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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 Microsurgical training model for nerve repair(THIEME MEDICAL PUBL INC, 2005) Senturk, S; Tosun, Z; Ozkan, A[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.