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Deep neck infections mortal complications:Intrathoracic complications and necrotising fasciitis

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World Journal of Clinical Cases 2024年第30期12卷 6383-6390页

作者： Kemal koray Bal Can Aslan Harun Gür Seda Turk Bal Recep Okan Ustun Murat Unal Department of Otorhinolaryngology Mersin UniversityMersin 33160Türkiye Department of Emergency Medicine Tarsus State HospitalMersin 33460Türkiye Department of Aestetic Division of Plastic and Reconstructive SurgeryUniversity of Health Sciences Mersin City HospitalMersin 33230Türkiye

BACKGROUND We planned this study considering that complications of deep neck infections can be seriously life *** To raise awareness that introthoracic complications and necrotizing fasciitis are causes of serious mortality and *** This study was carried out with the participation of 188 patients who were treated at Mersin University Department of Otorhinolaryngology and Head and Neck Surgery at January 1,*** the patient files were retrospectively examined,16 of 188 patients(8.5%)were included in the study because they were observed to have necrotizing fasciitis and/or intrathoracic *** There were a total of 16 patients in this study,9 males(56.25%)and 7 females(43.75%).All patients were adults(>18 years)and the mean age was 50.37 years±15.37 *** patients had a mean age of 40.42 years±13.38 years,whereas for male patients was 58.11 years±12.44 *** Patients with necrotizing fasciitis and/or intrathoracic complications require more complicated and serious surgeries,intensive care unit monitoring,and mechanical ventilator *** rates of morbidity and mortality should be expected in Bal KK et *** neck infections mortal complications WJCC https://*** 6384 October 26,2024 Volume 12 Issue 30 these patients who are hospitalized for longer periods of time.

关键词： Deep neck infection Necrotising fasciitis Mediastinitis Complications Mortality

比较标准超声波测量仪和新型光学生物测量仪计算人工晶状体屈光度的准确性(英文)

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国际眼科杂志 2016年第5期16卷 807-810页

作者： Faruk Kaya Ibrahim Kocak Ali Aydin Hakan Baybora koray Karadayi Bagcilar Medipol大学医学院眼科土耳其伊斯坦布尔34214 Bahqelievler Fatih CadNisa医院眼科土耳其伊斯坦布尔34196 尼科西亚Near East大学眼科土耳其梅尔辛33000

目的:比较超乳手术时应用新型光学生物测量仪和标准超声波测量仪计算人工晶状体的屈光度及屈光结果。方法:前瞻性研究。研究包含37例37眼白内障患者接受白内障超声乳化联合人工晶状体植入术。同一测量人员分别使用新型光学生物测量仪(Al... 详细信息

目的:比较超乳手术时应用新型光学生物测量仪和标准超声波测量仪计算人工晶状体的屈光度及屈光结果。方法:前瞻性研究。研究包含37例37眼白内障患者接受白内障超声乳化联合人工晶状体植入术。同一测量人员分别使用新型光学生物测量仪(Aladdin)与标准超声波测量仪(Sonomed AB 5500)对白内障患者进行检测。通过这两种设备记录生物测定参数,包括眼轴长度、角膜曲率、前房深度及人工晶状体屈光度数。分析术后实际屈光不正与两台设备根据SRK/T公式计算的误差,比较两台设备检查结果的平均估计误差(EE)、平均绝对估计误差(AEE)及生物测定参数。结果:Aladdin测量仪(23.45±0.73 mm)较超声波测量仪(23.2±0.75 mm)检测出的眼轴显著较长(P=0.01)。Aladdin测量仪的EE与AEE均明显小于超声波测量仪(P=0.0006与0.03)。应用Aladdin测量的大多数眼与目标屈光度相差在±0.5(67%)及±1.00(97%)以内。结论:Aladdin光学生物测量仪较超声波测量仪更精确,屈光结果更准确。

关键词： Aladdin光学生物测量仪超声波测量仪眼轴长人工晶状体屈光度数术后屈光不正

Survival of Chemically Modified Titanium Surfaced Implants in Irradiated Jaws of Oral Cancer Patients

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Open Journal of Stomatology 2015年第7期5卷 202-209页

作者： Mehmet Yaltirik Bilge Gokcen Rohlig Meltem Ozdemir Karatas Melike Ordulu Sübay Rustu Cem Tanyel Meltem koray Department of Oral and Maxillofacial Surgery Faculty of DentistryIstanbul UniversityIstanbulTurkey Department of Prosthodontics Faculty of DentistryIstanbul UniversityIstanbulTurkey

Objective: To investigate the clinical performance of implants with chemically modified surfaces in irradiated bone in a period of five-years. Patients & Methods: 15 (6 females, 9 males, 50.2 years with a range of 38 - 60 years) patients who had been operated for oral tumors and had undergone radiotherapy were enrolled and 40 SLActive surface implants were placed (24 in the maxilla, 16 in the mandible). Implants were allowed to integrate for a period of 90 days and the stability of the implants was measured with Resonance Frequency Analyzer/Osstell? Mentor (Integration Diagnostics, Savedalen, Sweden) at implant placement, 30 days later and at the end of the 90th day. Patients follow up periods after the implant placement varied from 20 months to 60 months (mean: 45 months). Results: Two implants were lost in maxilla in healing period as a result of osseointegration failure. The survival rate was 95%. During the observation period, totally 4 implants were lost. The overall success rate was 90%. 3 of the lost implants were in maxilla and one was in mandible. The initial ISQ values of the implants differed from 20 - 71;the second values were between 24 - 71 and the last values were between 30 - 89. The implants which were lost could not show a value greater than 35. Conclusion: There was no any complication on the SLActive surface implant placed bones due to irradiation. Within the limitations of this study, it may be concluded that osseointegrated implants can be placed in irradiated bones, unless a careful patient selection and treatment planning is performed.

关键词： Irradiation Resonance Frequency Analysis SLActive Success Criteria

Effect of Peripheral Arterial Disease on Serum Ischemia-Modified Albumin Levels in Type 2 Diabetic Patients

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World Journal of Cardiovascular Surgery 2014年第5期4卷 81-86页

作者： Tugra Gencpinar Umut Ayoglu koray Aykut Gokhan Albayrak Hamid Yasar Ellidag Muzaffer Yilmaz Kadir Sagdic Mustafa Emmiler Cardiovascular Surgery Clinic Education and Research HospitalAntalyaTurkey Department of Cardiovascular Surgery Izmir UniversityIzmirTurkey Department of Biochemistry Education and Research HospitalAntalyaTurkey

Background: The aim of this study is to evaluate the role of IMA and the effect of Type-2 diabetes in peripheral arterial ischemic patient. Methods: In our study, randomized patient groups to be undergone peripheral surgery, consisting of 16 diabetic and 12 non-diabetic patients diagnosed with peripheral arterial disease, have been examined. After standard anesthesia, the surgery was performed by the same surgical team, blood samples were taken before and after cross-clamp, and the levels of ischemia modified albumin (IMA), which is a new ischemic marker, were studied spectrophotometrically. Demographic data were compared with the type-2 diabetes association. Results: In this study, we found that there were no correlation with the ankle brachial index (ABI) and risk factors of diabetes between postoperative IMA levels (P: 0.47). Preoperative IMA serum blood levels were significantly higher in patients with peripheral arterial disease (P: 0.70), and positively associated with ABI (diabetic group P: 0.04, non-diabetic group P: 00). Also, no correlation was found with X clamp times, ABI, and IMA blood levels (P: 0.30). In diabetic group, ischemia marker increase was high and there was a positive correlation between HbA1c levels (P: 0.002). Conclusion: Our study suggested that, preoperative serum IMA levels were positively associated with ABI. In diabetic group, the increase in IMA levels was high and there was positive correlation between HbA1c levels. IMA was a benefit marker for monitoring and early diagnosis of the peripheral arterial disease.

关键词： Artery Diabetes Mellitus Ischemia IMA

Intrahepatic biliary cystic neoplasms:Surgical results of 9 patients and literature review

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World Journal of Gastroenterology 2011年第3期17卷 361-365页

作者： Ali Emre Kür■at Rahmi Serin Ilgin zden Yaman Tekant Orhan Bilge Ayd■n Alper Mine Güllüoglu koray Güven Department of General Surgery Hepatopancreatobiliary Surgery UnitIstanbul Faculty of MedicineIstanbul University Department of Pathology Istanbul Faculty of MedicineIstanbul University Department of Radiology Istanbul Faculty of MedicineIstanbul University

AIM: To investigate the eligible management of the cystic neplasms of the liver. METHODS: The charts of 9 patients who underwent surgery for intrahepatic biliary cystic liver neoplasms between 2003 and 2008 were reviewed retrospectively. Informed consent was obtained from the patients and approval was obtained from the designated review board of the institution. RESULTS: All patients were female with a median (range) age of 49 (27-60 years). The most frequent symptom was abdominal pain in 6 of the patients. Four patients had undergone previous laparotomy (with other diagnoses) which resulted in incomplete surgery or recurrences. Liver resection (n = 6) or enucleation (n = 3) was performed. The final diagnosis was intrahepaticbiliary cystadenoma in 8 patients and cystadenocarcinoma in 1 patient. All symptoms resolved after surgery. There has been no recurrence during a median (range) 31 (7-72) mo of follow up. CONCLUSION: In spite of the improvement in imaging modalities and increasing recognition of biliary cystadenoma and cystadenocarcinoma, accurate preoperative diagnosis may be difficult. Complete surgical removal (liver resection or enucleation) of these lesions yields satisfying long-term results.

关键词： Biliary cystadenoma Cystadenocarcinoma Enucleation Hepatic resection

Renoportal anastomosis in living donor liver transplantation with prior proximal splenorenal shunt

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World Journal of Transplantation 2017年第1期7卷 94-97页

作者： Fatih Ozdemir koray Kutluturk Bora Barut Perviz Abbasov Ramazan Kutlu Cuneyt Kayaalp Sezai Y?lmaz Department of Surgery Liver Transplantation Institute of Inonu University Department of Surgery Azerbaijan Medical School Department of Radiology Liver Transplantation Institute of Inonu University

For transplant surgeons, end-stage liver disease with portal venous thrombosis and a previous splenorenal shunt(SRS) is a significant challenge during liver transplantation. Thrombosis of the portal vein can be corrected by surgical interventions, such as portal venous thrombectomy or surgical removal of the thrombosed portal vein. Even also placement of a graft between the mesenteric vein and the graft portal vein can be performed. If these maneuvers fail, a renoportal anastomosis(RPA) can be performed to achieve adequate graft inflow. A 51-year-old male patient who had a history of proximal SRS and splenectomy underwent living donor liver transplantation(LDLT) due to cryptogenic cirrhosis. LDLT was performed with RPA using a cadaveric iliac vein graft. The early postoperative course of the patient was completely uneventful and he was discharged 20 d after transplantation. To the best of our knowledge, this was the first patient to receive LDLT with RPA after surgical proximal SRS and splenectomy.

关键词： Liver transplantation Portal vein thrombosis Renoportal anastomosis Proximal splenorenal shunt

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另有乾坤纽约S10健身康复水疗中心

室内设计与装修 2022年第4期 38-41页

作者： [美国]Büro koray Duman 秋落(编译) Büro koray Duman

S10健身康复水疗中心所在的位置有些出人意料,它位于纽约市格林威治村附近一座旧的制造大楼的一层和地下室,这在寸土寸金的纽约实属不易。这是B ro koray Duman设计事务所为健身大师和名人教练设计的专业场所。健身房和康复水疗中心占地... 详细信息

S10健身康复水疗中心所在的位置有些出人意料,它位于纽约市格林威治村附近一座旧的制造大楼的一层和地下室,这在寸土寸金的纽约实属不易。这是B ro koray Duman设计事务所为健身大师和名人教练设计的专业场所。健身房和康复水疗中心占地669m2,位于地下室,这里以前是工厂的存储间。这个极简风格的健身场所在一楼还有一个56m2的自助餐厅,可以为那些想要在剧烈运动后恢复能量的人出售咖啡和冰沙。

关键词：设计事务所地下室健身房健身场所格林威治村水疗极简风格自助餐厅

Short-Term Outcomes of Two Surgical Techniques for the Treatment of Coarctation of the Aorta in Infants: Subclavian Flap Repair and Resection with Extended End-to-End Anastomosis Technique

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World Journal of Cardiovascular Diseases 2015年第1期5卷 1-8页

作者： Mustafa Karacelik¹ Burcin Abud Ugur Karagoz¹ Pelin Ozturk¹ Gokhan Albayrak Onur Doyurgan koray Aykut Mehmet Guzeloglu Eyup Hazan Osman Nejat Sarıosmanoglu Department of Pediatric Cardiac Surgery Behcet Uz Children’s HospitalIzmirTurkey Department of Cardiovascular Surgery Izmir Tepecik Research and Training HospitalIzmirTurkey Department of Cardiovascular Surgery Izmir University School of MedicineIzmirTurkey

Background: The aims of the study were to analyze the importance of two different surgical procedures, and to determine outcomes for neonates with coarctation of the aorta in two newly established centers. Methods: Outcomes of two different surgical repairs for coarctation of the aorta in 43 infants were evaluated retrospectively. The study was designed as a nonrandomized, cross-sectional study. The subclavian flap repair was applied to 22 patients (51%) and resection with extended end-to-end anastomosis technique to 21 patients (49%). After all operative survivors were followed up with a mean follow-up of 1.8 ± 0.8 years, data analyzed with t-test and the p value < 0.05 were considered statistically significant. Results: The overall mortality rate was 4.6%. Forty mmHg gradients were determined in a patient from Resection Group postoperatively in the fifteenth month. After the balloon angioplasty, the gradient decreased to 25 mmHg. The presence of ventricular septal defect (p = 0.094) was the only significant predictor of adverse short-term outcome among the associated cardiac defects analyzed. The first-year survival rate was 100% in both groups in isolated coarctation (p = 0.965), however;such rate was found as 100% and 93.25% in Waldhausen Group and Resection Group, respectively in complex coarctation (p = 0.294). Conclusions: Both the subclavian flap repair and resection with extended end-to-end anastomosis for coarctation of the aorta in infants provide excellent short-term outcomes with lower recurrence rates requiring surgery or angioplasty.

关键词： Congenital Heart Disease Coarctation of Aorta Infant

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阳光单身Loft

现代装饰（家居） 2015年第2期 26-35页

作者： Sabahattin Emir Yasemin Arpac koray Erkaya 范嘉苑土耳其Ofist

本案是Ofist工作室为一个45岁单身男士打造的180:平米的阁楼项目,地处伊斯坦布尔的中心地带,毗邻古老的亚美尼亚Getronagan教堂和Galata塔楼。房屋的所在地点、业主的个性以及生活需求都是设计师在设计本案时的重要考量因素。业主是一... 详细信息

本案是Ofist工作室为一个45岁单身男士打造的180:平米的阁楼项目,地处伊斯坦布尔的中心地带,毗邻古老的亚美尼亚Getronagan教堂和Galata塔楼。房屋的所在地点、业主的个性以及生活需求都是设计师在设计本案时的重要考量因素。业主是一位热爱户外运动的人士,所以设计师在选择材料和设计空间时都力求贴合其性格特点,希望打造出的住宅具有自然、中性、舒适和实用等特征。

关键词： Loft 所在地点选择材料设计空间 kitchen personality 储物柜 longitudinal 整体空间时尚气息