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    The effect of chronic carbon monoxide exposure on brain in Barbecue workers
    (Parlar Scientific Publications, 2014) Turtay M.G.; Yumrutepe S.; Kahraman A.S.; Bentli R.; Oguzturk H.; Firat C.; CoIak C.
    The aim of our study is to investigate whether chronic carbon monoxide (CO) exposure has effects on the brains of the people who work as barbecue workers (BWs) for a long time. Twenty males who had been working in the indoor environments of various restaurants (Group 1) and 20 healthy males who were matched by age with the other group (Group 2) were included in the study. Laboratory tests were performed in both groups of people. Magnetic Resonance Spectroscopy (MRS) was applied to the people whose blood samples were taken. In Group 1, significant correlations were not detected between carboxyhemoglobin (COHb) values and the variables of age, working hours, hemoglobin (Hb), white blood cell (WBC), hematocrit (HCT), platelet (PLT), mean platelet volume (MPV), pH, oxygen saturation (Sat 02) (p> 0.05). In terms of Hb, WBC, HCT, PLT, MPV, pH, Sat 02, COHb, N-acetylaspartate/creatine in basal ganglion, choline/creatine in basal ganglion, N-acetylaspartate/creatine in frontal lobe periventricular white matter, choline/creatine in frontal lobe periventricular white matter variables, significant differences between Group 1 and Group 2 were not determined. (p>0.05). As a result of this study; it is detected that chronic exposure to CO in BWs does not have any effects on brain with respect to MRS imaging method.
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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.
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    The incidence of non-proliferative and precancerous lesions of reduction mammoplasty: Evaluation of 273 cases
    (2011) Samdanci E.T.; Firat C.; Cakir E.; Ak M.; Sayin S.; Nurkabul Z.
    Background: Reduction mammoplasty (RM) is one of the most commonly performed plastic surgery procedures to treat symptomatic macromasty or to correct asymmetry. Occult breast carcinomas were rarely defined in RM specimens. There are few studies aiming to define the incidence of non-proliferative and precancerous lesions. Material and Methods: We evaluated the pathological findings of the RM specimens that have been submitted to our Center for the last 6 years (2005-2011). Results: A total of 273 cases with bilateral RM were enrolled to the study. Of them, 229 cases had pathological changes. Eight cases (2.9%) had atypical ductal/lobular hyperplasia. One case (0.3%) had lobular carcinoma in situ; however, no invasive breast carcinoma was detected. Other pathological findings included fibrocystic changes, fibrosis, adenosis, fibroadenoma (without complex features), mastitis and duct ectasia. Conclusions: Pathological examination of the RM specimens is quite important to define the lesions precancerous of breast carcinoma. Unknown occult breast lesions could be identified and early interventions may be taken into account.