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Öğe Different alternatives of reconstruction for complicated tissue defects localized on proximal femur [Uyluk proksimaline yerleşen komplike doku defektleri için farkli rekonstrüksiyon seçenekleri](2012) Temiz G.; Gönüllü M.E.; Filinte G.T.; Özek C.; Tiftikçioglu Y.; Karaca M.Repair of complex inguinal region defects still creates problems for plastic surgeons. Healing of groin wounds sometimes poses difficulties because of insufficient thickness and poor vascularity of the skin (1). After primary recontrouction, wound infection and dehisence frequently occur (2). For the reconstruction of inguinal region it appears to be necessary to use pediculated or free flaps that are better vascularized, when all these situations have been considered (3). In these reports we discussed different reconstructive alternatives of the inguinal region tissue defects.Öğe Evaluation of the effects of bile on the arterial tonus in a rabbit model(Lippincott Williams and Wilkins, 2015) Temiz G.; Mezili C.; Tiftikçioglu Y.Ö.; Şirinoglu H.; Çinar M.; Kismali E.; Nart D.; Gürler T.; Alper M.Background: Hepatic artery anastomosis is an essential part of live-donor liver transplantation, and during this anastomosis, an unusual contact between bile and vessel ends is observed. In this study, the effects of this nonphysiological contact in a rabbit model were evaluated. Methods: The study was designed in 2 steps - in vitro and in vivo. Three groups were established for the in vitro study. In the first group, vessels were incubated in Krebs solution with 5% bile for 1 minute. In the second group, vessels were kept in Krebs solution with 5% bile for 5 minutes. Vessels in the control group were kept in Krebs solution without bile. All groups were examined for responses to vasodilator and vasoconstrictor agents in organ bath system. The specimens were evaluated immunohistochemically and histopathologically. In the in vivo step, microvascular anastomosis was performed bilaterally. Right carotid artery was anastomosed during bile contamination as study group, and left carotid artery was anastomosed without bile contamination as control group. Blood flow indexes were measured. Results: The results of the in vitro study revealed decreased responses to contractile and relaxing agents in the first study group compared with that of the control group (P < 0.0001). There was no response obtained in the second study group. The Doppler ultrasound results revealed no difference between preoperative and postoperative flow indexes (P > 0.05). There was no postoperative spasm in the study group. However, there was significant vasospasm in the control group (P < 0.05). Conclusions: Vessels exposed to bile have decreased contractile and relaxing responses, and this effect increases with exposure duration. Copyright © 2015 The Authors.Öğe Faringokutanoz fistul kapatilmasinda deri grefti ile prelamine pektoral kas flebi kullanimi(Turkish Society of Plastic Reconstructive, and Aesthetic Surgery, 2015) Temiz G.; Bilkay U.; Güvercin E.; Özek C.; Gürler T.Pharyngocutaneous fistula is a common complication occurs after pharyngeal, hypopharyngeal, laryngeal tumor surgeries. Postoperative radiotherapy, lack of local tissues, accompanying diseases, and leakage of saliva results in recurrence of fistulas treated with primary or local flap closure. Each surgery performed complicates the next one. In this study, a patient with a pharyngocutaneus fistula, which was failed to closed with multiple procedures before ;a succesfull closure achived with a prefabricated pectoral flap is presented.