<?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>S0376-78922019000100006</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922019000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilización del doble plano invertido en el tratamiento de la mama tuberosa]]></article-title>
<article-title xml:lang="en"><![CDATA[Inverted double plane use in the treatment of tuberous breast]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ali]]></surname>
<given-names><![CDATA[Agustín H]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A1b"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas]]></surname>
<given-names><![CDATA[Lorena M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Echevarría]]></surname>
<given-names><![CDATA[Margarita R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[Grey]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerchiaro]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vassaro]]></surname>
<given-names><![CDATA[Víctor O]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ali]]></surname>
<given-names><![CDATA[Agustín H]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacín Casal]]></surname>
<given-names><![CDATA[José M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="A1a">
<institution><![CDATA[,Universidad Católica Argentina  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="A1b">
<institution><![CDATA[,Universidad del Sinú  ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica Argentina  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Católica Argentina  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad del Sinú Consejo Académico ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Médico Teknon  ]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>45</volume>
<numero>1</numero>
<fpage>27</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922019000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922019000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922019000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y Objetivo La mama tuberosa es una anomalía congénita que se evidencia en la pubertad con un alto índice de presentación. Se caracteriza por alteraciones en la forma y estructura de la mama, con mayor afectación del polo inferior. Presentamos nuestra experiencia de 3 años en corrección de la mama tuberosa con la técnica de doble plano invertido con colgajo de pectoral mayor y evaluamos los resultados obtenidos.  Material y Método Estudio prospectivo de 3 años sobre 12 pacientes intervenidas quirúrgicamente utilizando como alternativa de tratamiento un colgajo publicado por nosotros que utiliza el músculo pectoral mayor en su porción distal, irrigado por las perforantes internas (doble plano invertido), que proporciona mayor cobertura del implante en la zona problema.  Resultados Obtuvimos un porcentaje de satisfacción del 83% de las pacientes intervenidas, evaluado mediante tabla de satisfacción a los 8 meses de postoperatorio.   Conclusiones En nuestra experiencia, la técnica de doble plano invertido con colgajo de pectoral mayor para la plastia de mamas tuberosas otorga mayor cobertura en el polo inferior por utilizar cobertura muscular, con una anatomía constante, segura y conocida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and Objective The tuberous breast is a congenital anomaly that can be evidenced throughout puberty with a high rate of presentation. It is characterized by alterations in form and structure, the lower pole being the most usual condition. We present our 3 year experience using the double inverted plane technique in the correction of tuberous breast and evaluate our results.  Methods Prospective 3 year study on 12 patients using as an alternative to the treatment an our authorship flap that uses the pectoralis major muscle in its distal portion, irrigated by the internal perforators (inverted dual plane), which provides greater coverage of the implant in the problem zone.  Results A 83% percentage of patients´satisfaction was obtanined with the proposed technique; results were evaluated by means of a satisfaction table at 8 months postoperative period.  Conclusions In our experience, the inverted double plane technique with pectoralis major flap for tuberous breast plasty, provides greater coverage in the lower pole by using muscle coverage, with a constant, safe and known anatomy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mama tuberosa]]></kwd>
<kwd lng="es"><![CDATA[Doble plano invertido]]></kwd>
<kwd lng="es"><![CDATA[Colgajo pectoral mayor]]></kwd>
<kwd lng="en"><![CDATA[Tuberous breast]]></kwd>
<kwd lng="en"><![CDATA[Iverted dual plane]]></kwd>
<kwd lng="en"><![CDATA[Pectoralis major flap]]></kwd>
</kwd-group>
</article-meta>
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