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Öğe Burn and Mandible Fracture Due to Pressure Cooker Explosion(Lippincott Williams & Wilkins, 2010) Gundeslioglu, A. Ozlem; Yenidunya, M. OguzA burn case of 42-year-old female patient due to pressure cooker explosion associated with mandibular fracture is presented. After early tangential excision of the deep second-and third-degree-burn areas, a split-thickness skin grafting was applied. Open reduction and internal fixation therapy with miniplate system were done for linear symphysis fracture. As much as we know, there was [GRAPHICS] no report in the literature about pressure-cooking burn accompanying mandibular fracture.Öğe COMPLICATIONS IN CARDIOVASCULAR SURGERY PRACTICE REQUIRING PLASTIC SURGICAL AID(Medknow Publications & Media Pvt Ltd, 2009) Yenidunya, M. Oguz; Gundeslioglu, A. OzlemBackground: Coronary bypass surgery is a common operation in cardiovascular surgery clinics and the operation is performed on both the chest and leg regions. Material and Methods: We evaluated 20 patients retrospectively. The patients with some complications who have been operated by cardiovascular surgeons in different hospitals and who have been consulted from our clinic were included in this study. Findings: The mean age of the patients was 55. Eight patients were female and 12 were male. Simple skin grafting was the first choice for extremity defects and pectoralis major musculocutaneous flaps were the first choice for the sternal defects. The hospitalization time varied between 2 and 3 weeks. One patient died two days after the operation. Discussion: The problems associated with cardiovascular surgery may be evaluated under three main groups: 1. General problems such as pressure sores, extravasation injuries; 2. The problems relating to the operation field such as strenotomy defects, vein donor site defects; 3. Complications that may occur following an invasive procedure instead of the surgery such as ischemia or lymphedema following angiography. Conclusion: It may seem that the practice of Plastic Surgery and the practice of Cardiovascular Surgery are far from each other. However, surgical practice without complications mentioned in this study is far from reality and it should be expected only a good hope. It can be said that in each hospital that cardiovascular surgery is performed, the existence of Plastic Surgery departments would be helpful.Öğe Effects of Reduction Mammoplasty on Metabolic Profile and Body Weight(Springer, 2011) Sarici, Murat; Demirseren, M. Erol; Durgun, Mustafa; Ceran, Candemir; Yenidunya, M. OguzAdvanced studies on adipose tissue have established that subcutaneous adipose tissue acts as an endocrine organ to help maintain homeostasis. Based on this information, many plastic surgeons have evaluated the metabolic effects of liposuction because liposuction is the most common surgical procedure in plastic surgery. Liposuction removes a substantial amount of subcutaneous fat from a specific area of the body. Mammoplasty is another procedure that removes a large amount of subcutaneous fat. In this study, the metabolic effects of reduction mammoplasty were evaluated with hemogram, blood glucose, lipid profile, insulin, and insulin resistance tests before and after surgery. The study involved 35 patients who underwent reduction mammoplasty between January 2006 and June 2009. All the patients were evaluated with physical examination and their history, height, and weight were obtained. Venous blood samples were collected before, 4 h after, and 3 months after the surgical procedure to evaluate hemogram, blood glucose, insulin, and lipid profiles. The HOMA scores of the patients were calculated. Inferiorly based dermal pedicle, central pedicle, and free nipple graft techniques were used in the operations and all excision materials were sent for histopathological examination. The mean age of the patients was 39.6 +/- A 11.6 years. The mean excision volume was 2249 +/- A 1001 g. Body mass indexes were not significantly different before and 3 months after the surgery (p > 0.05). Blood glucose, LDL, HDL, triglyceride, total cholesterol, hemoglobin, and hematocrit values before and 4 h after the surgery were also different (p < 0.05). However, comparisons with the 3-month postoperative test results revealed no statistically significant differences (p > 0.05) and comparisons of all the measurements showed that insulin levels and HOMA scores were not significantly different (p > 0.05). The results of the present study showed that reduction mammoplasty operations do not have any positive effects on blood insulin, glucose profile, lipid profile, and body mass index 3 months after the surgery.