Colgajo anterolateral de muslo. Nuestra experiencia con 32 casos / Anterolateral thigh flap. Our experience with 32 cases

Los colgajos basados en perforante han irrumpido con fuerza en los países occidentales en los últimos años. Entre ellos, el colgajo anterolateral de muslo ha demostrado su polivalencia, versatilidad y excelencia. Describimos nuestra experiencia con 32 colgajos (microquirúrgicos y pediculados) en reconstrucción de cabeza y cuello, miembro superior e inferior y área genitourinaria, a la vez que describimos diversos aspectos técnicos, causas potenciales de fracaso y cómo evitarlas (AU)

Perforator-based flaps have recently gained great popularity in western countries. The anterolateral thigh flap has proved unbeatable in terms of versatility and excellence. We describe our experience with 32 transfers (free and pedicled) performed in head and neck, upper and lower limbs and genital area, and describe different technical tips and pitfalls to prevent flap failure (AU)

[Nasal injuries. Retrospective study of 123 cases]. / Traumatismos nasales. Estudio retrospectivo sobre 123 casos.

A retrospective study was made of 123 cases of nose injury seen in our hospital. Clinical and diagnosis aspects useful for the management of these injuries are discussed. Local inflammation, nosebleed, and deformity were the most common clinical signs. Most injuries were closed and about 80% were fractures. Immediate reduction under local anesthesia was the preferred treatment. The literature was reviewed and the technique is described.

[Prominent ears. Correction using a modified Chongchet technique]. / Orejas prominentes. Correccion mediante la tecnica de Chongchet modificada.

The authors describe their experience with the correction of prominent ears using a modified Chongchet technique. This method is based on the investigations of GIBSON and DAVIS (1958), who showed the tendency of cartilage to warp when one surface is cut. The prominent ear is folded back to produce the desired antihelix fold, which is outlined with methylene blue. An elliptical piece of retroauricular skin is excised. An incision is made through the whole thickness of the cartilage, following the posterior marked linea of the new antihelical fold, from the superior crus to the tail of antihelix. The anterior surface of the cartilage is dissected from the skin. A series of parallel incisions are made through the taut outer layer of the future fold. The tension on that side is released, and therefore it will bend towards the opposite side. The antihelical fold is corrected. This method was used in 192 patients with prominent ears. The results were satisfactory, with a normal-looking fold of antihelix. No recurrence of the deformity was seen.