The Experts below are selected from a list of 315 Experts worldwide ranked by ideXlab platform
Mustafa Ozdemir - One of the best experts on this subject based on the ideXlab platform.
-
limberg flap procedure for pilonidal Sinus Disease results of 353 patients
Langenbeck's Archives of Surgery, 2008Co-Authors: Oner Mentes, Mahir Bagci, Turker Bilgin, Omer Ozgul, Mustafa OzdemirAbstract:Purpose Pilonidal Sinus Disease is common especially in young adult males. Many surgical and nonsurgical methods have been described. Some surgical techniques for the treatment still have high recurrence rate. The aim of this study was to evaluate advantages and long term results of Limberg flap surgical technique.
-
management of pilonidal Sinus Disease with oblique excision and primary closure results of 493 patients
Diseases of The Colon & Rectum, 2006Co-Authors: Oner Mentes, Mahir Bagci, Turker Bilgin, Ibrahim Coskun, Omer Ozgul, Mustafa OzdemirAbstract:Purpose: Pilonidal Sinus Disease is a common and well-known entity. Many surgical methods have been described for the treatment of pilonidal Sinus Disease. The aim of this study was to determine the advantages and long-term results of oblique excision and primary closure techniques. Method: Between January 1999 and December 2001, 493 patients (490 male, 3 female; average age = 23.48 ± 3.90 (range, 15-51) years) were operated on for primary or recurrent pilonidal Sinus Disease. An oblique fusiform-shaped incision was made and the skin was excised. The operation was completed with primary closure. All patients' follow-up examinations were made at the end of the 6 weeks and 3, 6, 12, and 18 months after surgery. Results: The mean duration of symptoms was 22.09 ± 17.12 (range, 1-120) months. The mean duration of hospital stay was 5.51 ± 2.85 (range, 2-17) days. At the end of the follow-up period, the recurrence rate was 5.6 percent. Conclusion: The ideal operation for pilonidal Sinus Disease treatment must be simple and effective. The technique of oblique excision and primary closure may be considered an alternative operation for pilonidal Sinus resulting in a low recurrence rate.
Dietrich Doll - One of the best experts on this subject based on the ideXlab platform.
-
strength of occipital hair as an explanation for pilonidal Sinus Disease caused by intruding hair
Diseases of The Colon & Rectum, 2017Co-Authors: Dietrich Doll, Friederike D Bosche, Verena K Stauffer, Inga Sinicina, S Hoffmann, Dominic Van Zypen, Markus M LuediAbstract:BACKGROUND:Pilonidal Sinus Disease is thought to be caused by intrusion of hair into healthy skin; loose hair in the intergluteal fold is thought to promote Disease. However, compelling evidence to support these postulates is lacking; the cause of pilonidal Sinus Disease remains uncertain.OBJECTIVE:
-
long term effects of postoperative razor epilation in pilonidal Sinus Disease
Diseases of The Colon & Rectum, 2009Co-Authors: Sven Petersen, Kai Wietelmann, Theo Evers, Norbert Huser, Edouard Matevossian, Dietrich DollAbstract:PURPOSE: To study potential benefits of postoperative epilation after pilonidal Sinus surgery, the long-term effect of hair removal on pilonidal recurrence was investigated. METHODS: A total of 1,960 patients with pilonidal Sinus treated surgically from 1980 to 1996 in three hospitals of the Deutsche Bundeswehr were eligible for the study. Regular hair removal with a razor was recommended for all patients after surgery. A randomly selected sample of 504 patients was contacted for a follow-up telephone interview. RESULTS: The mean follow-up time was 11.3 (standard deviation, 6.4) years. Overall, pilonidal Sinus Disease recurred in 111 (22 percent) of the 504 patients. A total of 113 patients followed the recommendation to perform epilation (mean duration, 7.5 months), and 391 patients did not. Recurrence was observed in 30.1 percent (34/113) of patients who performed postoperative epilation and in 19.7 percent (77/391) of patients who did not perform postoperative epilation (P = 0.01). CONCLUSIONS: Razor hair removal increases the rate of long-term recurrence after surgery for pilonidal Sinus Disease and therefore should not be recommended. However, the rationale for hair removal in pilonidal Sinus Disease is compelling. Other epilation techniques such as laser hair removal should be investigated in appropriate studies.
-
Surgery for asymptomatic pilonidal Sinus Disease
International Journal of Colorectal Disease, 2008Co-Authors: Dietrich Doll, Jan Friederichs, Anne-laure Boulesteix, W. Düsel, Falko Fend, Sven PetersenAbstract:Introduction Asymptomatic pilonidal Sinus Disease (PSD) discovered incidentally is regarded as a precursor of symptomatic Disease, which is characterized by intradermal hair eliciting an inflammatory reaction. We aimed to investigate whether asymptomatic PSD already shows inflammation, though clinically inapparent, or represents a ‘virgin’ Sinus.
Safia Barakzai - One of the best experts on this subject based on the ideXlab platform.
-
equine paranasal Sinus Disease a long term study of 200 cases 1997 2009 treatments and long term results of treatments
Equine Veterinary Journal, 2012Co-Authors: Padraic Dixon, T D H Parkin, N Collins, Claire Hawkes, Neil Townsend, G Fisher, R Ealey, W H Tremaine, Safia BarakzaiAbstract:REASONS FOR PERFORMING STUDY: There is limited objective information available on the treatment and the long-term response to treatment of the different types of equine Sinus Disease. OBJECTIVES: To document the treatments and long-term response to these treatments in 200 cases of equine Sinus Disease (1997-2009). METHODS: The treatments of horses affected with subacute primary Sinusitis (n = 52); chronic primary Sinusitis (n = 37); dental Sinusitis (n = 40); Sinus cyst (n = 26); traumatic (n = 13); dental-related oromaxillary fistula (n = 8); Sinus neoplasia (n = 10); mycotic Sinus Disease (n = 7); and intraSinus progressive ethmoid haematoma (n = 7) and the long-term response to these treatments were retrospectively reviewed. RESULTS: Treatments evolved throughout the study and latterly were as conservative as possible, including sinoscopic lavage and standing Sinusotomy, with a maxillary Sinusotomy approach preferred for the mainly mature horses treated in this study. Removal of intraSinus inspissated pus, including transendoscopically (by Sinusotomy and via existing sinonasal fistulae), was the main treatment for chronic primary Sinusitis and sinonasal fistulation was seldom performed latterly. Attempted oral extraction of infected cheek teeth, even if unsuccessful, facilitated subsequent dental repulsion, resulting in few post operative problems. Sinus cyst removal carried an excellent prognosis. Except for cases of Sinus neoplasia (only 22% cured), an excellent long-term response to treatment (91% fully cured, 7% partially cured) was obtained for all other types of Sinus Disease following a median of one treatment. CONCLUSIONS: More conservative treatments, including removal of intraSinus inspissated pus by sinoscopy, pre-existing sinonasal fistula or Sinusotomy, are effective for chronic primary Sinus Disease. Standing Sinusotomy, mainly using a small maxillary site, was suitable for most cases of Sinus Disease in mature horses.
-
historical and clinical features of 200 cases of equine Sinus Disease
Veterinary Record, 2011Co-Authors: Padraic Dixon, T D H Parkin, N Collins, Claire Hawkes, Neil Townsend, G Fisher, R Ealey, Safia BarakzaiAbstract:The historical and clinical findings in 200 referred cases of equine Sinus Disease were reviewed retrospectively. Univariable and multivariable analyses were performed to detect significant differences in historical or clinical features between various categories of Sinus Disease. The causes of Sinus Disease were classified as subacute primary (less than two months duration) (n=52), chronic primary (more than two months duration) (n=37), dental (n=40), Sinus cyst (n=26), traumatic (n=13) or mycotic Sinusitis (n=7), Sinus neoplasia (n=10), dental-related oromaxillary fistula (n=8) and intraSinus progressive ethmoid haematoma (n=7). The majority of Sinus disorders were of chronic duration at the time of referral and most (including 97 per cent of chronic primary Sinusitis cases) had not responded to previous antibiotic therapy and/or Sinus lavage in some cases. Clinical signs included unilateral nasal discharge in most cases, including purulent or mucopurulent discharge in all horses with primary, dental and mycotic Sinusitis. Haemorrhagic nasal discharge was a feature of traumatic Sinusitis and intraSinus progressive ethmoid haematomas. Firm facial swellings and nasal airflow obstruction were features of Sinus cysts and neoplasms. Ipsilateral lymphadenitis was a more prominent feature of Sinus Disease with active infections such as primary, dental or mycotic Sinusitis.
Oner Mentes - One of the best experts on this subject based on the ideXlab platform.
-
limberg flap procedure for pilonidal Sinus Disease results of 353 patients
Langenbeck's Archives of Surgery, 2008Co-Authors: Oner Mentes, Mahir Bagci, Turker Bilgin, Omer Ozgul, Mustafa OzdemirAbstract:Purpose Pilonidal Sinus Disease is common especially in young adult males. Many surgical and nonsurgical methods have been described. Some surgical techniques for the treatment still have high recurrence rate. The aim of this study was to evaluate advantages and long term results of Limberg flap surgical technique.
-
management of pilonidal Sinus Disease with oblique excision and primary closure results of 493 patients
Diseases of The Colon & Rectum, 2006Co-Authors: Oner Mentes, Mahir Bagci, Turker Bilgin, Ibrahim Coskun, Omer Ozgul, Mustafa OzdemirAbstract:Purpose: Pilonidal Sinus Disease is a common and well-known entity. Many surgical methods have been described for the treatment of pilonidal Sinus Disease. The aim of this study was to determine the advantages and long-term results of oblique excision and primary closure techniques. Method: Between January 1999 and December 2001, 493 patients (490 male, 3 female; average age = 23.48 ± 3.90 (range, 15-51) years) were operated on for primary or recurrent pilonidal Sinus Disease. An oblique fusiform-shaped incision was made and the skin was excised. The operation was completed with primary closure. All patients' follow-up examinations were made at the end of the 6 weeks and 3, 6, 12, and 18 months after surgery. Results: The mean duration of symptoms was 22.09 ± 17.12 (range, 1-120) months. The mean duration of hospital stay was 5.51 ± 2.85 (range, 2-17) days. At the end of the follow-up period, the recurrence rate was 5.6 percent. Conclusion: The ideal operation for pilonidal Sinus Disease treatment must be simple and effective. The technique of oblique excision and primary closure may be considered an alternative operation for pilonidal Sinus resulting in a low recurrence rate.
Fehmi Doner - One of the best experts on this subject based on the ideXlab platform.
-
what is the relationship between chronic Sinus Disease and isolated nasal septal deviation
Otolaryngology-Head and Neck Surgery, 2005Co-Authors: Hasan Yasan, Harun Dogru, Bahattin Baykal, Fehmi DonerAbstract:OBJECTIVE: The aim of this retrospective study is to examine the role of isolated nasal septal deviation (NSD) in the pathogenesis of chronic rhinoSinusitis (CRS). STUDY DESIGN AND SETTING: The interaction between isolated NSD and chronic Sinus Disease were retrospectively evaluated in 1452 patients. Out of 1452 patients, 152 patients were included in the study. Patients with anatomical variants other than NSD were excluded from the study. Patients with NSD were enrolled in the study group and patients without NSD were enrolled in the control group. RESULTS: There was no statistically significant difference between NSD group and non-NSD group with respect to the CRS. CONCLUSIONS: The mild to moderate degree of NSD was not a risk factor for chronic Sinus Disease. Only gross deviation of the nasal septum itself is a risk factor for the development of CRS. SIGNIFICANCE: Excluding the subjects with ostiomeatal anatomic variations has differentiated this study from the previously reported researches (isolated NSD).