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Zeynep Aytug

Publications and source records attributed to Zeynep Aytug.

6 recordsLinked to original sources

Behavior of the different implant materials in acute infection and efficacy of antibiotherapy: experimental study in rats.

In this study, we propose a comparison of the behaviors of four different implant materials in case of acute infection: expanded polytetrafluoroethylene (e-PTFE), porous high density polyethylene (PHDPE), silicone, and autogenous cartilage tissue. The efficacy of prophylactic and therapeutic antibiotic therapies was also investigated in a rat model as four groups: group A, acute infection and no antibiotic therapy (n = 24); group B, acute infection and prophylactic antibiotic therapy (n = 24); group C, acute infection and therapeutic antibiotic therapy (n = 24); and control, no infection and no antibiotic therapy (n = 24). All materials with dimensions of approximately 1 x 1 cm(2) diameter were implanted separately under the dorsal skin of rats. Staphylococcus aureus was used as the infectious agent and antibiotic therapy was done with seftriaxone (Desefin, I.M., 20 mg/kg/day). Tissue specimens were obtained on postoperative days 14 and 21. Semiquantitative and qualitative alterations existing in the connective tissue neighboring the implant material (reaction zone-capsule tissue), fixation to the host tissue, cellular ingrowth (interstice qualitatively), and infection signs were assessed either macroscopically or microscopically. In group A, all materials were affected negatively that led to continuous regression in the wound healing process. Fixation of the cartilage to the surrounding tissue was weak compared with other groups. Fibrovascular tissue ingrowth in porous implants was delayed, and no regular capsule formation was observed around silicone implants. In group B, outcomes were similar to control groups. Porous materials showed tissue ingrowth into the pores as good as the control group. Regular capsular tissue formed around the silicone implants and cartilage tissues. In group C, where silicone had been used, wound healing was not as good as in group B and the control group. In the e-PTFE group, the granulation tissue forming through the pores did not show a good quality as the control group, and capsule formation around the material was irregular, leading to insufficient fixation. While the wound healing properties of the PHDPE group were not as good as the control group, there was no difference in terms of fixation to the wound bed. On the other hand, wound healing of the cartilage group was as satisfying as the control group.

Animals↗

Periocular metatypical cell carcinoma: clinicopathologic correlation, management, and follow-up in 35 patients.

BACKGROUND: To present the clinical characteristics and treatment outcomes in a relatively large series of patients with periocular metatypical cell carcinoma. METHODS: This is a retrospective study of 35 patients with periocular metatypical cell carcinoma, who were seen between January 2000 and December 2004 in Izmir Ataturk Research and Training Hospital, Turkey. The patients were histologically confirmed metatypical cell carcinoma with radiologic evidence of periocular region. The main outcome measures were patients' demographics, duration of tumour, clinical presentation, tumour site, treatment modalities, recurrence rate and tumour-related exenteration. Statistical comparisons between the nonrecurring group and recurring group were completed using the Cox regression analysis and the log rank test. Significance was determined for all statistical tests as pé 0.05. RESULTS: The median age of patients at time of diagnosis was 61 years. The most common site for metatypical cell carcinoma was medial canthus and lower eyelid region. The median follow-up for all patients was 18 months. The average length of time until recurrence was 13 months. Five of the 35 patients received adjuvant therapy to the primary tumour site after excision. Signs suggestive of orbital involvement included bone fixation of the mass, limitation of ocular motility and globe displacement. The early lack of diagnostic criteria for metatypical cell carcinoma created considerable debate and confusion regarding its diagnosis. We believe that once this diagnosis is made, the treatment modality should be individualized and chosen with consideration of the extent of orbital involvement, visual function, and the patient's general health.

Adult↗

An alternative treatment for postburn microstomia treatment: composite auricular lobule graft for oral comissure reconstruction.

Microstomia is one of the most distressing results of burn. In this article, two cases presenting with microstomia following burn injury were revealed. In these patients, perioral and commisure defects due to burn were severe. The commissuroplasties were performed with a composite graft harvested and reshaped from the ear lobule. The oral aperture was evaluated before and after the operation and the patients were followed-up for two years. As a result, the opening was nearly normal without the help of a splint. Functional recovery were satisfactory as the incidence of drooling disappeared. Both patients were satisfied with the end results since their quality of life increased significantly.

Burns↗

Various applications of chondrocutaneous composite grafts in secondary cleft lip nose patients.

Composite chondrocutaneous grafts were applied to 12 patients in various forms to repair the columellar deficit, to form the nasal tubercle and nostril sill in cleft lip nose patients. Cleft lip-nose deformity patients with alar cartilage hypoplasia, obtuse angulation of the medial and lateral crura and the resulting plica vestibularis, internal nasal valve problems associated with the weakness of upper lateral cartilages are included in this study and composite conchal cartilage grafts are utilized to achieve a symmetrical and functional result.

Adolescent↗