An unexpected long-term complication of genital burn in a child: Secondary cryptorchidism

Genital and perineal burns are rare and challenging injuries with serious long-term complications. Involvement of the testes is a sign of severity. There is limited knowledge in the literature about the management of complications and testes involvement in genital and perineal burns. In this report, we present the case of an 8-year-old boy with secondary cryptorchidism due to burn contracture who was treated by increasing the scrotal volume by Z-plasties, skin graft, and orchidopexy. © 2018 Turkish Association of Trauma and Emergency Surgery

The management of nasal defects after non-melanoma skin cancer excision

Background: The reconstruction of the nasal defects occurring after a tumor excision is rather difficult. The purpose of this study is to present our choices of reconstruction using flaps or grafts depending on the size, localization, and depth of the nasal defects occurring after a basal cell carcinoma and squamous cell carcinoma and to demonstrate our clinical approach and algorithm. Patients and methods: We retrospectively reviewed 224 patients who underwent nasal reconstruction after excision of nonmelanoma skin cancer between January 2010 and January 2015. Data collected included patients’ age and sex, anatomic location, tumor diagnosis, defect size, depth of the defects, reconstruction methods, recurrence, follow-up time, related to smoke and complications required. Results: A total of 224 patients were included in this study. Basal cell carcinoma was diagnosed 145 patients (64.7%), squamous cell carcinoma was diagnosed in 79 patients (35.3%). The most common location for nasal reconstruction was the nasal dorsum and sidewalls (56%). The nasolabial flaps were the most commonly used flap (n=49), followed by bilobed flap (n=34), forehead flap (n=32), V-Y rotation advancement flap (n=27), glabellar flap (n=26), skin graft (n=15), single or bilateral transposition flap (n=20), and other combined flaps (n=21). Conclusions: Obtaining tumor-free borders and satisfying aesthetic results are foremost aim in nasal reconstruction after nasal skin cancer excision. In this study, our clinical approach for nasal defects reconstruction is presented, which is based on frequently performed local flaps and skin grafting. © 2016, E-Century Publishing Corporation. All rights reserved

Effect of concentrated growth factor on survival of diced cartilage graft

Background Diced cartilage grafts are important in rhinoplasty for raising the dorsum and eliminating dorsal irregularities. The most common problems with the use of diced cartilage are wrapping and cartilage resorption. Objectives To histopathologically investigate and compare the viability of diced cartilage grafts wrapped with concentrated growth factor, fascia and fenestrated fascia, or blood glue. Methods Cartilage grafts were harvested from the ears of 10 New Zealand White rabbits and diced into 0.5 to 1 mm3 pieces. The grafts were divided into five groups for comparison: (1) bare diced cartilage; (2) diced cartilage wrapped with fascia; (3) diced cartilage wrapped with fenestrated fascia; (4) diced cartilage wrapped with concentrated growth factor (CGF); and (5) diced cartilage wrapped with blood glue. Each of the five grafts was autologously implanted into a subcutaneous pocket in the back of each rabbit. Three months later, the rabbits were sacrificed and the implants were harvested and examined histopathologically. Results Nucleus loss, calcification, inflammation, and giant cell formation differed significantly between the CGF group and both fascia groups. Chondrocyte proliferation was the highest in the CGF group. Nucleus loss rates were similar between the fascia and fenestrated fascia groups. Conclusions Our findings suggest that CGF improves the viability of diced cartilage grafts, while fascia hampers it. Punching holes in the fascia does not improve diced cartilage graft viability and neither does blood glue wrapping. © copyright Crown 2016

Surgical treatment of classic kaposi's sarcoma in the lower extremity

Objective: Classic Kaposi's sarcoma is an indolent, angioproliferative tumor that is usually observed in the lower extremities of elderly men. Depending on their stages, skin lesions are maculonodular or vegetative ulcerated masses. Visceral organ or lymph node involvement may rarely occur. There is no gold standard treatment for local diseases. Surgical excision, radiotherapy, chemotherapy, and cryotherapy can be performed. This retrospective study aimed to evaluate the long-term results of surgical excision and skin graft repair of stage I and II classic Kaposi's sarcoma skin lesions around the foot and ankle. Material and Methods: Eleven patients were included. The patients' age and gender, location of lesion, surgical treatment, follow- up period, and recurrence were evaluated by retrospectively examining patient records. For the surgical treatment, the lesion was excised with a 0.5-cm safe skin margin. The defect area was repaired with full-thickness skin grafts that were obtained from the inguinal region in all patients. Results: Eight of the patients were male and three were female. The average age of the patients was 69 (54-84) years. All patients were completely cured. The average follow-up period was 1.8 (1-3) years. No recurrence was observed in any of the patients at the end of the follow-up period. Conclusion: Classic Kaposi's sarcoma skin lesions in the lower extremity can be completely cured by surgical excision, with no recurrence risk. After surgical excision, using a full-thickness skin graft for repairing primary cutaneous defects, particularly those in the soles, is a simple and reliable method

Meme küçültme cerrahisinin solunum fonksiyon testleri üzerine etkisi

Introduction: Bilateral breast reduction surgery is the surgical treatment of bilateral breast hypertrophy. This is one of the most common breast surgery requested by women, and performed by plastic surgeons. The reasons that patients want this surgery are to re-size sagging breasts aesthetically, and to get rid of somatic symptoms such as shoulder, chest, back, and neck pain. We believe that the objective positive effects of breast reduction surgery exist beside aesthetic. In our study, our aim is to elicit positive effects of surgery on lungs, if there are, by making pulmonary function test and carbon monoxide diffusion test before surgery and after 6 months of surgery. Materials and Methods: Thirty patients agreed to participate in the study. Study is completed with 19 patients. Pulmonary function test and carbon monoxide diffusion test were made to all patients in preoperative and 6 months of postoperative period. Lung roentgenogram of all patients was performed and height, weight, body mass index were measured. Saturation level was measured. Results: There was a meaningful increase in FEV1 and FVC values in the postoperative period in comparison with pulmonary function test performed in preoperative period. DLCO in postoperative period decreased meaningfully as compared to the preoperative period. Conclusion: Breast reduction surgery seems to have positive effects on pulmonary function test values and relaxes patients clinically. Patients with big breasts should be evaluated from this perspective if they apply chest diseases clinic with shortness of breath. © 2017, Ankara University. All rights reserved

Social and religious structure of the vakfikebi̇r

Vakfıkebir'deki sosyal ve dini yapıyı konu alan bu çalışma, katılarak gözlem ve mülakat yöntemleriyle elde edilen veriler ışığında anlama, yorumlama ve karşılaştırma ilkelerine bağlı kalınarak elde edilen bilgiler analiz edilmeye çalışılmıştır. Toplam üç bölümden oluşan bu çalışmada ilk olarak araştırma konusuyla ilgili kavramsal ve kuramsal çerçeve çizilmiş, ardından da araştırma alanının genel özellikleri tasvir edilmiştir. Daha sonra araştırma alanının sosyal ve dini yapısı incelenmiş ve bu konuda halkın çoğunluğunun sahip olduğu özellikler çalışmaya daha çok yansıtılırken farklılıklara da değinilmiştir. Sonuç olarak ise, dini hayat üzerindeki dönüştürücü etkenler açıklanmaya çalışılmıştır. Halk inanışları, örf ve adetlerdeki değişmelerle, dinin toplumsal hayattaki yeri ve sahip olduğu fonksiyonlardaki değişmelerle ilçenin günümüzdeki karakteri analiz edilme amaçlanmıştır.Elde edilen tüm veriler sosyolojik yöntemlerle yorumlanmaya çalışılmıştır.The methods of the participated observation and interview were basically used in this study dealing with social and religious structure in Vakfıkebir. Under the lights of those outcomes, the datas has been analysed with the principals of understanding, interpretation and comparison. In the study consisting of three chapters at first hand the conceptual and theoretical frame was drawed. Then general features of the research were depicted. After that the social and religious structure of the research field were examined. On this concept, the features most people have were tried to reflect to the study and also differences were considered in the study. As a last word of this study, deep effects of the religion on the life were tried to explain. The aim was to analyse the today character of the county with public beliefs, the changes of customs – traditions, the place and functions of religion in the public life. All collected datas were read under the lights of sociological methods

Facial actinomycosis mimicking a cutaneous tumor

Actinomycosis is a chronic granulomatous infection that commonly occurs in the cervicofacial region. Although Actinomcyes is an element of the normal oral flora, infections of the facial skin are very rare because of the entirely endogenous habitation of the organism. The authors report a case of facial actinomycosis, which mimicked a cutaneous tumor both clinically and surgically in a 44-year-old woman with chronic renal failure and Hepatitis C viral infection. The majority of cases can be treated with longterm antibiotics. However, a treatment-resistant abscess, a fistula, or postsurgical excision of the mass formation that are infected can be treated with antibiotics as soon as possible, and recurrence of infection is prevented. The treatment should consist of conservative surgery to obtain a firm histological diagnosis and to drain any collections