Person: BAYRAMİÇLİ, MEHMET NURİ ÜMİT
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BAYRAMİÇLİ
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MEHMET NURİ ÜMİT
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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 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 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.Publication Open Access Fat graft survival inside pocket for silicone implant(MARMARA UNIV, FAC MEDICINE, 2020-05-31) DURMUŞ KOCAASLAN, FATMA NİHAL; Kocaaslan, Fatma Nihal Durmus; Ozkan, Melekber Cavus; Tuncer, Fatma Betul; Bayramicli, MehmetObjective: The aim of this study was to investigate the survival potential of the fat grafts inside the implant capsule in an experimental setting. Materials and Methods: Twenty male Wistar albino rats were used. A two-staged surgical procedure was performed. In the first stage, silicone sheets were placed in the subcutaneous plane on the left side of each rat. On day 60, fat grafts injected into the silicone capsule either by removing the silicone sheaths or leaving the silicone sheaths in their place. In both groups, the same amount of the fat grafts was injected into the right side of the dorsal subcutaneous plane of the rats and they served as their own controls. The findings were evaluated according to the histopathological criteria. Results: There was no statistically significant difference in the inflammatory cell infiltration, fibrosis, and necrotic adipocytes among the groups. Although, the fat viability rate was higher in control groups, there was no statistically significant difference compared to the capsule or silicone groups (p>0.05). Conclusion: Our study results suggest that implant capsule is a hospitable environment and resection of the capsule is unnecessary, if silicone implants are expected to be removed following fat injection.Publication Metadata only Patients' perspectives on the ocular symptoms of facial paralysis after gold weight implantation(ELSEVIER SCI LTD, 2008) DURMUŞ KOCAASLAN, FATMA NİHAL; Soenmez, Ahmet; Oeztuerk, Nurdan; Durmus, Nihal; Bayramicli, Mehmet; Numanoglu, AyhanUpper lid loading for the treatment of lagophthalmos resulting from facial paralysis is a simple and effective procedure with relatively few side effects and complications. A detailed patient-based self assessment, focusing on subjective complaints after upper lid weight implantation is scarce. In this study, a population of facial palsy patients with lid weights is asked about their subjective complaints in order to find out the patients' point of view. Patients with upper lid weights were asked questions indicating the degree of soreness, tearing, redness, visual acuity, lid closing during the day, lid closing during steep, aesthetic appearance, artificial tear utilisation and outdoor comfort. All questions were evaluated by an analogue scale in reference to the opposite eye, where a score of '10' corresponds to the best outcome (no symptoms at all or appearance comparable to the contralateral eye) and a score of '1' corresponds to the worst outcome. Thirty patients filled in the questionnaire and 22 of them were seen in the outpatient clinic. The most pleasing result was obtained in the lid closing during the day (score 8.8 +/- 1.9), during sleep (7.7 +/- 3.0) and in the aesthetic appearance of the eye (score 7.6 +/- 2.7), whereas visual acuity received the lowest score (score 5.7 +/- 1.5). Complication and re-operation rates were 23% and 13%, respectively. In conclusion, upper lid weights solve the problem they are used to address. They provide a satisfactory lid closure and aesthetic appearance in the patients' point of view. However, the ocular symptoms of facial paralysis still persist to some extent and the procedure is not without its complications. (C) 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.