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Çakın H, Yildirim Y, Ozsoy U. Demonstration of Cosmetic Improvement After Cranioplasty Using a Personalized 3D-Printed Mold for Creating Polymethylmethacrylate Implants With a Simplified Process. World Neurosurg 2024; 182:100-104. [PMID: 37995992 DOI: 10.1016/j.wneu.2023.11.076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 11/16/2023] [Indexed: 11/25/2023]
Abstract
BACKGROUND Although personalized polymethylmethacrylate (PMMA) implant production molds for cranioplasty are costly and time-consuming, they allow for better-quality implants. The researchers quantitatively tested the contribution of simplified, low-cost techniques to cosmetic improvement. METHODS PMMA prosthesis was placed in a 25-year-old male patient due to osteolysis in the bone flap removed after decompression surgery. A single-sided mold was three-dimensional (3D) printed before the surgery, and the prosthesis was produced during the surgery. In addition, the change in cranial asymmetry was evaluated using a 3D surface scanner after surgery. RESULTS The mold took half an hour to design and 5 hours to print. The mold cost about 2 dollars. The root means square (RMS) value measured to determine cranial asymmetry decreased from 5.4 mm to 2.8 mm postoperatively. The patient stated that he was pretty satisfied with the cosmetic result. CONCLUSIONS Simple design techniques developed can offer low-cost, fast-design alternative solutions with satisfactory cosmetic results for low-income countries and patients.
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Affiliation(s)
- Hakan Çakın
- Department of Brain and Neurological Surgery, Akdeniz University, Faculty of Medicine, Antalya, Turkey
| | - Yilmaz Yildirim
- Department of Anatomy, Akdeniz University, Faculty of Medicine, Antalya, Turkey
| | - Umut Ozsoy
- Department of Anatomy, Akdeniz University, Faculty of Medicine, Antalya, Turkey.
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Abstract
Background: Identifying stable anatomical landmarks during facial expressions is necessary to register and align three-dimensional (3D) data, determine the common origin and motion axis, and calculate displacement, velocity, and acceleration of relative motion. Objective: Our study aimed to determine the stable anatomical landmarks during facial expressions. Methods: We included 30 volunteers in our study and asked them to perform resting, mouth opening, showing teeth, clenching teeth, eye closure, smiling, whistling, eyebrow raising, and disgusted facial expressions. We recorded the 3D movements of passive reflective markers with optoelectronic cameras, which we attached to 10 bilateral and 8 midline landmarks. Results: We determined that the inner corner of the eye while mouth opening, the hairline superior while showing teeth, the infraorbital rim while clenching teeth, the alare while eye closure, the inner corner of the eye while smiling, the mideyebrow while whistling, corners of the mouth while eyebrow raising, and hairline superior while disgust are the most stable anatomical landmarks. Conclusions: Our study identified immobile soft tissue landmarks specific to facial expression.
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Affiliation(s)
- Ozlem Ozsoy
- Department of Physiology, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Beste Yilmaz
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Yilmaz Yildirim
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Umut Ozsoy
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Antalya, Turkey
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Hizay A, Ozsoy U, Savas K, Yakut-Uzuner S, Ozbey O, Akkan SS, Bahsi P. Effect of Ultrasound Therapy on Expression of Vascular Endothelial Growth Factor, Vascular Endothelial Growth Factor Receptors, CD31 and Functional Recovery After Facial Nerve Injury. Ultrasound Med Biol 2022; 48:1453-1467. [PMID: 35534304 DOI: 10.1016/j.ultrasmedbio.2022.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 02/08/2022] [Accepted: 03/13/2022] [Indexed: 06/14/2023]
Abstract
Functional recovery is provided by some neurotrophic factors released from the near vicinity of the injury site. Ultrasound treatment is known to increase neurotrophic factor expression. This study was aimed at determining the effect of ultrasound treatment on the expression of vascular endothelial growth factor (VEGF), its receptors and new vessel formation after facial nerve injury. Sixty-four Wistar rats were divided into four groups: control (group 1), sham (group 2), facial-facial coaptation (group 3), and facial-facial coaptation and ultrasound treatment (group 4). Animals in each group were evaluated on the 14th and 28th days. Immunohistochemical staining and electrophysiological and gene-level evaluations were performed for the expression of VEGF and its receptors. When the results were evaluated, it was determined that VEGF, VEGFR1 (VEGF receptor 1), VEGFR2 (VEGF receptor 2) and CD31 levels were significantly higher in groups 3 and 4 compared with the control and sham groups. The increase in these values was more prominent after 28 d of ultrasound treatment than all groups. Electrophysiological results revealed similar evident functional improvement in group 4 with decreased latency and increased amplitudes compared with group 3. Our findings suggest that ultrasound treatment might promote injured facial nerve regeneration by stimulating release of VEGF and its receptors and may result in functional improvement.
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Affiliation(s)
- Arzu Hizay
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Antalya, Turkey.
| | - Umut Ozsoy
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Kamil Savas
- Department of Biophysics, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Sezin Yakut-Uzuner
- Department of Medical Biology and Genetics, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Ozlem Ozbey
- Department of Histology and Embryology, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Simla Su Akkan
- Department of Histology and Embryology, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Pinar Bahsi
- Department of Medical Biology and Genetics, Faculty of Medicine, Akdeniz University, Antalya, Turkey
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Yıldırım Y, Tombak K, Karaşin S, Yüksel İ, Nur AH, Ozsoy U. Assessment of the reliability of hand-held surface scanner in the evaluation of adolescent idiopathic scoliosis. Eur Spine J 2021; 30:1872-1880. [PMID: 33625577 DOI: 10.1007/s00586-021-06769-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 01/02/2021] [Accepted: 02/08/2021] [Indexed: 10/22/2022]
Abstract
PURPOSE Spinal deformities due to adolescent idiopathic scoliosis (AIS) result in impairment in the back surface topography. Sophisticated interventions are needed that address different aspects of deformity. The purpose of our study is to test the reliability of hand-held 3D scanners on the assessment of AIS. METHODS Forty-two AIS patients were included in our study. The back surfaces of the patients were scanned with the hand-held 3D scanner, while the patients were in the standing position with the arms hanging at the sides (P1), with the arms extended (P2), and forward bending position (P3). The acquired original image was superimposed with the mirror image. Root mean square (RMS) of the point-to-point distance was calculated, and the differences between the surfaces were determined. Correlation between RMS, Cobb, POTSI, scoliometer, radiographic rotations, TRACE results was calculated. RESULTS A significant correlation coefficency (r) was found between the RMS and Cobb values in the thoracic (P1 = 0.80, P2 = 0.76, P3 = 0.71) and lumbal region (P1 = 0.56, P2 = 0.65, P3 = 0.63); between RMS and Raimondi in the thoracic (r, P1 = 0.80, P2 = 0.81, P3 = 0.78) and lumbar regions (P1 = 0.54, P2 = 0.64, P3 = 0.59); between RMS and scoliometer measurements in the thoracic (r, P1 = 0.58, P2 = 0.50, P3 = 0.41) and lumbar regions (P1 = 0.35, P2 = 0.41, P3 = 0.59); in thoracolumbar region between RMS and POTSI (P1 = 0.50, P2 = 0.25, P3= 0.36), between RMS and TRACE (P1 = 0.68, P2 = 0.5, P3 = 0.52), CONCLUSION: The hand-held scanners may contribute to gaining new insight into diagnosis and follow-up of AIS by its mobility that enables the acquisition of data in desired body position and place such as bedside or our patient clinics. LEVEL OF EVIDENCE IV Diagnostic: individual cross-sectional studies with consistently applied reference standard and blinding.
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Affiliation(s)
- Yılmaz Yıldırım
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Dumlupinar Bulvari, 07058, Antalya, Turkey
| | - Kadriye Tombak
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, Cyprus
| | - Sezen Karaşin
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Dumlupinar Bulvari, 07058, Antalya, Turkey
| | - İnci Yüksel
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, Cyprus
| | - Ahmet Hakan Nur
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Umut Ozsoy
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Dumlupinar Bulvari, 07058, Antalya, Turkey.
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Ozsoy U, Ogut E, Sekerci R, Hizay A, Rink S, Angelov DN. Effect of Pulsed and Continuous Ultrasound Therapy on the Degree of Collateral Axonal Branching at the Lesion Site, Polyinnervation of Motor End Plates, and Recovery of Motor Function after Facial Nerve Reconstruction. Anat Rec (Hoboken) 2019; 302:1314-1324. [DOI: https:/doi.org/10.1002/ar.24122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Accepted: 11/27/2018] [Indexed: 07/22/2023]
Affiliation(s)
- Umut Ozsoy
- Department of Anatomy, Faculty of MedicineAkdeniz University Antalya Turkey
| | - Eren Ogut
- Department of Anatomy, Faculty of MedicineAkdeniz University Antalya Turkey
| | - Rahime Sekerci
- Department of Anatomy, Faculty of MedicineAkdeniz University Antalya Turkey
| | - Arzu Hizay
- Department of Anatomy, Faculty of MedicineAkdeniz University Antalya Turkey
| | - Svenja Rink
- Department of Prosthetic DentistrySchool of Dental and Oral Medicine, University of Cologne Cologne Germany
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Manthou M, Abdulla DSY, Pavlov SP, Jansen R, Bendella H, Nohroudi K, Stein G, Meyer C, Ozsoy O, Ozsoy U, Behram Kandemir Y, Sarikcioglu L, Semler O, Schoenau E, Dunlop S, Angelov DN. Whole body vibration (WBV) following spinal cord injury (SCI) in rats: Timing of intervention. Restor Neurol Neurosci 2017; 35:185-216. [DOI: 10.3233/rnn-160691] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- Marilena Manthou
- Department of Histology and Embryology, Aristotle University Thessaloniki, Greece
| | | | | | - Ramona Jansen
- Department of Anatomy I, University of Cologne, Germany
| | - Habib Bendella
- Department of Neurosurgery, University of Witten/Herdecke, Cologne Merheim Medical Center (CMMC), Cologne, Germany
| | | | - Gregor Stein
- Department of Orthopedics and Trauma Surgery, University of Cologne, Germany
| | - Carolin Meyer
- Department of Orthopedics and Trauma Surgery, University of Cologne, Germany
| | - Ozlem Ozsoy
- Department of Physiology, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Umut Ozsoy
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | | | - Levent Sarikcioglu
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | | | | | - Sarah Dunlop
- Experimental and Regenerative Neuroscience, School of Animal Biology, The University of Western Australia, WA, Australia
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Ozsoy U. Comparison of Different Calculation Methods Used to Analyze Facial Soft Tissue Asymmetry: Global and Partial 3-Dimensional Quantitative Evaluation of Healthy Subjects. J Oral Maxillofac Surg 2016; 74:1847.e1-9. [DOI: 10.1016/j.joms.2016.05.012] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2016] [Revised: 05/11/2016] [Accepted: 05/12/2016] [Indexed: 10/21/2022]
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Ozsoy U, Sekerci R, Ogut E. Effect of sitting, standing, and supine body positions on facial soft tissue: detailed 3D analysis. Int J Oral Maxillofac Surg 2015; 44:1309-16. [PMID: 26116065 DOI: 10.1016/j.ijom.2015.06.005] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Revised: 04/22/2015] [Accepted: 06/01/2015] [Indexed: 10/23/2022]
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9
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Ozsoy U, Sekerci R, Ogut E. Effect of sitting, standing, and supine body positions on facial soft tissue: detailed 3D analysis. Int J Oral Maxillofac Surg 2015; 44:1309-1316. [DOI: https:/doi.org/10.1016/j.ijom.2015.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/22/2023]
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Schwarz A, Pick C, Harrach R, Stein G, Bendella H, Ozsoy O, Ozsoy U, Schoenau E, Jaminet P, Sarikcioglu L, Dunlop S, Angelov D. Reactions of the rat musculoskeletal system to compressive spinal cord injury (SCI) and whole body vibration (WBV) therapy. J Musculoskelet Neuronal Interact 2015; 15:123-36. [PMID: 26032204 PMCID: PMC5133715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Traumatic spinal cord injury (SCI) causes a loss of locomotor function with associated compromise of the musculo-skeletal system. Whole body vibration (WBV) is a potential therapy following SCI, but little is known about its effects on the musculo-skeletal system. Here, we examined locomotor recovery and the musculo-skeletal system after thoracic (T7-9) compression SCI in adult rats. Daily WBV was started at 1, 7, 14 and 28 days after injury (WBV1-WBV28 respectively) and continued over a 12-week post-injury period. Intact rats, rats with SCI but no WBV (sham-treated) and a group that received passive flexion and extension (PFE) of their hind limbs served as controls. Compared to sham-treated rats, neither WBV nor PFE improved motor function. Only WBV14 and PFE improved body support. In line with earlier studies we failed to detect signs of soleus muscle atrophy (weight, cross sectional diameter, total amount of fibers, mean fiber diameter) or bone loss in the femur (length, weight, bone mineral density). One possible explanation is that, despite of injury extent, the preservation of some axons in the white matter, in combination with quadripedal locomotion, may provide sufficient trophic and neuronal support for the musculoskeletal system.
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Affiliation(s)
- A. Schwarz
- Department of Anatomy I, University of Cologne, Germany
| | - C. Pick
- Department of Anatomy I, University of Cologne, Germany
| | - R. Harrach
- Department of Anatomy I, University of Cologne, Germany
| | - G. Stein
- Department of Orthopedics and Trauma Surgery, University of Cologne, Germany
| | - H. Bendella
- Department of Neurosurgery, Hospital Merheim, University of Witten-Herdecke, Cologne, Germany
| | - O. Ozsoy
- Department of Physiology, Akdeniz University of Antalya, Turkey
| | - U. Ozsoy
- Department of Anatomy, Akdeniz University of Antalya, Turkey
| | - E. Schoenau
- Children’s Hospital, University of Cologne, Germany
| | - P. Jaminet
- Department of Hand-, Plastic-, and Reconstructive Surgery with Burn Unit, BG-Trauma Centre, University of Tuebingen, Germany
| | - L. Sarikcioglu
- Department of Anatomy, Akdeniz University of Antalya, Turkey
| | - S. Dunlop
- School of Animal Biology, The University of Western Australia, Australia
| | - D.N. Angelov
- Department of Anatomy I, University of Cologne, Germany,Corresponding author: Prof. Dr. Doychin N. Angelov, M.D., Ph.D., Institut 1 für Anatomie der Universität zu Köln, Joseph-Stelzmann-Strasse 9, D-50924 Köln, Germany E-mail:
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11
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Kaya Y, Ozsoy U, Turhan M, Angelov DN, Sarikcioglu L. Hypoglossal-facial nerve reconstruction using a Y-tube-conduit reduces aberrant synkinetic movements of the orbicularis oculi and vibrissal muscles in rats. Biomed Res Int 2014; 2014:543020. [PMID: 25574468 PMCID: PMC4276326 DOI: 10.1155/2014/543020] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2014] [Revised: 09/16/2014] [Accepted: 09/17/2014] [Indexed: 01/01/2023]
Abstract
The facial nerve is the most frequently damaged nerve in head and neck trauma. Patients undergoing facial nerve reconstruction often complain about disturbing abnormal synkinetic movements of the facial muscles (mass movements, synkinesis) which are thought to result from misguided collateral branching of regenerating motor axons and reinnervation of inappropriate muscles. Here, we examined whether use of an aorta Y-tube conduit during reconstructive surgery after facial nerve injury reduces synkinesis of orbicularis oris (blink reflex) and vibrissal (whisking) musculature. The abdominal aorta plus its bifurcation was harvested (N = 12) for Y-tube conduits. Animal groups comprised intact animals (Group 1), those receiving hypoglossal-facial nerve end-to-end coaptation alone (HFA; Group 2), and those receiving hypoglossal-facial nerve reconstruction using a Y-tube (HFA-Y-tube, Group 3). Videotape motion analysis at 4 months showed that HFA-Y-tube group showed a reduced synkinesis of eyelid and whisker movements compared to HFA alone.
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Affiliation(s)
- Yasemin Kaya
- Department of Anatomy, Akdeniz University Faculty of Medicine, 07070 Antalya, Turkey
| | - Umut Ozsoy
- Department of Anatomy, Akdeniz University Faculty of Medicine, 07070 Antalya, Turkey
| | - Murat Turhan
- Department of Ear Nose Throat, Akdeniz University Faculty of Medicine, 07070 Antalya, Turkey
| | | | - Levent Sarikcioglu
- Department of Anatomy, Akdeniz University Faculty of Medicine, 07070 Antalya, Turkey
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12
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Ozsoy U, Demirel BM, Hizay A, Ozsoy O, Ankerne J, Angelova S, Sarikcioglu L, Ucar Y, Turhan M, Dunlop S, Angelov DN. Manual stimulation of the whisker pad after hypoglossal–facial anastomosis (HFA) using a Y-tube conduit does not improve recovery of whisking function. Exp Brain Res 2014; 232:2021-33. [DOI: 10.1007/s00221-014-3892-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2013] [Accepted: 02/24/2014] [Indexed: 12/19/2022]
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13
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Wirth F, Schempf G, Stein G, Wellmann K, Manthou M, Scholl C, Sidorenko M, Semler O, Eisel L, Harrach R, Angelova S, Jaminet P, Ankerne J, Ashrafi M, Ozsoy O, Ozsoy U, Schubert H, Abdulla D, Dunlop SA, Angelov DN, Irintchev A, Schönau E. Whole-Body Vibration Improves Functional Recovery in Spinal Cord Injured Rats. J Neurotrauma 2013; 30:453-68. [DOI: 10.1089/neu.2012.2653] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Affiliation(s)
- Felicitas Wirth
- Department of Anatomy I, University of Cologne, Köln, Germany
| | - Greta Schempf
- Department of Anatomy I, University of Cologne, Köln, Germany
| | - Gregor Stein
- Department of Orthopedics and Trauma Surgery, University of Cologne, Köln, Germany
| | | | - Marilena Manthou
- Department of Histology and Embryology, Aristotle University Thessaloniki, Thessaloniki, Greece
| | - Carolin Scholl
- Department of Anatomy I, University of Cologne, Köln, Germany
| | - Malina Sidorenko
- Department of Anatomy, Medical Faculty, University of Sofia, Sofia, Bulgaria
| | - Oliver Semler
- Department of Children's Hospital, University of Cologne, Köln, Germany
| | - Leonie Eisel
- Department of Anatomy I, University of Cologne, Köln, Germany
| | - Rachida Harrach
- Department of Anatomy I, University of Cologne, Köln, Germany
| | - Srebrina Angelova
- Jean-Uhrmacher Institute for ENT-Research, University of Cologne, Köln, Germany
| | - Patrick Jaminet
- Department of Hand, Plastic, and Reconstructive Surgery with Burn Unit, BG- Trauma Centre, University of Tuebingen, Tuebingen, Germany
| | - Janina Ankerne
- Department of Anatomy I, University of Cologne, Köln, Germany
| | - Mahak Ashrafi
- Department of Anatomy I, University of Cologne, Köln, Germany
| | - Ozlem Ozsoy
- Department of Physiology, Akdeniz University, Antalya, Turkey
| | - Umut Ozsoy
- Department of Physiology Anatomy, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | | | - Diana Abdulla
- Department of Anatomy I, University of Cologne, Köln, Germany
| | - Sarah A. Dunlop
- Experimental and Regenerative Neuroscience, School of Animal Biology, The University of Western Australia, Crawley, Western Australia, Australia
| | | | - Andrey Irintchev
- Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany
| | - Eckhard Schönau
- Department of Children's Hospital, University of Cologne, Köln, Germany
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14
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Catli MM, Ozsoy U, Kaya Y, Hizay A, Yildirim FB, Sarikcioglu L. Four-headed biceps brachii, three-headed coracobrachialis muscles associated with arterial and nervous anomalies in the upper limb. Anat Cell Biol 2012; 45:136-9. [PMID: 22822469 PMCID: PMC3398176 DOI: 10.5115/acb.2012.45.2.136] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2012] [Revised: 05/28/2012] [Accepted: 06/01/2012] [Indexed: 11/27/2022] Open
Abstract
A four-headed biceps brachii muscle and three-headed coracobrachialis muscle, high-originated radial artery and communication between the median and musculocutaneous nerves have been well documented in the available literature. However co-existence of these variations is rare. In this study we aimed to describe multiple variations in the upper limb and discuss their co-existence from clinical and embryological points of view.
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Affiliation(s)
- Mehmet Mutlu Catli
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Antalya, Turkey
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15
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Semler J, Wellmann K, Wirth F, Stein G, Angelova S, Ashrafi M, Schempf G, Ankerne J, Ozsoy O, Ozsoy U, Schönau E, Angelov DN, Irintchev A. Objective measures of motor dysfunction after compression spinal cord injury in adult rats: correlations with locomotor rating scores. J Neurotrauma 2012; 28:1247-58. [PMID: 21428717 DOI: 10.1089/neu.2010.1737] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Precise assessment of motor deficits after traumatic spinal cord injury (SCI) in rodents is crucial for understanding the mechanisms of functional recovery and testing therapeutic approaches. Here we analyzed the applicability to a rat SCI model of an objective approach, the single-frame motion analysis, created and used for functional analysis in mice. Adult female Wistar rats were subjected to graded compression of the spinal cord. Recovery of locomotion was analyzed using video recordings of beam walking and inclined ladder climbing. Three out of four parameters used in mice appeared suitable: the foot-stepping angle (FSA) and the rump-height index (RHI), measured during beam walking, and for estimating paw placement and body weight support, respectively, and the number of correct ladder steps (CLS), assessing skilled limb movements. These parameters, similar to the Basso, Beattie, and Bresnahan (BBB) locomotor rating scores, correlated with lesion volume and showed significant differences between moderately and severely injured rats at 1-9 weeks after SCI. The beam parameters, but not CLS, correlated well with the BBB scores within ranges of poor and good locomotor abilities. FSA co-varied with RHI only in the severely impaired rats, while RHI and CLS were barely correlated. Our findings suggest that the numerical parameters estimate, as intended by design, predominantly different aspects of locomotion. The use of these objective measures combined with BBB rating provides a time- and cost-efficient opportunity for versatile and reliable functional evaluations in both severely and moderately impaired rats, combining clinical assessment with precise numerical measures.
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Affiliation(s)
- Joerg Semler
- Children's Hospital, University of Cologne, Cologne, Germany
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Hizay A, Ozsoy U, Demirel BM, Ozsoy O, Angelova SK, Ankerne J, Sarikcioglu SB, Dunlop SA, Angelov DN, Sarikcioglu L. Use of a Y-Tube Conduit After Facial Nerve Injury Reduces Collateral Axonal Branching at the Lesion Site But Neither Reduces Polyinnervation of Motor Endplates Nor Improves Functional Recovery. Neurosurgery 2012; 70:1544-56; discussion 1556. [DOI: 10.1227/neu.0b013e318249f16f] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Abstract
BACKGROUND:
Despite increased understanding of peripheral nerve regeneration, functional recovery after surgical repair remains disappointing. A major contributing factor is the extensive collateral branching at the lesion site, which leads to inaccurate axonal navigation and aberrant reinnervation of targets.
OBJECTIVE:
To determine whether the Y tube reconstruction improved axonal regrowth and whether this was associated with improved function.
METHODS:
We used a Y-tube conduit with the aim of improving navigation of regenerating axons after facial nerve transection in rats.
RESULTS:
Retrograde labeling from the zygomatic and buccal branches showed a halving in the number of double-labeled facial motor neurons (15% vs 8%; P < .05) after Y tube reconstruction compared with facial-facial anastomosis coaptation. However, in both surgical groups, the proportion of polyinnervated motor endplates was similar (∼30%; P > .05), and video-based motion analysis of whisking revealed similarly poor function.
CONCLUSION:
Although Y-tube reconstruction decreases axonal branching at the lesion site and improves axonal navigation compared with facial-facial anastomosis coaptation, it fails to promote monoinnervation of motor endplates and confers no functional benefit.
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Affiliation(s)
- Arzu Hizay
- Department of Anatomy, Akdeniz University Faculty of Medicine, Antalya, Turkey
| | - Umut Ozsoy
- Department of Anatomy, Akdeniz University Faculty of Medicine, Antalya, Turkey
| | | | - Ozlem Ozsoy
- Department of Physiology, Akdeniz University Faculty of Medicine, Antalya, Turkey
| | | | - Janina Ankerne
- Anatomical Institute I, University of Cologne, Cologne, Germany
| | | | - Sarah A. Dunlop
- School of Animal Biology and Western Australian Institute for Medical Research, University of Western Australia, Crawley, Western Australia, Australia
| | | | - Levent Sarikcioglu
- Department of Anatomy, Akdeniz University Faculty of Medicine, Antalya, Turkey
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Ozsoy O, Ozsoy U, Stein G, Semler O, Skouras E, Schempf G, Wellmann K, Wirth F, Angelova S, Ankerne J, Ashrafi M, Schönau E, Papamitsou-Sidoropolou T, Jaminet P, Sarikcioglu L, Irintchev A, Dunlop S, Angelov D. Functional deficits and morphological changes in the neurogenic bladder match the severity of spinal cord compression. Restor Neurol Neurosci 2012; 30:363-81. [DOI: 10.3233/rnn-2012-110203] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- O. Ozsoy
- Faculty of Medicine, Department of Physiology, Akdeniz University, Antalya, Turkey
| | - U. Ozsoy
- Faculty of Medicine, Department of Anatomy, Akdeniz University, Antalya, Turkey
| | - G. Stein
- Department of Orthopedics and Trauma Surgery, University of Cologne, Cologne, Germany
| | - O. Semler
- Children's Hospital, University of Cologne, Cologne, Germany
| | - E. Skouras
- Department of Orthopedics and Trauma Surgery, University of Cologne, Cologne, Germany
| | - G. Schempf
- Department of Anatomy I, University of Cologne, Cologne, Germany
| | - K. Wellmann
- Department of Anatomy I, University of Cologne, Cologne, Germany
| | - F. Wirth
- Department of Anatomy I, University of Cologne, Cologne, Germany
| | - S. Angelova
- Jean-Uhrmacher Institut for Clinical ENT-Research, University of Cologne, Cologne, Germany
| | - J. Ankerne
- Department of Anatomy I, University of Cologne, Cologne, Germany
| | - M. Ashrafi
- Department of Anatomy I, University of Cologne, Cologne, Germany
| | - E. Schönau
- Children's Hospital, University of Cologne, Cologne, Germany
| | | | - P. Jaminet
- Department of Hand-, Plastic-, and Reconstructive Surgery with Burn Unit, BG-Trauma Centre, University of Tuebingen, Tuebingen, Germany
| | - L. Sarikcioglu
- Faculty of Medicine, Department of Anatomy, Akdeniz University, Antalya, Turkey
| | - A. Irintchev
- Department of Oto-Rhino-Laryngology, University of Jena, Jena, Germany
| | - S.A. Dunlop
- School of Animal Biology and Western Australian Institute for Medical Research, University of Western Australia, WA, Australia
| | - D.N. Angelov
- Department of Anatomy I, University of Cologne, Cologne, Germany
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18
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Ozsoy U, Hizay A, Demirel BM, Ozsoy O, Bilmen Sarikcioglu S, Turhan M, Sarikcioglu L. The hypoglossal–facial nerve repair as a method to improve recovery of motor function after facial nerve injury. Ann Anat 2011; 193:304-13. [PMID: 21458251 DOI: 10.1016/j.aanat.2011.01.009] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2010] [Revised: 01/03/2011] [Accepted: 01/05/2011] [Indexed: 12/16/2022]
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19
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Skouras E, Ozsoy U, Sarikcioglu L, Angelov DN. Intrinsic and therapeutic factors determining the recovery of motor function after peripheral nerve transection. Ann Anat 2011; 193:286-303. [PMID: 21458252 DOI: 10.1016/j.aanat.2011.02.014] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2010] [Revised: 02/03/2011] [Accepted: 02/04/2011] [Indexed: 01/01/2023]
Abstract
Insufficient recovery after peripheral nerve injury has been attributed to (i) poor pathfinding of regrowing axons, (ii) excessive collateral axonal branching at the lesion site and (iii) polyneuronal innervation of the neuromuscular junctions (NMJ). The facial nerve transection model has been used initially to measure restoration of function after varying therapies and to examine the mechanisms underlying their effects. Since it is very difficult to control the navigation of several thousand axons, efforts concentrated on collateral branching and NMJ-polyinnervation. Treatment with antibodies against trophic factors to combat branching improved the precision of reinnervation, but had no positive effects on functional recovery. This suggested that polyneuronal reinnervation--rather than collateral branching--may be the critical limiting factor. The former could be reduced by pharmacological agents known to perturb microtubule assembly and was followed by recovery of function. Because muscle polyinnervation is activity-dependent and can be manipulated, attempts to design a clinically feasible therapy were performed by electrical stimulation or by soft tissue massage. Electrical stimulation applied to the transected facial nerve or to paralysed facial muscles did not improve vibrissal motor performance and failed to diminish polyinnervation. In contrast, gentle stroking of the paralysed muscles (vibrissal, orbicularis oculi, tongue musculature) resulted in full recovery of function. This manual stimulation was also effective after hypoglossal-facial nerve suture and after interpositional nerve grafting, but not after surgical reconstruction of the median nerve. All these findings raise hopes that clinically feasible and effective therapies could be soon designed and tested.
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Affiliation(s)
- Emmanouil Skouras
- Department of Orthopedics and Traumatology, University of Cologne, Joseph-Stelzmann-Strasse 9, Cologne, Germany
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20
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Ozsoy U, Demirel BM, Hizay A, Ozsoy O, Ankerne J, Angelova S, Sarikcioglu L, Ucar Y, Angelov DN. Hypoglossal-facial anastomosis (HFA) over a 10 mm gap bridged by a Y-tube-conduit enhances neurite regrowth and reduces collateral axonal branching at the lesion site. Restor Neurol Neurosci 2011; 29:227-42. [DOI: 10.3233/rnn-2011-0594] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Umut Ozsoy
- Department of Anatomy, Akdeniz University, Faculty of Medicine, Antalya, Turkey
| | | | - Arzu Hizay
- Department of Anatomy, Akdeniz University, Faculty of Medicine, Antalya, Turkey
| | - Ozlem Ozsoy
- Department of Physiology, Akdeniz University, Faculty of Medicine, Antalya, Turkey
| | - Janina Ankerne
- Anatomical Institute I, University of Cologne, Cologne, Germany
| | - Srebrina Angelova
- Department of Oto-Rhino-Laryngology, University of Cologne, Cologne, Germany
| | - Levent Sarikcioglu
- Department of Anatomy, Akdeniz University, Faculty of Medicine, Antalya, Turkey
| | - Yasar Ucar
- Department of Anatomy, Akdeniz University, Faculty of Medicine, Antalya, Turkey
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21
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Ozsoy U, Demirel BM, Yildirim FB, Tosun O, Sarikcioglu L. Method selection in craniofacial measurements: advantages and disadvantages of 3D digitization method. J Craniomaxillofac Surg 2009; 37:285-90. [PMID: 19179087 DOI: 10.1016/j.jcms.2008.12.005] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2008] [Revised: 12/02/2008] [Accepted: 12/20/2008] [Indexed: 11/25/2022] Open
Abstract
AIM Treatment of the craniofacial malformations is a primary goal of cranio-maxillo-facial surgeons. Surgical treatment of these malformations requires accurate data. Accuracy of measurement should be a priority of scientists to prevent statistical errors and therefore to promote the comparison of the results obtained from various research groups. In the present study, we aimed to compare three different measurement techniques, which were used frequently in craniofacial measurements. METHODS A total number of 35 female and 35 male volunteer adults were included to the study. Two-dimensional (2D) photogrammetry, three-dimensional (3D) digitization and manual anthropometry methods were used for the present study. Measurements were obtained from the ear, eye, nose and face. RESULTS By comparing three methods, our findings revealed that 3D digitization method is an easy, robust, and sensitive method to obtain the data. CONCLUSIONS We think that 3D digitization method is accurate, and it can be applied to both clinical practice and research. Advantages and disadvantages of three methods are discussed with the relevant literature.
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Affiliation(s)
- Umut Ozsoy
- Department of Anatomy, Akdeniz University, Faculty of Medicine, Antalya, Turkey.
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22
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23
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Ozsoy U, Mutluay R, Oygur N, Akbas H, Sindel S, Sindel M. Effect of denervation and ischemia reperfusion injury on serum nitric oxide levels in rats. Saudi Med J 2008; 29:1561-1566. [PMID: 18998001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
OBJECTIVE To evaluate the effect of renal denervation and serum nitric oxide level with a different time course of renal ischemia-reperfusion injury. METHODS Thirty-six male Wistar rats were randomized into 6 groups. All rats underwent right nephrectomy to create a single kidney model. Renal denervated and innerved rats were subjected to renal clamping for 30-60 minutes. The study was performed in the Department of Anatomy, Akdeniz University, Antalya, Turkey, between June and November 2005. RESULTS Combined effect of denervation and ischemia may caused significant increase in serum nitric oxide levels and decrease in glomerular filtration rates. CONCLUSION Our results indicate that kidney denervation did not cause any changes in renal functions, but with ischemia it worsens the deleterious effect of ischemia-reperfusion injury, and causes a significant increase in serum nitric oxide levels.
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Affiliation(s)
- Umut Ozsoy
- Department of Anatomy, Faculty of Medicine, Akdeniz University, Antalya, Turkey
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24
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Yildirim FB, Sarikcioglu L, Ozsoy U, Demir N, Demirtop A, Ucar Y. Effect of FK506 administration after obturator nerve injury: a functional and ultrastructural study. Acta Neurobiol Exp (Wars) 2008; 68:477-83. [PMID: 19112470 DOI: 10.55782/ane-2008-1713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/08/2023]
Abstract
The frequency of obturator nerve damage due to pelvic diseases, fractures or gynecologic procedures is uncertain. In the present study, we investigated the effect of FK506, a potent macrolide antibiotic and immunosuppresant, on obturator nerve recovery at morphological and functional levels. Forty female Wistar rats were randomly divided into four groups (control, sham, FK506-treated, vehicle-treated). In half of animals (FK506-treated and vehicle-treated) an obturator nerve crush (30 seconds clamp) was created. In FK506-treated group FK506 administration (1 mg/kg/day, subcutaneously) was performed on each postoperative day. All the rats were functionally evaluated by pinch and adduction tests preoperatively and postoperatively at one, two, three and four weeks after nerve injury. On the 28th postoperative day obturator nerve samples were collected and analyzed qualitatively by light and electron microscopy. FK506 treatment resulted in dramatic improvement in nerve function and in the ultrastructure of nerve fibers suggesting its therapeutic potential in traumatic obturator nerve injury.
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Affiliation(s)
- Fatos B Yildirim
- Department of Anatomy, Akdeniz University Faculty of Medicine, Antalya, Turkey
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25
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Abstract
The tapetum is described by Johann Christian Rell (1759-1813). It is formed primarily by decussating fibers in the splenium of the corpus callosum that arch over the atrium of the lateral ventricle and course inferiorly in the lateral wall of the posterior, and somewhat into the temporal horns, of the lateral ventricle. The term of tapetum was discussed from etymological and anatomical points of view.
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Affiliation(s)
- Levent Sarikcioglu
- Department of Anatomy, Akdeniz University Faculty of Medicine, Antalya-Turkey.
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26
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Abstract
During dissection of the retropubic region of a 55-year-old female cadaver, we encountered an angiolipoma located inside the obturator canal which was connected to the wall of the urinary bladder by a fibrous cord. The angiolipoma was supplied by a branch originating from the umbilical artery. Microscopically the benign soft tissue tumor was characterized by lobules of mature adipocytes and densely distributed networks of small and larger blood vessels, thus resembling typical histological features of an angiolipoma. Both the uncommon location of the angiolipoma and the abnormal branch of the umbilical artery entering the obturator canal should be taken into account during surgical procedures in this region, such as for orthopedic pelvic procedures, hernia repair or bladder/urethra-related interventions (e.g. transobturator tape, tension-free vaginal tape, colposuspension).
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Affiliation(s)
- Levent Sarikcioglu
- Department of Anatomy, Akdeniz University, Faculty of Medicine, 07070 Antalya-Turkey.
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27
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Duparc F, Noyon M, Ozeel J, Gerometta A, Michot C, Tadjalli M, Moslemy H, Safaei S, Heiman A, Wish-Baratz S, Melnikov T, Smoliar E, Hakan AY, Yucel F, Kachlík DK, Pešl MP, Báča VB, Stingl JS, Kachlík KD, Čech ČP, Báča BV, Mompeó B, Marrero-Rodriguez A, Zeybek A, Sağlam B, Çikler E, Çetinel Ş, Ercan F, Şener G, Kawawa Y, Kohda E, Tatsuya T, Moroi M, Kunimasa T, Nagamoto M, Terada H, Labuschagne BCJ, van der Krieke TJ, Hoogland PV, Muller CJF, Lyners R, Vorster W, Matusz P, Zaboi DE, Xu SC, Tu LL, Wang Q, Zhang M, Han H, Tao W, Jiao Y, Pang G, Aydin ME, Kopuz C, Demir MT, Yildirim M, Kale A, Ince Y, Khamanarong K, Jeeravipoolvarn P, Chaijaroonkhanarak W, Gawgleun W, Fujino T, Uz A, Apaydin N, Bozkurt M, Elhan A, Sheibani MT, Adibmoradi M, Jahovic N, Alican I, Erkanli G, Arbak S, Karakaş S, Taşer F, Güneş H, Yildiz Y, Yazici Y, Aland RC, Kippers V, Song WC, Park SH, Shin C, Koh KS, Russo G, Pomara F, Veca M, Cacciola F, Martorana U, Gravante G, Tobenas-Dujardin AC, Laquerrière A, Muller JM, Fréger P, López-Serna N, Álvarez-González E, Torres-Gonzàlez V, Laredo-López G, Esparza-González GV, Álvarez-Cantú R, Garza-González CE, Guzmán-López S, Aldur MM, Çelik HH, Sürücü S, Denk C, Yang HJ, Gil YC, Kim TJ, Lee HY, Lee WJ, Lee H, Hu KS, Akita K, Kim HJ, Jung HS, Gurbuz H, Balik S, Wavreille G, Chantelot C, Demondion X, Fontaine C, Çavdar S, Yalin A, Saka E, Özdoǧmuş Ö, Çakmak Ö, Elevli L, Saǧlam B, Coquerel-Beghin D, Milliez PY, Lemierre G, Oktem G, Vatansever S, Ayla S, Uysal A, Aktas S, Karabulut B, Bilir A, Uslu S, Aktug H, Yurtseven ME, Celik HH, Tatar I, Surucu S, Karaduman A, Tunali S, Neuhüttler S, Kröll A, Moriggl B, Brenner E, Loukas M, Arora S, Louis RG, Fogg QA, Wagner T, Tedman RA, Ching HY, Eze N, Bottrill ID, Blyth P, Faull RLM, Vuletic J, Elizondo-Omaña RE, Rodríguez MAG, López SG, de la Garza OT, Liu YH, Zhang KL, Lu DH, Kwak HH, Park HD, Youn KH, Kang HJ, Kang HC, Han SH, Ikiz ZAA, Ucerler H, Uygur M, Kutoglu T, Dina C, Iliescu D, Şapte E, Bordei P, Lekšan I, Marcikić M, Radić R, Nikolić V, Kurbel S, Selthofer R, Báča V, Doubková A, Kachlík D, Stingl J, Džupa V, Grill R, Nam YS, Paik DJ, Shin CS, Kim SJ, Kim DG, Jin CS, Kim DI, Lee UY, Kwak DS, Lee JH, Han CH, Carpino A, Rago V, Romeo F, Carani C, Andò S, Arican RY, Coskun N, Sarikcioglu L, Sindel M, Arican YR, Altun U, Ozsoy U, Oguz N, Yildirim FB, Nakajima K, Duygulu E, Aydin H, Gurer EI, Ozkan O, Tuzuner S, Özsoy U, Çubukçu S, Demirel BM, Akkin SM, Marur T, Weiglein AH, Maghiar TT, Borza C, Bumbu A, Bumbu G, Polle G, Auquit-Auckbur I, Dujardin F, Biga N, Olivier E, Defives T, Ghazali S, Anastasi G, Rizzo G, Favaloro A, Miliardi D, Giacobbe O, Santoro G, Trimarchi F, Cutroneo G, Govsa F, Bilge O, Ozer MA, Erdogmus S, Grizzi F, Pelillo F, Mori M, Franceschini B, Portinaro N, Godlewski G, Viala M, Rouanet JP, Prat D, Rahmé ZS, Prudhomme M, Eken E, Kwiatkowska M, Liegmann J, Chmielewski R, Grimmond J, Kwiatkowski M, Schintler MV, Windisch G, Wittgruber G, Prandl EC, Prodinger P, Anderhuber F, Scharnagl E, Gerbino A, Buscemi M, Leone A, Mandracchia R, Peri G, Lipari D, Farina-Lipari E, Valentino B, D’Arpa S, Cordova A, Bucchieri F, Ribbene A, David S, Palma A, Davies DE, Haitchi HM, Holgate ST, La Rocca G, Anzalone R, Campanella C, Rappa F, Bartolotta T, Cappello F, Bellafiore M, Sivverini G, Palumbo D, Macaluso F, Farina F, Di Felice V, Montalbano A, Ardizzone N, Marcianò V, Zummo G, Tanyeli E, Üzel M, Carini F, Scardina GA, Varia P, Valenza V, Messina P, Meiring JH, Schumann C, Whitmore I, Greyling LM, Hamel O, Hamel A, Robert R, Garçon M, Lagier S, Blin Y, Armstrong O, Rogez JM, Le Borgne J, Ifrim CF, Maghiar A, Botea M, Ifrim M, Pop O, Sandor M, Behdadipour Z, Saberi M, Esfandiary E, Gentile C, Marconi A, Livrea MA, Uzan G, D’Alessio P, Ridola CG, Grassi N, Pantuso G, Bottino A, Cacace E, Li Petri S, Di Gaudio F, Guercio G, Latteri MA, Nobile D, Cipolla C, Caruso G, Salvaggio G, Lo Cascio A, Fatta G, Lagalla R, Campisi A, Verderame F, Martegani A, Cardinale AE, Luedinghausen MV. Poster presentation. Surg Radiol Anat 2005. [DOI: 10.1007/bf03371476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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