ABSTRACT
La reconstrucción mamaria sigue siendo un reto en la cirugía reconstructiva. Técnicas quirúrgicas sofisticadas como el DIEP, que buscan y encuentran la excelencia en la creación de la neomama, no podemos realizarlas en todas las pacientes. Nuestra experiencia nos demuestra que el colgajo latissimus dorsi pediculado (LAT) puede alcanzar ese grado de excelencia en la reconstrucción mamaria, en los casos en los que no podemos aplicar, por las características de nuestras pacientes, las técnicas microquirúrgicas de colgajos autólogos(AU)
The breast reconstruction is a challenge for reconstructive surgery. We cannot perform sophisticated microsurgery techniques such as DIEP in all our patients. In our experience the Latissimus dorsi flap (LAT), is a perfect breast reconstruction in patients we cannot do a DIEP due to the characteristics of the patients(AU)
Subject(s)
Humans , Female , Adult , Middle Aged , Surgical Flaps/trends , Surgical Flaps , Mastectomy/methods , Surgical Procedures, Operative/methods , Surgical Procedures, Operative/trends , Mastectomy/trends , Mastectomy , Surgical Procedures, OperativeABSTRACT
Many techniques are used for repairing nasal tip defects. Our own guidelines are reviewed: Small defects often can be closed directly. Lesions of the nasal tip over 0.5 cm in diameter usually require a skin graft or flap. Postauricular, preauricular, and nasolabial full-thickness skin grafts may produce noticeable color or contour differences. The type of local skin flap used depends on defect size: Local rotation-transposition flaps or the nasalis myocutaneous sliding flap described by Rybka are used for defects 2 cm or less in diameter. Rieger and de Marchac frontonasal flaps are used for defects 2-3.5 cm in diameter. Forehead flaps are used for defects of 3.5 cm or more. We prefer Rybka's flap for nasal tip defects less of 2 cm because it has cosmetic advantages: incisions do not deform natural cutaneous crease lines and chronic edema and "dog ears" secondary to rotation-transposition pedicle flaps are avoided. For more extensive defects, we prefer frontonasal or forehead flaps.