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    New Limboconjunctival Flap Technique in the Surgical Treatment of Primary Pterygium: A Preliminary Report
    (AVES, BUYUKDERE CAD 105-9, MECIDIYEKOY, SISLI, ISTANBUL 34096, TURKEY, 2014-09-23) Nuhoğlu, Fadime; Özdemir, Fatma Esin; Sarıcı, Kübra; Abul, Dilek
    Objective: To present our innovative limboconjunctival flap technique in the surgical treatment of primary pterygium and evaluate its effectiveness and safety. Methods: Thirty three eyes of 32 patients diagnosed with primary pterygium were included in this study. Cases with primary pterygium extending >= 3 mm into the cornea were analyzed in this prospective study. Patients with recurrent pterygium, double-head pterygium, and suspected malignity cases were excluded. A limboconjunctival flap prepared from the upper nasal conjunctiva adjacent to the area of excision was pulled over the scleral bed and fixed with three separated 8.0 vicryl sutures. Results: Fifteen of the patients (46.87%) were male and 17 were female (53.1%). The mean age of the patients was 47.9 (42-69) years. No intraoperative complication was observed. The mean postoperative follow-up period was 5.2 months (1-6 months). In all cases, the corneal epithelial defect improved within a week. Ten (76.9%) cases were successfully repaired, while in one case, the flap was displaced 0.5 mm toward the cornea. In addition, two recurrences were observed. Conclusion: We suggest that our innovative technique can be an alternative approach in the surgical management of primary pterygium because of its easy practicability, rapid postoperative rehabilitation, and improved patient satisfaction. However, larger-scale comparative studies are required to establish the effectiveness and safety of this technique.
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    Primer Pterjiyum Cerrahi Tedavisinde Yeni Limbokonjonktival Felp Tekniği: Ön Bildiri
    (Erkan Mor, 2015) Nuhoğlu, Fadime; Özdemir, Fatma Esin; Sarıcı, Kübra; Abul, Dilek
    Amaç: Primer pterjiyumun cerrahi tedavisinde yeni geliştirdiğimiz limbokonjonktival flep tekniğini tanıtmak, etkinlik ve güvenilirliğini değerlendirmek. Yöntemler: Primer pterjiyum tanısı alan 32 hastanın 33 gözü çalışmaya alındı. Retrospektif yapılan çalışmada, korneaya 3 mm ve üzerinde penetrasyon gösteren primer pterjiyumu bulunan olgular çalışma kapsamına alındı. Nüks pterjiyumu, çift başlı pterjiyumu ve malignite şüphesi bulunan olgular çalışma dışı bırakıldı. Hastalara pterjiyum eksizyonu yapıldıktan sonra, Monopolar koter ile skleral yatakta hemostaz sağlandı. Eksizyon alanına komşu, üst nazal konjonktivadan hazırlanan limbokonjonktival flep skleral yatak üzerine kaydırılarak 3 adet 8.0 vicryl ile episkleral olarak sütüre edildi. Bulgular: Hastaların 15’i (%46,87) erkek, 17’si kadındı (%53,1). Olguların yaş ortalaması 47,9 (42-69) yıl idi. İntraoperatif komplikasyon görülmedi. Postoperatif ortalama 7,2 ay (3-11 ay) takip yapıldı. Tüm olgularda bir hafta içinde kornea epitel defektinin kapandığı izlendi. Komplikasyonların arasında avasküler flep ve dellen ülserinin görülmemesi dikkat çekiciydi. İki olguda (%6,1) nüks olduğu gözlendi. İki olguda flebin 0,5 mm korneaya doğru kaydığı görüldü. Sonuç: Geliştirilen bu tekniğin kolay uygulanabilir olması, postoperatif hızlı rehabilitasyon ve hasta memnuniyeti sağlaması nedeniyle primer pterjiyum cerrahi tedavisinde alternatif bir yöntem olabileceğini düşünmekteyiz. Bununla birlikte, bu yöntemin etkinlik ve güvenilirliğini kanıtlamak için daha geniş ve diğer tekniklerle karşılaştırmalı çalışmalara ihtiyaç duyulmaktadır.
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    Surgical Reconstruction of the Eyelids after Tumor Excision: Our Experience with 147 Cases
    (Erkan Mor, 2014) Nuhoğlu, Fadime; Esin Özdemir, Fatma; Abul, Dilek; Sarıcı, Kübra
    Objective: To evaluate the outcomes of various methods for surgical reconstruction of upper and lower eyelids after tumor excision. Methods: Data from 147 cases that were operated on due to tumors of the upper or lower eyelids between 2007 and 2011 were retrospectively analyzed. Surgical success was described as defect closure, proper valve function, appropriate lid contour, and good cosmetic appearance. Postoperative follow-up was performed on the 1st day and 1st week and every month afterwards. Results: The mean duration of follow-up was 8.9 months (6-36 months). Types of surgical interventions consisted of elliptical excision, sutureless excision, rotational flap, advancement flap, Tenzel flap, and blepharoplasty. Scarring at the medial canthus, lid contour deformity, and trichiasis were the complications encountered in the postoperative period. Winking reflex was preserved, and complete closure of eyelids was provided in all of the patients. The overall rate of surgical success was found to be 94.6%. Conclusion: Reconstruction of eyelids is an important issue after the complete excision of a tumor and achievement of tumor-free margins. The reconstructive technique must be appropriate for the location and the size of the lesion, aiming to provide a proper shape and contour for the eyelids. (JAREM 2014; 4: 97-101)