical techniques used during the operation were reported, and the preoperative and postoperative distances between the ear and head were measured at four points (SUP: The highest point of the helix; SCA: the concha superior sticking points; ICA: stick point of Concha at the inferior; and lobular). Early- and late-term complications were recorded in the postoperative period. A total of 63 (21M-42FM) patients whose average age of 21:41 +/- 8.96 (7-41), 119 ears (Right: 58/Left: 61) were operated on with this technique between 2013 and 2015. Mean follow-up was 18:22 +/- 9:42 months. Anterior scoring was performed for three patients; concha resection was performed in 17 patients. Fifty-five patients were operated on as primary otoplasties and eight were secondary otoplasties. When the preoperative and postoperative SUP, SCA, ICA, and lobule measurements for both ears were compared, the postoperative values were found to be significantly decreased (p < 0.001). This technique may be an alternative in the repairs of prominent ears, and it provides an intervention opportunity for all the anatomical structures. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266Öğe The Dermal Internal Brassiere Flap, A New Modification of Inferior Pedicle Breast Reduction Technic(Springer, 2015) Temel, Metin; Karakas, Ali O.; Dokuyucu, Recep; Turkmen, ArifThe inferior pedicle mammaplasty is particularly applied to large breasts with a long sternal notch to nipple distance. The present study reports modifications developed to solve the bottoming-out deformity, the lack of upper pole fullness and the wound healing problems seen at the reverse T-zone, known disadvantages of the inferior pedicle reduction mammaplasty, and evaluates postoperative sensation. A total of 110 patients with a mean age of 32 underwent the same technique. In this technique, two pairs of quadrangular and triangular flaps were planned from the skin of resection sites. The triangular dermal flaps and quadrangular flaps were suspended from the periosteum of the 2nd and 4th ribs, respectively. The distance from the nipple to inframammary fold was measured at the postoperative 1st month and 1st year. In the postoperative period, a nipple-inframammary fold distance increase of over 2 cm was determined as bottoming-out deformity. Sensation evaluations were performed by subjective and objective tests. The mean sternal notch to nipple distance was 35.00 cm. After operation, the mean distance between the sternal notch and the nipple was 20.00 cm. NAC examination revealed normal sensation in all patients. Whereas the preoperative mean areolar threshold value was 36.70 g/mm(2), the postoperative first-year mean areolar pressure threshold value was 35.50 g/mm(2) (p < 0.0001). The preoperative mean nipple pressure threshold value was 25.30 g/mm(2), whereas the postoperative first-year mean nipple pressure threshold value was 26.00 g/mm(2) (p = 0.5471). The postoperative first-month mean sternal notch to nipple distance value of the patients was 20.00 cm, whereas the postoperative first-year mean sternal notch to nipple distance value of the patients was 20.00 cm, (p = 0.0648). The postoperative first-month mean nipple to submammary fold distance value of the patients was 10.50 cm, the postoperative first-year mean nipple to submammary fold distance value of the patients was 11.00 cm (p < 0.0001) There were no patients determined as having bottoming-out deformity. No breast asymmetry was encountered at the late follow-up period. All patients, except the scarred ones, were satisfied with the results. In this study, we achieved an internal fascial reconstruction using a pair of triangular and quadrangular dermal flaps suspended to the rib periosteum. We believe that our modifications will contribute to decreasing the disadvantages of the inferior pedicle breast reduction technique. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.Öğe Disinfectant Effect of Thyme Oil in Diabetic Wound Model(Wiley-Blackwell, 2015) Temel, Metin; Dokuyucu, Recep; Gokce, Hasan; Agturk, Gokhan; Dogan, Hatice[Abstract Not Available]Öğe The Effect of Coenzyme Q10 (Ubiquinone) on Random Pattern Skin Flap Survival in Rat Model(Lippincott Williams & Wilkins, 2016) Can, Asli; Temel, Metin; Dokuyucu, Recep; Mutaf, MehmetBackground: In this study, the effect of coenzyme Q(10) (CQ(10)) on flap survival was investigated. Methods: FiftyWistar Albino rats were divided into 5 groups. The survival rates of the skin flaps were assessed 10 days after complete elevation of the flaps. Regions of survival and necrosis were drawn on transparent acetate sheets and scanned into a computer. Tissue samples were assessed histopathologically after staining with hematoxylin-eosin, vascular endothelial growth factor staining and terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate-Biotin Nick End-labeling staining. To evaluate the antioxidant effect of CQ(10); malondialdehyde, nitric oxide levels were measured. Results: Viable flaps area was found higher in groups 3 and 4 as compared to groups 1, 2, and 5. In terms of vascular proliferation, elevated angiogenesis was observed in pathological specimens of groups 3 and 4 as compared to groups 1, 2, and 5. Malondialdehyde levels in groups 3 and 4 were found to be significantly decreased as compared to groups 1, 2 and 5 (P < 0.05). Moreover, serum levels of CQ(10) were found significantly increased in groups 3 and 4 (P < 0.05). Conclusions: In conclusion, CQ(10) significantly improves flap viability in rat model, and the highest levels of serumCQ(10) can be obtained by oral administration.Öğe Effects of Reduction Mammaplasty Operations on the Spinal Column: Clinical and Radiological Response(Springer, 2015) Berberoglu, Omer; Temel, Metin; Turkmen, ArifWomen with macromastia suffer from bodily disproportions like increased spinal curvature owing to the mass effect caused by severely large breasts. In such cases, the erector spinae muscles generate an overcompensatory pressure to maintain a normal posture, resulting in neck, back, and lumbar pain. This study aimed to objectively show the improvement of physical symptoms after reduction mammaplasty and evaluate psychological and physical changes of patients. Pre- and postoperative cervical, thoracic, and lumbar bidirectional (anteroposterior and lateral) radiographs were obtained from 40 patients who underwent reduction mammaplasty. Cervical lordosis, thoracic kyphosis, lumbar lordosis, and lumbosacral angles were evaluated. Body mass index, breast tissue volume, and excised tissue amount were recorded for each patient. Visual Analog Scores (VAS) were used to qualify the severity of neck, back, and lumbar pain, the Nottingham Health Profile (NHP) to evaluate quality of life (QoL), and the Beck Depression Inventory (BDI) to evaluate depression severity. Cervical lordosis, thoracic kyphosis, lumbar lordosis, and lumbosacral angle improved, and patients' neck, back, and lumbar pain decreased. The positive correlation between the excised glandular tissue amount and the decrease in neck, back, and lumbar pain was reflected in the results of VAS, NHP, and BDI tests. After reduction mammaplasty, depression symptoms caused by macromastia decreased. Parameters of QoL, including physical activity, socialization, fatigue, sleeping, and emotional reactions, significantly improved. Patients with macromastia should be considered for reduction mammaplasty before the onset of postmenopausal osteoporosis to improve QoL.Öğe The expression levels of the sirtuins in patients with BCC(Springer, 2016) Temel, Metin; Koc, Mustafa Nihat; Ulutas, Saffet; Gogebakan, BulentBasal cell carcinoma (BCC) is the most common tumor in humans. Reduced expression of sirtuins interferes with DNA repair, which may cause mutations and genomic instability, and eventually leads to tumor development. In the present study, we investigate the expression levels of SIRT genes in non-tumoral and tumor tissues of patients with BCC. A total of 27 patients (16 males, 11 females) with BCC were included in the study; the mean age was 65.40 +/- 10.74 years and mean follow-up was 2.5 +/- 0.5 years. There were multiple synchronous lesions in six patients, and the remaining 21 patients had a single lesion. Tumor and nontumoral tissue samples were collected from all patients, and mRNA expression levels of SIRT1-7 (Sirt1.1, Sirt1.2, Sirt2, Sirt3, Sirt4, Sirt5, Sirt6, and Sirt7) were examined by real-time PCR. The results showed that expressions of SIRT1.1, SIRT1.2, SIRT4, SIRT5, SIRT6, and SIRT7 mRNAs were unchanged in tumor tissues of BCC patients compared with non-tumoral tissue samples. Importantly, the expressions of SIRT2 and SIRT3 mRNAs were significantly reduced in tumor tissue samples from BCC patients compared with non-tumoral tissues (P=0.02 and P=0.03, respectively). In light of the previous reports that have demonstrated a link between SIRT proteins and cancer, our findings suggest that SIRT2 and SIRT3 may plan important roles in BCC pathogenesis and could be candidate prognostic biomarkers for BCC.Öğe Improvements in Vertebral-Column Angles and Psychological Metrics After Abdominoplasty With Rectus Plication(Oxford Univ Press Inc, 2016) Temel, Metin; Turkmen, Arif; Berberoglu, OmerSubstantial fluctuations in body weight can result in diastasis recti and weakening of the connections between the lateral abdominal muscles and the rectus sheath. The authors sought to determine the postural and psychological effects of abdominoplasty with vertical rectus plication. Forty women with substantial back and lumbar pain owing to abdominal lipodystrophy were evaluated in a prospective study. Preoperatively and 6 months postoperatively, patients underwent bidirectional radiography of the thoracic and lumbar regions. A visual analog scale (VAS), the Beck Depression Inventory (BDI), and the Nottingham Health Profile (NHP) were applied to assess physical, psychological, and quality-of-life changes following surgery. Significant improvements in posture, assessed in terms of lumbar lordosis, thoracic kyphosis, and the lumbosacral angle, were observed 6 months after abdominoplasty with rectus plication. Results of the VAS and BDI indicated significant improvements in pain and quality of life, respectively. Results of the NHP indicated significant postoperative improvements in fatigue, pain, and sleep. Abdominoplasty with rectus plication improves posture by tightening the thoracolumbar fascia. In selected patients, abdominoplasty can reduce back and lumbar pain, thereby improving quality of life. Therapeutic.Öğe Investigation of the Efficacy of Vitamin B Complexes on Peripheral Nerve Injuries Treatments in Experimental Models(Wiley-Blackwell, 2015) Temel, Metin; Gokce, Hasan; Dokuyucu, Recep; Kahraman, Ibrahim; Akdag, Abdurrahman; Sefil, Fatih[Abstract Not Available]Öğe The long-term results of the combination of dermofat graft and platelet rich plasma in a patient with Hemifacial atrophy : a case report(2016) Temel, Metin; Çelik, EbruHemifasiyal atrofi de kontur bozukluklarının düzeltilmesi için birçok cerrahi yöntem kullanılmaktadır. Dermofat greftin yaşayabilirliğini arttırdığı bilinen trombositten zengin plazma ile yağ greftini kombine ettiğimiz bir hastmızdaki uzun dönem sonuçlarını paylaşmak istiyoruz. Hastamız 30 yaşında erkek hasta yüzünün sol yarısında erime şikâyeti ile geldi. Son 5 yıldır yüzdeki erime şikâyetinin ilerlemediğini öğrendik. Diğer tedavi seçeneklerini hasta ile paylaşarak yağ grefti ile eş zamanlı trombositten zengin plazma uygulamaya karar verdik. Estetik açıdan tatmin edici sonuçlar aldık. Trombositten zengin plazma içerdiği büyüme faktörleri ve sitokinler sayesinde yağ greftlerinde ortaya çıkan absorbsiyon ve yağ kistleri oluşumu gibi olumsuz etkileri azaltarak, neovaskülarizasyonu arttırarak yaşayabilen yağ doku miktarını arttırmaktadır. Uzun süren, riskli, donor alanda morbiditeye neden olan serbest flep uygulamalarına kıyasla daha kolay ve tekrarlanabilen bir prosedür olduğundan trombositten zengin plazma ile kombine yağ greftlerinin alternatif olabileceği kanaatindeyizÖğe A New Surgical Technique for Closure of Pilonidal Sinus Defects: Triangular Closure Technique(Int Scientific Literature, Inc, 2017) Mutaf, Mehmet; Temel, Metin; Koc, Mustafa NihatBackground: We present a clinical experience with a new local flap procedure, namely the triangular closure technique, for reconstruction of sacrococcygeal skin defects resulting from excision of the pilonidal sinus. Material/Methods: In this technique, the defect is surgically converted to a triangle in shape. Then, the triangular defect is closed by transposition of 2 skin flaps designed in an unequal z-plasty manner. Over 6 years, this technique has been used for closure of defects of chronic pilonidal sinus disease in 27 patients (6 females, 21 males). The size of the defect ranged between 3.5 cm and 12 cm in dimension. Results: A tension-free defect closure was obtained in all patients. All flaps except one healed with no complications. A mean follow-up of 3.62 +/- 1.77 months revealed aesthetically and functionally acceptable results with the obliteration of the natal cleft in all patients. No recurrence was observed in the follow-up period. Conclusions: The triangular closure technique was found to be a useful technique for the treatment of pilonidal sinus with favorable results regarding the time before return to work.Öğe A New Technique for Total Reconstruction of the Lower Lid(Lippincott Williams & Wilkins, 2017) Mutaf, Mehmet; Temel, MetinBackground: Although several methods have been described for total lower eyelid reconstruction, it remains as a major challenge in reconstructive surgery. Here, we present a new technique, the Mutaf unequal Z-plasty procedure for reconstruction of defects of the lower eyelid. Methods: In this technique, 2 skin flaps designed in an unequal Z-plasty manner are used to provide skin coverage. Except for 2 patients whose additional upper eyelid defects were closed with Fricke flap, all patients were reconstructed with Mutaf unequal Z-plasty procedure. The conjunctival and tarsal defects are reconstructed with composite chondrocutaneous from the ear, mucochondral grafts, harvested from the nasal septum. In over 12 years, this new technique was used in 24 patients, 13 men and 11 women, with total and subtotal lower eyelid defects that resulted from excision of basal cell carcinomas. The age range of the patients was between 45 and 72 years. Results: There was no complication such as ocular irritation or postoperative epiphora because of ectropion or entropion; all patients healed uneventfully. A mean follow-up of 4.7 +/- 2.15 years (between 1 and 9 years) revealed a functionally and cosmetically satisfactory total lower eyelid reconstruction in all patients. Conclusions: This new technique seems to be a useful alternative for reconstruction of total and subtotal lower eyelid defects. The procedure seems to be superior since it requires considerably shorter operating time with no risk of flap failure. Moreover, this technique offers an excellent color and textural match for the reconstruction of total and subtotal lower eyelid defects extending the infraorbital area.Öğe A novel tumor suppressor gene in basal cell carcinoma: inhibition of growth factor-2(Springer, 2015) Temel, Metin; Turkmen, Arif; Dokuyucu, Recep; Cevik, Cengiz; Oztuzcu, Serdar; Cengiz, Beyhan; Mutaf, MehmetIn loss of heterozygosity (LOH) studies at the chromosome 4q22-35 region, it was shown that the amount of deletion was high in basal cell carcinoma (BCC). It has been proposed that genes located in this chromosomal region could be tumor suppressor genes in BCC. It has been thought that deletions in the ING2 gene located in the same region can play a role in the pathophysiology of BCC and that deletions occurring in this region may influence the level of ING2 expression in BCC. Tumoral and non-tumoral tissues from 75 patients with BCC (45 men and 30 women) were included to the study. Lesions were excised by a surgical margin of 0.5 cm. After excision, RNA was isolated from tumoral and non-tumoral tissue samples. ING2 messenger RNA (mRNA) expression level was determined in tumoral and non-tumoral tissues by the real-time polymerase chain reaction (RT-PCR). It was detected that ING2 mRNA expression level decreased in tumoral tissues when compared to non-tumoral tissues from BCC patients (p = 0.0001). It was found that expression levels of this gene were comparable among patients with primary, recurrent, or multiple BCC. It is thought that ING2 gene expression level could contribute to the development of BCC but not be associated with the stage and the prognosis of the tumor.Öğe Pilar sheath acanthoma presenting as a nevus(Medknow Publications, 2015) Ozgur, Tumay; Temel, Metin[No abstract available]Öğe Punch Biopsy Results in Misdiagnosis of Pilomatrixoma(Wolters Kluwer Medknow Publications, 2017) Temel, Metin; Celik, Ebru; Yaldiz, Mehmet; Karakas, Ali OzgurPunch biopsy results in misdiagnosis of clinically unsuspected giant pilomatrixoma located over the parotid gland. This study presents a case of pilomatrixoma that was misdiagnosed as a malignant epithelial tumor using punch biopsy. A 25-year-old male was admitted to our clinic for the evaluation of a mass measuring 7x8x8 cm located over the parotid gland. The patient had previously undergone punch biopsy at another clinic because of a lesion in the parotid gland. Punch biopsy revealed a malignant epithelial tumor. The patient underwent excisional biopsy at our clinic. After the biopsy, the residual skin defect was treated using full-thickness skin grafts. The facial nerve and parotid gland were preserved during the biopsy. Histopathological examination of the excisional biopsy material revealed pilomatrixoma. Punch biopsy may result in misdiagnosis of skin lesions in the parotid gland. A differential diagnosis for benign tumors such as pilomatrixoma is essential prior to an aggressive surgical intervention of the parotid gland.Öğe Punch biyopsi pilomatriksomada yanlış tanıya neden olmaktadır(2017) Temel, Metin; Çelik, Ebru; Yaldız, Mehmet; Karakaş, Ali ÖzgürKlinik olarak parotis üzerindeki bölgede dev pilomatriksomadan şüphelenilmediği için punch biyopsi ile yanlış tanılar konulabilmektedir. Punch biyopsi sonucu malign epitelyal tümör tanısı ile gönderilen olgunun değerlendirilmesi amaçlanmıştır. Parotis bölgesi üzerinde yaklaşık 7x8x8 cm boyutlarında kitle lezyonu ile müracaat eden 25 yaşındaki erkek hasta kliniğimizce değerlendirildi. Başlangıçta parotis bölgesi lezyonları düşünülen ve diğer klinikçe yapılan punch biyopsi sonucu malign epitelyal tümör olarak rapor edilmiş olan hastaya kliniğimizce eksizyonel biyopsi ameliyatı yapıldı. Ameliyat sonrası oluşan cilt defekti tam kalınlıkta cilt grefti ile onarıldı. Ameliyatta fasiyal sinir ve parotis bezi korundu. Eksizyonel biyopsi sonucu pilomatriksoma olarak rapor edildi. Parotis bölgesi cilt lezyonlarında, punch biyopsi yanıltıcı sonuçlara neden olabilmektedir. Parotis bölgesine yapılabilecek agresif cerrahi işlemlerden önce dev pilomatriksoma gibi iyi huylu tümörlerin ayırıcı tanısının yapılması gereklidirÖğe Reconstruction of Congenital Isolated Alar Defect Using Mutaf Triangular Closure Technique in Pediatric Patients(Lippincott Williams & Wilkins, 2016) Temel, Metin; Gunal, Ertan; Kahraman, Serif SamilCongenital isolated alar defects are extremely rare, occurring in approximately 1 in 20,000 to 40,000 live births. The patients are presented here of 2 pediatric patients operated on for congenital isolated alar defect. The reconstruction of congenital isolated alar defects was made in a 3-layered fashion. The skin defects were covered using the Mutaf triangular closure technique in which 2 cutaneous local flaps are designed in an unequal Z-plasty manner. Conchal cartilage graft was used between the skin and mucosal closure to replace the missing part of the lower lateral cartilage in these patients. The early results were promising in Patient 1, but sufficient improvement was detected in the alar cartilage postoperative follow-up period in Patient 2. Hence, this patient required revision 1 to 2 years postoperatively. This technique provides excellent aesthetic and functional results, except for this problem in Tessier 2 cleft patients. The use of the Stair step flap technique with Mutaf triangle closure technique achieved cosmetically and functionally excellent results in the reconstruction and repair of a large, irregular, narrow cleft, in the inadequate rotation of the lateral part of the lower lateral cartilage. However, because of this problem, evaluation of the long-term follow-up of patients is necessary.Öğe Response to Comment on ''Effects of Reduction Mammaplasty Operations on the Spinal Column: Clinical and Radiological Response''(Springer, 2016) Temel, Metin; Berberoglu, Omer; Turkmen, Arif[Abstract Not Available]
