Murat Türegün | Gulhane Military Medical Academy (original) (raw)

Papers by Murat Türegün

Aesthetic Plastic Surgery, 1998

Burns, Nov 1, 1997

Our burn centre is not only the first, but one of the best established and supported in Turkey. O... more Our burn centre is not only the first, but one of the best established and supported in Turkey. Our present study has the largest patient group of other previously publtshed studies from Turkey. Of the total patients studied, 4464 patients had minor burns and were treated on an outpatient basis and 800 patients had moderate to major burns. Although our centre is in a military area in Ankara, only 1047 (20 per cent) patients were military personnel and the militaryrelated burn causes comprised only 6 per cent of the total. The remaining 4217 (80 per cent of the total patients) were cizlilians. Flame injuries were also more frequent in military patients than c$ilians. Minor burns zuere most common in the age group O-10 years old (40 per cent) and moderate to major burns in the age group 21-30 years (54 per cent). Scalds were the main cause of paediatric burns. Male patients were dominant. The overall mortality among inpatients was 18.2 per cent and mean total body surface arema (TBSA) was 57.6 per cent in Tatients who died. 134 patients demonstrated inhalation injury and 82 per cent of these patients died The epidemiological pattern of our patients is similar to that in other studies from developed countries, although some ethnic causatizle factors could be found. Our study indicates that emergency measures should be taken to prevent flame injuries at military barracks and industrial workplaces and scalding accidents to children at home and throughout the country.

Türk Üroloji Dergisi/Turkish Journal of Urology, 2006

... olgularımızda uyguladığımız liposak-şın yönteminin benzeri fakat daha fazla morbidite-si olan... more ... olgularımızda uyguladığımız liposak-şın yönteminin benzeri fakat daha fazla morbidite-si olan lipektomi yöntemi gömük penisli olgularda Horton ve ark. ... olası-lığının azaltıldığı ve penis köküne konulan dikiş-lerle de dorsal ve ventral açılardan orantılı, anato-mik ve kozmetik ...

Türk Plastik, Rekonstrüktif ve Estetik Cerrahi Dergisi (Turk J Plast Surg), 2002

... Gösterilmesi. Gökhan Adanalı, Mustafa Nişancı, Asuman Tuncel, Dilek Şenen, Murat Türegün. Öze... more ... Gösterilmesi. Gökhan Adanalı, Mustafa Nişancı, Asuman Tuncel, Dilek Şenen, Murat Türegün. Özet. ... açmıştır. Uzamış global iskemiye maruz kalan iskelet kası bunu takipeden reperfüzyon süresince ciddi hasara maruz kalmaktadır. ...

European Journal of Plastic Surgery, 1997

Burns, Sep 1, 1997

A case of Marjolilz's ulcer that arose in ppmiilusly grafted mea uf .rQht ankle 55 years after in... more A case of Marjolilz's ulcer that arose in ppmiilusly grafted mea uf .rQht ankle 55 years after initial bum injury was managed by be?ow knee amputation atzd right ir@nal lymph node dissection. 'i'he characteristics of this maiignancy were reviewed/ and rarely seen fenturcs partictiiar to this case, which are a longer lag period and yapid g~wtk ir, o preuiotfsly grafted nren, were discussed.

Burns, Aug 1, 1997

Ifot tar burns ct~rnp~sc R unique class of thermd injury, because nmuval of this highly sticky co... more Ifot tar burns ct~rnp~sc R unique class of thermd injury, because nmuval of this highly sticky compound may be very dificult withouf ir$ictinp addifional tissue damage. Early removal oj tar facilitates assesstnent sf the burn and improves patient comfort. Although fhe use uf man,y substances fur fhe painless removal of tar has been described, zuc used sunflower coil eflectively in thr trcntnmt off~~u tar burn pnticnts. This first report dwribcs the practical and s~n~ss&l USC uf sunf7uwt~ uil which was easily &fain& from thrs hospital kitchen.

Journal of Burn Care & Rehabilitation, 1999

Türk Plastik, Rekonstrüktif ve Estetik Cerrahi Dergisi (Turk J Plast Surg), 1999

Özet Son yıllarda yapılan çalışmalar iskemi sonrası reperfüzyona bağlı doku yaralanmasının ve&quo... more Özet Son yıllarda yapılan çalışmalar iskemi sonrası reperfüzyona bağlı doku yaralanmasının ve" no-reflow" fenomeninin gelişiminde lökositlerin anahtar bir role sahip olduğunu ortaya koymuştur. Nitrik oksit (NO) vasküler endotelyum tarafından üretilen biyolojik olarak aktif ...

Burns, Mar 1, 1997

In an Rttempt to stntisticnlly evaluate burn injuries in childhood in terms of incidence, aetiolo... more In an Rttempt to stntisticnlly evaluate burn injuries in childhood in terms of incidence, aetiology, mortality and morbidity, a surprising aetiological cause was noticed, not only as having a high mortality rate, but also as being preventable in most cases if simple precautions are taken. Ftfteen preschool children had been severely scalded in kitchens by hot milk which was heated in a cauldron to produce cheese, a traditional custom. The clinical data relating to this Getiology and the probable underlying factors pertaining to the social characteristics are given and discussed.

Türk Plastik, Rekonstrüktif ve Estetik Cerrahi Dergisi (Turk J Plast Surg), Apr 1, 2001

Özet Literatürde mandibular sagittal split ramus osteotomi (SSRO) sonrasında karşılaşılan komplik... more Özet Literatürde mandibular sagittal split ramus osteotomi (SSRO) sonrasında karşılaşılan komplikasyonlar arasında postoperatif kanama, infeksiyon, havayolu tıkanıklığı, kemik fiksasyonu sonrası problemler, relaps ve nörolojik komplikasyonlar sayılmıştır. Nörolojik ...

Plastic and Reconstructive Surgery, Dec 1, 1996

Annals of Plastic Surgery, Jun 1, 2008

Functional disorders due to alar valve collapse and cosmetic unsatisfactory results can be seen a... more Functional disorders due to alar valve collapse and cosmetic unsatisfactory results can be seen after rhinoplasty operation in some patients. Because of overresection of the upper and lower lateral cartilages, nasal lateral walls may collapse during inspiration pressing against the septum and obstructing airway. On the other hand, overresection may result in several cosmetic deformities. Fourteen patients presenting with nasal deformation and functional insufficiency, were treated using thin sheet porous polyethylene (Medpor). Cottle sign was positive in all patients. On examination, collapse during inspiration, depression at the supratip area, and asymmetry were common findings. Saddle shaped implants, 1.2 x 40 mm in dimension, were introduced into pouches prepared via bilateral rim incision. After suturing incisions, bandage and cast were applied. In the mean 14-month follow-up period, 1 implant malposition was seen in a patient because of larger planning the pocket that was corrected by a subsequent shaving of the implant. Asymmetries of the noses were totally corrected. No exposition was found. Alar collapse and respiration impairment had disappeared in all patients. Although, autologous tissue is known as the best material, Medpor can be used safely regarding its low complication rate because of its porotic architecture and low morbidity in donors. Medpor implant provides functional improvement by its strength body. Its smooth surface helps to correct the asymmetry by filling the defects. Using a saddle shape enabled us to treat different components of the postrhinoplasty deformity with a single implant.

Annals of Plastic Surgery, Dec 1, 2006

A 17-year-old boy underwent three cycles of chemotherapy and a subsequent mandibular resection fo... more A 17-year-old boy underwent three cycles of chemotherapy and a subsequent mandibular resection for a Ewing's sarcoma of the left body and ramus. The mandible was immediately reconstructed with a microvascular osteomuscular fibular flap. One year after the mandibular reconstruction, distraction osteogenesis of the anterior portion of the fibula was performed using a Martin distractor according to the Hoffmeister technique. Bone lengthening was achieved at a rate of 1 mm/day by turning the device twice each day for 12 days. Subsequently, we waited for 70 days for bone consolidation to occur. After 6 additional weeks, five Maestro implants were placed into the distracted fibula. Bone specimens were retrieved with a trephine bur during implant placement. Mature bone was present after 70 days and after 6 months. The bone height increase was 12 mm.

Annals of Plastic Surgery, Sep 1, 2003

Annals of Plastic Surgery, Feb 1, 2001

Nine patients with massive combat injuries of the lower extremities were treated with Ilizarov bo... more Nine patients with massive combat injuries of the lower extremities were treated with Ilizarov bone transport in conjunction with free muscle flap coverage. In 4 patients soft-tissue coverage was applied first, and distraction osteogenesis was initiated 4 to 6 weeks later. In 3 patients both methods were applied simultaneously, and in 2 patients soft-tissue coverage occurred after distraction. The bones healed well, and all flaps survived. The segmental defects ranged from 8 to 16.5 cm in greatest dimension. The total disability time from initial injury ranged from 16 to 25.5 months. In all patients, full union of the tibia was achieved, and no osteomyelitis occurred. However, in 2 patients the applied flap became depressed, necessitating another flap operation. Despite late treatment in all 9 patients, successful results were obtained. Maintaining the original length of the tibia and providing timely, definitive treatment offer the best outcome for repair of massive injuries of the lower extremities. The Ilizarov transport method, used in combination with muscle flap coverage, represents an effective therapy for repair of massive injury of the lower extremities.

Burns, Mar 1, 2005

If they are not managed with proper treatment and rehabilitation, full thickness burns involving ... more If they are not managed with proper treatment and rehabilitation, full thickness burns involving the cubital fossa may result in severe contractures that may impair upper extremity functions. Later release of these contractures discloses a large soft tissue defect that should be replaced. We used reverse lateral arm flaps for coverage of the cubital fossa in 11 selected cases of antecubital contracture. Ten flaps survived totally while we experienced one distal partial necrosis, which was later treated by skin grafting. We achieved considerable functional improvements in all cases. Although fasciocutaneous flaps offer the advantage of using regional tissue in a single stage, few versatile local flaps relying on the vascular anatomy around the elbow joint are available for cubital fossa coverage. Being a rapid, easy and one-staged procedure with no necessities for sacrifice of a major artery or muscle and for a long-term immobilization of the involved joints, reverse lateral arm flaps appears to be advantageous in comparison to other options for coverage of the cubital fossa defects after the release of antecubital contractures.