In this model of skeletal muscle acute IR injury, the protective effect of Montelukast against skeletal muscle reperfusion injury was emphasized. We concluded that Montelukast could accelerate functional recovery in the extremity by limiting the local and systemic complications caused by reperfusion in cases such as extremity trauma with vascular injuries and extremity surgery with prolonged tourniquet application. However, further experimental and clinical studies are required to confirm this effect.
efects of the medial canthal region frequently appear after tumor excision. In an effort to obtain good functional and aesthetic results considering delicate properties of this area, the characteristics of the skin must be preserved as much as possible. The skin of this region is thinner than the surrounding tissues and thicker than the eyelids. Also lack Turkiye Klinikleri J Med Sci 2013;33(2)
339A Good Option For Medial Canthal Region Defects: Purse String Closure A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Reconstruction of the defects in the medial canthal region are often challenging for the plastic surgeons because of the particular properties of the surrounding skin. Although there are several reconstructive options reported for this region, there is no single procedure that achieves the best result. In this paper we reported the use of the purse string closure method in medial canthal region defects. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Eight patients with lesions in the medial canthal region were operated in our clinic. All of the defects were closed with the purse string method. Sutures were removed after 3 weeks and patients were followed for 6 to 36 months (median:16.5 months). R Re es su ul lt ts s: : All of the lesions were diagnosed as basal cell carcinomas. In the early postoperative period, 4 patients complained about skin tension and restriction of eyelid movements, one patient additionally had a minimal wound dehiscence. Eyelid movements and skin tension improved at the end of 1 st week. The wound dehiscence healed after the 2 nd week without any intervention. Rugae formation and skin distortion disappeared within 6 to 8 weeks. No tumor recurrences were observed. C Co on nc cl lu us si io on n: : The convenience and the facility of the method to deal with complications offers a good choice for reconstruction of the defects in medial canthal region.K Ke ey y W Wo or rd ds s: : Carcinoma, basal cell; skin neoplasms Ö ÖZ ZE ET T A Am ma aç ç: : Medial kantal bölge defektlerinin rekonstrüksiyonu çevre dokunun özelliklerinden dolayı plastik cerrahlar için genellikle zordur. Her ne kadar bu bölge için bildirilmiş birçok rekonstrüksiyon seçeneği olsa da en iyi sonuca ulaştıran tek bir metot yoktur. Bu makalede medial kantal bölge defektlerinde kullandığımız purse-string kapama yöntemini bildirmekteyiz. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kliniğimizde medial kantal bölgede defekti olan 8 hasta ameliyat edildi. Tüm defektler purse-string yöntemiyle kapatıldı. Dikişler 3 hafta sonra alındı ve hastalar 6-36 (ortalama:16,5 ay) ay boyunca takip edildi. B Bu ul lg gu ul la ar r: : Tüm lezyonlar patolojik olarak bazal hücreli karsinom olarak teşhis edildi. Erken postoperatif dönemde 4 hasta cilt gerginliğinden ve gözkapağı hareketlerinde kısıtlılıktan şikayet etti. Ayrıca bir hastada az miktarda yara ayrışması oldu. Birinci haftanın sonunda göz hareketleri ve cilt gerginliği gerilerken, yara ayrılması 2. haftanın sonunda kendiliğinden iyileşti. Katlantı ol...
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