Yazar "Akyürek, Mustafa" seçeneğine göre listele

Listeleniyor 1 - 7 / 7
  • [ X ]
    Öğe
    An Overlooked Posttraumatic Lesion: Morel Lavallee
    (2020) Aylanç, Nilüfer; Ertem, Şenay Bengin; Akyürek, Mustafa
    Morel-Lavallee is a soft tissue lesion that occurs after trauma and is seen almost rare. The patients usually refer to the clinic with a palpable mass. In addition, lesions can be detected incidentally during imaging tests performed for different reasons after trauma. While examining the soft tissue lesions of the musculoskeletal system, especially in cases with a history of trauma, the Morel-Lavallee lesion should also be thought, and ultrasonography and magnetic resonance imaging methods that have superiority in soft tissue imaging should be used. In this case report, we aim to attract attention to the fact that MLL, which can be seen rarely, should be kept in mind in cases with pain, palpable mass and a trauma history, even if the process is chronic.
  • [ X ]
    Öğe
    Does excision of giant cell tumor from the finger affect sensorineural innervation?
    (2024) Akyürek, Mustafa; Kaya, Berkay
    Giant Cell Tumor of the Tendon Sheath (GCTTS), often manifested as a nodular mass in the hand, presents significant challenges for surgical intervention, particularly when located in the fingers. This study aimed to evaluate the impact of GCTTS excision on sensory function and to explore the relationship between surgical outcomes and factors such as smoking and nerve dissection. A retrospective analysis was conducted on 28 patients diagnosed with GCTTS in the fingers, who underwent surgical excision between March 2017 and March 2023. Preoperative and postoperative sensory functions were assessed using two-point discrimination and Semmes-Weinstein monofilament tests. The results indicated no significant difference in sensory function 6 months post-surgery, suggesting that meticulous surgical technique can mitigate the risk of iatrogenic nerve damage. The study highlights the importance of comprehensive diagnostic methodologies, including thorough medical history, physical examination, and radiological imaging, in guiding surgical strategies. Moreover, it emphasizes the significance of meticulous preoperative planning and the potential for preserving sensory function following GCTTS excision.
  • Küçük Resim
    Öğe
    Influence of palmar plate injury on outcomes of zone 2 flexor tendon repair
    (Sage Publications Ltd, 2025) Akyürek, Mustafa; Hafız, Güneş; Sayan, Mihrican
    This study investigates the impact of proximal interphalangeal joint palmar plate injury on outcomes of flexor tendon repair in zone 2, excluding cases with fractures or dislocations. A retrospective review of 47 digits in 45 patients treated between 2014 and 2022 was conducted, analysing surgical notes, ultrasound images and patient photographs. The palmar plate was injured in 17 digits and intact in 30. Outcomes were assessed using the Strickland criteria for active range of movement 6 months postoperatively. Our analysis revealed that palmar plate injuries significantly affect flexor tendon repair outcomes, with a normal palmar plate increasing the likelihood of excellent recovery by 18 times. Although previous studies indicate no consensus on the impact of flexor digitorum superficialis repair, our findings emphasize the importance of palmar plate integrity. Nerve injury and flexor digitorum superficialis repair did not show significant effects on recovery in this cohort. Our study provides valuable insights into the importance of the injury to the palmar plate.Level of evidence: III
  • Küçük Resim
    Öğe
    Our experience with the management of non-melanoma skin cancers with orbital invasion
    (Springer Science and Business Media Deutschland GmbH, 2023) Akyürek, Mustafa; Benli, Caghan; Esmer, Saner
    Background: Skin cancers are the most common malignancies, and orbital and periorbital skin tumors are troublesome areas for surgeons. In this study, a series of patients diagnosed with non-melanoma skin cancer with orbital invasion was analyzed, and the surgical indications of globe-sparing surgery, reconstruction methods, complications, and outcomes were discussed. Methods: This study included a series of 27 patients who underwent surgery for non-melanoma skin cancer (NMSC) with orbital invasion between June 2013 and May 2019. All surgeries were performed by a single surgeon in a single center. Results: The observed success rate of the globe-sparing surgeries performed was 16/18 (89%) for patients diagnosed with BCC. Patients diagnosed with SCC had fewer benefits from their globe-sparing surgery. Half of the patients (4/8) underwent exenteration or died from distant metastasis. An early complication of globe-sparing surgery was chemosis, and all patients suffered from it for an average of 2 weeks. Late complications of globe-sparing surgery were epiphora (20/23), globe movement restriction (20/23), diplopia (17/23), and ectropion (3/23). Conclusions: This study shows that orbital exenteration is a treatment with severe morbidity. Hence, every step during NMSC treatment with orbital invasion is unique to each patient and determined by in-depth and objective criteria. Level of evidence: Level IV, Risk/Prognostic.
  • [ X ]
    Öğe
    Particular type of high-pressure injection injuries: Oil-based paint guns, a retrospective, single center experience
    (2022) Akyürek, Mustafa; Benli, Çağhan
    Objectives: Oil-based high-pressure injection injuries may cause serious hand injuries. Unless proper surgical interven- tions are performed, this situation contains a high possibility of serious sequels. It is aimed to present the management of high-pressure injection injuries with paint gun. Methods: Between 2013 and 2019, five male patients with the mean age of 34,4, admitted to our clinic with hand injuries and subcutaneous oil-based materials injection caused by high-pressure paint guns. Broad debridement was performed by dissection and adventitiectomy of the vessel and nerve bundles under magnification. Postoperative clinical follow-ups, Quantitative Sensory Testing results, and chemical properties of the injected materials are obtained. Results: Pain was the most common complaint in the early postoperative period. Injected materials were oil-based paints and mineral oils, both have a pH between eight and nine. We observed partial skin and subcutaneous tissue necrosis but none of the patients required amputation. Static two-point discrimination values were obtained post-op 12th month, varied between 7 and 11 mm (mean 8 mm) at the pulp of the affected finger innervated by the affected nerve endings. Cold in- tolerance was the most common complaint in the chronic phase. The worst clinical outcome among these patients, one had chronic infection and fistulas around the injected fingers due to late admission to our clinic by the 6th day of post-injury without any emergent treatment prior. Conclusion: To reduce permanent impairments in high-pressure injection injuries of the hand, early decompression and debridement under microsurgical operation settings are important. Therefore, patients should be operated as soon as possible to improve outcomes.
  • [ X ]
    Öğe
    Re: Akyurek M et al. Influence of palmar plate injury on outcomes of zone 2 flexor tendon repair. J Hand Surg Eur. 2024, doi:10.1177/17531934241300510 Reply
    (Sage Publications Ltd, 2025) Akyürek, Mustafa; Hafız, Güneş; Sayan, Mihrican
    [No abstract available]
  • Küçük Resim
    Öğe
    Retrospective analysis of clinical findings and radiologic diagnostic methods of subungual glomus tumor: a single-center study
    (Springer Science and Business Media Deutschland GmbH, 2023) Akyürek, Mustafa; Hafız, Güneş
    Background: Subungual glomus tumors, while benign and straightforward to surgically remove, present unique considerations due to their location and the potential esthetic outcomes of the surgical procedure. Accurate diagnosis is vital, and this study shows a retrospective analysis of clinical and radiological diagnostic methods for these tumors in a single center. Methods: Our study included 28 patients who underwent surgery under the preliminary diagnosis of subungual glomus tumor. We analyzed the correlation between clinical signs, diagnostic tests, and radiological methods, focusing on their sensitivity and specificity. Results: The results indicated a high sensitivity for Love’s pin test and Doppler USG and MRI examinations, but their specificity was low. On the other hand, plain radiography, cold ıntolerance, and Hildreth’s test showed the highest specificity with lower sensitivity. Furthermore, solely nail deformities may lead to inaccurate diagnoses, and 14% of our patients underwent surgery with incorrect indications. Conclusions: The study emphasizes the need for a comprehensive diagnostic approach, employing both highly sensitive tests and highly specific tools, and underscores the importance of a thorough informed consent process given the risks of postoperative nail deformities and unnecessary surgeries. Further research with larger cohorts is needed to better understand and manage these tumors. Level of evidence: Level IV, Therapeutic.