Repair of proboscis lateralis

WOS: 000229548900010PubMed: 16019753We report an 8-year-old girl presented with a proboscis on the right nasal nostril, right heminasal hypoplasia, hypertelorism, and cleft lip and palate on the other side. After repair of the cleft lip and palate and the hypertelorism, we succesfully reconstructed the heminose with a V-Y advancement flap containing the proboscis tube

The effects of human amniotic membrane on silicone related capsule formation in rats

Silicone breast implants are commonly used materials in plastic surgery for breast augmentation and reconstruction and the most severe complication of silicone implants are capsule contraction which occurs in 40% of patients. The aim of our study is to evaluate how the amniotic membrane alters the capsule formation effects of silicone 24 wistar rats were used in the study. We placed a bare silicone block into the left side (Subgroup A) and single layer amniotic membrane coated silicone block into the right side (Subgroup B) of the rats back. The rats were then separated into three groups and in group 1 rats were euthanized after 3 weeks, in group 2 after 12 weeks and in group 3 after 24 weeks. Then capsule thickness, fibroblast and lymphocyte cell counts were evaluated for each sample. In Group 2 and group 3, the capsule thickness in Subgroup B was detected to be statistically significantly lower than that in Subgroup A. In Group 1, 2, and 3, the lymphocyte count in the capsule tissue taken from Subgroup B was lower than Subgroup A but the difference was not statistically significant. In Group 2 and 3, the fibrocyte count detected in the capsule tissue in Subgroup B was found to be statistically significantly lower than Subgroup A. the amniotic membrane was demonstrated to reduce capsule thickness by the antifibrinolytic effect in our study

Surgical Treatment of Prominent Ear: 5-Year Clinical Experience in 108 Patients

Objective: Prominent ear is a congenital ear deformity that is commonly seen in society and has psychosocial effects. A prominent ear deformity can be due to antihelical fold underdevelopment, concave structure overdevelopment, and lobule overgrowth. Material and Method: In total, 108 patients who underwent autoplasty at our clinic between October 2010 and October 2015 were retrospectively evaluated. These patients were comprised of 63 women and 45 men between the ages of five and 42 years (average age, 18.4 years). Among the 108 patients, 105 had a bilateral prominent ear and three had a unilateral prominent ear. Results: Cephaloauricular angle measurements of patients before the operation ranged from 46 to 57-degree. The median cephaloauricular angle was 51-degree. The recorded upper pole-to-mastoid distance ranged from 15 to 27 mm. The median upper pole-to-mastoid distance was 20 mm. After the operation, the median upper pole-to-mastoid distance was 12 mm. The postoperative median cephaloauricular angle was 27-degree. The average follow-up duration was 18.4 months (range, 3–24 months). Two patients developed hematoma in the early postoperative period. In the late postoperative period, one patient had suture exposition, one had recurrence, six had cold intolerance, one had a bad scar, and one had a telephone ear deformity. Conclusion: Today, autoplasty is one of the most commonly practiced aesthetic operations performed by plastic surgeons. Favorable results can be achieved in remedying the anatomical problems when proper problem-oriented surgical treatments are used. In particular, in early aged patients, it is known that good cosmetic results and important psychological improvement are provided by these procedures

Management of Hand Burns

Objective: The hand is one of the most frequently affected body parts by burn injuries with a rate of 80% among all burn wounds. Early and effective treatment ensures the best chance of survival as well as a good functional prognosis. The aim of this study was to determine the epidemiology, variation, relationship between etiology and hospital stay, clinical features, and management of hand burns. Material and Methods: This retrospective study was conducted the University of Health Sciences; Şişli Hamidiye Etfal Application and Research Center, Departmant of Plastic, Reconstructive and Aesthetic Surgery and the Intensive Burn Care Unit between April 2009 and April 2014. Burns were assessed based on etiology, anatomical location, percentage of total body surface area affected, and depth of injury. Treatment was categorized as conservative, elective operative, or urgent operative. Results: In the study period, 788 patients were admitted to our Burn Unit. Of these, 240 were females (30.5%) and 548 were males (69.5%). The most common type of burn injury in this study was thermal injury (695 cases; 88.2%), followed by electrical injury (67 cases; 8.5%), and chemical, frictional or unknown injuries (26 cases; 3.3%). Majority (more than 85%) of the patients had second-degree burns, and some had third-degree burns. Conclusions: Burns commonly affect the hands, and many functional problems may develop if appropriate basic treatments are neglected. The best treatment for burns is prevention. Appropriate indoor arrangement and simple but effective measures that can be taken at home can significantly reduce burn trauma exposure

Giant Basal Cell Carcinoma of the Lumbosacral Region: A Case Report and Literature Review

Objective: Although frequently regarded as a low grade malignancy, basal cell carcinoma (BCC) sometimes shows aggressive behavior. Giant BCC is defined as a lesion  greater then 5 centimeter. Material and Methods: The authors described the diagnosis and treatment protocol of giant BCC, involving lumbosacral region without any local or distant metastasis. Also the authors went through a thorough a retrospective literature research of giant BCCs in terms of frequency and treatment. Results: Giant BCCs are biologically more aggressive; however, patient’s negligence is a key factor for the tumor size. İnternational medical database (PubMed) search reveals 253 giant BCCs with the most commonly seen site as the face and back area. However perianal BCCs are seen lower then 1%. Conclusion: In general, diagnosed giant BCCs account for  lower then 1% of all BCCs. One must keep in mind this diagnosis to discard the metastasis rate among BCCs

Plastic Surgery as a Problem-solving Surgery

Objective: Plastic surgery is not confined to a specific organ system. As it can be performed along with other specialties, it is a custom to ask for the opinion of plastic surgeons in various situations. Under academic and medicolegal restrictions, professional opinions are demanded via “consultations.” Material and Methods: In this study, consultations in 2014 asked from a plastic surgery clinic of an education and research hospital are retrospectively reviewed. Results: During 2014, from a total of 46,277 inpatients, 1124 consultations to the plastic surgery clinic were documented. The total number of patients who consulted was 438. Conclusion: In light of this situation, we believe that the curriculum of interclinical rotation programs should be re-evaluated and reshaped