Search

Background The aim of this study was to demonstrate a new, easy and safe technique, which has not been defined in the literature previously, that enables the gradual primary closure of fasciotomy wounds using barbed sutures. Methods The technique was performed on five patients who presented with fasciotomy wounds on both upper and lower extremities, varying in size, observed after compartment syndrome due to different causes. The average width of the defects for which primary closure was planned was 8.8 cm. Following the fasciotomy incision, absorbable barbed sutures were inserted through the dermal tissue around the wound similar to that of a subcuticular closure, but left loose, after which closed dressing was applied. During the clinical follow-up, with the decrease in tissue edema and tightness around the wound, the barbed suture was tightened at bedside every 48-72 hours. Results At the end of this gradual closure, all the fasciotomy defects were primarily closed within an average of 8.6 days. All the patients had complete and uncomplicated primary closure with the exception of one with high-voltage electrical burn injury, who developed necrosis in the distal part of the defect, and was treated by secondary healing. Conclusion The gradual fasciotomy closure technique with barbed suture seems to be an easy, rapid and effective method.

Temporomandibular joint dislocation is defined as the movement of condyle out of the fossa and the advancement of the posterior surface of the condyle in front of the articular eminence. If this condition becomes chronic, surgical treatment is the only option. The goal of surgical treatment is to reposition the condyle and prevent further recurrences. In this study, a retrospective analysis is presented examining 73 patients and 83 joints that were treated with hook-shaped miniplates and miniscrews fixed to otolog bone grafts. Records were obtained from archives of the Uludag University Medical Faculty, Plastic, Reconstructive and Aesthetic Surgery Department. The duration of postoperative follow-up was 3–30 months. In one case, the miniplate was fractured, and in two cases, abscesses existed. This study aims to emphasize that using miniplates and otolog bone grafts is more cost effective.

Bu klinik çalışmada 1992-2002 yılları arasında Uludağ Üniversitesi Tıp Fakültesi Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı Yanık Merkezinde yatarak tedavi edilen 13 kimyasal yanık olgusu ile ilgili deneyimlerimiz sunulmaktadır. Olgular, yaş, cinsiyet,etyolojik faktörler,kimyasal yanık etkeni, yanık yüzey alanı, hastanede kalış süresi ve tercih edilen tedavi yöntemleri dikkate alınarak incelendi.13 olgunun tamamı erkek olup yaş ortalaması 26.4 (5-51) idi. Kimyasal yanıklarda etyolojik faktörler 12 olguda iş kazaları ve 1 olguda ev kazasıydı.Olgularımızın ortalama kimyasal yanık yüzey alanı %26 (3-33) idi. Karşılaşılan kimyasal yanık etkenleri, 4 olguda sülfirik asit, 1 olguda hidroklorik asit, 3 olguda organik bileşik, 3 olguda sülfofosforik asit, 1 olguda hidrojen peroksit ve 1 olguda sıvı alüminyum olarak tespit edildi.Olgularımızın ortalama hastanede kalış süreleri 26 gün (1-130) idi. 10 olguda,tanjansiyel eksizyon ve kısmi kalınlıkta deri grefti uygulandı.3 olgu, lokal yara bakımı ile tedavi edildi.

Bu çalışma, 2000 yılında İzmir'de düzenlenen 22. Ulusal Türk Plastik Rekonstrüktif ve Estetik Cerrahi Derneği Kongresi'nde bildiri olarak sunulmuştur. Since several experimental and clinical studies demonstrated the chondrogenic potential of perichondrium there has been great interest in examining factors that might promote neochondrogenesis from perichondrium. Human amniotic fluid contains hyaluronic acid. growth factors and extracellular macromolecules, and may. therefore, have a stimulating effect on cartilage regeneration. This experimental Study investigated the effect of human amniotic fluid on cartilage regeneration from rabbit ear perichondrial flaps, using 96 ears of 48 New Zealand young rabbits. A perichondrial flap was elevated and a cartilage defect measuring 20 min x 15 nim was created on the dorsum of each ear, then the perichondrial flap was Sutured in place. The ears were divided into two groups according to the solution injected underneath the perichondrial flap. The right ears, which were injected with 0.2 ml human amniotic fluid, formed the experimental group, and the left ears, which were injected with 0.2 ml saline, formed the control group. Macroscopic and histological progression of neochondrogenesis were evaluated at 2, 4 6 and 8 weeks after surgery. Macroscopically, the cartilage in the experimental group was generated quickly and had a similar appearance to the surrounding cartilage tissue, whereas in the control group minimal cartilage formation was observed at 4 weeks. Histologically, the neocartilage was significantly thicker in the experimental group than in the control group at 8 weeks (P < 0.05, Student's t-test). It can be concluded that human amniotic fluid enhances new cartilage formation from rabbit car perichondrial flaps. The preventive effect of human amniotic fluid on scar formation and the rich content of growth factors and extracellular matrix precursors may play a role in this result. (C) 2002 The British Association of Plastic Surgeons.

Sialorrhoea is an indication of dysfunction in the coordination of the swallowing mechanism. Disturbance in this coordination results in excess pooling of saliva in the anterior mouth and resultant drooling. Several surgical techniques have been described for the management of sialorrhoea. In this experimental study, we planned to try a more safe and physiologic technique by repositioning of the parotid duct orifices into the glossopalatal arch, using autologous free grafts of vein and artery in dogs. Ten adult dogs were used. In each dog, both of the parotid duct orifices were included in the study. The surgical procedure involved the dissection of both parotid duct orifices and their relocation via a submucosal tunnel into the glossopalatal arch, using a vein graft for the right side and an artery graft for the left side. Functional assessment was based on the clinical observations and retrograde sialography done on the 60th day. Results were excellent. No stricture or obstruction was noted. Histological examinations done on the 90th day showed the replacement of endothelium by multilayered cubic Stensen's duct epithelium in both artery and vein grafts. There was no difference between the results of artery and vein grafts. Surgical transposition of Stensen`s duct into the glossopalatal arch with autologous vein or artery graft is a safe technique which may be used in clinical cases of drooling us an alternative to the other techniques described.

As the sensory nerves supplying the abdominal wall are divided during abdominoplasty, sensory changes occur in the abdominal skin after surgery, which are troublesome for some patients. These sensory changes can lead to burn injury in uninformed patients. We report the case of a patient who sustained a second-degree burn to the anterior abdominal skin following the application of a heating pad after an abdominoplasty. This burn healed with conservative treatment. Burn injuries due to sensory loss in the abdominal skin following abdominoplasty must be kept in mind, and patients must be informed about this complication.