Pub Date : 2016-02-20DOI: 10.5835/JECM.OMU.33.01.003
Özlem Boybeyi, T. Soyer, Özgül Tunç Akbaş, N. Güzoğlu, M. Aslan, D. Aliefendioglu
A retrospective study was performed to evaluate the role of white blood cell (WBC), C-reactive protein (CRP) and procalcitonin (PCT) levels in the follow- up and treatment of surgical site infections (SSI) in neonates. Neonates who underwent surgical intervention (n:34) were evaluated for gestational age, sex, diagnosis, inflammatory markers (WBC, CRP, PCT), clinical findings, results of cultures and response to antimicrobial treatment. Records of 34 neonates and 36 surgical interventions were included to the study. Twenty (58.8%) of patients had SSI. Postoperatively CRP, WBC and PCT levels were increased (77%, 77%, 77% respectively) in patients with SSI. Postoperatively CRP, and WBC levels were increased (57% and 64% respectively) in patients without SSI. In conclusion, CRP levels and WBC count were significantly increased in 77% of cases after surgery. Increased PCT levels were detected only in patients with SSI. PCT levels may be considered as the most valuable marker to monitor SSI in neonates after surgery.
{"title":"Serum procalcitonin level in monitorization of surgical site infections in neonates","authors":"Özlem Boybeyi, T. Soyer, Özgül Tunç Akbaş, N. Güzoğlu, M. Aslan, D. Aliefendioglu","doi":"10.5835/JECM.OMU.33.01.003","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.01.003","url":null,"abstract":"A retrospective study was performed to evaluate the role of white blood cell (WBC), C-reactive protein (CRP) and procalcitonin (PCT) levels in the follow- up and treatment of surgical site infections (SSI) in neonates. Neonates who underwent surgical intervention (n:34) were evaluated for gestational age, sex, diagnosis, inflammatory markers (WBC, CRP, PCT), clinical findings, results of cultures and response to antimicrobial treatment. Records of 34 neonates and 36 surgical interventions were included to the study. Twenty (58.8%) of patients had SSI. Postoperatively CRP, WBC and PCT levels were increased (77%, 77%, 77% respectively) in patients with SSI. Postoperatively CRP, and WBC levels were increased (57% and 64% respectively) in patients without SSI. In conclusion, CRP levels and WBC count were significantly increased in 77% of cases after surgery. Increased PCT levels were detected only in patients with SSI. PCT levels may be considered as the most valuable marker to monitor SSI in neonates after surgery.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84682276","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}
Pub Date : 2016-02-19DOI: 10.5835/JECM.OMU.33.01.002
B. Erginel, M. Akın, A. Yıldız, Ç. Karadağ, N. Sever, Özlem Yanar, A. I. Dokucu
The aim of this study was to discuss our clinical experience on laparoscopic cholangiography (LC) and to compare the open and LC. LC’s performed in our clinic between 2008-2013 for differential diagnosis of biliary atresia (BA) in cases of prolonged jaundice were evaluated retrospectively and compared with open access cholangiographies. The Kasai procedure was performed on all patients where BA was recognized. Cholangiography was applied to 15 patients (6 laparoscopic, 9 open) during this time. The mean age of the LC patients was 47.2 days (30-75), whereas the mean age of the open cholangiography patients was 75 days (60-105). The mean age of laparoscopic cholangiographies were significantly smaller than the mean age of open cholangiographies (p=0.016). From 6 LC’s, 3 patients had BA. From 9 open cholangiographies patients, 3 patients had BA. The mean time of length of stay of patients who underwent LC with no diagnosis of BA was 1.3 days (1-2 days) and they were discharged uneventfully for the further evaluation of their jaundice. However the mean time of hospital stay was 4.2 days (3-6 days) for open cholangiographies which are not BA. The mean length of hospital stay of patients who underwent LC is significantly shorter than the open cholangiographies in cases that the BA is excluded (p=0.019). In the literature there is limited data concerning LC’s in children. LC is an effective alternative method in the diagnosis of BA and avoids unnecessary laparotomy. The mean length of hospital stay is after LC is considerable less than the open cases in patients which BA is excluded.
{"title":"The benefit of laparoscopic cholangiography in differential diagnosis of biliary atresia and a review of the literature","authors":"B. Erginel, M. Akın, A. Yıldız, Ç. Karadağ, N. Sever, Özlem Yanar, A. I. Dokucu","doi":"10.5835/JECM.OMU.33.01.002","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.01.002","url":null,"abstract":"The aim of this study was to discuss our clinical experience on laparoscopic cholangiography (LC) and to compare the open and LC. LC’s performed in our clinic between 2008-2013 for differential diagnosis of biliary atresia (BA) in cases of prolonged jaundice were evaluated retrospectively and compared with open access cholangiographies. The Kasai procedure was performed on all patients where BA was recognized. Cholangiography was applied to 15 patients (6 laparoscopic, 9 open) during this time. The mean age of the LC patients was 47.2 days (30-75), whereas the mean age of the open cholangiography patients was 75 days (60-105). The mean age of laparoscopic cholangiographies were significantly smaller than the mean age of open cholangiographies (p=0.016). From 6 LC’s, 3 patients had BA. From 9 open cholangiographies patients, 3 patients had BA. The mean time of length of stay of patients who underwent LC with no diagnosis of BA was 1.3 days (1-2 days) and they were discharged uneventfully for the further evaluation of their jaundice. However the mean time of hospital stay was 4.2 days (3-6 days) for open cholangiographies which are not BA. The mean length of hospital stay of patients who underwent LC is significantly shorter than the open cholangiographies in cases that the BA is excluded (p=0.019). In the literature there is limited data concerning LC’s in children. LC is an effective alternative method in the diagnosis of BA and avoids unnecessary laparotomy. The mean length of hospital stay is after LC is considerable less than the open cases in patients which BA is excluded.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84618816","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}
Pub Date : 2016-01-01DOI: 10.5835/jecm.omu.33.04.016
Y. Yontar, Sedat Tatar
In routine plastic surgery practice, cryotherapy is usually performed for the management of edema, ecchymosis, and pain, especially following both invasive and non-invasive procedures of the facial region. We have clinically used cooling gel eye masks for these purposes following rhinoplasty. We have not experienced any complications or problems regarding the use of these masks. They are available in various designs, cost-effective, reliable, and well-tolerated tools that contribute to improved postoperative comfort of the rhinoplasty patients.
{"title":"Cooling gel eye mask: Low-cost and efficacious alternative for postoperative comfort of the rhinoplasty patients","authors":"Y. Yontar, Sedat Tatar","doi":"10.5835/jecm.omu.33.04.016","DOIUrl":"https://doi.org/10.5835/jecm.omu.33.04.016","url":null,"abstract":"In routine plastic surgery practice, cryotherapy is usually performed for the management of edema, ecchymosis, and pain, especially following both invasive and non-invasive procedures of the facial region. We have clinically used cooling gel eye masks for these purposes following rhinoplasty. We have not experienced any complications or problems regarding the use of these masks. They are available in various designs, cost-effective, reliable, and well-tolerated tools that contribute to improved postoperative comfort of the rhinoplasty patients.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"11 suppl_1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73994574","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}
Pub Date : 2016-01-01DOI: 10.5835/JECM.OMU.33.03.005
A. Gokyar, C. Çokluk, A. Marangoz
Three-pins head holder device has been safely used for many years in many neurosurgical procedures for providing 3-point rigid cranial fixation. Equal impingement of pins ensures firm skull positioning and fixation after carefully positioning of skull pins around the vessel free areas. The raw data of the three-dimensional computerized tomography angiography (3D-CTA) obtained from the patients with subarachnoid hemorrhage were transferred to computer and recorded in a software program. This software program created three-dimensional images of skull using previously transferred raw data with volume rendering technique. Safe areas for pins placement, in terms of vessel-free areas, were determined using three-dimensional volume rendering angiography of the skull. The study group consists of 53 (27 female and 26 male) patients. The mean age of the patients was estimated as 57.9±9.7 years. Branches, distribution and critical anastomosis of the superficial temporal artery were also determined. In the other way, the course of the posterior auricular and occipital artery ascending along the external surface of the mastoid bone was also detected in all cases. In the patients underwent surgery for intracranial aneurysm, using of three-dimensional volume rendering angiography may be used in the determination of vessel-free areas of the external surface of the scalp during the placement of three-metallic pins of head holder device.
{"title":"Using of three dimensional volume rendering angiography in the determination of vessel-free areas of the scalp in the patients underwent intracranial aneurysm surgery during the placement of three-pins metallic head fixation device","authors":"A. Gokyar, C. Çokluk, A. Marangoz","doi":"10.5835/JECM.OMU.33.03.005","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.03.005","url":null,"abstract":"Three-pins head holder device has been safely used for many years in many neurosurgical procedures for providing 3-point rigid cranial fixation. Equal impingement of pins ensures firm skull positioning and fixation after carefully positioning of skull pins around the vessel free areas. The raw data of the three-dimensional computerized tomography angiography (3D-CTA) obtained from the patients with subarachnoid hemorrhage were transferred to computer and recorded in a software program. This software program created three-dimensional images of skull using previously transferred raw data with volume rendering technique. Safe areas for pins placement, in terms of vessel-free areas, were determined using three-dimensional volume rendering angiography of the skull. The study group consists of 53 (27 female and 26 male) patients. The mean age of the patients was estimated as 57.9±9.7 years. Branches, distribution and critical anastomosis of the superficial temporal artery were also determined. In the other way, the course of the posterior auricular and occipital artery ascending along the external surface of the mastoid bone was also detected in all cases. In the patients underwent surgery for intracranial aneurysm, using of three-dimensional volume rendering angiography may be used in the determination of vessel-free areas of the external surface of the scalp during the placement of three-metallic pins of head holder device.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77416693","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}
Pub Date : 2016-01-01DOI: 10.5835/JECM.OMU.33.03.006
Tülin G. Gökmen, Beril Akçimen, B. Kayar, Mahdi Marzi, F. Köksal
Acinetobacter baumannii is non-fermentative gram-negative bacilli which plays an important pathogen especially in intensive care units causing infections and epidemics. Carbapenem resistance often is consisted of OXA-type carbapenemase. In this study, we aimed to determine carbapenem resistance and clonal relationships of A. baumannii isolated from patient and enviromental samples by phenotypic and genotypic methods in 10-bed intensive care unit. Multiplex-PCR method was used to determine the genes of OXA type beta-lactamases (blaOXA) and clonal relations between strains were investigated by pulsed-field gel electrophoresis (PFGE) method. All of the isolates were found to be carbapenem resistant and had the blaOXA-51-like and blaOXA-23-like gene. Also, all of isolates were seen to be 100 % related by PFGE method. As a result, isolates of patients with ventilator-associated pneumonia and isolates survived on ventilator of Intensive Care Unit were found to be 100% clonal associated with PFGE and had same MIC values for imipenem and meropenem. blaOXA-23 and blaOXA-51 genes has been determined all of the isolates. It can be accepted a short-term and small outbreak.
{"title":"The outbreak of Acinetobacter baumannii producing OXA-23 and OXA-51 type carbapenemases in a state hospital","authors":"Tülin G. Gökmen, Beril Akçimen, B. Kayar, Mahdi Marzi, F. Köksal","doi":"10.5835/JECM.OMU.33.03.006","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.03.006","url":null,"abstract":"Acinetobacter baumannii is non-fermentative gram-negative bacilli which plays an important pathogen especially in intensive care units causing infections and epidemics. Carbapenem resistance often is consisted of OXA-type carbapenemase. In this study, we aimed to determine carbapenem resistance and clonal relationships of A. baumannii isolated from patient and enviromental samples by phenotypic and genotypic methods in 10-bed intensive care unit. Multiplex-PCR method was used to determine the genes of OXA type beta-lactamases (blaOXA) and clonal relations between strains were investigated by pulsed-field gel electrophoresis (PFGE) method. All of the isolates were found to be carbapenem resistant and had the blaOXA-51-like and blaOXA-23-like gene. Also, all of isolates were seen to be 100 % related by PFGE method. As a result, isolates of patients with ventilator-associated pneumonia and isolates survived on ventilator of Intensive Care Unit were found to be 100% clonal associated with PFGE and had same MIC values for imipenem and meropenem. blaOXA-23 and blaOXA-51 genes has been determined all of the isolates. It can be accepted a short-term and small outbreak.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"45 1","pages":"157-161"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86008584","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}
Pub Date : 2016-01-01DOI: 10.5835/JECM.OMU.33.04.005
Çağlayan Yağmur, I. O. Aydoğdu, Osman Kelahmetoglu, Ismail Kucuker, I. Aksakal, A. Demir
Stahl’s ear deformity is a rare congenital abnormality and is characterized with the presence of an abnormal third crus in the upper pole of the auricle. Although various techniques are advised, there is no standard surgical correction option. In this study, we have tried to show a new suture method to able to correct Stahl’s ear deformity as a more practical and less invasive way. This study includes 4 patients and 4 ears having Stahl ear deformity that was corrected by “Intra Scaphal Opposing Sutures”. The patients were followed up for 12 months with clinical examination and photography. Patient satisfaction was good with favorable results. Suturing techniques are common procedure for Stahl’s ear correction. They can be used alone or in combination with excision, scoring and/or reshaping techniques. The main advantages of our technique are: using a smaller posterior incision, limited dissection and less destruction without performing any excision. Stahl’s ear correction with Intra Scaphal Opposing Sutures may offer a practical and stable solution in selected cases, especially with minor presence of aberrant third crus.
{"title":"“Intra Scaphal Opposing Sutures” for Stahl’s ear correction","authors":"Çağlayan Yağmur, I. O. Aydoğdu, Osman Kelahmetoglu, Ismail Kucuker, I. Aksakal, A. Demir","doi":"10.5835/JECM.OMU.33.04.005","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.04.005","url":null,"abstract":"Stahl’s ear deformity is a rare congenital abnormality and is characterized with the presence of an abnormal third crus in the upper pole of the auricle. Although various techniques are advised, there is no standard surgical correction option. In this study, we have tried to show a new suture method to able to correct Stahl’s ear deformity as a more practical and less invasive way. This study includes 4 patients and 4 ears having Stahl ear deformity that was corrected by “Intra Scaphal Opposing Sutures”. The patients were followed up for 12 months with clinical examination and photography. Patient satisfaction was good with favorable results. Suturing techniques are common procedure for Stahl’s ear correction. They can be used alone or in combination with excision, scoring and/or reshaping techniques. The main advantages of our technique are: using a smaller posterior incision, limited dissection and less destruction without performing any excision. Stahl’s ear correction with Intra Scaphal Opposing Sutures may offer a practical and stable solution in selected cases, especially with minor presence of aberrant third crus.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78792517","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}
Pub Date : 2016-01-01DOI: 10.5835/JECM.OMU.33.04.012
T. Şímşek, M. Engịn, E. Güneren, I. Aksakal
Self mutilation poses a stigmatizing concern for a repentant patient and yield to social eschewing. Many of them undergo surgery for treatment of such scars. In this report, we present a case in whom we elected a self mutilation scar bearing dorsal surface of the forearm as a flap donor site for resurfacing a defect on the back of the first web space. Patient had been referred hand injury by shotgun. While that particular flap (posterior interosseous flap) is not our first choice in such cases, in the face of this preexisting condition we stepped out of our comfort zone for the sake of treating both conditions in one sitting. We think that if a patient with stigmatizing scars presents in need of surgical reconstruction, scarred sites should be chosen as donor sites whenever possible. Therefore, when the hand defects reconstructed, simultaneously, an acceptable single longitudinal scar can be leaved on the forearm instead unpleasant transvers scars.
{"title":"A social stigma as a favorable reconstructive option: Implications on donor site selection","authors":"T. Şímşek, M. Engịn, E. Güneren, I. Aksakal","doi":"10.5835/JECM.OMU.33.04.012","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.04.012","url":null,"abstract":"Self mutilation poses a stigmatizing concern for a repentant patient and yield to social eschewing. Many of them undergo surgery for treatment of such scars. In this report, we present a case in whom we elected a self mutilation scar bearing dorsal surface of the forearm as a flap donor site for resurfacing a defect on the back of the first web space. Patient had been referred hand injury by shotgun. While that particular flap (posterior interosseous flap) is not our first choice in such cases, in the face of this preexisting condition we stepped out of our comfort zone for the sake of treating both conditions in one sitting. We think that if a patient with stigmatizing scars presents in need of surgical reconstruction, scarred sites should be chosen as donor sites whenever possible. Therefore, when the hand defects reconstructed, simultaneously, an acceptable single longitudinal scar can be leaved on the forearm instead unpleasant transvers scars.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89471879","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}
Pub Date : 2016-01-01DOI: 10.5835/JECM.OMU.33.04.013
G. S. Pancar, E. Yuksel
Henna is the powdered leaf of Lawsonia Inermis, and has been widely used as a dye for the skin, hair and nails. Black henna is composed of henna itself with p-phenylenediamine (PPD) and used for temporary black henna tattoos. The PPD compound of the henna transforms the harmless henna to an allergenic material and generalized erythema multiforme, Sweet’s syndrome, acquired leucoderma, urticaria and angioneurotic edema are the other reported rare complications of black henna tattoos. Localized hypertrichosis on the temporary henna tattoo is not a usual side effect and there are a few reports about this topic. The common point of these cases is disappearance of the hypertrichosis within 4-5 months. Notwithstanding the fact that the treatment is not certainly necessary, it could be a problem for some patients because of its cosmetic concern. This case is an example of localized hypertrichosis after henna tattoo and treated immediately with 755 nm Alexandrite Laser in one session.
{"title":"Hypertrichosis due to black henna tattoo treated with 755 nm Alexandrite Laser","authors":"G. S. Pancar, E. Yuksel","doi":"10.5835/JECM.OMU.33.04.013","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.04.013","url":null,"abstract":"Henna is the powdered leaf of Lawsonia Inermis, and has been widely used as a dye for the skin, hair and nails. Black henna is composed of henna itself with p-phenylenediamine (PPD) and used for temporary black henna tattoos. The PPD compound of the henna transforms the harmless henna to an allergenic material and generalized erythema multiforme, Sweet’s syndrome, acquired leucoderma, urticaria and angioneurotic edema are the other reported rare complications of black henna tattoos. Localized hypertrichosis on the temporary henna tattoo is not a usual side effect and there are a few reports about this topic. The common point of these cases is disappearance of the hypertrichosis within 4-5 months. Notwithstanding the fact that the treatment is not certainly necessary, it could be a problem for some patients because of its cosmetic concern. This case is an example of localized hypertrichosis after henna tattoo and treated immediately with 755 nm Alexandrite Laser in one session.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83934893","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}
Pub Date : 2016-01-01DOI: 10.5835//JECM.OMU.33.04.002
L. Eroğlu, T. Şímşek, M. Keleş
Full thickness skin grafts (FTSG) are commonly employed for resurfacing facial reconstruction. Donor sites matching in color and texture are limited to a few facial locations such as the eyelids, pre- and postauricular and nasolabial regions. However, they offer limited amounts of skin and the donor site morbidities are not always well tolerated. On the other hand, submental area provides equally matching skin substance in a comfortably large amount, especially in elderly individuals. We are presenting our experience in 20 patients with reconstruction with submental FTSG’s following facial tumor ablation. Except for one patient, all grafts achieved full take. There were no donor site related complaints; moreover, the patients were very pleased about the submental cervical lifting effect imposed by the technique. Submental region is a suitable FTSG donor side when considering resurfacing facial defects of the elderly female patients and male patients in whom a hair-bearing site needs to be resurfaced.
{"title":"Submental skin graft: A useful donor site for facial skin defects","authors":"L. Eroğlu, T. Şímşek, M. Keleş","doi":"10.5835//JECM.OMU.33.04.002","DOIUrl":"https://doi.org/10.5835//JECM.OMU.33.04.002","url":null,"abstract":"Full thickness skin grafts (FTSG) are commonly employed for resurfacing facial reconstruction. Donor sites matching in color and texture are limited to a few facial locations such as the eyelids, pre- and postauricular and nasolabial regions. However, they offer limited amounts of skin and the donor site morbidities are not always well tolerated. On the other hand, submental area provides equally matching skin substance in a comfortably large amount, especially in elderly individuals. We are presenting our experience in 20 patients with reconstruction with submental FTSG’s following facial tumor ablation. Except for one patient, all grafts achieved full take. There were no donor site related complaints; moreover, the patients were very pleased about the submental cervical lifting effect imposed by the technique. Submental region is a suitable FTSG donor side when considering resurfacing facial defects of the elderly female patients and male patients in whom a hair-bearing site needs to be resurfaced.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78693626","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}
Pub Date : 2016-01-01DOI: 10.5835/JECM.OMU.33.03.003
Gökay Nar, Aydın Güçlü, S. Inci, G. Aksan, A. Içli, R. Nar
The risk of atrial fibrillation (AF) development was revealed to be increased in patients with end-stage renal disease (ESRD) Elongation of the time of atrial electromechanical delay (AEMD) is a famous typical of the atrium. AEMD is a risk factor for AF development and it could be associated with chronic kidney disease (CKD). The aim of our study is to examine mechanical functions of the left atrium (LA) and AEMD times in ESRD. A total of 86 participant, 46 with ESRD and 40 as the control group, were included in the study. The demographical and laboratory information were documented. Echocardiographic dimensions were achieved in all patients. Left atrial mechanical functions and AEMD durations were calculated. Demographic and laboratory characteristics of the groups were similar except the mean diastolic blood pressure, hemoglobin, creatinine, glucose, uric acid, calcium and potassium levels. The echocardiographic assessment exposed that the ventricular septal thickness (12.7±1.5 vs. 10.4±1.5, p<0.001), posterior wall thickness (12.6±1.6 vs. 10.1±1.9, p<0.001), LA dimension (40.9±5.3 vs.34.6±2.6, p<0.001) and diastolic parameters decreased in the ESRD group when compared to the control group; also, LA volumes, mechanical functions, inter atrial EMD (33.2±9.1 vs. 22.7±7.7, p<0.001), intra-right-EMD (18.5±7.7 vs. 13.2±6.4, p=0.001) and intra-left-EMD (18.5±7.7 vs. 13.7±5.7, p=0.002) were also different between groups. (p<0.005) The correlation analysis showed that serum ferritin levels were correlated with AEMD. We found deteriorated LA functions and elongation in the times of AEMD in the ESRD group compared with the control group. Additionally, we found positive correlation between ferritin levels and AEMD. This result show that AEMD might be used to predict the risk of development of AF in patients with ESRD.
{"title":"Assessment of atrial electromechanical delay and left atrial mechanical functions in chronic kidney disease","authors":"Gökay Nar, Aydın Güçlü, S. Inci, G. Aksan, A. Içli, R. Nar","doi":"10.5835/JECM.OMU.33.03.003","DOIUrl":"https://doi.org/10.5835/JECM.OMU.33.03.003","url":null,"abstract":"The risk of atrial fibrillation (AF) development was revealed to be increased in patients with end-stage renal disease (ESRD) Elongation of the time of atrial electromechanical delay (AEMD) is a famous typical of the atrium. AEMD is a risk factor for AF development and it could be associated with chronic kidney disease (CKD). The aim of our study is to examine mechanical functions of the left atrium (LA) and AEMD times in ESRD. A total of 86 participant, 46 with ESRD and 40 as the control group, were included in the study. The demographical and laboratory information were documented. Echocardiographic dimensions were achieved in all patients. Left atrial mechanical functions and AEMD durations were calculated. Demographic and laboratory characteristics of the groups were similar except the mean diastolic blood pressure, hemoglobin, creatinine, glucose, uric acid, calcium and potassium levels. The echocardiographic assessment exposed that the ventricular septal thickness (12.7±1.5 vs. 10.4±1.5, p<0.001), posterior wall thickness (12.6±1.6 vs. 10.1±1.9, p<0.001), LA dimension (40.9±5.3 vs.34.6±2.6, p<0.001) and diastolic parameters decreased in the ESRD group when compared to the control group; also, LA volumes, mechanical functions, inter atrial EMD (33.2±9.1 vs. 22.7±7.7, p<0.001), intra-right-EMD (18.5±7.7 vs. 13.2±6.4, p=0.001) and intra-left-EMD (18.5±7.7 vs. 13.7±5.7, p=0.002) were also different between groups. (p<0.005) The correlation analysis showed that serum ferritin levels were correlated with AEMD. We found deteriorated LA functions and elongation in the times of AEMD in the ESRD group compared with the control group. Additionally, we found positive correlation between ferritin levels and AEMD. This result show that AEMD might be used to predict the risk of development of AF in patients with ESRD.","PeriodicalId":15770,"journal":{"name":"Journal of Experimental & Clinical Medicine","volume":"126 1","pages":"139-143"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79526051","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}
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