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    Simultaneous occurrence of facial fibrous dysplasia and ameloblastoma
    (CHURCHILL LIVINGSTONE, 2009) Keskin, Mustafa; Karabekmez, Furkan E.; Ozkan, Birkan T.; Tosun, Zekeriya; Avunduk, Mustafa C.; Savaci, Nedim
    Background: Both fibrous dysplasia (FD) and ameloblastoma are benign but locally aggressive tumours of the cramofacial region. In this case report, we present the unique synchronous occurrence of these two tumours in the facial skeleton. Case report: A 16-year-old woman presented with complaints of swelling of the upper right face and at the inferior border of the mandible. She was diagnosed as FD of the maxilla, temporal bone and sphenoid sinus together with ameloblastoma of the mandible after surgery and histopathological evaluation. Conclusion: The case that we present here is unique in that two separate pathological conditions, FD of the upper face, and ameloblastoma of the mandible coexisted. Although cases of synchronous or metachronous occurrence of FD and ameloblastoma with other pathology have been previously described, this to our knowledge, is the first reported case of true coexistence of FD and ameloblastoma. (c) 2008 European Association for Cranio-Maxillofacial Surgery
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    Vacuum-assisted closure of wounds and anxiety
    (INFORMA HEALTHCARE, 2008) Keskin, Mustafa; Karabekmez, Furkan E.; Yilmaz, Erkan; Tosun, Zekeriya; Savaci, Nedim
    The aim of this study was to investigate the degree of anxiety in patients in whom the vacuum-assisted closure (VAC) of wounds was used. Psychological evaluations were made on the day before VAC was applied and at the 10th day of treatment in 20 patients with traumatic wounds of the lower extremity. Anxiety was measured with the Hamilton Rating Scale for Anxiety and with the State Anxiety Inventory test. The same measurements were also made in 20 further patients with similar wounds but managed with classic treatment as controls. Both groups showed a significant increase in anxiety during the 10 days. The mean (SD) differences in the anxiety scores measured during the 10-day period were significantly higher in the group treated by VAC than in the control group, State Anxiety Inventory test (14.0 (2.3) compared with 2.6 (1.2), p < 0.001) and Hamilton Rating Scale for Anxiety test (4.4 (0.6) compared with 1.3 (0.6), p < 0.001). Although we think that VAC is an effective tool for treating lower extremity wounds, we have concerns about possible accompanying psychological effects.