Person: DURMUŞ KOCAASLAN, FATMA NİHAL
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DURMUŞ KOCAASLAN
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FATMA NİHAL
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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 A new instrument for achieving a natural nasofrontal angle(ELSEVIER SCI LTD, 2009) TEZEL, ERDEM; Tezel, Erdem; Durmus, F. NihalPublication 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.