<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922017000400285</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922017000400010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Nuestra técnica de colgajo miocutáneo de pectoral mayor para reconstrucción de defectos cervicales]]></article-title>
<article-title xml:lang="en"><![CDATA[Our technique of pectoralis major myocutaneous flap for reconstruction of cervical defects]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Avellana]]></surname>
<given-names><![CDATA[Roser]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Márquez-Cañada]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tejerina-Botella]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Godoy-Herrera]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Noval-Font]]></surname>
<given-names><![CDATA[César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Avellana Dra.]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montealegre Gómez Dr.]]></surname>
<given-names><![CDATA[Giovanni]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Universitario de Valencia Servicio de Cirugía Plástica y Reparadora ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Universitario de Valencia Servicio de Cirugía Plástica y Reparadora ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Clínico Universitario de Valencia Servicio de Cirugía Plástica y Reparadora ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Clínico Universitario de Valencia Servicio de Cirugía Plástica y Reparadora ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Nacional de Colombia Fundación Universitaria de Ciencias de La Salud ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Asociación Latinoamericana de Microcirugía (ALAM)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>43</volume>
<numero>3</numero>
<fpage>285</fpage>
<lpage>293</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922017000400285&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922017000400285&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922017000400285&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y Objetivos Las técnicas actuales para reconstrucción de cabeza y cuello se basan principalmente en colgajos libres, fasciocutáneos o viscerales según el defecto. La evolución de la microcirugía ha relegado a un segundo plano a los colgajos pediculados. El colgajo miocutáneo pediculado de pectoral mayor ha sido uno de los más empleados hasta que se ha extendido el uso de los colgajos libres. Las desventajas que presenta, tales como su volumen o sus secuelas funcionales y estéticas, son responsables de su desuso actual. Presentamos una modificación de la técnica clásica del pectoral mayor para minimizar sus desventajas.  Material y Método Hacemos una descripción técnica de la modificación desarrollada por Márquez-Cañada del colgajo de pectoral mayor para reconstrucción de defectos cervicales y un estudio descriptivo sobre un grupo de pacientes sometidos a la misma.  Resultados Recogimos 6 casos, 5 varones y 1 mujer (edad media de 52.5 años), en los que se empleó la técnica descrita. El defecto más frecuente (66.7%) fue el faringostoma secundario a laringuectomía total y vaciamiento cervical por carcinoma epidermoide de laringe. Tiempo medio entre intervenciones quirúrgicas de 5 semanas. En 2 casos hubo como complicación serohematoma en zona donante tras el primer tiempo quirúrgico, No hubo pérdida de injertos ni necrosis, fístulas o estenosis secundarias. Resultado estético aceptable; los pacientes conservaron movilidad completa del brazo.  Conclusiones Observamos una reducción en el número de complicaciones respecto del uso del pectoral mayor clásico y los colgajos libres Creemos que la modificación técnica que presentamos, por su reproducibilidad y su baja tasa de complicaciones, podría emplearse en reconstrucción de cuello como colgajo de elección en pacientes de alto riesgo, no candidatos a técnicas microquirúrgicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and Objective Current techniques for head and neck reconstruction are mainly based on free flaps, fasciocutaneous or visceral according to the defect. The evolution of microsurgery has relegated to the background the pedicled flaps. The pedicled myocutaneous pectoralis major flap has been one of the most employed until the generalization of free flaps. Their disadvantages such as bulky or functional and aesthetic sequelae, are responsible for its current disuse. We present a modification to the classic technique of pectoralis major flap to reduce its disadvantages.  Methods We make a technical description of the modification developed by Márquez-Cañada of the pectoralis major flap for cervical defects reconstruction and a descriptive study on a group of patients submitted to it.  Results We collected 6 cases, 5 males and 1 females (mean age 52.5 years), in which the described technique was used. The most frequent defect (66.7%) was the pharyngostoma secondary to total laryngectomy and cervical emptying secondary a epidermoid carcinoma of the larynx. Mean time between surgeries was 5-week. In 2 cases, there was serohematoma in the donor site after the first surgical time. There was no loss of grafts or necrosis, fistulas or secondary stenoses. Acceptable esthetic result; patients maintained complete arm mobility.  Conclusions We observed a reduction in the number of complications with respect to the use of the classic pectoralis and free flaps. We believe that the technical modification that we present, due to its reproducibility and its low complication rate, could be used in neck reconstruction as a flap of choice in patients or high risk, not candidates for microsurgical techniques.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Reconstrucción cuello]]></kwd>
<kwd lng="es"><![CDATA[Faringostoma]]></kwd>
<kwd lng="es"><![CDATA[Colgajo pectoral mayor]]></kwd>
<kwd lng="es"><![CDATA[Colgajo miocutáneo]]></kwd>
<kwd lng="es"><![CDATA[Colgajo pediculado]]></kwd>
<kwd lng="en"><![CDATA[Neck reconstruction]]></kwd>
<kwd lng="en"><![CDATA[Pharyngostomy]]></kwd>
<kwd lng="en"><![CDATA[Pectoralis mayor flap]]></kwd>
<kwd lng="en"><![CDATA[Myocutaneous flap]]></kwd>
<kwd lng="en"><![CDATA[Pedicled flap]]></kwd>
</kwd-group>
</article-meta>
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<page-range>67-72</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
