Alpagan Mustafa YILDIRIM
@afsu.edu.tr
Afyonkarahisar Health Sciences University
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
Mehmet Gurkan Gurok, Faruk Kılıç, Sema Sağlam, Neşe Göçer Gürok, M. Murat Kuloğlu, and Alpagan M. Yıldırım
AVES Publishing Co.
ABSTRACT Objective: The present study was intended to compare the body image, self-esteem, temperament and character traits of a group of patients who applied for aesthetic rhinoplasty with healthy controls subjects. Methods: Thirty patients who applied the Plastic, Reconstructive and Aesthetic Surgery Clinic at the Fırat University Hospital for aesthetic surgery were included in the present study. In addition, thirty healthy individuals who met the study criteria and were matched the patient group by age and gender were included in the study as the healthy control group. Temperament and Character Inventory (TCI), body image (BI) scale, The Rosenberg Self-Esteem Scale (RSES), and sociodemographic data form were applied to patient and control groups. Results: The patients with aesthetic rhinoplasty had higher body image (BI) scores compared to the control group (t = 2.828, p = .006), and had higher novelty seeking (NS) (p = .038) and lower harm avoidance (HA) scores for temperament dimensions. The outcomes of the correlation analysis yielded a positive correlation between the RSES and BP scores and the HA temperament subscale scores were positively correlated with RSES (r = 0.389, p = .033) and BP (r = 0.461, p = .010) scores. In addition, a negative correlation (r = −0.496, p = .005) was determined between the RSES scores and self-directedness (SD), which is a character subdimension. Conclusion: The present study established that there existed differences in the aesthetic rhinoplasty patient group in terms of body image, self-esteem, temperament and character traits. The differences in temperament traits could indicate that the condition is hereditary. Determining such differences was considered significant for both identifying patients as candidates for surgery and predicting the level of satisfaction from surgery. In order to obtain better results, it is required to perform longitudinal studies with larger sample.
Arif Aydin, Betul Demirciler Yavas, Nilay Sen Korkmaz, Necmettin Karasu, and Alpagan Mustafa Yildırim
Medknow
Pseudocyst of the auricle is a benign condition characterized by non-inflammatory swelling of the ear.It is usually located within the scaphoid and triangular fossa.Although minor trauma is accepted to be the most probable cause ,exact etiology still remains unclear.We present two cases who have this rare condition,we also summarize the differential diagnosis,treatment options, pathogenesis of this condition.Two patients ,a 22 year-old man presented unilateral and a 28 year-old man presentend with bilateral pseudocyst of the auricle.We performed deroofing pocedure followed by compression with reshaped rubber of the syringe pyston for both of the cases.After 6 months follow up one patient had no recurrence and had excellent cosmetic results.The other patient was evaluated on the postop 3rd day.He had no recurrence and satisfactory cosmetic results.Many reatment options have been reported for pseudocyst of the auricle.The lowest recurrence rates are reported with the deroofing procedure and this technique provides cosmetically acceptable results.Many materials have been used for compression after surgery in the literature.The rubber of the syringe piston has not been used before.It is a cheap,effective and easy way of compression.
Keywords:Auricular pseudocyst,compression,idiopathic cyctic chondromalacia
Arif Aydin
Kare Publishing
BACKGROUND
This study was performed to evaluate the effect of alpha lipoic acid (ALA) on prevention of ischemia-reperfusion (IR) injury in rat hindlimb ischemia model.
METHODS
Forty male Sprague Dawley rats weighing between 250 and 300 g were divided into 4 groups of 10 rats. Hindlimb composite island flaps were raised in all rats. Clamps were applied to femoral vessels of all subjects, but immediately released without causing ischemia in Group 1. In Group 2, after 4 hours of ischemia, 24 hours of reperfusion was performed. Following 4 hours of ischemia, saline was administered to rats in Group 3 and flaps were reperfused for 24 hours. In Group 4, ALA was administered intraperitoneally after 4 hours of ischemia and flaps were reperfused for 24 hours.
RESULTS
In Group 4, there was a significant decrease of liver malondialdehyde compared to Group 2 and decrease of muscle tumor necrosis factor-alpha compared to Group 3. There was also increase in levels of glutathione in erythrocytes compared to Group 3 and increase of plasma vitamin C compared to all groups.
CONCLUSION
ALA was found to be effective in prevention of ischemia-reperfusion injury. Further studies are needed before clinical application.
Mehmet İhsan OKUR, Onur GÖKDEMİR, Necmettin KARASU, and Alpagan Mustafa YILDIRIM
The Scientific and Technological Research Council of Turkey (TUBITAK-ULAKBIM) - DIGITAL COMMONS JOURNALS
BACKGROUND/AIM
The objective of this study was to compare the postoperative changes taking place in the nasal senses of patients who underwent a rhinoplasty through the open or closed incision method.
MATERIALS AND METHODS
In a prospective study, 15 patients had a closed rhinoplasty surgery and 15 others had an open one. By pinpointing 9 spots in the nose, a sensory assessment was made by means of Semmes-Weinstein monofilaments prior to the surgery and 1 week and 1, 3, and 6 months after the surgery.
RESULTS
In the open and closed groups, there was hypoesthesia 1 week after the surgery compared with the preoperative period (P = 0.01 and P = 0.016). In the first week a sense reduction in the upper columella was observed in the open group when compared with the closed one (P = 0.035). There were no other significant differences between the groups in the nasal regions at other times.
CONCLUSION
It was ascertained that there was reduced sensation in the upper columella in the open incision group in the first postoperative week. The sensation was reduced in both groups in the first postoperative week. The nasal sensation recovered after the first month.
Bilsev Ince, Alpagan Mustafa Yildirim, Mehmet Ihsan Okur, Mehmet Dadaci, and Ebru Yoruk
Informa UK Limited
Abstract Improving survival of skin flaps used in soft-tissue reconstruction is clinically an important goal, and several systemic and local agents have been used for this purpose. However, a substance that prevents the flap necrosis has not yet been defined. This study aimed to investigate whether a Rosmarinus officinalis extract could improve the skin flap survival. In this study, 21 Wistar albino rats were divided into three groups. Rectangular 8 × 2 cm random-pattern flaps were elevated from the back of the rats. Group I was considered the control group. In Group II, a 0.5-cc of Rosmarinus officinalis oil was applied with an ear bud to the flap area 30 minutes before the flap elevation. After suturing the flaps to their location, the oil was administered twice a day for a week. In Group III, 0.5 cc of the oil was applied twice a day to the area that was elevated for a week until surgery. At the end of the week, the flaps were sutured to their location, and wiped postoperatively twice a day for a week with the oil. Mean percentage of these areas was found to be 29.81%, 58.99%, and 67.68% in Group I, Group II, and Group III, respectively. The mean percentage of the flap survival areas and vessel diameters were significantly greater in the Groups II and III than in the control group (p < 0.05). The results revealed that the topical use of the Rosmarinus officinalis extract can increase the flap survivability.
Fadime Ersoy Dursun, Ali İhsan Günal, and Alpagan Mustafa Yildirim
AVES Publishing Co.
MAtERIAL and MEtHODS: A retrospective assessment was carried out on the medical records of the patients with Crush syndrome. Sixteen patients were admitted to the nephrology department after the earthquake. The patients had a mean age of 23 ± 13 years and a mean time spent under rubble of 10.3 ± 7 hours. A total of 16 fasciotomy procedures were carried out in 16 of 11 cases (68%), while 9 of these cases had surgical wounds complicated by infection.
Alpagan Mustafa YILDIRIM, Mehmet İhsan OKUR, Ali BAL, Necmettin KARASU, Onur GÖKDEMİR, and Rafet ÖZBEY
Turkiye Klinikleri
Mehmet İhsan OKUR, Alpagan Mustafa YILDIRIM, and Bilsev İNCE
Turkiye Klinikleri
Murad Atmaca, Ismet Bingol, Ayşe Aydin, Hanefi Yildirim, Ihsan Okur, M. Alpagan Yildirim, Osman Mermi, and M. Gurkan Gurok
Elsevier BV
Alpagan M. Yildirim, Ihsan Okur, Zübeyir Örter, and Ata Uysal
Ovid Technologies (Wolters Kluwer Health)
A. M. YILDIRIM, M. İ. OKUR, F. ÖZVEREN, and R. ÖZERCAN
SAGE Publications
The effect of proximal epineural stripping on neuroma formation was studied in the peroneal nerve stumps of the rat. After transection of the peroneal nerve, the epineurium of the proximal stump was stripped back by 6 to 8 mm and the nerve fascicles left uncovered in the study group. The transected nerve was left untreated in the control group. All nerves were evaluated by light microscopy 6 months after the operation. Two neuromas occurred in 20 stumps after epineural stripping while 15 neuromas occurred in the control group. Based on histological data, we conclude that stripping of the epineurium may inhibit neuroma formation in the rat.
M. Ihsan Okur, Alpagan M. Yildirim, and Rüstü Köse
Elsevier BV
I. H. Ozercan, M. I. Okur, F. Coskun, and A. M. Yildirim
Informa UK Limited
Abstract Malignant fibrous histiocytoma is the most common type of soft tissue sarcoma in late adult life. The tumour may be seen rarely in burn scars and accompanying other kinds of malignancies. We herein report a case of a tumour that derived from an old burn scar on the scalp. The histological examination revealed that the tumour contained both malignant fibrous histiocytoma and squamous carcinoma areas. Malignant transformation in a burn scar is a well-known development; therefore, a new lesion occurring within the scar should not be neglected.
Yagmur Aydin, Akin Yücel, Mustafa Alpagan Yildirim, and Mehmet Zeki Güzel
Ovid Technologies (Wolters Kluwer Health)
Shallow upper buccal sulcus deformity, one of the secondary deformities after cleft lip-palate repair, causes both aesthetic and functional problems. This deformity also prevents or makes difficult orthodontic and prosthodontic procedures. An upper buccal sulcus deepening procedure was performed in 14 patients during the last 5 years. In 12 cases, premaxillary-based mucosal flaps were combined with one of the following: lip re-repair, Abbé flap, or bilateral buccal mucosal advancement flaps; in two cases, premaxilla was grafted with buccal mucosal graft together with bilateral buccal mucosal advancement flaps. The follow-up period was 2 to 5 years. Results were satisfactory for the surgeon, orthodontist, prosthodontist, and the patient. Upper buccal sulcus reconstruction with premaxillary thin mucosal flap or full-thickness mucosal graft combined with tissue-sparing techniques provides successful and durable results.
A. C. AYGIT, A. M. YILDIRIM, and S. DERVISOGLU
SAGE Publications
A case of post-mastectomy lymphangiosarcoma is reported. Lymphangiosarcoma is an extremely rare but highly lethal complication of chronic lymphoedema. Our patient was treated by amputation and died 6 months later. Treatment of post-mastectomy lymphangiosarcoma is still unsatisfactory. Early recognition and radical ablative surgery seem to provide best chance for survival.
Alpagan Yildirim, M. Güzel, Akin Yücel, and A. Aygit
Georg Thieme Verlag KG
An experimental study in rats was designed to determine the effects of z-plasty on the patency of microvascular anastomosis. Eighty Sprague-Dawley rats of mixed sex were divided into two groups. In all animals, the left carotid arteries were used. In the first group (n = 40), a single z-plasty was done at the anterior side of the carotid artery before end-to-end anastomosis was performed. In the second group (n = 40), end-to-end anastomosis with interrupted sutures was done. Patency and the appearance of the anastomosis were evaluated 1 hr later, on the seventh postoperative day, and at the end of the third postoperative week. There was no vasospasm demonstrated in the first group. Patency rates were 100 percent for both groups after 1 hr. On the seventh postoperative day, one anastomosis in the first group (patency rate, 97.5 percent) and two anastomoses in the second group had failed (patency rate, 95 percent). Patency rates were similar at the third week. The difference was not statistically significant (p = 0.5). Histologic examinations demonstrated that z-plasty did not cause any adverse effects at the vessel wall or at the anastomosis.
M. Z. Güzel, A. M. Yildirim, A. Yücel, M. Seradjmir, and S. Dervisoglu
Ovid Technologies (Wolters Kluwer Health)
An experimental study in adult rats was designed to test whether infant dura, when transplanted as an isograft to different recipient beds, can maintain its osteogenic potential. There was bone regeneration in more than 50% of the defects in all animals in which infant dura was present. There was minimal bone regeneration in defects in which adult dura remained alone and in which the dural defect repaired with adult dural graft. Ectopic bone did not form on the abdominal fascia or in the abdominal muscles from either infant or adult dural transplantation.