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ABSTRACT: Abstract In otoplasty surgery the antihelical fold is frequently created using Mustarde sutures. When using the Mustarde suture technique it is important to insert the needle through the cartilage at right angles. This technical objective is easily achieved with an external Mustarde suture technique. A review of 82 patients who underwent otoplasty between 2005 and 2011 was conducted. All patients underwent external Mustarde suture otoplasty without conchal cartilage resection. The cartilage had been softened by rasping and conchomastoidal sutures had been used to correct conchal excess if necessary. In one patient, a secondary revision was performed for inadequate superior pole correction. In three patients sutures were visible after 1 year postoperatively and the sutures were removed under local anaesthesia without any recurrence. In one patient blister formation occurred due to inaccurate packing, but healed without any problem in a few days. No other complications, such as bowstringing of the internal sutures, haematoma, or infection, were observed. The patients expressed a high degree of satisfaction with their results. The risk of technical error is minimal. It is easy to perform and not time-consuming. Due to these advantages, this method is a reliable technique in otoplasty.
Journal of plastic surgery and hand surgery. 04/2013;
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ABSTRACT: Xeroderma pigmentosum is an autosomal recessive disease, characterized by vulnerability of the skin to solar radiation. Increase in sunlight-induced cancer is a direct consequence of an increase in mutated cells of the skin of patients with xeroderma pigmentosum. There is no specific technique for facial resurfacing in patients with xeroderma pigmentosum. In this article, a patient with xeroderma pigmentosum with multiple malignant melanomas on her face and radical excision of total facial skin followed by facial resurfacing with monoblock full-thickness skin graft from the abdomen is presented.
The Journal of craniofacial surgery 09/2012; 23(5):1542-3. · 0.81 Impact Factor
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The Journal of craniofacial surgery 05/2012; 23(3):949. · 0.81 Impact Factor
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ABSTRACT: Keloid is an abnormal wound response in predisposed individuals. It results from a connective tissue response to trauma and
occasionally occurs spontaneously. It is one of the most challenging clinical problems, especially in plastic surgery practice.
Keloid formation mainly occurs in parts of the body with high concentrations of melanocytes and is rare on the soles of the
feet and palms of the hands where melanocyte concentration is minimal. Although keloid formation on the palmar surface is
rare, there are a few cases reported in the literature. In this paper, keloid formation on the volar surfaces of the fingers
is reported. Although it is rare, there is a potential morbidity of keloid formation on the volar surface of fingers. The
most important point concerning keloid formation is prevention.
KeywordsKeloid-Abnormal wound healing-Palmar surface
European Journal of Plastic Surgery 04/2012; 33(4):221-223.
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ABSTRACT: Demineralized bone matrix (DBM) could be a good alternative for craniomaxillofacial contour restoration, especially in perialar, malar, temporal, and frontal regions. In this study, the histologic behavior of DBM was investigated in different tissue planes to determine its proper application plane for restoration of craniomaxillofacial contour deformities and defects.Forty Wistar rats were divided into 6 groups: (1) 0.3 mL of 0.9% saline was injected into the subperiosteal plane of the cranium, (2) 0.3 mL of DBM was implanted into the subperiosteal plane of the cranium, (3) 0.3 mL of 0.9% saline was injected into the subdermal plane on the left inguinal region, (4) 0.3 mL of DBM was implanted into the subdermal plane on the right inguinal region, (5) 0.3 mL of 0.9% saline was injected between the left external and internal oblique muscles, and (6) 0.3 mL of DBM was implanted between the right external and internal oblique muscles. At the 8th week half of the rats and at 16th week the remaining rats were killed in each group, and tissue samples were harvested. Histological and immunohistochemical evaluation revealed new bone tissue and bone marrow formation in all planes that DBM was given.Demineralized bone matrix can provide satisfactory results in craniomaxillofacial contour deformities including forehead, temporal, and malar augmentations, as well as mental and perialar augmentations and saddle nose corrections, with supraperiosteal or deep subcutaneous applications. However, superficial applications must be avoided because of the possibility of palpation, because it induces hard bone tissue formation in all tissue planes.
The Journal of craniofacial surgery 09/2011; 22(5):1888-92. · 0.81 Impact Factor
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Plastic & Reconstructive Surgery 09/2010; 126:131. · 3.38 Impact Factor
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Journal of Plastic Reconstructive & Aesthetic Surgery 03/2010; 63(9):1575-6. · 1.49 Impact Factor
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Plastic and reconstructive surgery 11/2009; 124(5):259e-60e. · 2.74 Impact Factor
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ABSTRACT: Congenital anatomic deformities or acquired weakness of the lateral crura of the lower lateral cartilages after rhinoplasty could cause alar rim deformities. As lower lateral cartilages are the structural cornerstone of the ala and tip support, deformities and weakness of the alar cartilages might lead to both functional and esthetic problems. In this article, we are introducing sliding alar cartilage flap as a new technique to reshape and support nasal tip. One hundred sixty consecutive patients between 18 and 55 years of age (mean age: 27.51) were included in the study between January 2007 and May 2008. Of the total number of patients 60 were male and 100 of them were female. None of the patients had rhinoplasty procedure including lower lateral cartilage excision previously. Sliding alar cartilage technique was used in an open rhinoplasty approach to shape the nasal tip in all patients. This technique necessitates about 2 to 3 minutes for suturing and undermining the alar cartilages. The follow-up period was between 4 and 18 months. In no patients any revision related to the sliding alar cartilage technique was required. Revision was applied in 3 patients due to thick nasal tip skin and in one patient due to unpleasant columellar scar. In this article, we are presenting the "sliding alar cartilage flap" as a new technique for creating natural looking nasal tip. This technique shapes and supports nasal tip by spontaneous sliding of the cephalic portion of the lower lateral cartilage beneath the caudal alar cartilage, with minimal manipulation, without any cartilage resection, or cartilage grafting.
Annals of plastic surgery 10/2009; 63(5):480-5. · 1.29 Impact Factor
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ABSTRACT: Lymphedema typically occurs on the extremities and affects millions of people throughout the world. Although currently there is no single treatment proven effective for lymphedema in every patient, suction-assisted lipectomy has been shown to be effective in some patients. Suction-assisted lipectomy offers patients with lower-extremity lymphedema a less invasive, less morbid surgical option compared with traditional excisional techniques. In this article we present a case of lymphedema reduction with suction-assisted lipectomy in a patient with bilateral lower-extremity lymphedema.
Aesthetic Plastic Surgery 06/2009; 33(4):671-3. · 1.41 Impact Factor
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Dermatologic Surgery 03/2009; 35(3):550-1. · 1.80 Impact Factor
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ABSTRACT: Odontogenic keratocyst is an epithelial developmental odontogenic cyst most commonly occurring in the jaws. It comprises approximately 11% of all cysts of the jaws. It has an aggressive behavior including high rates of recurrence, rapid growth, and extension into adjacent tissues. Odontogenic keratocyst is commonly found in the mandible with a predilection for angle and ascending ramus of the mandible. We document a case of odontogenic keratocyst that is unusually originated from the temporomandibular joint and we review the existing literature concerning odontogenic keratocyst. As far we know this is the first case of the odontogenic keratocyst originating from the temporomandibular joint.
Annals of plastic surgery 03/2009; 62(2):210-2. · 1.29 Impact Factor
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ABSTRACT: Postoperative nausea and vomiting (PONV) are among the most common adverse events in the postoperative period. This is especially disastrous in aesthetic surgery; it may cause hematoma, wound dehiscence, and patient dissatisfaction. The purpose of this study was to evaluate the incidence of PONV after aesthetic surgery procedures, and to determine the risk factors for PONV. Two hundred and twelve patients undergoing the most common aesthetic surgical procedures were included into this study. Female gender, surgical site, and history of PONV were found to be significant risk factors, however, postoperative opiate use and history of motion sickness were not found to be significant risk factors for PONV. Those undergoing trunk surgery procedures appeared to be at higher risk than were those undergoing head and neck surgery procedures. Also, ondansetron was found to be more affective than metoclopramide. Risk factors for PONV must be questioned preoperatively. Patients with risk factors are good candidates for prophylaxis. As a result of the effective prevention of PONV, postoperative patient comfort and satisfaction should be more improved.
Annals of plastic surgery 12/2008; 61(5):489-91. · 1.29 Impact Factor
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Burns 09/2008; 34(5):734-5. · 1.96 Impact Factor
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ABSTRACT: There have been few reports about skeletal changes beneath a tissue expander in breast reconstruction. We present one, and surgeons should be cautious about the possibility of skeletal deformities in patients who are osteoporotic and postmenopausal who require prolonged tissue expansion.
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 02/2008; 42(2):108-9. · 0.94 Impact Factor
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ABSTRACT: Herpes zoster may develop after surgery, but the mechanism is unclear. It has been previously reported after esthetic surgical
procedures, such as liposuction, breast augmentation, and face lifting. A post abdominoplasty patient who developed herpes
zoster 6months after surgery is presented. This case may demonstrate an association between abdominoplasty and the reactivation
of the Varicella zoster virus.
European Journal of Plastic Surgery 01/2008; 30(6):301-302.
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Plastic and reconstructive surgery 08/2005; 116(1):351-2. · 2.74 Impact Factor
