Browsing by Author "Beǧer, Burhan"

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Angulation and Dimension of the Sphenoid Ridge in Chiari Malformation Type 2
(Lippincott Williams and Wilkins, 2025) Yalınkılıç, Abdulaziz; Beǧer, Burhan; Erdem, Mehmet Zeki; Sönmez, Bülent; Karaaslanlı, Abdulmutalip; Arslan, Bilal; Koç, Turan
Objective: To reveal differences in the sphenoid ridge (SR) morphology in patients with Chiari malformation type 2 (CMT2) by comparison with normal subjects. Methods: Study universe consisted of pediatric computed tomography images of 50 CMT2 (sex: 23 females and 27 males, and mean age: 7.58 ± 5.64 y) and 50 controls (sex: 24 females and 26 males, and mean age: 7.52 ± 5.47 y). SR's length (L-SR), angle (A-SR), width at the lateral tip (LW-SR), width at the midpoint (MPW-SR), and width at the midline (MLW-SR) were measured. Results: In comparison with controls, CMT2 patients had smaller L-SR (P = 0.008), but statistically similar A-SR (P = 0.353), MPW-SR (P = 0.232), LW-SR (P = 0.241), and MLW-SR (P = 0.062). Three configurations regarding A-SR types were observed in CMT2 (types A: 22%, B: 63%, and C: 15%) and controls (types A: 16%, B: 75%, and C: 9%). The distribution of A-SR types according to study groups displayed that CMT2 did not correlate with A-SR types (P = 0.175). Conclusion: L-SR and A-SR may represent anterior fossa width and middle fossa depth, respectively; therefore, patients with CMT2 have narrower anterior fossa, but similar middle fossa depth. © 2025 Elsevier B.V., All rights reserved.
Management of Abdominal Gunshot Injuries: Surgical Intervention or Conservative Follow-Up? A Single-Center Experience
(Turkish Association of Trauma and Emergency Surgery, 2025) Binici, Serhat; Aslan, Fırat; Beǧer, Burhan; Beger, Orhan; Aras, Abbas; Eryılmaz, Iklil; Oğuz, Enis
BACKGROUND: This study aims to retrospectively evaluate treatment approaches and clinical outcomes in patients with penetrating abdominal trauma caused by gunshot injuries—one of the most complex and controversial areas in trauma surgery. METHODS: A total of 101 patients diagnosed and treated for penetrating abdominal trauma due to gunshot injuries between 2015 and 2025 were included in the study. Demographic data (age and sex); vital signs at admission to the emergency department (blood pressure, pulse, respiratory rate, body temperature); level of consciousness (Glasgow Coma Scale); hemodynamic status (stability/ instability, need for fluid or inotropic support); intra-abdominal (liver, spleen, small intestine, colon, etc.) and extra-abdominal (thorax, extremities, head, etc.) organ injuries; laboratory findings (hemoglobin, leukocyte count, creatinine, pH level); treatment modality (surgical intervention or conservative management); surgical techniques used; blood and blood product transfusions; and hospital length of stay were retrospectively analyzed. Patients were divided into two groups: those who underwent surgical treatment and those managed conservatively. Factors influencing treatment decisions and variables affecting mortality were evaluated statistically. RESULTS: Of the patients, 83.2% were male, with a mean age of 28.3±10.5 years. Surgical treatment was performed in 81.2% of cases, while 18.8% received conservative management. No mortality occurred in the conservatively managed group, whereas the surgically treated group had a mortality rate of 15.9%. Mortality among female patients (29.4%) was significantly higher than among males (9.5%) (p=0.026). Hemodynamic instability, intra-abdominal organ injury, presence of free air in the abdomen, and the need for blood product transfusion were associated with both the decision for surgical intervention and higher mortality. Additionally, damage control surgery and multiple organ injuries were linked to increased mortality. CONCLUSION: Management of abdominal trauma caused by gunshot injuries requires a multidisciplinary approach to ensure appropriate patient selection and treatment planning. In hemodynamically stable patients, selective non-operative management (SNOM) is a safe and effective option, whereas surgical intervention—particularly in cases requiring damage control surgery—is associated with higher mortality. The increased mortality rate among female patients underscores the need for closer monitoring of this subgroup and further investigation into potential additional risk factors. These findings align with current literature and provide practical guidance for clinical decision-making. © 2025 Elsevier B.V., All rights reserved.
Sphenoid Sinus Size and Shape in Chiari Malformation Type 2
(Lippincott Williams and Wilkins, 2025) Erdem, Mehmet Zeki; Yalınkılıç, Abdulaziz; Beǧer, Burhan; Aǧirbaş, Semra; Karaaslanlı, Abdulmutalip; Kiliç, Ridvan; Çetin, Ceyda Şevval
Objective: The aim of the study was to compare the morphologic features of the sphenoid sinus in patients with Chiari malformation type 2 (CMT2) with a control group. Methods: This retrospective study contained computed tomography images of 42 CMT2s and 45 controls. Of 42 CMT2 patients aged 12.55 ± 5.81 years, 23 were females and 19 were males. Of 45 controls aged 12.16 ± 4.89 years, 22 were females and 23 were males. The volume, surface area, width, thickness, and height of the sphenoid sinus were measured, and its shape (postsellar, sellar, presellar, and conchal) was noted. Results: Patients with CMT2 had smaller the sphenoid sinus’s volume (P = 0.035), surface area (P = 0.032), width (P = 0.022), thickness (P = 0.039), and height (P = 0.021) than controls. Four configurations regarding shape types of the sphenoid sinus were detected in CMT2 (postsellar: 31%, sellar: 23.80%, presellar: 26.20%, and conchal: 19%) and controls (postsellar: 35.60%, sellar: 31.10%, presellar: 28.90%, and conchal: 4.40%). CMT2 did not correlate with shape of the sphenoid sinus (P = 0.200). Conclusions: CMT2 patients have a small sinus compared with controls. This work may be useful to understand anatomic properties of the sphenoid bone such patients. © 2025 Elsevier B.V., All rights reserved.