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DURMUŞ KOCAASLAN, FATMA NİHAL

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DURMUŞ KOCAASLAN

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FATMA NİHAL

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Now showing 1 - 10 of 14
  • Publication
    Duplication of the mandible in Klippel-Feil syndrome
    (ELSEVIER SCI LTD, 2013) DURMUŞ KOCAASLAN, FATMA NİHAL; Kocaaslan, Nihal Durmus; Satir, Tevfik; Celebiler, Ozhan; Numanoglu, Ayhan
    The duplication of the mandible is an extremely rare case, which was first described by McLaughlin in 1948 as a case report of duplication of the mouth, the tongue and the mandible. Betty in 1956 and Davies in 1973 reported similar cases. The duplication of the mandible may be associated with the Klippel-Feil syndrome (KFS). A low hairline, short neck with cervical vertebral fusion and painless limitation of the head movement are the characteristic findings of this syndrome. The incidence of the syndrome varies from 1/30,000 to 1/40,000. Although autosomal recessive inheritance was suggested, no familial inheritance was found in some cases. A very rare case of mandibular duplication in association with KFS, whose duplicated mass was removed following distraction, has been reported. (C) 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
  • PublicationOpen Access
    Evaluation of residual tumors and recurrence rates of malignant melanoma and non-melanoma skin cancer of head and neck region
    (MARMARA UNIV, FAC MEDICINE, 2019-10-31) SAÇAK, BÜLENT; Durmus Kocaaslan, Fatma Nihal; Alakus, Ali Conor; Sacak, Bulent; Celebiler, Ozhan
    Objective: In this study, we aimed to evaluate residual tumors and recurrence rates of malignant melanoma (MM) and a nonmelanoma skin cancer of (NMSC) head and neck region. Patients and Methods: Medical data of a total of 398 lesions of 323 patients who underwent surgical excision for a basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and malignant melanoma (MM) were retrospectively analyzed. All patients were classified according to age, sex, location of the tumor, histopathological diagnosis, lesion diameter, excision diameter, surgical margin status, and residual lesions and recurrence rates. Results: There were 244 lesions (61.3%) in 189 males and 154 lesions (38.7%) in 134 females. The most common type of skin cancer was BCC in 268 lesions (67%), followed by SCC in 122 (31%), and MM in eight (2%), respectively. Recurrence was seen in 3% of the NMSC cases and in 25% of the MM cases. There was a statistically significant correlation between the histopathological diagnosis and recurrence rates. Compared to NMSC, MM cases had a higher risk for recurrence (p=0.029). Conclusion: Our study results suggest that recurrence is associated with the localization and type of the tumor, but not with the age or sex of the patient.
  • PublicationOpen Access
    Management of palatal fistulas and a simple surgical algorithm proposal
    (MARMARA UNIV, FAC MEDICINE, 2020-01-31) DURMUŞ KOCAASLAN, FATMA NİHAL; Kocaaslan, Fatma Nihal Durmus; Memic, Zuhra; Yalcin, Dogus; Celebiler, Ozhan
    Objectives: Despite improved techniques in repair of cleft palate, failure of healing of palatal structures resulting in a palatal fistula is one of the major challenges in the practice of reconstructive surgery. The aim of this study is to evaluate treatment success and failure in patients with palatal fistulas following cleft palate repair. Patients and Methods: Totally 44 patients with a history of cleft palate who underwent surgery for palatal fistula were included in this study undertaken between January 1999 and August 2014. Fistulas were classified as anterior and posterior according to the repair technique and were repaired using one of the following techniques: buccal mucosal flap, tongue flap or mucoperiosteal flap. Results: Success rate for anterior fistulas was 71.42% with tongue flap and 76.92% with mucoperiosteal flap. Success rate for posterior fistulas was 84.62% with mucoperiosteal flap and 75% with buccal mucosal flap. Difference in success rates between the anterior and posterior fistulas was not statistically significant. Conclusion: Our study results suggest the use of mucoperiosteal flaps for both anterior and posterior fistulas smaller than 5mm as the first choice, guided by the principle of replacing absent tissue with similar tissue.
  • Publication
    Use of abdominal negative pressure wound therapy in different indications: a case series
    (MA HEALTHCARE LTD, 2019) EROL, BÜLENT; Kocaaslan, Fatma Nihal Durmus; Ozkan, Melekber Cavus; Akdeniz, Zeynep; Sacak, Bulent; Erol, Bulent; Yuksel, Mustafa; Celebiler, Ozhan
    Negative pressure wound therapy (NPWT) is a widely used wound management system. Several articles have been published on the advantages and complications of this system. Abdominal dressing negative pressure system (abdominal NPWT) is a newer technology, developed and used in open abdomen cases. The adherence of the sponge to the intra-abdominal organs is prevented by a polyurethane foam. This study presents a number of case series where an abdominal NPWT (ABThera, KCl, US) has been used to treat other vital organs, helping to prevent complications such as organ rupture and fatal bleeding.
  • PublicationOpen Access
    Nasopharyngeal Placement of a Nelaton Suction Catheter in Respiratory Monitoring of Sedated Patients
    (OXFORD UNIV PRESS INC, 2016-03) DURMUŞ KOCAASLAN, FATMA NİHAL; Kocaaslan, Nihal Durmus; Tuncer, Fatma Betul; Ayanoglu, Hilmi Omer; Celebiler, Ozhan
  • Publication
    Cryosurgery combined with free fibular flap in the treatment of local agressive tumors: Preliminary results
    (2017-06-17) SAÇAK, BÜLENT; AKDENİZ DOĞAN, ZEYNEP DENİZ; KAYA, ZAFER; ŞENDUR, SAMET; DURMUŞ KOCAASLAN, FATMA NİHAL; ÇELEBİLER, ÖZHAN BEKİR; SAÇAK B., AKDENİZ DOĞAN Z. D., KAYA Z., ŞENDUR S., DURMUŞ KOCAASLAN F. N., ÇELEBİLER Ö. B.
  • Publication
    Distraction chondroneogenesis on rabbit's ear cartilage [Tavşan kulak ki{dotless}ki{dotless}rdag̀i{dotless}nda distraksiyon kondroneogenezisi]
    (2013) DURMUŞ KOCAASLAN, FATMA NİHAL; Durmuş Kocaaslan F.N., Çelebiler O., Numanog̀lu A., Türköz H.K.
    Objective: Application of distraction is an alternative to bone graft or fap operations for repairing bone defects. Bone can be extended in width and length without using a new donor area. Operation time is shortened and failures are reduced without any concern about graft or fap loss. However, there are no distraction methods known for generating new cartilage as an alternative to graft or fap applications in repairs of cartilage defects This experimental study was planned to determine whether or not chondroneogenesis can be obtained via application of distraction. Methods: Fourteen New Zealand rabbits were used in this study. Distractions at a rate of 0.50 mm/day, 0.25 mm/day and 0.25 mm on alternate days were applied on 3 rabbits consecutively and the ideal distraction rate was determined as 0.25 mm once every two days. On alternate days 0.25 mm of distraction was applied for two months aiming to generate 7.5 mm of new cartilage. Results: In the rabbits in which 0.25 mm of distraction on alternate days had been applied, regular new cartilage formation was observed. Conclusions: According to these findings, the slow metabolic rate of avascular cartilage tissue affects distraction rates and rhythms. However, by applying distraction and taking advantage of the regenerative capacity of the perichondrium, it is possible to generate new and regular chondrocytes and extend the cartilage.
  • PublicationOpen Access
    Primary Cutaneous Adenoid Cystic Carcinoma
    (2020) KESKİN ÖZTÜRK, BEYZA; Caner KAYA;F. Nihal DURMUŞ KOCAASLAN;Zeliha Leyla CİNEL;Beyza KESKİN;Özhan ÇELEBİLER
    Adenoid cystic carcinoma is a malignant tumor usually localized in the salivary glands. It can also develop in serous glands such as the breast, main bronchi, uterine cervix, Bartholin's gland of the vulva, prostate gland, and external auditory canal. It is more common in the white race. Most of the primary cutaneous adenoid cystic carcinoma cases occur on the scalp. Despite the high rate of metastasis, long-term survival can be observed because the progression of the disease is slow. Distant organ metastases such as lungs, bone, liver and brain have also been reported in the literature at 40%. Its treatment is wide excision of the lesion and demonstration of tumor negative margin in pathological sampling. In this case report, we wanted to present surgical and oncological treatment to a 65-year-old female patient with lung metastasis diagnosed with adenoid cystic carcinoma on the scalp.
  • Publication
    Implant Stability Outcomes After Immediate and Delayed Revascularized Free Fibula Flaps: A Preliminary Comparative Study
    (QUINTESSENCE PUBLISHING CO INC, 2018) SAÇAK, BÜLENT; Cabbar, Fatih; Kocaaslan, F. Nihal Durmus; Sacak, Bulent; Capar, Gonca Duygu; Celebiler, Ozhan
    Purpose: This pilot study investigated the retrospective outcomes of implants placed immediately or with a delayed protocol in revascularized free fibula flaps (FFF). Materials and Methods: Patients undergoing FFF between 2014 and 2017 were included in the study. Implants were inserted either immediately or 23.63 +/- 10.61 months after reconstructive surgery. Resonance frequency analyses were recorded at the time of implant placement (first control) and 4 months postoperatively while uncovering and screwing the gingiva formers (second control). The statistical significance level was set at P < .05. Results: Eight patients (four men, four women, mean age: 46.75 +/- 12.96 years) were included in the study. Twenty-six implants were placed in FFF (14 immediate, 12 delayed), and 28 were placed in the alveolus. All implant stability quotient (ISQ) scores were in high stability ranges. Statistically significant differences were observed between delayed (79.25 +/- 4.77) and immediate implant placement (73.14 +/- 7.42) at first controls, but not at second controls (79.17 +/- 3.59 and 76.00 +/- 6.18). The ISQ values of immediate implant placement significantly increased from first to second controls (P = .018). Bicortically placed implants showed significantly higher scores than unicortical implants (P < .05). ISQ values of FFF and alveolar bone groups were similar (P > .05). Conclusion: High stability scores similar to alveolar bone could be achieved by both immediate and delayed implant placement. Bicortical implantation results in better implant stability.
  • PublicationOpen Access
    Comparison of different treatment techniques in the mandibular condyle fracture
    (TURKISH ASSOC TRAUMA EMERGENCY SURGERY, 2020) DURMUŞ KOCAASLAN, FATMA NİHAL; Kocaaslan, Nihal Durmus; Unal, Beyza Karadede; Ozkan, Melekber Cavus; Karadede, Bersan; Celebiler, Ozhan