Browsing by Author "Koçak, O.F."

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Evaluation of Hypermobility in Rhinoplasty: A Case-Control and Cross-Sectional Study
(College of Physicians and Surgeons Pakistan, 2025) Koçak, O.F.; Alpaycı, M.; Demir, C.Y.; Ilter, S.; Bozan, N.
Objective: To determine the frequency and severity of joint hypermobility (JH) in rhinoplasty patients and to assess rhinoplasty satisfaction in rhinoplasty cases with JH. Study Design: Comparative cross-sectional study. Place and Duration of the Study: Department of Plastic and Aesthetic Surgery, Yuzuncu Yil University Hospital, Van, Turkiye, between February and May 2024. Methodology: A total of 108 participants (54 rhinoplasty patients and 54 matched healthy controls) were examined in this study. Patients and healthy controls were compared in terms of the frequency and severity of JH. The Beighton scoring system was used to assess hypermobility. Rhinoplasty patients with JH (Beighton score ≥4) and without JH (Beighton score <4) were compared in terms of rhinoplasty outcomes. The rhinoplasty outcome evaluation (ROE) questionnaire was used as an outcome measure. Results: Rhinoplasty patients and healthy controls were statistically similar in terms of frequency (p = 1.0) and severity (p = 0.754) of JH. No significant correlation was found between hypermobility scores and rhinoplasty results in rhinoplasty patients (n = 54; r = 0.015; p = 0.916; Spearman’s correlation test). Rhinoplasty patients with and without JH were similar in terms of rhinoplasty results (15.30 ± 6.82 vs. 16.16 ± 4.92; p = 0.645). No significant correlation was found between JH scores and rhinoplasty results (p = 0.916). Conclusion: JH does not appear to be associated with rhinoplasty and should not be a concern in rhinoplasty. It is not necessary to consider JH to ensure rhinoplasty satisfaction. © 2025 College of Physicians and Surgeons Pakistan. All rights reserved.
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.