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  • Küçük Resim
    Öğe
    Conservative management of cicatrix after circumcision: Retraction and steroid
    (2020) Hakalmaz, Ali Ekber; Huseynov, Mirzaman
    Aim: Our study aims to study the combined manual retracting and topical steroid application method for the treatment of post-circumcision cicatrix in neonates and infants and to establish the need for a secondary intervention. Material and Methods: A total of 20 patients applying to our clinic with post-circumcision cicatrix between April 2018 and January 2019 were evaluated retrospectively. Multivariable analyses assessed the association between the age of the patients and the onset of complaints associated with cicatrix, the time to onset of symptoms, and the duration of recovery.Results: The mean age at admission was 7.8 months (4-13 months), and the mean age at circumcision was 3.4 months (2 weeks-6 months). In our study, all the patients had been fully recovered after the treatment with combination of topical 0.1% betamethasone ointment and manual retraction. The mean duration of treatment was 30.6 days (14-56 days). Conclusion: In this study, we reported our observations related to the treatment only with 0.1% Betamethasone ointment and manual retraction for the first time in the literature. We believe that before choosing secondary applications which potentially traumatize the patient, insisting on topical steroid and manual retraction will provide a satisfactory outcome.
  • Küçük Resim
    Öğe
    Long term outcomes of early and late diagnosed congenital diaphragmatic hernia and pulmonary asymmetry
    (2019) Hakalmaz, Ali Ekber; Emre, Senol; Ozcan, Rahsan; Tekant, Gonca; Celayir, Recep Sinan
    Aim: It is to determine problems in long-term follow-up of patients operated in infancy and newborn period for congenital diaphragmatic hernia in our clinic before one year of age and to evaluate significance of perioperative findings on long-term results. Material and Methods: Among patients, 16 patient above 8 years of age with outpatient control in the past year were investigated retrospectively. Patients were grouped regarding operation age as newborn and infancy period. Preoperative predictive data, early and late postoperative findings, diagnostic studies, disorders were evaluated. Results: Male-to-female ratio was 3/1, right-to-left sided hernia was 1/15. Average age was 13.1(9-17). Average follow-up was 13years (8-17 years). Thirteen patients were diagnosed in newborn period, 3 in infancy. On follow-up, 85% of newborns and 33% of infants were found to have at least one disorder. Scoliosis presented in 6, asthma in 5, gastroesophageal reflux (GER) in 4, pectus excavatum in 4, undescended testis in 3, failure to thrive in 2 patients. All the musculoskeletal system deformities were diagnosed in only newborn period patients. Four cases (25%) were uneventful. Spirometry revealed obstructive dysfunction in 1, restrictive in 2 patients. CT showed increased aeration and pulmonary asymmetry. Conclusions: Among evaluated patients, 75% showing disorders requiring treatment or observation indicates the need for follow-up until adolescence