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Inicio Acta Otorrinolaringológica Española Reparación quirúrgica de una estenosis anastomótica en reconstrucciones farí...
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Vol. 56. Issue 2.
Pages 86-88 (February 2005)
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Vol. 56. Issue 2.
Pages 86-88 (February 2005)
Reparación quirúrgica de una estenosis anastomótica en reconstrucciones faríngeas con colgajos libres antebraquiales
Surgical repair of an anastomotic stenosis in pharyngeal reconstructions using antebrachial free flaps
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F. García-Purriños, J.L. Llorentea, V. Suárez Fente, R. Cabanillas, C. Suárez
Servicio de ORL. Hospital Central Universitario de Asturias. Oviedo
Article information
Resumen

El colgajo libre antebraquial es una alternativa cada vez más utilizada en la reconstrucción hipofaríngea. Una posible complicación es la estenosis de la neofaringe, lo que produce una alteración o imposibilidad en la alimentación oral. Siempre debe descartarse la posibilidad de una recidiva tumoral. Presentamos dos casos de estenosis hipofaríngea tras una reconstrucción con un colgajo libre antebraquial, proponiendo realizar una reanastomosis extirpando el tejido fibroso y colocando un by-pass salival

Palabras clave:
Colgajo libre antebraquial
Complicaciones
By-pass salival
Abstract

To obtain suitable deglutoria function and less morbidity after hipopharyngeal surgery, antebrachial free flaps is a very useful option. A posible complication is oral fedding impossibility due to neopharyngeal stenosis. Tumor recurrence must be excluded. We described two cases of hipopharyngeal stenosis after antebrachial free flap reconstruccion, proposing surgical reanastomosis with fibrous ring resection and salivary by-pass stent

Key words:
Antebrachial free-flap
Complications
Salivary by-pass

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