Araştırma Çıktıları
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Item Reconstruction of extensive scalp defects with anterolateral thigh flap(TURKISH ASSOC TRAUMA EMERGENCY SURGERY, 2018-01-01) Altinkaya, Altug; Yazar, Sukru; Saglam, Ibrahim; Gideroglu, KaanBACKGROUND: Extensive scalp defects caused by various etiologies often require free-tissue transfer. We aimed to review our experience in the reconstruction of extensive scalp defects with free anterolateral flaps. METHODS: A retrospective analysis was performed on all patients with extensive scalp defects that were reconstructed with free anterolateral thigh flaps from November 2007 to April 2015. Eleven patients with a mean age of 44 years were included in this study. RESULTS: Eleven free-tissue transfers were used to reconstruct the extensive scalp defects. The flaps were 7-14 cm in width and 10-34 cm in length. CONCLUSION: Microvascular free-tissue transfer is the mainstay for the treatment of extensive scalp defects. We recommend anterolateral thigh free flap use for challenging and complex cases, given the method's numerous advantages, including reliability and safety.Item Painless dells on the cheek(MEDKNOW PUBLICATIONS \& MEDIA PVT LTD, 2013-01-01) Duman, Deniz; Durmaz, Emel Ozturk; Cetin, Emel A.; Yazar, Sukru; Sahin, SedefItem The satisfaction of patients with breast cancer undergone immediate reconstruction with implant and the effect of radiotherapy(TERMEDIA PUBLISHING HOUSE LTD, 2018-01-01) Altinok, Ayse Y.; Bese, Nuran; Kara, Halil; Yazar, Sukru; Unal, CihanAim of the study: Postmastectomy reconstructive surgery for cosmetic satisfaction of patients is rapidly increasing. Postoperative complications such as infection, capsular contracture, implant loss are more common in patients who receive adjuvant radiotherapy (RT) than those who do not. Satisfaction levels in patients is still a controversial issue. Therefore, we wanted to investigate our patient population for the effects of RT and planned a study evaluating the satisfaction rates of our patients who received implants. Material and methods: Seventy five breast cancer patients who went through mastectomy and went through reconstruction using expanders or silicone implants were surveyed. Complication and cosmetic satisfaction rates were separately compared between irradiated and nonirradiated implants. Responses of 46 patients who answered the survey were analyzed using chi(2) test and Mann Whitney U test. p < 0.05 was considered statistically significant. Results: Thirty-one of the patients received adjuvant RT and 15 did not receive RT (NRT). There was no difference between the RT and NRT groups in the terms of touch, size, shape of silicones, pain and satisfaction level in look of clothing. Only satisfaction in symmetry was significantly lower in the RT group than in the NRT group (p = 0.02). Additionally, patients receiving chemotherapy were less satisfied with silicone size than those who did not (p = 0.02). Conclusion: We did not find negative effects, other than symmetry, of adjuvant radiotherapy in breast cancer patients who underwent reconstructive surgery in terms of cosmetic satisfaction.Item Detection and Localization of a Nonpalpable Subdermal Contraceptive Implant Using Ultrasonography: A Case Report(ELSEVIER SINGAPORE PTE LTD, 2012-01-01) Gurel, Kamil; Gideroglu, Kaan; Topcuoglu, Ata; Gurel, Safiye; Saglam, Ibrahim; Yazar, SukruSubdermal contraceptive implants should be removed after the maximum duration of action or whenever desired. In some circumstances, such as improper insertion, migration, or fibrosis of the implant, the implant might become nonpalpable and the use of imaging techniques are required to localize and remove it. Ultrasonography with high-frequency transducers is recommended as the first-line method for localization. In this report, the ultrasonographic findings of a nonpalpable implant and the results of ultrasonography-guided skin localization are described. (C) 2012, Elsevier Taiwan LLC and the Chinese Taipei Society of Ultrasound in Medicine.Item Reconstruction of Composit Oromandibular Defects(AVES, 2017-01-01) Altinkaya, Altug; Yazar, Sukru; Ertas, Burak; Korkut, Nazim; Unal, Omer FarukObjective: Mandibular defects are generally observed as composite defects which soft tissue defects are accompanied to bone defects. This situation may cause difficulties in choosing the surgical method during the reconstruction period. The purpose of this paper is to convey our clinical approach and results on composite mandibular defects. Methods: Eleven patients, applying to our clinic between 2011 and 2015, were operated in a single session with the team of otorhinolaryngology, because of oromandibular cancer. Ten of the patients were male and one was woman. The age range was between 7 and 54 ages (Average age 35.5). Results: While mandibular resection was performed on all patients, skin resection was performed on six patients, mucosa resection was applied on eight patientsItem The repair of complex penile defect with composite anterolateral thigh and vascularized fascia lata flap(TURKISH ASSOC TRAUMA EMERGENCY SURGERY, 2015-01-01) Yazar, Sukru; Eroglu, Muzaffer; Gokkaya, Ali; Semercioz, AtillaOne-stage reconstruction of complex penile defects with functional and cosmetic results is a challenging procedure. The selection of proper technique and materials for reconstruction depends on the type of the deficient tissue components, the size of the wound surface, and the donor site. This article presented a case of a partial penile and urethral defect due to an infection in the previous surgical site. The patient was treated with a perforator based pedicled composite anterolateral thigh flap combined with vascularized fascia lata. The urethral defect was reconstructed with the vascularized fascia lata. The remaining part of the flap was used for the resurfacing of the right cavernous body and penile skin defect. There was no fistula and the urinary caliber was accepted as good. The pedicled composite anterolateral thigh flap contains various tissue components suitable for a functional and cosmetic reconstruction of complex penile defects using the one-stage technique.