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Öğe Acro-ischemic lesions in COVID-19 patients: A case series(Wiley, 2022) Ozbey, Rafet; Algan, Mehmet FatihCOVID-19 is a systemic disease characterized by vascular damage, increased inflammation, and hypercoagulability. Acral ischemic lesions occur as a result of increased inflammation and cutaneous thrombosis. Skin lesions can sometimes be the only symptom of COVID-19. In this respect, recognizing acro-ischemic lesions, which are skin lesions, may help in the early diagnosis of the disease and in predicting the prognosis. In patients with skin lesions without typical symptoms, the diagnosis of COVID-19 should be kept in mind. Herein, we describe five patients affected by COVID-19 which developed acro-ischemic lesions.Öğe Basal cell skin cancers: Retrospective analysis of 67 cases(Wiley, 2022) Ozbey, RafetBackground Basal cell carcinoma (BCC) is the most common skin cancer and originates from the basal layer of the epidermis. It is most common in the head and neck region. It usually grows slowly and rarely metastasizes. The gold standard treatment is surgical excision. Aims In this study, it was aimed to discuss the demographic and medical data of patients treated with the diagnosis of BCC. Patients/Methods Sixty-seven tumors of 55 patients who were operated for BCC in our clinic between 2016 and 2020 were retrospectively analyzed. Demographic and medical data were analyzed. Results The tumor was most commonly localized to the nose. The most common (50%) histological type was the nodular type. Recurrence occurred in one of our patients (1.5%). Surgical margin positivity was observed in six patients. Conclusions Basal cell carcinomas are most common in the head and neck region. Its frequency increases with age and is more common in men. In our patients, 98.5% of the tumors were located in the head and neck, and 89.5% were over 60 years of age. Nodular is the most common type of BCC, and the most common nodular type was detected in our study. Surgical margin positivity is observed between 9% and 37.2% after surgery, and the recurrence rate is around 5%. In our study, surgical margin positivity was 9% and recurrence was 1.5%. Evaluating the excision margins carefully in a well-lit environment and taking into account cosmetic concerns, obtaining an adequately intact surgical margin in one go may lead to the ideal treatment result.Öğe Factors Affecting Patient Satisfaction in Breast Reduction Surgeries: A Retrospective Clinical Study(Springer, 2021) Ozbey, Rafet; Cansel, Neslihan; Firat, Cemal; Baydemir, Muhammed BedirBackground Breast reduction surgeries increase the individual's comfort of life by eliminating the problems caused by breast hypertrophy. We aimed to evaluate the effects of patients' demographic and operational data on satisfaction by using Breast-Q Questionnaire. Methods Breast-Q Questionnaire breast reduction module was applied to patients who had undergone breast reduction surgery by a single surgeon between 2016 and 2020 and who agreed to participate in the study. Demographic and operational data and Questionnaire results were analyzed with the help of SPSS Statistics V21.0 program by considering p < 0.05 as significant. Results Of the 94 patients who had undergone surgery, 52 who agreed to fill in the questionnaire were included in the study. Mean age was 39 and mean body mass index was (BMI) 28.6 kg/m(2). Forty eight (92.3%) patients had undergone surgery for noncosmetic reasons. Significant differences were found between the physical well-being scores of the participants whose BMI was 30. It was found that physical well-being (p= 0.001) and the amount of tissue removed increased with the increase in BMI (p = 0.018). No association was found between the tissue removed, the change in bra sizes and satisfaction. Satisfaction with outcome of surgery was found as 84.51% +/- 24.28. Linear association was found between pre-information given and Breast-Q scores (p < 0.001). Conclusions In our study, it was found that the tissue removed, breast size and the change in bra size had no effect on patient satisfaction. Being informed was found to be directly related to satisfaction. Providing sufficient information, understanding the expectations and obtaining the desired cosmetic results is important. Although physical complaints are at the forefront in the decision of surgery, aesthetic appearance is more effective in being satisfied with the surgery. A breast the weight of which is reduced through breast reduction and which looks aesthetically beautiful can only please the patient. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.Öğe A giant rhinophyma closing the airway: Case report(2020) Ozbey, RafetRhinophyma is a progressive nasal deformity caused by hypertrophy of sebaceous glands and soft tissue of the nose. A 74-year-old male patient presented with a giant bad-smelling mass hanging down from the alar wings, causing difficulty in breathing and eating. Under local anesthesia, the lesion was excised and the defect was closed with a full thickness skin graft. The patient recovered without any problem and got out of difficulty in breathing and feeding. The treatment of rhinophymas, which have reached a large size, increases the patient’s life quality, can breathe more easily and eat, increase their self-esteem and improve the social life of the patient. The size of the defect occurred after excision of giant rhinophyma limits the use of flaps. However, it can be used to cover the large defects and provide a rapid recovery, which makes graft use a step forward in the treatment of giant rhinophimas.Öğe Hair thread tourniquet syndrome in an eight month old infant(2020) Ozbey, RafetOzbey, R. (2021). Hair thread tourniquet syndrome in an eight month old infant . Annals of Medical ResearchÖğe Hair tourniquet syndrome of toe(Elsevier, 2023) Koroglu, Muhammed; Ozdes, Huseyin Utku; Ozbey, Rafet; Yilmaz, Ozgur; Ergen, Emre; Oklu, Yunus; Aslanturk, OkanIntroduction: Hair tourniquet syndrome (HTS) is a rare surgical emergency caused by a hair or thread wrapping around an appendage. We aimed to present our clinical experience with HTS of toes and attract physicians' attention to this rare entity.Methods: Between January 2012 and September 2022; 26 patients (25 pediatric and one adult case) were treated for HTS. All pediatric cases were treated surgically under loop magnification. The adult patient was treated nonsurgically. The patient's age, gender, affected appendage and side, duration of symptoms, and postoperative complications were recorded.Results: Thirty-six toes of 25 patients (13 boys, 11 girls, and a male adult) were included in the study. The mean age of pediatric patients was 126.6 days. The third toe was the most affected (n:16), followed by the fourth (n:8). In seven patients more than one was affected.Conclusion: HTS should be treated as soon as possible when diagnosed to prevent further complications including appendage loss.& COPY; 2023 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.Öğe Hair tourniquet syndrome of toes and fingers in infants(Turkish Assoc Orthopaedics Traumatology, 2019) Aslanturk, Okan; Ozbey, Rafet; Yilmaz, Ozgur; Ergen, EmreObjective: Hair tourniquet syndrome is an uncommon condition characterized by strangulation appendages by a hair or thread. The aim of this study was to evaluate the results of hair removal and antibiotic therapy in our patients with hair tourniquet syndrome. Methods: Between January 2012 and August 2018, 16 patients (8 boys, 8 girls; mean age: 118.5 [range: 20 to 380] days) were treated surgically for hair tourniquet syndrome. All patients were treated surgically under local or general anesthesia in the pediatric emergency department or in the operating theater using magnifying loupes. The age, gender, affected fingers or toes and the affected sides of the patients and the duration of symptoms until presentation were recorded. Results: A total of 24 toes and fingers were treated for hair tourniquet syndrome. The right side was affected in 12 patients, the left side was affected in three, and both sides in one. The second toe was affected in three patients, the third toe in eleven, the fourth in six, and the fifth in two patients. Both the thumb and the second finger were affected in one patient. The average duration of the symptoms (excessive crying, swelling, redness) was 1.5 (range: 1 to 2) days. All patients healed without any complications. Conclusion: Hair tourniquet syndrome should be kept in mind as an etiology in infants with toe and finger strangulation. These patients should be examined undressed. Immediate removal of hair is an effective treatment method to save appendage. (C) 2019 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.Öğe Reconstruction of upper extremity defects with distant pedicled flaps(2022) Ozbey, RafetAim: Pedicled abdominal and groin flaps have been used for hand and forearm recon- struction for years. Nowadays, they are applied as a safe option when free flap is not suitable. In this study, we aimed to present cases in which soft tissue defects on hand and forearm were closed with pedicled groin and abdominal flaps, in the light of the literature. Materials and Methods: Thirty-five patients whose soft hand tissue defects in the hand and forearm were treated with pedicled groin and abdominal flaps in the department of Plastic, Reconstructive and Aesthetic Surgery between 2010 and 2022 were included in the study. Data such as age, gender, cause of defect, localization of defect, size of defect, donor site closure method, flap division time, hospitalization time and complications which were obtained from patient files were evaluated. Results: Our patients were between the ages of two and 65 and mean age was found as 33.9 ± 15,7. Thirty-one (88.5%) of our patients were male, while four (11.5%) were female. When the causes of defects were examined, it was found as crush injuries of hand and fingers in 12 patients (34.29%), electrical burn in 11 patients (31.43%), gunshot wounds in five patients (14.28%), degloving injury in four patients (11.43%) and snake bite in three patients (8.57%). All flap donor sites were closed primarily. Flap loss was not recorded. Conclusion: Pedicled abdominal and groin flaps, which are a fast and safe option, con- tinue to be an important alternative in suitable patients despite the advances in micro- surgery.
