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Öğe Experience with vaginoplasty(TAYLOR & FRANCIS AS, 2004) Tosun, Z; Hosnuter, M; Savaci, N; Capar, M; Senturk, SWe did 27 vaginoplasties (7 gracilis musculocutaneous flaps, 8 pudendal thigh flaps, 12 full-thickness skin grafts) during the period 1994-2000. The preoperative assessment and postoperative follow up were done in collaboration with the gynaecologists. All patients had vaginal agenesis. With the gracilis flaps we found it difficult to achieve an adequate blood supply. With pudendal thigh flaps we achieved perfect innervation and a good contour, but they did tend to be hairy. With full-thickness skin grafts the innervation was not perfect, but the contour was good. Having compared the three operations during a follow up period ranging from 1-5 years we think that the full-thickness skin graft gives the best results.Öğe Hyperphosphatemic tumoral calcinosis(LIPPINCOTT WILLIAMS & WILKINS, 2000) Savaci, N; Avunduk, MC; Tosun, Z; Hosnuter, M[Abstract not Available]Öğe Maxillofacial morphology in children with complete unilateral cleft lip and palate treated by one-stage simultaneous repair(LIPPINCOTT WILLIAMS & WILKINS, 2005) Savaci, N; Hosnuter, M; Tosun, Z; Dernir, ABackground: There is a common belief among the majority of surgeons occupied with cleft lip-cleft palate repair that early one-stage simultaneous repair of hard and soft palates affects maxillofacial development adversely. This proposition has not been proven with long-term clinical studies. In this study, the effects of one-stage repair on the maxillofacial development of children with complete unilateral cleft lip-cleft palate were investigated, and the results were compared with those of the cleft children treated with conventional two-stage repair. Methods: The study was designed as follows. Group 1 consisted of 19 children (mean age, 85.4 +/- 12.8 months) treated with a one-stage procedure. In this group, cleft lip, palate, and alveolus were repaired simultaneously at a single surgical session in the first 10 months of life (mean age at time of surgery, 6.8 +/- 1.2 months). Group 2 consisted of 22 children (mean age, 90.1 +/- 13.0 months) treated in two stages as follows: lip repair was performed at a mean age of 4.8 +/- 1.0 months and palate repair was performed at a mean age of 14.6 +/- 2.0 months. The follow-up period was approximately 6.3 years for both study groups. Group 3 (control) consisted of 27 children (mean age, 87.1 +/- 11.7 months) without cleft who were matched for age. Results: Compared with the control group, the children in both cleft groups revealed a greater maxillomandibular retrognathism, a more open palatal plane, larger anterior facial heights, and decreased posterior vertical maxillofacial heights. No significant difference was determined between study groups 1 and 2. Conclusions: Because both of the surgical treatment procedures give rise to similar maxillofacial development outcomes, regardless of the timing of surgery, the onestage procedure offers several important advantages, such as less psychosocial trauma, low cost, and possibly an improvement in speech results because of less scarred palatal fields and the low rate of palatal fistula.Öğe Reconstruction of microform cleft lip(TAYLOR & FRANCIS AS, 2003) Tosun, Z; Hosnuter, M; Senturk, S; Savaci, NPartial cleft of the orbicularis oris muscle without skin and mucosa can also be called "discontinuity of the orbicularis oris muscle" or "subepithelial cleft". Microform cleft lip or mini-cleft lip are better definitions. We present two women aged 25 and 29 years old who complained of vermilion notching, vertical depression on the upper lip, and asymmetry of lower lateral cartilage of the nose. The "discontinuity of the muscle" was found at operation in both cases and reconstructed successfully.Öğe A simple method for breast implant placement using a drainage tube(SPRINGER, 2004) Savaci, N; Tosun, Z; Hosnuter, MSilicone breast implants have been used for augmentation mammoplasty. In most cases, the surgery is performed for cosmetic purposes. Although the incision line must be of minimal length, it is difficult to replace silicone prosthesis in these patients by a minimal incision. A Drainage tube is a choice for draining the air and facilitates replacement of the prosthesis. The authors have used this method successfully for 13 cases. There were no complications. The described technique can be used for all augmentation mammoplasties using silicone breast implants.
