Prof. Ramazan Kahveci

The face and chin area carry both function and appearance at the same time. The repairs here pursue two goals: preservation of functions such as chewing, speech and eyelid movement, and maintenance of facial symmetry.

Congenital facial clefts, jaw fractures due to trauma, and cysts located in the jawbone are the common topics of this heading. The treatment plan is based on imaging findings, the age of the patient, and whether the area has completed its development.

Grafts taken from the patient's own tissue and regional flaps can be used in the repair. Which method is suitable is evaluated according to the size of the defect and the condition of the surrounding tissue.

Wounds that do not heal for a long time are not a skin problem alone. Underlying circulatory disorder, diabetes, pressure and infection determine healing. Therefore, chronic wound treatment is the work of a team working together.

In the evaluation, the cause of the wound is first investigated: the first step is to relieve pressure in a pressure sore, and to examine blood sugar levels and circulation in a diabetic foot wound. Cleaning of dead tissue, selection of appropriate dressing, and negative pressure wound treatment when necessary support the process.

If the wound is large enough to not close on its own, surgical closure with a graft or flap is planned. The choice of method is made according to the location and depth of the wound.

Most skin tumors occur in areas exposed to the sun, especially on the face. Basal cell cancer is the most common type and usually grows slowly. Since malignant melanoma has a different course, it is evaluated separately.

Diagnosis is usually made by pathological examination of a sample taken from the lesion. In surgical treatment, the tumor is removed by leaving a safety margin around it. The width of the border is determined by the type and location of the tumor.

Closing the removed area in areas where tissue replacement is limited, such as the face, requires separate planning. Regional flaps and skin grafts are used here. The aim is to completely remove the tumor and preserve the natural appearance of the area.