Browsing by Author "Işik, D."

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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.
A Rare Case of Fistula: Nasocutaneous Fistula
(2011) Işik, D.; Koçak, O.F.; Işik, Y.
A three-year-old male patient was brought to our clinic by his family with the complaint of a non-healing wound with discharge on his forehead and the nasal region. He had a history of a fall one-year ago. The patient had recurrent complaints of swelling and hyperemia following this trauma. He had undergone an operation with the pre-diagnosis of foreign body in soft tissue six months ago. However, no foreign body had been detected and the inflamed tissue had been excised and closed again. The swelling and purulent discharge in the region between nose and eye continued after this surgery. The patient underwent an operation and a circular defect 0.5 cm in diameter was detected on the dorsum of the nasal bone and a fistula tract was found to have developed between this defect and the skin between the nose and the eye. A subcutaneous forehead flap without skin tissue was removed including the periosteum from the left part of forehead after excision of the fistula tract. The flap was transferred to the nasal dorsum and the component of the forehead flap including the periosteum was used for reconstruction of the nasal mucosa. The wound healed without any problems and no fistula or infection developed again during the six-month follow-up.
Simultaneously, Sporadic Multiple (3 and Over) Non-Melanotic Skin Cancers
(2010) Türkmen, A.; Işik, D.; Berberoǧlu, Ö.; Bekerecioǧlu, M.
Objective: Non-melanotic skin canser (NMSC), which are basal cell (BCC) and squamuos cell carsinom (SCC), are commonest type of the skin canser. Simultaneously, multible NMSC can be accepted as a sub group of the NMSC and it can be sporadic. The treatment and follow up the those patients require special attention. There has been not taken an enough interest in this subject on literature yet. We have investigated that patients who has simultaneously 3 and more NMSC. Material and Methods: The patients who has simultaneously 3 and more NMSC admitted to our unit between October 1999 and October 2009 and the causes of the NMSC were investigated. Results: During 10 years period, 510 patients who had skin canser admitted to our unit. 29 of 510 patients had simultaneously 3 and more NMSC. Nineten out of 29 (%65.51) patients were male and 10 out of 29 (%34.49) were female. The mean age was 66.24. Totally 182 NMSC were excised from the 29 patients. Histopathologic result of 182 lesions were 109 (%59.89) basal cell carsinoma and 73 (%40.11) squamous cell carsinoma. Conclusion: The patient who has simultaneously 3 and more NMSC should be followed up closely and be alerted that the patient may have another skin cansers. Copyright © 2010 by Türkiye Klinikleri.