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    Efficacy of bipolar release in neglected congenital muscular torticollis patients
    (Springer, 2012) Seyhan, Nevra; Jasharllari, Lorenc; Keskin, Mustafa; Savacı, Nedim
    Surgical correction of the congenital muscular torticollis (CMT) is recommended for patients with unsuccessful conservative treatment. The aim of this study is to evaluate the efficacy of surgical release of congenital muscular torticollis in neglected cases. We retrospectively evaluated the data of our patients in terms of age, sex, clinical presentation, localization of the lesion, diagnostic tests, and additional abnormalities. The age at operation ranged from 6 to 23 years. Complete muscular release as determined by pre-operative and postoperative range of motion measurements was achieved in all of the patients by bipolar release. In this study, neck motion and head tilt showed marked improvement with surgical treatment in cases with CMT who were admitted to the hospital lately. Congenital muscular torticollis patients can benefit from surgical intervention above the age of 5. Bipolar release is an adequate and complication-free method.
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    Malignant triton tumor of the oral cavity: A rare occurrence
    (Springer Verlag, 2012) Seyhan, Nevra; Tosun, Zekeriya; Avunduk, Mustafa Cihat; Savacı, Nedim
    Malignant peripheral nerve sheath tumors (MPNST) arise fromSchwann cells or within existing neurofibromas and, as agroup, account for approximately 5–10% of all soft tissuesarcomas [1]. Although MPNST may consist of tissues such asglandular epithelium, squamous cell, cartilage, or bones, thosewhich possess only skeletal muscle differentiation are referredto as malignant triton tumor (MTT). The tumor consists of twocell lines, rabdomyoblasts and Schwann cells.
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    Management of temporomandibular joint ankylosis with temporalis fascia flap and fat graft
    (Churchill Livingstone, 2013) Karameşe, Mehtap; Duymaz, Ahmet; Seyhan, Nevra; Keskin, Mustafa; Tosun, Zekeriya
    Aim: Temporomandibular joint (TMJ) ankylosis is a serious problem that restricts jaw mobility and causes disturbances in facial and mandibular growth. The purpose of this paper is to present an easy and versatile method for the treatment of TMJ ankylosis to decrease postoperative complications such as re-ankylosis. Material and method: Eleven patients who presented with ankylosis of the TMJ underwent surgical release. After performing gap arthroplasty through a preauricular approach, the temporalis fascia flap was transposed to the gap. An autogenous fat graft was then obtained from the abdomen and used as interpositional material. The follow-up time was 3-5 years. Results: Re-ankylosis did not occur in any of the patients, and all had satisfactory mouth opening. Conclusion: Surgical treatment of TMJ ankylosis with gap arthroplasty, interposition of the temporalis fascia flap and fat grafting is an effective and easily procedure for preventing of re-ankylosis. The autogenous nature and close proximity to the joint are the main advantages of the temporalis fascia flap when compared with other interpositional materials, and the fat graft provides additional support by reducing pressure.
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    Rhabdomyosarcoma in an adult hand
    (Informa Healthcare, 2013) Seyhan, Nevra; Keskin, Mustafa; Tosun, Zekeriya; Savacı, Nedim
    Rhabdomyosarcoma (RMS) is a malign tumour which arises from cells committed to a skeletal muscle lineage. It constitutes 4%–8% of all childhood malignancies but is rare in adults. The rare pleomorphic subtype occurs almost exclusively in adults and most often involves the extremities. RMS of the hand or foot comprise a minority of extremity cases. An adult patient with rhabdomyosarcoma in the hand, which is very rare, is presented in this article. General characteristics of the tumour and the treatment strategies are discussed.