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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546

Rev. Col. Bras. Cir. vol.26 no.5 Rio de Janeiro Sept./Oct. 1999

https://doi.org/10.1590/S0100-69911999000500009 

ARTIGOS ORIGINAIS

 

Viabilidade do retalho miofascial (RMF) de grande peitoral em cabeça e pescoço - Estudo de 14 casos

 

Viability of major pectoralis miofascial flap in malignant neoplasias of head and neck - Study of 14 cases

 

 

José Gonzaga Teixeira CamargoI; Abrão Rapoport, TCBC-SPII; José Francisco Salles ChagasIII; José Luis Braga Aquino, TCBC-SPI

ICirurgião do Serviço de Cabeça e Pescoço, Hospital Celso Pierro - PUCCAMP - São Paulo
IICirurgião do Serviço de Cabeça e Pescoço, Hospital Heliópolis - HOSPHEL - São Paulo
IIIChefe do Serviço de Cabeça e Pescoço, Hospital Celso Pierro - PUCCAMP - São Paulo

Endereço para correspondência

 

 


RESUMO

A maioria dos retalhos utilizados na reconstrução dos grandes defeitos pós-tratamento cirúrgico isolado ou  associado à radioterapia no câncer da cabeça e pescoço levou os autores a estudar a viabilidade do RMF em 14 pacientes, atendidos no Serviço de Cabeça e Pescoço do Hospital Celso Pierro, PUCCAMP, Campinas. Todos eram portadores de lesões epidermóides avançadas no estádio IV, localizadas na boca (dez), hipofaringe (dois), laringe (um) e pescoço (um). Através do teste exato de Fisher (p< 0,05), aferiu-se a existência ou não da relação da viabilidade do RMF com a idade, estado nutricional, tratamento prévio. Nestes 14 pacientes, foram empregados 16 retalhos, 13 deles viáveis (81,2%) e três (18,8%) com necrose total, não havendo associação entre a viabilidade e a necrose e a idade (p=1,0). Quanto à relação com o tratamento prévio com quimioterapia (três casos) e radioterapia (dois casos), estes não foram significantes (p=0,547).

Unitermos: Retalho miofascial; Músculo Grande Peitoral; Reconstrução.


ABSTRACT

The great incidence of advanced squamous cell carcinoma of the mouth, pharynx, larynx and neck, justifies the extensive resections that are carried out by the authors at the Head and Neck Service of Hospital Celso Pierro PUCCAMP - São Paulo. Major pectoralis myofascial flap were used to manage 14 patients with advanced head and neck squamous cell carcinoma of the mouth (ten cases), pharynx (two cases); larynx (one case) and neck (one case). There was no complications in 81.2% and in 18.8% total necrosis of the flap was observed. We conclude that viability, age and necrosis or fibrosis were not associated with the success of this procedure (p=1.0), and previous treatment (chemoradiotheraphy and or radiotherapy alone) had no significant relation with flap viability (p=0.547).

Key words: Myofascial flap; Major pectoralis muscle; Reconstruction.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

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Endereço para correspondência:
Prof. Abrão Rapoport
Praça Amadeu Amaral, 47 - cj. 82
01327-010 - São Paulo - SP

Recebido em 16/12/98
Aceito para publicação em 13/9/99

 

 

Trabalho realizado no Serviço de Cabeça e Pescoço do Hospital Celso Pierro - PUCCAMP - São Paulo.

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