Atilla Coruh

Erciyes Üniversitesi · Department of Plastic and Reconstructive Surgery

To date, surgical delay of skin flaps is the most common and reliable method that increases skin flap survival. In this study, we aimed to increase skin flap viability using preconditioning by microneedling. Seventy-two Sprague Dawley rats were randomly divided into control, surgical flap delay (SFD) and four microneedling groups (seven or 14 days...

Repairing soft tissue defects of the forehead which exposes the bare bone is a dilemma with few reconstructive techniques for plastic surgeons. Forehead is an important aesthetic unit of the face which is covered with the glabrous skin. Due to the relative lack of similar mobile tissue locally, reconstruction of large soft tissue defects of the for...

Saving the zone of stasis is a major subject of the burn wound studies. If pathological changes in zone of stasis can be minimized, conversion of burns may be prevented. The aim of this study was to investigate the effects of pentoxifylline (PTX) on the zone of stasis in burns and burn wound healing. Twenty Sprague Dawley rats were used in this stu...

Background: Body region-dependent hair follicle (HF) characteristics are concerned with follicular size and distribution, and have been demonstrated to have characteristics for each region of the body. Objectives: The aim of the present study was to investigate the expression patterns of the markers called cytokeratin 15 (K15), cytokeratin 6 (K6...

Tension of the wound edges should be overcome with precise surgical planning, which is recognized as one of the major contributors to local complications by compromising circulation of the wound edges. In this article, it was aimed to present the clinical results of a surgical technique, in which the plastic straps and Kirschner wires are used for...

Early tangential excision of the burn wound is essential for removal of necrotic tissue and promotion of burn wound healing process. However, the depth of the burn wound is not easily assessed during the tangential excision performed by hand-held dermatomes, and it may be possible to excise unburned vital dermis unnecessarily, which aids in primary...

Derin dermal ve tam kat yanıkların erken eksizyonu ile nekrotik yükün ortamdan uzaklaştırılması, yanık travmasında hasta sağ kalımını etkileyen en kritik adımlardan biridir. Yanık yarasının yaygınlığı, lokalizasyonu ve derinliği uygulanacak olan onarım tekniğinin seçimini etkileyen ana faktörlerdir. Deri greftleri, yanık yarasının kapatılması amacı...

Yanık, insanoğlunun hayatı boyunca karşılaşabileceği en ağır travmadır. Vücudun en büyük organı olan deri, bu travmanın hedef organı olarak görülmekle beraber, tüm organlar yanık travmasından önemli ölçüde etkilenmektedir. Yanık travmasını takip eden ilk 24 saat, intravasküler sıvının yanık yarası ve üçüncü boşluklara kaybıyla ortaya çıkan hipovole...

Introduction: Traumatic brain injury (TBI) is a worldwide public health problem and has been recently documented as a cause of neuroendocrine dysfunction. It has been shown that hypopituitarism may develop nearly 10–20% of the TBI patients, and most common pituitary hormone deficiency after TBI is growth hormone deficiency (GHD). To date no study h...

Split thickness skin graft (STSG) harvesting from the anterior chest and abdominal wall skin is quite a difficult process. The main reason for the difficulty to perform this process is the unsuitable anatomic characteristics of the anterior trunk, such as irregular wavy-like surface over the ribs and lax abdominal wall skin resulting in collapse du...

As in many other countries, burn injuries are a challenging healthcare problem in Turkey. Initial management of burn patients is very important for future morbidity and mortality. Therefore, the Turkish Ministry of Health prepared "National Burns Treatment Algorithm" aided by the Scientific Burns Council. The basic aim of this algorithm is to guide...

Objective The practice of early burn wound excision and wound closure by immediate autologous skin or skin substitutes is the preferred treatment in extensive deep partial and full-thickness burns. To date there is no proven definite medical treatment to decrease burn wound size and accelerate burn wound healing in modern clinical practice. Stromal...

Reconstruction of the soft tissue defects of the first web space and proximal dorsal thumb is still one of the most challenging problems in reconstructive surgery. Depending on the defect size, various reconstructive methods have been described, including local, regional, distant and free flaps. The authors described new biogeometric designs of fir...

Background: The purpose of the present study was to retrospectively analyze the patients' data presented with Fournier's gangrene (FG), to compare obtained data with the literature and to investigate the role of "trauma" in the etiopathogenesis. Methods: A retrospective study was conducted on 126 patients with FG that consulted to our department...

Background: The aim of this study was to investigate the hot milk burns among the pediatric patients and to compare our experiences with similar studies in the literature. Methods: A 14-year retrospective study was conducted on 159 pediatric patients with hot milk burn who hospitalized at the Burn Unit of Erciyes University Medical Faculty. Res...

Background: The craniofacial region is one of the most frequently injured parts of the body, and mandibular fracture is one of the commonest facial skeletal injuries. The most frequent causes of mandibular fractures are the traumas related to traffic accidents, falls, interpersonal violence, and sports activities, etc. Methods: Seven hundred fif...

The aim of this study was to compare ketamine-propofol (KP) and ketamine-dexmedetomidine (KD) combinations for deep sedation and analgesia during pediatric burn wound dressing changes. After obtaining approval from the University Ethics Committee, burn wound care or wound dressing changes were performed on 60 ASA physical status I and II inpatients...

To evaluate the risk factors for nosocomial infection (NI) and mortality in a university hospital, 10-year data of burn patients were assessed retrospectively. The study was conducted at Erciyes University's Burn Center during 2000 and 2009. The records of 1190 patients were obtained. Overall, 131 (11%) patients had 206 NIs with an incidence densit...

Early tangential excision of nonviable burn tissue, followed by immediate skin grafting with autograft or allograft, has resulted in the improvement of burn patient survival. The aim of this study was to add split-thickness dermal grafts (STDGs) as a new source of auto-skin grafting tool to our reconstructive armamentarium in deep partial- and full...

Purpose: It was aimed to define and assess the epidemiological properties of burn injuries in pediatric age and to review the protective measures in this study. Material and Methods: All patients were divided into three groups according to their age: newborn (0-2 years), pre-school age (3-6 years) and (7-15 years) preadolescence groups. The patien...

A 25-year-old male patient with end-stage renal disease due to chronic pyelonephritis who had undergone renal transplantation was admitted 20 days after the operation with complaints of nausea, vomiting and darkening in the skin of the transplantation site. A 30x30 cm area of skin at the transplantation site in the left inguinal area was dark color...

Maxillofacial fractures are encountered less commonly during childhood period due to anatomic, social, cultural, and environmental factors. Although the incidence of all maxillofacial fractures is 1% to 15% among pediatric and adolescent patients, this rate drops to less than 1% in children below 5 years age. Two hundred thirty-five cases (<or=16 a...

The aim of this study was to compare propofol-ketamine (PK) and propofol-fentanyl (PF) combinations for deep sedation and analgesia in pediatric burn wound dressing changes. Thirty-two ASA physical status II and III inpatients with a second degree total burn surface area ranging from 5% to 25% were studied in a randomized, double blind fashion. Hea...

This retrospective review was aimed to evaluate for the first time the risk factors in addition to the demographic and epidemiological features of immersion scalds by hot çökelek in 23 preschool-aged Turkish children younger than 7 years of age, who were admitted to the burn unit of Erciyes University Medical Faculty between January 1996 and August...

Among facial fractures, zygomatic arch fractures occur rather frequently. Facial fractures have recently been classified in fine detail according to computed tomographic findings. Nevertheless, there exists no classification of the zygomatic arch fracture, which has a physiognomically important place, to provide guidance for treatment. We aimed to...

The authors' aim was to investigate the efficiency of conchal cartilage grafts in defective orbital wall fractures, which are encountered isolated or in combination with other orbitozygomatic fractures. The authors assessed, for this purpose, the follow-up results of patients treated by using conchal cartilage grafts. Ten patients who had defective...

Pectoralis major musculocutaneous flap remains the workhorse tool for head and neck reconstruction. Flap failure in head and neck reconstruction is a devastating complication with a high morbidity and mortality. Inclusion of nipple-areola complex on the skin paddle stabilizes the blood circulation in the skin island of the pectoralis major musculoc...

Major burns still continue to pose problems of inadequate auto skin closure. Patients suffering severe burns lack adequate skin graft donor site. We present the results of 17 major adult and pediatric burns that we applied close relative intermingled skin allograft and autograft in the course of treatment. The extent of burn injury ranged from 40%-...

This article describes two children who received deep partial and full-thickness mortal immersion scald burns while visiting a hot spring. The prevention of such accidents is most important, including the education of children and family members on the potential hazards inherent at these resorts. In addition, elevated retaining walls with closed up...

Objective: Among the rarest of the craniofacial clefts is the Tessier no. 4 cleft; and hence little has been published about its management and treatment. Complete forms of the cleft yield poor surgical results because of the shortened oculoalar and oculo-oral distance and inadequate soft and bony tissue. Multiple sequential corrective operations...

A retrospective multifactorial epidemiological study of 742 patients admitted to Erciyes University Medical Faculty Burn Unit during a 7-year period between 1996 and 2002 is presented. The overall male-to-female ratio was 1.88:1. The highest-risk age group of burn injuries was 0 to 6 years (48.6%), with the greatest number of injuries occurring to...

We present the first report of Leriche syndrome associated with Fournier's gangrene. We used a modified pudendal thigh flap in the treatment of an extensive perineoscrotal soft-tissue defect successfully. We propose this new robust flap as an addition to the existing reconstructive armamentarium and draw attention to the coexistence of Leriche synd...

In this article the author describes 2 cases of a distally based perforator medial plantar flap that were transferred successfully from the nonweight-bearing instep region to the weight-bearing plantar forefoot (defects, 8 x 5 cm and 6 x 5 cm respectively). This flap is nourished solely by perforators of the medial plantar vessels. The advantages o...

The purpose of this study was to investigate the effect of transdermal nitroglycerin on the survival of an ischemic one-vein flow-through venous flap (FTVF) model in the rabbit ear. Fifteen New Zealand white male rabbits were randomly divided into three groups: Group 1 (n = 5, 10 flaps)- no dressing on the operative wound; Group 2 (n = 5, 10 flaps)...

The effects of a single topical dose of angiotensin II (AII) on prelamination of flaps were investigated in rats using an immunohistochemical marker. Ninety rats were randomly divided into three groups (n = 30 in each). The control group were given nothing; the vehicle group were given only carboxymethyl cellulose, and the treatment group were give...

In two cases of LeFort II fracture, exploration of the infraorbital area showed two distinct infraorbital foramina and correspondingly two separate infraorbital nerves. This variation of the infraorbital nerve was unilateral in one case, and bilateral in the other. Sensory evaluation one month following the surgery using a local anesthetic agent sh...