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    Evaluation of treatment results after nasoalveolar molding and surgery using 3-dimensional image technique: A case report
    (Cumhuriyet University Faculty of Dentistry, 2014) Toy E.; Altindis S.; Öztürk F.; Aytekin A.H.
    Cleft lip and palate is the most common congenital anomaly in facial structures. In our country, this anomaly was encountered 1/800 ratio. Pre-operative orthopedic therapy is widely applied to the individuals with cleft lip and palate. The aim of this case report is to evaluate the treatment results of an infant with bilateral cleft lip and palate in terms of changes obtained after preoperative nasoalveolar molding and surgery using three-dimensional imaging technique.
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    Functional reconstruction of large lower lip defects with adjustable suture assisted palmaris longus tendon in free flaps
    (2013) Firat C.; Aytekin A.H.; Elmas Ö.; Erbatur S.; Geyik Y.
    Purpose: In this study, our objective is to present the modified method which ensures the reconstruction of the wide defects of the lower lip via the adjustable palmaris longus tendon of the radial forearm flap. Methods: 65 year old male patient applied with complaints of a 5x4 cm well differentiated squamous cell carcinoma on the lower lip region. One cm safety border was kept and the lesion was excised. The free radial forearm flap was transferred to the defect and anastomosed to right facial artery and vein. The 20 cm palmaris longus tendon was passed through the flap close to the localization planned as the upper border of the lower lip and tendon stretched to both malar regions and extended to temporal region with 2/0 propilen suture. Results: Tips of the suture were left on the subcutaneous level for further adjustment if necessary. Palmaris longus tendon prevents lower lip prolapse. Follow-up period was 6 months. A lymphedema was developed at early period (first 3 months) that was regressed until 6 months progressively. The oral competence was acceptable with speech and feeding functions. Conclusion: This method is easily applicable to adjust lip tension or tonus during the 3-4 day interval required for the palmaris longus tendon to affix to the malar region. Mean time for fixation of the tendon was 7 days.