Colgajo de perforante de arteria mamaria interna (IMAP) en paciente con condronecrosis laríngea / Internal mammary artery perforator flap (IMAP) in laryngeal chondroradionecrosis
Cir. plást. ibero-latinoam
; 39(4): 407-410, oct.-dic. 2013. ilus
Article
in Es
| IBECS
| ID: ibc-121518
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
La condronecrosis laríngea es una complicación rara y grave que aparece en pacientes sometidos a radioterapia. Presentamos el caso clínico de un paciente con condronecrosis laríngea severa tratada mediante desbridamiento y cobertura con colgajo de perforante de arteria mamaria interna (IMAP). El colgajo se basó en una perforante del segundo espacio intercostal, previa localización con doppler manual. La zona donante se cerró directamente. El colgajo fue viable en un 100%, permitió una adecuada cobertura del defecto y quedó bien adaptado al mismo. La zona donante cicatrizó sin incidencias. Consideramos que el colgajo de perforante de arteria mamaria interna pediculado permite una solución fiable y adecuada para pacientes con condronecrosis laríngea postradioterapia (AU)
ABSTRACT
Laryngeal chondronecrosis is a rare and severe complication in patients undergoing radiotherapy. We report the case of a patient with severe laryngeal chondronecrosis treated with debridement and coverage with internal mammary artery perforator flap (IMAP). The flap was based on a perforator of the second intercostal space, previously located by hand-held doppler. The donor site was closed directly. The flap was viable at 100%, allowing adequate coverage, and was well adapted to the defect. The donor site healed without incident. The pedicled internal mammary artery perforator flap allows a reliable and suitable coverage for patients with laryngeal chondroradionecrosis (AU)
Full text:
1
Collection:
06-national
/
ES
Database:
IBECS
Main subject:
Laryngeal Neoplasms
/
Perforator Flap
/
Laryngeal Cartilages
/
Mammary Arteries
Type of study:
Guideline
Limits:
Humans
/
Male
Language:
Es
Journal:
Cir. plást. ibero-latinoam
Year:
2013
Document type:
Article