The Influence of Reduction Mammaplasty on Dermato-Psychiatric Disorders

Objective: Macromastia can cause psychiatric disorders, such as anxiety and depression, and decreases in self-esteem and self-confidence. These problems often externalize themselves on the skin, causing lesions characterized by various degrees of excoriations and lichenified plaques. Mammaplasty operations are very effective in the treatment of neurotic excoriations and similar skin lesions as well as any underlying psychiatric disorders. Materials and Methods: This study included 17 patients with macromastia and neurotic excoriation lesions who underwent psychiatric treatment for various reasons. Follow ups were performed using routine photographs used in breast surgeries. Results: During the postoperative follow ups, the excoriations for nearly every patient healed within 2 weeks. Some lesions healed with atrophic scars and some with permanent hyperpigmentation. Patients’ physical complaints, such as backache, shoulder ache and submammary pruritic dermatitis, were also observed to heal. In addition, the patients stated that they felt better psychologically, and most also reported stopping psychiatric treatment. Conclusion: The psychological problems caused by macromastia include neurotic excoriation and similar skin problems, and aesthetic reduction mammaplasty surgeries are very effective in the treatment of these lesions. Body image perception comprises an important part of self-respect and self-esteem, and psychological-status cosmetic surgery can be evaluated as an alternative to psychological treatment

Our experiences on the replantations of zone 2 level in children

Objectives: The aim of this study is assessment of eightchildren who were operated on our clinic between 2010and 2012 for replantation or revascularization of amputationat the level of zone 2.Materials and methods: From June 2010 to February2012 eight children, aged between 3 and 15, were operatedin our department with zone 2 amputations. Typesof amputations were crash injury in 4 children and gyotintype regular amputation in 4 children. Mean ischemia timeof the amputates was 3,5 hours (range 1,5-8 hours). In 5children successful replantation were achieved but in 3children the replantation was failed because of insufficientcirculation despite recurrent anastomosis. Papaverin wasused preoperatively in all cases. Mean follow-up periodwas 9 months (range 2-16 months).Results: Local administration of papaverin facilitates thereplantation with promoting vasodilatation meaningfully.In addition, solutions used preoperatively such as lidocain,heparin, warm irrigation solutions (mean 28°C 0,9%NaCl) and also postoperatively administration of low molecularweight dextran and heparin, acetyl salicylic acid,pentoxyphyllin increase the success rate of replantation.Another important factor is also short of mean ischemiatime.Conclusion: Some tools and methods are essential formanagement of the replantation at zone 2 in pediatricssuch as, a good magnification, sensitive microsurgeryequipment, 10/0-11/0 micro-sutures, effective vasodilatationper-operatively, adequate bone shortening and surgicalexploration and close follow-up postoperatively. Postoperativerehabilitation is also an obligation to increasethe success of the replantation

Effects of montelukast on burn wound healing in a rat model

Purpose: Montelukast, a selective cysteinyl leukotriene D4-receptor antagonist, is used in the treatment of asthma. In a rat model, our aim was to investigate the effects of montelukast, alone or in combination with topical antibiotics, on local burn wound healing. Methods: Rats were randomly allocated to four groups after local burn development: Group 1; rats were left to secondary healing without treatment, Group 2; a dose of 10 mg/kg montelukast was given by gastric gavage once a day for 10 days, Group 3; rats were treated with topical pomade (bacitracin neomycin sulphate), and Group 4; rats were treat with a combination of topical antibiotic and montelukast (10 mg/kg were given by gastric gavage once a day for 10 days). Skin biopsies were taken on days 3, 10, 14, and 20 relative to burn induction. Results: Reepithelialization in the pomade and montelukast+pomade groups on the 10th day was significantly greater, in comparison with control and montelukast groups (p < 0.05). For the montelukast group, edema (on the 14th day) and angiogenesis, fibroblast proliferation, edema and macrophage infiltration (on the 20th day) were statistically improved in comparison with the control group (p < 0.05). For the montelukast+pomade group, angiogenesis, fibroblast proliferation and macrophage infiltration (on the 10th day), and angiogenesis, fibroblast proliferation, edema and macrophage infiltration (on the 14th and 20th days) were statistically improved in comparison with the control group (p < 0.05). Conclusion: In conclusion, montelukast was effective on burn wound healing. Moreover, the effect was amplified when combined with topical antibiotics applied in the early stage of burn wound healing

Atypical Presentation of Skull Metastasis from Rectal Adenocarcinoma as an Initial Symptom of Recurrence

Most malignant rectal tumors are histopathologically characterized as adenocarcinoma and generally metastasize to distant organs such as the lungs or the liver. Metastasis of rectal carcinomas to the skull is extremely rare. This study reports the initial diagnosis of rectal adenocarcinoma recurrence in a 65-year-old female with scalp metastasis. The patient’s history indicated a colorectal adenocarcinoma that was resected five years earlier. A skull metastasis from a rectal adenocarcinoma has not yet been reported in the literature as an initial symptom for recurrence. This paper suggests that skull metastasis from any part of the body must be considered in the differential diagnosis of soft tissue tumors in the skull even in the absence of intestinal symptoms

Depressive and Anxious Temperaments in Patients with Complex Regional Pain Syndrome Secondary to Tendon Injury

Objective: To determine the affective temperaments and somatoform amplification of the symptoms and its relation with the complex regional pain syndrome [CRPS] in patients who had tendon injuries of the forearm and hand

Effect of 2100 MHz mobile phone radiation on healing of mandibular fractures: an experimental study in rabbits

WOS: 000369854400016Fractures in the maxillofacial region are among the most frequent incidences in patients exposed to trauma. The aim of this study was to evaluate the effect of 2100MHz electromagnetic radiation on the healing of mandibular fractures in rabbits. The study was carried out on 12 mature male New Zealand rabbits. After producing a left mandibular osteotomy, the fracture was repaired by using a plate screw. The rabbits were divided into two groups - control and experimental. The experimental group was exposed for 3h daily to a 2100MHz radiofrequency (RF) for 28 d. Biomechanical, histopathological and radiological tests were performed during the healing of the mandibular bone. According to the biomechanical tests, the energy absorption capacity, toughness and maximum strength of the mandibular bone were increased compared to the control group (6.84vs. 2.57, 0.135vs. 0.041 and 22.21vs. 10.32, respectively). No significant differences between the two groups were found during the radiological assessment. However, the histopathological examination revealed that the fracture healing score was higher in the experimental group when compared to the control group (8.0vs. 2.75, respectively). In conclusion, the results of this study showed that a 2100MHz RF radiation positively affected fracture healing.Research Fund of the Dicle University BAPDicle University [13-TF-14]This research was supported by the Research Fund of the Dicle University BAP [grant number 13-TF-14]

Depressive and Anxious Temperaments in Patients with Complex Regional Pain Syndrome Secondary to Tendon Injury

Objective: To determine the affective temperaments and somatoform amplification of the symptoms and its relation with the complex regional pain syndrome [CRPS] in patients who had tendon injuries of the forearm and hand