{"id":2275,"date":"2020-06-11T18:31:59","date_gmt":"2020-06-11T15:31:59","guid":{"rendered":"https:\/\/www.drfatihirmak.com\/dr-fatih-irmak\/yayinlar\/"},"modified":"2024-11-19T20:07:53","modified_gmt":"2024-11-19T17:07:53","slug":"veroffentlichungen","status":"publish","type":"page","link":"https:\/\/www.drfatihirmak.com\/de\/hakkimda\/yayinlar","title":{"rendered":"Ver\u00f6ffentlichungen"},"content":{"rendered":"

[et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”1%||1%||true|false” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on” da_disable_devices=”off|off|off”][et_pb_row column_structure=”1_3,2_3″ use_custom_gutter=”on” gutter_width=”2″ _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ width=”90%” max_width=”88%” custom_margin=”0px||0px||true|false” custom_padding=”0px||0px||false|false” global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.16″ _module_preset=”default” background_enable_image=”off” background_size=”contain” custom_padding=”2%||2%||true|false” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _dynamic_attributes=”content” _module_preset=”default” text_font=”|700|||||||” text_font_size=”35px” background_image=”https:\/\/drfatihirmak.com\/wp-content\/uploads\/2020\/02\/icon-bg.png” background_size=”contain” global_colors_info=”{}”]@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF90aXRsZSIsInNldHRpbmdzIjp7ImJlZm9yZSI6IiIsImFmdGVyIjoiIn19@[\/et_pb_text][\/et_pb_column][et_pb_column type=”2_3″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”2%||2%||true|false” global_colors_info=”{}”][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ module_class=”ds-timeline” _builder_version=”4.16″ _module_preset=”default” background_color=”#f4f4f4″ custom_padding=”47px|0px|40px|0px|false|false” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on” da_disable_devices=”off|off|off”][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2019<\/p>\n

Plastik cerrahi tarihi<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.20.0″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

U\u00e7 Takviye Klapesi Burun Ucu Deste\u011fi ve Tan\u0131m\u0131n\u0131 Geli\u015ftirmek i\u00e7in Orijinal Bir Teknik<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]<\/p>\n

Arkaplan:<\/strong> Orta crura destek eksikli\u011fi ve k\u0131sa orta crura genellikle ucun yetersiz tan\u0131m\u0131na ve projeksiyonuna neden olabilir ve bazen d\u00fcz bir uca neden olabilir. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, orta cruray\u0131 g\u00fc\u00e7lendirmek ve iyi tasarlanm\u0131\u015f ve tan\u0131mlanm\u0131\u015f bir u\u00e7 elde etmek i\u00e7in bir u\u00e7 takviye kanad\u0131 i\u00e7eren yeni bir tekni\u011fin etkinli\u011fini ara\u015ft\u0131rmakt\u0131.<\/p>\n

Y\u00f6ntemler:<\/strong> Tip takviye fleplerinin kullan\u0131m\u0131n\u0131 i\u00e7eren primer a\u00e7\u0131k yakla\u015f\u0131m rinoplasti uygulanan 24 hasta \u00e7al\u0131\u015fmaya dahil edildi. Lateral crura’n\u0131n fazla sefalik k\u0131sm\u0131ndan olu\u015fturulan k\u0131k\u0131rdak flepleri medial crura temelli k\u0131k\u0131rdak flepleri olarak haz\u0131rland\u0131.<\/p>\n

Bulgular:<\/strong> 18 ila 44 ya\u015f aras\u0131 (ortalama ya\u015f 31 ya\u015f) 29 hasta (17 kad\u0131n, 12 erkek) vard\u0131. Takip s\u00fcresi 3 ile 25 ay aras\u0131nda de\u011fi\u015fmekteydi (ortalama 21 ay). Ameliyat \u00f6ncesi ve sonras\u0131 ortalama burun ucu uzunlu\u011fu s\u0131ras\u0131yla 10.84 (\u00b1 1.07) mm ve 14.32 (\u00b1 2.34) mm idi (P = 0.0214). Ameliyat \u00f6ncesi ve ameliyat sonras\u0131 nazolabial a\u00e7\u0131 ortalamas\u0131 s\u0131ras\u0131yla 97.42 \u00b0 (\u00b1 9.84 \u00b0) ve 107.99 \u00b0 (\u00b1 12.16 \u00b0) idi (P = 0.0344). Ameliyat \u00f6ncesi ve sonras\u0131 ortalama burun projeksiyon oran\u0131 s\u0131ras\u0131yla 0.53 (\u00b1 0.04) ve 0.57 (\u00b1 0.03) idi (P = 0.4347). U\u00e7 takviye klapesi tekni\u011fi, orta sertlikteki kabuklanma i\u00e7in g\u00fc\u00e7lendirici ve ekstra destek sa\u011flad\u0131 ve domal b\u00f6lgeye daha fazla tan\u0131m, projeksiyon ve stabilite sa\u011flad\u0131.<\/p>\n

Sonu\u00e7:<\/strong> U\u00e7 takviye klapesi tekni\u011fi, bu durumlarda u\u00e7 plasti i\u00e7in orta krural eksikli\u011fi, k\u0131sa orta crura ve orta krural zay\u0131fl\u0131\u011f\u0131 ile avantajlar sunmaktad\u0131r. Teknik ayr\u0131ca, lateral krural sefalik fazlal\u0131\u011f\u0131 azalt\u0131rken burun ucuna ek bir projeksiyon, stabilizasyon ve tan\u0131m sa\u011flar. Bu teknik burun deli\u011fi-lob\u00fcler orant\u0131s\u0131zl\u0131\u011f\u0131 art\u0131r\u0131r ve katlanm\u0131\u015f flebe a\u015f\u0131lanm\u0131\u015f ekstra deste\u011fi gizleme avantaj\u0131na sahiptir. Klasik u\u00e7 greftlerinin kullan\u0131m\u0131yla ortaya \u00e7\u0131kabilecek greft g\u00f6r\u00fcn\u00fcrl\u00fc\u011f\u00fc, malpozisyon ve asimetri gibi komplikasyonlar u\u00e7 takviye flep tekni\u011fi ile ortadan kald\u0131r\u0131labilir.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon odd” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.19.4″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2019<\/p>\n

Plastik, Rekonstr\u00fcktif ve Estetik Cerrahi Dergisi<\/h4>\n

\u00a0<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.19.4″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

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Piezoserrahi, perk\u00fctan osteotomi ve endonazal s\u00fcrekli osteotomi tekniklerinin bir caprine kafatas\u0131 modeli ile kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131<\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” global_colors_info=”{}”]<\/p>\n

Ama\u00e7:<\/strong> Osteotomi burun esteti\u011finde, sonu\u00e7 \u00fczerinde \u00f6nemli bir etkiye sahip olabilen \u00f6nemli bir ad\u0131md\u0131r. 2007’den bu yana rinoplasti prati\u011finde perk\u00fctan (d\u0131\u015f perforasyon) ve enanazal (i\u00e7) yakla\u015f\u0131mlar\u0131n yan\u0131 s\u0131ra piezoserrahi de kullan\u0131lmaktad\u0131r. Bu deneysel model \u00fc\u00e7 osteotomi tekni\u011fini kar\u015f\u0131la\u015ft\u0131rmak \u00fczere planlanm\u0131\u015ft\u0131r.<\/p>\n

Gere\u00e7 ve y\u00f6ntem:<\/strong> Bu \u00e7al\u0131\u015fma bir caprine skull osteotomi modeli \u00fczerinde yap\u0131ld\u0131. Endonazal s\u00fcrekli, d\u0131\u015f perforasyon ve piezoserrahi gruplar\u0131 olmak \u00fczere 12 hayvandan \u00fc\u00e7 grup olu\u015fturuldu. T\u00fcm gruplar kemik bo\u015fluklar\u0131, ufalanm\u0131\u015f k\u0131r\u0131klar ve burun mukozas\u0131 hasar\u0131 a\u00e7\u0131s\u0131ndan de\u011ferlendirildi.<\/p>\n

Bulgular:<\/strong> Piezo osteotomi grubundaki \u00f6rneklerin hi\u00e7birinde par\u00e7alanm\u0131\u015f k\u0131r\u0131k ve mukozal bozukluk yoktu. Osteotomi b\u00f6lgesinde ve burun mukozas\u0131nda ortalama kemik bo\u015flu\u011fu miktar\u0131 piezo grubunda di\u011fer gruplara g\u00f6re daha d\u00fc\u015f\u00fckt\u00fc. Endonazal grupta osteotomi i\u00e7in gereken s\u00fcre, d\u0131\u015f ve piezo gruplar\u0131ndakine benzerdi.<\/p>\n

Sonu\u00e7:<\/strong> Rinoplastide daha iyi sonu\u00e7lar elde etmek i\u00e7in s\u00fcrekli olarak yeni teknikler geli\u015ftirilmektedir. Teknolojik geli\u015fmelerin do\u011fal bir sonucu olarak, rinoplasti uygulamas\u0131na yeni cihazlar sokulmaktad\u0131r. Piezo b\u00f6yle bir cihazd\u0131r. Piezo osteotomunun daha d\u00fc\u015f\u00fck miktarlarda nazal mukozal hasara ve par\u00e7alanm\u0131\u015f k\u0131r\u0131klara yol a\u00e7t\u0131\u011f\u0131n\u0131 bulduk. Piezo’nun rinoplasti uygulamas\u0131nda daha yeni ve daha g\u00fcvenilir teknolojiler geli\u015ftirilene kadar g\u00fcvenle kullan\u0131labilece\u011fine inan\u0131yoruz. \u00a9 2018 \u0130ngiliz Plastik, Rekonstr\u00fcktif ve Estetik Cerrahlar Derne\u011fi. El-sevier Ltd. taraf\u0131ndan yay\u0131nlanm\u0131\u015ft\u0131r. T\u00fcm haklar\u0131 sakl\u0131d\u0131r.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.19.4″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.19.4″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2018<\/p>\n

Plastik Rekonstr\u00fcksiyon cerrahisi<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Eyer Burun Deformitesinin D\u00fczeltilmesi i\u00e7in \u00c7at\u0131 \u015eeklinde Kostokondral K\u0131k\u0131rdak Kullan\u0131m\u0131.<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]Arkaplan<\/strong>:K\u0131k\u0131rdak greftleri sekonder ve travma sonras\u0131 rinoplastide rutin olarak kullan\u0131l\u0131r. Bununla birlikte, \u00e7o\u011fu durumda, burun kemiklerinde ve \u00fcst lateral k\u0131k\u0131rdaklarda zay\u0131f alanlar vard\u0131r. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, revizyon ve travma sonras\u0131 rinoplasti olgular\u0131nda burun kilit ta\u015f\u0131 alan\u0131 ve dorsumu i\u00e7in bir \u00e7\u00f6z\u00fcm aramak ve \u00fcst lateral k\u0131k\u0131rdak dahil olmak \u00fczere \u00e7at\u0131 \u015feklinde greft i\u00e7eren eyer burun deformitesinin rekonstr\u00fcksiyonudur.<\/p>\n

Metodlar<\/strong>:Eyer burun deformiteleri i\u00e7in yap\u0131lan Rekonstr\u00fcktif rinoplastilerin retrospektif bir incelemesi yap\u0131ld\u0131. Kostokondral greftin bir k\u0131sm\u0131 kilit ta\u015f\u0131 alan\u0131 ve \u00fcst lateral k\u0131k\u0131rdaklar\u0131n rekonstr\u00fcksiyonu i\u00e7in oyulmu\u015f ve inceltilmi\u015f (\u00e7at\u0131 grefti), bir k\u0131sm\u0131 da neoseptal (yeniden yap\u0131land\u0131r\u0131lm\u0131\u015f septum) grefti ve dikme grefti yapmak i\u00e7in kullan\u0131lm\u0131\u015ft\u0131r. \u00c7at\u0131 grefti neoseptal grefti \u00fczerine diki\u015flerle kapat\u0131ld\u0131 ve bu k\u0131k\u0131rdak \u00e7er\u00e7evesi, neoseptal k\u0131k\u0131rda\u011f\u0131n kranial kenar\u0131n\u0131n burun kemikleri aras\u0131na yerle\u015ftirilmesiyle uyarland\u0131. Son olarak, strut grefti k\u0131k\u0131rdak \u00e7er\u00e7evesine sabitlendi.<\/p>\n

Sonu\u00e7<\/strong>:\u00a0T\u00fcm vakalarda burun \u015fekli ve genel g\u00f6r\u00fcn\u00fcmde anlaml\u0131 bir iyile\u015fme sa\u011fland\u0131 ve hastalar\u0131n y\u00fczde 71.42’si burun t\u0131kan\u0131kl\u0131\u011f\u0131 nedeniyle iyile\u015fti. Br\u00fct absorpsiyon, greft maruziyeti veya deformitelerin n\u00fcks\u00fc g\u00f6zlenmedi.<\/p>\n

Eyer \u015feklindeki bir burnun cerrahi olarak d\u00fczeltilmesi kabul edilebilir ve komplike olmayan bir teknik olmal\u0131 ve kozmetik sonu\u00e7 tamamen kabul edilebilir olmal\u0131d\u0131r. Eyer \u015feklindeki bir burun i\u00e7in bir\u00e7ok y\u00f6netim se\u00e7ene\u011fi vard\u0131r. Neoseptal ve strut greftleri ile \u00e7at\u0131 greftlerinin (shrunk gull-wing greftleri) kullan\u0131lmas\u0131, i\u00e7 burun kapa\u011f\u0131n\u0131n sim\u00fclasyonunu sa\u011flar ve do\u011fal bir burun pozisyonuna neden olur.<\/p>\n

 [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Jinekomastiye cerrahi yakla\u015f\u0131m\u0131m\u0131z ve tekniklerin kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]Ama\u00e7<\/strong>: Jinekomastinin cerrahi tedavisi, bez rezeksiyonu, liposuction veya liposuction ve kombine bezden olu\u015fur rezeksiyon.\u0130n \u00e7al\u0131\u015fmalar\u0131m\u0131zda hastanemize edilir 50 jinekomasti retrospektif olarak inceledik. Basitle\u015ftirilmi\u015f ve anla\u015f\u0131lmas\u0131 kolay bir algoritma ile t\u00fcm evrelerinde yakla\u015f\u0131m\u0131m\u0131z\u0131 ve tercih edilen tedavi y\u00f6ntemini inceleyin.<\/p>\n

Y\u00f6ntem<\/strong>: 2002-2010 y\u0131llar\u0131 aras\u0131nda jinekomasti ile ba\u015fvuran 50 hasta se\u00e7ilen cerrahi y\u00f6ntem se\u00e7imine g\u00f6re grupland\u0131r\u0131ld\u0131. Hastalar Simon s\u0131n\u0131flamas\u0131na g\u00f6re s\u0131n\u0131fland\u0131r\u0131ld\u0131. Alt\u0131 hasta Simon 1, 28 hasta Simon 2a, 14 hasta Simon 2b ve 2 hasta Simon 3 idi.<\/p>\n

Bulgular<\/strong>: \u00c7al\u0131\u015fmam\u0131z, Simon 1 ve 2a hastalar\u0131n\u0131n liposuction ile tatmin edici sonu\u00e7lar elde ettiklerini ancak belirgin fibrogland\u00fcler dokular olmad\u0131\u011f\u0131nda \u00f6zetledi ve Simon 2b hastalar\u0131nda liposuction’a ek olarak \u00e7o\u011funlukla bez rezeksiyonu ve Simon 3 hastalar\u0131nda cilt rezeksiyonu ve bez rezeksiyonu gerekti indirgeme mammoplastisine benzer.<\/p>\n

Sonu\u00e7<\/strong>: Jinekomasti hastalar\u0131n\u0131n ameliyat\u0131ndaki temel hedefler, hastalara kad\u0131ns\u0131 olmayan bir deniz b\u00f6lgesi ve en az miktarda Hipertrofik skar olu\u015fumu ile yeterli b\u00fcy\u00fckl\u00fckte meme ba\u015f\u0131 areolas\u0131n\u0131n sa\u011flanmas\u0131d\u0131r. Basit algoritmam\u0131z\u0131 takiben \u00f6nemli miktarda hastaya ula\u015ft\u0131k.[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” text_orientation=”right” global_colors_info=”{}”]2012<\/p>\n

\u015ei\u015fli Etfal Hastanesi T\u0131p B\u00fclteni<\/h4>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.19.4″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.19.4″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2017<\/p>\n

BMJ Olgu Sunumlar\u0131<\/strong><\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Doku geni\u015fleticilerle meme rekonstr\u00fcksiyonunda inferior dermal flep<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]<\/p>\n

Meme rekonstr\u00fcksiyonu i\u00e7in bir doku geni\u015fleticiyi \u00f6rtmek i\u00e7in alt dermal flep kullan\u0131lan cerrahi bir vaka bildirilmi\u015ftir. Ameliyat sonras\u0131 yedinci g\u00fcnde cilt nekrozuna ra\u011fmen flep kapsama alan\u0131 doku geni\u015fleticiyi ekspresyondan ba\u015far\u0131yla korudu.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Estetik sonu\u00e7lar\u0131n yuvarlak ve \u00fc\u00e7 kollu y\u0131ld\u0131z flep umbilikoplasti ile kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.20.0″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]<\/p>\n

Arkaplan<\/strong>: Umbilicus, karn\u0131n belirleyici bir estetik bile\u015fenidir. Bir\u00e7ok umbilikoplasti tekni\u011fi tan\u0131mlanm\u0131\u015ft\u0131r ve en s\u0131k kullan\u0131lan y\u00f6ntem yuvarlak insizyon tekni\u011fidir. Bu yaz\u0131da, \u00fc\u00e7 kollu bir y\u0131ld\u0131z flep kullan\u0131m\u0131n\u0131 i\u00e7eren yeni bir umbilikoplasti tekni\u011fi sunulmu\u015f ve yuvarlak teknikle kar\u015f\u0131la\u015ft\u0131r\u0131lm\u0131\u015ft\u0131r.<\/p>\n

Y\u00f6ntemler:<\/strong> Abdominoplasti s\u0131ras\u0131nda umbilikoplasti uygulanan ve \u015eubat 2011-Aral\u0131k 2016 tarihleri \u200b\u200baras\u0131nda serbest derin inferior epigastrik perforat\u00f6r flep (DIEP) prosed\u00fcrleri uygulanan 48 kad\u0131n hasta \u00e7al\u0131\u015fmaya dahil edildi. Yirmi hastada yuvarlak umbilikoplasti bulunurken, geri kalan 28 hastada \u00fc\u00e7 silahl\u0131 y\u0131ld\u0131z flep tekni\u011fi kullan\u0131ld\u0131. Her iki tekni\u011fin estetik sonu\u00e7lar\u0131 hastalar ve iki ba\u011f\u0131ms\u0131z cerrah taraf\u0131ndan doldurulan bir anket ile de\u011ferlendirildi.<\/p>\n

Bulgular<\/strong>: Ortalama takip s\u00fcresi 22 ayd\u0131. \u00dc\u00e7 silahl\u0131 y\u0131ld\u0131z flep tekni\u011fi olan bir hastada Hipertrofik skar, yuvarlak tekni\u011fi olan iki hastada ve yuvarlak tekni\u011fi olan bir hastada sikatrisyel halka olu\u015fumu g\u00f6r\u00fcld\u00fc. Hasta ve cerrah anketi 3 kollu y\u0131ld\u0131z flep grubunda skorlar anlaml\u0131 olarak y\u00fcksekti. (P <.05)<\/p>\n

Sonu\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada yuvarlak umbilikoplasti tekni\u011fi \u00fc\u00e7 kollu y\u0131ld\u0131z flep tekni\u011fi ile kar\u015f\u0131la\u015ft\u0131r\u0131lm\u0131\u015ft\u0131r. Hasta memnuniyeti anketleri ve iki ba\u011f\u0131ms\u0131z cerrah taraf\u0131ndan yap\u0131lan de\u011ferlendirme daha iyi ortaya \u00e7\u0131kt\u0131. Bu yeni tekni\u011fin stenozu, dairesel skar kas\u0131lmas\u0131n\u0131 \u00f6nledi\u011fi ve g\u00f6bek ile kar\u0131n aras\u0131nda do\u011fal bir kontur sa\u011flad\u0131\u011f\u0131 i\u00e7in yuvarlak tekni\u011fe g\u00f6re tercih edilebilece\u011fine inan\u0131yoruz.<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.19.4″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” text_orientation=”right” global_colors_info=”{}”]<\/p>\n

2019<\/p>\n

PLAST\u0130K CERRAH\u0130 VE EL CERRAH\u0130S\u0130 DERG\u0130S\u0130<\/h4>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.19.4″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2019<\/p>\n

TIBB\u0130 B\u00dcLTEN\u0130<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Primer K\u00f6kenli Bilinmeyen Malign Melanomlu Hastalara Yakla\u015f\u0131m<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]Ama\u00e7<\/strong>: Malign melanom cilt kanserlerinin% 3’\u00fcn\u00fc olu\u015ftursa da, cilt kanseri ile ili\u015fkili \u00f6l\u00fcmlerin% 75’inden sorumludur. \u00c7al\u0131\u015fmam\u0131zda klini\u011fimizde tan\u0131 ve tedavi edilen t\u00fcm melanom olgular\u0131 retrospektif olarak incelendi ve aralar\u0131nda bilinmeyen primer orijinli olgular tan\u0131 ve tedavi a\u00e7\u0131s\u0131ndan ayr\u0131nt\u0131l\u0131 olarak incelendi.<\/p>\n

Y\u00f6ntemler<\/strong>: Ocak 1991 – Nisan 2017 tarihleri \u200b\u200baras\u0131nda klini\u011fimizin yatarak tedavi g\u00f6ren malign melanom hastalar\u0131 retrospektif olarak kay\u0131tlarda tarand\u0131. Bu hastalar ya\u015f, cinsiyet, t\u00fcm\u00f6r tipi, Breslow, metastaz ve tedavi a\u00e7\u0131s\u0131ndan de\u011ferlendirildi. Bu hastalar aras\u0131nda primer kayna\u011f\u0131 bilinmeyen 4 olgu ayr\u0131nt\u0131l\u0131 olarak incelendi.<\/p>\n

Bulgular<\/strong>: Ocak 1991 ile Nisan 2017 aras\u0131ndaki d\u00f6nemde klini\u011fimizde malign melanom nedeniyle 173 hasta yatarak tedavi g\u00f6rd\u00fc. Melanom alt tipleri, 45 hastada nod\u00fcler tip, 43 hastada akral lentiginous tip, 63 hastada y\u00fczeyel yay\u0131lma tipi, 15 hastada lentigo maligna melanomu, 7 hastada subungual tip ve 10 hastada tan\u0131mlanamayan melanom veya di\u011fer alt tipler tan\u0131mland\u0131.<\/p>\n

Sonu\u00e7<\/strong>: Melanom hastas\u0131n\u0131n ideal tedavisi multidisiplinerdir ve plastik cerrahi merkezi bir role sahiptir.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon odd” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2019<\/p>\n

SCIE<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Alt Dudakta Boyun Diseksiyonu Endikasyonlar\u0131 Skuam\u00f6z H\u00fccreli Karsinom Olgular\u0131: 96 Olgudaki Deneyimlerimiz<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.20.0″ _module_preset=”default” text_font=”Open Sans||||||||” global_colors_info=”{}”]<\/p>\n

Ama\u00e7<\/strong>: Skuam\u00f6z h\u00fccreli karsinom (SCC) en s\u0131k g\u00f6r\u00fclen dudak karsinomudur ve nodal durum en \u00f6nemli prognostik fakt\u00f6rd\u00fcr. Erken evre olgularda cerrahi ilk tedavi se\u00e7ene\u011fi olmas\u0131na ra\u011fmen, nihai bir gizli metastaz\u0131 tedavi etmek i\u00e7in elektif boyun diseksiyonu halen tart\u0131\u015fma konusudur.<\/p>\n

Y\u00f6ntemler<\/strong>: Ocak 2005-Temmuz 2017 tarihleri \u200b\u200baras\u0131nda tek bir klinikte opere edilen toplam alt dudak SCC’li 96 hasta \u00e7al\u0131\u015fmaya dahil edildi. Risk ve d\u00fc\u011f\u00fcm durumuna g\u00f6re t\u00fcm\u00f6r rezeksiyonu sonras\u0131 elektif boyun diseksiyonu yap\u0131lan ve yap\u0131lmayan hastalar ya\u015f, cinsiyet, t\u00fcm\u00f6r boyutu ve boyun diseksiyonu tipine g\u00f6re incelendi.<\/p>\n

Bulgular<\/strong>: 96 hastadan 74’\u00fc Amerikan Kanser evreleme sistemi Eklem Komitesine g\u00f6re T1-2N0 olarak s\u0131n\u0131fland\u0131r\u0131ld\u0131 ve 30’una elektif boyun diseksiyonu yap\u0131ld\u0131. Bu 30 hastadan 6’s\u0131na metastaz te\u015fhisi konuldu. \u00c7al\u0131\u015fma grubunun 96 \u00fcyesinden 51’ine elektif supraomohyoid boyun diseksiyonu yap\u0131ld\u0131. Toplam 23 hastaya metastaz te\u015fhisi konuldu.<\/p>\n

Sonu\u00e7<\/strong>: Alt dudak SCC nispeten iyi prognozu olan bir kanserdir, ancak b\u00f6lgesel lenf nodu metastaz\u0131 sa\u011fkal\u0131m oran\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde azalt\u0131r. Se\u00e7ilen vakalarda, t\u00fcm\u00f6r\u00fcn supraomohyoid boyun diseksiyonu veya sentinel lenf nodu biyopsisi ile evrelendirilmesi, gizli metastaz\u0131 saptamak ve ge\u00e7 lenf nodu metastaz\u0131n\u0131 \u00f6nlemek i\u00e7in yeterlidir.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.19.4″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2019<\/p>\n

\u015ei\u015fli Etfal Hastanesi T\u0131p B\u00fclteni<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Alt Ekstremite Nekrotizan Fasiitli Hastalarda Morbidite ve Mortalitenin \u00d6ng\u00f6r\u00fclmesi<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]Ama\u00e7<\/strong>: Nekrotizan fasiit (NF) nadir fakat uzuv ve hayat\u0131 tehdit eden yumu\u015fak doku enfeksiyonudur. Cerrahlar\u0131n kar\u015f\u0131la\u015ft\u0131\u011f\u0131 en zorlu cerrahi enfeksiyonlar aras\u0131ndad\u0131r ve s\u0131kl\u0131kla ciddi sistemik toksisite e\u015flik eder. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, alt ekstremite NF’de mortalite ve morbidite i\u00e7in serum laktat ve kreatinin d\u00fczeylerinin prediktif g\u00fcc\u00fcn\u00fc de\u011ferlendirmektir.<\/p>\n

Y\u00f6ntemler:<\/strong> Alt ekstremite NF’si olan 87 hastan\u0131n retrospektif kohort analizi, serum laktat ve kreatinin d\u00fczeylerine ve semptomlar\u0131n ba\u015flamas\u0131 ile cerrahi aras\u0131nda ge\u00e7en s\u00fcreye g\u00f6re tedavi tekniklerini ve amputasyon ve sa\u011fkal\u0131m oranlar\u0131n\u0131 de\u011ferlendirmek i\u00e7in yap\u0131ld\u0131.<\/p>\n

Bulgular<\/strong>: Semptomlar\u0131n ba\u015flamas\u0131 ile cerrahi aras\u0131ndaki ortalama s\u00fcre 3.7 g\u00fcn idi. Semptomlar\u0131n ba\u015flamas\u0131 ile cerrahi aras\u0131nda ge\u00e7en s\u00fcre artt\u0131k\u00e7a amputasyon ve mortalite oran\u0131 anlaml\u0131 olarak artt\u0131 (p <0.001). Toplamda, sunum s\u0131ras\u0131nda serum kreatinin d\u00fczeyi 2 mg \/ dL’nin \u00fczerinde olan 12 hastada gruptaki mortalitenin% 66’s\u0131 g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Mukutasyon \/ disartik\u00fclasyon uygulanan 14 hastan\u0131n 12’sinde (% 85.7) ortalama serum laktat seviyesi 5.7 mmol \/ L (aral\u0131k: 5.1-8.7 mmol \/ L) ve ortalama serum kreatinin seviyesi 1.92 mg \/ dL (aral\u0131k: 1.4-3.3 mg \/ dL). Y\u00fcksek serum kreatinin ve laktat d\u00fczeyleri mortalite ve amputasyonun \u00f6ng\u00f6r\u00fclmesi a\u00e7\u0131s\u0131ndan istatistiksel olarak anlaml\u0131 bulundu (p <0.001).<\/p>\n

Sonu\u00e7<\/strong>: Bu \u00e7al\u0131\u015fman\u0131n sonu\u00e7lar\u0131na g\u00f6re mortalite i\u00e7in risk fakt\u00f6rlerinin ya\u015f, ge\u00e7 ba\u015fvuru, artm\u0131\u015f serum kreatinin ve laktat d\u00fczeylerini i\u00e7erdi\u011fi ve bu fakt\u00f6rlerin ba\u015fvuru an\u0131nda NF’den \u00f6l\u00fcm oran\u0131n\u0131 tahmin edebilece\u011fi belirlenmi\u015ftir.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon odd” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.19.4″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2019<\/p>\n

T\u00fcrk J Dermatol<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Elin Skuam\u00f6z H\u00fccreli Karsinomu: Klinik Sunum, Cerrahi Tedavi, Sonu\u00e7 ve Sa\u011fkal\u0131m Oran\u0131: 129 Olgu Serisi<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” global_colors_info=”{}”]Ama\u00e7<\/strong>: Nispi y\u00fcksek frekans\u0131na ra\u011fmen; el skuam\u00f6z h\u00fccreli karsinomun rek\u00fcrrens, metastaz\u0131 ve uzun d\u00f6nem sa\u011fkal\u0131m oranlar\u0131 iyi tan\u0131mlanmam\u0131\u015ft\u0131r. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, el skuam\u00f6z h\u00fccreli karsinomlu geni\u015f bir hasta grubunu g\u00f6zden ge\u00e7irmek ve tedavi y\u00f6ntemleri, tedavi y\u00f6ntemleri ve sa\u011fkal\u0131m oranlar\u0131n\u0131 de\u011ferlendirmektir.<\/p>\n

Y\u00f6ntemler:<\/strong> Bu \u00e7ok merkezli \u00e7al\u0131\u015fmaya 2006-2011 y\u0131llar\u0131 aras\u0131nda opere edilen t\u00fcm cerrahi olarak eksize edilen primer yass\u0131 epitel h\u00fccreli karsinomun retrospektif bir incelemesi dahil edildi. Hastalar ya\u015f, t\u00fcm\u00f6r\u00fcn anatomik yeri, cinsiyet, tedavi y\u00f6ntemi, sa\u011fkal\u0131m ve n\u00fcks oran\u0131 a\u00e7\u0131s\u0131ndan de\u011ferlendirildi. Ayr\u0131ca n\u00fcks ve sa\u011fkal\u0131m oranlar\u0131 da t\u00fcm\u00f6r b\u00fcy\u00fckl\u00fc\u011f\u00fcne g\u00f6re s\u0131n\u0131fland\u0131r\u0131ld\u0131.<\/p>\n

Bulgular<\/strong>: Toplam 129 hasta de\u011ferlendirildi. 2 cm’den k\u00fc\u00e7\u00fck t\u00fcm\u00f6rlerde n\u00fcks oran\u0131% 9.7 ve metastatik oran\u0131% 6.5; 5 cm’lik takiplerde 2 cm’den b\u00fcy\u00fck t\u00fcm\u00f6rler n\u00fcks oran\u0131% 16.7 ve metastatik oran\u0131% 33 idi.<\/p>\n

Sonu\u00e7<\/strong>: Y\u00fcz\u00fcn skuam\u00f6z h\u00fccreli karsinomunun aksine, elde meydana gelenler daha k\u00f6t\u00fc bir klinik seyir, daha y\u00fcksek n\u00fcks e\u011filimi, metastatik yay\u0131lma ve amputasyon ve karma\u015f\u0131k yumu\u015fak doku rekonstr\u00fcksiyonu gerektirebilecek fonksiyonel eksikli\u011fe sahip malignitelerdir.<\/p>\n

 [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.19.4″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2019<\/p>\n

\u015ei\u015fli Etfal Hastanesi T\u0131p B\u00fclteni<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Bas\u0131n\u00e7 \u00dclserlerinin Y\u00f6netimi ve Tedavisi: Klinik Deneyim<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]Ama\u00e7<\/strong>: Bas\u0131n\u00e7 \u00fclserleri, \u00f6zellikle uzun s\u00fcreli tedaviye ihtiya\u00e7 duyan hastanede yatan hastalar aras\u0131nda yayg\u0131n bir sa\u011fl\u0131k sorunudur; ancak, koruyucu ila\u00e7 prevalans\u0131 azaltabilir. Multidisipliner bir yakla\u015f\u0131m uygun bak\u0131m\u0131 sa\u011flamak i\u00e7in temeldir ve hastan\u0131n genel sa\u011fl\u0131k durumu ve i\u015fbirli\u011fi tedavi y\u00f6ntemlerini belirler. Basit y\u00f6ntemler, bas\u0131n\u00e7 \u00fclserlerini ve n\u00fckslerini \u00f6nleyebilir. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 klinik deneyimleri payla\u015fmak ve bas\u0131n\u00e7 \u00fclserlerinde kullan\u0131lan yakla\u015f\u0131m ve tedavi y\u00f6ntemlerini de\u011ferlendirmektir.<\/p>\n

Y\u00f6ntem<\/strong>: Bas\u0131n\u00e7 \u00fclseri endikasyonu ile yat\u0131r\u0131lan elli iki hasta retrospektif olarak incelendi. Ya\u015f, cinsiyet, dek\u00fcbitus \u00fclseri lokalizasyonu, tedavi y\u00f6ntemi, komorbid hastal\u0131klar ve postoperatif komplikasyonlar incelendi.<\/p>\n

Bulgular<\/strong>: Otuz be\u015f hasta erkek, 17 hasta kad\u0131nd\u0131. Ortalama ya\u015f 50.3 idi. En s\u0131k e\u015flik eden hastal\u0131k diabetes mellitus ve en s\u0131k etiyolojisi parapleji idi. Bas\u0131n\u00e7 \u00fclserleri 45 hastada sakral b\u00f6lgede, 23 hastada iskiyal b\u00f6lgede, 11 hastada trokanterik b\u00f6lgede ve 3 hastada v\u00fccudun di\u011fer b\u00f6l\u00fcmlerinde (skapular, lomber) lokalize idi. Fasiokutan\u00f6z rotasyon flepleri, miyokutan flepler ve perforat\u00f6r flepleri en \u00e7ok kullan\u0131lan rekonstr\u00fcksiyon teknikleridir. B\u00fcy\u00fck bir komplikasyon g\u00f6zlenmedi.<\/p>\n

Sonu\u00e7:<\/strong> Bas\u0131n\u00e7 \u00fclserleri a\u00e7\u0131s\u0131ndan en \u00f6nemli nokta korunmad\u0131r. Sa\u011fl\u0131k sistemi giderleri dek\u00fcbitus \u00fclseri olu\u015fumunu engelleyerek \u00f6nemli \u00f6l\u00e7\u00fcde azalt\u0131labilir. Erken d\u00f6nemde gerekli bak\u0131m ve tedavi sa\u011flan\u0131rsa, bas\u0131n\u00e7 \u00fclserlerinin ilerlemesi kolayca kontrol edilebilir. Plastik cerrah\u0131n ileri a\u015famalardaki rol\u00fc, uygun durumlarda rekonstr\u00fcksiyon yapmak ve hastalar\u0131 ve bak\u0131c\u0131lar\u0131n\u0131 n\u00fcks\u00fc \u00f6nlemek amac\u0131yla e\u011fitmektir.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon odd” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2019<\/p>\n

JPRAS<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.19.4″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

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Piezoserrahi, perk\u00fctan osteotomi ve endonazal s\u00fcrekli osteotomi tekniklerinin bir caprine kafatas\u0131 modeli ile kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131<\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” global_colors_info=”{}”]Ama\u00e7<\/strong>: Osteotomi burun esteti\u011finde, sonu\u00e7 \u00fczerinde \u00f6nemli bir etkiye sahip olabilen \u00f6nemli bir ad\u0131md\u0131r. \u00d6nceki perk\u00fctan (d\u0131\u015f perforasyon) ve endonazal (i\u00e7) yakla\u015f\u0131mlara ek olarak, burun esteti\u011fi uygulamas\u0131nda 2007’den beri piezoserrahi kullan\u0131lm\u0131\u015ft\u0131r. Bu deneysel model \u00fc\u00e7 osteotomi tekni\u011fini kar\u015f\u0131la\u015ft\u0131rmak \u00fczere planlanm\u0131\u015ft\u0131r.<\/p>\n

Gere\u00e7 ve y\u00f6ntem<\/strong>: Bu \u00e7al\u0131\u015fma bir caprine skull osteotomi modeli \u00fczerinde yap\u0131ld\u0131. Endonazal s\u00fcrekli, d\u0131\u015f perforasyon ve piezoserrahi gruplar\u0131 olmak \u00fczere 12 hayvandan \u00fc\u00e7 grup olu\u015fturuldu. T\u00fcm gruplar kemik bo\u015fluklar\u0131, ufalanm\u0131\u015f k\u0131r\u0131klar ve burun mukozas\u0131 hasar\u0131 a\u00e7\u0131s\u0131ndan de\u011ferlendirildi.<\/p>\n

Bulgular<\/strong>: Piezo osteotomi grubundaki \u00f6rneklerin hi\u00e7birinde par\u00e7alanm\u0131\u015f k\u0131r\u0131k ve mukozal bozukluk yoktu. Osteotomi b\u00f6lgesinde ve burun mukozas\u0131nda ortalama kemik bo\u015flu\u011fu miktar\u0131 piezo grubunda di\u011fer gruplara g\u00f6re daha d\u00fc\u015f\u00fckt\u00fc. Endonazal grupta osteotomi i\u00e7in gereken s\u00fcre, d\u0131\u015f ve piezo gruplar\u0131ndakine benzerdi.<\/p>\n

Sonu\u00e7<\/strong>: Rinoplastide daha iyi sonu\u00e7lar elde etmek i\u00e7in s\u00fcrekli olarak yeni teknikler geli\u015ftirilmektedir. Teknolojik geli\u015fmelerin do\u011fal bir sonucu olarak, burun esteti\u011fi uygulamas\u0131nda yeni cihazlar tan\u0131t\u0131lmaktad\u0131r. Piezo b\u00f6yle bir cihazd\u0131r. Piezo osteotominin daha az miktarda nazal mukozal hasara ve ufalanm\u0131\u015f k\u0131r\u0131klara yol a\u00e7t\u0131\u011f\u0131n\u0131 bulduk. Piezo’nun rinoplasti uygulamas\u0131nda daha yeni ve daha g\u00fcvenilir teknolojiler geli\u015ftirilene kadar g\u00fcvenle kullan\u0131labilece\u011fine inan\u0131yoruz.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2018<\/p>\n

\u00a0Turk J Dermatol<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

El T\u00fcm\u00f6rlerinin Y\u00f6netimi<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]Arka plan<\/strong>: Elin t\u00fcm\u00f6rleri genellikle do\u011fada iyi huyludur ve bu nedenle tedavi genellikle gereksizdir. Cerrahi tedavi endikasyonlar\u0131 kozmetik endi\u015fe ve malignite potansiyeli. K\u00f6t\u00fc huylu el t\u00fcm\u00f6rleri \u00e7ok nadir g\u00f6r\u00fcld\u00fc\u011f\u00fcnden \u015f\u00fcpheli bulgular iyice de\u011ferlendirilmeli ve tan\u0131 konmal\u0131d\u0131r. Bu makalenin amac\u0131, lipomlar, ganglion kistleri ve glomus t\u00fcm\u00f6rleri dahil olmak \u00fczere el b\u00f6lgesinde yayg\u0131n olarak ortaya \u00e7\u0131kan lezyonlar\u0131n yan\u0131 s\u0131ra yumu\u015fak doku sarkomlar\u0131 ve skuam\u00f6z h\u00fccreli karsinomlar gibi malign t\u00fcm\u00f6rleri de\u011ferlendirmektir.<\/p>\n

Gere\u00e7 ve Y\u00f6ntemler<\/strong>: 1996-2016 y\u0131llar\u0131 aras\u0131nda b\u00f6l\u00fcm\u00fcm\u00fczde 528 cerrahi olarak \u00e7\u0131kar\u0131lm\u0131\u015f primer deri ve el yumu\u015fak doku t\u00fcm\u00f6rlerinin retrospektif olarak incelendi.<\/p>\n

Bulgular<\/strong>: Bu \u00e7al\u0131\u015fmada toplam 528 hasta de\u011ferlendirildi. Elin en s\u0131k g\u00f6r\u00fclen iyi huylu t\u00fcm\u00f6r\u00fc piyojenik gran\u00fclom (% 24) ve ele ait en s\u0131k g\u00f6r\u00fclen habis t\u00fcm\u00f6r skuam\u00f6z h\u00fccreli karsinom (% 65.2) idi. Malign t\u00fcm\u00f6r insidans\u0131 erkeklerde daha y\u00fcksek iken benign t\u00fcm\u00f6r insidans\u0131 kad\u0131nlarda daha y\u00fcksekti.<\/p>\n

Sonu\u00e7lar<\/strong>: Bir uzman taraf\u0131ndan yap\u0131lan dikkatli bir \u00f6yk\u00fc ve fizik muayene, t\u00fcm\u00f6r tipine ili\u015fkin olas\u0131l\u0131klar\u0131 daraltabilir. El t\u00fcm\u00f6rlerinin b\u00fcy\u00fck \u00e7o\u011funlu\u011fu iyi huylu olma e\u011filimindedir. Genel olarak cilt kanserlerinin aksine, elde ortaya \u00e7\u0131kanlar s\u0131kl\u0131kla n\u00fcks, metastatik yay\u0131lma ve fonksiyonel eksiklik e\u011filimi ile daha k\u00f6t\u00fc bir prognoza sahiptir.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon odd” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2018<\/p>\n

El Mikrocerrahisi<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.20.0″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Elin iyi huylu yumu\u015fak doku t\u00fcm\u00f6rleri: 17 y\u0131ll\u0131k deneyimin geriye d\u00f6n\u00fck incelenmesi<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” global_colors_info=”{}”]Ama\u00e7<\/strong>: Elin t\u00fcm\u00f6rleri yayg\u0131nd\u0131r ve \u00e7o\u011funlukla iyi huyludur. Elin iyi huylu yumu\u015fak doku t\u00fcm\u00f6rleri cilt, tendonlar, damarlar, sinir ve deri alt\u0131 dokudan ortaya \u00e7\u0131kabilir. T\u00fcm\u00f6rler kozmetik nedenlerle ve malignite olas\u0131l\u0131\u011f\u0131 nedeniyle cerrahi eksizyonla \u00e7\u0131kar\u0131labilir. Bu retrospektif \u00e7al\u0131\u015fman\u0131n amac\u0131, literat\u00fcrle kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda eldeki iyi huylu yumu\u015fak doku t\u00fcm\u00f6rlerinin tiplerini de\u011ferlendirmektir.<\/p>\n

Gere\u00e7 ve Y\u00f6ntem<\/strong>: Mart 2000 – Ekim 2017 tarihleri \u200b\u200baras\u0131nda Sa\u011fl\u0131k Bilimleri \u00dcniversitesi \u015ei\u015fli Hamidiye Etfal E\u011fitim ve Ara\u015ft\u0131rma Hastanesi’nde el ile cerrahi olarak eksize edilen t\u00fcm benign yumu\u015fak doku t\u00fcm\u00f6rlerinin retrospektif olarak g\u00f6zden ge\u00e7irilmesi ger\u00e7ekle\u015ftirildi. Toplam 426 hasta (208 erkek ve 218) kad\u0131nlar) bu \u00e7al\u0131\u015fmaya dahil edilmi\u015ftir. Ortalama ya\u015f 39.4 (4-61 ya\u015f) idi. 426 hasta ya\u015f, cinsiyet, anatomik yerle\u015fim ve t\u00fcm\u00f6r histopatolojisine ve tedavi y\u00f6ntemlerine g\u00f6re de\u011ferlendirildi.<\/p>\n

Bulgular<\/strong>: Elin en s\u0131k g\u00f6r\u00fclen benign t\u00fcm\u00f6r\u00fc piyojenik gran\u00fclomu (% 25) idi. Elde azalan y\u00fczdeli tan\u0131 konulan di\u011fer iyi huylu t\u00fcm\u00f6rler ganglion kistleri (% 15), tendon k\u0131l\u0131flar\u0131n\u0131n dev h\u00fccreli t\u00fcm\u00f6rleri (GCTTS) (% 15), di\u011fer el t\u00fcm\u00f6rleri (% 13), hemanjiyomlar (% 8), n\u00f6rinomlard\u0131. ve schwannomlar (% 6), fibromlar ve fibrolipomlar (% 5), epidermal kistler (% 3), glomus t\u00fcm\u00f6rleri (% 2) ve arteriyoven\u00f6z malformasyonlar (% 2).<\/p>\n

Sonu\u00e7:<\/strong> T\u00fcm\u00f6r\u00fcn te\u015fhisinde kapsaml\u0131 bir \u00f6yk\u00fc ve uzmanlar taraf\u0131ndan yap\u0131lan ayr\u0131nt\u0131l\u0131 fizik muayene \u015fartt\u0131r. El t\u00fcm\u00f6rlerinin b\u00fcy\u00fck \u00e7o\u011funlu\u011fu iyi huyludur ve eldeki bir t\u00fcm\u00f6rden \u015f\u00fcpheleniliyorsa, kesin tedaviden \u00f6nce biyopsi yap\u0131lmal\u0131d\u0131r.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2018<\/p>\n

Annals Plastik Cerrahi<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Depresyon Sonras\u0131 Trakeostomi Skarlar\u0131n\u0131n Y\u00f6netiminde Yeni Bir Teknik<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]Ama\u00e7<\/strong>: Trakeostomi skar revizyonunun ama\u00e7lar\u0131, cildin trakea \u00fczerinde kolay kaymas\u0131n\u0131 sa\u011flayan depresif alan\u0131n doldurulmas\u0131d\u0131r. Bu durumu d\u00fczeltmek i\u00e7in a\u00e7\u0131klanan \u00e7e\u015fitli teknikler vard\u0131r. Bu makalede, trakeostomi defektlerinin d\u00fczeltilmesinde kullan\u0131lan split sternokleidomastoid (SCM) kas flebinin amodifikasyonu a\u00e7\u0131klanmaktad\u0131r.<\/p>\n

Y\u00f6ntemler:<\/strong> Trakeostomi sonras\u0131 izleri olan 13 hasta \u00e7al\u0131\u015fmaya dahil edildi. Ortalama hasta ya\u015f\u0131 44 idi (aral\u0131k, 27-56 y\u0131l). Trakeal r\u00f6mork\u00f6r, disfaji ve k\u00f6t\u00fc g\u00f6r\u00fcn\u00fcmden muzdarip t\u00fcm hastalar \u00e7al\u0131\u015fmaya dahil edilmi\u015ftir. Depresyonlu yara izi olan alan, depresyonun etraf\u0131na inildikten sonra epitelize olur. Bilateral SCM kaslar\u0131, kas\u0131n arka k\u0131sm\u0131n\u0131 kemi\u011fe ba\u011fl\u0131 b\u0131rakarak koronal d\u00fczlemde kas\u0131n \u00fcst yar\u0131s\u0131na do\u011fru b\u00f6l\u00fcn\u00fcr. Y\u00fckseltmeden sonra her iki SCMmuscle flep orta hatta \u00fcst \u00fcste bindirilir.<\/p>\n

Bulgular<\/strong>: Hastalar\u0131n ortalama takip s\u00fcresi 11 ay (da\u011f\u0131l\u0131m, 5-20 ay) idi. T\u00fcm hastalarda trakeal r\u00f6mork\u00f6r ve disfaji \u015fikayetleri giderildi. Yaradan kaynaklanan depresif alan t\u00fcm hastalarda ya azalm\u0131\u015f ya da tamamen iyile\u015fmi\u015ftir. 1 hematom olgusu d\u0131\u015f\u0131nda enfeksiyon, yara ayr\u0131lmas\u0131, cilt nekrozu, seroma, n\u00fcks veya boyun kas\u0131lmas\u0131 gibi erken veya ge\u00e7 komplikasyon g\u00f6r\u00fclmedi.<\/p>\n

Sonu\u00e7lar<\/strong>: Fonksiyonel ve estetik olarak tatmin edici sonu\u00e7lar veren bu tekni\u011fin, trakeostomi sonras\u0131 olu\u015fan depresif skarlarda ve bu prosed\u00fcre ba\u011fl\u0131 fonksiyonel bozuklu\u011fun tedavisinde g\u00fcvenle kullan\u0131labilece\u011fini d\u00fc\u015f\u00fcn\u00fcyoruz.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon odd” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2018<\/p>\n

Acta Cir. Bras.<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Ameliyat \u00f6ncesi deri alt\u0131 sildenafil enjeksiyonu s\u0131\u00e7anlarda rastgele flep sa\u011fkal\u0131m\u0131n\u0131 art\u0131r\u0131r<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” global_colors_info=”{}”]Ama\u00e7<\/strong>: Subkutan sildenafilin rasgele flep sa\u011fkal\u0131m\u0131 \u00fczerindeki etkisini ara\u015ft\u0131rmak.<\/p>\n

Y\u00f6ntemler<\/strong>: Bu deneysel \u00e7al\u0131\u015fma i\u00e7in iki gruba ayr\u0131lan 14 Wistar s\u0131\u00e7an kullan\u0131ld\u0131. Sildenafil grubundaki s\u0131\u00e7anlara flep y\u00fckselmesinden \u00f6nce yedi g\u00fcn boyunca g\u00fcnl\u00fck subkutan sildenafil enjeksiyonlar\u0131 yap\u0131ld\u0131. Tedavi s\u00fcresinin sonunda 9×3 cm dorsal deri flepler y\u00fckselmi\u015f ve t\u00fcm hayvanlarda yerlerine tekrar yerle\u015ftirilmi\u015ftir. Nekrotik ve b\u00fct\u00fcn flep alanlar\u0131 grafik ka\u011f\u0131tlara kaydedildi. Flep y\u00fckselmesinden yedi g\u00fcn sonra histolojik inceleme i\u00e7in \u00f6rnekler al\u0131nd\u0131 \u200b\u200bve flep vask\u00fclarizasyonunu g\u00f6rselle\u015ftirmek i\u00e7in anjiyografiler yap\u0131ld\u0131.<\/p>\n

Bulgular<\/strong>: Sildenafil ve kontrol grubunda nekrotik flep alanlar\u0131n\u0131n hesaplanan ortalama y\u00fczdesi s\u0131ras\u0131yla% 18.29 ve% 42.26 idi (P = 0.0233). Se\u00e7ilen anjiyografi g\u00f6r\u00fcnt\u00fclerinde damarlar\u0131n sildenafil grubunda daha belirgin oldu\u011fu bulundu. I\u015f\u0131k mikroskopisi alt\u0131nda k\u0131lcal olu\u015fumlar\u0131n ortalama say\u0131s\u0131 sildenafil grubunda daha y\u00fcksekti (p = 0.0286).<\/p>\n

Sonu\u00e7<\/strong>: Subdermal y\u00fcksek doz sildenafilin flep sa\u011fkal\u0131m\u0131 \u00fczerine olumlu etkisi vard\u0131r.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2018<\/p>\n

\u00a0Turk J Dermatol<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Elin Skuam\u00f6z H\u00fccreli Karsinomu: Klinik Sunum, Cerrahi Tedavi, Sonu\u00e7 ve Sa\u011fkal\u0131m Oran\u0131: 129 Olgu Serisi<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]Ama\u00e7<\/strong>: Nispi y\u00fcksek frekans\u0131na ra\u011fmen; el skuam\u00f6z h\u00fccreli karsinomun rek\u00fcrrens, metastaz\u0131 ve uzun d\u00f6nem sa\u011fkal\u0131m oranlar\u0131 iyi tan\u0131mlanmam\u0131\u015ft\u0131r. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, el skuam\u00f6z h\u00fccreli karsinomlu geni\u015f bir hasta grubunu g\u00f6zden ge\u00e7irmek ve tedavi y\u00f6ntemleri, tedavi y\u00f6ntemleri ve sa\u011fkal\u0131m oranlar\u0131n\u0131 de\u011ferlendirmektir.<\/p>\n

Y\u00f6ntemler<\/strong>: 2006-2011 y\u0131llar\u0131 aras\u0131nda klini\u011fimizde ameliyat edilen elin cerrahi olarak eksize edilen primer yass\u0131 epitel h\u00fccreli karsinomunun retrospektif olarak g\u00f6zden ge\u00e7irilmesi \u00e7al\u0131\u015fmaya dahil edildi. Hastalar ya\u015f, t\u00fcm\u00f6r\u00fcn anatomik yeri, cinsiyet, tedavi y\u00f6ntemi, sa\u011fkal\u0131m ve n\u00fcks oran\u0131 a\u00e7\u0131s\u0131ndan de\u011ferlendirildi. Ayr\u0131ca n\u00fcks ve sa\u011fkal\u0131m oranlar\u0131 da t\u00fcm\u00f6r b\u00fcy\u00fckl\u00fc\u011f\u00fcne g\u00f6re s\u0131n\u0131fland\u0131r\u0131ld\u0131.<\/p>\n

Bulgular<\/strong>: Toplam 129 hasta de\u011ferlendirildi. 2 cm’den k\u00fc\u00e7\u00fck t\u00fcm\u00f6rlerde n\u00fcks oran\u0131% 9.7 ve metastatik oran\u0131% 6.5; 5 cm’lik takiplerde 2 cm’den b\u00fcy\u00fck t\u00fcm\u00f6rler n\u00fcks oran\u0131% 16.7 ve metastatik oran\u0131% 33 idi.<\/p>\n

Sonu\u00e7<\/strong>: Y\u00fcz\u00fcn skuam\u00f6z h\u00fccreli karsinomunun aksine, elde meydana gelenler, daha k\u00f6t\u00fc bir klinik seyir, daha y\u00fcksek n\u00fcks e\u011filimi, metastatik yay\u0131lma ve amputasyon ve karma\u015f\u0131k yumu\u015fak doku rekonstr\u00fcksiyonu gerektirebilecek fonksiyonel eksikli\u011fe sahip malignitelerdir.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon odd” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2018<\/p>\n

PLAST\u0130K CERRAH\u0130 VE EL CERRAH\u0130S\u0130 DERG\u0130S\u0130<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Subdermal azot oksit iletimi, s\u0131\u00e7anlarda cilt mikrosirk\u00fclasyonunu ve rastgele flep sa\u011fkal\u0131m\u0131n\u0131 art\u0131r\u0131r<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” global_colors_info=”{}”]<\/p>\n

Rastgele cilt flepleri rekonstr\u00fcktif cerrahide gerekli ara\u00e7lard\u0131r. Bu \u00e7al\u0131\u015fmada, subdermal azot oksit (N2O) uygulamas\u0131n\u0131n rastgele flep sa\u011fkal\u0131m\u0131na etkisini ara\u015ft\u0131rd\u0131k. Bu deneysel \u00e7al\u0131\u015fmada \u00fc\u00e7 grupta 21 di\u015fi s\u0131\u00e7an kullan\u0131ld\u0131. N2O ve hava gruplar\u0131nda, \u00f6nerilen dorsal flep alanlar\u0131n\u0131n alt\u0131nda yedi g\u00fcn boyunca gazlar uyguland\u0131. Tedavi d\u00f6neminden sonra flepler kald\u0131r\u0131ld\u0131 ve dorsal deriden yerlerine geri yerle\u015ftirildi. Kontrol grubunda flepler y\u00fckseltildi ve tekrar herhangi bir \u00f6n i\u015flem g\u00f6rmeden yerlerini al\u0131r. Flep cerrahisinden 7 g\u00fcn sonra sonu\u00e7lar\u0131 de\u011ferlendirmek i\u00e7in nekrotik flep alanlar\u0131n\u0131n hesaplanmas\u0131, histolojik inceleme ve mikroanjiyografi yap\u0131ld\u0131. N20, hava ve kontrol grubunda nekrotik flep alan\u0131n\u0131n ortalamas\u0131 s\u0131ras\u0131yla% 13.45,% 37.67 ve% 46.43 idi. (N2O ve hava p\u00bc.044; N2O ve kontrol p.003). Histolojik analizde tan\u0131mlanan ortalama k\u0131lcal olu\u015fum say\u0131s\u0131 N2O, hava ve kontrol grubunda s\u0131ras\u0131yla 7.0 \u00b1 1.58, 3.75 \u00b1 2.36 ve 4.4 \u00b1 0.54 idi. (N20, hava p.0.017; N20, kontrol p.0.037). Anjiyografi g\u00f6r\u00fcnt\u00fclerinde tan\u0131mlanan ortalama k\u0131lcal yap\u0131 say\u0131s\u0131, N2O, hava ve kontrol grubunda s\u0131ras\u0131yla 6.3 \u00b1 1.52, 1.6 \u00b1 1.15 ve 1.3 \u00b1 0.57 idi. (N2O ve hava p.0.0; N2O ve kontrol p.0.0). Subdermal N2O uygulamas\u0131n\u0131n cilt mikrosirk\u00fclasyonundaki bir art\u0131\u015fla rastgele flep sa\u011fkal\u0131m\u0131n\u0131 artt\u0131rd\u0131\u011f\u0131 ve gelecekteki klinik uygulamalar i\u00e7in umut verici olabilece\u011fi sonucuna vard\u0131k.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2018<\/p>\n

PLAST\u0130K CERRAH\u0130 VE EL CERRAH\u0130S\u0130 DERG\u0130S\u0130<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Yan\u0131k yaralar\u0131n\u0131n iyile\u015fmesinde Salvia miltiorrhiza’n\u0131n yararl\u0131 etkileri: s\u0131\u00e7anlarda deneysel bir \u00e7al\u0131\u015fma<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]<\/p>\n

Giri\u015f<\/strong>: Yan\u0131k iyile\u015fmesi karma\u015f\u0131k bir s\u00fcre\u00e7tir ve \u00e7ok az tedavi etkisini olumlu y\u00f6nde de\u011fi\u015ftirebilir. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, geleneksel \u00c7in t\u0131bb\u0131 olan Salvia miltiorrhiza’n\u0131n (SM-Danshen) yan\u0131k yara iyile\u015fmesi \u00fczerindeki etkilerini ara\u015ft\u0131rmakt\u0131.<\/p>\n

Gere\u00e7 ve y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fmaya 20 s\u0131\u00e7an dahil edildi ve iki gruba ayr\u0131ld\u0131. Termal temas\u0131 olan t\u00fcm hayvanlar\u0131n s\u0131rt derisinde 3×2 cm geni\u015fli\u011finde yan\u0131k alanlar\u0131 olu\u015fturuldu. Kontrol ve deney gruplar\u0131nda intraoral 1 ml \/ g\u00fcn salin ve 1 g \/ kg \/ g\u00fcn SM verildi. Yan\u0131k yaralanmas\u0131ndan on d\u00f6rt g\u00fcn sonra yan\u0131k b\u00f6lgeleri indosiyanin ye\u015fili-SPY g\u00f6r\u00fcnt\u00fcleme cihaz\u0131 ile de\u011ferlendirildi ve histopatolojik de\u011ferlendirme i\u00e7in birden fazla \u00f6rnek al\u0131nd\u0131. Nekrotik cilt b\u00f6lgelerinin de\u011ferlendirilmesi i\u00e7in standart foto\u011fraflar \u00e7ekildi.<\/p>\n

Bulgular<\/strong>: Neovask\u00fclarizasyon SM grubunda kontrol grubuna g\u00f6re artt\u0131 (p = 0.0406). SPY \u00e7al\u0131\u015fmalar\u0131 SM grubunda doku perf\u00fczyonunda anlaml\u0131 bir art\u0131\u015f oldu\u011funu g\u00f6stermi\u015ftir (p = 0.0286). Ameliyat sonras\u0131 14. g\u00fcnde kontrol ve deney grubunda ortalama nekrotik alan miktar\u0131 s\u0131ras\u0131yla% 71.6 (\u00b1 16.51) ve% 42.5 (\u00b1 10.64) idi (p = 0.0002).<\/p>\n

Sonu\u00e7<\/strong>: \u00c7al\u0131\u015fmam\u0131z SM’nin doku perf\u00fczyonunu ve neovask\u00fclarizasyonu art\u0131rarak yan\u0131k yaralar\u0131ndaki nekroz miktar\u0131n\u0131 azaltabildi\u011fini g\u00f6stermektedir.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon odd” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2017<\/p>\n

\u015ei\u015fli Etfal Hastanesi T\u0131p B\u00fclteni<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Pilon K\u0131r\u0131klar\u0131nda Ters Ak\u0131\u015fl\u0131 Sural Flep ile Yumu\u015fak Doku Rekonstr\u00fcksiyonu<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.20.0″ _module_preset=”default” text_font=”Open Sans||||||||” global_colors_info=”{}”]<\/p>\n

Fleks\u00f6r digitorum superficialis ve palmaris longus kas yoklu\u011funun kas ve e\u011filim varyasyonlar\u0131n\u0131n prevalans\u0131: bir pop\u00fclasyon \u00e7al\u0131\u015fmas\u0131<\/p>\n

Ama\u00e7<\/strong>: Farkl\u0131 etnik gruplarda yap\u0131lan \u00e7al\u0131\u015fmalar, palmaris longus tendonunun olmamas\u0131 a\u00e7\u0131s\u0131ndan geni\u015f farkl\u0131l\u0131klar g\u00f6stermi\u015ftir. \u00c7al\u0131\u015fmam\u0131z\u0131n amac\u0131, T\u00fcrk pop\u00fclasyonunda palmaris longus kas\u0131 ve fleks\u00f6r digitorum superficialis kas varyasyonlar\u0131n\u0131n yoklu\u011funun y\u00fczdesini ortaya koymakt\u0131r.<\/p>\n

Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fma grubu Plastik, Rekonstr\u00fcktif ve Estetik Cerrahi b\u00f6l\u00fcm\u00fcne el travmas\u0131 ve kronik hastal\u0131k \u00f6yk\u00fcs\u00fc d\u0131\u015f\u0131nda \u00e7e\u015fitli nedenlerle ba\u015fvuran eri\u015fkin hastalardan olu\u015fturuldu. Toplam 533 (1066 el) \u00e7al\u0131\u015fmaya dahil edildi. 533 ki\u015fiden t\u00fcm parmaklar\u0131n proksimal interfalangeal ekleminin izole fleksiyon yetene\u011fi (ba\u015fparmak hari\u00e7) ve palmaris longus kas\u0131 varl\u0131\u011f\u0131 ara\u015ft\u0131r\u0131ld\u0131.<\/p>\n

Bulgular<\/strong>: 18-66 ya\u015flar\u0131 aras\u0131ndaki 533 T\u00fcrk birey (272 erkek ve 261 kad\u0131n) i\u00e7in, palmaris longus kas\u0131n\u0131n yoklu\u011fu yayg\u0131nl\u0131\u011f\u0131 T\u00fcrk n\u00fcfusu aras\u0131nda% 21.8 idi. Be\u015finci basama\u011f\u0131n fleks\u00f6r digitorum superficialis prevalans\u0131ndaki genel farkl\u0131l\u0131k T\u00fcrk pop\u00fclasyonunda% 23.7 idi.<\/p>\n

Sonu\u00e7<\/strong>: Tendon greftleme ve tendon transferlerinin kullan\u0131ld\u0131\u011f\u0131 operatif tekniklerde palmaris longus tendon olas\u0131l\u0131\u011f\u0131 bulunmad\u0131\u011f\u0131ndan hastan\u0131n ameliyat \u00f6ncesi kons\u00fcltasyonu \u00f6nem kazanmaktad\u0131r. Be\u015finci basamaklar\u0131n fleks\u00f6r digitorum superficialis kas fonksiyonunun varyasyonlar\u0131 ve eksikli\u011fi klinik muayenelerde kan\u0131tlanamaz, bu nedenle el cerrahlar\u0131 preoperatif muayenelerde ve intraoperatif diseksiyonlarda fleks\u00f6r digitorum superficialis kas varyasyonlar\u0131 hakk\u0131nda bilgi sahibi olmal\u0131d\u0131r.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2017<\/p>\n

\u015ei\u015fli Etfal Hastanesi T\u0131p B\u00fclteni<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Alt ekstremitede geni\u015f lokal rek\u00fcrrens ve transit metastaz geli\u015fen malign melanom olgusu<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]Malign melanom (MM), d\u00fcnyada ve \u00fclkemizde g\u00f6r\u00fclen ve g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 ve cilt kanseri mortalitesi en y\u00fcksek olan \u00fc\u00e7\u00fcnc\u00fc yayg\u0131n cilt kanseridir. Malign melanomlu hastalar\u0131n tedavisinde ama\u00e7, primer melanom ve b\u00f6lgesel lenf nodu metastaz\u0131 ve nadiren uzak metastaz\u0131n yeterli cerrahi tedavisidir. Erken tan\u0131 ve yeterli cerrahi rezeksiyon malign melanom tedavisinde birincil temeldir. Lokal n\u00fcks (LR), primer t\u00fcm\u00f6r\u00fcn geni\u015f lokal eksizyonunun cerrahi skar\u0131n\u0131n 2 cm’si i\u00e7inde, tam ba\u015flang\u0131\u00e7 \u200b\u200brezeksiyonu ve trans-metastaz\u0131n (ITM) patolojik kan\u0131t\u0131 ile ortaya \u00e7\u0131kan melanom olup, orijinal lezyondan 2 cm’den b\u00fcy\u00fck herhangi bir lezyondur. orijinal lezyon ve b\u00f6lgesel lenf nodu havzas\u0131. Malign melanomun LR \/ ITR insidans\u0131 ve MM mortalite oran\u0131 ya\u015fla birlikte artmaktad\u0131r. Ayaklar\u0131n\u0131n dibinde, tm kal\u0131nl\u0131\u011f\u0131 4.75 mm ve geni\u015f lokal malign melanom eksizyonu ve inguinal diseksiyon yap\u0131lan bu olgu sunumunda 85 ya\u015f\u0131nda kad\u0131n hastay\u0131 sunuyoruz. Takipine gelmedi ve 2 y\u0131l sonra sa\u011f alt ekstremitede \u00e7ok say\u0131da ge\u00e7i\u015f metastaz\u0131 ve lokal n\u00fcks g\u00f6r\u00fcld\u00fc. Son \u00e7al\u0131\u015fmalar, kal\u0131n t\u00fcm\u00f6r\u00fc (> 4 mm) olan ya\u015fl\u0131 hastalar\u0131n (> 4 mm) lokal ve transit n\u00fcks i\u00e7in daha y\u00fcksek risk g\u00f6sterdi\u011fini ve sunulan ya\u015fa ba\u011fl\u0131 olarak de\u011fi\u015fmi\u015f lenfatik fonksiyonun, ya\u015fl\u0131 hastalarda nodal pozitifli\u011fi ve trans- yay hastal\u0131klar\u0131n\u0131 azaltt\u0131\u011f\u0131n\u0131 g\u00f6stermi\u015ftir. Bu t\u00fcr y\u00fcksek riskli hastalar, \u00f6zellikle erken rek\u00fcrrens i\u00e7in tan\u0131n\u0131n ilk 18 ay\u0131nda agresif klinik takip de\u011ferlendirmesi almal\u0131d\u0131r.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon odd” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2017<\/p>\n

\u015ei\u015fli Etfal Hastanesi T\u0131p B\u00fclteni,<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

Pilon K\u0131r\u0131klar\u0131nda Ters Ak\u0131\u015fl\u0131 Sural Flep ile Yumu\u015fak Doku Rekonstr\u00fcksiyonu<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” global_colors_info=”{}”]Ama\u00e7<\/strong>: Pilon k\u0131r\u0131klar\u0131 genellikle y\u00fcksek enerjili travmalardan kaynaklan\u0131r ve \u00e7evresindeki yumu\u015fak doku hasar\u0131 ile ili\u015fkilidir. Hastan\u0131n t\u0131bbi durumuna ve komorbiditelerine ek olarak, distal tibian\u0131n zay\u0131f vask\u00fcler temini, \u00e7o\u011fu durumda rekonstr\u00fcksiyonu zorla\u015ft\u0131r\u0131r.<\/p>\n

Gere\u00e7 ve Y\u00f6ntemler<\/strong>: Ocak 2012 – A\u011fustos 2015 tarihleri \u200b\u200baras\u0131nda ortopedi klini\u011fi ile tedavi edilen sekiz pilon k\u0131r\u0131kl\u0131 hasta (AO tip 43A-C) \u00e7al\u0131\u015fmaya dahil edildi. Bu hastalar operasyon s\u0131ras\u0131nda etkilenen b\u00f6lgede tam kal\u0131nl\u0131kta yumu\u015fak doku defekti nedeniyle klini\u011fimize ba\u015fvurdu ve ters ak\u0131m sural flep ile tedavi edildi. Hastalar retrospektif olarak ya\u015f, etiyoloji, defekt boyutu ve postoperatif komplikasyonlar a\u00e7\u0131s\u0131ndan incelendi.<\/p>\n

Bulgular<\/strong>: Ocak 2012 ve A\u011fustos 2015 aras\u0131nda, 7 ila 88 ya\u015flar\u0131 aras\u0131nda (ortalama ya\u015f: 46 y\u0131l) 8 hastaya (4 kad\u0131n, 4 erkek), pilon k\u0131r\u0131\u011f\u0131 sonras\u0131 doku defekti nedeniyle olu\u015fan doku defekti nedeniyle yumu\u015fak doku rekonstr\u00fcksiyonu yap\u0131ld\u0131. . Postoperatif d\u00f6nemde, k\u0131smi yumu\u015fak doku nekrozu geli\u015fen ve sekonder niyetle iyile\u015fen bir hasta d\u0131\u015f\u0131nda yara ayr\u0131lmas\u0131, flep kayb\u0131 ve enfeksiyon gibi komplikasyonlara rastlanmam\u0131\u015ft\u0131r.<\/p>\n

Sonu\u00e7<\/strong>: Pilon k\u0131r\u0131klar\u0131, ayak bile\u011finin tedavi edilmesi en zor k\u0131r\u0131klar\u0131 aras\u0131ndad\u0131r ve y\u00fcksek bir komplikasyon oran\u0131na sahiptir. Sural flep, tek veya \u00e7ok a\u015famal\u0131 yakla\u015f\u0131mlarda distal tibial defektleri yeniden yap\u0131land\u0131rman\u0131n g\u00fcvenilir bir yoludur.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]2017<\/p>\n

T\u00fcrk J Plast Surg<\/h4>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ module_class=”col-details” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Title” module_class=”tm-title” _builder_version=”4.16″ _module_preset=”default” header_font=”||||||||” header_3_font=”Poppins|500|||||||” global_colors_info=”{}”]<\/p>\n

El Yan\u0131klar\u0131n\u0131n Y\u00f6netimi<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]Ama\u00e7<\/strong>: El t\u00fcm yan\u0131k yaralar\u0131nda% 80 oran\u0131nda yan\u0131k yaralanmalar\u0131ndan en s\u0131k etkilenen v\u00fccut k\u0131s\u0131mlar\u0131ndan biridir. Erken ve etkili tedavi, en iyi sa\u011fkal\u0131m \u015fans\u0131n\u0131 ve iyi bir fonksiyonel prognozu sa\u011flar. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 epidemiyoloji, varyasyon, etiyoloji ile hastanede yat\u0131\u015f aras\u0131ndaki ili\u015fki, klinik \u00f6zellikler ve el yan\u0131klar\u0131n\u0131n tedavisini belirlemektir.<\/p>\n

Gere\u00e7 ve Y\u00f6ntemler:<\/strong> Bu retrospektif \u00e7al\u0131\u015fma Sa\u011fl\u0131k Bilimleri \u00dcniversitesi’nde; \u015ei\u015fli Hamidiye Etfal Uygulama ve Ara\u015ft\u0131rma Merkezi, Plastik, Rekonstr\u00fcktif ve Estetik Cerrahi B\u00f6l\u00fcm\u00fc ve Nisan 2009 ile Nisan 2014 aras\u0131nda Yo\u011fun Yan\u0131k Bak\u0131m \u00dcnitesi. Yan\u0131klar etiyoloji, anatomik yer, etkilenen toplam v\u00fccut y\u00fczeyinin y\u00fczdesi ve derinli\u011fine g\u00f6re de\u011ferlendirildi. yaralanma. Tedavi konservatif, elektif operatif veya acil operatif olarak kategorize edildi.<\/p>\n

Bulgular<\/strong>: \u00c7al\u0131\u015fma d\u00f6neminde Yan\u0131k \u00dcnitemize 788 hasta kabul edildi. Bunlar\u0131n 240’\u0131 kad\u0131n (% 30.5) ve 548’i erkek (% 69.5) idi. Bu \u00e7al\u0131\u015fmada en s\u0131k g\u00f6r\u00fclen yan\u0131k yaralanmas\u0131 termal yaralanma (695 vaka;% 88.2), ard\u0131ndan elektrik yaralanmas\u0131 (67 vaka;% 8.5) ve kimyasal, s\u00fcrt\u00fcnme veya bilinmeyen yaralanmalar (26 vaka;% 3.3) idi. Hastalar\u0131n \u00e7o\u011funda (% 85’ten fazla) ikinci derece yan\u0131klar, baz\u0131lar\u0131nda ise \u00fc\u00e7\u00fcnc\u00fc derece yan\u0131klar vard\u0131.<\/p>\n

Sonu\u00e7lar:<\/strong> Yan\u0131klar genellikle elleri etkiler ve uygun temel tedaviler ihmal edilirse bir\u00e7ok fonksiyonel sorun ortaya \u00e7\u0131kabilir. Yan\u0131klar i\u00e7in en iyi tedavi korunmad\u0131r. Uygun i\u00e7 mekan d\u00fczenlemesi ve evde al\u0131nabilecek basit ancak etkili \u00f6nlemler yan\u0131k travmas\u0131na maruz kalmay\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde azaltabilir.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon odd” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2015<\/p>\n

Hindistan Plastik Cerrahi Dergisi<\/h4>\n

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Lipofilling kan\u00fclleri nas\u0131l tasarland\u0131 ve inand\u0131\u011f\u0131m\u0131z kadar g\u00fcvenli mi?<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” global_colors_info=”{}”]<\/p>\n

Ama\u00e7:<\/strong> Plastik cerrahideki \u00e7o\u011fu uygulay\u0131c\u0131 k\u00fcnt u\u00e7lu kan\u00fcllerin daha g\u00fcvenli oldu\u011funa inanmaktad\u0131r. \u0130lgin\u00e7tir, g\u00fcvenlikleri hakk\u0131nda bir \u00e7al\u0131\u015fma yoktur ve sorun tam olarak budur. K\u00fcnt u\u00e7lu kan\u00fcllerin kullan\u0131m\u0131 bir \u015fekilde zor oldu\u011fundan, baz\u0131 cerrahlar keskin ve kesme u\u00e7lu enjeksiyon i\u011fneleri gibi di\u011fer a\u015f\u0131r\u0131 alternatifleri dener. Ancak damar hasar\u0131 gibi komplikasyonlara neden olabilirler. Bu hipotezlere g\u00f6re, lipofilling uygulamas\u0131n\u0131 kolayla\u015ft\u0131racak ve travmay\u0131 en aza indirecek bir kan\u00fcl tasarlamaya \u00e7al\u0131\u015ft\u0131k. Enjeksiyon i\u011fnesinin aksine, kan\u00fcl\u00fcn u\u00e7lar\u0131 daha k\u00f6relir ve travma azal\u0131r.<\/p>\n

Ama\u00e7lar<\/strong>: B\u00f6yle bir kan\u00fcl tasarlad\u0131ktan sonra, kullan\u0131m kolayl\u0131\u011f\u0131 ve g\u00fcvenlik a\u00e7\u0131s\u0131ndan en s\u0131k kullan\u0131lan Coleman tipi kan\u00fcllerle kar\u015f\u0131la\u015ft\u0131rd\u0131k. Ayr\u0131ca d\u00fczenli olarak kullan\u0131lan kan\u00fcllerin travma potansiyelini de\u011ferlendirmeye \u00e7al\u0131\u015ft\u0131k.<\/p>\n

Gere\u00e7 ve Y\u00f6ntem:<\/strong> Birinci b\u00f6l\u00fcmde t\u00fcm kan\u00fcllerin penetrasyon kapasitesi \u00f6l\u00e7\u00fcld\u00fc ve kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131 ve ikinci b\u00f6l\u00fcmde doku hasar\u0131 deneysel bir modelde de\u011ferlendirildi.<\/p>\n

Bulgular<\/strong>: \u0130statistiksel ve histolojik bulgulara g\u00f6re, belli bir dereceye kadar k\u00fcnt olan sivri u\u00e7lu kan\u00fcller dokulardan kolayca uygulanabilir. Cerrah daha rahat \u00e7al\u0131\u015f\u0131r ve bu kan\u00fcllerin daha az doku hasar\u0131na neden oldu\u011funu belirttik.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2014<\/p>\n

CERRAH\u0130 ONKOLOJ\u0130 VE REKONSTR\u00dcKS\u0130YON<\/h4>\n

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Uygulanan Trombosit Zengin Plazma Sol\u00fcsyonunun Kullan\u0131m\u0131 Kompozit Kondrok\u00fctan Greft ile Teknik: Tav\u015fan Modelinde Deneysel Bir \u00c7al\u0131\u015fma<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]<\/p>\n

Ama\u00e7<\/strong>: Kompozit kondrok\u00fctan greftler, yar\u0131k dudak nazaldeformitesi, alar defektleri ve septal perforasyonlar\u0131 olan hastalarda yayg\u0131n olarak kullan\u0131lmaktad\u0131r; bununla birlikte, greft ya\u015fayabilirli\u011fi kolayca tehlikeye at\u0131labilir. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 trombosit a\u00e7\u0131s\u0131ndan zengin plazma (PRP) ile anjiyogenez ve yeniden epitelizasyonun artt\u0131r\u0131lmas\u0131yla kompozit kondrok\u00fctan greftlerin g\u00fcvenli uzunlu\u011funu uzatmak ve PRP greft ve al\u0131c\u0131ya uyguland\u0131\u011f\u0131nda meydana gelen de\u011fi\u015fiklikleri ara\u015ft\u0131rmakt\u0131. bir site.<\/p>\n

Gere\u00e7 ve Y\u00f6ntem<\/strong>: Bir tarafta tav\u015fan kula\u011f\u0131na kritik boyutlarda (1.5, 2.0 ve 2.5 cm) kompozit greftler planland\u0131. Grup A, PRP ile \u00f6n i\u015fleme tabi tutulmu\u015f greftlerden, B grubu PRP ile \u00f6n i\u015fleme tabi tutulmu\u015f al\u0131c\u0131 yataklardan olu\u015fur ve grup C, tav\u015fanlar\u0131n sa\u011f kulaklar\u0131nda 1.5, 2.0 ve 2.5 cm boyutlar\u0131nda kusurlar\u0131n olu\u015ftu\u011fu kontrol grubudur. Postoperatif 7. g\u00fcnde e\u015fle\u015fen boyut kondrok\u00fctan greftleri PRP’siz defekt alanlar\u0131na uyarland\u0131. T\u00fcm gruplarda greft ya\u015fayabilirli\u011fi, grup C’de greft adaptasyonundan 7 g\u00fcn sonra ve A ve B gruplar\u0131nda PRP uygulamas\u0131ndan 14 g\u00fcn sonra de\u011ferlendirildi. Yara iyile\u015fmesi hematoksilin ve eozin, CD34 ve d\u00fcz kas aktin boyamas\u0131 kullan\u0131larak histopatolojik ve imm\u00fcnohistolojik olarak de\u011ferlendirildi. Gruplar aras\u0131ndaki apoptoz oran\u0131n\u0131 kantitatif olarak g\u00f6stermek i\u00e7in terminal transferaz floresein-dUTP nick u\u00e7 etiketleme deneyi yap\u0131ld\u0131.<\/p>\n

Bulgular<\/strong>: A, B ve C gruplar\u0131nda, 2.0 cm e\u015fkenar \u00fc\u00e7gen \u015feklindeki kompozit greftlerin ortalama greft sa\u011fkal\u0131m\u0131 s\u0131ras\u0131yla% 65.43 _% 15.7,% 78.12 _% 12.8 ve% 41.31 _% 37.4 idi (P = 0,0364).<\/p>\n

Sonu\u00e7lar<\/strong>: PRP \u00f6n tedavisi, epitel rejenerasyonunu ve fibrozunu art\u0131rarak, neovask\u00fclarizasyonu ind\u00fckleyerek ve apoptoz oranlar\u0131n\u0131 d\u00fczelterek 2.0 cm e\u015fkenar \u00fc\u00e7gen greftlerinde kompozit greft sa\u011fkal\u0131m\u0131n\u0131 h\u0131zland\u0131rd\u0131.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon odd” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.19.4″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2013<\/p>\n

Kraniyofasiyal Cerrahi Dergisi<\/h4>\n

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Y\u00fczey Alan\u0131nda Cilt Eksikliklerinin \u00d6ng\u00f6r\u00fclmesi Kulak Rekonstr\u00fcksiyonunda ve Yeti\u015fkin Kulak Y\u00fczey Alan\u0131 Normlar\u0131nda \u00d6l\u00e7\u00fcmler<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” global_colors_info=”{}”]<\/p>\n

Kulak rekonstr\u00fcksiyonu plastik cerrahi prati\u011finde en zorlu prosed\u00fcrlerden biridir. \u0130yi telaffuz edilmi\u015f bir \u00e7er\u00e7eve olu\u015fturmak i\u00e7in literat\u00fcrde bir\u00e7ok \u00e7al\u0131\u015fma ve teknik tan\u0131mlanm\u0131\u015ft\u0131r. Bununla birlikte, k\u0131k\u0131rdak \u00e7er\u00e7evesi kadar \u00f6nemli olan, \u00e7er\u00e7evenin bol miktarda hassas cilt kaplamas\u0131d\u0131r. Bu raporda, sa\u011fl\u0131kl\u0131 kulaktan olu\u015fturulan \u00fc\u00e7 boyutlu bir \u015fablondan kulak kep\u00e7esinin cilt y\u00fczey alan\u0131n\u0131 \u00f6l\u00e7mek i\u00e7in yenilik\u00e7i bir y\u00f6ntem sunuyoruz. \u00c7al\u0131\u015fma grubu rastgele se\u00e7ilen 60 yeti\u015fkin T\u00fcrk bireyden (30 erkek ve 30 kad\u0131n) olu\u015fmaktad\u0131r. Kat\u0131l\u0131mc\u0131lar\u0131n ya\u015flar\u0131 18 ile 45 aras\u0131nda de\u011fi\u015fmektedir (ortalama 31.5 y\u0131l) ve travma veya konjenital anomali \u00f6yk\u00fcs\u00fc yoktu. \u015eablon, kula\u011f\u0131 estetik alt birimlere b\u00f6lerek ve gerekli toplam cilt y\u00fczey alan\u0131 miktar\u0131n\u0131 tahmin etmek i\u00e7in ImageJ yaz\u0131l\u0131m\u0131 kullan\u0131larak olu\u015fturulur. Kulak kep\u00e7esinin rekonstr\u00fcksiyonu kulak kep\u00e7esinin ayr\u0131nt\u0131lar\u0131n\u0131 sa\u011flamak i\u00e7in deneyim ve sab\u0131r gerektiren karma\u015f\u0131k bir s\u00fcre\u00e7tir. Bu tahminin, kulak rekonstr\u00fcksiyonu ile ilgilenen sakinler ve cerrahlar i\u00e7in \u00f6\u011frenme e\u011frisini k\u0131saltaca\u011f\u0131na ve T\u00fcrk erkek ve kad\u0131nlar i\u00e7in toplam kulak derisi y\u00fczey alan\u0131 \u00f6l\u00e7\u00fcmlerinin bir referans listesini sa\u011flayarak cerrahlar\u0131n iyi \u015fekillendirilmi\u015f k\u0131k\u0131rdak \u00e7er\u00e7evelerinin \u00fczerini \u00f6rtmek i\u00e7in yeterli cilt elde etmelerine yard\u0131mc\u0131 olaca\u011f\u0131na inan\u0131yoruz. .<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ module_class=”timeline-item speak-soon even” _builder_version=”4.16″ _module_preset=”04b27d97-83c6-4bbe-87a2-d1a8dd0c6e36″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”90%” max_width=”80%” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”col-date” _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Speak Date \/ Location” module_class=”tm-date” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” header_font=”||||||||” header_4_font=”Poppins||||||||” global_colors_info=”{}”]<\/p>\n

2012<\/span><\/p>\n

Kraniyofasiyal Cerrahi Dergisi<\/h4>\n

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Diskoid Lupus Eritematozuslu Bir Hastada \u015eiddetli Simetrik Y\u00fcz Lipoatrofisi<\/h3>\n

[\/et_pb_text][et_pb_text admin_label=”Speak Description” module_class=”tm-desc” _builder_version=”4.16″ _module_preset=”default” text_font=”Open Sans||||||||” link_font=”||||||||” link_text_color=”#00a99d” global_colors_info=”{}”]<\/p>\n

Edinilmi\u015f k\u0131smi lipodistrofi nadir g\u00f6r\u00fclen bir hastal\u0131kt\u0131r ve y\u00fcz, boyun, g\u00f6vde ve \u00fcst ekstremitelerde deri alt\u0131 ya\u011f bulunmamas\u0131 ile karakterizedir. Edinilmi\u015f k\u0131smi lipodistrofinin etiyolojisi skleroderma ve diskoid lupus eritematozusu i\u00e7erir. Literat\u00fcr taramas\u0131, bug\u00fcne kadar diskoid lupus eritematozusun ba\u015flamas\u0131na ba\u011fl\u0131 olarak veya sonras\u0131nda lipoatrofisi olan 10 hastay\u0131 i\u00e7eren \u00e7al\u0131\u015fmalar\u0131 ortaya koymaktad\u0131r; hepsi kad\u0131n hasta. Progresif simetrik y\u00fcz lipoatrofisi olan gen\u00e7 bir erkek hastaya rapor sunmak istiyoruz. Ek olarak diskoid lupus eritematozus ve \u00e7\u00f6lyak hastal\u0131\u011f\u0131 var. Tedavi i\u00e7in ya\u011f a\u015f\u0131lama ve adjuvan oral koenzim Q10 tabletleri (Deka-none; Deka \u0130la\u00e7, \u0130stanbul, T\u00fcrkiye) uyguland\u0131. Bildi\u011fimiz kadar\u0131yla, bu olgu literat\u00fcrde \u00e7ok belirgin periorbital lipoatrofi ve bitemporal bo\u015fluk belirtileri olan simetrik y\u00fcz lipoatrofisi ile ba\u015fvuran ilk erkek hastay\u0131 i\u00e7ermektedir.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

2019 Plastik cerrahi tarihiU\u00e7 Takviye Klapesi Burun Ucu Deste\u011fi ve Tan\u0131m\u0131n\u0131 Geli\u015ftirmek i\u00e7in Orijinal Bir TeknikArkaplan: Orta crura destek eksikli\u011fi ve k\u0131sa orta crura genellikle ucun yetersiz tan\u0131m\u0131na ve projeksiyonuna neden olabilir ve bazen d\u00fcz bir uca neden olabilir. Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, orta cruray\u0131 g\u00fc\u00e7lendirmek ve iyi tasarlanm\u0131\u015f ve tan\u0131mlanm\u0131\u015f bir u\u00e7 elde etmek i\u00e7in […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2271,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-2275","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.drfatihirmak.com\/de\/wp-json\/wp\/v2\/pages\/2275","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drfatihirmak.com\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.drfatihirmak.com\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.drfatihirmak.com\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drfatihirmak.com\/de\/wp-json\/wp\/v2\/comments?post=2275"}],"version-history":[{"count":1,"href":"https:\/\/www.drfatihirmak.com\/de\/wp-json\/wp\/v2\/pages\/2275\/revisions"}],"predecessor-version":[{"id":4031,"href":"https:\/\/www.drfatihirmak.com\/de\/wp-json\/wp\/v2\/pages\/2275\/revisions\/4031"}],"up":[{"embeddable":true,"href":"https:\/\/www.drfatihirmak.com\/de\/wp-json\/wp\/v2\/pages\/2271"}],"wp:attachment":[{"href":"https:\/\/www.drfatihirmak.com\/de\/wp-json\/wp\/v2\/media?parent=2275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}