Propuesta de manejo en reconstrucción microquirúrgica maxilar: serie de casos

Q4 Medicine Cirugia Plastica Ibero-Latinoamericana Pub Date : 2020-12-01 DOI:10.4321/S0376-78922020000500009

Andrés Esteban Jaramillo del Río, Juan Camilo Vásquez Atehortúa, M. Díaz

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Abstract

Background and objective. Multiple classifications and management algorithms have been described for maxillary reconstruction, at the present time, the most widely accepted is described by Cordeiro and Santamaria. We present our experience in microsurgical reconstruction of the maxillary with free flaps retrieved from fibula and anterolateral thigh with the intent to consider it as a first-choice option in the reconstruction of defects classified as type II and III. Methods. A retrospective, descriptive, case series study of 7 maxillary reconstruction cases with free flap from fibula and anterolateral thigh is described. Database was recollected between January 2018 and February 2019 from Hospital Universitario de La Samaritana (HUS) in Bogota, Colombia. Results. For the reconstruction of IIa, IIb and IIIa defects, a fibular free flap was used. For maxillectomies classified as IIIb, an anterolateral thigh and vast lateral chimeric free flap was implemented. Survival rate of the free flaps was observed at 100%. Conclusions. The fibular free flap is our primary reconstructive option in defects by maxillectomy classified as IIa, IIb and IIIa. In defects constituted as IIIb, our choice is an anterolateral thigh and vast lateral chimeric flap.

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上颌显微外科重建的治疗建议:病例系列

背景和目标。已经描述了用于上颌重建的多种分类和管理算法，目前最广泛接受的是Cordeiro和Santamaria描述的。我们介绍了用腓骨和股前外侧游离皮瓣显微外科重建上颌的经验，目的是将其视为II型和III型缺损重建的首选方案。方法。对7例腓骨和股前外侧游离皮瓣上颌重建病例进行回顾性、描述性、病例系列研究。数据库是在2018年1月至2019年2月期间从哥伦比亚波哥大的萨马里塔纳大学医院（HUS）收集的。后果对于IIa、IIb和IIIa缺损的重建，使用腓骨游离皮瓣。对于分类为IIIb的上颌骨切除术，实施了大腿前外侧和巨大外侧嵌合游离皮瓣。游离皮瓣的存活率为100%。结论。腓骨游离皮瓣是我们上颌骨切除术后IIa、IIb和IIIa类缺损的主要重建选择。在构成IIIb的缺陷中，我们的选择是大腿前外侧和巨大的外侧嵌合皮瓣。

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来源期刊

Cirugia Plastica Ibero-Latinoamericana Medicine-Surgery

CiteScore

0.20

自引率

0.00%

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审稿时长

20 weeks

期刊介绍： Su área de interés científico abarca todo el amplio campo de la Cirugía Plástica, Estética y Reparadora, Quemados, Microcirugía, Cirugía infantil, Cirugía de la mano, Cirugía de la extremidad inferior, Cirugía máxilofacial, Cirugía craneofacial, Cirugía del cambio de sexo, Trasplante e injertos de grasa, Trasplante y reimplante de miembros, Cirugía de reconstrucción oncológica, Cirugía de las malformaciones congénitas, Cirugía del melanoma. Su contenido se publica en forma de artículos originales, casos clínicos, trabajos experimentales y revisiones bibliográficas. Cuenta también con comentarios de especialistas de prestigio reconocido en el área en aquellos artículos de especial interés y el aliciente añadido de conceder al autor capacidad de respuesta a ese comentario, lo que suscita interesantes diálogos y controversias que ayudan a los lectores a despejar dudas y ampliar conocimientos.