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Article History

Received: 17 October 2025

Accepted: 12 January 2026

First Online: 26 January 2026

Declarations

:

: The authors declare no competing interests.

: This study was approved by the Ethics Committee of Health Sciences University Haseki Training and Research Hospital (Approval Number: 49-2024; Date: January 8, 2025) and conducted in accordance with the Declaration of Helsinki.

: Written informed consent to participate in this study was obtained from all participants prior to enrollment. Participants were fully informed about the study objectives, procedures, potential risks, and benefits, and participation was entirely voluntary.

: Written informed consent for publication of clinical data and intraoperative photographs was obtained from all participants. Patient identifying features were excluded to maintain confidentiality.

: Claude Sonnet 4.5 (Anthropic, San Francisco, CA, USA) was utilized for English language refinement and manuscript formatting. The AI tool did not contribute to study design, data collection, statistical analysis, or interpretation of results. All scientific content and conclusions represent the original work of the authors, who retain full responsibility for the accuracy and integrity of this research.

: Not applicable. This prospective observational cohort study was not registered as it represents evaluation of a surgical technique performed as standard clinical care rather than a controlled intervention trial.