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    An evaluation of neglected tumors: Giant basal cell carcinomas
    (2020) Agdogan, Ozgur; Ural, Alper
    Aim: Giant basal cell carcinomas (GBCCs) which constitute approximately 1% of basal cell carcinoma are aggressive tumors characterized by deep tissue invasion, high risk of metastasis, and poor prognosis. We aimed to analyze demographics, treatment, and outcome of patients with GBCCs in this study. Material and Methods: Between 2017 and 2020, nine patients applied to Department of Plastic and Reconstructive Surgery and underwent surgical treatment for GBCC were included in the study. Age, sex, localization, tumor size, treatment and comorbid diseases of the patients were reviewed retrospectively.Results: Six patiens were male and three patients were female. The mean age was 68.6 ±3.8 years, ranging from 62 to 78 years. The tumors were located on cheek (n=4), frontotemporal region (n=2), cheek nose lower eyelid junction (n=1), scalp(n=1) and dorsum of the hand (n=1). The largest of the lesions was 8x10 cm and the smallest was 4x6 cm.The defect sizes following tumor removal ranged from 24 to 80cm2 with an average of 43,6 cm2. Nodular GBCC was the most common histological subtype (n=6), followed by superficial (n=2) and morpheaform (n=1). Two patients were skin grafted after excision of GBCC whereas cheek rotation flaps (n=2), cervicofacial flaps (n=3) and pedicled forehead flaps (n=2) were utilized for reconstruction.Conclusion: Since health insurance covers oncologic surgery and there is an extreme ease to reach a health professional in our country, the most common reason to still encounter GBCC seems like negligence. GBCCs are rare, but they need proper interventions when detected. Aggressive surgery should not be avoided for better outcomes.
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    Management of penile zipper injury: A case report
    (2020) Ural, Alper; Altintas Ural, Dilan
    Penile zipper injury is the most common cause of penile damage in uncircumcised children. A 4-year-old uncircumcised child admitted to the emergency due to the injury of dorsal penis caused by the zipper of his trousers. A 3 cm length of penile skin was found to be captured by the teeth of the metal zipper. Herein, we reported our management of a penile zipper injury with proper follow up and a delayed circumcision procedure in an uncircumcised child.
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    Maxillofacial trauma incidence and patterns in patients admitted to the emergency department: A three-year retrospective study
    (2021) Hakkoymaz, Hakan; Ural, Alper; Tatli, Mehmet; Baykan, Halit
    Aim: Maxillofacial (MF) traumas are most challenging group of patients in emergency departments (ED) due to occurrence of varying degrees of injury. The aim of this study was aid to ED clinicians in establishing correct diagnosis and to aid decision making process; to identify etiology of MF trauma presented to ED and to assess comorbid injuries. Materials and Methods: In this study, we retrospectively analyzed patients with MF trauma presented to ED between January, 2014 and July, 2017. The study included 73 patients among those with MF trauma admitted to ED. Data regarding age, gender, trauma mechanism, treatment modalities, presence of mandibular, zygomatic orbital base, zygomatic arch, frontal sinus and nasal sinus fracture were recorded and analysed.Results: Mean age was 36.18 years (min-max: 7-81 years). It was found that MF was significantly more prevalent in men than women. In our study, traffic accidents were observed to be the most common cause just like in developing countries.73 patients were surgically operated. 45 of the patients underwent open reduction and fixation with miniplates and screws. Conclusion: Maxillofacial trauma is common in our society. The most common causes are traffic accident and falls; followed by assault, head trauma and firearm injury.