Orhan Tunali

A variant of Poland’s syndrome: axillary web containing rudimentary pectoralis major muscle

Sir, Poland’s syndrome is a congenital anomaly characterized by the unilateral absence of the sternocostal head of the pectoralis major muscle with ipsilateral chest wall and limb deformities. The incidence of Poland’s syndrome is about 1:30,000 live births and the syndrome is more common in males than in females. [1] The true cause of Poland’s syndrome is unknown today. Even though in utero vascular anomalies have been proposed, the real mechanism remains unknown. Since the first mention of Poland’s cadaveric study in 1841 and the naming of Poland syndrome in 1962, many variants of this

Analysis of 41 suicide attempts by wrist cutting: a retrospective analysis

PurposeSelf-cutting injuries have a low mortality rate, but this type of injuries has special clinical significance because they have the potential of leading to devastating disability and repeated suicide attempts. The purpose of this study is to analyze the nature and outcomes of wrist-cutting injuries.Material and methodA retrospective study was designed in order to investigate 41 suicide attempts by wrist cutting attended to Uludag University Faculty of Medicine Emergency Department between June 2008 and December 2014. The patients were analyzed for age, gender, alcohol intake, psychological state, prior suicide attempts, and clinical features such as injury side, injury pattern, and used tool.ResultsIt was seen that the severity of wrist-cutting injury variates between gender and age.ConclusionAlcohol or drug consumption and having a diagnosed psychiatric disorder create a higher risk for extensive wrist lacerations. It was seen that skin only lacerations were most likely to repeat the act and therefore are most in need of psychiatric intervention.Level of evidenceLevel III, retrospective study.

Secondary Extremity Reconstruction for Contour Deformity: Case Report

The reconstruction of the extremities due to contour deformities is a challenging process. Conventional modalities such as skin grafting have obvious drawbacks. A 18-year-old woman presented with an extensive scar on her right lower leg due to a traffic accident took place 10 years previously. In addition to semi circumferential skin scarring due to former skin grafting, soft-tissue loss was evident. Free tissue transfer of an anterolateral thigh flap was planned for reconstruction. To meet the cosmetic concerns of the patient, special consideration is required during the surgery. An cosmetically pleasing result was obtained within the operation. We consider that lower extremity reconstruction for only cosmetic purposes is a rare entity.

A Giant Lipoma of Left Flank: Case Report and Review of the Literature

ABS TRACT Lipomas are benign soft tissue neoplasms comprised of mature adipocytes encapsulated by a layer of connective fibrous tissue. Our case was 56 years old man who has a slow growing mass on his left loin for ten years. Lately, he suffered from this mass because he complained about wearing pants, sitting a chair and failing daily activities. On physical examination, 25x15 cm soft, mobile mass lining through his left loin was seen. An elliptical incision consisting of expanded skin was made. 21x5 cm expanded skin and 25 cm length, 15 cm width and 6cm depth superficial lipoma was removed by the monopolar electrocautery over the fascia. A hemovac suction drain was placed. Dermis and subdermal tissue have sutured by 3-0 absorbable sutures. Skin was closed by stapler. In our study, we represent a case of giant lipoma in left loin which has a 25x15x6 cm dimensions. We suggest that this lipoma is among the biggest ones in the literature which has been reported.