<?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>2444-7986</journal-id>
<journal-title><![CDATA[Revista ORL]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. ORL]]></abbrev-journal-title>
<issn>2444-7986</issn>
<publisher>
<publisher-name><![CDATA[Ediciones Universidad de Salamanca]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-79862021000100009</article-id>
<article-id pub-id-type="doi">10.14201/orl.23519</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colgajo de pectoral mayor para reconstrucción de defectos faríngeos. Descripción de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Pectoralis major myocutaneous flap for faringeal defects reconstruction. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanz-Sánchez]]></surname>
<given-names><![CDATA[Cristina Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kraemer-Baeza]]></surname>
<given-names><![CDATA[Else]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores-Carmona]]></surname>
<given-names><![CDATA[Eva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar-Conde]]></surname>
<given-names><![CDATA[María Dolores]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cazorla-Ramos]]></surname>
<given-names><![CDATA[Óscar Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Virgen de la Victoria  ]]></institution>
<addr-line><![CDATA[Málaga ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>12</volume>
<numero>1</numero>
<fpage>89</fpage>
<lpage>95</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2444-79862021000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2444-79862021000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2444-79862021000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La fístula faringocutánea post-laringectomía total (LT) continúa siendo una complicación frecuente luego de esta intervención especialmente tras tratamiento radioterápico. Cuando fracasan las medidas conservadoras, es necesario recurrir a cirugía reconstructiva. En nuestro centro se utiliza el colgajo miocutáneo de pectoral mayor (CMPM), que asegura un flujo sanguíneo adecuado para el tratamiento fístulas post-irradiación.  Descripción: Presentamos un paciente con una fístula faringocutánea tras LT que requirió una amplia reconstrucción mediante CMPM asimismo discutiremos el importante papel que juega el tratamiento con oxígeno hiperbárico en el manejo de las consecuencias post-radioterapia.  Conclusión: En la era de la reconstrucción microvascular, el PMMC puede ser utilizado para la reconstrucción de grandes defectos de cabeza y cuello, consiguiendo una adecuada cobertura tras protocolos de preservación de órgano o pacientes con historia de enfermedad vascular.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Pharyngocutaneous fistula after total laryngectomy (TL) remains a hardly frequent complication especially after radiotherapy. When conservative measures fail, reconstructive procedures are necessary. Our institution has adopted the pharyngeal interposition graft (PIG) using a pectoralis major myocutaneous flap (PMMC), which has adequate blood flow, for treatment post-irradiation pharyngocutaneous fistula.  Description: We present a case-patient with a pharyngocutaneous fistula after TL that requires an externsive reconstruction by PMMC flap and the important role of hyperbaric oxygen therapy in the management of radiation-induced injury.  Conclusions: In this era of microvascular reconstruction, the PMMC flap can safely be used for reconstruction of head and neck defects, providing cover to pharyngeal repair following salvage laryngectomy in patients who are high risk for free flaps after organ preservation protocols or patiens with a history of vascular disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pectoral mayor]]></kwd>
<kwd lng="es"><![CDATA[colgajo pediculado]]></kwd>
<kwd lng="es"><![CDATA[fístula]]></kwd>
<kwd lng="es"><![CDATA[laringectomía]]></kwd>
<kwd lng="es"><![CDATA[reconstrucción]]></kwd>
<kwd lng="es"><![CDATA[terapia con oxígeno hiperbárico y complicaciones]]></kwd>
<kwd lng="en"><![CDATA[Pectoralis major]]></kwd>
<kwd lng="en"><![CDATA[pedicled flap]]></kwd>
<kwd lng="en"><![CDATA[fistula]]></kwd>
<kwd lng="en"><![CDATA[laryngectomy]]></kwd>
<kwd lng="en"><![CDATA[reconstruction]]></kwd>
<kwd lng="en"><![CDATA[hyperbaric oxygen therapy and complications]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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