A Retrospective analysis of facial fracture etiologies and investigation of the relationship between fracture type and the etiology

The purpose of this study was to analyze retrospectively 196 patients whose facial fractures were treated in our clinic and to investigate the relationships between the severity score and fracture type and the etiology.Materials and methods: Totally 196 patients (155 males, 42 females, avarage age of 33,96 ) , who applied to the plastic surgery clinic of Haydarpaşa Numune Research and Training State Hospital during four years (2004-2007) period and were found at least one facial fracture in their maxillofacial bones after the radiological examination, have been evaluated in this study. One-way ANOVA test and Chi-square test were used for statistical analysis.Results: As a result of performed one-way ANOVA test, It is found that mechanism of trauma is important for estimation in severity score of facial injury (p0.05).Conclusion: Trauma mechanism was found as effective on fracture severity, however no relationship was found between etiology of trauma and fracture type

Autologous Fascia Graft as a Biological Barrier to Silicone Application in Rabbits

Objective: To determine the cellular effects of providing a fascial interface around subcutaneously-placed silicone implants, in terms of capsule thickness, myofibroblast/fibroblast cell count and inflammatory cell count

Our Anesthetic Results in Preterm Infants Undergoing Patent Ductus Arteriosus Ligation

Amaç: Patent duktusarteriozus (PDA) anomalisi olan prematüre infantlarda düşük doğum ağırlığı nedeniyle girişimsel güçlükler ve bronkopulmoner displaziye bağlı ventilasyon sorunları görülmektedir. Çalışmamızda, yüksek riskli olan bu hastalarda anestezik yaklaşım, hemodinami ve cerrahi süresince gelişebilen komplikasyonları inceledik.Gereç ve Yöntem: Hastanemizde pediyatrik Kalp Cerrahisi Kliniğinde PDA ligasyonu yapılacak 39 prematüre olgu hastane Bilimsel Kurul onayı ve hasta onamları sonrası çalışmaya alındı.Hastaların doğum haftaları, ağırlıkları, ek kardiyak patoloji ve nekrotizan enterokolit varlığı kaydedildi. Hemodinamik veriler, kan basıncı, kalp hızı, SaO2, NIRS ameliyat süresince izlendi, hipotansiyon, bradikardi, kanama gelişmesi gibi komplikasyonlar belirlendi. Bulgular: Hastaların ortalama doğum haftası 28.49±2.72, yaşları 24.02±6.35 gün ve ağırlıkları 924.43±30.70 g olarak kaydedildi. Cerrahi sırasında bradikardiye bağlı geçici hipotansiyon %25.6 oranında görüldü. Tartışma ve Sonuç: PDA ligasyonu yapılan prematü- re infantlarda anestezi sırasında geçici hipotansiyon, bradikardi ve oksijen satürasyonunda düşme riski mevcuttur. Düşük doğum ağırlıklı, konjestif kalp yetmezliği olabilen bu hastalarda anestezi yönetiminde, hemodinamik verilerin yakın takibinin önemli olduğu sonucuna vardık.Objective: In preterm infants with patent ductus arteriosus, due to low birth weight, interventional difficulties and ventilation problems caused by bronchopulmonary dysplasia are commonly observed. In this study, we analysed the anaesthetic approach, hemodynamics and surgical complications in these high risk patients.Material and Methods: After the approval of the scientific committee and the informed consent of the patients were obtained, 39 preterm patients scheduled for PDA ligation in our paediatric heart surgery clinic were enrolled in the study. Data related to birth weeks, birth weight, additional cardiac pathology and the necrotising enterocolitis were recorded. Hemodynamic data such as blood pressure, heart rate, SaO2 and NIRS were monitored and complications such as hypotension, bradycardia and bleeding were determined.Results: Mean gestational age at birth (28.49±2.72 weeks), mean age (24.02±6.35 days), and birth weights (924.43±30.70 g) were recorded for weight. During the surgery, transient hypotension due to bradycardia was observed in 25.6% of the cases. Discussion and Conclusion: In preterm infants undergoing PDA ligation, risk of transient hypotension, bradycardia and low oxygen saturation is detected during anaesthesia. We concluded that close observation of hemodynamics during anaesthetic management in these patients with low birth weight who may have congestive heart failure carries utmost importance