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    Enoftalminin düzeltilmesi için alternatif bir yaklaşım:Derin lateral orbita girişimi
    (İstanbul Üniversitesi, 2006) Tümerdem, Burçak; Kuran, İsmail
    Both increased orbital volüme due to inadequate orbital floor reconstruction and loss of orbital volüme may result in enophthalmos. Enophthalmos, vertical dystopia, and “lateral scleral show” deformity were detected in a 33-year-old female patient who pre- sented with periorbital deformities after three opera- tions for the correction of traumatic zygomatic frac- ture. First, vertical dystopia was repaired by rein- forcing the orbital base with cranial bone grafting.Since enophthalmos was not successfully corrected, orbital volüme augmentation was performed using the deep lateral wall through an upper eyelid crease incision. The only postoperative complaint was edema which was controlled by application of ice.
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    A modified design of latissimus dorsi myocutaneous flap for patients with high mastectomy scars
    (2005) Kuran, İsmail; Tümerdem, Burçak
    Several options available for breast reconstruction have been shown to lessen the psychological disturbances associated with mastectomy. Among these, the latissimus dorsi myocutaneous flap is a safe and reliable technique. It provides a good environment for an implant, and the mechanics of flap elevation and inset have become routine.1 The level and position of the mastectomy scar may affect the aesthetic result of the reconstruction technique. The aesthetic quality of the new breast depends on a few key planning considerations, one of which is the flap inset.2 A high mastectomy scar prevents an ideal flap inset, causing a reduced horizontal length of the lower skin. In the late postoperative period, the new breast mound gains an unaesthetic projected appearance on the retained skin envelope, because of the “trap door” deformity caused by contracture of the lower breast skin flap.
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    A retrospective study on the epidemiology and treatment of maxillofacial fractures
    (2009) Özkaya, Özay; Turgut, Gürsel; Kayalı, Mahmut Ulvi; Uğurlu, Kemal; Kuran, İsmail; Baş, Lütfü
    Background: Maxillofacial injuries constitute a substantial proportion of cases of trauma. This descriptive analytical study assesses the cause, type, incidence, and demographic and treatment data of maxillofacial fractures. METHODS: Aretrospective study on maxillofacial traumas was carried out in the Department of Plastic and Reconstructive Surgery at Şişli Etfal Hospital (Istanbul, Turkey) between January 1, 2000 and December 31, 2005. The study included 216 patients with a mean age of 29.8 years. Sex and age distribution of patients, etiology of trauma, localization of the fractures, treatment modalities, time to treatment after the trauma, and postoperative complications were recorded. RESULTS: The male predilection was 75.5%. Road traffic accident was the most common causative factor (67.1%), followed by interpersonal violence (19.4%), falls (12.5%), and work- and sportrelated accidents (0.9%). Atotal of 50% of the patients suffered isolated mandibular fractures, 23.6% had isolated midface fractures, and 26.3% had combined midface and mandibular fractures. Regarding distribution of mandibular fractures, the majority (26.8%) occurred in the parasymphysis, 14.8% in the angulus, and 11.1% each in the symphysis and corpus. Complications occurred in 6% of patients, and the most common was malocclusion followed by infection and nonunion. CONCLUSION: The causes and pattern of maxillofacial fractures reflect trauma patterns within the community and, as such, can provide a guide for the design of programs geared toward prevention and treatment.