Person: GÜNEREN, ETHEM
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Publication Open Access Treatment of Mallet Finger Deformity with Ring Splint(2018-07-01) Hosbay, ZEYNEP; Guneren, ETHEM; HOŞBAY, ZEYNEP; GÜNEREN, ETHEMMallet finger deformity is the loss of active extension on distal interphalangeal joint and possessing hyperextension deformity on PIP joint. Although there are several treatment alternatives for mallet finger deformity, optimal treatment is unclear. In this paper, we discuss Mallet finger deformity caused by blunt injuries in the late term in a 7-year-old patient, who underwent second surgery. We also discuss the results of subsequent physiotherapy program.Publication Open Access Functional Improvement with Free Vascularized Toe-to-hand Proximal Interphalangeal (PIP) Joint Transfer.(2018-07-09T00:00:00Z) Güneren, E; Kuzu, İM; Kayan, RB; Öztürk, K; GÜNEREN, ETHEMPublication Open Access Double-Layer Reconstruction of the Achilles- Tendon Using a Modified Lindholm-s Technique and Vascularized Fascia Lata(2018-04-01T00:00:00Z) Kelahmetoglu, OSMAN; Gules, Mustafa Ekrem; Elmadag, Nuh Mehmet; Ergun, Selma Sonmez; Guneren, Ethem; KELAHMETOĞLU, OSMAN; GÜNEREN, ETHEM; ERGÜN, SELMALoss of the Achilles- tendon with overlying soft tissue and skin defects remains a complex reconstructive challenge. Herein we present our experience using a free composite anterolateral thigh (ALT) flap with vascularized fascia lata and a modified Lindholm-s technique to repair the Achilles- tendon. A 37-year-old man suffered from tertiary Achilles- tendon rupture. For reconstruction, the free composite ALT flap with vascularized fascia lata was used to wrap Achilles- tendon. A modified Lindholm-s technique was used to cover overlying soft tissue defects. The patient was followed up for 12 months. No wound healing problems were reported, and the patient was able to walk and return to his daily ambulating activities without any support after 5 months postoperatively. This technique may be useful to achieve satisfactory outcomes in patients with ruptured Achilles- tendons following tertiary repair.Publication Open Access A simple concept for covering pressure sores: wound edge-based propeller perforator flap.(2017-12-01T00:00:00Z) Kelahmetoglu, OSMAN; Guneren, E; Van, Landuyt; Yagmur, C; Sommeling, CE; Keles, MK; Tayfur, V; Simsek, T; Demirtas, Y; KELAHMETOĞLU, OSMAN; GÜNEREN, ETHEMPublication Open Access Primary cutaneous carcinosarcoma: The first reported case with peripheral nerve sheath differentiation(2014-06-01T00:00:00Z) Yildiz, PELİN; Tosuner, ZEYNEP; Guneren, ETHEM; Demirkesen, Cuyan; YILDIZ, PELİN; TOSUNER, ZEYNEP; GÜNEREN, ETHEMPrimary cutaneous carcinosarcomas (CS) are extremely rare biphasic tumors mainly located on sun-exposed areas of the body. Two hypotheses-multiclonal (convergence) and monoclonal (divergence)-have been suggested for the evolution of these tumors. According to multiclonal hypothesis two or more stem cells of epithelial and mesenchymal origin give rise to these tumors, while a single totipotential cell differentiate into epithelial and mesenchymal components, either synchronously or metachronously according to monoclonal hypothesis. Cutaneous CSs are subdivided into two distinct groups as epidermal and adnexal CSs, due to their epithelial content. We present an interesting case of cutaneous adnexal CS, showing peripheral nerve sheath differentiation and having the spiradenocarcinoma component derived from spiradenoma. To the best of our knowledge, it is the first reported case of CS with these features in the literature.Publication Open Access Embedding Exposed Subcutaneous Venous Ports in the Pectoral Muscle: A Practical and Stable Technique for Coverage(2017-04-01) Kelahmetoglu, OSMAN; Demir, Ahmet; Yagmur, Caglayan; DEMIRTAS, Yener; Guneren, ETHEM; KELAHMETOĞLU, OSMAN; GÜNEREN, ETHEMObjective: The aim of this study was to present our experience in embedding exposed subcutaneous venous ports in the pectoral muscle.Publication Open Access Pedicled latissimus dorsi myocutaneous flap in the reconstruction of the head and neck region: Experience with 17 patients(2017-07-01) Yildiz, KEMALETTİN; KAYAN, Resit Burak; Guneren, ETHEM; YILDIZ, KEMALETTİN; GÜNEREN, ETHEMObjective: To assess the efficacy of a modified pedicled latis-simus dorsi myocutaneous flap (LDMF) in the reconstruction of defects of the head and neck region. Methods: The retrospective analysis of 17 consecutive patients operated between 2010 and 2014 in the Plastic and Reconstructive Surgery Department of a tertiary care center was performed. Among them, four (23.5%) were initially diagnosed with trauma, while 13 (76.5%) had squamous cell carcinoma originating from the head and neck region. Tumor recurrence, necrosis of the free flap, advanced age, presence of a comorbidity, and previous history of radiotherapy were indicators for a pedicled LDMF. The pedicled LDMF technique was performed via the modified subcutaneous tunnel method in all patients. Demographic, clinical, and peroperative data as well as complications in and a survey of our patients were documented. Results: Our series comprised 11 males (64.7%) and six females (35.3%); the average age was 64.29 +/- 5.43 (range, 51 to 72) years. Seroma (5/17, 29.4%) and partial flap necrosis (3/17, 17.6%) were the most common complications, while the rate of mortality during the follow-up period was 17.6% (3/17). One patient died during the early postoperative period, while two died during their oncological treatment and follow-up. No remarkable functional disabilities or restrictions were postoperatively observed. Conclusion: Our results showed that a pedicled LDMF can constitute a safe and effective alternative for the reconstruction of head and neck defects in selected patients. However, further controlled clinical trials on larger series are warranted to precisely unveil the indications, contraindications, and outcomes of a pedicled LDMF.