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Biomedical subjects

Emrah Arslan

Publications and source records attributed to Emrah Arslan.

26 records · Page 2Linked to original sources
PubMed2003

Versatile anterolateral thigh perforator flap: case of tailored reconstruction for a large temporal and parotidectomy defect.

Perforator flaps have introduced an advance in microsurgical reconstruction, by allowing the design of flaps that are tailored for a specific defect. In this report, the reconstructive technique in a case of temporal squamous-cell carcinoma is presented as an example of this trend. Following wide resection of the skin tumor, superficial parotidectomy was performed as a part of the lymph-node dissection. An anterolateral thigh perforator flap was harvested, including a segment of the vastus lateralis muscle in connection with the skin perforators, to reconstruct both the skin defect and the parotidectomy-related soft-tissue deficit. The muscle segment was reinnervated by the greater auricular nerve to diminish atrophy. The aesthetic result was satisfactory. Minor's starch-iodine test demonstrated prevention of Frey's syndrome. The anterolateral thigh flap is a versatile donor that allows individual variations in design for custom-made flaps.

Carcinoma, Squamous Cell↗
PubMed2003

Poland's syndrome with rare deformities: reconstruction with latissimus dorsi muscle through a single short incision.

We describe a 22-year-old man with Poland's syndrome and two other rare deformities which, to our knowledge have not been reported previously. The first deformity was a fibrotic band between the nipple-areola complex and the medial epicondyle of the humerus, and the second was a fifth digit with two phalanges. A single midaxillary vertical incision was used to harvest and then transfer the latissimus muscle for soft tissue reconstruction of the chest wall deformity. Almost complete symmetry was achieved and the scar was well hidden by the arm. The aesthetic and functional results were satisfactory.

Adult↗
PubMedDate not supplied

Unilateral brachial plexus injury occurring after reduction mammaplasty.

A left neuropraxic brachial plexus injury was seen after reduction mammaplasty. The clinical signs of plexopathy were noted in the very early postoperative period. The partial axonal damage was heavy in the upper and posterior branches and moderate in the medial branch of the plexus. The hyperabduction of the upper extremity during the surgery was thought to be the main cause. With a close followup and extensive physiotherapy, in addition to B complex vitamins, a full recovery was achieved at the end of the tenth week.

Adult↗
PubMedDate not supplied

Augmentation rhinoplasty with a combination of triple cartilage grafts for secondary rhinoplasty in a middle-aged population.

Because of physiologic changes with advancing age as well as previously traumatized and then healed tissues, secondary rhinoplasty for a middle-aged patient is a challenging procedure. Depending on both factors, changes in the midvault can cause a functional airway disorder, and the nose also may need a complete correction for cosmetic purposes. To achieve aesthetic and functional outcomes, augmentation rhinoplasty using a combination of triple cartilage grafts, namely, spreader, columellar, and dorsal onlays, was performed for 12 patients. Sufficient nasal airways with satisfactory appearance were achieved for 11 of 12 patients. Only one patient had improved but still insufficient nasal function with a good aesthetic result. Augmentation rhinoplasty using a combination of triple cartilage grafts for middle-aged patients could be considered an effective procedure for improving the patient's nasal airway and appearance.

Age Factors↗
PubMedDate not supplied

Eyelid ptosis associated with an undetected foreign body and a remote entrance wound.

A 12-year-old girl presented with ptosis 10 days after falling onto glass that penetrated the frontotemporal region. The immediate ptosis and palpable mass was attributed to an undetected foreign body. CT demonstrated a radiopaque foreign body. During surgery, the foreign body removed was found to be a piece of glass from a soda bottle. The ptosis resolved completely within the next 2 weeks. A retained foreign body should be considered in any case of prolonged ptosis after penetrating ocular trauma, even when the entrance wound is remote.

Accidental Falls↗
PubMedDate not supplied

[The need for successive free flap applications for soft-tissue reconstruction in a case with recurrent oral carcinoma].

A case of difficult oncologic oral reconstruction is illustrated, in which soft tissue deficits resulting from failure of conventional techniques were treated by successive free tissue transfers. A thirty-eight-year-old man presented with squamous cell carcinoma in the right retrotrigonal region. The tumor was resected and the defect was reconstructed with the use of a tongue flap and skin graft. However, trismus occurred following radiotherapy, which was released by the help of a radial forearm free flap. The patient developed local recurrence several months later and right hemimandibulectomy, total maxillectomy, and hemiglossectomy were performed. The resulting en bloc defect was reconstructed by a free fibula osteocutaneous flap combined with a pedicled extended pectoralis major myocutaneous flap. The pectoralis flap was complicated by partial necrosis resulting in a large orocutaneous fistula and oral commissure incompetence. As the source of either a local or regional flap was inadequate, an anterolateral thigh myocutaneous free flap was used to fill the maxillary defect. No complications were encountered associated with free tissue transfers and the patient was able to take a soft diet three weeks after the final procedure.

Adult↗