ISSN: 2413-9122 e-ISSN: 2518-7295 Volume 2 No. 1 April 2017 The Offcal Journal of the Reach your Global Audience Azerbajan Medcal Assocaton AMAJ Azerbaıjan Medıcal Assocıatıon Journal For more advertising opportunities: ь www.amaj.az, њ [email protected] Е +99412 492 8092, +99470 328 1888 Azerbajan Medcal Assocaton www.amaj.az MD Publshng azmed.az AMAJ Azerbaıjan Medıcal Assocıatıon Journal Official Journal of the Azerbaijan Medical Association Volume 2 • No. 1 • April 2017 Plastic Surgery Neurology Case Report Case Report Recurrent Dermatofibrosarcoma Protuberans A Case of Thrombocytopenia Associated of the Scalp Reconstructed by Visor Flap with Valporic Acid Treatment in a patient with Ilyas Akhund-zada · Rauf Karimov · Rauf Sadiqov · Generalized Myoclonic Seizures Rafael Bayramov - 1 Rima Ibadova - 18 Forensic Medicine Oral Medicine Case Report Case Report Infant Mortality Due to the Fall of Television: Giant Sialolith: Two cases of successful surgery A Presentation of Two Cases Bora Ozden · Vugar Gurbanov · Ezgi Yüceer · Dilara Semih Petekkaya · Zerrin Erkol · Osman Celbis · Kazan · Levent Acar - 20 Bedirhan Sezer Oner · Turgay Bork · Bora Buken - 5 Anesthesiology Case Report Cardiac Dysrhythmia During Superficial Parotidectomy Lale Aliyeva · Qulam Rustamzade · Araz Aliyev - 9 DOI Cardiovascular Surgery For information about DOIs and to resolve them, please visit www.doi.org Case Report Huge leg hematoma due to vascular disruption The Cover: following femur fracture: An industrial accident The Nobel Brothers’ oil wells in Baku. catastrophe Hamit Serdar Basbug · Hakan Gocer · Kanat Ozisik - 12 In 1846, the world’s first oil well was mechanically drilled in the Bibi-Heybat suburb of Baku city. In 1878, the Nobel Brothers Petroleum Production Company (Branobel Oil Company) was established in Baku, Azerbaijan. Radiology Ludwig and Robert Nobel, Alfred Nobel’s brothers, built the largest oil company the world Case Report had seen. In fact, when the Nobel Endovascular Treatment of Cerebral Aneurysm: Prizes were established more than Report of five cases and review of the literature a century ago (1901), roughly 12 percent of the prize money was Aghakishi Yahyayev · Ahmet Memish - 15 drawn from Alfred’s shares in the Nobel Brothers’ Petroleum Company in Baku. This money is still being used to honor Nobel Laureates and their great contributions to modern society. Photo courtesy Behruz Huseynzade. www.amaj.az AMAJ Azerbaıjan Medıcal Assocıatıon Journal Official Journal of the Azerbaijan Medical Association Volume 2 • No. 1 • April 2017 Editor in Chief Editorial Board International Advisory Committee Nariman Safarli, MD Aghakishi Yahyayev, MD, PhD Abass Alavi, MD, PhD, DSc Baku, Azerbaijan Philadelphia, PA, USA Associate Editors Ali Quliyev, MD, PhD Alessandro Giamberti, MD, PhD Baku, Azerbaijan Milan, Italy Jamal Musayev, MD Andrey Kehayov, MD, PhD, DSc Nadir Zeynalov MD, PhD Anar Aliyev, MD, PhD Baku, Azerbaijan Sofia, Bulgaria Nigar Sadiyeva, MD, PhD Ayaz Aghayev, MD, PhD Ilyas Akhund-zada, MD, PhD Elnur Farajov, MD, PhD Cambridge, MA, USA Baku, Azerbaijan Bülent Gürler, MD, PhD Assistant Editors Erkin Rahimov, MD, PhD Istanbul, Turkey Baku, Azerbaijan Rauf Karimov, MD, PhD Ercan Kocakoç, MD, PhD Ferid Aliyev, MD, PhD Istanbul, Turkey Lana Yusufova, MD Baku, Azerbaijan Narmina Aliyeva, MD Faik Orucoglu, MD, PhD Ikram Rustamov, MD, PhD Istanbul, Turkey Saida Talibova, MD Baku, Azerbaijan Rashida Abdullayeva, MD, PhD Fidan Israfilbayli, MD, PhD Islam Magalov MD, PhD, DSc Birmingham, UK Baku, Azerbaijan Gia Loblanidze, MD, PhD, DSc Kamran Salayev, MD, PhD Tbilisi, Georgia Baku, Azerbaijan Cuneyt Kayaalp, MD, PhD Call for papers Malatya, Turkey Lale Mehdi, MD, PhD Azerbaijan Medical Association invites authors Baku, Azerbaijan James Appleyard, MD, PhD to submit their papers to Azerbaijan Medical London, UK Association Journal - AMAJ. 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Ankara, Turkey For futher information please contact: Yves Durandy, MD MD Publishing House, Istiqlaliyyet 37/2, Paris, France AZ1000, Baku, Azerbaijan Tel: (+99455) 328 1888, email: [email protected] www.amaj.az Case Report DOI: 10.5455/amaj.2017.01.028 Recurrent Dermatofibrosarcoma Protuberans of the Scalp Reconstructed by Visor Flap Ilyas S. Akhund-zada, MD1 Rauf I. Karimov , MD, PhD1 Dermatofibrosarcoma protuberans (DFSP) is a locally aggressive skin tumor. It usu- Rauf Sadiqov, MD2 ally occurs on the trunk and extremities and, only about 10% of cases DFSP are found Rafael Bayramov, MD2 on head and neck region. Presence of the tumor on the head challenges surgical treatment because of need in wide resections of limited scalp tissue. Recurrent cases of DFSP often possess possibility of bone and intracranial involvement that dictates 1 Department of ENT Head and Neck Surgery, Central Hospital of Oil-workers, even greater resection with simultaneous closure to prevent meningitis and other Baku, Azerbaijan. fatal complications. Control of the wound margins either by means of frozen sections or by Moh’s technique is a keystone of successful treatment. 2 Republic Neurosurgery Hospital, Here we present a case of recurrent DFSP of the fronto-parietal area. The case is Baku, Azerbaijan. remarkable for intracranial extension of the tumor. Also we describe a rare use of bi- pedicle a. temporalis superficialis (visor) flap for reconstruction of composite defects Correspondence: of forehead resulted from wide resection of large recurrent DFSP lesion. Ilyas S. Akhund-zada, MD, Specialist of Plastic, Reconstructive and Aesthetic Surgery; Fellow of EBOPRAS, Keywords: dermatofibrosarcoma protuberans, surgical flaps, bipedicle a.tempo- Department of ENT Head and Neck Sur- ralis superficialis flap, scalp gery, Central Hospital of Oil-workers Khatai, Yusif Safarov, 21 Baku, Azerbaijan. email: [email protected] Introduction absence of S-100 marker, which is necessary Phone: (+99470) 663 06 71 for differentiation from other similar tu- ermatofibrosarcoma protuberans mors. [1-6] (DFSP) is a locally aggressive skin tu- D Due to highly invasive nature DFSP can mor of presumably mesenchymal origin. It affect different underlying structures (fat is the most common type of skin sarcomas. tissue, fascia, muscle, bone, etc.) and cause The tumor usually affects people between various correspondent symptoms. However, 20-60 years; men are slightly more predis- main invasion occurs horizontally, i.e. in posed to it than women. Despite of locally the adjacent skin. Because of tentacle-like aggressive behavior of classical dermatofi- centrifugal growth, nests of the tumoral cells brosarcoma protuberans distant metastasis can microscopically be found in normally usually occurs only in 0.5% of cases and it appearing skin as far as 9-15 cm away from most commonly affects the lungs. [1, 7] the main lesion. Usual sites of occurrence include trunk Typically the tumor has irregular borders and extremities and in only about 10% of and composed of firm subcutaneous (some- cases DFSP occur in head and neck area. [1, 2] times ulcerated) nodules of fleshy or reddish Aberrations in 17th and 22nd chro- color. Less common presentation of DFSP mosomes and previous local trauma are is morphea-like, atrophic patch, which is suggested to contribute to pathogenesis of prone to further ulceration. DFSP. [3] Treatment modalities classically consist According to histological findings the of wide resection with 2-4 cm margins of tumor can be plaque, nodular, pigmented, visibly unchanged skin. Chemotherapy with fibrosarcomatous or juvenile type. Immu- imatinib and radiotherapy can be used as nohistochemistry reveals CD34 antigen and adjuvant