Browsing by Author "Çelik, D"

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    RECONSTRUCTION OF LABIUM MINUS HYPERTROPHY TAKING INTO ACCOUNT ANATOMICAL DIFFERENCES
    Güngör, M; Sir, E; Çelik, D; Seyhan, A; Yoleri, L
    Introduction: In labioplasty, wedge resection is a preferential method because of easy application and good results. In the identified wedge resection models certain zones and usually certain angles have been recommended. However, it's obvious that each enlarged labium minus shows different properties from another. The most protuberant portion, the excess volume and skin laxity are different for each case. Therefore, the zone of the triangle that will be resected and the apical angle should be planned specially for each case. Thus, we determined wedge resection zone and apical angle taking into account patient's anatomy. Material and Methods: We evaluated retrospectively 14 patients underwent labioplasty with this method. 11 (78.5 percent) patients underwent central, 2 (14.2 percent) patients underwent inferior and 1 (7.1 percent) patient underwent two different zones (central and inferior) wedge resections. We also excised redundant preputium clitoris in 2 (14.2 percent) patients. In wedge resection, apical angle varied between 60120 degrees. Results: In all patients, the labia minoras were covered by the labia majoras. None of the patients showed introitus narrowing and scar contraction. All of the patients reported that preoperative complaints disappeared or diminished. 9 (64.2 percent) patients evaluated postoperative satisfaction degree as very good and 5 (35.7 percent) patients as good. Complications were observed in 2 (% 14.2) patients. In 1 patient dehiscence of the suture line and in 1 patient asymmetry occurred. Conclusions: The results of this study demonstrate that we can get successful results when taking into account each labium minus anatomical differences.
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    Tension Adjusted Multivectorial Static Suspension With Plantaris Tendon in Facial Paralysis
    Yoleri, L; Güngör, M; Usluer, A; Çelik, D
    Facial paralysis in the midface causes loss of cheek tonus, asymmetry at rest, and inability to smile. Static suspension is generally performed in patients who cannot tolerate time-consuming dynamic reanimation. Current methods for static slings are overly simplistic. A sling, which is generally fascia lata or palmaris tendon, is placed between the modiolus and the zygomatic arch or the temporalis fascia, with further extension to the midline of the upper end lower lips in 1 vector. Recently, sutures are placed in a multivectorial approach, but suture failure via breakage is the main problem. In this study, the long, thin, and powerful plantaris tendon was used and divided into 3 slips. Placement of these slips and their tension adjustment were revised to provide strong and long-lasting upper lip and the modiolus pull, along with creation of a well-defined nasolabial fold, and to create sufficient cheek tonus. The first slip was positioned at 35 to 45 degrees to the horizontal plane between the modiolus and the upper preauricular area, second slip at 55 to 60 degrees between the upper lip and the deep temporal fascia, and the third slip at 0 to 10 degrees between the lower lip and lower preauricular area with gradually decreasing tension from above to below in 9 patients. Upper 2 slings were also sutured to the dermis of the nasolabial fold to define it optimally. Results were assessed both objectively and subjectively. Symmetry at rest, sufficient cheek tightness to prevent drooling, and a well-defined fold were obtained.