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    The continuing scourge of congenital syphilis in 21st century: A case report
    (Elsevier Ireland Ltd, 2005) Gurlek, A; Alaybeyoglu, NY; Demir, CY; Aydogan, H; Coban, K; Fariz, A; Arslan, A
    Although the rate of congenital syphilis is declining in developed countries, a significant increase has been observed in the underdeveloped countries. Unfortunately, little concern is raised about the increasing numbers of babies born with congenital syphilis. The procedure to prevent congenital syphilis through antenatal screening and treatment is well established. But implementation of effective programs has proved very difficult especially in resource - poor settings. Congenital syphilis, if not treated promptly and adequately, may result in significant physical and emotional squeal in children. A case of complicated late congenital syphilis is reported in order to emphasize that syphilis is still present nowadays, and re-emerging many countries even some of the industrialized ones. Most of the cases can not be prevented by routine antenatal screening. Thus it is essential to develop strategies to prevent sexually transmitted disease from being a hidden and neglected problem. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
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    An easy way of finding a vein in microsurgery
    (Lippincott Williams & Wilkins, 2003) Gürlek, A; Askar, I; Bilen, BT; Çelik, M; Fariz, A; Aydogan, H; Arslan, A
    [Abstract Not Available]
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    Effects of different corticosteroids on edema and ecchymosis in open rhinoplasty
    (Springer, 2006) Gurlek, A; Fariz, A; Aydogan, H; Ersoz-Ozturk, A; Eren, AT
    A double-blind, randomized trial with placebo control was planned to evaluate the effects of corticosteroids (betamethasone, dexamethasone, methylprednisolone) in approximately equivalent doses (8 mg dexamethasone/day), and to compare their effects with that of tenoxicam, an antiinflammatory drug, on both the edema and ecchymosis in open rhinoplasty with osteotomies. For this study, 40 patients were divided randomly into five groups of 8 patients each, which received, respectively, betamethasone (group 1), dexamethasone (group 2), methylprednisolone (group 3), tenoxicam (group 4), and placebo (group 5). Open rhinoplasty with osteotomies was performed by the same surgeon with the patient under general anesthesia. Drugs were administered just before the induction of anesthesia and continued for 3 days. Only acetaminophen was used to control postoperative analgesia. Digital photographs of each patient were taken on postoperative days 1, 3, and 7. Scoring was performed separately for eyelid swelling and ecchymosis by three observers independently using a graded scale from 0 to 4. No statistically significant differences existed among the five groups in terms of age, sex, duration of surgery, amount of bleeding, and intravenous fluid administration during the surgery. On postoperative days 1, 3, and 7, no differences in the levels of ecchymosis or edema among the steroid groups, the tenoxicam group, and the control groups were observed. In conclusion, the authors observed no significant differences among the different kinds of steroids administered in equivalent doses (8 mg dexamethasone/day). Steroids used in these doses were not effective in preventing or reducing edema and ecchymosis after open rhinoplasty with osteotomies. Tenoxicam also was not effective. No complications caused by the use of steroids were observed during the 6-month follow-up period.
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    Lengthening of the amputation stumps in hand by distraction osteogenesis
    (Medimond S R L, 2002) Gürlek, A; Inan, M; Bilen, BT; Aydogan, H; Ersöz, A; Çelik, M; Fariz, A
    Digital amputations have been seen commonly at the emergency services. Mutilation, functional, cosmetic and psychological problems occur when they can not be transplanted or failed after transplantation. Bone lengthening was carried out on 18 digital amputation stumps of 10 patients by distraction osteogenesis (Ilizarov's method) during the period of January 2000 to January 2002. Mean age was 14.2+/-8.1, ranging between 4 and 27 years. The average lengthening achieved 28.4 +/- 83 (15 - 50 mm). Distraction durations varied between 20 -70 (mean 35.2 +/- 8.3) and consolidation between 45 -120 days (mean 74.2 +/- 17.1). Two pin-tract infections, one bone fracture because of trauma, one early fusion of osteotomy and severe pain in two patients due to distraction were observed as complication. Distraction osteogenesis is very effective, simple, no necessity to donor area in the treatment of amputation stumps to get function; in spite of requiring long duration, patience and a good cooperation of both family and patient.
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    Straightening the crooked middle third of the nose
    (Amer Medical Assoc, 2005) Gürlek, A; Fariz, A; Celik, M; Ersöz-Öztürk, A; Arslan, A
    [Abstract Not Available]
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    The use of high-density porous polyethylene as a custom-made nasal spreader graft
    (Springer, 2006) Gürlek, A; Celik, M; Fariz, A; Ersöz-Öztürk, AE; Eren, AT; Tenekeci, G
    The concept and technique of using high-density porous polyethylene (HDPP), a nonresorbable synthetic material, for nasal spreader grafts, are presented. This material is thought to be particularly useful in revision (secondary or tertiary) rhinoplasty, in which internal valve collapse frequently is confronted and septal cartilage often is unavailable because it has been harvested for spreader or other grafts. Sold as a thin plain sheet (0.85 x 38 x 50 mm) that can be cut to an appropriate size for spreader grafts, HDPP is a ready-to-use material commercially available on the market. Because HDPP permits ingrowths of fibrous tissue inside and around, it is a nonabsorbable material that stabilizes the upper lateral cartilages in their new position and maintains the appropriate internal valve angle. The authors used this material for 15 patients undergoing secondary (n = 12) and tertiary (n = 3) rhinoplasty because of valvular collapse. During the mean follow-up period of 16 months (range, 8-30 months), neither complication nor recurrence of airway obstruction occurred.
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    The use of lower turbinate bone grafts in the treatment of saddle nose deformities
    (Springer-Verlag, 2002) Gurlek, A; Askar, I; Bilen, BT; Aydogan, H; Fariz, A; Alaybeyoglu, N
    Saddle nose reconstruction is based on the use of support grafts to manage aesthetic and functional problems. Bone (calvarial, iliac crest, costal, nasal hump, ulnar, and heterogenous origin), cartilage (septal, costal, heterogenous), and synthetic materials (silicon, silastic, polyethylene) were used as support grafts. Three patients have been included in this study to define the surgical management and long-term aesthetic and functional results of patients undergoing rhinoplasty with support grafts for a saddle nose deformity. Open rhinoplasty was employed. Both the lower turbinates were excised and the bone dissected from the soft tissues in two cases and in one case, only mucosa was removed. The amount of support needed was measured by using bone wax. The bone was used shaped in layers, according to the defect, and sutured to each other by vycril suture, and wrapped around by surgicell. The graft was then inserted in its place and fixed with external prolene sutures. Results were satisfactory in both function and aesthetics. Ten to 16-month followups had no complications. Saddle nose surgery basically requires the use of a support graft to repair the nasal dorsum. A lower turbinate bone graft procedure has some advantages: it is cheap and safe, it is ready to use and not time-consuming, there is no donor area and no additional donor site morbidity, and it enlarges the airway and the passage to prevent nasal airway obstruction.