Browsing by Author "Atik, B."

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Buried and Trapped Penis: a Case Report
(Wiley-blackwell, 2010) Isik, D.; Isik, Y.; Peker, E.; Atik, B.
P>While buried penis cases are characterised by congenital normal attachments to penis, trapped penis cases are characterised by insufficiency of penile skin occurring as a complication after surgical operations such as circumcision. Unless diagnosed, circumcision procedures should be avoided in congenital concealed penis cases. Here we present a case of congenital buried penis with deteriorated clinical findings after two circumcision procedures at 1.5 years of age. The surgical treatment applied in this case is discussed.
Closure of Large Myelomeningocele Defects Using Dorsal Intercostal Artery Perforator Flap
(2011) Isik, D.; Tekes, L.; Eseoglu, M.; Isik, Y.; Bilici, S.; Atik, B.
Small meningomylocele defects can be closed primarily. Other repair techniques are required for closure of meningomyelocele defects of >5 cm. In this anomaly, in which random or musculocutaneous flaps are usually used, the technique for skin defect closure should have the following criteria: a safely harvested flap with good blood supply; minimal morbidity in the donor site; closure with adequate thickness to protect the underlying neural structure; and a repair to prevent leakage of cerebrospinal fluid. The dorsal intercostal artery perforator flap is a new perforator flap with a large skin island that can be used safely in the dorsal region. In this article, repair of large skin defects due to myelomeningocele has been attempted using a dorsal intercostal artery perforator flap, and the results are discussed. Copyright © 2011 by Lippincott Williams & Wilkins.
Comparison of the Effect of the Rotation Palatoplasty and V-Y Pushback Palatoplasty Techniques on Palate Elongation With Magnetic Resonance Imaging
(Churchill Livingstone, 2015) Isik, D.; Bora, A.; Yuce, S.; Davran, R.; Kocak, O. F.; Canbaz, Y.; Atik, B.
Most surgical techniques used in cleft palate repair require the extension of the palate to the pharynx. However, no adequate information exists regarding the extent to which this elongation obtained during operation continues in late postoperative period. In this study, we compared and measured palate elongation in patients with a cleft palate who underwent a V-Y pushback or rotation palatoplasty, by means of magnetic resonance images obtained before and 1 year after surgery. The hard palate, soft palate, and total palate lengths were measured for all of the patients, and the velopharyngeal opening area width was calculated. In patients who underwent the V-Y pushback technique (n = 13), the total palate and soft palate lengths were shortened by an average of 0.10 and 0.14 cm after surgery, respectively. However, the hard palate length was elongated by an average of 0.13 cm. In the rotation palatoplasty group (n = 13), the total palate, hard palate, and soft palate lengths were elongated by 0.57, 0.10, and 0.49 cm, respectively. The velopharyngeal opening was narrowed by 0.06 cm(2) using the V-Y pushback technique and by 0.29 cm(2) using the rotational palatoplasty. This study demonstrated that the palate does not elongate during the V-Y pushback technique, as expected. However, rotational palatoplasty elongates the soft palate.
Effects of Hyaluronic Acid on Postoperative Adhesion of Tendo Calcaneus Surgery: an Experimental Study in Rats
(2002) Tuncay, I.; Ozbek, H.; Atik, B.; Ozen, S.; Akpinar, F.
Adhesions are a significant problem after tendon surgery. The effects of hyaluronic acid on adhesion formation of the tendo calcaneus were investigated in this study. Twenty Wistar rats were utilized. Both tendo calcanei were incised transversely, and then repaired. Hyaluronic acid (0.2 cc) was injected into peritendinous tissue on the right side, while the same amount of normal saline was injected to the left side as a control. The animals were sacrificed 40days after the experiment. Both the right and left tendon adhesions were evaluated both macroscopically and microscopically for the presence of adhesions (grading scale 0-4). Throughout the experimental period, there was no difference in range of motion of the ankle between the two groups. Macroscopically, there were fewer adhesions in the experimental group (mean 0.6 ± 0.8) compared to the controls (mean 1.1 ± 0.2). This difference was not statistically significant (p =. 096). Histopathologically, these parameters were similar in both the experimental (mean 1.15 ± 0.98) and the control groups (mean 1.9 ± 1.25). This difference was significant (p =. 043). Hyaluronic acid may be effective for prevention of adhesions in the tendo calcaneus though this effect could not be demonstrated experimentally.
New Suggestions for Correction of the Severe Hypospadias Complications
(Turkish Society of Plastic Reconstructive, and Aesthetic Surgery, 2015) Işik, D.; Bilici, S.; Canbaz, Y.; Gecit, I.; Yüce, S.; Atik, B.
Background: Severe hypospadias complications are defined as large urethral fistulae, chordee recurrence, and severe scar or skin defect limiting urethral reconstruction from the penis skin, and complications persisting in spite of multiple operations. In this study, new flap techniques applied on six patients with severe hypospadias complications have been introduced. Methods: The 6 patients with hypospadias surgery complicationsand a mean age of 15.5 years, had undergone hypospadias repair operations an average of 4.5 times. Four cases had undergone repair using the Kutlay technique, one was repaired by island-formed penile skin flap, and the remaining case was repaired using a groin flap prefabricated by skin graft. Results: In one of the patients, meatal stenosis was found in the first postoperative month. It was treated by continuous and intermittent urethral catheterization. In another patient, purulent drainage was observed secondary to postoperative soft tissue infection. A 0.2 cm urethra-cutaneous fistula was observed on the subcoronal region in the postoperative sixth month in this patient. Other patients had no chordee recurrence, fistula, urethral stenosis or other complications. Conclusions: In patients with severe hypospadias complications, case-specific and reliable treatment options that may repair each component of the deformity should be used. As the severity of the deformity increases, more complicated and multiple-session techniques may be preferred for treatment.
Side-To Anastomosis Without Vessel Clamp: a Practical Method for Arterio-Venous Fistula
(TIP ARASTIRMALARI DERNEGI, 2010) Tan, Ö.; Atik, B.
The radial artery to cephalic vein fistula (radial AVF, Brescia-Cimino, radiocephalic) is the basic technique in arteriovenous fistula construction before hemodialysis and the side to side anastomosis is commonly used between these vessels. The vessel clamps in bulldog and approximater types are special and crucial devices for anastomosis. When any vascular clamp is not available, we perform side to side anastomosis with a needleholder or an ordinary forceps in arteriovenous fistula operation. This method is easy, practical, and inexpensive, and may successfully be used in this operation.
Squamous Carcinoma in a Pressure Sore With a Very Short Latency Period
(2003) Tan, O.; Atik, B.; Bekerecioglu, M.; Tercan, M.; Bayram, I.
Malignancy in a chronic pressure sore is rare among Marjolin's ulcers. Carcinomas arising in pressure sores are highly aggressive and usually fatal. Although carcinomas in pressure sores are generally well-differentiated squamous carcinomas, they can show quite an aggressive course and do not respond either to chemotherapy or radiotherapy. The mortality rate is high despite wide surgical resection. It must be kept in mind that carcinomas may arise in pressure sores and treatment must be early and aggressive. We report a squamous carcinoma arising in a pressure sore that had a very short latency period. The related literature was reviewed.