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Öğe Comparison of stiffness, elasticity and resilience values of ACL with autografts used instead of ACL in terms of texture analysis(Cell Press, 2024) Mert, Ahmet; Cinaroglu, Selim; Aydin, Murat; Cicek, Fatih; Ceranoglu, Faruk GaziBackground: Anterior cruciate ligament (ACL) ruptures are one of the most extensively studied injuries in the field of orthopedics, but despite the extensive research, graft selection for ACL reconstruction remains a matter of debate. The present study aims to evaluate the stiffness and elasticity of native ACLs using texture profile analysis and compare results with those of autografts used in ACL reconstruction. Methods: Included in the study were dissected 12 cadavers from which grafts were recovered. The graft characteristics, such as stiffness, elasticity and resilience, were measured using a TA.XT Plus Texture Analyzer. Findings: Among the grafts studied, Achilles' tendon graft (0.70; 0.64) had the highest resilience in both males and females, while the greatest elasticity was identified in the patellar tendon graft (Male: 93 %; Female: 94 %) in all subjects. The highest stiffness value in males was recorded for the quadriceps tendon graft (2928.76 N), while the highest stiffness value in females was recorded for Achilles' tendon graft (2204.61 N). Interpretation: According to the study data, the autografts that may be considered as an alternative to ACL were, listed in order of strength from high to low, the quadriceps, Achilles', patella and hamstring tendons in men, and the Achilles', quadriceps, patellar and hamstring tendons in women. It is worthy of note that the hamstring tendon graft, which is the most frequently preferred autograft in ACL reconstruction, was found to be the lowest in all parameters in both groups.Öğe Evaluation of nerve innervation distribution of orbicularis oculi muscle for botulinum neurotoxin application using Sihler's method(Elsevier Gmbh, 2024) Cicek, Fatih; Cinaroglu, Selim; Ceranoglu, Faruk Gazi; Kucuk, Erkut; Zor, Kursad RamazanBackground: Blepharospasm is the involuntary and forced closure of the eyelids due to spasm-like contraction of the orbicularis oculi muscle around the eye. The study aimed to reveal the nerve innervation of the orbicularis oculi muscle for Botulinum neurotoxin (BoNT) treatment of blepharospasm by Sihler's staining technique.Methods: This study used six cephalus (12 orbicularis oculi muscles) with an average age of 69,6 (62-88) years. Then, the orbicularis oculi muscles were removed by dissection, and Sihler's staining technique was applied to the muscles. The limit for dissection of the muscle is the orbital opening level, where the nerves enter the muscle, and the muscle attaches to the bone. Results: In the region above the palpebral fissure, the nerves entering the muscle were densely located in the superolateral quadrant between 9 and 12 o ' clock in the right eye and between 12 and 3 o ' clock in the left eye. In the region under the palpebral fissure, the nerves' density in the orbicularis oculi muscle was higher between 4 and 7 o ' clock in the right eye and between 5 and 8 o ' clock in the left eye.Conclusion: This study unveiled the nerve branches associated with the orbicularis oculi muscle. It pinpointed precise crossing points of these nerve branches, which can be targeted for applying BoNT in treating blepharospasm. Consequently, by utilizing minimal BoNT, it is anticipated that the quantity of toxin administered will decrease, leading to more efficient outcomes and reduced expenses. Furthermore, this approach can aid in averting potential undesired complications during BoNT administration.Öğe Gender and Height Estimation from Hand and Handprint Sizes in the Turkish Population(Wolters Kluwer Medknow Publications, 2023) Keles, Haci; Cinaroglu, Selim; Cicek, Fatih; Ceranoglu, Faruk Gazi; Tekeli, MustafaIntroduction: In forensic medicine, it becomes impossible to identify corpses in events that affect a large part of the population, such as natural disasters, accidents, and wars. The aim of this study is to determine the height and gender of the Turkish population with hand and handprint morphometric measurements. Materials and Methods: The sample size of the study consists of 600 Turkish population aged between 18 and 58 years (mean +/- standard deviation: 22.18 +/- 5.43) living in Middle Anatolia. In the morphometric measurements of the hand, 21 anthropometric measurements were taken from each volunteer. Results: It was determined that men had higher values than women in all hand and handprint measurements and were statistically significant. When the correlation between hand and handprint measurements and statue was examined, it was determined that hand length and handprint length had the highest correlation with height in both genders (male: r: 0.57, r: 0.62; female: r: 0.49, r: 0.50). When comparing the bilateral asymmetry of the right and left hands of both sexes, it was observed that there was a statistically significant difference between the lengths of the thumb distal phalanx, little finger proximal, and middle phalanx in men and between the lengths of the index finger distal phalanx, middle finger middle and distal phalanx, and ring finger distal phalanx in women (P < 0.05). Conclusion: As a result, it was seen that the use of hand and handprint measurements to determine height and gender in the Turkish population gave high results.Öğe The relationship between sphenoidal sinus and sella turcica morphometry in the Turkish population: a retrospective study(Springer France, 2024) Keles, Haci; Yakar, Huseyin; Kaya, Ismail; Cicek, Fatih; Ceranoglu, Faruk Gazi; Ciftci, Ali Turker; Karadag, HuseyinPurpose The anatomical position of the sphenoidal sinus (SS) is very important for neurosurgeons because of the trans-sphenoidal approach to the pituitary gland. Therefore, the aim of this study was to determine the volume and shape of the SS and its relationship with the morphometry of the sella turcica. Methods This study included CT images of 282 males and 258 females with a mean age of 50.52 years (range 18-75) who underwent head CT. The morphometric values of the sella turcica and the volume of the SS were measured on the included radiologic images. Measurements were made on the sagittal slice closest to the midline in T1 sequence. Morphometric measurements were made with Micro Dicom Viewers software program and volume measurements were made with ITK SNAP software program. Results In this study, 4 types of SS shapes were obtained in the whole population: amorphous, pentagonal, triangular and quadrilateral. The mean SS volume was 7055.88 mm3 in males and 5694.48 mm3 in females and a statistically significant difference was observed (p < 0.001). In addition, a statistically significant difference was found between the sexes in the width and surface area parameters of the sella turcica (p < 0.05). Conclusion In this study, the morphometric relationship between the shape of the sinus sphenoidale and sella turcica was demonstrated between men and women. In particular, the shape of the sinus sphenoidale was found to be anthropometrically different between men and women in the Turkish population. It is hypothesised that the data obtained in our study will guide surgeons performing transsphenoidal approach.