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Öğe Delaying the reverse sural flap provides predictable results for complicated wounds in diabetic foot(LIPPINCOTT WILLIAMS & WILKINS, 2005) Tosun, Z; Ozkan, A; Karacor, Z; Savaci, NDefective wounds in diabetic foot are difficult to manage. Several studies reported the use of reverse sural flap in a small number of patients with varying success. We presented our experience with the reverse sural island flap (RSIF) in a series of 37 patients associated with diabetic foot using the delay procedure. The ages of the patients ranged between 36 and 73 years. We did not perform angiographic evaluation to determine the existence of vascular connections between the branches of the peroneal and posterior tibial artery; however, Doppler ultrasound evaluation was done to determine the patency of anterior and posterior tibial arteries, as well as lesser saphenous vein before the operation. The flaps were transferred using a 3-step delay procedure. While all the first and second steps of the operations were done under local anesthesia, the third steps were performed using general anesthesia in 12 and spinal anesthesia in 25 patients. All flaps survived except 4 showing partial necrosis due to venous insufficiency. Delaying the RSIF is a reliable procedure for diabetic foot skin defects.Öğe Drains in aesthetic surgery: Should they beradio-opaque or not?(SPRINGER, 2005) Tosun, Z; Sutcu, M; Ozkan, A; Savaci, N[Abstract not Available]Öğe Effects of isoflurane and sevoflurane on the survival of skin flaps in rats(TAYLOR & FRANCIS AS, 2005) Tosun, Z; Tuncer, S; Yosunkaya, A; Ozkan, A; Senturk, S; Savaci, NThe effects of inhalational anaesthetic agents on survival of flaps are not well known. We investigated the effect of isoflurane and sevoflurane anaesthesia on survival of flaps using a caudally-based McFarlane skin flap in 20 male Wistar rats. Sevoflurane 1 minimum alveolar concentration (MAC) and isoflurane (1 MAC) in oxygen mixture was given to the animals. A 4 x 10 cm caudally-based standard McFarlane flap was raised. There were no differences in any haemodynamic values or blood gases between the sevoflurane group and the isoflurane group. Skin flaps were assessed on the seventh day. The isoflurane group had a significantly smaller area of skin flap necrosis and an increased area of flap surviving than the sevoflurane group. We conclude that survival is significantly improved when isoflurane is used as the inhalational anaesthetic rather than sevoflurane.Öğe Experience with vaginoplasty(TAYLOR & FRANCIS AS, 2004) Tosun, Z; Hosnuter, M; Savaci, N; Capar, M; Senturk, SWe did 27 vaginoplasties (7 gracilis musculocutaneous flaps, 8 pudendal thigh flaps, 12 full-thickness skin grafts) during the period 1994-2000. The preoperative assessment and postoperative follow up were done in collaboration with the gynaecologists. All patients had vaginal agenesis. With the gracilis flaps we found it difficult to achieve an adequate blood supply. With pudendal thigh flaps we achieved perfect innervation and a good contour, but they did tend to be hairy. With full-thickness skin grafts the innervation was not perfect, but the contour was good. Having compared the three operations during a follow up period ranging from 1-5 years we think that the full-thickness skin graft gives the best results.Öğe Frostbite injury due to improper usage of an ice pack(LIPPINCOTT WILLIAMS & WILKINS, 2005) Keskin, M; Tosun, Z; Duymaz, A; Savaci, N[Abstract not Available]Öğe Hyperphosphatemic tumoral calcinosis(LIPPINCOTT WILLIAMS & WILKINS, 2000) Savaci, N; Avunduk, MC; Tosun, Z; Hosnuter, M[Abstract not Available]Öğe Is surgery always necessary in the treatment of aplasia cutis congenita?(LIPPINCOTT WILLIAMS & WILKINS, 2006) Tosun, Z; Ozkan, A; Savaci, N[Abstract not Available]Öğe Maxillofacial morphology in children with complete unilateral cleft lip and palate treated by one-stage simultaneous repair(LIPPINCOTT WILLIAMS & WILKINS, 2005) Savaci, N; Hosnuter, M; Tosun, Z; Dernir, ABackground: There is a common belief among the majority of surgeons occupied with cleft lip-cleft palate repair that early one-stage simultaneous repair of hard and soft palates affects maxillofacial development adversely. This proposition has not been proven with long-term clinical studies. In this study, the effects of one-stage repair on the maxillofacial development of children with complete unilateral cleft lip-cleft palate were investigated, and the results were compared with those of the cleft children treated with conventional two-stage repair. Methods: The study was designed as follows. Group 1 consisted of 19 children (mean age, 85.4 +/- 12.8 months) treated with a one-stage procedure. In this group, cleft lip, palate, and alveolus were repaired simultaneously at a single surgical session in the first 10 months of life (mean age at time of surgery, 6.8 +/- 1.2 months). Group 2 consisted of 22 children (mean age, 90.1 +/- 13.0 months) treated in two stages as follows: lip repair was performed at a mean age of 4.8 +/- 1.0 months and palate repair was performed at a mean age of 14.6 +/- 2.0 months. The follow-up period was approximately 6.3 years for both study groups. Group 3 (control) consisted of 27 children (mean age, 87.1 +/- 11.7 months) without cleft who were matched for age. Results: Compared with the control group, the children in both cleft groups revealed a greater maxillomandibular retrognathism, a more open palatal plane, larger anterior facial heights, and decreased posterior vertical maxillofacial heights. No significant difference was determined between study groups 1 and 2. Conclusions: Because both of the surgical treatment procedures give rise to similar maxillofacial development outcomes, regardless of the timing of surgery, the onestage procedure offers several important advantages, such as less psychosocial trauma, low cost, and possibly an improvement in speech results because of less scarred palatal fields and the low rate of palatal fistula.Öğe Palatal perforation as a result of neonatal sepsis(LIPPINCOTT WILLIAMS & WILKINS, 2005) Tosun, Z; Ozkan, A; Karacor, Z; Savaci, N[Abstract not Available]Öğe Reconstruction of microform cleft lip(TAYLOR & FRANCIS AS, 2003) Tosun, Z; Hosnuter, M; Senturk, S; Savaci, NPartial cleft of the orbicularis oris muscle without skin and mucosa can also be called "discontinuity of the orbicularis oris muscle" or "subepithelial cleft". Microform cleft lip or mini-cleft lip are better definitions. We present two women aged 25 and 29 years old who complained of vermilion notching, vertical depression on the upper lip, and asymmetry of lower lateral cartilage of the nose. The "discontinuity of the muscle" was found at operation in both cases and reconstructed successfully.Öğe A simple method for breast implant placement using a drainage tube(SPRINGER, 2004) Savaci, N; Tosun, Z; Hosnuter, MSilicone breast implants have been used for augmentation mammoplasty. In most cases, the surgery is performed for cosmetic purposes. Although the incision line must be of minimal length, it is difficult to replace silicone prosthesis in these patients by a minimal incision. A Drainage tube is a choice for draining the air and facilitates replacement of the prosthesis. The authors have used this method successfully for 13 cases. There were no complications. The described technique can be used for all augmentation mammoplasties using silicone breast implants.Öğe Tissue necrosis following a honey bee sting(LIPPINCOTT WILLIAMS & WILKINS, 2005) Keskin, M; Duymaz, A; Tosun, Z; Savaci, N[Abstract not Available]Öğe Two scrotal calcinosis cases with different causal mechanisms(LIPPINCOTT WILLIAMS & WILKINS, 2005) Tosun, Z; Karacor, Z; Ozkan, A; Toy, H; Savaci, N[Abstract not Available]
