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Öğe Hypertrophic Frontal Sinus Reduction by Using Anterior Wall Internalization and Galeal Frontalis Flap Obliteration(Lippincott Williams & Wilkins, 2010) Yazıcı, İlker; Çavuşoğlu, Tarik; Karakaya, Esen İbrahim; Vural, Altughan Cahit; Vargel, İbrahimIn this article, we are introducing the use of galeal-frontalis flap to reduce hypertrophic sinus based on 1 case: a 25-year-old amateur boxer who had prominent frontal area due to hypertrophic frontal sinus. Three-dimensional reformatted computed tomography scans were obtained for evaluation of the hypertrophy and the morphology of the frontal sinus. Reduction of the hypertrophic frontal sinus was performed by resection and shaping of the anterior wall and obliteration of the frontal sinus by right-side galeal-frontalis flap excision via bicoronal approach. The trimmed anterior wall was inserted into the frontal sinus and secured with three 3.0 PDS sutures to the bone edges, and the incision was closed. The outcome was satisfactory without any complications during 1-year follow-up, and sixth-month computed tomography scans revealed no bone resorption. Here we are introducing a novel technique to reduce hypertrophic sinus based on a clinical report.Öğe Meridian Pedicle-Based Breast Shaping in Reduction Mammaplasty: A Technical Modification(Springer, 2013) Yazıcı, Ilker; Demir, Ünsal; Fariz, Sevin; Vural, Altughan Cahit; Karakaya, Esen İbrahim; Cavuşoğlu, Tarık; Vargel, İbrahimWe present a technical modification of vertical reduction mammaplasty which provides a reliable pedicle that can be used in large and highly ptotic breasts with confidence when compared to vertical mammaplasty techniques without sacrificing conical breast shape and projection, in contrast to Wise pattern reduction techniques. Thirty-two patients under general anesthesia were operated on using this modification between 2008 and 2012. The surgical technique is as follows: after general anesthesia induction and local anesthetic infiltration, skin incisions are made according to preoperative drawings. The breast meridian is prepared by superior and inferior plication of the vertical pedicle, including two dermal and one central attachment to the chest wall. Lateral and medial tissue resections are performed, thus preparing medial and lateral pillars after skin undermining. The pillars are sutured to the meridian to reconstruct a projectile conical breast shape. Inverted-T scar (87.5 %, n = 28) and vertical scar (12.5 %, n = 4) were used for closure. All patients were satisfied with the outcome regarding breast projection, shape, and size at 12 (n = 30) and 24 months (n = 15) after surgery except for 12 cases that needed reoperations: 2 cases for bottoming out and lower pole deformity, 2 cases needed more reduction by liposuction or re-excision, and 8 scar revisions. Early and late results (up to 2 years) regarding breast shape and projection were found to be satisfactory while providing a reliable pedicle with less postoperative drainage. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .Öğe Second toe-to-thumb transfer with transposition of the thumb stump to second finger(Elsevier Sci Ltd, 2013) Yazici, Ilker; Cavusoglu, Tarik; Karakaya, Esen Ibrahim; Vural, Altughan Cahit; Vargel, Ibrahim…Öğe Use of Gelfix (Lyophilized Type 1 Bovine Collagen) Pad Dressing for Split-Thickness Skin Graft Donor Area Management(Lippincott Williams & Wilkins, 2010) Yazıcı, İlker; Çavuşoğlu, Tarık; Karakaya, Esen I.; Vural, Altughan Cahit…Öğe Use of Triangulation Method in End-to-Side Arterial Microvascular Anastomosis(Lippincott Williams & Wilkins, 2009) Yazici, Ilker; Cavusoglu, Tarik; Comert, Ayhan; Vural, Altughan CahitIn this article, we present the use of triangulation for end-to-si I de microvascular arterial anastomosis. The classic end-to-side anastomosis starts by putting 2 Sutures 180 degrees apart to the lateral arteriotomy aperture that is parallel to the longitudinal axis. We are performing triangulation in end-to-side microvascular artery anastomoses by putting 3 Stay Sutures, securing 2 of them to visualize vascular lumen and reduce the risk of passing suture from the back wall. We have been using this method for the last 5 years and found that triangulation seems to be a safer technique to teach and practice end-to-side microvascular anastomosis.
