Colgajo submentoniano en la reconstrucción de cabeza y cuello

Autores/as

DOI:

https://doi.org/10.30944/20117582.1872

Palabras clave:

neoplasias de cabeza y cuello, colgajo miocutáneo, trasplante autólogo, trasplante de tejidos, período posoperatorio

Resumen

Introducción. Los colgajos del territorio de la arteria submentoniana pueden ser utilizados como un colgajo cutáneo, musculofacial y osteocutáneo, realizando cierres primarios del defecto del sitio donante, sin generar defectos funcionales ni estéticos mayores.

Métodos. Describir la experiencia de nuestro equipo quirúrgico, las complicaciones relacionadas con el uso del colgajo y los resultados oncológicos, así como los desenlaces tardíos durante el seguimiento de los pacientes incluidos en el estudio.

Resultados. Se incluyeron veintiún pacientes, con una edad media de 66 años (rango 52 - 86), con patología oncológica de lengua, labio inferior, paladar blando, nariz, órbita y orofaringe. Todos los pacientes fueron sometidos a disección selectiva ipsilateral del cuello, tras la extracción del colgajo y en todos los casos se preservó el nervio mandibular marginal. Se registraron complicaciones como la necrosis parcial. La estancia hospitalaria media fue de 8 días.

Conclusiones. El colgajo de la arteria submentoniana ha mostrado resultados favorables debido a su uso versátil, amplio arco de rotación, color y baja morbilidad del sitio donante. Se recomienda realizar estudios más robustos, que incluyan la experiencia de diversos especialistas en países que compartan las mismas limitaciones técnicas y características sociodemográficas.

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Biografía del autor/a

Adonis Tupac Ramírez-Cuellar, Salud Empática, Pereira, Colombia.

Médico, especialista en Cirugía general y Cirugía de cabeza y cuello, Maestría en Epidemiología clínica y en Educación, Clínica San Rafael de Pereira, Universidad Tecnológica de Pereira; tutor principal, Head and Neck Surgery Interest Group; director, Salud Empática, Pereira, Colombia.

Wanda Sánchez-Jiménez, Universidad Surcolombiana, Neiva, Colombia.

Médico.

Manuel Latorre-Quintana, Head and Neck Surgery Interest Group, Bogotá, D.C., Colombia.

Médico, director académico, SURCAC S.A.S.; miembro Head and Neck Surgery Interest Group, Bogotá, D.C., Colombia.

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Publicado

2022-06-23

Cómo citar

(1)
Ramírez-Cuellar, A. T.; Sánchez-Jiménez, . W.; Latorre-Quintana, M. Colgajo Submentoniano En La reconstrucción De Cabeza Y Cuello. Rev Colomb Cir 2022, 37, 580-587.

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