Publications by authors named "Ozgur Pilanci"

33 Publications

Trinity Lift: A Unique Technique for Endoscopic Midface and Lower Periorbital Unit Lift.

Aesthetic Plast Surg 2021 Jan 15. Epub 2021 Jan 15.

Ozgur Pilanci Private Clinic, Istanbul, Turkey.

Introduction: A harmonious face is defined in terms of a balanced relationship among all facial tissues. This balance among skin, fat, muscle, and bone is lost with aging as progressive changes occur in their volume, shape, position, and consistency. Aging of the human face generally starts in the third decade of life, mainly in the midface and periorbital areas. Traditional face-lifting surgeries result in minimal improvements in the midface area. Various techniques have been developed using different dissection planes and vectors with different forms of incision, including endoscopic techniques.

Methods: We attempted to combine endoscopic subperiosteal dissection techniques with the percutaneous needle technique, especially in young- to middle-aged patients. We aim to share technical details of our preferred suspension and fixation method for an endoscopic midface lift with the aid of a percutaneous needle and to present the outcomes of this particular technique in 75 patients.

Results: Significant rejuvenation of the nasojugal groove was achieved, and patient satisfaction was high. All cases exhibited satisfactory, symmetrical, and stable elevation of the midface. None of the patients required a second surgery.

Conclusion: Trinity lift allowed for stronger, easier, and faster application of sutures during endoscopic facial surgery without any other mucosal or transcutaneous incisions.

Level Of Evidence Iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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http://dx.doi.org/10.1007/s00266-021-02126-5DOI Listing
January 2021

Challenges of Setting up a Lower Extremity Reconstruction Practice in a Constrained Environment.

J Reconstr Microsurg 2021 Jan 28;37(1):67-74. Epub 2020 Jan 28.

Private Clinic, Istanbul, Turkey.

Background:  Microsurgical lower extremity reconstruction remains challenging, especially when resources are limited such as lack of proper equipment, human resources, administrative support, and located in a remote area far from tertiary care. Nevertheless, reconstructive solutions are required, especially when in urgent trauma situations. In this article, we evaluate ways of overcoming challenges and issues that should be considered in a newly established unit by sharing our initial lower extremity reconstruction experience.

Methods:  We report a local hospital's initial lower extremity reconstruction experience in February 2017 to January 2018. Through a total of seven patients, we tried to enhance the environment, instruments, nurses' contribution, and perspective of the peers and community in terms of factors related to the surgeon, hardware, environment, supporting faculty, reimbursement, and patients.

Results:  Four patients underwent reconstruction with a freestyle propeller flap and three with an anterolateral thigh flap; in one case, a superficial circumflex iliac artery perforator flap was chosen to salvage partial flap necrosis. Increased experience of the surgeon, new equipment, continuing nurse/patient education, and collaborating with other departments allowed us to choose more challenging flaps and be more meticulous while decreasing the operation time and hospital stay.

Conclusion:  To start a lower extremity reconstruction practice in a resource-poor environment, the surgeon needs to evaluate the relevant factors; moreover, he or she should continuously improve them until a working methodology is achieved. Despite all the challenges, the adaptations learned at this center can be applied to other local hospitals around the world to set up a lower extremity reconstruction practice and improve its outcomes.
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http://dx.doi.org/10.1055/s-0039-1701041DOI Listing
January 2021

A New Perspective to the Periorbital Aesthetics: Bella Eyes.

Aesthetic Plast Surg 2019 12 1;43(6):1564-1569. Epub 2019 Oct 1.

, Istanbul, Turkey.

Introduction: The term beautiful eyes can be defined as youthful, brilliant, vivid, and attractive eyes. The anthropometric findings about beautiful eyes may differ according to gender or race. In order to form such a beautiful eye, a variety of surgical, nonsurgical, or combination methods for periorbital region rejuvenation have been proposed. The surgical methods include coronal/peritrichial, endoscopic, upper and lower eyelid, or transconjunctival incisional procedures. Neuromodulators, fillers, and laser treatments are some of the nonsurgical approaches. Regardless of the method, while treating this particular area, the aesthetic unit concept should always be taken into consideration.

Methods: We attempted to combine an endoscopic dynamic canthopexy procedure with endoscopic temporal and brow lift, which we call "bella eyes" to achieve a more attractive look, especially in young people who desire a slanted eyelid. We aim to share our clinical experience from 35 patients and the technical details of the bella eyes procedure.

Results: Patient satisfaction was high, and the endoscopic technique eliminated all of the minor deformities and provided excellent harmony through each subunit of the periocular area with minimal discomfort and well-hidden scars.

Conclusion: We believe that this procedure is a good way to achieve a beautiful eye in young women.

Level Of Evidence Iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
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http://dx.doi.org/10.1007/s00266-019-01497-0DOI Listing
December 2019

Assessment of Tissue Perfusion Following Conventional Liposuction of Perforator-Based Abdominal Flaps.

Arch Plast Surg 2017 Mar 15;44(2):109-116. Epub 2017 Mar 15.

Department of Plastic, Reconstructive and Aesthetic Surgery, Marmara University School of Medicine, Istanbul, Turkey.

Background: The effect of liposuction on the perforators of the lower abdominal wall has been investigated in several studies. There are controversial results in the literature that have primarily demonstrated the number and patency of the perforators. The aim of this study was to determine the effect of liposuction on the perfusion of perforator-based abdominal flaps using a combined laser-Doppler spectrophotometer (O2C, Oxygen to See, LEA Medizintechnik).

Methods: Nine female patients undergoing classical abdominoplasty were included in the study. Perforators and the perfusion zones of the deep inferior epigastric artery flap were marked on the patient's abdominal wall. Flap perfusion was quantitatively assessed by measuring blood flow, velocity, capillary oxygen saturation, and relative amount of hemoglobin for each zone preoperatively, after tumescent solution infiltration, following elevation of the flap on a single perforator, and after deep and superficial liposuction, respectively.

Results: The measurements taken after elevation of the flap were not significantly different than measurements taken after the liposuction procedures.

Conclusions: The liposuction procedure does not significantly alter the perfusion of perforator-based abdominal flaps in the early period. The abdominal tissue discarded in a classic abdominoplasty operation can be raised as a perforator flap and has been demonstrated to be a unique model for clinical research.
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http://dx.doi.org/10.5999/aps.2017.44.2.109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5366517PMC
March 2017

The Effects of Mucoperichondrial Flap Elevation on Septal L-Strut Cartilage: A Biomechanical and Histologic Analysis in a Rabbit Model.

Plast Reconstr Surg 2016 Jun;137(6):1784-1791

Philadelphia, Pa.; and Istanbul, Turkey.

Background: The harvesting of septal cartilage following mucoperichondrial flap elevation has almost become a standard step in rhinoplasty. However, the strength of the remaining septum has not yet been evaluated. In the current experimental study of a rabbit rhinoplasty model, the remaining septum following a graft harvest was analyzed both biomechanically and pathologically.

Methods: Forty New Zealand rabbits were classified into four equal groups. Group 1 consisted of the animals in which unilateral elevation of the mucoperichondrial flaps was undertaken before the graft harvest, group 2 consisted of the animals in which bilateral elevation was undertaken, group 3 included the animals where the septum was exposed and left untouched after a bilateral mucosal flap elevation, and group 4 was designated as the control group. Specimens were analyzed under light microscopy for multiple parameters. Biomechanical analyses were performed with a universal testing device at the Department of Engineering, Biomechanical Laboratories, Istanbul Technical University.

Results: Biomechanical analysis in terms of maximum tension revealed significant results among the groups (p = 0.008). Although insignificant results were observed overall using a pathologic analysis, the amount of chondrocytes was lower in group 2 than in group 1 (p = 0.099). The amounts of matrix collagen (p = 0.184) and fibrosis were (p = 0.749) higher in group 2 than in group 1.

Conclusions: From these data, the authors conclude that mucoperichondrium integrity plays a crucial role in the biomechanical strength of the septum. More sophisticated studies with further pathologic analysis are required to determine the exact mechanism of strength loss observed with mucoperichondrial flap elevation.
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http://dx.doi.org/10.1097/PRS.0000000000002199DOI Listing
June 2016

Serum Neopterin and Procalcitonin Levels in Relationship with Pediatric Burn Wound Infections.

Acta Microbiol Immunol Hung 2016 Mar;63(1):47-56

Department of Medical Microbiology, Cerrahpasa Medical Faculty, Istanbul University , Istanbul , Turkey.

Infection and septic complications in burn patients can be monitored by procalcitonin (PCT) and neopterin plasma values. The aim of the study was to investigate serum neopterin and PCT levels with WBC (white blood cell) and CRP (C-reactive protein) levels in patient group (PG) and healthy control group (HCG) and to investigate the relationship of these markers with burn wound infections (BWI). As the PG, 23 patients between 0-12 ages and up to 30% Total Body Surface Area (TBSA) burned and 15 HCG were included. PCT, neopterin, WBC, and CRP results on the first, the seventh, the fourteenth and the 21st day have been compared. During the follow-up period, 11 patients with BWI and 12 patients without BWI were classified as infected and non-infected patients, respectively. PCT and neopterin levels were detected higher in patients with BWI but no significant difference were present. Also, PCT and neopterin levels within the first 24 hours following the burn were detected higher in PG than HCG. CRP and WBC levels were detected high due to burn trauma. PCT and neopterin levels were increased in patients with BWI. PCT levels were increased during the pre-infectious period, while neopterin levels increased during the post-infectious period.
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http://dx.doi.org/10.1556/030.63.2016.1.3DOI Listing
March 2016

Optimal treatment of zygomatic fractures: a single-center study results.

Kulak Burun Bogaz Ihtis Derg 2016 ;26(1):42-50

Department of Plastic Reconstructive and Aesthetic Surgery, Bağcılar Training and Research Hospital, 34200 Bağcılar, İstanbul, Turkey.

Objectives: This study aims to investigate the epidemiological and operative characteristics of patients undergoing surgery for zygomatic fractures.

Patients And Methods: Between May 2008 and October 2013, a total of 121 patients (98 males, 23 females; mean age 27 years; range, 9 to 63 years) who were operated for zygomatic fractures in our clinic were retrospectively analyzed. Age and sex of the patients, symptoms, fracture and incision sites, length of hospital stay, plate type, treatment options, and complications were recorded.

Results: Assault was the leading cause of trauma (39%), followed by traffic accidents (24%). The most common symptom or clinical sign was the periorbital ecchymosis/hematoma. Conservative treatment was applied in 14 patients (12%). Surgery was performed with a closed reduction in 17 patients (14%) and open reduction in 90 patients (74%). The most common fracture site was the infraorbital rim in 76 patients (62.8%). A total of 48% patients had three-site, 35% had two-site and 12% had one-site of fixations. The major material used for the orbital floor reconstruction was porous polyethylene in 43.7% patients.

Conclusion: Our study results show that surgery is required in the majority of the patients with zygomatic fractures. However, further large studies are required to determine many parameters such as incision sites, plate locations, and the material to be used in orbital floor reconstruction.
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http://dx.doi.org/10.5606/kbbihtisas.2016.36775DOI Listing
September 2016

Evaluation of the Retro-Orbital Fatty Tissue Volume in Delayed Orbital Blow-Out Fractures.

Ophthalmic Plast Reconstr Surg 2016 May-Jun;32(3):207-10

*Department of Plastic, Reconstructive and Aesthetic Surgery, †Department of Radiology, Bagcilar Training and Research Hospital; and ‡ Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul University Faculty of Medicine, Istanbul, Turkey.

Purpose: In patients where diplopia and enophthalmia are manifest, surgical intervention is usually necessary. The pathogenesis of these symptoms usually includes the prolapse of orbital tissues into the sinus or compression by the surrounding bone structures. Although the retro-orbital fatty tissue, orbital fascia, and the muscle tissue can be reduced to the original place after being incarcerated into the maxillary space, it is obvious that the procedure can lead to significant fibrosis in these structures. The authors have aimed to carry out a quantitative evaluation of the fatty tissue volumes in patients with repair delayed for more than two weeks.

Methods: The preoperative and postoperative fatty tissue volumes and the changes in total orbital volume were evaluated by using CT on the patients (n = 9) who were consulted to the authors' clinic from other health centers.

Results: Although no significant correlation was observed between the prolapsed volume and the postoperative reduction in the fatty tissue, the reduction in the retro-orbital fatty tissue was statistically significant.

Conclusion: Evaluating postoperative retro-orbital fatty tissue volumes may have implications for surgical intervention in the future.
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http://dx.doi.org/10.1097/IOP.0000000000000467DOI Listing
February 2017

Autologous fat injection into the pectoralis major as an adjunct to surgical correction of gynecomastia.

Aesthet Surg J 2015 Mar;35(3):NP54-61

Drs Pilanci and Basaran are Instructor Fellows, Dr Cortuk is a resident, and Dr Kuvat is an Associate Professor in the Department of Plastic, Reconstructive, and Aesthetic Surgery at Bagcilar Research and Training Hospital in Istanbul, Turkey. Dr Aydin is an Instructor Fellow and Dr Kuvat is the Chief of the Department of Plastic, Reconstructive, and Aesthetic Surgery at the Istanbul University Faculty of Medicine in Turkey.

Background: Correction of gynecomastia in males is a frequently performed aesthetic procedure. Various surgical options involving the removal of excess skin, fat, or glandular tissue have been described. However, poor aesthetic outcomes, including a flat or depressed pectoral area, limit the success of these techniques.

Objectives: The authors sought to determine patient satisfaction with the results of upper chest augmentation by direct intrapectoral fat injection in conjunction with surgical correction of gynecomastia.

Methods: In this prospective study, 26 patients underwent liposuction and glandular excision, glandular excision alone, or Benelli-type skin excision. All patients received intramuscular fat injections in predetermined zones of the pectoralis major (PM). The mean volume of fat injected was 160 mL (range, 80-220 mL per breast) bilaterally. Patients were monitored for an average of 16 months (range, 8-24 months).

Results: Hematoma formation and consequent infraareolar depression was noted in 1 patient and was corrected by secondary lipografting. Mean patient satisfaction was rated as 8.4 on a scale of 1 (unsatisfactory) to 10 (highly satisfactory).

Conclusions: Autologous intrapectoral fat injection performed simultaneously with gynecomastia correction can produce a masculine appearance. The long-term viability of fat cells injected into the PM needs to be determined.

Level Of Evidence: 4 Therapeutic.
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http://dx.doi.org/10.1093/asj/sju015DOI Listing
March 2015

The role of adenovirus 36 as a risk factor in obesity: the first clinical study made in the fatty tissues of adults in Turkey.

Microb Pathog 2015 Mar 24;80:57-62. Epub 2015 Feb 24.

Istanbul University, Cerrahpasa Medical Faculty, Department of Medical Microbiology, Istanbul, Turkey. Electronic address:

Obesity which developes due to multifactorial reasons, was associated recently with human Adenovirus-36 (Ad-36). The aim of this study was to investigate the prevalence of Ad-36 antibodies in obese adults and also to investigate the DNA of Ad-36 in their adipose tissue. In this cross-sectional and case-control based study, 49 obese adults, with BMI ≥ 30 kg/m(2), and 49 non-obese adults, with BMI ≤ 25 kg/m(2), applied for esthetic purposes and were included in this study as patient and control groups, respectively. Adipose tissue samples, obtained by the lipoaspiration method, were studied by single-step PCR and nested-PCR methods. Simultaneously, the presence of Ad-36 antibodies and serum leptin and adiponectin levels were assessed by serum neutralization assay (SNA) and ELISA, respectively. Serum samples which didn't cause a cytopathic effect at ≥ 1:8 were accepted as positive. Ad-36 antibody was detected in 6 (12.2%) of 49 patients by SNA and was statistically significant (p < 0.05). Ad-36 DNA was not detected in any of the adipose tissue samples of the patient or control groups. Mean BMI and leptin levels were higher in the Ad-36-positive group, while adiponectin levels were found to be lower in the Ad-36-positive group. Although no statistically significant difference was found in cholesterol and triglyceride levels between the two groups (p > 0.05), lower mean serum cholesterol and triglyceride levels were found in the Ad-36-positive patients. In conclusion, we couldn't detect Ad-36 DNA in adipose tissue; however, we detected significantly higher Ad-36 antibody levels in the obese group compared to the non-obese group, according to the both univariant and multivariant analyses, suggesting that Ad-36 may play a role in obesity. There is a need for new and extended serial, particularly cohort and human-based, studies in order to have a clear understanding of the Ad-36-obesity relationship.
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http://dx.doi.org/10.1016/j.micpath.2015.02.008DOI Listing
March 2015

Hypoplastic mandibular labial frenulum with accessory frenulum in a healthy child.

J Craniofac Surg 2015 Jan;26(1):325-6

Department of Plastic, Reconstructive, and Aesthetic Surgery Bagcilar Training and Research Hospital Istanbul, Turkey Department of Ear, Nose, and Throat Kasimpasa Military Hospital Istanbul, Turkey Department of Plastic, Reconstructive and Aesthetic Surgery Faculty of Medicine Istanbul University Istanbul, Turkey

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http://dx.doi.org/10.1097/SCS.0000000000001251DOI Listing
January 2015

Eyebrow reconstruction after tumor excision by using superficial temporal artery island flap.

J Craniofac Surg 2014 Nov;25(6):2263-4

Department of Plastic, Reconstructive and Aesthetic Surgery Bagcilar Training and Research Hospital, Istanbul, Turkey Department of Ear, Nose and Throat, Kasimpasa Military Hospital, Istanbul, Turkey Department of Plastic, Reconstructive and Aesthetic Surgery, Bagcilar Training and Research Hospital, Istanbul, Turkey Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul University Faculty of Medicine, Istanbul, Turkey,

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http://dx.doi.org/10.1097/SCS.0000000000001153DOI Listing
November 2014

A novel technique used in the treatment of inflammatory linear verrucous epidermal nevus: tangential excision.

Aesthetic Plast Surg 2014 Oct 6;38(5):1066-7. Epub 2014 Sep 6.

Department of Plastic, Reconstructive and Aesthetic Surgery, Bagcilar Training and Research Hospital, Istanbul, Turkey.

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http://dx.doi.org/10.1007/s00266-014-0389-0DOI Listing
October 2014

Ectopic tooth superiorly located in the maxillary sinus.

J Craniofac Surg 2014 Sep;25(5):1927-8

Bagcilar Research and Training Hospital, Istanbul, Turkey Kasimpasa Military Hospital, Istanbul, Turkey Bagcilar Research and Training Hospital, Istanbul, Turkey Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Istanbul University, Istanbul, Turkey

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http://dx.doi.org/10.1097/SCS.0000000000000914DOI Listing
September 2014

Functional outcomes of preauricular underparotid retrograde approach for mandibular condyle fractures.

J Craniofac Surg 2014 May;25(3):1078-81

From the Plastic, Reconstructive, and Aesthetic Surgery, Bagcilar Training and Research Hospital, Bahcelievler, Istanbul, Turkey.

Management of condyle fractures includes a wide spectrum of alternatives including analgesia alone, physiotherapy, intermaxillary fixation, and open reduction and internal fixation. Various approaches have been previously mentioned for the access to the mandibular condyle. The aim of this retrospective clinical study was to evaluate our clinical results on preauricular underparotid retrograde approach for condylar fractures. This retrospective study included 20 condylar fractures in 16 patients who were treated surgically using a preauricular transparotid retrograde approach between 2010 and 2013. Functional outcomes with this method were addressed in light of the results obtained in this clinical series. We suggest this method in the management of condylar fractures.
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http://dx.doi.org/10.1097/SCS.0000000000000514DOI Listing
May 2014

Is there a profit to use the lateral antebrachial cutaneous nerve as a graft source in digital nerve reconstruction?

Microsurgery 2014 Jul 16;34(5):367-71. Epub 2014 Jan 16.

Bagcilar Research and Training Hospital, Merkez Mah. Mimar Sinan Cad. 6. Sokak, Bagcilar, Istanbul, Turkey.

Background: The digital nerves are commonly injured in emergency hand surgery practice. Lateral antebrachial nerve is of the autologous graft options available in forearm for digital nerve reconstruction. In this report, we aimed the evaluation of this nerve as an autologous nerve source for digital nerve repair.

Patients And Methods: The overall sensorial results of the lateral antebrachial cutaneous nerve grafting and associated donor site morbidity in neglected digital nerve injuries of 15 patients in Zones 1 and 2 were evaluated Average length of the harvested lateral antebrachial cutaneous nerve grafts was 1.81 cm (0.75-3 cm.).

Results: Patients have been followed up for 20.7 months in average (range: 9.3-41 months). According to Highet and Sander criteria modified by Mackinnon and Dellon, nine patients were graded as S4, whereas six patients had S3+ values. According to modified ASSH guidelines for stratification of static 2PD results, excellent results were obtained in five patients, good results were achieved in eight patients and moderate results were obtained in two patients. Both the donor and recipient sites were evaluated with Semmes-Weinstein monofilament tests where satisfactory results have been obtained. Only two patients reported minimal cold intolerance at the donor site apart from the mild hypoesthesia noted at the anterolateral aspect of the middle forearm.

Conclusion: Quite favorable clinical results with minimal donor site sensorial deficiency, anatomical and histomorphological similarity and being available in close location to surgical area brings up a matter to utilization of LABCN for digital nerve reconstruction.
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http://dx.doi.org/10.1002/micr.22220DOI Listing
July 2014

"Three-suture technique" for estimation of the intraoperative maneuvers in rhinoplasty.

J Craniofac Surg 2014 Jan;25(1):e72-4

From the Department of Plastic and Reconstructive Surgery, Bagcilar Research and Training Hospital, Istanbul, Turkey.

Rhinoplasty is one of the most challenging procedures to master in plastic surgery. A successful outcome almost always requires a detailed preoperative analysis. However, intraoperative assessment should not be underestimated as well. To give a rough idea about the changing positions of the basic landmarks of the nose, we would like to demonstrate the "3-point suture determination" test. With this simple method, surgeons might estimate the instant effects of certain maneuvers during surgery.
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http://dx.doi.org/10.1097/SCS.0000000000000401DOI Listing
January 2014

Management of soft tissue extremity degloving injuries with full-thickness grafts obtained from the avulsed flap.

Ulus Travma Acil Cerrahi Derg 2013 Nov;19(6):516-20

Department of Plastic, Reconstructive and Aesthetic Surgery, İstanbul University Faculty of Medicine, İstanbul, Turkey.

Background: A "degloving injury" is referred to as seperation of cutaneous tissue from the deeper structures of the body. Although many methods have been defined to reform the tissue integrity; defatting and readaptation of the avulsed flap still comprises one of the most effective methods.

Methods: From 2000-2012, we treated a total of nine patients with avulsed extremities with defatting and readaptation of the same flap. The fat compartment of the flaps was removed and the skin was meshed. The patients were followed-up with for an average of 12 months (range: 8-18 months).

Results: Total closure of the defect and healing was achieved in seven patients. Although 30% of the total surface area of the graft was lost in one patient, and 10% in another, total epithelialization was achieved later with secondary grafting.

Conclusion: Defatting, meshing and readaptation of the same flap to its original site is still a valuable option for avulsion injuries because of the relative ease of the procedure, shorter operative times, and usability of the procedure by general surgeons. This technique might be particularly important in places where a reconstructive plastic surgeon is not available.
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http://dx.doi.org/10.5505/tjtes.2013.64928DOI Listing
November 2013

Congenital temporal triangular alopecia: a typical Brauer nevus.

Acta Dermatovenerol Alp Pannonica Adriat 2013 Dec;22(4):93-4

Department of Dermatology, Bağcılar Research and Training Hospital, Istanbul, Turkey. Department of Plastic, Reconstructive, and Aesthetic Surgery, Bağcılar Research and Training Hospital, Istanbul, Turkey. Corresponding author:

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December 2013

Bilateral accessory alar lobule: report of a hidden anomaly.

J Craniofac Surg 2013 Nov;24(6):2220

Bagcilar Research and Training Hospital Istanbul, Turkey Bagcilar Research and Training Hospital Istanbul Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul University Faculty of Medicine Istanbul, Turkey

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http://dx.doi.org/10.1097/SCS.0b013e3182a248e8DOI Listing
November 2013

"Roller coaster maneuver via lateral orbital approach" for reduction of isolated zygomatic arch fractures.

J Craniofac Surg 2013 Nov;24(6):2082-4

From the *Bagcilar Research and Training Hospital; and †Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul University Faculty of Medicine, Istanbul, Turkey.

Numerous techniques have been reported for the reduction of zygomatic arch fractures. In this article, we aimed to describe a technique we named as "roller coaster maneuver via lateral orbital approach" to closed reduction of the isolated-type zygomatic arch fractures. Surgical outcomes of 14 patients treated with this method were outlined.
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http://dx.doi.org/10.1097/SCS.0b013e3182a2430aDOI Listing
November 2013

Large hydatid cyst of the maxillozygomatic region.

J Craniofac Surg 2013 May;24(3):e233-5

Department of Plastic and Reconstructive Surgery, Bagcilar Research and Training Hospital, Istanbul, Turkey.

Hydatid cyst is a zoonotic infection caused by Echinococcus granulosus. Majorly affected body regions are the liver and the lungs. However, rare localizations of the neck region, mastoids, parotid glands, orbita, and the mandible have been reported in literature. In this case, we report a large hydatid cyst of the maxillozygomatic region presenting as a slowly growing mass.
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http://dx.doi.org/10.1097/SCS.0b013e3182860a2cDOI Listing
May 2013

The use of bone wax for protection from sharp ends of interdental wires.

Indian J Plast Surg 2011 Jan;44(1):160

Department of Plastic and Reconstructive Surgery, BağcΙlar Training and Research Hospital, Istanbul, Turkey.

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http://dx.doi.org/10.4103/0970-0358.81462DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3111113PMC
January 2011

Use of outsized composite chondrocutaneous grafts in conjunction with dermal turnover flaps for reconstruction of full-thickness alar defects.

J Craniofac Surg 2011 May;22(3):864-7

Department of Plastic and Reconstructive Surgery, Bağcılar Training and Research Hospital, İstanbul, Turkey.

Chondrocutaneous (ChC) grafts have been used for nasal alar reconstruction for years. One of the consequences for using these grafts is the restriction in dimensions. In this study, we presented our results in which ChC grafts bigger than 20 mm in length have been used in conjunction with a dermal turnover flap for full-thickness alar subunit defects. Technical details and results of 8 alar subunits reconstructions in 8 patients were evaluated. Follow-up period ranged from 10 to 27 months, with a mean of 18.3 months. We achieved satisfactory results without partial or total graft failure. Finally, surgeons can safely use outsized ChC composite grafts with this type of design, for successful alar subunit reconstruction.
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http://dx.doi.org/10.1097/SCS.0b013e31820f7fdeDOI Listing
May 2011

Synovial chondromatosis of the metacarpophalangeal joint of the ring finger.

Acta Orthop Traumatol Turc 2010 ;44(4):337-9

İst-Hand Hand Surgery, Microsurgery and Rehabilitation Group, Department of Hand Surgery, Gaziosmanpaşa Hospital, İstanbul, Turkey.

Synovial chondromatosis is an uncommon condition, characterized by multinodular cartilagineous proliferation of the joint synovium. There are only a few case reports of synovial chondromatosis involving the hand in the literature. A case of synovial chondromatosis of the ring finger is reported in this paper.
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http://dx.doi.org/10.3944/AOTT.2010.2324DOI Listing
July 2011

An anomalous course of the radial artery: Dissect rather than resect.

Indian J Plast Surg 2010 Jul;43(2):228-9

Department of Hand Surgery, İst-El Microsurgery and Rehabilitation Group, Gaziosmanpaşa Hospital, İstanbul, Turkey.

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http://dx.doi.org/10.4103/0970-0358.73474DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3010794PMC
July 2010