Browsing by Author "Ünlü, HH"

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    A Practical Method for Designing Paramedian Forehead Flap: A Preliminary Report
    Esklizmir, G; Hirçin, Z; Ünlü, HH
    Objective: The paramedian forehead flap (PFF) is an interpolated flap which provides excellent aesthetic and functional results in the reconstruction of extensive nasal defects. The key elements for a PFF is the blood supply (supratrochlear artery and vein) and wideness of the pedicle. Herein, we offer a practical and reliable method for the design of PFF and discuss the effectiveness of this surgical method. Material and Methods: The harvestment of PFF was started by the identification of the potential area of the supratrochlear artery and vein. The medial canthal vertical line (MCVL) and transverse axis of the superior orbital rim (SOR) were marked as primary lines, which were used as reference. Thereafter, the lateral borders of the potential area were metered 7 mm medial and lateral to MSVL and marked as the secondary lines. The pedicle of the PFF was formed by using secondary lines and SOR. Finally, PFF was harvested and anchored to the defect area. Results: Six cases who had large nasal defects due to skin cancer were included into the study. All the PFFs were designed and successfully harvested according to this surgical method. None of the cases had flap failure or major complications. Conclusion: The surgical method for the design of PFF is easy, reliable and anatomically based, and it facilitates a relatively narrow pedicle without jeopardizing the blood supply.
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    The radiological evaluation of anatomical variations of frontal recess in normal population and cases with frontal rhinosinusitis
    Küçükgünay, B; Eskiizmir, G; Ünlü, HH; Aslan, A; Bayindir, P; Ovali, GY; Özyurt, B
    Objective: In this study, we aimed to evaluate the anatomical variations around frontal recess and the influence of variations on frontal rhinosinusitis (FR) in healthy individuals and in cases with frontal rhinosinusitis (FR). Methods: A total of 61 cases that applied to our outpatient center were grouped according to: cases with ear complaints (Group I, control group), cases with sinonasal symptoms but FR findings (Group II), and cases with both sinonasal and FR findings (Group III). All cases underwent paranasal computerized tomography (CT) with parasagittal reconstruction. All scans were assessed for the presence of fronto-ethmoidal cells, anatomical variations, osteomeatal complex diseases and sinus opacifications. Results: In all sides of study, the rate of fronto-ethmoidal cell was 20.9%. When cases with sinonasal signs (Groups II and III) and control group (Group I) were compared, intersinus septum (p=0.01) and agger nasi cells (p=0.001) were statistically significant. In sides with frontal recess disease (+) and/or frontal sinus opacification (+), Kuhn type III (p=0.03) fronto-ethmoidal cells and bulla frontalis (p=0.02) were significantly increased, and Kuhn type IV fronto-ethmoidal cell (both sides) was present only in cases with frontal recess disease (+) and/or frontal sinus opacification (+). When the role of fronto-ethmoidal cells on frontal recess disease and/or frontal sinus opacification were assessed, Kuhn Type III cell was 4.55 times (% 95 GS: 0.560-12.196) more effective. Conclusion: Kuhn type III and IV fronto-ethmoidal cells and bulla frontalis may have a role in FR. The radiological evaluation of anatomical variations around frontal recess with parasagittal sections was useful.