Person: BAYRAMİÇLİ, MEHMET NURİ ÜMİT
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BAYRAMİÇLİ
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MEHMET NURİ ÜMİT
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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 Metadata only Siyalore tedavisinde cerrahi yaklaşım(2009-05-29) AKDENİZ DOĞAN, ZEYNEP DENİZ; BAYRAMİÇLİ, MEHMET NURİ ÜMİT; ŞİRİNOĞLU H., AKDENİZ DOĞAN Z. D., SÖNMEZ A., BAYRAMİÇLİ M. N. Ü.Publication Metadata only Computed tomography in the management of cervical lymph node pathology(ELSEVIER SCI LTD, 2008) BAYRAMİÇLİ, MEHMET NURİ ÜMİT; Sonmez, Ahmet; Oztuerk, Nurdan; Ersoy, Burak; Bayramicli, Mehmet; Celebiler, Ozhan; Numanoglu, AyhanComputerised tomography (CT) is a useful adjunct in the diagnosis of cervical pathology in head and neck carcinoma. However, different criteria used in CT analysis make the comparison of outcome studies difficult. This study compares two different CT criteria (two different lymph node sizes) for detection of cervical lymph node pathology for head and neck tumours in the same patient population. A prospective study was performed on 55 patients, with minimum T2 intraoral squamous cell carcinoma and high risk extraoral malignancies, who underwent 65 neck dissections. Sensitivity, specificity and accuracy of clinical palpation, CT considering lymph nodes larger than 10 mm as positive and CT considering lymph nodes larger than 15 mm as positive are compared. The results are as follows: sensitivity, specificity and accuracy of clinical palpation are 86, 84 and 85%, respectively; sensitivity, specificity and accuracy of CT with lymph nodes exceeding 10 mm are 95, 47 and 63%, respectively; sensitivity, specificity and accuracy of CT with lymph nodes exceeding 15 mm are 86, 81 and 83%, respectively. The outcomes of the study reveal that CT evaluation of cervical lymph nodes with a cutoff value of 15 mm should be preferred to a cutoff value of 10 mm in order to prevent over-treatment in cervical management of head and neck tumours. When accuracy of the results is considered, CT atone does not have an advantage over clinical palpation in this study. (c) 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.Publication Metadata only Serratus anterior kas flebinde perfüzyon bozukluğu: iki olgunun sunumu ve literatürün gözden geçirilmesi(2009-10-21) AKDENİZ DOĞAN, ZEYNEP DENİZ; BAYRAMİÇLİ, MEHMET NURİ ÜMİT; ERSOY B., SÖNMEZ A., AKDENİZ DOĞAN Z. D., BAYRAMİÇLİ M. N. Ü.Publication Metadata only A new classification system and an algorithm for the reconstruction of nasal defects(ELSEVIER SCI LTD, 2006) BAYRAMİÇLİ, MEHMET NURİ ÜMİT; Bayramicli, MehmetA new, comprehensive system for scoring and classification of nasal defects is proposed in this article. The soft tissue coverage of the nose is in continuity with the cheeks, glabella and upper tip and the osteocartitaginous infrastructure is in continuity with the two nasofrontat buttresses, the frontal bar and the palate. Soft tissues and the skeletal framework are divided into sub-units and these anatomic features are schematized on a logo. The sub-units are graded on the logo, depending on their gravity in reconstructive strategies. Any given nasal defect is described by shading the involved sub-units on the Logo and the sum of the points appended each sub-unit gives the total score of defect. The severity of the tissue toss is assessed according to a Classification System which is derived from this scoring system. Nasal defects are classified into one of four main Types corresponding to their scores. One hundred twenty seven patients who were operated on for various nasal. pathologies have been reviewed and nasal defects are scored and classified according to the proposed system. Application of this system to the spectrum of cases encountered in a 6 years period shows that it is based on anatomic grounds, easy to document and efficient transmission of objective information becomes possible. It also offers a useful algorithm to approach the reconstruction of nasal defects. (c) 2006 The British Association of Plastic Surgeons. Published by Elsevier Ltd. All rights reserved.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.Publication Open Access Proximal Type Epithelioid Sarcoma of the Scrotum: A Source of Diagnostic Confusion That Needs Immediate Attention(2007-01-01) TANIDIR, YILÖREN; BAYRAMİÇLİ, MEHMET NURİ ÜMİT; Önol F. F. , Tanıdır Y., Kotiloğlu E., Bayramiçli M. N. Ü. , Tuhal S., Türkeri L. N.Epithelioid sarcoma is a rare soft-tissue sarcoma which classically presents as a subcutaneous or deep dermal mass in distal extremities of adolescents and young adults. A more aggressive \"proximal\" or \"large-cell\" type has been described in rare cases to occur as a deep soft-tissue mass at proximal body sites which tends to recur and metastasize earlier than the conventional epithelioid sarcoma. The correct diagnosis of this type is essential since these lesions can easily be misdiagnosed as other epithelioid lesions. Its prognostic factors also have not yet been fully investigated. We herein report a case of metastatic proximal-type epithelioid sarcoma arising from the scrotum of a 50-year-old man managed by radical surgery and adjuvant chemotherapy.