Pub Date : 2023-01-01DOI: 10.14744/scie.2023.67699
H. Erten
{"title":"Determination of Vaccination Rates for Influenza and Pneumococcal Vaccines in Patients with Chronic Obstructive Pulmonary Disease and Factors Affecting Vaccination","authors":"H. Erten","doi":"10.14744/scie.2023.67699","DOIUrl":"https://doi.org/10.14744/scie.2023.67699","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67342629","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 : 2023-01-01DOI: 10.14744/scie.2023.34735
İlker Yılmam
Objective: Although there have been studies examining the frequency of insomnia in hospitalized COVID-19 patients, there have been no studies investigating insomnia in outpatients. The purpose of this study is to investigate the frequency of insomnia in non-hospitalized COVID-19 patients and the factors influencing the presence of insomnia . Methods: The study included outpatients who were diagnosed with COVID-19 by PCR, without any hospitalization indication. The Hospital Anxiety and Depression Scale (HADS) and the Insomnia Severity Index (ISI) were applied to the patients included in the study. The factors influencing the presence of insomnia were examined with a logistic regression test. Results: A total of 351 patients were included in the study. Insomnia was considered in 127 patients (36.2%) when the ISI score was ≥8 positive. When HADS scores were considered ≥8 positive, it was thought that 89 (25.4%) patients may have experienced depression and 66 (18.8%) anxiety. When the parameters influencing the presence of insomnia were evaluated by a logistic regression test, the presence of headache (p<0.0001; OR: 2.9) and fever (p=0.043; OR: 1.85) was found to be significant. It was found that the fact that anxiety (p=0.01; OR: 3.36) and depression scores were ≥8 (p=0.018; OR: 2.16) which have a significant effect on the presence of insomnia. Conclusion: Our study shows that the COVID-19 pandemic, even in mild cases, may cause sleep disorders associated with anxiety and depression triggered by both the symptoms of the infection and its negative effects on the lifestyle of society.
{"title":"Insomnia and Influencing Factors in Nonhospitalized COVID-19 Patients","authors":"İlker Yılmam","doi":"10.14744/scie.2023.34735","DOIUrl":"https://doi.org/10.14744/scie.2023.34735","url":null,"abstract":"Objective: Although there have been studies examining the frequency of insomnia in hospitalized COVID-19 patients, there have been no studies investigating insomnia in outpatients. The purpose of this study is to investigate the frequency of insomnia in non-hospitalized COVID-19 patients and the factors influencing the presence of insomnia . Methods: The study included outpatients who were diagnosed with COVID-19 by PCR, without any hospitalization indication. The Hospital Anxiety and Depression Scale (HADS) and the Insomnia Severity Index (ISI) were applied to the patients included in the study. The factors influencing the presence of insomnia were examined with a logistic regression test. Results: A total of 351 patients were included in the study. Insomnia was considered in 127 patients (36.2%) when the ISI score was ≥8 positive. When HADS scores were considered ≥8 positive, it was thought that 89 (25.4%) patients may have experienced depression and 66 (18.8%) anxiety. When the parameters influencing the presence of insomnia were evaluated by a logistic regression test, the presence of headache (p<0.0001; OR: 2.9) and fever (p=0.043; OR: 1.85) was found to be significant. It was found that the fact that anxiety (p=0.01; OR: 3.36) and depression scores were ≥8 (p=0.018; OR: 2.16) which have a significant effect on the presence of insomnia. Conclusion: Our study shows that the COVID-19 pandemic, even in mild cases, may cause sleep disorders associated with anxiety and depression triggered by both the symptoms of the infection and its negative effects on the lifestyle of society.","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838271","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 : 2023-01-01DOI: 10.14744/scie.2023.68542
Selin Gamze Sümen
Objective: Sudden sensorineural hearing loss (SSNHL) has been reported in individuals with a previous medical history of COVID-19. This research was conducted to investigate the outcomes and characteristics of these cases following hyperbaric oxygen treatment (HBO2). Methods: This retrospective study included patients diagnosed with SSNHL, with a previous history of coronavirus disease, who underwent HBO2. Medical files from four health centers (three tertiary and one state hospital) between March 2020 and September 2021 were reviewed to evaluate the treatment outcomes. Results: The study found that 25 out of 304 patients who presented with SSNHL had a prior COVID-19 infection. The mean age of the patients was 36.2 ± 12.3 years, with 56% being male. Recovery rates were as follows: complete recovery (20%), partial improvement (20%), and minimal improvement (32%). There was a statistically significant difference between the pre-and post-treatment median values of all frequency levels (**P<0.001). Conclusion: SSNHL requires immediate management with various treatment modalities. In this study, HBO2 showed improvement in hearing loss specifically in patients with a prior history of coronavirus infection. The varied distribution of recovery rates aligns with existing literature. This is the inaugural study assessing the outcomes of HBO2 in such cases. ABSTRACT
{"title":"Hyperbaric Oxygen Treatment for PostCOVID-19 Sudden Sensorineural Hearing Loss Patients","authors":"Selin Gamze Sümen","doi":"10.14744/scie.2023.68542","DOIUrl":"https://doi.org/10.14744/scie.2023.68542","url":null,"abstract":"Objective: Sudden sensorineural hearing loss (SSNHL) has been reported in individuals with a previous medical history of COVID-19. This research was conducted to investigate the outcomes and characteristics of these cases following hyperbaric oxygen treatment (HBO2). Methods: This retrospective study included patients diagnosed with SSNHL, with a previous history of coronavirus disease, who underwent HBO2. Medical files from four health centers (three tertiary and one state hospital) between March 2020 and September 2021 were reviewed to evaluate the treatment outcomes. Results: The study found that 25 out of 304 patients who presented with SSNHL had a prior COVID-19 infection. The mean age of the patients was 36.2 ± 12.3 years, with 56% being male. Recovery rates were as follows: complete recovery (20%), partial improvement (20%), and minimal improvement (32%). There was a statistically significant difference between the pre-and post-treatment median values of all frequency levels (**P<0.001). Conclusion: SSNHL requires immediate management with various treatment modalities. In this study, HBO2 showed improvement in hearing loss specifically in patients with a prior history of coronavirus infection. The varied distribution of recovery rates aligns with existing literature. This is the inaugural study assessing the outcomes of HBO2 in such cases. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838274","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 : 2023-01-01DOI: 10.14744/scie.2023.45087
Ahmet Başkent
Objective: We aimed to investigate the effects of bupivacaine applied to the port sites after laparoscopic cholecystectomy (LC) on postoperative pain (POP) intensity. Methods: The study included 188 patients who underwent LC under elective conditions for symptomatic cholelithiasis. Patients: 93 patients who received bupivacaine instead of the port were divided into the bupivacaine group, and 95 patients who received postoperative analgesia with nonsteroidal anti-inflammatory/tramadol drugs were divided into the Standard Analgesia Group. Pain was measured by the Visual Analog Scale (VAS) in all patients at the 1st, 6th, 12th, and 24th h postoperatively. All analgesic drugs administered to the patients were recorded. Results: There was no difference between the two groups in terms of demographic characteristics, duration of surgery, or hospitalization. The mean VAS score at 1st, 6th, 12th, and 24th h was 3.6, 4.4, 2.1, and 1.9 in the Bupivacaine Group, while it was 7.6, 6.9, 2.3, and 2.1 in the Standard Analgesia Group. A statistically significant (p<0.001) reduction in pain intensity was detected in the Bupivacaine Group compared to the patients in the Standard Analgesia Group at the 1st and 6th h. On the other hand, there was no difference in pain intensity at 12th and 24th h. There was a significant decrease in analgesic use in the bupivacaine group. No major complications or mortality were observed in any patient. Conclusion: Local anesthetic (Bupivacaine) application to the port sites after LC provides a significant decrease in pain intensity in the first 6 h postoperatively. We also believe that fewer analgesic drugs will be used for POP in these patients. ABSTRACT
{"title":"The Effect of Port-Site Local Anesthetic Application and Standard Analgesics on Postoperative Pain Management in Laparoscopic Cholecystectomy: A Prospective, Comparative Study","authors":"Ahmet Başkent","doi":"10.14744/scie.2023.45087","DOIUrl":"https://doi.org/10.14744/scie.2023.45087","url":null,"abstract":"Objective: We aimed to investigate the effects of bupivacaine applied to the port sites after laparoscopic cholecystectomy (LC) on postoperative pain (POP) intensity. Methods: The study included 188 patients who underwent LC under elective conditions for symptomatic cholelithiasis. Patients: 93 patients who received bupivacaine instead of the port were divided into the bupivacaine group, and 95 patients who received postoperative analgesia with nonsteroidal anti-inflammatory/tramadol drugs were divided into the Standard Analgesia Group. Pain was measured by the Visual Analog Scale (VAS) in all patients at the 1st, 6th, 12th, and 24th h postoperatively. All analgesic drugs administered to the patients were recorded. Results: There was no difference between the two groups in terms of demographic characteristics, duration of surgery, or hospitalization. The mean VAS score at 1st, 6th, 12th, and 24th h was 3.6, 4.4, 2.1, and 1.9 in the Bupivacaine Group, while it was 7.6, 6.9, 2.3, and 2.1 in the Standard Analgesia Group. A statistically significant (p<0.001) reduction in pain intensity was detected in the Bupivacaine Group compared to the patients in the Standard Analgesia Group at the 1st and 6th h. On the other hand, there was no difference in pain intensity at 12th and 24th h. There was a significant decrease in analgesic use in the bupivacaine group. No major complications or mortality were observed in any patient. Conclusion: Local anesthetic (Bupivacaine) application to the port sites after LC provides a significant decrease in pain intensity in the first 6 h postoperatively. We also believe that fewer analgesic drugs will be used for POP in these patients. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135844580","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 : 2023-01-01DOI: 10.14744/scie.2023.38436
Ersin Şensöz
Objective: This research primarily focuses on understanding the application of internal fixation implants in the treatment of Pauwels Type-3 vertical Femoral Neck Fractures (FNF). The main objectives encompass understanding the application of four distinct types of implants, assessing the impact of these fixation techniques on the femur bone, and comparing the efficacy of the implants using finite element analyses (FEA). Methods: Four types of internal fixation implants were examined: Cannulated screws in the inverted triangle (CSIT). Fixation by four screws. Dynamic hip screw with derotational screw system (DHS+DS). Proximal femoral locking plate system. The comparative effectiveness of these implants was determined using finite element analyses (FEA). Results: The research revealed that the DHS+DS implant exhibited superior performance when compared to other internal fixation implants. Conclusion: For the treatment of Pauwels Type-3 vertical FNFs, the DHS+DS implant demonstrates enhanced efficacy, potentially making it the most appropriate technique for such fractures. ABSTRACT
{"title":"Assessment of Internal Fixation Implants for Treating Vertical Femoral Neck Fractures through Finite Element Analysis","authors":"Ersin Şensöz","doi":"10.14744/scie.2023.38436","DOIUrl":"https://doi.org/10.14744/scie.2023.38436","url":null,"abstract":"Objective: This research primarily focuses on understanding the application of internal fixation implants in the treatment of Pauwels Type-3 vertical Femoral Neck Fractures (FNF). The main objectives encompass understanding the application of four distinct types of implants, assessing the impact of these fixation techniques on the femur bone, and comparing the efficacy of the implants using finite element analyses (FEA). Methods: Four types of internal fixation implants were examined: Cannulated screws in the inverted triangle (CSIT). Fixation by four screws. Dynamic hip screw with derotational screw system (DHS+DS). Proximal femoral locking plate system. The comparative effectiveness of these implants was determined using finite element analyses (FEA). Results: The research revealed that the DHS+DS implant exhibited superior performance when compared to other internal fixation implants. Conclusion: For the treatment of Pauwels Type-3 vertical FNFs, the DHS+DS implant demonstrates enhanced efficacy, potentially making it the most appropriate technique for such fractures. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838265","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 : 2023-01-01DOI: 10.14744/scie.2023.02350
Münip Akalın
A 29-year-old primigravid pregnant women was admitted to our tertiary center with complaints of abdominal pain, nausea, and vomiting at the 29 weeks of gestation. Ultrasonography revealed a 6 cm diameter cystic mass in the right adnexa, and there was a high suspicion of adnexal torsion. On magnetic resonance imaging, the right ovary appeared normal and there was a 6 cm cystic mass adjacent to the right ovary, and the findings supported isolated fallopian tube torsion. Emergency laparoscopy revealed that the right fallopian tube and para-tubal cyst were torsioned by 720°, and the fallopian tube was necrotic. This torsion did not include the ovary. Since the color tone of the fallopian tube did not recover after detorsion, the right salpingectomy was performed. After the patient was discharged, routine obstetric follow-ups were continued and 3375 g male infant was delivered by cesarean section at 39 weeks of gestation. ABSTRACT
{"title":"Isolated Fallopian Tube Torsion with a Paratubal Cyst Treated with Laparoscopic Approach in the Third Trimester of Pregnancy: A Case Report and Literature Review","authors":"Münip Akalın","doi":"10.14744/scie.2023.02350","DOIUrl":"https://doi.org/10.14744/scie.2023.02350","url":null,"abstract":"A 29-year-old primigravid pregnant women was admitted to our tertiary center with complaints of abdominal pain, nausea, and vomiting at the 29 weeks of gestation. Ultrasonography revealed a 6 cm diameter cystic mass in the right adnexa, and there was a high suspicion of adnexal torsion. On magnetic resonance imaging, the right ovary appeared normal and there was a 6 cm cystic mass adjacent to the right ovary, and the findings supported isolated fallopian tube torsion. Emergency laparoscopy revealed that the right fallopian tube and para-tubal cyst were torsioned by 720°, and the fallopian tube was necrotic. This torsion did not include the ovary. Since the color tone of the fallopian tube did not recover after detorsion, the right salpingectomy was performed. After the patient was discharged, routine obstetric follow-ups were continued and 3375 g male infant was delivered by cesarean section at 39 weeks of gestation. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135844572","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 : 2023-01-01DOI: 10.14744/scie.2023.25348
U. D. Hökenek
{"title":"Comparison of hospital presentations due to tracheal stenosis before and during the COVID-19 pandemic","authors":"U. D. Hökenek","doi":"10.14744/scie.2023.25348","DOIUrl":"https://doi.org/10.14744/scie.2023.25348","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67341981","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 : 2023-01-01DOI: 10.14744/scie.2023.66563
Y. Tosun
{"title":"Incidence of Thyroid Cancer in Patients Operated for Hyperthyroidism: Our 10-Year Experience","authors":"Y. Tosun","doi":"10.14744/scie.2023.66563","DOIUrl":"https://doi.org/10.14744/scie.2023.66563","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67342168","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 : 2023-01-01DOI: 10.14744/scie.2023.70893
E. Altuğ
{"title":"Diagnostic Value of Systemic Immune-inflammation Index in Patients with Acute Pancreatitis","authors":"E. Altuğ","doi":"10.14744/scie.2023.70893","DOIUrl":"https://doi.org/10.14744/scie.2023.70893","url":null,"abstract":"","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67342489","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 : 2023-01-01DOI: 10.14744/scie.2023.46354
Çağla Çiçek
Objective: Microvascular tissue transfer, which is one of the last steps of the reconstruction ladder is often the preferred method in lower extremity distal 1/3 defects since the soft-tissue reserve is limited and the musculoskeletal system and neurovascular structures that are effective in ensuring the functional continuity of this region are superficial. There are no studies in the literature comparing the functional results of the free parascapular flap and the anterolateral thigh (ALT) flap in ankle reconstruction; therefore, we aimed to evaluate the functional results of these two different free flaps in the reconstruction of the ankle. Methods: A retrospective study was undertaken of all patients who presented with soft-tissue ankle defects treated with either ALT or parascapular flap between October 2010 and January 2022. Patients demographic data, lower-extremity functional scale, satisfaction survey score, and Vancouver scar scale were recorded for both groups. The cross tables and Chi-square statistics were used to check the relationships; independent t-tests were used for comparisons between the two groups; and one-way ANOVA statistics were used for multigroup comparisons. Results: In this study, 62 patients received free ALT flaps, and 58 patients underwent par-ascapular flap reconstruction. The function of the ankle was reported to be significantly better in patients who had a parascapular flap. Furthermore, when flap thicknesses were compared, it was found that the parascapular flap was significantly thinner than the ALT flap. The relationship between the donor artery and vein diameter and flap complications was statistically significant; there were significantly fewer complications in flaps with a vessel diameter over 3.2 mm. Conclusion: The surgeon’s experience, donor site morbidity, and the esthetic results of the flap often come to the fore in the selection of flaps in microsurgery. Although the ALT flap has become popular in recent years, the free parascapular flap can be preferred over the ALT flap because it provides better functional results and more advantages for ankle soft-tissue reconstruction. ABSTRACT
{"title":"Comparison of the Functional and Esthetic Outcomes of Free Parascapular and Anterolateral Thigh Flaps for Ankle Reconstruction","authors":"Çağla Çiçek","doi":"10.14744/scie.2023.46354","DOIUrl":"https://doi.org/10.14744/scie.2023.46354","url":null,"abstract":"Objective: Microvascular tissue transfer, which is one of the last steps of the reconstruction ladder is often the preferred method in lower extremity distal 1/3 defects since the soft-tissue reserve is limited and the musculoskeletal system and neurovascular structures that are effective in ensuring the functional continuity of this region are superficial. There are no studies in the literature comparing the functional results of the free parascapular flap and the anterolateral thigh (ALT) flap in ankle reconstruction; therefore, we aimed to evaluate the functional results of these two different free flaps in the reconstruction of the ankle. Methods: A retrospective study was undertaken of all patients who presented with soft-tissue ankle defects treated with either ALT or parascapular flap between October 2010 and January 2022. Patients demographic data, lower-extremity functional scale, satisfaction survey score, and Vancouver scar scale were recorded for both groups. The cross tables and Chi-square statistics were used to check the relationships; independent t-tests were used for comparisons between the two groups; and one-way ANOVA statistics were used for multigroup comparisons. Results: In this study, 62 patients received free ALT flaps, and 58 patients underwent par-ascapular flap reconstruction. The function of the ankle was reported to be significantly better in patients who had a parascapular flap. Furthermore, when flap thicknesses were compared, it was found that the parascapular flap was significantly thinner than the ALT flap. The relationship between the donor artery and vein diameter and flap complications was statistically significant; there were significantly fewer complications in flaps with a vessel diameter over 3.2 mm. Conclusion: The surgeon’s experience, donor site morbidity, and the esthetic results of the flap often come to the fore in the selection of flaps in microsurgery. Although the ALT flap has become popular in recent years, the free parascapular flap can be preferred over the ALT flap because it provides better functional results and more advantages for ankle soft-tissue reconstruction. ABSTRACT","PeriodicalId":33982,"journal":{"name":"Southern Clinics of Istanbul Eurasia","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135838269","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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