Dudak yarığı onarımında dörtgen flep tekniği
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Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Dudak yarığı sık rastlanan anomalilerden biri olmakla beraber, sıklığı değişmediği için yıllar içinde plastik cerrah başına düşen dudak yarığı vakası sayısında cerrah sayısının artmasına bakarak bir azalma olduğu söylene-bilir. Bu makalede son beş yıl içinde Ankara ve Hatay’da tedavi ettiğimiz 30 olguyu sunduk. Vakaların hemen hepsinde de genel anestezi altında çalıştık, sadece er-genlik çağında bize gelen hastalarda lokal anestezi altında çalışma şansımız oldu. Burun akıntısı ve öksürüğü olan hastaları anesteziyoloji kliniği tarafından önerilen bir haftalık medikal tedaviyi takiben ameliyata aldık. Bütün olgularda dörtgen flep tekniğini kullandık. Hastalara ait erken ve ameliyattan 1 yıl sonraya ait sonuçları sunduk. Vermiliyon, dudak ve skara ait özellikleri değerlendirdiği-mizde dörtgen flep tekniğinin güzel sonuç almak için kolay bir teknik olduğu söylenebilse de skara ait geliş-melerin sadece cerrahi tekniğe bağlı olmadığı hatırdan çıkarılmamalıdır.
Although cleft lip is a common congenital anomaly, since its frequency has not changed by years and since the number of specialists working on their treatment is increasing, it can be said that the number of the cleft lip patients for per surgeon tend to decrease We presented 30 patients operated on during the last 5 years in Ankara and Hatay. We used general anesthesia on all infants but we were able to operate on under local anesthesia in patients in which their ages were more than 15. We operated on one week later from medical treatment the patients those in their preoperative assesment anesthesiologist diagnosed upper respiratory tract infection and advised the medical treatment. We used quadrangular flap technique in all the patients. We were able to present our early and 1 year postoperative results. Taking into consideration of vermilion, lip and scar formations, we would like to say that although it is an easy technique to obtain good results, the scar formation depends on something other than only surgical technique used.
Although cleft lip is a common congenital anomaly, since its frequency has not changed by years and since the number of specialists working on their treatment is increasing, it can be said that the number of the cleft lip patients for per surgeon tend to decrease We presented 30 patients operated on during the last 5 years in Ankara and Hatay. We used general anesthesia on all infants but we were able to operate on under local anesthesia in patients in which their ages were more than 15. We operated on one week later from medical treatment the patients those in their preoperative assesment anesthesiologist diagnosed upper respiratory tract infection and advised the medical treatment. We used quadrangular flap technique in all the patients. We were able to present our early and 1 year postoperative results. Taking into consideration of vermilion, lip and scar formations, we would like to say that although it is an easy technique to obtain good results, the scar formation depends on something other than only surgical technique used.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Yeni Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
26
Sayı
4
