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Öğe An frontalis sling operation using an autogenous en-bloc, fan-shaped tensor fascia lata graft for blepharoptosis(Elsevier Sci Ltd, 2013) Gundeslioglu, A. Ozlem; Selimoglu, M. Nebil; Bekerecioglu, MehmetThis article presents a modification of the frontalis sling operation for severe blepharoptosis with poor levator function. The fascia or other suspension materials are usually used in strip form to avoid a mass under the skin and lid-crease obliteration in the frontal sling operations. However, the 'strip-sling technique' carries the risk of some complications including irregular eyelid contour, unstable fixation and loss of elevating power in the follow-up period. To overcome these complications and to enhance elevating power transmission between the tars and the frontal muscle, the autogenous tensor fascia lata graft was designed to be en bloc and fan-shaped. This technique was used in nine patients (12 eyelids) who presented with different aetiologies. They had an average follow-up of 13.5 months. Although all the patients achieved favourable results with good eyelid opening, the patients who had traumatic ptosis were more prone to complications including lagophtalmos and pulling away problem. This modification appears to increase the surface contact area between the frontalis muscle, the fascia lata graft and the tarsus. This increased contact enhances tarsus elevation in ptotic eyelids and is associated with satisfactory results. (C) 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.Öğe ORBITAL VENOUS MALFORMATION COMPLIATING WITH PERGNANCY: CASE REPORT(Medknow Publications & Media Pvt Ltd, 2012) Karamese, Mehtap; Selimoglu, M. Nebil; Toksoz, Mustafa Rasid; Sutcu, Mustafa; Keskin, MustafaIntroduction: One of the reason of orbital masses are vascular malformation. Vascular malformation grows up during pregnancy. Case: Here, we presented a 32-years-old patient with venous hemangioma which became symptomatic during pregnancy and required surgical intervention. Conclusion: In this case, we discussed here the terminology of venous malformation and cavernous hemanjioma. Progress and treatment of venous malformations during pregnancy are also discussed.Öğe Reconstruction of Large Anterior Scalp Defects Using Advancement Flaps(Lippincott Williams & Wilkins, 2012) Gundeslioglu, A. Ozlem; Selimoglu, M. Nebil; Doldurucu, Tugba; Bekerecioglu, MehmetReconstruction of the scalp may be challenging for reconstructive surgeons because of the special anatomic structure of the scalp and underlying skeleton. Anterior scalp defects especially deserve special care for pleasant hairline re-creation and redirection of hair follicles. Local transposition or rotation flaps are the most common reconstruction methods for moderate or large anterior scalp defects. However, currently available techniques usually require multiple stages for completion of the reconstruction without alopecia. In this study, we report our experience with unilateral or bilateral advancement flaps for moderate or large anterior scalp defect reconstructions. Eight patients who had anterior scalp defect of varying etiology were presented. The defect size ranged between 3 x 5 and 8 x 12 cm. The average size of the defect was 53. 3 cm(2). The defects were located on the frontoparietal area of the scalp in 3 patients and frontal area in 5 patients. Unilateral advancement flap was used in four cases. All the flaps survived except in one patient who had partial flap loss. Based on our experience, we suggest that large scalp defects located especially on the frontal or frontoparietal area can be reconstructed with unilateral or bilateral scalp advancement flaps in one stage without the need for multiple surgeries.Öğe A SAFE METHOD IN RHINOPHYMA SURGERY : EXCISION WITH PLASMA BLADE(Medknow Publications & Media Pvt Ltd, 2011) Toksoz, M. Rasid; Selimoglu, M. Nebil; Karamese, Mehtap; Abaci, Malik; Tosun, Zekeriya[Abstract Not Availabe]
