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    COMBINATION OF LIPOSUCTION WITH ARTHROSCOPIC CARTILAGE SHAVER FOR THE TREATMENT OF GYNECOMASTIA
    (Medknow Publications & Media Pvt Ltd, 2014) Ersoy, Burak; Akoz, Tayfun
    Introduction: Surgical intervention is the most effective treatment modality for adult male patients with longstanding gynecomastia. Various surgical techniques for the correction of gynecomastia were described in the literature. This study was designed to introduce the combination of conventional liposuction with arthroscopic cartilage shaver for the correction of gynecomastia and to evaluate the cosmetic results following surgery. Materials and Methods: Thirteen consecutive patients with a mean age of 27.6 years (range 19-43 years) underwent a combined approach that included liposuction and arthroscopic cartilage shaver. A comparison of the combination modality with other surgical alternatives and the analysis of the end-results were performed. Results: The combination modality was performed in 13 patients, all diagnosed with bilateral gynecomastia. The average volume of aspirated breast tissue was measured as 348 cc. Follow-up periods ranged in duration from 7 to 13 months (on average 10.6 months). Apart from a case with postoperative unilateral hematoma formation no other complication was encountered. One of the patients underwent reoperation because of under-resection. All of the patients had aesthetically pleasant results. Conclusion: Although gynecomastia is a benign condition it nevertheless is able to give rise to serious emotional disturbances; thus gynecomastia constitutes one of the most prevalent reasons for cosmetic surgical interventions. The combination treatment using liposuction and an arthroscopic cartilage shaver in selected cases diagnosed with stage IIa/IIb gynecomastia is an effective treatment alternative for gynecomastia with minimal scar formation.
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    Detection of Meatal Stenosis with Uroflowmetry in Cases of Distal Hypospadias that are Operated with the TIPU Technique
    (MEDKNOW PUBLICATIONS & MEDIA PVT LTD, 2016) Guvercin, Emre; Temiz, Gokhan; Cakmakoglu, Cagri; Yesiloglu, Nebil; Faydaci, Gokhan; Filinte, Gaye Taylan; Bozkurt, Mehmet; Akoz, Tayfun
    Objective: Meatal stenosis after hypospadias surgery causes difficulty in urination and intermittent cessation in urinary stream at the early postoperative period. Increasing the duration of catheterization, meatotomy, and meatal revision surgeries are among the procedures applied for meatal stenosis. If the diagnosis of meatal stenosis is made at an earlier stage, it is easier to manage it, especially in the younger age group. We aimed to determine whether the uroflowmetry technique can be a guide for detecting and following meatal stenosis. Material and Methods: Forty-one cases with distal hypospadias operated with the Tubularized Incised Plate Urethroplasty (TIPU) technique were involved in this study. At the postoperative 1st month, all the patients with or without complaints of meatal stenosis had uroflowmetries with an effort to provide an objective data for diagnosing stenosis at the early stages. The results of uroflowmetries were compared with the clinical signs of meatal stenosis. Results: The average maximum flow rate was found to be 11.3 mL/s (6.7-31.6), and the average voided quantity of urine was detected as 181.7 mL/s (71-283) as result of uroflowmetry. Ureteral stenosis was clinically diagnosed in three patients with intermittent urination, prolonged urination with poor flow, and with difficulty in starting urination. All patients were found to be similar. The uroflowmetry results were parallel to the clinical outcome in all patients. Conclusion: In the early stages, uroflowmetry can assist clinical observation as a non-invasive method. In addition, it makes it possible to perform earlier therapeutic interventions.
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    Dilemma in pediatric mandible fractures: resorbable or metallic plates?
    (TURKISH ASSOC TRAUMA EMERGENCY SURGERY, 2015) Filinte, Gaye Taylan; Akan, Ismail Mithat; Cardak, Gulcin Nujen Aycicek; Mutlu, Ozay Ozkaya; Akoz, Tayfun
    BACKGROUND: The aim of this study was to compare the efficiency of resorbable and metallic plates in open reduction and internal fixation of mandible fractures in children. METHODS: Thirty-one patients (mean age, 8.05 years; range 20 months-14 years) were operated on various fractures of the mandible (26 [60.4%] symphysis-parasymphysis, 12 [27.9%] condylar-subcondylar fractures, 5 [11.6%] angulus and ramus fractures). Twelve patients were treated with resorbable plates and 19 patients with metallic plates. Mean follow-up time was 41 months (11-74 months) in the metallic hardware group and was 22 months (8-35 months) in the resorbable plate group. Both groups were investigated for primary bone healing, complications, number of operations, and mandibular growth. The results were discussed below. RESULTS: Both groups demonstrated primary bone healing. Minor complications were similar in both groups. The metallic group involved secondary operations for plate removal. Mandibular growth was satisfactory in both groups. CONCLUSION: Resorbable plates cost more than the metallic ones; however, when the secondary operations are included in the total cost, resorbable plates were favourable. As mandibular growth and complication parameters are similar in both groups, resorbable plates are favored due to avoidance of potential odontogenic injury, elimination of long-term foreign body retention and provision of adequate stability for rapid bone healing. However, learning curve and concerns for decreased stability against heavy forces of mastication accompanied with the resorbable plates when compared to the metallic ones should be kept in mind.
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    The Surgical Strategy for the Intraorbital Foreign Bodies
    (LIPPINCOTT WILLIAMS & WILKINS, 2016) Gonullu, Mehmet Ersin; Filinte, Gaye Taylan; Cardak, Nujen Gulcin Aycicek; Kucuk, Sener; Akoz, Tayfun
    Purpose:Four patients with intraorbital foreign bodies admitting to our clinic between 2001 and 2011 are presented. Their clinical and radiologic findings and surgical strategies are discussed.Objective:The success of surgery for the intraorbital foreign bodies largely depends on the determination of the exact localization of them. Radiologic examination should follow clinical diagnosis. Computed tomographic views are especially required to demonstrate the foreign body.Materials and Methods:Four patients with different etiologies of trauma are presented. Each had computed tomography views for foreign body localization. All but 1 had surgery for removal of the object under general anesthesia.Results:No complications were observed postoperatively. Only 1 patient is followed up without an operation due to the risk of damaging delicate structures that the foreign body is close to. He has no loss of function.Conclusion:Early removal of foreign bodies in orbital region is usually preferred due to the risk of neurologic damage and other complications. Surgical removal is quite challenging for foreign bodies like wood. Magnets can be used for metallic bodies.