Browsing by Author "Tekes, Lutfi"

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Comparison of Dorsal Intercostal Perforator Artery Flap and Primary Closure in Myelomeningocele Repair
(Springer, 2021) Atalay, Tugay; Oktay, Kadir; Guzel, Ebru; Tekes, Lutfi; Solakhan, Mehmet; Ozkiraz, Servet; Guzel, Aslan
Purpose Of the many suggested techniques, we used dorsal intercostal perforator artery flap (DIPAF) for the closure of myelomeningocele defects. This study compared the outcomes of primary closure and DIPAF in the closure of myelomeningoceles. Methods Data of 24 patients that underwent myelomeningocele surgery at a single institution between November 2015 and September 2019 were retrospectively reviewed. Results The primary closure group had 13 patients (54.17%) and the DIPAF group had 11 (45.83%). The mean age was 7.91 +/- 13.27 days (1-60 days). Twelve patients were female and 12 were male. In 22 patients, the myelomeningocele sacs were in the lumbosacral region, while in 2, they were in the thoracolumbar region. The mean defect sizes were 14.20 +/- 4.62 cm(2)and 18.44 +/- 3.49 cm(2)in the primary closure and DIPAF groups, respectively. In each group, four patients had a kyphotic deformity. In the primary closure group, three patients had wound necrosis, two had wound dehiscence, and four had cerebrospinal fluid (CSF) leakage. In the DIPAF group, one patient had wound necrosis and one had CSF leakage. Significantly fewer complications related to the operation area were observed in the DIPAF group (p < 0.05). Increased defect size, kyphotic deformity, and presence of hydrocephalus were found to be risk factors for complications related to the operation area. Conclusion This surgical treatment protects neural tissue, prevent CSF leakage, and reduce central nervous system infection rates in myelomeningocele patients. Closure technique with the fasciocutaneous skin flap has more satisfying results than primary closure.
Foreign Body in the Breast: Tip of a Drain
(Medknow Publications & Media Pvt Ltd, 2010) Isik, Daghan; Tekes, Lutfi; Guner, Ilkay
Giant Peripheral Primitive Neuroectodermal Tumor of the Mons Pubis: a Case Report
(Springer Heidelberg, 2011) Isik, Daghan; Kurdoglu, Zehra; Ozen, Suleyman; Tekes, Lutfi; Aktar, Safak; Atik, Bekir
Reconstruction of Lower Eyelid Defects Using a Cross Upper Eyelid Flap Composited With Ear Cartilage
(Blackwell Publishing, 2007) Atik, Bekir; Tan, Onder; Bekerecioglu, Mehmet; Cinal, Adnan; Tekes, Lutfi
Backgrounds Basal cell carcinomas (BCC) most frequently involve the lower eyelid and are treated with total excision. Various techniques have been proposed for reconstruction of the excised eyelid. Objective Because most flaps used in such techniques are bulky, thinner, and aesthetically more favorable, flaps have been sought recently. Methods Defects of the lower lid have been closed with a combination of cross-flaps and choncal cartilage prepared from the upper eyelid. Results Eleven lower lids from 10 patients operated for BCC were reconstructed. All flaps survived. The duration of follow-up was 10 months, and no complications such as relapse, ectropion, or lagophthalmus occurred. Conclusions The upper eyelid flap was found to be an appropriate cover for both the skin and the conjunctiva due to its hairless and smooth structure. The outcome in patients followed up for a mean of 10 months was successful, cosmetically and functionally.