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2015, Number 1

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Revista Cubana de Cirugía 2015; 54 (1)

Multiple rhomboplasty in rescue surgery of head and neck cancer

Expósito ROR, Ladrón de Guevara GJL, Frías BR, Valles GM
Full text How to cite this article

Language: Spanish
References: 9
Page: 63-68
PDF size: 106.37 Kb.


Key words:

skin cancer, Limberg’s rhomboplasty, cutaneous flap.

ABSTRACT

Limberg’s rhomboplasty is a useful surgical technique for facial defect repair. Here is a 55 years-old male patient from a rural area, who went to the neck and head surgery service for a persistent lesion occurred three months before. The lesion was located in the right temporofrontal region, in the form of an ulcer that causes a lot of pain and physical and esthetical discomfort. Surgical resection and biopsy were performed, and the latter showed a basal carcinoma whose borders were lesion-free and an 8 cm round defect remained. The size and location of such lesion in a barely extensible area made the border-to-border closure of the lesion impossible. It was then necessary to design Limberg’s rhomboplasty that requires three concentric cutaneous flaps from the scalp, preauricular and frontal regions, followed by dissection, transposition and suture of such flaps without affecting blood irrigation. Limberg’s rhomboplasy shows that it is a good technique for forehead defect repairs and facilitates the expected oncological and esthetic outcome.


REFERENCES

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  2. Gálvez C, Sánchez WL, Monzón FAN, Morales TR. La recidiva tumoral en la reconstrucción nasal oncológica. Rev Cubana Cir. 2009;48(3).

  3. Banfi A, Bonadonna G, Molinari R. Neoplasias cutáneas. En: Manual de oncología médica. La Habana: Editorial Científico-Técnicas 1986:405-17.

  4. Suarez GR, Pérez Martínez CY, Fernández RL, Pérez PA. Caracterización de adultos mayores con cáncer de cabeza y cuello. CCM. 2013;17(2).

  5. Frías BR, Remón E, Futiel N. Resultados del tratamiento quirúrgico de los tumores malignos del parpado inferior. Rev Cubana Cir. 2008;47(2).

  6. Viñas GM, Algozaín AY, Álvarez CL, Quintana D JC. Comportamiento del carcinoma basocelular facial en Artemisa durante la última década. Rev Cubana Estomatol. 2011;48(2).

  7. Mir L. Plastias cutáneas. En Coiffman F. Texto de cirugía plástica, reconstructiva y estética. T I. 1986; p. 67-9.

  8. Suarez, R., et al. Colgajos cutáneos-los más usados. Cirugía dermatológica. 2001;4(5):319-325.

  9. León RY. Reconstrucción total del párpado superior mediante colgajo frontal. Rev Cubana Cir. 2009;4(4).




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Revista Cubana de Cirugía. 2015;54