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Versatilidad del colgajo nasogeniano basado en perforantes de la arteria facial en reconstrucción facial / Versatility of the nasolabial flap based on facial artery perforators in facial reconstruction
Loza, Brayan; Cruz, Diana; Mackfarlane, Marcelo; Pefaure, Joaquin.
  • Loza, Brayan; Hospital Centro Gallego de Buenos Aires. Ciudad Autónoma de Buenos Aires. AR
  • Cruz, Diana; Hospital Centro Gallego de Buenos Aires. Ciudad Autónoma de Buenos Aires. AR
  • Mackfarlane, Marcelo; Hospital Santojanni. Ciudad Autónoma de Buenos Aires. AR
  • Pefaure, Joaquin; Hospital Centro Gallego de Buenos Aires. Ciudad Autónoma de Buenos Aires. AR
Rev. argent. cir. plást ; 28(2): 81-86, 20220000. fig
Article in Spanish | LILACS, BINACIS | ID: biblio-1413555
RESUMEN
Se conocen varios colgajos locales basados en la arteria facial al momento de reconstruir unidades estéticas faciales. Levantar estos colgajos basados en las ramas perforantes de la arteria facial, los hace más finos, móviles, fiables, y adaptables, y la posibilidad de realizarlos en un solo tiempo quirúrgico. El propósito de este estudio es demostrar nuestra experiencia con el colgajo perforante de la arteria facial en reconstrucciones faciales de defectos hasta tamaño de 5x4cm, utilizando su pedículo superior o su pedículo inferior. Método. Realizamos un estudio longitudinal retrospectivo con 15 pacientes de ambos sexos, con edades comprendidas entre 40 a 60 años, a quienes se realizó el colgajo perforante facial en un solo tiempo quirúrgico. Los defectos faciales tratados fueron de tamaño pequeño a mediano, localizados en subunidades de la mejilla, nariz, pliegue nasolabial, labios superior e inferior. Resultados. De los 15 pacientes de nuestro estudio, 13 evolucionaron sin complicaciones (84.6%); 1 paciente concurrió con leve dehiscencia de herida (7.7%) y 1 paciente al que se le realizó un colgajo de 5x4cm concurrió con una mínima necrosis en la parte distal del colgajo (7.7%). Estas complicaciones fueron leves y con resolución ambulatoria, sin requerir otro tiempo quirúrgico.

Conclusiones:

Gracias a su libertad de movimiento, este colgajo nos permite reconstruir varias unidades estéticas, y por su delgado espesor, mínimas complicaciones y una cicatriz de la zona dadora que se camufla en el surco nasogeniano, los resultados tanto funcionales como estéticos son superiores comparados con los tradicionales colgajos locales miocutáneos nasolabiales.
ABSTRACT
Several local flaps based on the facial artery are well known when reconstructing facial aesthetic units. Making these flaps based on the perforating branches of the facial artery makes them thinner, more mobile, reliable, and adaptable, and the possibility of performing them in a single surgical time. The purpose of this study is to demonstrate our experience with the perforating vessel of the facial artery flap, in facial reconstructions of defects up to a size of 5x4 cm, using its upper or lower pedicle. Method. We carried out a retrospective longitudinal study with 15 patients of both sexes, aged between 40 and 60 years, who underwent the facial artery perforator flap in a single surgical time. The facial defects treated were small to medium in size, located in subunits of the cheek, nose, nasolabial fold, upper and lower lips. Results. The complications that we obtained when doing this flap were hematoma, partial dehiscence of the suture and slight venous congestion. All of these were mild and with outpatient resolution, without requiring another surgical time. Conclusions. Due to its freedom of movement, this flap allows us to reconstruct several aesthetic units, and due to its thin thickness and with minimal complications, both functional and aesthetic results are superior compared to traditional nasolabial myocutaneous flaps.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Plastic Surgery Procedures / Facial Injuries / Nasolabial Fold / Perforator Flap Type of study: Observational study Limits: Adult / Female / Humans / Male Language: Spanish Journal: Rev. argent. cir. plást Journal subject: General Surgery Year: 2022 Type: Article Affiliation country: Argentina Institution/Affiliation country: Hospital Centro Gallego de Buenos Aires/AR / Hospital Santojanni/AR

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Full text: Available Index: LILACS (Americas) Main subject: Plastic Surgery Procedures / Facial Injuries / Nasolabial Fold / Perforator Flap Type of study: Observational study Limits: Adult / Female / Humans / Male Language: Spanish Journal: Rev. argent. cir. plást Journal subject: General Surgery Year: 2022 Type: Article Affiliation country: Argentina Institution/Affiliation country: Hospital Centro Gallego de Buenos Aires/AR / Hospital Santojanni/AR