Browsing by Author "Isik, D."

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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.
A Case With Bifid Mandibular Condyle Causing Mandibular Dislocation
(2011) Isik, D.; Sunay, M.; Bekerecioglu, M.
Bifid Mandibular condyle is a rare case, which is usually diagnosed after radiological examination or after physical examination of a patient who refers with temporomandibular joint disorders and pain. It is usually unilateral. A bifid mandibular condyle and mandibular dislocation were diagnosed in a 6-year-old boy who presented difficulty in closing his mouth. The patient had a history of trauma, due to a fall while running three months ago. Extracondyle was found to be located bilaterally close to the superomedial region of the zygomatic arch and was seen to be stuck at the temporal fossa. In this case, the extracondyle pulled the real mandibular condyle to the anterior by settling at zygomas' superomedial region. In this case, bifid mandibular condyle was the reason for mandibular dislocation.
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.
Undetected Piece of Wood Causing Osteomyelitis of the Metacarpal Bone: a Case Report
(2013) Ceylan, M.F.; Guner, S.; Ediz, L.; Turkozu, T.; Isik, D.
The patients with soft tissue injuries by foreign bodies are encountered frequently by the emergency physicians. In the emergency services, the advanced radiological imaging techniques should be requested in the patients who have a history of foreign body injury, if it was not detected by plain radiographs. Though the plain radiography is very useful for detection of metal foreign bodies, ultrasonography, magnetic resonance imaging and the computed tomography are superior for the detection of wood, glass and plastic foreign bodies. The foreign bodies that were not removed with the surgery can cause allergic, inflammatory or infectious process. Old foreign body injuries should be investigated in the patients with non-healing infection, or osteomyelitis history. The surgical exploration should not be avoided for diagnostic aim. In this case, we are presenting a pediatric patient developed metacarpal bone osteomyelitis due to foreign body which was diagnosed lately.