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Ayhan Numanoğlu

Publications and source records attributed to Ayhan Numanoğlu.

8 recordsLinked to original sources
PubMed2005

Patients' and surgeons' perspectives on the scar components after inferior pedicle breast reduction surgery.

BACKGROUND: Scarring is the most frequent cause of dissatisfaction both for the surgeons and for the patients in breast reduction surgery. Some of the techniques used today use the classic inverted T scar. An inverted T scar is a combination of three separate scars (periareolar, vertical, and inframammary). To the authors' knowledge, no study has investigated the cosmetic outcome of these three scar components separately. The aim of this study was to determine the surgeons' and patients' perspectives on the cosmetic outcome of these three scar components. METHODS: A total of 19 patients who had inferior pedicle reduction mammaplasties were included in the study. The patients' perspectives on their reduction mammaplasty scars and the surgeons' evaluations of scar hypertrophy, widening, and color match were assessed by Likert scales. RESULTS: Patient evaluations revealed that periareolar scars were the most pleasing, whereas the inframammary scars were the least pleasing. Surgeon evaluations revealed no significant difference in scar hypertrophy, color match, or widening for the three scar components. However, the vertical scar had a tendency to widen and the inframammary scar color tended to match poorly. CONCLUSIONS: In this study, patients were most pleased with the periareolar scars and least pleased with the inframammary scars. Surgeons need to find ways of getting rid of the inframammary scar and should also deal with vertical scar widening. Scar hypertrophy was not a problem in this patient population.

Adult↗
PubMed2005

Comparison of preoperative anxiety in reconstructive and cosmetic surgery patients.

Surgery is a serious stressor and a cause of anxiety for the patients. Reconstructive surgery patients are mostly operated on because of certain functional impairment or disability; on the contrary, cosmetic surgery patients do not have any physical impairment and they are operated on because of mostly psychologic reasons. The aim of this study was to compare the anxiety levels in the reconstructive surgery patients and cosmetic surgery patients preoperatively. Thirty-two patients in the reconstructive surgery group and 30 patients in the cosmetic surgery group were included in the study. State Trait Anxiety Inventory was used to measure the anxiety levels in these 2 groups preoperatively. The 2 groups were similar in characteristics such as age, gender distribution, number of previous operations, and trait anxiety scores. Mean state anxiety scores obtained for the reconstructive surgery group was 38.0 +/- 8.7, while it was 44.2 +/- 10.79 for the cosmetic surgery group (t test, degrees of freedom = 60, P = 0.015). This study reveals that preoperative anxiety levels in the cosmetic surgery patients are higher than those of the reconstructive surgery patients. Therefore, adequate preoperative preparation for cosmetic surgery should include attempts to cope with anxiety. Anxiolytics may be used more liberally and professional psychologic assistance may be required.

Adult↗
PubMed2003

Reconstruction of the weight-bearing surface of the foot with nonneurosensory free flaps.

Neurotized fasciocutaneous flaps and split-skin grafted muscle flaps are the most frequently used free flap alternatives for the reconstruction of weight-bearing surfaces of the foot. An objective comparison of the innate characteristics of these two flap types, with respect to long-term stability, has not been possible because sensory reinnervation in the fasciocutaneous flaps has been a confounding factor. This study compares nonsensate fasciocutaneous flaps (n = 9) with nonsensate split-skin grafted muscle flaps (n = 11), with mean follow-up periods of 34.3 and 31.3 months, respectively. Patients completed a form that included questions regarding degree of pain at the operative site, presence of ulcers, ability to wear normal shoes, employment status, and time spent standing on foot. Touch and deep sensation were evaluated with Semmes-Weinstein and vibration tests, respectively. Significantly less pain and less ulceration (p < 0.05) were observed in the fasciocutaneous group. Semmes-Weinstein monofilament tests revealed poorer results with split-skin grafted muscle flaps, compared with fasciocutaneous flaps. These results indicate that even if the sensory protection of fasciocutaneous flaps is not considered, these flaps have superior properties, compared with split-skin grafted muscle flaps.

Adolescent↗
PubMed2002

Medial pedicled orbicularis oculi flap.

Resurfacing of the medial canthal region and bony nasal dorsum is a problem frequently encountered after tumor excisions. Traditional flaps used in this region from the glabellar and frontal areas are bulky, and donor site scar may be unsightly. A medial pedicled orbicularis oculi myocutaneous flap is an alternative. A total of 12 flaps have been used to resurface the defects secondary to basal cell carcinoma excisions, with a mean follow-up of 10 months. All flaps survived. The flap elevation is easy and fast, and the flap can be extended to the contralateral site when needed. The skin match is good and donor morbidity is minimal.

Aged↗