Researcher: Bağhaki, Semih
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Bağhaki, Semih
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Publication Metadata only Expansion of the subcutaneous compartment by umbilicus resection for intrathecal pump placement: the "Karagoz-Hacivat technique"(Lippincott Williams and Wilkins, 2024) Isler C.; Cerci HM; Aydin YS; Toklu S; Hanci MM; Bağhaki, Semih; ; ; Koç University HospitalBACKGROUND AND OBJECTIVES:Intrathecal baclofen (ITB) for severe spasticity can encounter complications such as wound dehiscence and ulcers because of elevated intracompartmental pressure within the abdominal subcutaneous and subfascial pocket housing the pump. We propose an innovative technique to manage ITB wound ulcers.METHODS:Resecting the umbilicus create a more spacious and less tension-prone pocket for the ITB pump.RESULTS:Between 2015 and 2023, we implanted ITB pumps in 65 patients. Among them, 5 patients presented with skin ulcer or dehiscence underwent surgery using the novel technique. Postoperative follow-up revealed successful wound healing, with no further wound-related complications.CONCLUSION:The proposed technique provides effective and practical solution to wound and skin complications related to ITB pump. Moreover, it may serve as a viable preemptive strategy during the initial implantation of the ITB pump in selected patients.Publication Metadata only Superficial temporal artery posterior branch flap for reconstruction of composite oral/perioral defects(Lippincott Williams & Wilkins, 2024) Çelik, Uğur; Çınar, Fatih; Yalçın, Can Ege; Bağhaki, Semih; School of Medicine; Koç University HospitalPurposeDefects involving total lower and/or upper lip often extend to intraoral and/or perioral areas. Flaps based on superficial temporal artery, either as pedicled or free flaps, can be used for reconstruction of various head and neck defects. In this clinical study, we tried to demonstrate the application of a pedicled flap based on the posterior branch of superficial temporal artery in 3-dimensional reconstruction of these composite oral/perioral defects as a successful alternative in cases where microvascular tissue transfer cannot be performed.Patients and MethodsSix male patients with composite perioral/oral defects who underwent reconstruction with a pedicled flap based on the posterior branch of the superficial temporal artery between April 2020 and December 2020 were evaluated retrospectively. Demographic data, topographic data of defects, and the dimensions of the flaps were gathered from patient files. All patients required reconstruction after tumor resection.ResultsAll flaps survived without any signs of partial or total necrosis. Postoperatively, the patients did not report any oral incompetence or drooling, and they were able to fully close their mouths.ConclusionsPedicled flaps based on the posterior branch of superficial temporal artery provide reliable results in composite perioral/oral reconstruction.