Versatilidad del colgajo microvascularizado antebraquial radial en la reconstrucción de cabeza y cuello. Una serie de 58 casos / Versatility of the radial forearm free flap in head and neck reconstruction. A study of 58 case

INTRODUCCIÓN: El colgajo microvascularizado antebraquial radial (CMAR) es una herramienta ampliamente utilizada en la cirugía reconstructiva de cabeza y cuello. Destaca por ser un colgajo relativamente sencillo de obtener, versátil y con características que permiten la reconstrucción de defectos complejos de la cabeza y el cuello. El objetivo del estudio es presentar nuestros resultados en la reconstrucción con CMAR de defectos que asentaban en el área de la cabeza y el cuello. MATERIAL Y MÉTODOS: Estudio retrospectivo, observacional y analítico en el que se incluyen 58 casos de intervenciones con CMAR realizadas entre enero de 2002 y julio de 2019. Los datos estudiados fueron la edad y el sexo del paciente, la localización del tumor, el tipo histológico, la radioterapia previa, el número de anastomosis venosas realizadas en la cirugía y la temperatura corporal en el postoperatorio inmediato, a las 24 y a las 48 h de la cirugía. RESULTADOS: El porcentaje de CMAR viables fue del 82,8%. Ninguna de las variables analizadas parece ser un factor de riesgo para el fallo del colgajo. La causa más frecuente de fallo del colgajo es la trombosis venosa. CONCLUSIONES: Los colgajos microvascularizados tienen un papel destacado en la cirugía reconstructiva, siendo el CMAR uno de los más interesantes para la reconstrucción de cabeza y cuello. Constituye una herramienta muy versátil que permite la reconstrucción de gran cantidad de localizaciones en las que trabaja el cirujano de cabeza y cuello

INTRODUCTION: The radial forearm free flap (RFFF) is a widely used tool in head and neck reconstructive surgery. It stands out as a relatively simple flap to achieve; it is versatile and has features that enable the reconstruction of complex head and neck defects. The aim of the study was to present our results using the RFFF in the reconstruction of seated defects in the head and neck area. MATERIAL AND METHODS: A retrospective, observational and analytical study that included 58 cases of RFFF interventions, performed between January 2002 and July 2019. The data studied were the age and sex of the patients, location of the tumour, histological type, previous radiation therapy, number of venous anastomoses performed in the surgery and body temperature in the immediate postoperative period, at 24 and 48hours following surgery. RESULTS: The percentage of viable RFFF was 82.8%. None of the variables analysed appear to be a risk factor for flap failure. The most frequent cause of flap failure was venous thrombosis. CONCLUSIONS: Microvascularised flaps play an important role in reconstructive surgery, being the RFFF one of the most interesting for head and neck reconstruction. It is a very versatile tool that allows the reconstruction of many of the sites where the head and neck surgeon operates

Versatility of the radial forearm free flap in head and neck reconstruction. A study of 58 cases. / Versatilidad del colgajo microvascularizado antebraquial radial en la reconstrucción de cabeza y cuello. Una serie de 58 casos.

INTRODUCTION: The radial forearm free flap (RFFF) is a widely used tool in head and neck reconstructive surgery. It stands out as a relatively simple flap to achieve; it is versatile and has features that enable the reconstruction of complex head and neck defects. The aim of the study was to present our results using the RFFF in the reconstruction of seated defects in the head and neck area. MATERIAL AND METHODS: A retrospective, observational and analytical study that included 58 cases of RFFF interventions, performed between January 2002 and July 2019. The data studied were the age and sex of the patients, location of the tumour, histological type, previous radiation therapy, number of venous anastomoses performed in the surgery and body temperature in the immediate postoperative period, at 24 and 48hours following surgery. RESULTS: The percentage of viable RFFF was 82.8%. None of the variables analysed appear to be a risk factor for flap failure. The most frequent cause of flap failure was venous thrombosis. CONCLUSIONS: Microvascularised flaps play an important role in reconstructive surgery, being the RFFF one of the most interesting for head and neck reconstruction. It is a very versatile tool that allows the reconstruction of many of the sites where the head and neck surgeon operates.

Tonsilolito gigante: A propósito de un caso / Giant tonsillolith: Report of a case

Los tonsilolitos son pequeñas concreciones calcificadas que seforman en las criptas de las amígdalas palatinas formados porsales cálcicas o en combinación con otras sales minerales yque suelen tener pequeño tamaño. En pocas ocasiones han sidodescritos tonsilolitos de grandes dimensiones o en localizacionesperiamigdalinas.Nosotros presentamos el caso de una mujer de 55 años de edadque tenía sintomatología de disfagia y molestias en la faringecon sensación de cuerpo extraño desde había un año aproximadamenteaunque últimamente se habían agudizado las molestias.A la exploración se palpaba una tumoración dura a nivelsubmucoso en el paladar blando a nivel del pilar amigdalinoanterior derecho. El pilar parecía algo abombado, palpándosedicha tumoración como una lesión de consistencia dura y que ensuperficie presentaba la mucosa algo eritematosa. La tomografíacomputadorizada mostraba una imagen ovalada delimitada ymuy calcificada de gran tamaño (2,5x1,5 cm). Se procedió a laexéresis quirúrgica de dicha estructura

Tonsilloliths or tonsil stones are calcifications that form in thecrypts of the palatal tonsils. These calculi are composed ofcalcium salts either alone or in combination with other mineralsalts, and are usually of small size though there ha ve beenoccasional reports of large tonsilloliths or calculi in peritonsillarlocations.We present the case of a 55-year-old woman with a one-year historyof dysphagia and pharyngeal discomfort with a foreign bodysensation, though the manifestations had recently intensified.Exploration of the oral cavity revealed a hard bulging submucosalmass in the region of the soft palate, at right anteriortonsillar pillar level. The mucosa overlying the lesion appearederythematous. Computed tomography revealed a large, delimitedand highly calcified oval image measuring 2.5 x 1.5 cm, whichwas subsequently surgically removed

Giant tonsillolith: report of a case.

Tonsilloliths or tonsil stones are calcifications that form in the crypts of the palatal tonsils. These calculi are composed of calcium salts either alone or in combination with other mineral salts, and are usually of small size - though there have been occasional reports of large tonsilloliths or calculi in peritonsillar locations. We present the case of a 55-year-old woman with a one-year history of dysphagia and pharyngeal discomfort with a foreign body sensation, though the manifestations had recently intensified. Exploration of the oral cavity revealed a hard bulging submucosal mass in the region of the soft palate, at right anterior tonsillar pillar level. The mucosa overlying the lesion appeared erythematous. Computed tomography revealed a large, delimited and highly calcified oval image measuring 2.5 x 1.5 cm, which was subsequently surgically removed.