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BAYRAMİÇLİ, MEHMET NURİ ÜMİT

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BAYRAMİÇLİ

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MEHMET NURİ ÜMİT

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2020 - 20227
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Now showing 1 - 7 of 7
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    PublicationOpen Access
    Symmetrization in breast reconstruction: Augmentation procedures
    (Springer, London/Berlin , 2021-08-01) AKDENİZ DOĞAN, ZEYNEP DENİZ; BAYRAMİÇLİ, MEHMET NURİ ÜMİT; Bayramiçli M. N. Ü., Akdeniz Doğan Z. D.
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    Comparing Venous Thrombosis Rates in Hand-Sewn Anastomosis to Anastomotic Coupler Devices
    (WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2021) SAÇAK, BÜLENT; Dogan, Zeynep Akdeniz; Aydin, Cem; Cavus-Ozkan, Melekber; Sacak, Bulent; Bayramicli, Mehmet
    Background: Anastomotic coupling device (ACD) has reached wide popularity, especially in venous anastomosis of free-tissue transfers. There are scant reviews in the literature about the reliability of these devices in venous anastomosis. We retrospectively analyzed our free flap cases to compare the thrombosis rates between ACDs and handsewn anastomosis and other possible risk factors that may contribute to venous thrombosis. Materials and Methods: Data of all microvascular free-tissue transfers performed between January 2015 and August 2019 were retrospectively reviewed. Patient characteristics were recorded. Reconstruction characteristics such as venous anastomosis type (hand-sewn vs. anastomotic coupler device), reconstruction site, and number of surgical interventions were also recorded. Results: A total of 385 consecutive-free microvascular reconstructions were identified. Total venous thrombosis rate was 4.7%. There was no statistically significant difference between hand-sewn anastomosis and anastomosis with coupler device (5.2% vs. 3.2%, P = 0.58). Only reconstruction site was found to be significantly associated with higher venous thrombosis (P = 0.03). Discussion: Our results involving different reconstruction sites and including multiple flap types demonstrated comparable revision rates between ACDs and hand-sewn anastomosis. This finding is consistent with the current literature.
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    Coupler cihazı ile yapılan anastomozlarda tromboemboli oranlarının karşılaştırılması
    (2020-10-22) AKDENİZ DOĞAN, ZEYNEP DENİZ; ÇAVUŞ ÖZKAN, MELEKBER; SAÇAK, BÜLENT; BAYRAMİÇLİ, MEHMET NURİ ÜMİT; AYDIN, CEM; AYDIN C., AKDENİZ DOĞAN Z. D., ÇAVUŞ ÖZKAN M., SAÇAK B., BAYRAMİÇLİ M. N. Ü.
    Giriş: Serbest doku aktarımlarında özellikle venöz anastomoz sırasında kullanılan coupler cihazları son dönemde büyük bir popülarite kazanmıştır. Literatürde bu cihazların güvenilirliği hakkında az sayıda çalışma bulunmaktadır. Kliniğimizde yapılmış serbest doku aktarımı olgularımızı retrospektif olarak inceleyerek Coupler cihazı ve dikiş ile yapılan anastomozlar arasındaki tromboz oranlarını karşılaştırdık. Bunun yanında venöz tromboza katkıda bulunabilecek diğer olası risk faktörlerini inceledik. Gereç ve Yöntem: Ocak 2015-Ağustos 2019 tarihleri arasında yapılan tüm mikrovasküler serbest doku aktarımlarının verileri retrospektif olarak incelendi. Hastaların demografik özellikleri, venöz anastomoz tipi (dikiş - coupler cihazı), rekonstrüksiyon yeri, radyoterapi, kemoterapi öyküsü ve tekrarlayan operasyon sayısı gibi özellikleri kaydedildi. Sonuçlar: Serbest doku aktarımı yapılan ardışık 385 hasta analiz edildi. Toplam venöz tromboz oranı % 4.7’ydi. Coupler cihazı kullanılarak yapılan anastomozlarla dikiş ile yapılan anastomozlar arasında venöz tromboemboli oranı açısından anlamlı bir fark saptanmadı (% 3.2 ve % 5.2, p = 0.58). Sadece rekonstrüksiyon bölgesinin venöz tromboz ile anlamlı olarak ilişkili olduğu tespit edildi (p = 0.03). Tartışma: Farklı rekonstrüksiyon alanlarını ve çok sayıda flep tipini içeren sonuçlarımız, Coupler cihazı ve dikiş ile yapılmış anastomozlar arasında revizyon oranlarının benzer olduğunu göstermektedir. Bu bulgu mevcut literatürle uyumludur
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    Süperior Pedikül ile Meme Küçültme-Lassus Tekniği
    (Türkiye Klinikleri Tıp Bilimleri Dergisi, 2021-01-01) BAYRAMİÇLİ, MEHMET NURİ ÜMİT; AKDENİZ DOĞAN Z. D., BAYRAMİÇLİ M. N. Ü.
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    Invited Discussion on: Use of Inguinal Hernia Mesh (DynaMesh-ENDOLAP) in Immediate Implant-Based Breast Reconstruction
    (SPRINGER, 2022) BAYRAMİÇLİ, MEHMET NURİ ÜMİT; Bayramicli, Mehmet
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    PublicationOpen 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, Mehmet
    Objective: 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.
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    PublicationOpen Access
    Perception of nasal aesthetics: Nose or face
    (2022-12-01) BAYRAMİÇLİ, MEHMET NURİ ÜMİT; Ozkan M. C., Bayramicli M.
    Background Aesthetic assessment of the nose might not be limited to the nose as an isolated facial unit but might be the result of a broader perception of the whole facial image. The aim of this study was to investigate if the aesthetic evaluation of a nose is made by sole observation of the nose or influenced by the other features of the face. Methods Nose and face photographs of 20 voluntary models were taken from five different angles and merged into a single image of just the noses and whole faces of each model. First the nose and then the face photos were sent to a reviewer group consisting of 100 individuals from different professions to evaluate the nose’s beauty on standard questionnaires with a four-week interval to complicate the recall process. Results Aesthetic evaluation of the isolated nose (Group 1) and the nose with the whole face (Group 2) were compared through Visual Analog Scale (VAS) scores ranging from 1 to 10 (1: the least, 10: the highest). The mean VAS score of the Whole Face Group (5.26 ± 1.28) was significantly higher than the score of the Isolated Nose Group (4.50 ± 1.32) (p 0.001). There was no significant difference between the scores of reviewers considering their gender, profession, or experience of having an aesthetic operation previously. Conclusion Current study revealed that in the evaluation of the beauty of the nose, the holistic perception of the face is as important as the perfection of the angles and proportions within the nose itself.