Başkent Üniversitesi Makaleler
Permanent URI for this collectionhttps://hdl.handle.net/11727/13096
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Item A Case of Falling Into an Acid Tank From Height After High-Voltage Electrocution(Başkent Üniversitesi, 2024-12) Burak Özkan; Abdullah Kızmaz; Uğur Bak; Khalid Zeynalov; Süleyman Savran; Abbas Albayati; Çağrİ A. Uysal; Mehmet HaberalIn this case report, we present the management of a dramatic and rare combination of injuries: high-voltage electrical injury, chemical burn, and open tibial and calcaneal fractures resulting from a fall from height. The patient underwent early fasciotomies. After treatments administered by a multidisciplinary team consisting of plastic surgeons, general surgeons, orthopedic specialists, anesthesiologists, and physiotherapists, the patient was discharged without extremity loss after a 135-day hospital stay. This case report discusses the importance of early fasciotomy and debridement in management of extensive burns and fall-related injuries, the potential for extended hospitalization for reconstruction, and the necessity of a multidisciplinary approach.Item Utilization of Novel Keystone Flap Modification on Various Anatomic Sites(Başkent Üniversitesi, 2024-09) Burak İzkan; Mehmet Haberal; Çağrİ A. Uysal; Abbas Albayati; Ömer Uzun; Uğur Bak; Orkhan Shahbazov; Abdullah Kızmaz; Süleyman SavranABSTRACT We describe our proposed modification of the keystone flap, which adds a V-Y advancement in 3 directions, further optimizing the redistribution of tension forces. This new approach not only improves the overall stability of the flap but also reduces the risk of wound dehiscence and enhances the potential for better healing outcomes. We describe its use in 15 patients treated at our center (mean age of 58 years [range, 18-77 y]) with mean follow-up time of 14 months (range, 6-24 mo). All flaps survived, and no early or late complications were encountered. The keystone flap’s flexibility, combined with its multiple modifications, continues to expand its applicability across diverse anatomical locations, making it a vital tool in reconstructive surgery for complex defects.Item Pedicled Anterolateral Thigh Flap Reconstruction for Defects Between Umbilicus and Knee(Başkent Üniversitesi, 2024-06) Burak Özkan; Abdullah Kızmaz; Khalid Zeynalov; Süleyman Savran; Abbas Albayati; Çağrı A. Uysal; Mehmet HaberalABSTRACT OBJECTIVES: This study evaluated the efficacy and outcomes of pedicled anterolateral thigh flap reconstruction in addressing soft tissue defects between the umbilicus and the knee. MATERIALS AND METHODS: We evaluated 12 patients (8 males, 4 females; mean age of 56 years; range, 15-74 years) who underwent pedicled anterolateral thigh flap reconstruction between 2019 and 2022. Defect locations included the inguinal region, trochanteric region, medial thigh, posterior thigh, lateral knee, and umbilical region. RESULTS: The average operative time was 2.7 hours (range, 2-4 hours). All donor sites were closed primarily, with no major complications. Mean hospital stay was 7 days (range, 4-18 days). CONCLUSIONS: The pedicled anterolateral thigh flap is a versatile and reliable solution for defects in the lower abdomen and lower extremities, offering excellent outcomes with minimal donor site morbidity.Item Delayed Perforator Flaps for Reconstruction of Extensive Defects of the Posterior Trunk(Başkent Üniversitesi, 2024-03) Burak Ozkan; Abbas Albayati; Suleyman Savran; Cagri A. UysalABSTRACT OBJECTIVES: The delay phenomenon involves neovascularization of tissue after ischemic preconditioning. When employed, the delay phenomenon promotes flap survival and increases length-to-width ratio in conventional flaps. Although well-planned perforator flaps cover defects without tension, the success rate is unpredictable in extensive defects that are closed because of the unknown vascularity of perforasomes. We aimed to increase perforator flap size by utilizing the delay phenomenon for broad defects of posterior trunks. MATERIALS AND METHODS: Between 2019 and 2020, 10 patients (6 female, 4 male) underwent posterior trunk reconstruction with delayed perforator flaps. We retrospectively analyzed etiology, defect size, flap size and type, postoperative complications, and long-term results. The etiology of defects was meningomyelocele, soft tissue sarcoma, and pressure ulcers in 3, 3, and 4 patients, respectively. Defects were covered with delayed lumbar, intercostal, and thoracodorsal perforator flaps. Flaps were planned unilateral or bilaterally. Perforators were located preoperatively with a handheld Doppler. In the first session, delaying incisions and pedicle dissection were performed. The delayed incision was primarily sutured. Perforator flaps were elevated 1 week later, and defects were closed. RESULTS: Mean defect size was 375 cm2, and mean flap size was 420 cm2 (202-625 cm2). The donor site was closed primarily for 7 patients. Two patients required split-thickness skin grafts. One patient had donor site closed with secondary healing. No flap losses among patients were shown. Hematoma was seen in 2 patients in the immediate postoperative period. After 2 weeks, seroma and donor site dehiscence were shown in 2 and 1 patient, respectively. CONCLUSIONS: The delay phenomenon can be utilized in perforator flaps as in random pattern local flaps. Perforasome areas can be extended with delayed incision. In addition, broad defects of the posterior trunk can be safely covered with delayed perforator flaps.Item Electrical Burns: A Special Type of Burn Injury(Başkent Üniversitesi, 2024-03) Cem Aydogan; Murathan Erkent; Ebru Abali; Abbas Albayati; Afig Gojayev; Adem Safak; Mehmet HaberalABSTRACT OBJECTIVES: Electric burn injuries are one of the most devastating types of trauma. Compared with other skin burns, electric burn injuries are more complex and associated with higher morbidity and mortality. The trauma resembles an iceberg; the burn is not only related to skin or deep tissues but has serious systemic hazardous effects to the body, which cause other associated complications. MATERIALS AND METHODS: We retrospectively examined medical records to review electric burns treated at Baskent University Hospital burn centers across Türkiye between January 2008 and October 2023. We reviewed 361 electric burn injuries. We analyzed patient demographic characteristics, epidemiology of the injury, mechanism of injury, size and depth of burn, treatment methods associated with electrical burns, and complications. RESULTS: Of 361 patients, 88% were male patients, and most damage was caused by high voltage (76%). Many accidents occurred at work (48%) but 19% occurred at home. Many accidents occurred in summer and spring (60%). Mean age, percent total body surface area, hospitalization time, creatine phosphokinase, and myoglobulin were 28.9 years (range, 2-89 y), 21.1%, 25.5 days, 8722 U/L, and 1924 ng/mL, respectively. Percentages of debridement, grafting, fasciotomy, amputation, and flaps were 62.2%, 54.6%, 33.7%, 15.1%, and 14.2%, respectively. CONCLUSIONS: Public education and governmental legislation are important for preventing work-related accidents. Coexisting traumas have to be considered in this type of injury. Resuscitation is important at the beginning of treatment. Early fasciotomy can prevent limb salvage or can prevent extensive amputations. After resuscitation, early debridement and reconstruction via grafting or flaps are important. Physiotherapy is crucial after reconstruction.Item Superficial Temporal Fascia Flap in Burn Patients: Old However Savior. A Case Report(Başkent Üniversitesi, 2022-03) Abbas Albayati; Burak Ozkan; Cagri A. Uysal; Mehmet HaberalABSTRACT Deep burn wounds over hands and feet require thin and pliable flaps to cover underlying structures and to provide free range of motion. In the case reported here, we present the use of free superficial temporal fascia flap for coverage in a patient with third-degree burns on the lateral side of the left foot and ankle joint. We believe that this flap is a good alternative in patients with extensive burns where other options of thin flaps are not available or applicable.Item Two Cases of an Unusual Presentation of Electrical Burn Injuries(Başkent Üniversitesi, 2022-03) Burak Ozkan; Santiago J. Santelis; Abbas Albayati; Ayse Ebru Abali; Cagri A. Uysal; Mehmet HaberalABSTRACT Electric injuries have a wide variety of consequences ranging from disfigurements, extremity loss, and death. The limbs are the most affected sites because of the high resistance of muscles and tendons to electricity. The most common pathway of entry to exit point is upper limb to lower limb, so the thigh to foot pathway is exceptional. In this case report, we aimed to present the mechanisms in 2 construction workers who had high-voltage electric burns that followed this unusual pathwaItem Never Give Up for Salvaging Extremities: A Case of High-Voltage Electrical Burn(Başkent Üniversitesi, 2021-12) Suleyman Savran; Burak Ozkan,; Abbas Albayati; Cem Aydogan; Cagri A. Uysal; Mehmet HaberalABSTRACT High-voltage electrical injuries pose unique challenges. Here, we report a complicated third-degree bilateral hand and forearm high-voltage burn injury that underwent reconstruction with several free flaps and a pedicled flap to salvage the upper extremity. Maximum efforts to save an extremity and lengthen an amputation stump should be given to patients with high-voltage electric injuries.Item Flap Options in Reconstruction of a Burned Hand(Başkent Üniversitesi, 2021-12) Abbas Albayati; Mehmet Haberal; Cagri A. Uysal; Suleyman Savran; Burak OzkanABSTRACT Hand burns are commonly seen in large burn injuries. Although the mortality of hand burns is imperceptible, morbidity can be of great importance. The possible disabling outcomes of hand burns necessitate a precise and accurate management, at both early and late stages, to allow optimal functional outcomes. The main goal of management is to maintain a favorable function that also preserves esthetics. Commonly used reconstructive options are skin grafts, skin flaps, and myocutaneous flaps. In this article, we discuss skin flap options in the reconstruction of a burned hand.Item Reconstruction of a Burn Sequel of the Hand With Long-Narrow Free Radial Forearm Flap(Başkent Üniversitesi, 2021-12) Burak Ozkan; Cagri A. Uysal; Suleyman Savran; Abbas Albayati; Mehmet HaberalABSTRACT Skin grafting may not always be possible for deep burns of the hand, due to possible exposure of tendons and bones. Although planning and use of free flaps is easier when used to cover broad defects, reconstruction of long and narrow defects is challenging. Here, we describe a patient with severe burns to his right hand who underwent reconstruction of his hand with a long narrow free radial forearm flap in a one-stage reconstruction.