The Vascular microsurgery for post-resection reconstruction head and neck oncology

La microcirugía vascular para la reconstrucción post-resecciones oncológicas en cabeza y cuello

Juri, Héctor J

Resumen:

5 clinical cases of head and neck cancer are presented: 3of the hypopharynx, one of the amygdaloid fossa. and oneof tangue and floor of the mouth. Reference is made toreconstructive techniques after tumor resection, usingvascular microsurgery and transport of flaps and free graftstowards the neck. The fasciocutaneous flap of the forearmwas folded and employed for the making of a tube; a freegraft of jejunum for reconstruction of the hypopharynx, andthe musculo-cutaneous flap of the re e tus abdominis forintraoral reconstruction. The method's ductility isestablished; and more importan/, the decrease of days ofpost-operatory stay. Four of these patients are presentlyfree of tumor. The remaining one died because of systemicdissemination


Se presentan 5 casos clínicos de neoplasmas de cabeza ycuello; tres de hipofaringe, uno de fosa amigdalina y elrestante de lengua y piso de boca.Se hace referencia a las técnicas de reconstrucciónluego de la resección de estos tumores. utilizando lamicrocirugía vascular y el transporte hacia el cuello decolga¡o e injertos libres. Se emplearon el colga¡ofasciocutáneo de antebrazo plegado para formar un tubo yel injerto libre de yeyuno para la reconstrucciónfaringo-esofágica. y el colgajo músculo-cutáneo de rectoabdominal para reconstrucción intraoral.Se establece la ductilidad del método, y por sobre todo.la disminución de la estadía pos/operatoria de lospacientes. Cuatro de estos pacientes están a la fechalibres de tumor. El restante fallece por diseminaciónsistémica de su neoplasia.


Detalles Bibliográficos
1992
tumores
cabeza
cuello
tumors
head
neck
Español
Sociedad de Cirugía del Uruguay
Revista Cirugía del Uruguay
https://revista.scu.org.uy/index.php/cir_urug/article/view/4039
Acceso abierto
Resumen:
Sumario:5 clinical cases of head and neck cancer are presented: 3of the hypopharynx, one of the amygdaloid fossa. and oneof tangue and floor of the mouth. Reference is made toreconstructive techniques after tumor resection, usingvascular microsurgery and transport of flaps and free graftstowards the neck. The fasciocutaneous flap of the forearmwas folded and employed for the making of a tube; a freegraft of jejunum for reconstruction of the hypopharynx, andthe musculo-cutaneous flap of the re e tus abdominis forintraoral reconstruction. The method's ductility isestablished; and more importan/, the decrease of days ofpost-operatory stay. Four of these patients are presentlyfree of tumor. The remaining one died because of systemicdissemination