%0 Journal Article
%T Reconstrucci¨®n de defectos tor¨¢cicos complejos Reconstruction of complex chest wall defects
%A Lenia S¨¢nchez Wals
%A Juan Carlos Alfonso Coto
%A Braulio F Mestre Fern¨¢ndez
%J Revista Cubana de Cirug¨ªa
%D 2012
%I Editorial Ciencias M¨¦dicas
%X Los grandes defectos tor¨¢cicos requieren generalmente procedimientos complejos para su reparaci¨®n; en la mayor¨ªa de los casos es necesaria la combinaci¨®n de tejidos aut¨®logos y materiales alopl¨¢sticos, por lo que constituye un desaf¨ªo para el cirujano pl¨¢stico. En nuestra instituci¨®n los que se presentan suelen ser secundarios a ex¨¦resis tumoral, bien de origen primario o secundario. Se dispone de varias opciones reconstructivas para cubrir los amplios defectos resultantes de las amplias escisiones y poder aportar colgajos vascularizados, amplios y voluminosos. A pesar de no disponer en nuestro medio de t¨¦cnicas avanzadas para el soporte r¨ªgido, hemos podido dar cobertura a todos los defectos y se ha garantizado una adecuada estabilidad de la pared tor¨¢cica. Presentamos cuatro casos tratados por grandes defectos del t¨®rax. Se tuvo como objetivo mostrar la forma en que se realiz¨® la reconstrucci¨®n inmediata con la combinaci¨®n de colgajos miocut¨¢neos y material alopl¨¢stico. Reconstruction of large defects of the chest wall frequently requires the use of complex techniques that combines autologous tissues and alloplastic materials, which poses a real challenge for the cosmetic surgeon. Those chest defects that are seen in our institution are secondary to tumor excision, either of primary or of secondary origin. Many reconstructive options are necessary to cover large defects as a result of wide resection of tumors and to supply the defect with large, bulky and well vascularized flaps. Although advanced techniques for rigid support are not available in our conditions, it has been possible to cover all defects and to assure adequate stability of the chest wall. Four cases of large chest defects were presented in this paper. The objective was to show how the immediate reconstruction was carried out by combining autologous flaps and alloplastic materials.
%K defectos tor¨¢cicos
%K reconstrucci¨®n pared tor¨¢cica
%K colgajos
%K thoracic defect
%K chest wall reconstruction
%K flaps
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932012000300004