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Unusual cause of refractory infection in head and neck surgery; Retained surgical sponges 头颈外科难治性感染的罕见原因分析保留的手术海绵
Pub Date : 2016-01-01 DOI: 10.5835/JECM.OMU.33.03.011
Ismail Kucuker, Mustafa Onur Cukurluoglu, A. Eryilmaz, S. Tuncer, S. Özmen
Refractory infections are not common in head and neck region. As gossypiboma (retained surgical sponges) is also rare in head and neck surgeries, it is generally ignored as a potential diagnosis. In this article we aimed to call attention to gossypiboma cases in refractory maxillary infections. We present three cases of retained surgical sponges after head and neck surgery occurred in between 2003 and 2011. We also discussed the possible causes and prevention strategies for them.
难治性感染在头颈部并不常见。由于棉棉瘤(手术海绵残留)在头颈部手术中也很少见,因此通常被忽视为潜在的诊断。在这篇文章中,我们的目的是引起人们对难治性上颌感染病例的关注。我们报告了2003年至2011年间发生的3例头颈部手术后手术海绵残留的病例。我们还讨论了可能的原因和预防策略。
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引用次数: 0
A simplified approach for bicanalicular silicone tube intubation for the management of canalicular lacerations 双管硅胶管插管治疗小管撕裂伤的简化方法
Pub Date : 2016-01-01 DOI: 10.5835/JECM.OMU.33.01.009
Ertuğrul Can, E. Cömert, Halil İbrahim Akgün
We report the surgery of a bicanalicular laceration of the lacrimal system in which a simplified annular intubation of silicone tube had been used. After passing the silicone tube through the canalicular system guided by the prolene suture, the tip of the silicone tube was stuck and advancing it through the lach - rymal system was not possible. Then this threaded 6-0 prolene suture was tied to the wall of the silicone tube at the tip and pulled gently from the opposite side. The silicone tube was threaded easily with no obstacle. We hope that our result in this case will create an alternative way for surgeons while repairing canalicular system lacerations
我们报告的手术双管撕裂泪系统,其中一个简化的环插管硅胶管已被使用。硅胶管在prolene缝线引导下通过小管系统后,硅胶管的尖端被卡住,无法通过喉腔系统推进。然后将这条6-0 prolene螺纹缝合线系在硅胶管尖端的壁上,从另一侧轻轻拉出。硅胶管穿线很容易,没有障碍。我们希望我们在这个病例中的结果将为外科医生修复小管系统撕裂伤提供另一种方法
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引用次数: 0
Treatment of a neglected case of rhinophyma: A case report 治疗一例被忽视的鼻肿:1例报告
Pub Date : 2016-01-01 DOI: 10.5835/JECM.OMU.33.04.015
A. Demir, M. Engịn, Çağlayan Yağmur
In this study we report our experience with a gravely neglected case of rhinophyma. Rhinophyma is a disorder characterized by hypertrophy of the sebaceous glands, mononuclear infiltration and fibrous tissue deposition in the nasal skin. Clinically, the disorder manifests itself as disproportionate enlargement and severe disfigurement of the nose. As for the treatment, excision with cold knife, dermatome, dermabrasion, cauter knife and ultrasound blade, and reconstruction with skin graft, flap or secondary intention has been described in the literature. Presented in this study is a neglected and oversized case of rhinophyma. The hypertrophic mass sizing 7x6x3 cm has been excised from the supraperichondral plane. A similiar lesion with the size of 8x6x2 cm was attached to the main mass via a cutaneous pedicle on the left alar region. Resultant defect was reconstructed via a full thickness cutaneous graft harvested from the inguinal region and healed uneventfully. Along with this case report, available treatment alternatives were reviewed and their indications interpereted.
在这项研究中,我们报告我们的经验与严重忽视的情况下鼻肿。鼻肿是一种以皮脂腺肥大、单核浸润和鼻皮肤纤维组织沉积为特征的疾病。临床上,这种疾病表现为鼻子不成比例的增大和严重的毁容。治疗方面,文献中有冷刀、皮刀、磨皮刀、考特刀、超声刀等切除,植皮、皮瓣或二次意向重建。在这项研究中提出的是一个被忽视和过大的鼻肿病例。从软骨上平面切除大小为7x6x3 cm的肥厚肿块。在左鼻翼区经皮蒂附着于主肿块上的类似病灶大小为8x6x2 cm。通过从腹股沟区采集的全层皮肤移植物重建所产生的缺损,并顺利愈合。与本病例报告一起,回顾了现有的治疗方案并解释了其适应症。
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引用次数: 0
Anxiety and depression conditions do not influence postoperative satisfaction in breast reduction patients 焦虑和抑郁状况不影响缩胸术后患者的满意度
Pub Date : 2016-01-01 DOI: 10.5835//JECM.OMU.33.04.003
Çağlayan Yağmur, Sertaç Ak, M. Engịn, K. Yildirim, Murat Gumus, Ismail Kucuker, A. Demir
In literature there are reports on alleviation of depressive symptoms and anxiety levels and increased quality of life in individuals who underwent breast reduction. However, the relation of this improvement with patient satisfaction is unclear. The purpose of our study is to fulfill the aforementioned objective. In this study, A total of 72 female patients who were operated for only reduction mammoplasty between 2011 and 2015 were included. Technical details regarding the surgery were recorded. Patients were applied Beck Depression Scale (BDS) and Beck Anxiety Scale (BAS) preoperatively. In the 6 th postoperative month, Beck scales were repeated and patient satisfaction was evaluated via “Visual Analogue Scale “(VAS). Also, surgical outcome has been graded by three other plastic surgeons from one to 10. Data were evaluated statistically. Apparent postoperative alleviation BDS and BAS scores was significant at postoperative 6th month. Average VAS scores for the patients’ postoperative satisfaction with their surgical outcome was 8.8. These scores by three other plastic surgeons were found to be 7.6. Individual satisfaction scores and professional evaluation scores were found to yield positive correlation. The tissue amount excised was not found to be correlated with patient age or satisfaction, however it was found to be negatively correlated with professional evaluation. Moreover, regression analyses revealed patient satisfaction was not influenced by anything other than the surgery itself. In other words, preoperative BDS and BAS scores were not found to be predictors of postoperative patient satisfaction. To our findings, although depression and anxiety symptoms improve after breast reduction surgery, patients are not influenced by their preoperative psychological condition when assessing their surgical outcomes. This important finding may be a possible preoperative relief for the surgeon who is dealing with an anxious or depressive breast reduction patient.
在文献中有关于减轻抑郁症状和焦虑水平的报道,并提高了乳房缩小患者的生活质量。然而,这种改善与患者满意度的关系尚不清楚。我们研究的目的就是为了实现上述目标。本研究纳入2011 - 2015年间仅行缩乳术的女性患者72例。记录了手术的技术细节。术前应用贝克抑郁量表(BDS)和贝克焦虑量表(BAS)。术后第6个月复查Beck量表,采用视觉模拟量表(VAS)评价患者满意度。另外,3名整形外科医生对手术效果进行了从1到10的评分。对数据进行统计学评价。术后6个月BDS和BAS评分明显缓解。患者术后对手术结果满意度的VAS平均评分为8.8分。另外3名整形外科医生的分数为7.6分。个体满意度得分与专业评价得分呈显著正相关。切除的组织量与患者年龄或满意度无相关性,但与专业评价呈负相关。此外,回归分析显示,除了手术本身,患者满意度不受任何其他因素的影响。换句话说,术前BDS和BAS评分不能作为术后患者满意度的预测因子。根据我们的研究结果,虽然缩胸手术后抑郁和焦虑症状有所改善,但患者在评估手术结果时不受术前心理状况的影响。这一重要发现可能为外科医生术前治疗焦虑或抑郁的缩乳患者提供帮助。
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引用次数: 1
Clinical analysis of facial fractures: A ten years study of 300 cases 面部骨折300例10年临床分析
Pub Date : 2016-01-01 DOI: 10.5835/jecm.omu.33.04.008
Sedat Tatar, Ozgur Hurkal, A. Erdal, K. Fındıkçıoğlu
The reasons and types of facial fractures and their treatment approaches are different, depending on the age group, and these fractures constitute an important part of the practice of plastic surgery. Demographic characteristics, etiologies of fractures, fracture types, and treatment approaches were evaluated in patients who underwent an operation due to facial fractures between 2006 and 2016. A total of 300 patients were operated on at our clinic over a period of ten years. The reason for the fracture was often motor vehicle collisions in the adult patient group, while the reason was falls and accidents in the pediatric age group. Mandibular fractures ranked first among other types of fracture and orthopedic injuries ranked first among systemic injuries. The preferred treatment approach was open surgery in adult patients and conservative therapies in the pediatric age group. The present study carried out a retrospective review of 300 cases and demographic characteristics, etiologies, fracture types, accompanying injuries, and treatment approaches were presented in consideration of the current literature.
面部骨折的原因和类型及其治疗方法因年龄组而异,这些骨折构成了整形外科实践的重要组成部分。对2006年至2016年间因面部骨折接受手术的患者的人口统计学特征、骨折病因、骨折类型和治疗方法进行了评估。在过去的十年里,总共有300个病人在我们诊所做了手术。在成人患者组中骨折的原因多为机动车碰撞,而在儿童年龄组中骨折的原因多为跌倒和事故。下颌骨折在其他类型骨折中排名第一,骨科损伤在全身损伤中排名第一。首选的治疗方法是成人患者的开放手术和儿童年龄组的保守治疗。本研究对300例病例进行了回顾性研究,并结合现有文献介绍了人口统计学特征、病因、骨折类型、伴随损伤和治疗方法。
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引用次数: 1
Pharyngoesophageal reconstruction with the radial forearm free flap 前臂桡侧游离皮瓣重建咽食管
Pub Date : 2016-01-01 DOI: 10.5835/JECM.OMU.33.04.004
T. Şímşek, Engin Yosma, L. Eroğlu
Due to its unique structure, oesophageal defects are of the hardest to reconstruct. Since local flap options and their success are limited free tissue transfers are considered the treatment of choice for reconstruction of partial or circumferential defects left by cervical oesophagectomy. While free jejunum flaps are regarded as the most appropriate solution, its donor site morbidity and increased risk associated with its harvest tend the surgeons to prefer a skin flap instead. This study presents our experience with the radial forearm free flap for oesophageal reconstruction along with a detailed description of the techniques utilized and an 11 patient case series. This flap technique is a single stage solution for reconstruction of oesophageal defects yielded by malignant tumour ablation, and it has distinct advantages such as consistent flap anatomy, straightforward dissection technique, long and wide vascular pedicle, and thin and pliable skin paddle. We believe that with good knowledge of flap anatomy and pertinent execution of microsurgical techniques, free radial forearm flap is an effective and reliable option for post-ablative oesophageal reconstruction in the elderly patients. Also, thanks to the pliable skin paddle and long vascular pedicle, radial forearm flap is one of the most frequently preferred skin flaps for oesophageal reconstruction.
由于其独特的结构,食道缺损是最难修复的。由于局部皮瓣的选择及其成功是有限的,自由组织转移被认为是重建颈部食管切除术后部分或周围缺损的首选治疗方法。虽然游离空肠皮瓣被认为是最合适的解决方案,但其供体部位的发病率和与收获相关的风险增加使外科医生倾向于选择皮瓣而不是皮瓣。本研究介绍了我们使用前臂桡侧游离皮瓣重建食道的经验,并详细描述了所使用的技术和11例患者的病例系列。该皮瓣技术是恶性肿瘤消融后食管缺损的一期修复方案,具有皮瓣解剖一致、剥离技术简单、血管蒂长而宽、皮瓣薄而柔韧等明显优势。我们认为,在掌握皮瓣解剖学知识和适当的显微外科技术的基础上,游离前臂桡侧皮瓣是老年患者消融后食管重建的有效和可靠的选择。前臂桡侧皮瓣具有柔韧的皮瓣瓣和较长的血管蒂,是食道重建中最常用的皮瓣之一。
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引用次数: 0
Free flap reconstruction of scalp after malignant tumor resections 恶性肿瘤切除后头皮游离皮瓣重建
Pub Date : 2016-01-01 DOI: 10.5835/JECM.OMU.33.04.009
S. Karamursel, M. Keleş, Ergin Seven, Uğur Horoz, H. R. Ozakpinar, A. Tellioğlu
The incidence of malignant scalp tumors which require radical excision increases with age. Reconstructing a multilayer scalp defect is a challenge for the reconstructive teams because of the soft tissue variability and paucity of available tissue. There is a wide range of options for treating scalp defects, from primary closure to free tissue transfer. In this study, nine patients who underwent reconstruction of large scalp defects after malignant tumor resection by using free tissue transfer were evaluated and reported. Eight patients died within two years after the surgery due to local recurrence (%88.9), and only one patient is still alive without any problems with a mean follow-up of 32 months. Many free tissue transfers have been reported on, with varied results. In the postoperative period, local and systemic complications can be seen, which do not correlate with age. Local tumor recurrence is another serious problem. Tumor complications and recurrences are the factors which affect the survival rates in patients. In this study we report on the scalp defect reconstruction after tumor resection with results and survival rates.
需要根治性切除的恶性头皮肿瘤的发病率随着年龄的增长而增加。由于软组织的多变性和可用组织的缺乏,多层头皮缺损的重建对重建团队来说是一个挑战。治疗头皮缺损有多种选择,从初级闭合到游离组织移植。本研究对9例恶性肿瘤切除后采用游离组织移植重建大面积头皮缺损的患者进行了评估和报道。8例患者术后2年内因局部复发死亡(% 88.9%),仅有1例患者存活,平均随访32个月。许多自由组织移植已被报道,结果各不相同。术后可出现局部及全身并发症,与年龄无关。局部肿瘤复发是另一个严重的问题。肿瘤并发症及复发是影响患者生存率的主要因素。在这项研究中,我们报告了肿瘤切除后头皮缺损重建的结果和存活率。
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引用次数: 0
Delayed diagnosis of selective immunoglobulin deficiency: A case report 选择性免疫球蛋白缺乏的延迟诊断:1例报告
Pub Date : 2016-01-01 DOI: 10.5835/jecm.omu.33.03.010
V. Kars, T. Çelepkolu, A. Yilmaz, Fatih Esmer, S. Karadas
Selective immunoglobulin A deficiency (SIgAD) is the most common of all primary immunodeficiency diseases; however, the pathogenesis has not been fully understood. Although most people with SIgAD are asymptomatic, some may present with recurrent infections; such as respiratory disorders, gastrointestinal tracts disorders, and allergic disorders. Herein, we report a case with SIgAD who presented with the complaints of pruritus, dental caries and chronic sinopulmonary infections.
选择性免疫球蛋白A缺乏症(SIgAD)是最常见的原发性免疫缺陷疾病;然而,发病机制尚未完全了解。虽然大多数SIgAD患者无症状,但有些人可能会出现复发性感染;如呼吸系统疾病、胃肠道疾病和过敏性疾病。在此,我们报告一例SIgAD谁提出的投诉瘙痒,龋齿和慢性肺感染。
{"title":"Delayed diagnosis of selective immunoglobulin deficiency: A case report","authors":"V. Kars, T. Çelepkolu, A. Yilmaz, Fatih Esmer, S. Karadas","doi":"10.5835/jecm.omu.33.03.010","DOIUrl":"https://doi.org/10.5835/jecm.omu.33.03.010","url":null,"abstract":"Selective immunoglobulin A deficiency (SIgAD) is the most common of all primary immunodeficiency diseases; however, the pathogenesis has not been fully understood. Although most people with SIgAD are asymptomatic, some may present with recurrent infections; such as respiratory disorders, gastrointestinal tracts disorders, and allergic disorders. Herein, we report a case with SIgAD who presented with the complaints of pruritus, dental caries and chronic sinopulmonary infections.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"10 1","pages":"175-177"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83506709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Respiratory epithelial adenomatoid hamartoma with inflammatory nasal polyposis 呼吸道上皮腺瘤样错构瘤伴炎性鼻息肉病
Pub Date : 2016-01-01 DOI: 10.5835/JECM.OMU.33.03.012
E. Günbey, E. Kavaz, B. Meydan, H. Gunbey, H. Mutlu, Recep Ünal
Respiratory Epithelial Adenomatoid Hamartoma (REAH) is a type of hamartoma characterized by prominent glandular proliferations lined with ciliated respiratory epithelium originating from the surface epithelium. REAH should be differentiated from inflammatory nasal polyp, inverted papilloma and adenocarcinoma to avoid from more aggressive surgery then is needed for the REAH and to avoid from unnecessary long-term follow-up with medical treatments. In this report, we present a case of REAH who was followed up with topical and systemic steroids for years with the misdiagnosis of inflamatory nasal polyposis and discuss the clinical, radiological and histopathological features of the disease at increasing importance in recent years.
呼吸上皮性腺瘤样错构瘤(REAH)是一种错构瘤,其特征是突出的腺增生,衬有源自表面上皮的纤毛呼吸道上皮。应将REAH与炎症性鼻息肉、内翻性乳头状瘤和腺癌区分开来,以避免在治疗REAH时进行更积极的手术,并避免不必要的长期随访治疗。在本报告中,我们报告了一例REAH患者,他被局部和全身类固醇治疗多年,误诊为炎症性鼻息肉病,并讨论了近年来该疾病越来越重要的临床、放射学和组织病理学特征。
{"title":"Respiratory epithelial adenomatoid hamartoma with inflammatory nasal polyposis","authors":"E. Günbey, E. Kavaz, B. Meydan, H. Gunbey, H. Mutlu, Recep Ünal","doi":"10.5835/JECM.OMU.33.03.012","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.03.012","url":null,"abstract":"Respiratory Epithelial Adenomatoid Hamartoma (REAH) is a type of hamartoma characterized by prominent glandular proliferations lined with ciliated respiratory epithelium originating from the surface epithelium. REAH should be differentiated from inflammatory nasal polyp, inverted papilloma and adenocarcinoma to avoid from more aggressive surgery then is needed for the REAH and to avoid from unnecessary long-term follow-up with medical treatments. In this report, we present a case of REAH who was followed up with topical and systemic steroids for years with the misdiagnosis of inflamatory nasal polyposis and discuss the clinical, radiological and histopathological features of the disease at increasing importance in recent years.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78435741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Paterson-Kelly syndrome in a patient with celiac disease 腹腔疾病患者的帕特森-凯利综合症
Pub Date : 2016-01-01 DOI: 10.5835/JECM.OMU.33.03.008
Piltan Büyükkaya, N. A. Aslan, S. Aktimur, S. Turan, M. H. Atay, S. Gun, Engin Keltikli, A. Bektaş, M. Turgut
Paterson-Kelly syndrome is characterized with iron deficiency anemia and esophagial web. Association between Paterson-Kelly and Celiac disease is not well-known. Especially in our country, there is insufficient data about these two diseases. We report a case with a complaint of dysphagia and diagnosed as Paterson-Kelly syndrome with celiac disease. Dysphagia was resolved with bougie dilation, oral iron supplement and gluten free diet. We want to emphasize the importance of screening for celiac disease in patient with dysphagia and iron-deficieny anemia.
帕特森-凯利综合征以缺铁性贫血和食管网为特征。帕特森-凯利和乳糜泻之间的联系并不为人所知。特别是在我国,关于这两种疾病的资料不足。我们报告一个病例的抱怨吞咽困难和诊断为帕特森-凯利综合征与乳糜泻。吞咽困难通过扩张、口服补铁和无麸质饮食解决。我们想强调在患有吞咽困难和缺铁性贫血的患者中筛查乳糜泻的重要性。
{"title":"Paterson-Kelly syndrome in a patient with celiac disease","authors":"Piltan Büyükkaya, N. A. Aslan, S. Aktimur, S. Turan, M. H. Atay, S. Gun, Engin Keltikli, A. Bektaş, M. Turgut","doi":"10.5835/JECM.OMU.33.03.008","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.03.008","url":null,"abstract":"Paterson-Kelly syndrome is characterized with iron deficiency anemia and esophagial web. Association between Paterson-Kelly and Celiac disease is not well-known. Especially in our country, there is insufficient data about these two diseases. We report a case with a complaint of dysphagia and diagnosed as Paterson-Kelly syndrome with celiac disease. Dysphagia was resolved with bougie dilation, oral iron supplement and gluten free diet. We want to emphasize the importance of screening for celiac disease in patient with dysphagia and iron-deficieny anemia.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"70 1","pages":"167-169"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88117239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
期刊
Journal of Experimental & Clinical Medicine
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