Ahmet Emin DEMİRBAŞ, Erdem KILIÇ, Cihan TOPAN, Alper ALKAN

OSMOTİK YUMUŞAK DOKU GENİŞLETİCİLERİN YERLEŞTİRİLMESİNDE TÜNEL VE FLEP TEKNİKLERİNİN KARŞILAŞTIRILMASI

Amaç: Yumuşak doku genişleticiler; tümör, defekt veya travma sonrası meydana gelen doku kayıplarının tamiri için komşu sağlıklı dokudan faydalanarak defektlerin onarılması amacı ile cerrahi branşlarda yaygın olarak kullanılmaktadır. Yumuşak doku genişleticiler ile ilgili yaşanan problemlerden biri doku genişleticinin doku altına yerleştirilmesinde doğru tekniğin seçimidir. Bu çalışmadaki amacımız osmotik yumuşak doku genişleti-cilerin doku altına yerleştirilmesinde kullanılan tünel ve flep tekniklerini koyun modelinde karşılaştırmaktır.

Anahtar Kelimeler:

Osmotik yumuşak doku genişletici, tünel tekniği, flep tekniği

COMPARISON OF TUNNEL AND FLAP TECHNIQUES IN THE PLACEMENT OF OSMOTIC SOFT TISSUE EXPANDERS

Purpose: Soft tissue expanders are widely used in surgical branches by utilizing adjacent healthy tissue near the defect area for the reconstruction of tissue loss after tumor, defect or trauma. One of the problems with soft tissue expanders is the selection of the right technique for placing the tissue expander under the tissue. We aim to compare tunnel and flap techniques which are used to place the osmotic soft tissue expanders in toothless keratinized soft tissue of sheep mandible.Materials and Methods: 14 adult sheep were used in this study. Two separate study groups each consisting of 7 sheep were created to compare tunnel and flap technique. Flap and tunnel techniques were evaluated in terms of complications such as necrosis, infection of adjacent soft tissue and loss of tissue expander after surgery.Results: 7 of a total 14 tissue expanders in the first group using flap technique were exposed to oral cavity due to the loss of the integrity of the wound edges during the follow-up period. In remaining 7 tissue expanders in the first group, it was observed that wound healing was uneventful, and soft tissue expansion was achieved without any problem. In the second group using tunnel technique, it was seen that wound healing and soft tissue expansion were uneventful in all the animals.Conclusion: The use of tunnel technique for soft tissue expansion with osmotic tissue expanders is more successful than flap technique in preventing postoperative complications.

Keywords:

Osmotic soft tissue expander, tunnel technique, flap technique,

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