Yazar "Taylan, Gaye" seçeneğine göre listele
Listeleniyor 1 - 20 / 20
Sayfa Başına Sonuç
Sıralama seçenekleri
Yayın Circumcision as an unusual cause of penile lymphedema(Wolters Kluwer Health, 2003) Yıldırım, Serkan; Taylan, Gaye; Aköz, TayfunLymphedema of the external genitalia is an unusual problem in countries where endemic filariasis is rarely experienced. The abnormal retention of lymphatic fluid in subcutaneous tissue as a result of lymphatic obstruction causes swelling, pain, disfigurement, difficulties in urination, and a decrease in potency. Lymphedema may be idiopathic or secondary to inflammation, surgical incision, neoplasm, radiation, hypoproteinemia, venous thrombosis, and other medical conditions.Yayın Conservative approach in a rare case of intrazygomatic hemangioma(Wolters Kluwer Health, 2003) Taylan, Gaye; Yıldırım, Serkan; Gideroğlu, Serkan; Gideroğlu, Kaan; Aköz, TayfunCorrespondence and brief communications are welcomed and need not concern only what has been published in this journal. We shall print items of interest to our readers, such as experimental, clinical, and philosophical observations; reports of work in progress; educational notes; and travel accounts relevant to plastic surgery. We reserve the right to edit communications to meet requirements of space and format. Any financial interest relevant to the content of the correspondence must be disclosed. Submission of a letter constitutes permission for the American Society of Plastic Surgeons and its licensees and assignees to publish it in the journal and in any other form or medium. The views, opinions, and conclusions expressed in the Letters to the Editor represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such letters.Yayın Easy perioperative photography by digital camera covered with a sterile nylon bag(American Society of Plastic Surgeons, 2005) Çakır, Barış; Akan, Mithat; Taylan, Gaye; Aköz, TayfunPlastic surgeons definitely require a reliable system of image generation in their specialty. Images are necessary not only to compare the preoperative and postoperative results but also to demonstrate perioperatively the techniques of the cases to other surgeons. There are many situations in plastic surgery for which accurate intraoperative documentation is essential.Yayın Effects of clopidogrel and high dose aspirin on survival of skin flaps in rats(Taylor and Francis Online, 2005) Akan, Mithat; Çakır, Barış; Mısırlıoğlu, Aykut; Yıldırım, Serkan; Taylan, Gaye; Aköz, TayfunClopidogrel is a new antiplatelet agent with a different mechanism of action from aspirin. It is a thienopyridine derivative that is chemically related to ticlopidine, which irreversibly inhibits platelet aggregation by selectively binding to adenylatecyclase-coupled adenosine diphosphate receptors on the platelet’s surface. Aspirin is an antiplatelet agent that acetylates cyclo-oxygenase and decreases the products of arachidonic acid metabolism, including thromboxane and prostacyclin. Necrosis of a flap is still an important complication in reconstructive surgery. To investigate the effects of clopidogrel or high dose aspirin on the survival of skin flaps, 30 rats were divided into three groups of 10 animals each: a control group, a clopidogrel group, and a high-dose aspirin group. No pharmacological agents were used in the control group. Of the two treated groups, the first was given clopidogrel 50 mg/kg/day and the second aspirin 200 mg/kg/day for three days before the operation. After seven days the viable areas of each flap were evaluated and the mean (SD) percentage in the control group was 47 (6), in the clopidogrel group 63 (4), and in the aspirin group 65 (5). Although the mean area of flaps that survived in the aspirin group was slightly higher than in the clopidogrel group, the difference was not significant.Yayın Estetik cerrahi’de kamuflaj terapisi(Türkiye Klinikleri, 2003) Aydoğdu, Eser; Mısırlıoğlu, Aykut; Aköz, Tayfun; Taylan, GayeGiriş: Dr. Lütfi Kırdar Eğitim ve Araştırma Hastanesi Plastik ve Rekonstrüktif Cerrahi kliniğinde yapılan bu klinik ön çalışmada estetik cerrahi sonrası istenmeyen ekimoz ve ödem gibi problemlerin makyajla kamuflajı yapılarak hastalardaki etkinliği araştırılmıştır. Materyal ve Metod: 38 rinoplasti hastası iki gruba ayrılmış, 19 hastada postoperatif makyaj kullanılarak kamuflaj yapılmış, 19 hasta kontrol grubu olarak değerlendirilmiştir. Bulgular: Her iki grup hastaya postoperatif dönemde STA? (Durumluk kaygı envanteri) testi uygulanıp alınan sonuçlar değerlendirildiğinde makyajın bu operasyonlardan sonra hastalar üzerine olumlu etkileri olduğu gösterilmiştir. Yazıda ayrıca kullanılan makyaj malzemelerinin özellikleri de anlatılmıştır. Sonuç: Yüzdeki estetik cerrahi operasyonlardan sonra makyaj, hastaların psikolojik açıdan kendilerini daha iyi hissetmelerini sağlamaktadır.Yayın Freestyle perforator-based V-Y advancement flap for reconstruction of soft tissue defects at various anatomic regions(Wolters Kluwer Health, 2007) Yıldırım, Serkan; Taylan, Gaye; Aköz, TayfunPerforator flap surgery has gained great popularity in the last decade because surgeons can prepare freestyle flaps in anywhere on the body if they find a perforator supplied to the flap. One of the basic principles of reconstructive surgery is that superior results can be obtained for color and texture match if immediately adjacent soft tissue is used to repair a defect. V-Y advancement flaps are used successfully based on this principle, but the degree of mobility of a V-Y advancement flap is dependent on the laxity of the underlying subcutaneous tissue. This is an important disadvantage of traditional V-Y advancement flap and limits its use.Yayın Ice application to minimize pain in the split-thickness skin graft donor site(Springer, 2003) Akan, Mithat; Mısırlıoğlu, Aykut; Yıldırım, Serkan; Çakır, Barış; Taylan, Gaye; Aköz, TayfunReconstruction of tissue defects with skin grafts is one of the most used processes in soft tissue defects. While any part of the body can be used as a donor site of split-thickness skin grafts, the posterolateral thigh is the most used one. Pain in the graft donor site may be the primary concern of patients in the postoperative period. Various kinds of donor site dressings and procedures have been described for this purpose. The main goal of this practice is the fast recovery of the donor site. Nevertheless, avoiding infection, decreasing the pain in the donor site, and minimizing the cost should be considered. To minimize pain in the graft donor site, ice pack application, used for its local anesthetic effect, was utilized for patients postoperatively in our clinic. Thirty-six patients were included in this study between June 2001 and May 2002. Patients were divided into two groups, with 18 patients in-group I, to whom ice was applied, and 18 patients in group II, which was specified as the control group. The patients were evaluated according to the pain in the graft donor site. The visual analog scale (VAS) was used to evaluate the pain of the patients. The data were statistically evaluated with the Mann–Whitney U test procedure. In addition to this, infections, recovery periods, and cost benefit effects were also determined. The mean pain scores in the graft donor site were found to be quite low in patients in the group with ice application (p < 0.05). No significant difference was determined between the two groups when their pain scales were compared on the fourth and the fifth days (p > 0.05). Ice can be safely used in patients for whom donor site pain is the primary concern, with advantages such as ease of application, low cost (almost free), and a significant decrease in pain in the donor site.Yayın Jack-like eversion by splitting the orbicularis oris muscle for reconstruction of the philtral column in secondary cleft lip(Taylor and Francis Online, 2009) Çakır, Barış; Gideroğlu, Kaan; Akan, Mithat; Taylan, Gaye; Aköz, TayfunThe philtrum is an important aesthetic unit that contributes hugely to the characteristics of the human face. From March 2002 to May 2006 inclusive, a total of 16 patients with unilateral cleft lip nose were operated on to form a philtral column and obtain muscular continuity. Six of the patients were female and 12 were male, age range 5 to 30 years old. We used Millard’s method, so rotation and advancement flaps were planned. A full thickness incision was made down to the orbicularis oris muscle and mucosa after the scar on the philtral column had been excised. The medial and lateral muscle flaps were exposed and split into two leaves at the coronal plane. The deepest part of the muscle flaps were sutured together to create a jack-like eversion. Skin and mucosa were then closed. The follow-up period ranged from 8 to 18 months (mean 11 months). Two visual analogue scales were used to assess the outcomes. Thirteen of 16 patients were satisfied with their good result. Three had moderate results. The advantages of the technique are: ease of use; the creation of an anatomicallynatural philtrum while preserving the continuity and function of the muscle; sufficient augmentation of the philtral column by the jack-like eversion; and no donor-site morbidity.Yayın Marjolin ulcer of the scalp: intruder of a burn scar(Wolters Kluwer Health, 2008) Taylan, Gaye; Akan, Mithat; Karaca, Mustafa; Aköz, TayfunChildhood burn accidents are still a problem all over the world. Besides the contractures and hypertrophic scar conditions, malignant transformation in the burn scar is one of the primary concerns later in adulthood. Marjolin ulcer, commonly seen after burn scar, is a neoplastic change in the scar tissue. The scalp region necessitates additional attention because of the inevitable structures it protects. The long-standing ulcers with malignant transformation may cause invasion of different layers of the scalp. As the cranium is invaded, reconstruction after wide excision of these tumors becomes more difficult to deal with. Scalp invasion of Marjolin ulcers with different levels is presented in the following study. Consistent with the literature, histopathology of the tumors was squamous cell carcinoma in most patients. Although rare, mesenchymal tumor is involved in 2 of 9 patients. The latent period of the tumor is inversely proportional to the age at the time of burn injury. As the patient is younger at the time of injury, the occurrence of the ulcer is longer than expected. Lag period as long as 81 years is detected in the study. The delayed diagnosis due to social considerations such as financial limitations increases the likelihood of cranial invasion. A single huge scalp flap is often sufficient for soft tissue defects, and cranioplasty with methyl methacrylate is an appropriate option for reconstruction.Yayın Medial kantal tümör eksizyonu sonrası kaydırılan orbikülaris oküli kas deri flebi ile uygun setetik sonuçlar(Türkiye Klinikleri, 2005) Taylan, Gaye; Akan, Mithat; Avcı, Gülden; Aköz, TayfunEstetik kaygılar göz önünde bulundurulduğunda medial kantal tümörlerin rekonstrüksiyonu önemli bir problem oluşturur. Bazal ve yassı hücreli karsinomlar sıklıkla gözkapaklarını ve medial kantal bölgeleri etkiler ve bunların eksizyonu o bölgede geniş ve tam kat defektlere neden olabilir. Medial kantal bölgenin cildinin ve daha derin dokularının kaybı gözkapağından kaldırılan kas deri flebi ile rekonstrükte edilebilinir. Tam kat deri greftleri, V-Y ilerletme flebi, ya da frontal flepler rekonstrüksiyonda sıkça tercih edilen diğer alternatiflerdir. Bu teknikler estetik özellikleri korumada problemlere neden olabilirler. Tümör eksizyonu sonrası medial kantal bölgenin rekonstrüksiyonunda üst gözkapağından kaldırılan orbicularis oculi kas deri flebini bu problemleri önlemek için 8 hastaya uyguladık. Tüm hastalarda iyi sonuçlar elde edildi. Bu teknik; tek evreli rekonstrüksiyon, flepte iyi kanlanma, optimal doku ve renk uyumu ve iyi bir kozmetik sonuç sağlar.Yayın A moldable dressing for facial skin grafting: polysiloxane(Wolters Kluwer Health, 2008) Mısırlıoğlu, Aykut; Taylan, Gaye; Aköz, TayfunSkin grafts are a valuable option for closing defects that cannot be closed primarily.1,2 To improve graft intake, it is necessary to prevent the relative motion between the graft and the underlying recipient tissues. It is especially difficult, however, to immobilize skin grafts on the face because of the movement of facial muscles or irregular (concave or convex) surfaces.Yayın Neural fibrolipoma of a digital nerve of the index finger without macrodactyly(Taylor and Francis Online, 2010) Avcı, Gülden; Akan, Mithat; Taylan, Gaye; Aköz, TayfunWe present a case of neural fibrolipoma arising from the digital nerve in the index finger of the right hand. A 31-year-old man was referred with a soft tissue mass in the ulnar aspect of the index finger of his right hand, which had gradually enlarged during the past seven years. Histological examination of an excisional biopsy specimen identified a neural fibrolipoma, which is a differential diagnosis of a lipomatous lesion of the digits.Yayın One?stage reconstruction of large scalp defects: anterolateral thigh flap(Wiley online library, 2006) Taylan, Gaye; Yıldırım, Serkan; Aköz, TayfunSeven patients with large scalp and calvarial defects underwent reconstruction with free tissue transfer. Patients fell into two groups according to etiology: tumoral (five) or traumatic (two). A single type of free flap was used in each patient, i.e., the anterolateral thigh flap. Duraplasties with the flaps' vascularized fasciae were performed in two patients with minor calvarial defects, and nonvascularized fasciae were used in another two, with a cranioplasty using methylmetacrylate. One postoperative death and one venous congestion necessitating exploration were observed. The explored anastomosis revealed occlusion of the venous anastomosis; drainage with a venous graft into the neck veins was performed. Minor tissue loss with secondary healing was observed in the flap. Extensive scalp defects often necessitate challenging reconstructive procedures. Single?stage reconstruction with good qualified tissue is possible with a free tissue transfer. The anterolateral thigh flap provides a large amount of tissue with decreased donor?site morbidity and good cosmetic results. © 2006 Wiley?Liss, Inc. Microsurgery, 2006.Yayın Reconstruction of large orbital exenteration defects after resection of periorbital tumors of advanced stage(Thieme, 2006) Taylan, Gaye; Yıldırım, Serkan; Aköz, TayfunOrbital exenteration is a devastating procedure because of the social impact and psychological stress put upon the patient. Besides cancer ablative surgery, reconstruction after removal of the tumor constitutes a major problem and the final aesthetic result is quite important. Both obliteration of the orbital cavity and continuation of the epithelial lining are required. Free rectus abdominis muscle and musculocutaneous flaps are versatile flaps which both enable filling the cavity and reconstituting the skin defect with a cutaneous portion or with a skin graft. Both free rectus abdominis muscle and musculocutaneous flaps were used for reconstruction of orbital exenteration defects in 19 patients. All suffered partial maxillectomy as well. The flaps provided satisfactory aesthetic results in all patients.Yayın Reconstructive microsurgery in pediatric population-a series of 25 patients(Wiley Online Library, 2008) Yıldırım, Serkan; Taylan, Gaye; Aköz, TayfunPediatric microsurgery procedures possess various difficulties when compared with adults. However, both free tissue transfers and replantation of the amputated parts show remarkable success rates in children. The concerns of survival of the flaps and the amputated parts have shifted to the function of these in the adulthood. Several key points and hints allow successfull rates for both survival and function. We present a series of microsurgical procedures both free tissue transfers (12 patients) and digital replantations (13 patients). Free tissue transfers included toe?to?hand transfers in 5, latsissimus dorsi flaps in 4, fibular flaps in 4, and anterolateral thigh flaps in 2 patients. Thirteen patients involved 17 digital replantations. The survival rate was less in the replantation group (58.75%) than in the free tissue transfer group (93%). Both the functional and the cosmetic results were promising. The follow?up period was between 1 and 6 years (mean 37 months) for the free tissue transfer group and 1–5 years (mean 20 months) for the replantation group. The major technical difficulties include the age group of 0–2 years. Aside from these the high capacity of regeneration and the improved learning capacity increase the feasibility of the microsurgical procedures proceeded among children.Yayın Reliable option for reconstruction of amputation stumps: The free anterolateral thigh flap(Wiley Online Library, 2006) Yıldırım, Serkan; Taylan, Gaye; Aköz, TayfunThe increased use of microsurgery has enabled reconstructive surgeons to deal with tissue defects of various sizes and compositions. The limited amount of qualified tissue for covering is the primary problem in stump reconstruction. Free flaps offer the ideal solution by providing the optimal cover, and by preserving the length of the amputation site. Anterolateral thigh flaps were preferred for reconstruction of lower extremity amputation sites of nine patients admitted both in the subacute and chronic periods. All underwent previous stump reconstruction with local flaps in other clinics. Anterolateral thigh flaps avoided further shortening of the extremities, and provided stable tissue for prosthesis use. The flap offers reliable soft?tissue reconstruction of amputation stumpsYayın Resection of the disc and suspension of the lateral wall with the temporal fascia in advanced internal derangement of the temporomandibular joint(Taylor and Francis Online, 2007) Taylan, Gaye; Akan, Mithat; Mısırlıoğlu, Aykut; Aköz, TayfunThe abnormal relation between the disc, the condyle, and the temporal bone indicates internal derangement of the temporomandibular joint. The primary symptoms and findings are: limited and painful opening of the jaw, preauricular pain, and clicking sounds or crepitus. We operated on 11 patients admitting for advanced temporomandibular dysfunction. The abnormally stretched disc was tightened by resection of a wedge of tissue from the posterior of the disc and suturing of the edges. A pedicled flap of temporal fascia was turned on to the joint and its surroundings to mimic a lateral joint capsule. All patients were satisfied with the results as they had less pain and improved mouth opening. The procedures provided satisfactory symptomatic relief and supportive findings.Yayın The surgical treatment of plagiocephaly(Türk Nöroşirurji Derneği, 2011) Silav, Gökalp; Avcı, Gülden; Akan, Mithat; Taylan, Gaye; Elmacı, İlhan; Aköz, TayfunAIm: Anterior plagiocephaly usually occurs with premature synostosis of the ipsilateral half of the coronal suture. The forehead is flattened on the affected side, with a backward and upward displacement of the affected orbit. The bulging of the calvaria may occur in the contralateral parietal area. MaterIal and Methods: This article presents the surgical techniques used over 7 years to treat plagiocephalic children. Eleven patients with unilateral coronal synostosis treated during 2003-2010 were analyzed retrospectively. The study included reviews of pre and postoperative computed tomography scans, operative techniques, clinical outcomes and complications. Unilateral orbital advancement with “tongue in groove” was performed in 5, and bilateral orbital advancement in 6 cases. Pre and postoperative anthropometric measurements were used to document the amount of advancement of the elevated and recessed orbita, and the amount of withdrawal of the contralateral side. Results: The mean age of the patients at time of surgery was 11 months. The preoperative values of the orbital height and retrusion were 0.68 cm and 1.87 cm, respectively. They were recorded as -0.1cm and 0,63 cm, postoperatively. Mean follow-up was 36 months, neither neurological sequelae nor other significant complications were encountered. ConclusIon: The surgical corrections have resulted in significant improvements in skull shape and high patient/parent satisfaction.Yayın The true triplication of the thumb: a case of unclassified thumb polydactyly(Wolters Kluwer Health, 2005) Yıldırım, Serkan; Taylan, Gaye; Aydoğdu, Eser; Aköz, Tayfun: A child with true triplication of the thumb is reported. Each thumb has a well-developed metacarpal, and one of them is biphalangeal; the remaining 2 are triphalangeal. Satisfactory result was obtained from a functional and esthetic point of view. Our surgical approach to this interesting anomaly and the necessity of a new group under the Wassel classification for the categorization of different forms of thumb triplications is discussed.Yayın Use of fascia component of the anterolateral thigh flap for different reconstructive purposes(Wolters Kluwer Health, 2005) Yıldırım, Serkan; Taylan, Gaye; Aköz, TayfunThe anterolateral thigh flap is commonly used for reconstruction of soft-tissue defects located at various sites of the body. This versatile flap offers many advantages to the reconstructive microsurgeons for the treatment of difficult defects. From 2000 to 2005, 70 anterolateral thigh flaps were transferred to reconstruct soft-tissue defects. We retrospectively reviewed these patients and found that the fascia lata component of the flap was used for different purposes in 19 patients. The fascia lata component of the flap was used for suspension of the flap in lip reconstruction in 12 patients, for reconstruction of dural defect in the scalp in 2 patients, for reconstruction of tendon defects in the forearm in 3 patients, and for reconstruction of fascia defect in the abdominal wall in the remaining 2. Complete loss of the flap was seen in an anterolateral thigh flap (5.2%) that was used for lower lip reconstruction. One flap necrosed partially (5.2%), and it was treated with surgical debridement and transposition of latissimus dorsi musculocutaneous flap. The objective of this study is to focus on the reliability of the fascial component of the anterolateral thigh flap. Although many authors have described other advantages of the anterolateral thigh flap extensively, this peculiarity has not been stressed adequately. Anterolateral thigh flap offers a thick and vascular fascial component with large amounts that can be used for different reconstructive purposes, and it should be taken into consideration as an important advantage of the flap, together with other well-known advantages.
