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Dive into the research topics where Furkan Erol Karabekmez is active.

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Featured researches published by Furkan Erol Karabekmez.


Annals of Plastic Surgery | 2009

Parry-Romberg syndrome: facial atrophy and its relationship with other regions of the body.

Ahmet Duymaz; Furkan Erol Karabekmez; Mustafa Keskin; Zekeriya Tosun

Parry-Romberg syndrome (PRS) is an uncommon disorder and characterized by a slowly, an acquired progressive atrophy involving skin, soft tissue, cartilage, and bony structures. Accompanying atrophies of the other parts of the body are rarely reported. The aim of this study is to report a case that had contralateral lower extremity atrophy with PRS, and to review the related etiologic features, physiopathology, and mechanism.The patient who admitted for his facial atrophy also had atrophy of his contralateral extremity. This extremity was also short in length when compared with other extremity. To obtain detailed information regarding the severity of involvement routine laboratory investigations including antinuclear antibody (ANA), magnetic resonance imagine (MRI) of the craniofacial region and lower extremities, MR angiography of the lower extremities and brain, 3-dimension computed tomography (CT) scan of the craniofacial region were performed. Normal or negative laboratory findings included results of blood count, renal and hepatic function biochemical tests, rheumatoid factor, C-reactive protein, anti-dsDNA antibody except ANA that were positive. His lower extremity and brain MR angiography were normal. In the 3-dimensional cranial CT, there was no abnormality or defect in the bony structures. His brain MRI showed no pathologic changes, and his facial MRI demonstrated noteworthy atrophy to the sternocleidomastoid, masseter, pterygoid muscles, and subcutaneus soft tissues on the right side of the face. Additionally, MR investigation of his lower extremities revealed decreased volume in muscles and bony structures of the effected extremity compared with the other extremity, but pathologic evidence of fatty degeneration associated with muscle atrophy was not demonstrated.The patient had isolated contralateral lower extremity involvement combined with hemifacial atrophy (without affecting any other part of the body). Although more accepted theory is the sympathic nervous system dysfunction, autoimmunity may play a roll in the etiology of our case as ANA abnormality was found in multiple tests.


Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery | 2008

Vacuum–assisted closure of wounds and anxiety

Mustafa Keskin; Furkan Erol Karabekmez; Erkan Yilmaz; Zekeriya Tosun; Nedim Savaci

The aim of this study was to investigate the degree of anxiety in patients in whom the vacuum-assisted closure (VAC) of wounds was used. Psychological evaluations were made on the day before VAC was applied and at the 10th day of treatment in 20 patients with traumatic wounds of the lower extremity. Anxiety was measured with the Hamilton Rating Scale for Anxiety and with the State Anxiety Inventory test. The same measurements were also made in 20 further patients with similar wounds but managed with classic treatment as controls. Both groups showed a significant increase in anxiety during the 10 days. The mean (SD) differences in the anxiety scores measured during the 10-day period were significantly higher in the group treated by VAC than in the control group, State Anxiety Inventory test (14.0 (2.3) compared with 2.6 (1.2), p<0.001) and Hamilton Rating Scale for Anxiety test (4.4 (0.6) compared with 1.3 (0.6), p<0.001). Although we think that VAC is an effective tool for treating lower extremity wounds, we have concerns about possible accompanying psychological effects.


Aesthetic Plastic Surgery | 2008

Allogenous Cartilage Graft Versus Autogenous Cartilage Graft in Augmentation Rhinoplasty: A Decade of Clinical Experience

Zekeriya Tosun; Furkan Erol Karabekmez; Mustafa Keskin; Ahmet Duymaz; Nedim Savaci

Cartilage grafts have great value in augmentation rhinoplasty. For most surgeons, an autogenous cartilage graft is the first choice in rhinoplasty because of its resistance to infection and resorption. On the other hand, an allogenous cartilage graft might be preferred over an autogenous graft to avoid additional morbidity and lengthened operating time. Allogenous cartilage grafts not only have the advantage of averting donor site morbidity but also are resistant to infection, resembling autogenous cartilage grafts. The authors present their experience with 41 patients who underwent augmentation rhinoplasty using 22 autogenous and 19 allogenous cartilage grafts between June 1994 and August 2004. For evaluation of adequate augmentation rates, photographic analyses were performed on preoperative, early postoperative, and late postoperative photographs from all the patients. To assess patient satisfaction, the Facial Appearance Sorting Test (FAST) was applied preoperatively and late postoperatively in both groups. These results were compared, and it was concluded that in terms of resorption, there was no difference in the early and late postoperative follow-up data between allogenous and autogenous cartilage grafts. Evaluation of the preoperative and early postoperative photographic outcomes showed statistically significant differences with respect to adequate augmentation rates between the two groups. The FAST scores showed statistically significant differences between preoperative and late postoperative outcomes. There were no infections in the two groups of patients.


Journal of Cranio-maxillofacial Surgery | 2009

Simultaneous occurrence of facial fibrous dysplasia and ameloblastoma

Mustafa Keskin; Furkan Erol Karabekmez; Birkan T. Ozkan; Zekeriya Tosun; Mustafa Cihat Avunduk; Nedim Savaci

BACKGROUND Both fibrous dysplasia (FD) and ameloblastoma are benign but locally aggressive tumours of the craniofacial region. In this case report, we present the unique synchronous occurrence of these two tumours in the facial skeleton. CASE REPORT A 16-year-old woman presented with complaints of swelling of the upper right face and at the inferior border of the mandible. She was diagnosed as FD of the maxilla, temporal bone and sphenoid sinus together with ameloblastoma of the mandible after surgery and histopathological evaluation. CONCLUSION The case that we present here is unique in that two separate pathological conditions, FD of the upper face, and ameloblastoma of the mandible coexisted. Although cases of synchronous or metachronous occurrence of FD and ameloblastoma with other pathology have been previously described, this to our knowledge, is the first reported case of true coexistence of FD and ameloblastoma.


Annals of Plastic Surgery | 2009

Reconstruction of a "double pathology" on a soft palate: hairy polyp and cleft palate.

Furkan Erol Karabekmez; Ahmet Duymaz; Mustafa Keskin; Zekeriya Tosun

Hairy polyps of the head and neck are rare congenital tumors that may cause upper aerodigestive tract impairment in newborn. Although cleft palate is a common congenital anomaly, hairy polyp with cleft palate is extremely rare in the newborn. We aimed to present the planning of reconstruction in a patient who has an incomplete cleft palate and defect due to hairy polyp excision on soft palate in this report. A 9-month-old child was admitted to our clinic due to cleft palate. In the clinical examination, incomplete cleft palate plus a defect on the posterior side of the left soft palate was observed. On the history, the patient had been operated urgently at the newborn period for a hairy polyp localized on the left soft palate which had obstructed the airway. Wardill-Kilner-Veau technique was modified for the reconstruction of the defect on the soft palate and incomplete cleft palate. No complication was seen on postoperative period. The speech ability was evaluated on the late postoperative controls after 3 years and adequate speech intelligibility was obtained. A case of hairy polyp of nasopharynx with incomplete cleft palate in a neonate and its reconstruction techniques are discussed. The etiology of hairy polyp, hamartoma, teratoma, dermoid cyst and epignathus, their nomenclature, histopathology, clinical features, and management in neonates are also discussed briefly.


Journal of Craniofacial Surgery | 2008

Reconstruction with galeal frontalis flap of depressed forehead region in progressive hemifacial atrophy.

Ahmet Duymaz; Furkan Erol Karabekmez; Zekeriya Tosun; Mustafa Keskin; Mehtap Karamese; Nedim Savaci

Parry-Romberg syndrome is characterized by progressive hemifacial atrophy that is the lack of tissue (generally soft tissue and rarely bone and muscle) in the atrophic area of the face. The etiology and the incidence of this pathologic process are uncertain, but it is relatively rare and self-limited. The objective of this study is to present 21-year-old female patient with progressive hemifacial atrophy who was reconstructed with composite galeal frontalis flap. Although many reconstructive methods have been described, reconstruction of both eyebrow deficiency and forehead atrophy with composite galeal frontalis flap was not described before.


Journal of Craniofacial Surgery | 2014

Management of neglected periorbital squamous cell carcinoma requiring orbital exenteration.

Furkan Erol Karabekmez; Muhammed Nebil Selimoglu; Ahmet Duymaz; Mehtap Karamese; Mustafa Keskin; Nedim Savaci

AbstractWith its perineural invasion capacity, periorbital squamous cell carcinoma (SCC) may easily invade orbital structures. When SCC invades the orbital musculature or the orbit itself, orbital exenteration, one of the most disfiguring operations on the face, is required. We reviewed elderly patients with periorbitally localized SCC requiring orbital exenteration to evaluate reconstructive options and survival. A chart review of patients’ records was conducted to identify all patients older than 65 years with periorbital malignancy requiring orbital exenteration from 2006 to 2011. A total of 9 patients who met the criteria were included in the study. The mean age at surgery was 77 ± 6.7 years, and the mean defect size was 74.2 cm2. All patients had a similar history of late presentation to a doctor because of hesitation to undergo surgery. The temporoparietal fascia flap, galeal flap, free gracilis flap, and free vastus lateralis musculocutaneous flap were the treatment options for reconstruction of the defects. All patients died during follow-up, and the mean survival was 15.7 months (range, 6–36 months). Only 2 of them had relapse before the death. Our small series suggest that elderly patients with periorbital SCC requiring orbital exenteration may not have enough survival to relapse because of the death from different causes without relapse or any sign of spreading cancer. Also, prolonged surgery with free flap reconstruction may increase the risk of postoperative intensive care unit requirement. Because local flaps may work very well for reconstructing the orbital exenteration defects, free flap option should be kept for selected cases.


Dermatologic Surgery | 2008

Squamous Cell Carcinoma on Cutaneous Leishmaniasis Lesion

Furkan Erol Karabekmez; Ahmet Duymaz; Mustafa Keskin; Zekeriya Tosun

Squamous cell carcinoma (SCC) is the second most common malignancy that originates from the keratinizing or spindle cell layer of the epithelium. The etiology of SCC is multifactorial. These factors include exposure to ultraviolet, ionizing radiation and chemicals and chronic wounds. Chronic wounds, including unhealed burn scars, fistula tracts, pressure sores, and draining osteomyelitis areas, are important factors in development of SCC. Infections are also a cause of chronic wounds.


Annals of Plastic Surgery | 2010

Preventing Negative Effects of Smoking on Microarterial Anastomosis

Zekeriya Tosun; Furkan Erol Karabekmez; Ahmet Duymaz; Adem Özkan; Mustafa Keskin; Mustafa Cihat Avunduk

Although microsurgery has rapid expanded, problems related to microarterial anastomosis continue. Cigarette smoking is one of the major risks for anastomosis by increasing platelet adhesion, and its effects on endothelial cells. Aim of this article is to study the negative effects of cigarettes on microarterial anastomosis line, and to investigate the protective effects of recombinant human erythropoietin (rHuEPO).Ninety-six Sprague-Dawley male rats were divided into 3 groups: group 1 was the control. Rats in groups 2 and 3 were exposed to cigarette smoke starting 21 days prior to surgery for 3 times a day. In group 3, additional 150 IU/kg rHuEPO was given via subcutaneously every 48 hours after microvascular anastomosis, femoral arterial samples, and blood samples were taken for assessment at 1st, 3rd, 5th, and 7th day. Intimae/media ratios were calculated for morphologic analyses.On morphologic analysis of femoral arteries there were statistically significant differences for all 3 groups at 1st, 3rd, 5th, and 7th days (P < 0, 05). The group that made differences was group 2, according to one-way analysis of variance within 3 groups in all days.Smoking decreases endothelial cells healing and causes more thromboses. rHuEPO can prevent these negative effects of smoking.


Abant Medical Journal | 2017

Microbiological Evaluation of Wagner Grade III and IV Diabetic Foot Ulcers

Fatih Tekin; Mehmet Sürmeli; Ergin Işık; Furkan Erol Karabekmez

Özet GİRİŞ ve AMAÇ: Bu çalışmanın amacı patojen mikroorganizma popülasyonları ve antibiyotik dirençleri açısından kritik klinik ve cerrahi müdahale ihtiyacı duyulan Wagner evre III ve IV diyabetik ayak ülserli olguları incelemektir. YÖNTEM ve GEREÇLER: Gereç ve Yöntemler: Wagner sınıflamasına göre evre 48 evre III ve 42 evre IV olmak üzere toplam 90 diyabetik ayak ülserli olgu çalışmaya dahil edildi. Hasta kayıtları gözden geçirildi ve hasta bilgileri ile mikrobiyoloji kültür sonuçları analiz için kaydedildi. BULGULAR: Gram (-) mikroorganizmalar 124 örnekte ve Gram (+) mikroorganizmalar 37 örnekte izole edildi. E. Coli, P. aeruginosa, Staphylococcus aureus ve Proteus mirabilis en sık görülen enfeksiyon ajanları olarak tespit edildi. Kültür antibiyogram sonuçlarında Enterococcus türleri % 80, Staphylococcus % 42,8, pseudomonas aeruginosa % 38,4, E.coli ise % 64,5 antibiyotik direnci gösterdi. İzole edilen bakterilerin % 31,6’sı ise birden çok ilaca direnç gösterdi. TARTIŞMA ve SONUÇ: Cerrahlar, cerrahi müdahale gerektiren Wagner Evre III ve IV ülserli diyabetik ayak olgularında yaygın antibiyotik direncinin farkında olmalıdırlar. Abstract INTRODUCTION: The aim of the study to investigate the cases of Wagner grade III and IV diabetic foot ulcers which need critical clinical and surgical intervention, regarding to the pathogen microorganism populations and their antibiotic resistances. METHODS: A total 90 cases consist of 48 grade III and 42 grade IV ulcers according to the Wagner classification were included to the study. The carts are reviewed retrospectively, and patients’ demographics and microbiological culture results were recorded for analysis. RESULTS: Results: Gram (-) microorganisms were isolated in 124 samples, Gram (+) microorganisms were isolated in 37 samples. E. Coli, P. aeruginosa, Staphylococcus aureus and Proteus mirabilis were the most frequently detected infectious agents. Enterococcus species showed 80%, staphylococcus showed as much as 42.8%, pseudomonas aeruginosa showed as much as 38.4%, E.coli showed as much as 64.5% drug resistance in the culture antibiogram studies. 31.6% of the isolated bacteria showed a multidrug resistance. DISCUSSION AND CONCLUSION: Surgeons should be aware of common antibiotic resistance in diabetic foot cases had Wangner grade III and IV ulcer which require surgical intervention. Anahtar Kelimeler: Diyabetik ayak enfeksiyonu, Wagner, Antibiyotik direnci

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Arif Duran

Abant Izzet Baysal University

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Ayse Cetin

Abant Izzet Baysal University

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