León-Pérez JA, Cantú-Reyes JA, López-G RA, Palafox-Sánchez R

Language: Spanish
References: 9
Page: 22-28
PDF size: 179.43 Kb.

ABSTRACT

Introducción: There so many patients with postrauma defects or problems of the skin that result from the resection of many pathologies of head and neck. Several reconstructive surgical procedures has been tried in the treatment of this patients,such as fusiform resection, direct closure of the wound, local and distance flaps, skin grafts and tisular expansion.
Material y métodos: This study exposed the cases of 16 patients with defects of the head and neck in which the soft tissue expansion method was used for the treatment of the cases understudy. Five of our patiens present mayor defects and it was impossible to put soft tissue expansors in the adyacent areas, it was decided to make abdominal expansion, to obtained a full-thickness skin graft with a pfannestyl scar as a donor of the graft.
Resultados: An adecuaded soft tissular expansion was achieved in all patients ,4 presented complications (1) seroma,(1) ectropion of the inferior eye lid,(2) incipient exposured of the expansor, anyway they didn´t limited the scope of the study. Five patients required an additional soft tissue expansor, due to the impossibility to archieve the complete resection of the defect in it´s totality.
Conclusiones: Because it is an area adyacent to the defect, the soft tissue expansion method resulted the best reconstructive surgical procedure of head and neck due to a superior skin coverage, a better color of the skin, thickness and texture of the treated area, as well as in the amount of hair in the skin adyacent to the defect.

REFERENCES

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