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YENİGÜN, ALPER

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ALPER
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YENİGÜN
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Subject: Cerrahi Tıp Bilimleri ×

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    Key stone plasty and asymmetric hump resection in crooked nose deformity
    (2022-09-01) Balikci H.; YENİGÜN A.; ÇELİK İ.; AKSOY F.; DOĞAN R.; ÖZTURAN O.; YENİGÜN, ALPER; ÇELİK, İSMAİL; AKSOY, FADLULLAH; DOĞAN, REMZI; ÖZTURAN, ORHAN
    © 2022 Elsevier Inc.Objective: The aim of this study is to propose a new approach in crooked nose deformity with key-stone plasty and asymmetric hump resection. Method: Twelve patients with crooked nose deformities were operated using the open rhinoplasty technique. Our method, unlike other methods, has two different steps. Following asymmetric hump resection, cartilaginous and osseous septum were cut separated at the key stone area or more caudally and fix the septum with sutures again by allowing them to slide over each other in a way that directs the septum to the midline. If there is an inability to reveal the septum, we apply a longer spreader graft to the cartilage septum side. Results: The mean ages were 27.4 years. The mean follow-up time of the patients was 19.1 months. No complications were observed due to this technique. This technique was effective in the treatment of all our patients with crooked nose deformities. Conclusion: A novel surgical approach with key-stone plasty and asymmetric hump resection method was proposed in crooked nose deformity with a video animation.
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    Lateral Overlay Sliding Transposition (LOST): A Novel Surgical Technique in Patients with Cephalic Malposition and Alar Retraction
    (2023-01-01) Alp A.; POLAT E.; YENİGÜN A.; ÖZTURAN O.; POLAT, EMRE; YENİGÜN, ALPER; ÖZTURAN, ORHAN
    Objective: This study aims to demonstrate a new surgical technique that can be applied in patients with cephalic malposition and patients with alar retraction. Methods: In this technique, a cartilage incision is made between the upper 2/3 and lower 1/3 close to the caudal edge and parallel to the cephalic edge of the lateral crus. Following this incision, the cephalic lateral crus and middle crus are meticulously dissected away from the underlying vestibular skin. The prepared flap is transposed over the intact caudal part of the lateral crus and secured in position. Results: The average age of the patients included in the study was 24 years. The mean follow-up period was nine months, ranging from 6 to 12 months. No complications were observed following the application of the technique. Satisfactory outcomes were achieved postoperatively. Conclusion: Lateral overlay sliding transposition as a novel surgical technique has been demonstrated in patients presenting with cephalic malposition, mild to moderate alar retraction, and alar irregularity. Level of Evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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    Cog graft, a new septal extension graft for designing nasal tip rotation and projection in rhinoplasty
    (2024-03-01) SOYLU E.; YENİGÜN A.; ÖZTURAN O.; YENİGÜN, ALPER; ÖZTURAN, ORHAN
    Background: Adjusting the nasal tip rotation and tip projection according to the patient\"s face and wishes is a very important stage in rhinoplasty with the use of a cog graft positioning the tip point in the appropriate place is possible by adjusting the nose length, tip projection and tip rotation together. Objective: The aim of this study is to facilitate positioning the tip rotation and projection in the appropriate place according to the patient\"s needs in rhinoplasty with Cog graft. Materials and methods: Cog graft was applied in 32 patients who underwent rhinoplasty. Cog graft was prepared from costal cartilage in 10 patients and from septal cartilage in 22 patients. Cog graft was prepared by shaping the superior edge of the septal extension graft like a gear wheel. It is fixed to provide desired projection to the caudal septum. In the position where rotation and projection are evaluated adequately, the graft is fixed with sutures. They were followed in average 18 months (between 6 and 24 months). Results: Twenty of the patients were primary cases and 12 were revision cases. The targeted rotation and projection results were achieved in all patients. All patients had satisfactory esthetic results. Conclusions: Cog graft is a useful graft with which we can adjust the nose length, projection and rotation appropriately and in a short time with a single graft.