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Öğe Acquired Constriction Band Syndrome Affecting Multiple Digits - A Case Report(World Scientific Publ Co Pte Ltd, 2022) Kendir, Munur Selcuk; Dadaci, Mehmet; Uyar, Ilker; Yildirim, Mehmet Emin CemRubber band syndrome is a condition that usually affects children because of wearing a rubber band on the wrist or the ankle. Depending on the degree of pressure caused by the band, patients may present acutely with ischemia and necrosis of the tissues distal to the bands or chronically with change in shape, oedema, loss of function, sensation and rarely amputation. This condition is very rare in adults and most reports in literature are in patients with cognitive impairment or psychiatric illness. We report 62-year-old lady with a background of a psychiatric illness who presented with an acquired constriction band syndrome affecting multiple digits of both hands.Öğe Does Estradiol Level in Platelet-Rich Plasma Improve Efficacy of Androgenic Alopecia Treatment?(Oxford Univ Press Inc, 2020) Ince, Bilsev; Kendir, Munur Selcuk; Kilinc, Ibrahim; Avunduk, Mustafa Cihat; Dadaci, Mehmet; Savaci, NedimBackground: Although some studies in the literature report that autologous and homologous platelet-rich plasma (PRP) can be employed in the treatment of androgenic alopecia (AGA), no study, to the authors' knowledge, has examined the estrogen concentration of prepared PRP. Objectives: The authors aimed to determine the presence of estrogen in PRP and to investigate the effect of estrogen concentration of PRP on AGA treatment. Methods: Between 2017 and 2018, 30 male patients with hair loss complaints were included in this prospective study. Autologous PRP was injected in patients in Group 1. Homologous PRP with high estrogen levels was injected in the patients in Group 2. PRP was injected in both groups 4 times at 0,1, 3, and 6 months. The obtained photographs were evaluated and hair densities of each patient at controls were calculated. Results: The mean estrogen level measured in PRP was statistically significantly higher in Group 2. In both groups, the increase in hair density was observed from the first month, but this increase was statistically significantly higher in all controls in Group 2. In Group 2, there was a statistically significant increase in the 1st and 3rd months compared with the previous control, but there was no difference between the 6th and 12th months and the 3rd month. Conclusions: Increased hair density is greater and earlier in the group receiving estrogen-rich PRP than in the group utilizing autologous PRP. The authors think that estrogen-rich PRP may be employed in the treatment of AGA in the presence of an appropriate donor.Öğe Fingertip Replantation Using Artery-Only Anastomosis With a Pulp Tissue Reduction Method(Lippincott Williams & Wilkins, 2021) Kendir, Munur Selcuk; Ismayilzade, Majid; Ince, Bilsev; Uyanik, Orkun; Dadaci, Mehmet[Abstract Not Availabe]Öğe Gracilis Muscle Interposition to Fill the Perianal Dead Space May Decrease Hospital Length of Stay in Fournier's Gangrene(Lippincott Williams & Wilkins, 2023) Ismayilzade, Majid; Dadaci, Mehmet; Kendir, Munur Selcuk; Ince, BilsevPurposeThe treatment of Fournier's gangrene (FG) includes aggressive debridement of the affected necrotic area, broad-spectrum antibiotic therapy, and reconstructive procedures, respectively. One of the main reasons of unfavorable outcomes in FG surgery is that the dead space occurs in the perianal region because of destruction of fascias and soft tissues. In this study, we aimed to evaluate the results of gracilis muscle flap transposition to fill the FG-associated perianal dead spaces.MethodsPatients treated for FG-associated dead spaces in their perianal region between the years 2017 and 2021 were included in the study. The patients who underwent the pedicled gracilis muscle flap surgery were included in group 1, whereas group 2 consisted of the patients with no additional surgical procedure for dead spaces but only the reconstruction of the soft tissue defects. Demographic data (age, sex), comorbid diseases, localization and length of perianal dead space, and management method for the soft tissue defects and complications were noted. The length of hospital stay and discharge day after surgery were also recorded.ResultsIn group 1, the mean duration of hospital stay was 23.5 +/- 5.0 (range, 14-48) days, whereas the mean period between the surgery and discharge was 5.1 +/- 2.2 (range, 3-12) days. These numbers were 31 +/- 8.3 (range, 19-58) days and 12.7 +/- 6.1 (range, 7-22) days in group 2, respectively. Statistical comparison of the periods between the surgery and discharge was found to be significantly different (P = 0.022). The duration of hospital stay was also shorter in the patients with gracilis muscle flap (P = 0.039).ConclusionsPerianal dead spaces accompanying many of the patients with FG provide appropriate conditions for bacterial colonization. Filling these pouches by the gracilis muscle flap prevented the progression of infection and enabled the patients to return to their normal life earlier.Öğe Polymethylmethacrylate bone cement utilization for hemostasis in an intraosseous arteriovenous malformation(Wolters Kluwer Medknow Publications, 2022) Dadaci, Mehmet; Kendir, Munur Selcuk; Baycar, Zikrullah; Ince, BilsevA 15-year-old girl applied to the outpatient clinic with an arteriovenous malformation, measuring approximately 20 cm x 10 cm, on the anterior aspect of the right knee. She was admitted to operation because of the failure of the previous embolization attempts. Intraoperatively, there was uncontrolled bleeding from the nidus which is located at the medulla of the tibia. After the failure of initial efforts, hemostasis could be achieved using polymethylmethacrylate cement. Arteriovenous malformations (AVMs) may cause life-threatening bleeding. In uncontrolled intraosseous bleeding, bone cement could be used for hemostasis. In this study, we present an AVM case and our experience about its management.Öğe Repairment of lateral malleol defects with distal pedicled peroneus brevis muscle flap(Wolters Kluwer Medknow Publications, 2019) Yarar, Serhat; Kendir, Munur Selcuk; Altuntas, ZeynepThe availability of local tissue in distal 1/3 of the leg and around the ankle is limited, and the difficulty in re-establishing soft-tissue coverage for these defects continues to challenge surgical procedures. In this study, two cases who had the soft-tissue defects around the lateral malleol reconstructed with the distally pedicled peroneus brevis muscle flap were discussed. The first case was a 30-year-old male patient, who had 4 cm x 2 cm soft-tissue defect with bony exposure, inferior to the lateral malleol after a gunshot injury. The second case was a 26-year-old male patient who had 5 cm x 3 cm soft-tissue defect with exposed metal implant, distal to the lateral malleolus after a traffic accident. Both of the patients were quite satisfied with the esthetic results. The distal pedicled peroneus brevis muscle flap should be kept in mind as a reliable and relatively easy flap option for the reconstruction of the soft-tissue defects around the lateral malleol with good results.Öğe Visualizing the Pharmacologic Preconditioning Effect of Botulinum Toxin Type A by Infrared Thermography in a Rat Pedicled Perforator Island Flap Model(Lippincott Williams & Wilkins, 2020) Ince, Bilsev; Kendir, Munur Selcuk; Dadaci, Mehmet[Abstract Not Availabe]
