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Biomedical subjects

Ramazan Erkin Unlü

Publications and source records attributed to Ramazan Erkin Unlü.

18 recordsLinked to original sources
PubMed2006

Transfer of innervated split latissimus dorsi free musculocutaneous flap for flexion and extension of the fingers.

A severe form of Volkmann contracture is associated with loss of flexor and extensor compartment muscles. An 11-year-old boy with Volkmann contracture was admitted to our clinics with flexion contracture of the wrist joint and total loss of flexor and extensor muscle functions. Split latissimus dorsi free flap was used for reconstruction. The muscle was split based on the branching of thoracodorsal nerve and artery within the muscle so that each part of the muscle is nourished and innervated by a branch of thoracodorsal nerve and artery. No complication has occurred, and the patient can now grasp objects, although he cannot achieve full range of motion of the fingers. We performed a single muscle transfer for reconstruction of both the extensor and flexor compartments in severe form of Volkmann contracture and omitted the use of a second muscle transfer, thus greatly decreasing the operative time, cost, and morbidity.

Child↗
PubMed2006

Clinical experiences with a new tourniquet device.

Cessation of blood flow to the extremity improves the comfort of the surgeon. So pneumatic tourniquets are commonly used to obtain a bloodless field during upper- and lower-extremity surgery despite the several problems that tourniquet pressure may lead to. In this paper, we present our clinical experiences with a new tourniquet device called S-MART (OHK Medical Devices, Haifa, Israel) and compared the device with the traditional pneumatic tourniquet in terms of efficacy and complications. A total of 30 patients were included in the study. Preoperative systolic blood pressure measurements were obtained, and patients with a systolic blood pressure >190 mm Hg were excluded. S-MART was used in stead of pneumatic tourniquet in half of the patients in group 1. Pneumatic tourniquet was applied to the patients in group 2. The patient groups were compared. No major complications were observed in either group. But it was observed that S-MART was unsuccessful to maintain a bloodless field during the whole operative procedure in some of the cases. In conclusion, application of S-MART is practical, provides bloodless field for a certain time, and does not increase the complication rate related with the pressure applied to underlying tissues, but it is not a suitable tourniquet device for long surgical procedures.

Adult↗
PubMed2006

Delayed assessment of the nasolacrimal system at naso-orbito-ethmoid fractures and a modified technique of dacryocystorhinostomy.

Nineteen patients between 8 and 65 years of age (mean age 32) who were treated for naso-orbito-ethmoid area traumas and suffering from epiphora were evaluated. The time after the trauma was at least 4 months. The patients were divided into two groups. The first group consisted of 10 (52.7%) patients who have undergone a surgical procedure for the fractures before. The second group has 9 (47.3%) members who have never been surgically treated after trauma. All of the patients were evaluated with dacryocystography. Obstruction was found to be in the bony nasolacrimal canal in 13 (68.4%) patients. The nasolacrimal canal was intact in six (31.6%) of the patients. Dacryocystorhinostomy (DCR) was essential for five (50%) of the patients in the first group and eight (88.8%) of the patients in the second group. No additional surgical intervention was carried out for nasal deformities of the patients resulting from naso-orbito-ethmoid fractures. Palpebral malposition was present in six (32%) patients. Relief in tear flow was supplied in all patients. Our aim is to compare the outcomes of a modified technique of DCR and incidence of nasolacrimal system injury in patients with naso-orbito-ethmoid fractures and epiphora on whom reduction was or was not carried out. In conclusion, early surgical reduction of naso-orbito-ethmoid fractures should be performed to prevent problems and deformities of the nasolacrimal system.

Adolescent↗
PubMed2006

Unusual and giant tumors of head and neck region.

Head and neck tumors can reach to massive dimensions if patients are uneducated and ignorant about the disease. Resection of such giant tumors creates a significant functional and aesthetic loss due to proximity of vital structures in head and neck region. Reconstruction of these complex defects is a demanding procedure and postoperative results are not always excellent in terms of function and aesthetics. We have reviewed a group of patients with giant head and neck tumors treated in our department. Postoperative results were evaluated in terms of function and aesthetic appearance. Postoperative functional results were good in most of the patients and aesthetic results were acceptable. Early diagnosis and excision of the tumors in head and neck region decrease the morbidity of the disease. Treatment should be planned on individual basis. Most of the patients with head and neck tumors are elderly patients with additional medical problems so reconstructive procedures should be selected by taking this in consideration. Complex and long-lasting operations should be reserved for young patients.

Adult↗
PubMed2006

Two extreme conditions of xeroderma pigmentosum.

Two atypical cases of xeroderma pigmentosum are reported. One of these cases with lung metastasis of squamous cell carcinoma in the first decade of life and the other with late onset disease (XP) in fifth decade of life. Lung metastasis of squamous cell carcinoma in first decade of life in patients with xeroderma pigmentosum has never been reported in the literature to our knowledge. Late onset of the disease in fifth decade is also a rare condition. Clinicians should be more alert for the internal organ metastases to improve the survival of the patients and should never forget that xeroderma pigmentosum has got a wide range of clinical presentation.

Carcinoma, Squamous Cell↗
PubMed2005

An unusual complication of condylectomy: fracture of the temporal bone and intratemporal facial paralysis.

The incidence of temporomandibular joint (TMJ) ankylosis appears to be decreasing with the increased socioeconomic status of society. The intraoperative complications were reported to be few, the most dangerous of which are facial nerve injury during the extended preauricular incision and maxillary artery injury during condylectomy. The authors report a case of fracture of the temporal bone tearing the intratemporal portion of the facial nerve, resulting in a total facial nerve paralysis.

Ankylosis↗
PubMed2005

[Crush injuries of the hand.].

BACKGROUND: To carry out a pilot study on the epidemiology of the crush injuries of the hand in our country and to obtain valuable data that will be used for construction of a protective program in the future. METHODS: 124 patients with crush hand injuries were observed retrospectively based on medical records in terms of age, sex, field of work, parts of body affected by the injury, mechanism and underlying causes of the injury RESULTS: Most of the patients were in 0-18 year- age group and inserting the hand into the working machine was the leading cause of injuries. Eighty seven male (70,16% ) and 37 (29,84 %) female patients were included in the study. Most of the patients (44,1%) were working in wood industry at the time of the accident. Interestingly only one hand of all patients were injured. Most commonly injured finger was the middle finger. Most commonly encountered pathology was the tendon laceration in injured fingers. CONCLUSION: Most of the cases were due to lack of attention and education and could be prevented by simple precautions and by wide-spread work education programs leading to a marked decrease in health expenses and loss of man power.

Adolescent↗
PubMed2003

The psychiatric view of patients of aesthetic surgery: self-esteem, body image, and eating attitude.

The patient who presents for aesthetic surgery possesses various demands depending on the characteristic properties of the individual. Evaluation of self-esteem, body image and eating habits in patients of aesthetic surgery could help in understanding patients and their demands. We performed Rosenberg Scale Test for evaluation of self-esteem on 98 patients who presented for any kind of aesthetic surgery. Seventy-five patients who required no operation for body fat tissue were give body imaging scale and eating attitude scale tests. The results of the tests revealed an increase in the self-esteem of the patients, but it was not statistically significant. There was a minor disturbance in the body imaging scale without any statistical significance ( p > 0.05). The eating attitude of the patients indicated a disturbance with a ratio of 10% ( p < 0.01), and these patients were referred to psychiatrists. Even if patients of aesthetic surgery have no disorder in the perception of their body images, they reflect their aesthetic problems in their eating attitude; however they have no problem in the fat tissue distribution of their body. The aesthetic imperfection could impede the normal daily life of a patient and adaptation to the social life, and this defect is a health problem that should be solved as soon as possible.

Adult↗
PubMed2003

Hair dresser's syndrome: a case report of an interdigital pilonidal sinus and review of the literature.

BACKGROUND: Hair dresser's disease is produced by short hairs that penetrate the interdigital spaces of the hand. OBJECTIVE: A case and review of the literature of pilonidal sinus in the interdigital web are reported. METHODS: Surgical excision and secondary healing are the preferred methods of treatment to prevent recurrence. We have performed a rotation flap for the defect formed after excision. RESULTS: The patient was not hospitalized, and postoperative patient comfort prevention of the recurrences was achieved. CONCLUSION: This acquired occupational disease is rare and preventable. The personal hygiene and use of protective barrier creams or gloves could prevent the formation of the disease.

Beauty Culture↗
PubMedDate not supplied

Long-term results of ultrapulsed carbon dioxide laser resurfacing of the Mediterranean face.

BACKGROUND: In Mediterranean countries, increased exposure to sunlight accelerates aging of the skin and the formation of wrinkles. The long-term follow-up results for the patients who underwent resurfacing with ultrapulsed carbon dioxide (CO(2)) laser are presented. METHODS: All 47 patients who underwent ultrapulsed CO(2) laser between 1994 and 1996 were included in the study. The patients were photographed with their permission before the laser treatment, at postoperative month 6, and at year 5, with comparison of the results. RESULTS: In this study, with its 5-year follow-up period, it was found that the ultrapulsed CO(2) laser achieved long-lasting and acceptable facial resurfacing. CONCLUSIONS: The ultrapulsed CO(2) laser enables damage to the abnormal dermal region with high-energy transfer in a very short period. The recent development of high-energy pulsed CO(2) laser has generated much renewed enthusiasm for cutaneous resurfacing, especially over the long term.

Adult↗