Utilización de polialcamida en cirugía reconstructiva y estética facial / Use of polyalkylimide in facial reconstructive and cosmetic surgery

Objetivos. Presentar nuestra experiencia en el manejo y aplicaciónde biomateriales no reabsorbibles (poliaquilamida) en pacientes condefectos faciales de diversa etiología.Material y métodos. Empleamos poliaquilamida (Bio-Alcamid®) en un totalde catorce pacientes. Cuatro pacientes presentaban distintos grados delipodistrofia facial secundaria a tratamientos antiretrovirales. Otros cuatro,consultaron porque deseaban mejorar el aspecto de su perfil labial. Trespacientes habían sido sometidos con anterioridad a exéresis oncológicas,y otros dos mostraban defectos faciales derivados de traumatismos. Finalmente,un paciente presentaba un defecto nasal, secuela de una rinoplastiaprevia.Resultados. Todos los pacientes mostraron un índice muy elevado de satisfacción.No se registraron complicaciones graves. Queremos señalar la estabilidady durabilidad del implante.Conclusiones. La seguridad y sencillez de esta técnica asociada al alto gradode satisfacción manifestado por los pacientes, animan al empleo de estassustancias en la corrección de defectos faciales de diversa etiología(AU)

Objectives. To report our experience with the managementand application of nonresorbible biomaterials (polyalkylimide) inpatients with facial defects of diverse origin.Material and methods. Polyalkylimide (Bio-Alcamid®) was used infourteen patients. Four patients had different grades of faciallipodystrophy secondary to antiretroviral treatment. Four patientssought to improve their labial profile. Three patients had previouslyundergone oncological excision and two had traumatic facial defects.Finally, one patient had a nasal defect due to rhinoplasty.Results. All patients were very satisfied. No serious complicationsoccurred. Implants were stable and durable.Conclusions. The safety and simplicity of this technique, and thehigh degree of patient satisfaction, encourage the use of thesesubstances to correct facial defects of diverse etiology(AU)

Supraclavicular bilobed fasciocutaneous flap for postburn cervical contractures.

Anterior cervical contractures after burn are a common problem in the treatment of sequelae in burnt patients. The contracture itself and the hypertrophic scarring can cause functional limitation and aesthetic disfigurement. As a consequence, the reconstruction of this area is a challenge to surgeons that must choose a procedure, which improves functionality and aesthetic appearance in addition to reversing the contracture, the surgical goal of avoiding a new scar band over time is added. We present three patients with moderate (grade II) cervical contractures caused by suicide attempt and reconstructed by means of a bilobed flap based on the supraclavicular axis with the purpose of avoiding grafts in the donor area and performing it in a single procedure. This flap is useful and reliable for reconstruction of defects caused by cervical scars in non-collaborative and psychologically unstable patients. The anatomy, surgical procedure and results in our series are presented in this article.