Malik Abacı

An Easy Way for Congenital Symmastia Correction

Abstract Congenital symmastia is described as a connection between the breasts without macromastia. In this condition, there is accumulation of fat and glandular tissue between the breasts, which produces a unified appearance of the breast tissue across the chest. We report a case of congenital symmastia in a 21-year-old woman with normal-sized and -shaped breasts. We achieved satisfying aesthetic results using suction-assisted lipectomy and the patient’s complaint was resolved without scar or major surgery. Level of Evidence VThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

An Overview of the Technical Details and Seven Cases of Lagophthalmos Treatment with Gold Implant

Üst gözkapağına altın ağırlık yerleştirilmesi, lagoftalmi tedavisinin genel kabul görmüş bir yöntemidir.2 Üst gözkapağına ağırlık yerleştirilmesi; ilk olarak 1950 yılında tanımlanmıştır.1 İngilizce literatürde “custom-made” olarak kullanımı bulunan, hastaya özel yapılan implantlar hem pahalı hem de ulaşımı güç olduğundan sıklıkla kullanılanlar ticari olarak üretilmiş hazır sentetik implantlar veya kuyumculardan yaptırılan implantlardır. Ne var ki, kuyumcu aracılığı ile elde edilen altın implantın standardize edilememesi çeşitli 207

The worth of sound recording as evaluation criteria of response to surgery in non-reduced anterior disc dislocation.

Aim The objective of the present study was to examine whether joint sounds are objective criteria for evaluating the success of surgery for non-reduced anterior disc dislocation. Method Twenty-seven patients (age, 35.6 ± 10.6 years; female/male, 22:5) with non-reduced disc dislocation, as confirmed by MRI, were included in the study. Temporomandibular joint (TMJ) sounds were assessed and digitized by custom-made device. As a surgical treatment, all patients underwent “disc plication technique”. The success of surgery was evaluated with maximal interincisial opening (MIO), pain, patient satisfaction scores, MRI examination, and TMJ sound intensity. Recording of sounds of TMJ and pain and satisfaction scores were repeated again at postoperative 12 months and compared to preoperative results. Results Mean preoperative sound intensities with jaw opening and closing and left-right movement were 79.37 ± 3.52 dB and 81.0 ± 4.99 dB, respectively. Mean postoperative sound intensity with jaw opening and closing was 64.81 ± 4.54 dB whereas that with left-right movement was 65.6 ± 5.38 dB. Examination of preoperative and postoperative sounds showed that decreased volume level related with clinical improvement and postoperative replaced disc image in MRI. MIO values increased from 25.89 ± 1.76 mm to 34.26 ± 1.403 mm. Postoperative pain scores were lower than preoperative period and patient satisfaction improved markedly. Conclusion The results of this study showed that patients who underwent plication for non-reduced disc dislocation had clinical improvement, which was related with the decreasing volume level of the click sound, reducing the pain, improving satisfaction, and replacing the disc to normal position in MRI.