Person: BAYRAMİÇLİ, MEHMET NURİ ÜMİT
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BAYRAMİÇLİ
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MEHMET NURİ ÜMİT
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Publication Open Access Outcome After Breast Reduction Considering Body Mass Index and Resection Amount(OXFORD UNIV PRESS INC, 2017-10-16) BAYRAMİÇLİ, MEHMET NURİ ÜMİT; Bayramicli, Mehmet; Sirinoglu, Hakan; Yalcin, DogusBackground: It is presumed that breast reduction improves patients' quality of life and promotes weight loss. Preoperative body mass index (BMI) and the amount of breast tissue (breast reduction amount [BRA]) in proportion to the patient's body weight are important variables to affect the breast reduction outcome. Objective: This study was designed to evaluate the short and long-term effects of breast reduction from the perspective of BMI and BRA. Methods: One hundred fifty-seven consecutive patients were invited to participate in the study. All clinical information was recorded on a breast surgery form. Patients completed a standardized questionnaire preoperatively, at postoperative year 1, and after postoperative year 5. Patients were grouped according to their BMI as normal weight and overweight and according to BRA as minor/moderate reductions and major reductions. The differences in the BMI values and the life scores were compared between the BMI and BRA groups. Results: Sixty-four patients were included in the study. Postoperative year 1 BMIs were significantly lower than both the preoperative BMIs and postoperative year 5+ BMIs. The year 1 BMI decrease in the major reduction group was higher than the decrease in the minor/moderate reduction group. The postoperative life scores of all subgroups were better than the preoperative life scores. Conclusions: Reduction mammaplasty has a significant effect on short-term weight loss and the improvement in lifestyle. Patients tend to return to their original body weight in the long term. BRA is a significant variable in short-term weight loss, but neither BMI nor BRA has any other significant effect on the outcome in any time section.Publication Metadata only STERNOCLEIDOMASTOID REGION RESTORATION WITH LATERAL HEMISOLEUS MUSCLE INCORPORATIED IN FREE FIBULAR FLAP FOR RECONSTRUCTION OF RADICAL NECK DISSECTION AND HEMIMANDIBULECTOMY(WILEY-BLACKWELL, 2011) BAYRAMİÇLİ, MEHMET NURİ ÜMİT; Ersoy, Burak; Sonmez, Ahmet; Bayramicli, MehmetIn the treatment of head and neck carcinoma, radical cervical lymphadenectomy leaves the affected side of the neck devoid of the sternocleidomastoid muscle, thus more vulnerable to the unwanted side effects of the adjuvant radiotherapy. It also causes asymmetry and cosmetically unpleasant appearance of the cervical region. In the reported case with widely ulcerated squamous-cell carcinoma over mandible, hemimandibulectomy and radical neck dissection was performed. Following the mandibular reconstruction, the lateral hemisoleus muscle of the harvested osteomyocutaneous fibula flap was utilized to restore the ipsilateral sternocleidomastoid region. This new application promises to be a useful method, which can aid in the restoration of the aesthetic contour of the neck and provide protection against unwanted effects of the adjuvant radiotherapy on the ipsilateral carotid artery. (C) 2011 Wiley-Liss, Inc. Microsurgery 31:401-403, 2011.Publication Metadata only Elde skuamöz hücreli karsinom ile birlikte aksiller lenf nodlarında foliküler lenfoma(2010-09-19) AKDENİZ DOĞAN, ZEYNEP DENİZ; DURMUŞ KOCAASLAN, FATMA NİHAL; BAYRAMİÇLİ, MEHMET NURİ ÜMİT; AKDENİZ DOĞAN Z. D., DURMUŞ KOCAASLAN F. N., ERSOY B., DEMİRKESEN C., BAYRAMİÇLİ M. N. Ü.Publication Metadata only Comparison of Bone Prefabrication with Vascularized Periosteal Flaps, Hydroxyapatite, and Bioactive Glass in Rats(THIEME MEDICAL PUBL INC, 2015) ERCAN, FERİHA; Ersoy, Burak; Bayramicli, Mehmet; Ercan, Feriha; Sirinoglu, Hakan; Turan, Pinar; Numanoglu, AyhanBackground Periosteal flaps possess osteoprogenitor cells and an osteoinductive potential that can be further augmented by combination with a biodegradable scaffold; therefore, various osteoconductive and osteostimulative biomaterials are frequently combined with periosteal flaps in studies of bone prefabrication. An experimental study was designed to determine and compare the contribution of bioactive glass and hydroxyapatite to osteoneogenesis in rats when combined with a periosteal flap. Materials and Methods In 60 Sprague Dawley rats, saphenous artery periosto-fasciocutaneous island flaps were transposed to abdomen. In group 1, the flap was left alone, in group 2, an empty artificial pocket made of Gore-Tex (W. L. Gore & Associates, Inc.; Flagstaff, AZ) was sutured onto the periosteal layer, and in groups 3 and 4, the pocket was filled with bioactive glass and hydroxyapatite, respectively. Following sampling for histological analysis, a 4-point scoring system was used to grade inflammatory cell infiltration, osteogenesis, angiogenesis, and cell migration into the bioactive material. Results The combination of the periosteal flap with any of the bioactive materials resulted in significantly higher percentages of animals exhibiting osteogenesis (80% in hydroxyapatite group and 93.3% in the bioactive glass group; p = 0.0000528) and angiogenesis. Comparison of the bioactive material groups revealed that a significantly higher proportion of animals in the bioactive glass group exhibited moderate or severe inflammation (80 vs. 20%; p = 0.002814). Conclusion Periosteal flaps prefabricated with hydroxyapatite or bioactive glass in rats exhibit osteogenic capacities that are not dependent on direct bone contact or proximity to vascular bony tissue. The innate capacity of the periosteal flap when utilized alone for osteoneogenesis was found to be rather insufficient.Publication Metadata only Microvascular Reconstruction of Composite Cranial Defects(THIEME MEDICAL PUBL INC, 2010) BAYRAMİÇLİ, MEHMET NURİ ÜMİT; Bayramicli, MehmetMicrovascular reconstruction of composite cranium defects is challenging, and operative planning differs in various anatomic regions of the cranium. The aim of this article is to detail surgical strategies for microvascular reconstruction in different areas of the cranium. Fifty-eight free tissue transfers were performed in 54 patients with composite cranial defects between 1995 and 2009. The cranium was divided into six zones to classify the defects. Data on patient demographics, location and cause of the defects, technical details of surgical management, and complications were analyzed. Defects were secondary to ablative procedures in 45 patients. Eight patients had posttraumatic defects, and one patient had congenital defect. Nine different flap types were used in the series. Choice of recipient vessels and the use of interpositional vein grafts varied according to the site of the cranial defects. Microsurgical reconstruction of cranial defects can be performed safely with predictable outcome by methodic assessment of the problem and by careful attention to the details of the reconstructive plan. In this article, valid conclusions on the planning of microvascular reconstruction in different areas of the cranium have been determined.Publication Metadata only Geç dönemde başvuran elde yüksek basınçlı çimento enjeksiyonu ile yaralanma olgusu(2010-09-15) AKDENİZ DOĞAN, ZEYNEP DENİZ; BAYRAMİÇLİ, MEHMET NURİ ÜMİT; AKDENİZ DOĞAN Z. D., ERSOY B., ŞİRİNOĞLU H., BAYRAMİÇLİ M. N. Ü.Publication Metadata only Postauricular conchal chondrocutaneous sandwich flap for partial ear reconstruction(2015) BAYRAMİÇLİ, MEHMET NURİ ÜMİT; Bayramicli, Mehmet; Tuncer, Fatma Betul; Certel, FurkanPublication Metadata only Margin-Controlled, Staged Surgical Excision in the Treatment of High-Risk Basal Cell Carcinomas of the Head and Neck Region(SAGE PUBLICATIONS INC, 2019) SALMAN, ANDAÇ; Ucar, Ayse Nigar Durmus; Kocaaslan, Fatma Nihal Durmus; Salman, Andac; Demirkesen, Cuyan; Bayram, Filiz Erdem; Bayramicli, MehmetBackground: The most common skin cancer is basal cell carcinoma (BCC), and the gold-standard treatment for high-risk tumours is Mohs surgery. However, alternative methods are needed for high-risk tumours in countries where the performance rate of Mohs surgery is low. Objectives: The objective of this article is to investigate the feasibility, efficacy, and safety of margin-controlled, staged surgical excision (MCSSE) in high-risk tumours as a possible treatment alternative. Methods: A retrospective cohort study, including patients diagnosed with high-risk BCC in the head and neck region and treated with MCSSE between 2003 and 2010, was conducted. Results: During the study period 50 tumours in 47 patients were treated, with low adverse event rates and high patient satisfaction rates. Of the 50 tumours, 1 recurred at the 12-month follow-up. Conclusions: Despite the small sample size and relatively short follow-up period, the present study shows that MCSSE might be a feasible alternative for the treatment of high-risk BCCs in institutions where Mohs surgery is not performed. Future studies on long-term recurrence rates are needed.Publication Metadata only The role of botulinum toxin a injection on neuromuscular end plate reinnervation during peripheral nerve regeneration(2013-05-22) AKDENİZ DOĞAN, ZEYNEP DENİZ; ÖZKAN YENAL, NAZİYE; ERCAN, FERİHA; BAYRAMİÇLİ, MEHMET NURİ ÜMİT; AKDENİZ DOĞAN Z. D., ATEŞ F., ÖZKAN YENAL N., ERCAN F., BAYRAMİÇLİ M. N. Ü.Publication Metadata only Analysis of Flow Changes to the Foot after Sacrifice of One of the Major Arteries(THIEME MEDICAL PUBL INC, 2009) DURMUŞ KOCAASLAN, FATMA NİHAL; Soenmez, Ahmet; Akpinar, Ihsan; Satir, Tevfik; Durmus, Nihal; Bayramicli, MehmetThe objective of this Study was to find out whether a compensatory increase in blood flow to the foot is observed after sacrifice of one of the tibial arteries. Eleven patients who had one of the tibial arteries as the recipient artery of free tissue transfer to their lower extremities were included. The arterial diameter, cross-sectional area, maximum flow velocity, minimum flow velocity, and flow rate were measured by a Doppler ultrasound in the nonrecipient tibial artery and perforating peroneal artery in the operated limb. The same parameters were measured in the anterior and posterior tibial arteries and the perforating peroneal artery in the contralateral limb. The arterial diameter, cross-sectional area, flow velocity, and flow rate were increased significantly in the nonrecipient tibial artery of the operated limb with respect to the same artery on the contralateral limb. The same changes were not demonstrated in the perforating branch of the peroneal artery. Total blood flow to the foot in the operated extremity was not different from that of the nonoperated foot. The results reveal that if a major feeder to the foot is sacrificed, the other tibial artery compensates for it, and resting blood supply to the foot is not altered.