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Öğe Anatomical Insights and Clinical Outcomes of the Interpectoral Pocket Technique for Exposed Cardiac Pacemaker Revision(Wolters Kluwer Medknow Publications, 2024) Akyurek, Mustafa; Cakir, Bahadir; Hafiz, GunesObjective: The objective of this study was to evaluate the effectiveness and safety of the interpectoral pocket technique in the management of exposed cardiac pacemakers, a complication increasingly observed with the rising use of cardiac implantable electronic devices (CIEDs). Materials and Methods: We conducted a retrospective study of 20 patients who underwent revision surgeries for exposed cardiac pacemakers using the interpectoral pocket technique. Data were collected regarding patient demographics, comorbidities, etiology of exposure, preoperative management, surgical procedure, postoperative care, and follow-up results. Results: The overall success rate of the interpectoral pocket technique was 95%. Out of the 20 patients, 3 patients (15%) experienced minor complications, while 1 patient (5%) required additional revision surgeries. No major complications or mortality were reported during the follow-up period. Conclusions: Our study indicates that the interpectoral pocket technique for exposed cardiac pacemaker management is effective and safe. It has the potential in reducing CIED-related complications, improving therapeutic strategies, and lessening the economic burden. However, larger prospective studies are needed to validate these findings.Öğe Evaluating Auricular Conchal Cartilage Grafts in the Surgical Management of Pediatric Orbital Floor Fractures(Lippincott Williams and Wilkins, 2025) Akyurek, Mustafa; Battal, Buruc Barkin; Hafiz, GunesPediatric orbital floor fractures present unique challenges due to ongoing craniofacial growth and the need for reconstructive materials that provide stability while minimizing long-term complications. This retrospective study evaluates the outcomes of auricular conchal cartilage grafts in the surgical management of pediatric blowout fractures. Pediatric patients aged 7 to 16 years who underwent orbital floor reconstruction with conchal cartilage grafts between October 2013 and September 2023 were analyzed. Clinical data, computed tomography findings, surgical details, and postoperative outcomes were reviewed. Among 31 patients diagnosed with blowout fractures, 8 underwent surgical repair using conchal cartilage grafts. The mean age of surgically treated patients was 11.8 years, with an approximate orbital defect size of 2.8 cm2. The mean follow-up period was 25 months. No postoperative infections or donor site deformities were observed. In long-term follow-up, 1 patient exhibited both diplopia on inferolateral gaze and enophthalmos. The use of auricular conchal cartilage provided a structurally compatible, low-morbidity alternative to traditional graft materials. Its inherent concave shape and ease of harvest make it a viable option for pediatric orbital floor reconstruction. The findings of this study support the use of conchal cartilage as a reliable autologous graft for orbital floor repair in pediatric patients; however, further studies with larger patient cohorts and comparative analyses are required to better define its long-term outcomes and optimal indications. Copyright © 2025 by Mutaz B. Habal, MD.Öğe Horizontal pillar technique: A single pedicle septum-based approach in reduction mammaplasty with a twist(Elsevier Sci Ltd, 2023) Akyurek, Mustafa; Hafiz, GunesBreast reduction surgery has proven to be a successful treatment for various conditions such as postural disorders, anxiety, dermatological problems, and body image disorders, and is tailored to accommodate each patient's needs and anatomical variations. The author presents a modified approach for reduction mammaplasty using a septum-based superomedial pedicled nipple-areola complex (NAC) flap combined with horizontal dermoglandular pillars. This adjustment enhances desired breast projection, potentially eliminating the need for alternative pedicles in most cases. The limitations and disadvantages of this new technique are discussed. Between July 2015 and July 2021, 85 patients underwent surgery using the horizontal pillar reduction mammaplasty. Clinical data obtained during follow-up visits were recorded. Patients were asked to answer the local version of the Breast-Q, version 2.0, reduction module postoperative scale questionnaire to evaluate breast shape contentment and patient satisfaction at the 1-year follow-up. Necrosis of the NAC was not observed in any patient. The most common complaints in the early postoperative period were pain along the inframammary fold and swelling that extended into the axillary region. The mean values and standard deviations of the postoperative Breast-Q scores were calculated. The postoperative satisfaction with breasts scale mean value was 84.11 +/- 12.86, and the postoperative satisfaction with outcomes scale mean value was 81.08 +/- 9.97. The horizontal pillar reduction mammaplasty technique is safe, reliable, and easy to perform in breast reduction. Although the initial findings are encouraging, future anatomical and clinical studies are necessary to fully explore this modified technique's functional limitations and long-term outcomes. (c) 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.Öğe Modified Dermal-Fat Flap Suspension Technique for Internal Nasal Valve Dysfunction: A Comparative Study With Conventional Cartilage Grafting(Lippincott Williams and Wilkins, 2025) Akyurek, Mustafa; Cakir, Bahadir; Hafiz, Gunes; Tavas, OzanIatrogenic internal nasal valve (INV) dysfunction is a significant complication after nasal surgery, often necessitating revision surgeries involving cartilage grafting, which carries high risks of complications such as mucosal synechiae, septal perforations, and chronic inflammation. This study evaluates the efficacy of a modified dermal-fat flap suspension technique as an alternative to conventional cartilage grafting for INV reconstruction. A retrospective review was conducted of 30 patients treated between March 2019 and March 2023, including 8 patients who underwent the modified dermal suspension technique and 22 who received spreader grafts. Preoperative and postoperative nasal obstruction symptom evaluation scores were statistically analyzed using the Mann-Whitney U test. While both groups demonstrated significant postoperative improvements, no statistically significant differences were found between the groups. The modified technique, performed under local anesthesia, was associated with fewer complications and avoided extensive cartilage grafting or mucosal dissection, making it particularly suitable for patients with advanced age, high ASA scores, or complex surgical histories. Common complications included transient orbital edema and rare cases of skin discoloration, which resolved over time. Despite a small sample size and reliance on subjective nasal obstruction symptom evaluation scores, this study highlights the potential of the modified dermal-fat flap suspension technique as a less invasive, effective alternative for managing INV dysfunction, especially in high-risk patients. Further studies with larger cohorts and objective measures are needed to validate these findings. Copyright © 2025 by Mutaz B. Habal, MD.
