Background/aim: The objective of this study was to compare the postoperative changes taking place in the nasal senses of patients who underwent a rhinoplasty through the open or closed incision method. Materials and methods:In a prospective study, 15 patients had a closed rhinoplasty surgery and 15 others had an open one. By pinpointing 9 spots in the nose, a sensory assessment was made by means of Semmes-Weinstein monofilaments prior to the surgery and 1 week and 1, 3, and 6 months after the surgery. Results:In the open and closed groups, there was hypoesthesia 1 week after the surgery compared with the preoperative period (P = 0.01 and P = 0.016). In the first week a sense reduction in the upper columella was observed in the open group when compared with the closed one (P = 0.035). There were no other significant differences between the groups in the nasal regions at other times. Conclusion:It was ascertained that there was reduced sensation in the upper columella in the open incision group in the first postoperative week. The sensation was reduced in both groups in the first postoperative week. The nasal sensation recovered after the first month.

Background: Poland syndrome (PS) is a rare congenital anomaly characterized by partial or complete absence of the major pectoral muscle which is variably associated with ipsilateral thoracic and upper limb deformities. Case Presentation: We present multimodality imaging features of PS associated with cervical rib and elongated transverse process of cervical vertebrae in a 25 year-old female patient. Conclusion: PS is a rare congenital disorder that has a wide spectrum of clinical presentations. The aim of our case report was to show multimodality imaging features of the PS associated with cervical rib and elongated transverse process of cervical vertebrae. We could not find any similar case reported in the literature. (El Med J 2:3; 2014

Ö ÖZ ZE ET T A Am ma aç ç: : Flep nekrozu yetersiz kan dolaşımı ve iskemi-reperfüzyon hasarının bir sonucu olarak gelişir. Serbest oksijen radikalleri deri doku hasarı oluşumuna katılarak kısmi flep nekrozuna neden olurlar. Bu nedenle çalışmada antioksidan olan N-asetil sistein (NAC)'in, sıçanlarda deri fleplerinin yaşayabilirliği üzerine etkisinin araştırılması amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Ça-lışmadaki deneylerin tümü Fırat Üniversitesi Hayvan Deneyleri Yerel Etik Kurulu'ndan izin alı-narak yapıldı. Çalışmada 14 erkek Wistar sıçanı kullanıldı. Bunlar rastgele olarak kontrol grubu ve NAC-grubu olmak üzere yedişerli iki gruba ayrıldı. Her iki gruptaki tüm sıçanlarda dorsal böl-geden 2x7 cm boyutlarında deri flebi kaldırıldı. NAC-grubunun sıçanlarına kas içi olarak günlük sabah akşam 20 mg/kg dozda (günlük total doz: 40 mg/kg), 10 gün süre ile NAC uygulandı. Kontrol grubu sıçanlarına ise 10 gün süre ile aynı zamanlarda diğer gruba verilen NAC solüsyonu hacminde (0,15 mL) %0,9 NaCl solüsyonu kas içi olarak verildi. Operasyon sonrası 10. günde deri flebi canlılığı değerlendirildi. Canlı deri flebi alanının büyüklüğü kontrol grubu ile NAC grubu arasında kıyaslandı. B Bu ul lg gu ul la ar r: : Kas içi NAC enjeksiyonu deri flebinin yaşayabilirliğinde kontrol grubuna göre istatistiksel olarak anlamlı düzeyde artışla sonuçlandı [NAC grubunda deri flep yaşayabilirliği, %59,89 (31,28-66,64); %35,70 (17,25-44,07); p=0,026]. S So on nu uç ç: : Bu çalışmadan elde edilen bulgulara göre, NAC uygulaması deri fleplerinin yaşayabilirliğini önemli derecede arttır-mıştır. Bu nedenle NAC uygulamasının flep cerrahisi tedavisini desteklemek için kullanılabile-ceği düşünülmektedir.A An na ah ht ta ar r K Ke el li im me el le er r: : Antioksidanlar; serbest doku flepleri A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Flap necrosis results from inadequate blood perfusion and ischemia-reperfusion injury. Free oxygen radicals play an important role in skin tissue injury, leading to partial flap necrosis. Therefore, in the current study, it was aimed to investigate the effects of N-acetyl cystein (NAC), a highly effective antioxidant agent, on skin flap survival in rats. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Fourteen male Wistar rats were randomly divided into two groups of 7 each, control and NACgroups. A standardized dorsal random pattern (2x7 cm) skin flap was elevated in the rats of both groups. In the rats of NAC group, NAC was administered intramuscularly at a dose of 40 mg/kg body weight/day (20 mg/kg at 8:00 am and 20 mg/kg at 8:00 pm) for 10 days. In the rats of control group, %0.9 NaCl solution was intramuscularly administered for 10 days. Skin flap viability was evaluated on postoperative day 10, and the extent of the viable skin flap area was compared between control and NAC-groups. R Re es su ul lt ts s: : The injection of NAC resulted in a significant increase in skin flap viability when compared to control group [viable skin flap ratio in the NAC-treated gr...