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Öğe Depressor Septi Nasi Modifications in Rhinoplasty: A Review of Anatomy and Surgical Techniques(Thieme Medical Publ Inc, 2014) Benlier, Erol; Balta, Serkan; Tas, SuleymanThe anatomy of the nasal muscles contributes a social harmony in aesthetic rhinoplasty because these muscles coordinate the nose and the upper lip while smiling. Sometimes this coordination can be interrupted by the hyperactivity or variations of these muscles and may result as a deformity because of their dynamic functions and relations with the nose. In our daily practice, we usually perform the rhinoplasty without considering the dynamic functions. When the patients recover the muscle functions after operation and start to use their mimics, such as smiling, the undamaged dynamic forces may start to rotate the tip of the nose inferiorly in a long-term period, correlated with their preoperative function. To avoid this unexpected rotation it is essential to remember preoperative examination of the smile patterns. To manage this functional part of rhinoplasty, we aimed to clarify the smiling patterns or deformities mainly focused on depressor septi nasi muscle in this article. This muscle creates downward movement of the nasal tip and shortens the upper lip during smiling. The overactivity of this muscle can aggravate the smiling deformity in some patients by a sharper nasolabial angle correlated with levator labii superioris alaeque nasi and orbicularis oris muscle activities. The article not only stresses the correction of this deformity, but also aims to guide their treatment alternatives for correlation of postoperative results and applicability in rhinoplasty.Öğe Giant Nevus Lipomatosus Cutaneous Superficialis with Intramuscular Lipomatosis Caused Sciatic Nerve Compression(B C Decker Inc, 2014) Tas, Suleyman; Top, Husamettin[Abstract Not Available]Öğe Intraorbital wooden foreign body: clinical analysis of 32 cases, a 10-year experience(Turkish Assoc Trauma Emergency Surgery, 2014) Tas, Suleyman; Top, HusamettinBACKGROUND: We aimed to describe herein the clinical features, diagnosis and treatment of intraorbital wooden foreign body injuries. METHODS: A case series review of orbital injuries managed at Trakya University Faculty of Medicine between 2002 and 2012 was performed retrospectively. The clinical analysis of 32 intraorbital wooden foreign body injuries was reviewed. RESULTS: Among the 32 cases, injuries in 16 were caused by a tree branch, in 10 by a pencil, in 5 by a stick, and in 1 by a bush. With respect to preoperative vision, postoperative vision was improved in 69% of patients. Time lapse from injury to presentation was correlated with the size of the foreign body. The subjects were comparable in etiological factor, and distribution of injury according to orbit was as follows: superior 28%, medial 25%, lateral 22%, inferior 16%, and posterior 9%. Computerized tomography (CT) for foreign body was definitive in 72% (n=23) and suggestive in 28% (n=9). CONCLUSION: The diagnosis of orbital wooden foreign body is difficult because it may be missed clinically and from the imaging perspective. If a foreign body is suspected, optimal patient management should be done. Prior to the surgery, imaging modalities should be maximally utilized. A careful preoperative evaluation, imaging studies, which are event-specific, a high index of suspicion, and rigorous surgery and postoperative care are the keys in the management of orbital wooden foreign body injuries.Öğe A New and Simple Way to Hold Tendon Stumps Atraumatically(W B Saunders Co-Elsevier Inc, 2013) Tas, Suleyman[Abstract Not Available]Öğe A New Way for Antihelixplasty in Prominent Ear Surgery: Modified Postauricular Fascial Flap(Lippincott Williams & Wilkins, 2016) Tas, Suleyman; Benlier, ErolBackground Otoplasty procedures aim to reduce the concha-mastoid angle and recreate the antihelical fold. Here, we explained the modified postauricular fascial flap, described as a new way for recreating the antihelical fold, and reported the results of patients on whom this flap was used. Materials and Methods The defined technique was used on 24 patients (10 females and 14 males; age, 6-27 years; mean, 16.7 years) between June 2009 and July 2012, a total of 48 procedures in total (bilateral). Follow-up ranged from 1 to 3 years (mean, 1.5 years). At the preoperative and postoperative time points (1 and 12 months after surgery), all patients were measured for upper and middle helix-head distance and were photographed. The records were analyzed statistically using t test and analysis of variance. Results The procedure resulted in ears that were natural in appearance without any significant visible evidence of surgery. The operations resulted in no complications except 1 patient who developed a small skin ulcer on the left ear because of band pressure. When we compared the preoperative and postoperative upper and middle helix-head distance, there was a high significance statistically. Conclusions To introduce modified postauricular fascial flap, we used a simple and safe procedure to recreate an antihelical fold. This procedure led to several benefits, including a natural-in-appearance antihelical fold, prevention of suture extrusion and granuloma, as well as minimized risk for recurrence due to neochondrogenesis. This method may be used as a standard procedure for treating prominent ears surgically.Öğe Penetrating Trans-Orbital Injury from a Brush Handle Lodged in the Infra-Temporal Fossa(Korean Soc Plastic & Reconstructive Surgery, 2014) Tas, Suleyman; Top, Husamettin[Abstract Not Available]Öğe Preventing Graft Loss Caused by Hematoma: Experimental Study(Lippincott Williams & Wilkins, 2014) Benlier, Erol; Tas, Suleyman; Usta, UfukHematoma is a common reason for graft loss. This study was intended to investigate the effects of microporous polysaccharide hemospheres (MPH; Arista (R) AH; Medafor, Inc.) on graft survival, the effect of MPH on graft loss caused by hematoma, and the correlation between neutrophil accumulation and graft survival. A total of 35 adult male Wistar rats were separated into five groups of seven as follows: control 1, saline, MPH, control 2 (hematoma group), and MPH + hematoma. All graft dressing was removed on the fifth postoperative day and graft survival percentage measured. Histopathological and semiquantitative analysis, including inflammatory cell infiltration and subcutaneous inflammation based on neutrophil count, was performed. Graft survival significantly improved in the MPH group (97.86 +/- 1.676) compared with the control 1 (91.14 +/- 3.671; P = .004) and saline groups (91.57 +/- 4.791; P = .014). There was no significant increase in graft survival in the saline group compared with the control 1 group or in the MPH + hematoma group (19.57 +/- 14.707) compared with the control 2 group (20.71 +/- 16.869; P > .05). The neutrophil count was highest in the control 2 group (177.43 +/- 22.464) and significantly decreased in the MPH group (33. 71 +/- 8,674) compared with the control 1 group (66.14 +/- 5.872; P = .001) and the saline group (65.57 +/- 3.309; P = .001). There was no significant decrease in neutrophil count in the MPH + hematoma group (160.00 +/- 27.952) compared with the control 2 group (P > .05). It seems that MPH can increase the graft survival, and there is an inverse relationship between graft survival and neutrophil accumulation.Öğe Reconstruction of hypoplastic glans and subglanular stricture with fat transfer and release(Elsevier Sci Ltd, 2014) Tas, Suleyman; Top, HusamettinCircumcision is a common minor surgical procedure. However, if it is performed by untrained individuals, it may cause serious complications. In this case report, we describe an unusual circumcision complication with subglanular stricture and hypoplastic glans, which we named exclamation mark deformity, its treatment that involved glans augmentation by fat injection, and results together with further treatment options. (C) 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.Öğe An Unexpected Complication after Periorbital Tumor Surgery in a Patient Later Discovered to Have Myelodysplasia(Korean Soc Plastic & Reconstructive Surgery, 2014) Tas, Suleyman; Top, Husamettin[Abstract Not Available]
