Search

Aim: Facial reconstruction is a method that estimates the face shape of the unidentified person using clay and similar material in cases where only the skull is present. Due to natural events and animals, the integrity of the skeletal remains can be disrupted and this makes identification hard. The aim of the study is to estimate the skull shape by reference to the mastoid process in case of fragmentation of the skull at the scene. Material and Methods: In the study, computerized tomography images of a total of 96 individuals of 51 women and 45 men which were obtained from xxx University Faculty of Medicine, Department of Radiology, were used. The variables determined in the images taken in the Frankfurt Horizontal plan were measured using the Image J program. Statistics of the data obtained were carried out using SPSS 22.0 program. Results: The descriptive values of the variables were given. Correlation analysis was used to determine the relationship between the variables. Regression formulas were developed to predict missing parts if the integrity of the skull was compromised in facial reconstruction. Conclusion: In this study we tried to evaluate the facial reconstruction from a different point of view. We believe this study set an example for future studies and help the forensic sciences.

Bronchial carcinoid tumors are primary lung neoplasms thought to originate from neuroendocrine cells, i.e. Kulchitsky cells, in the bronchial mucosa, although the type of cellular origin has not been clearly understood. A 61-year-old male patient underwent surgery and microscopic examination of the specimen revealed an anastomosing trabecular bony structure among the nests of tumor cells with round nucleus, granular chromatin, and large eosinophilic cytoplasm. Our case has been deemed worthy of being presented as bronchial carcinoid tumor with exaggerated osseous metaplasia.

Introduction: Robinow syndrome is characterized by dwarfism demonstrating short-limbed extremities, vertebral malsegmentation/malformation (hemivertebra), costal dysplasia, genital hypoplasia, and fetal facial appearance (wide and prominent forehead, hypertelorism, small and wide nose, molar hypoplasia, and retrognathia). It is a rare genetic disease which may present with either mild autosomal dominant form or severe recessive form. Vertebral and costal abnormalities are common diagnostic signs that may be severe. The disease presents with kyphoscoliosis and chest abnormalities along with thoracic vertebral fusion and hemivertebral appearance. Ribs may demonstrate fusion. Based on those involvements, the disease can be categorized as spondylothoracic, spondylocostal, ischiovertebral dysplasia, and cervicofaciothoracic syndrome.Diagnosis is established by the help of clinical characteristics. Radiography might contribute to the diagnosis by revealing changes in the skeletal system. Case Report: A three-year-old male patient presented with operated left undescendent testis and buried penis. On physical examination, he also had a dysmorphic face characterized by macrocephaly, hypertelorism, prominent eyes, a flattened nasal bridge, triangular-fish mouth, gingival hypertrophy and left hand clinodactyly. Radiographic examination documented mesomelic shortening of the radius-ulna, malsegmentation of the thoracal spine and the ribs fusion.Conclusion: Robinow syndrome is a rare syndrome which can be diagnosed by typical facial appearance and radiologic findings. (Journal of Current Pediatrics 2010; 8: 44-7)

Abstract Idiopathic granulomatous mastitis (IGM) is an immune-mediated inflammatory breast disease presenting significant treatment challenges due to its varied symptoms and lack of standardized guidelines. This study aims to evaluate the efficacy and safety of immunosuppressive modalities, including corticosteroids (CS) and immunosuppressive agents such as methotrexate (MTX) and azathioprine (AZA), in managing IGM, with a focus on recurrence rates and treatment outcomes. We conducted a retrospective analysis of 505 female patients diagnosed with IGM at the Bursa Uludag University Breast Surgery Clinic between January 2011 and December 2022. Patients received various treatments, including observation, CS therapy, MTX, AZA, and surgical interventions when necessary. Recurrence rates among different therapy groups were compared using chi-square tests, with Bonferroni correction applied for multiple comparisons. Of the total patients, 29.7% received first-line conservative therapy, while 70.3% required second or third-line immunosuppressive treatments. Among those who received immunosuppressive therapy (n = 355), CS therapy alone had the highest recurrence rate at 28.8%. The addition of MTX reduced the recurrence rate to 19.8%, but this reduction was not statistically significant (p = 0.143). AZA therapy significantly lowered recurrence rates, both when used alone (4.7%) and in combination with CS (9.1%) (p

Abstract Background Peripheral arterial disease (PAD) causes significant morbidity today. Atherosclerosis is evident in the pathophysiological process in most patients, so PAD has similar risk factors as coronary artery disease. Platelet-Hemoglobin ratio (PHR) has been proven to predict mortality in atherosclerotic heart disease. We aimed to determine the relationship between PHR and below-knee amputation. Methods The study is a single-center retrospective study. Platelet count/hemoglobin amount formula was used for PHR. Only PAD patients with below-knee critical extremity ischemia and unsuitable for revascularization were included in the study. Results 235 patients were included in the study retrospectively. The mean age was 65.7 ± 9.9 years and 175(74.5%) of them were male. In the amputated group, white blood cell, neutrophil, platelet, creatinine, glucose, and PHR were higher (p = .031, p = .045, p = .011, p = .048 p = .018, p = .004, respectively). Only hemoglobin values were lower (p = .003). Multivariable regression analysis showed; age, albumin and PHR were determined as independent risk factors for amputation (Age; OR (95%CI): (1.094(1.040–1.152), p = .001) (Albumin; OR (95% CI): 1.950(1.623–1.799), p = .001) (PHR; OR (95% CI): 1.872(1.246–2.812), p = .003). Receiver operating characteristics analysis performed to determine the optimal cut-off value of PHR for amputation, the optimal value was found 2.08 (65.8% sensitivity, 67.5% specificity, p

Background: Bleeding in the biopsy tract has been studied for its ability to decrease the risk of pneumothorax with indefinite results in the previous studies. Purpose: To investigate the risk factors for needle-tract bleeding (NTB) and the possible effect of NTB on the pneumothorax and resultant chest tube placement after CT-guided cutting needle biopsy (CT-CNB) of pulmonary lesions. Methods: Predictive variables for NTB and the effect of NTB on the development of pneumothorax and consequent chest tube placement were retrospectively determined in 416 patients who had undergone an 18-gauge non-coaxial CT-CNB (338 men and 78 women; average age, 59.3 years). Patient-related parameters were age, gender, patient position, and severity of pulmonary emphysema. Lesion-related variables were size, localization, and contour characteristics of the lesion. Procedure-related variables were the presence of atelectasis, pleural tag, and fissure in the needle-tract, length of the aerated lung parenchyma crossed by needle, needle entry angle, number of pleural punctures, the experience of the operator, and procedure duration. All variables were analyzed by x2 test and logistic regression analysis. Results: NTB was demonstrated in 142 of 421 (33.7%) procedures. The predictive variables of NTB were smaller lesion size (p = 0.011) and greater lesion depth (p = 0.002). In patients without emphysema around the lesion, the pneumothorax developed in 44/190 cases (23.1%) without NTB and in 12/95 procedures (12.6%) with NTB (p < 0.001). Conclusion: NTB may have a preventive effect on pneumothorax development, particularly in the absence of emphysema around the lesion.