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Yayın Agresif fnfantil fibromatozis: olgu sunumu(Turkish Otorhinolaryngology Head and Neck Surgery Society, 2005) Uluçay, Eker; Akan, Mithat; Kadılar, Veysel; Aköz, TayfunAgresif infantil fibromatozis infantlarda ve çocukluk çağında fibroz tümörler arasında sık görülen, fibroproliferatif karakterli, agresif kokal invazyon gösteren, metastaz eğilimi bulunmayan, histolojik incelemesinde malignansi kriterleri taşımay ve yetersiz eksizce edildiği durumlarda yüksek lokal rekürrens riski gösteren tümördür.Yayın Alar transposition flap for stenosis of the nostril(Taylor and Francis Online, 2006) Aydoğdu, Eser; Akan, Mithat; Gideroğlu, Kaan; Aköz, TayfunWe present a technique that has successfully corrected severe bilateral nasal stenosis. It comprised an alar transposition flap. After a year’s follow up the patient was satisfied with the results. We recommend this technique for selective stenosis of the nostril.Yayın Anal spinchter reconstructtion with bilateral gracilis muscle flap(American Society of Plastic Surgeons, 1998) Aköz, Tayfun; Civelek, Birol; Görgü, Metin; Aslan, GürcanI read the artşcle by Guelinckx et al, on anal sphicter reconstruction using the gluteus maximus muscle with great interest. When the morbidity of using the gluteus maximus muscle is taken into consideration, it is evident that the use of gracilis muscle for the same purpose is better in this sense. The authors seem to resolve problem arising from the loss of thigh extension and lessened pelvis stability by using only the lower one-third of the muscle. However, they kept their patients immobilized for 3 weeks.Yayın Anterior mandibula kırıklarının onarımında vida-tel kombinasyon tekniği(Turkish Journal of Trauma and Emergency Surgery, 2005) Akan, Mithat; Gideroğlu, Serkan; Aköz, TayfunAMAÇ Mandibula kırıkları sıkça karşılaşılan yüz yaralanmalarından biridir ve tedavileri özellik arz eder. Bu çalışmanın amacı basit ve yer değiştirmiş simfizis ve parasimfizis mandibula kırıklarının tedavisinde vida-tel osteosentez tekniğinin etkinliğini göstermektir. GEREÇ VE YÖNTEM Basit ve yer değiştirmiş simfizis ve parasimfizis mandibula kırıklarının tedavisinde 9 hastaya vida-tel kombine osteosentez tekniği kullanılarak onarım gerçekleştirildi. Ağız içinden girilerek kırık hatlarının her iki yanına, kırık hatlarından 5 mm uzaklıkta, kırık hattının her iki tarafına, ikisi altta ikisi üstte 4 adet vida yerleştirildi. Vidaların alttaki iki tanesi bikortikal, üstteki iki tanesi unikortikal olarak yerleştirildi. Vidaların telin etrafından geçebilmesi için vidalar tam sıkılmadı. Kırığın şekli, yeri, ihtiyacı ve kırık segmentleri arasındaki dikey eşitsizliğe göre değişik tiplerde vida tel ile kemik tespiti yapıldı. Tel(ler) vidaların etrafından geçirildikten sonra kırık hatlarını karşılıklı düzgün bir şekilde oturtacak şekilde sıkılaştırıldı. Vidalar 1-2 tur daha çevrilerek vida başlarının konik şekli sayesinde ek bir sıkılaştırılma sağlandı. Hastaların tamamına operasyon esnasında intermaksiller fiksasyon yapıldı ve 7 ila 10 gün intermaksiller fiksasyon uygulandı. BULGULAR Sekiz ay-3 yıl arasında değişen takiplerinde enfeksiyon, kaynamama , geç kaynama veya tel ile vidaların çıkartılmasını gerektiren şikayetlerle karşılaşılmadı.Yayın Anterolateral thigh flap in the treatment of postburn flexion contractures of the knee(American Society of Plastic Surgeons, 2003) Yıldırım, Serkan; Avcı, Gülden; Akan, Mithat; Mısırlıoğlu, Aykut; Aköz, TayfunThe use of the antrolateral thigh fasciocutaneous flap in the reconstruction of soft-tissue defects around the knee among burn patients is described. The anterolateral thigh fascioutaneous flap was used for eight patients (all male; mean age, 45 years; age range, 32 to 60 years).Yayın Application of external fixators in major foot contractures(Elsevier, 1996) Erdoğan, Bülent; Görgü, Metin; Girgin, Orhan; Aköz, Tayfun; Derne, OrgunExtremity contractures are one of the most common deformities faced by the reconstructive surgeon. Major deformities with ankylosis of the related joint have to be managed by both soft tissue and bone operations. Contractures existing for a long period of time cannot be brought into anatomic position easily because of shortened tendons, nerves, and vessels or ankylosed joints. Although tendons can be lengthened in one operation, this is not the case for neural and vascular structures. The authors use external fixators associated with soft tissue procedures to gradually correct major foot dorsiflexion contractures.Yayın Application of helical composite sandwich graft for eyelid reconstruction(American Society of Plastic Surgeons, 2002) Yıldırım, Serkan; Gideroğlu, Kaan; Aköz, TayfunPartial or full-thickness loss of the eyelids may occur as the result of tumor, trauma, or burns. The reconstruction of these defects can be difficult because of the complex tissue composition and functional demands on the eyelids. Reconstruction of a fullthickness defect of the eyelid requires skin cover, mucosal lining, and eyelid support. Grafts taken from the supraclavicular area, the postauricular region, the preputium, or the eyelids are used to repair skin defects of the eyelid. Flaps harvested from the ipsilateral eyelid, the supraorbital regions, the forehead, and the cheek have also been described for eyelid reconstruction.1–5 Buccal and palatal mucosa and the preputium are used when conjunctiva repair is necessary. If a semirigid support is needed, chondromucosal grafts are taken from the nasal septum or upper lateral nasal cartilage.2,4,6–8 Conchal cartilage grafts have been used successfully as a supportive tissue for eyelids.Yayın Are excision and skin grafting satisfactory in the treatment of lymphocytic infiltration of the skin?(Wolters Kluwer, 1997) Aköz, Tayfun; Erdoğan, Bülent; Görgü, Metin; Tuncel, AsumanAre excision and skin grafting satisfactory in the treatment of lymphocytic infiltration of the skin?Yayın Ayak ve çevresi defektlerin rekonstrüksiyonunda iyi bir çözüm: Medial plantar flep / A good solution for reconstruction of the defects placed food and adjacent area: Medial plantar flap(Türkiye Klinikleri, 1997) Terzioğlu, Ahmet; Erdoğan, Bülent; Aköz, Tayfun; Aslan, Gürcan; Görgü, MetinMedial plantar arterin pedikülünü oluşturduğu bir fasyokütan ada flebi olan medial plantar flep, ayak bileği ve ayaktaki bazı defektlerin rekonstrüksiyonu amacıyla kullanılmıştır. Bu bölge yumuşak doku defektlerinin kapatılması, lokal fleplerin yetersizliği, fleplerde aynı doku kompozisyonunun sağlanması, sağlam ve duyu taşıyan flep gerekliliği nedeni ile zorluklar taşır.Yayın Basicranial teratoma(Springerlink, 1992) Karaca, Ceren; Evrenkaya, Tevfik Rıfkı; Erdoğan, Bülent; Aksoy, Firdevs; Pulat, H.; Aköz, TayfunTeratomas are tumors formed by pluripotential primordial germ cells which constitute heterogeneous types of tissues foreign to the organ from which they originate. Rarely however, an extragonadal presentation occurs. Origin in the gonads is most common. An infant with an incomplete cleft palate, and a 20 x 10x 10 cm mass protruding from the mouth is presented. The lesion had a pedicle 20 cm in length, its base being attached to the hard palate. Soon after birth, surgical excision was performed. Histopathological examination revealed a teratoma containing mature elements from all 3 germinal layers without evidence of malignant change. The pathogenesis and the prognosis of this rare tumor are reviewed.Yayın Bazal hücreli karsinomda histolojik özelliklerin nüks ve iyileşmeye etkileri(Türk Plastik Rekonstrüktif ve Estetik Cerrahi Derneği, 1994) Karaca, Can; Görgü, Metin; Erdoğan, Bülent; Gürlek, Alper; Aköz, Tayfun; Kulaçoğlu, SezerNisan 1987 ile Aralık 1990 tarihleri arasında kliniğimizde tedavi edilen baş boyun bölgesindeki 162 bazal hücreli karsinom olgusu etyolojik faktörler, lezyonun yeri, büyüklüğü, süresi ve görünüm özellikleri, açısından değerlendirildi Spesmeulerde histolojik tiplendirme yapıldı ve lezyonların mikroskapik özellikleri belirlendi. Olgular 1-3-6 aylık aralarla en az 3 yıl takip edildi. Cerrahi sınırda tümör varlığı, histolojik lip ve mikroskopik özelliklerin nüks ve iyileşmeye etkisi değerlendirildi.Yayın Big-toe replantation in a three-month-old child: case report(Thieme, 2004) Yıldırım, Serkan; Aköz, TayfunA 3-month-old child underwent successful replantation of her big toe at the level of the metatarsophalangeal joint after traumatic amputation caused by a falling heavy object. The length of the big toe from the metatarsophalangeal joint to the tip was equal to that of the contralateral big toe at a 6-month follow-up. Within 4 months, pain sensation returned to the toe. Traumatic amputation of the big toe is uncommon and only a few articles have been published on its replantation. The case presented here is the youngest patient for big toe replantation in the literature. The big toe plays an important role functionally in walking and standing. In addition, the appearance of the foot without the big toe may be unacceptable from an aesthetic point of view for many people. Reconstructive microsurgeons should not hesitate to replant the big toe in suitable cases, even if patients are only a few months old.Yayın Bilateral Duane retraction syndrome associated with an extraordinary hand anomaly(Taylor and Francis Online, 2003) Hanioğlu Kargı, Şebnem; Koç, Feray; Kargı, Eksal; Aköz, Tayfun; Fırat, ErsinDuane retraction syndrome is an ocular motility disorder with which an increasing number of congenital abnormalities appear to be associated. In the present paper the authors report a case of bilateral Duane retraction syndrome with an extraordinary hand abnormality. Numerous theories concerning the etiology and pathogenesis of Duane retraction syndrome and its relationship to the associated findings have been proposed, but the exact mechanism is still under investigation. Further multi-centered studies and the classification of the associated clinical findings in an organized manner may help to explain this mechanism.Yayın Bilateral facial nerve paralysis with craniofacial trauma(Bordeaux [etc.], 2000) Aköz, Tayfun; Çınar, F.; Erdoğan, Bülent; Kapucu, Mehmetçik RuşenBilateral facial paralysis (BFP) is a very rare condition, unlike its unilateral counterpart. Causes of BNP include a wide variety of diseases and its differential diagnosis can be challenging. We report a case of BFP secondary to craniofacial trauma, with unilateral orbitozygomatic and bilateral temporal bone fractures.Yayın Bilateral temporal triangular alopecia acquired in adulthood(American Society of Plastic Surgeons, 2001) Akan, İsmail Mithat; Yıldırım, Serkan; Avcı, Gülden; Aköz, Tayfun; Karadayı, NimetTemporal triangular alopecia was first described by sabouraud in 1905; another term for the condution- ''congenital triangular alopecia''- is a minsomer. The pattern of hair loss is usually unilateral and lancet-shaped, and the alopecia is seldom congenital, but the vast majority of cases of temporal triangular alopecia appear to develop during the first few years of life.Yayın Bilaterally involved Tessier No. 4 cleft: case report(SageJournals, 1996) Aköz, Tayfun; Erdoğan, Bülent; Görgü, Metin; Kutlay, Rohat; Dağ, FerhanCraniofacial clefts are rare among facial anomalies, with an incidence of 1.5 to 5 per 100,000 births, and 1 per 100 cases of cleft lip and palate. The Tessier No. 4 oro-ocular cleft is one of the rarest, with 33 unilateral and bilateral clefts reported in the literature. Among the bilateral clefts only 3 of 9 involved Tessier No. 4 cleft bilaterally. We report a case of bilateral Tessier No. 4 craniofacial cleft and our approach to surgical correction.Yayın Blefaroptozis korreksiyonunda median bazlı orbikularis okuli kas flepleri ile frontal askı(Southern Clinics of Istanbul Eurasia, 2000) Kargı, Eksal; Nalça, Asuman; Aköz, Tayfun; Kargı, Şebnem; Erdoğan, BülentÇalışmamızda; yaşları 7-11 arasında birisi kız, diğer ikisi erkek ve levator fonksiyonu kötü olan; dosyası ile frontal askı gerektiren konjenital blefaroptozisli üç hastada median bazlı bilateral orbikularis okuli kas flepleri kullanılmıştır. Bu flepler üst göz kapağında oluşturulan tünellerden geçirilerek frontal kasa sütüre edilmiş, böylece innerve olmayan kas flepleri ile kapağın yukarı çekilmesini sağlayan askı fonksiyonu elde edilmiştir.Yayın Can indications for lower limb replantation and revascularization be expanded with simultaneous free-flap transfer for limb salvage?(Thieme, 2004) Aköz, Tayfun; Yıldırım, Serkan; Akan, Mithat; Gideroğlu, Kaan; Avcı, Gülden; Çakır, BarışHigh-energy trauma from road accidents and work-related injuries is the most common cause of lower-limb traumatic amputations. Many of these cases require extensive debridement and substantial bone shortening for primary closure because of crushing and/or avulsion of the involved parts. Since 1998, the authors have replanted or revascularized five lower limbs in five patients. Free tissue transfers have been used to cover soft-tissue defects during replantation and revascularization in all patients. The numbers and kinds of free flaps include one latissimus dorsi muscle, two transverse rectus abdominis musculocutaneous (TRAM), and two anterolateral thigh fasciocutaneous flaps. Survival of the replanted and revascularized limbs and transferred flaps was obtained in four patients. Below-knee amputation was performed because of flap necrosis and extensive infection in one patient. Simultaneous free-tissue transfers may be used simultaneously with lower limb replantation or revascularization to obtain functional extremities in appropriately selected patients. The indications for lower limb salvage may be enhanced and successful results may be obtained in one stage, with low complication rates and shorter hospital stays. The authors report their experience with simultaneous free tissue transfers and lower limb replantation or revascularization.Yayın A case of merkel cell carcinoma with extension into the orbital cavity(American Society of Plastic Surgeons, 2001) Yıldırım, Serkan; Aköz, Tayfun; Yavuzer, Dilek; Akan, Mithat; Avcı, GüldenMerkel cell carcinoma or neuroendocrine carcinoma is a rare but frequently aggressive form of skin cancer. Initially described in 1972 by Toker as a “trabecular carcinoma of the skin,” this tumor was believed to derive from primitive sweat gland cells. 1 I n 1978, Tang and Toker 2 reported the findings of an ultrastructural study of 3 patients and postulated that the tumor was derived from the neural crest.Yayın Chondrogenic effect of the perichondrium graft on the internal derangementand osteoarthritis of the temporomandibular joint of the rabbit(Elsevier, 2011) Filinte Taylan, Gaye; Akan, Mithat; Bilgiç, Mehmet İlker; Aköz, TayfunInternal derangement of the temporomandibular joint is usually defined as the disruption of the condyleand disc relationship. In addition to this description the other elements of the joint including thecartilage surface, synovialfluid, the ligaments and the bony surface itself demonstrate varying degrees ofpathology in concordance with the stage of the internal derangement, as well.Thisstudyisdesignedtocreateanosteoarthriticmodelintherabbittemporomandibularjoint.A2 2mmdefectwasperformedon the cartilage surfaceof the both condylesof each animal (n¼30). The osteoarthriticchanges were demonstrated by computerised tomography sections. The right joints of the animals consti-tuted the control group and the left, the study group. At the time of the defect generation, a perichondriumgraft from the animal’s ear was implanted onto the defect in the study group. The control group was left toheal secondarily. The joints of three randomized groups of 10 animals for each were inspected at the 4th,6th,and 8th weeks.Cartilage regeneration and regression of the osteoarthritic changes were demonstrated in the studygroup both in the 6th and 8th week groups. However, the control group showed less cartilage regen-eration and progression of the osteoarthritic changes in all weeks, with progression with time.The perichondrium graft has demonstrated chondrogenic effect on the condyle and this in turnchanged the progression to internal derangement.
