İbrahim Yıldırım

Sclerotherapy to a large cervicofacial vascular malformation: a case report with 24 years' follow-up.

Large craniofacial venous malformations frequently cause significant cosmetic and functional problems. Treatment of the lesions early in life helps to avoid these problems. We present a case of a large cervicofacial venous malformation.

A New Composite Flap Model in the Rat : Combined Cremaster Muscle and Pubic Bone Flap

Background:We introduce a new model of combined cremaster muscle and pubic bone flap based on a single pedicle consisting of the osseous branch of pubic bone and external spermatic vessels of cremaster muscle in continuity with the pudic-epigastric artery (PEA). Method:Thirty male Sprague-Dawley rats weighing 200 to 250 g were used in this study. In 10 rats PEA, a branch of the iliac artery was dissected throughout its entire course for the anatomic study. We observed that after giving the external spermatic artery to the cremaster muscle and external pudendal branch to the penis, the PEA continued its course over the ipsilateral pubic bone that was thought to nourish the pubic bone. In 20 rats, the flap was raised on the PEA for the flap study. Five flaps were used for microangiographic study. Remaining 15 rats were used for scintigraphic assessment and dye injection and histologic study. Results:Microangiographic evaluation revealed the vascularity of all components of the flap as provided by the pedicle. Bone scintigraphy performed at 7th postoperative day demonstrated radionuclide uptake by the bone segment of the flap, indicating the bone viability. In addition, the dye injection study revealed ink staining within blood vessels of the cortex and the marrow of the pubic bone. Conclusion:To the best of our knowledge, this is the first report describing the combined cremaster muscle and pubic bone flap model in the rat. It seems to have an important advantage over the other composite osteomuscular flap models in terms of the cremaster muscle being suitable for the intravital microscopy. Besides being harvested from a small animal species, it is reliable, versatile, and relatively easy to dissect with quite long isolated vascular pedicle, which allows a greater range of flap displacement. It can be used for different applicability including microcirculatory, pharmacologic, physiological, biochemical, and immunologic studies, as well as for the transplantation studies.

Türk Tıp Tarihinde “Anadolu Kliniği” (1933-1954)

Bu calismada, Turkiye’de yayimlanmis tip dergileri icerisinde en kayda deger olanlardan birini tanitmak istiyoruz. 1933 yilinda Konya’da yayin hayatina baslayan Anadolu Klinigi’nin kuruculari; Dr. Ahmet Ihsan, Dr. Asil Mukbil Atakam ve Dr. Şerif Korkut’tur. Derginin ilk donemlerinde yurt icinden hekimlerden olusan yayin heyetine zaman icerisinde yurt disindan hekimler de dâhil olmustur. 1954 yilina kadar yayimlanan dergi, 1942 ve 1949 yillarinda olmak uzere iki kere yayin hayatina ara vermistir. 1942 yilinda verilen aranin muhtemelen o siralarda yasanan Ikinci Dunya Savasiyla ilgili oldugu, 1949 yilindaki aranin ise ekonomik sartlardan dolayi oldugu ileri surulebilir. Bu calismada 20 yillik zaman dilimi icerisinde Anadolu Klinigi’nde yer alan tum makalelerin isimleri bibliyografik bir analiz seklinde verilmistir.

Reconstruction of the total lower eyelid defect — useful modifications

Various techniques have been used for reconstruction of extensive lower eyelid defects, but it is difficult to achieve results which are satisfactory, both from a functional and cosmetic viewpoint. In the past three years, ten patients have been reconstructed using a cheek flap over a chondromucosal graft, after extensive resection of lower eyelid tumors. As a modification of the classic method, the dermal layer of the cheek flap was sutured to the inferior orbital rim to prevent late sagging and ectropion. In addition, a tie-over pressure dressing on the inner aspect of the lid was used to give good contact between the chondromucosal graft and the flap. At a one year follow-up, the results were judged to be good, both aesthetically and functionally.