Idioma: Español
Referencias bibliográficas: 27
Paginas: 109-115
Archivo PDF: 208.78 Kb.

RESUMEN

El desarrollo de una fístula salival como secuela de las laringectomías en pacientes con el antecedente de radioterapia es un problema frecuente, complica el posoperatorio inmediato y mediato y puede representar un riesgo para la vida al comprometer la cubierta de los grandes vasos del cuello. Se presenta el reporte de un caso en el que se usó un procedimiento quirúrgico simple, que no requiere habilidades o instrumentación especial para realizarse y que permite recrear la continuidad de la parte alta del tubo digestivo en el cuello, en caso de pérdidas parciales. El procedimiento permite la sustitución de los tejidos blandos dañados por una cubierta fuerte, elástica y bien vascularizada, y aporta la piel sana que permite el cierre definitivo del faringoesofagostoma. Esta técnica operatoria puede ser fácilmente repetida por cualquier cirujano con experiencia en la cirugía del cuello y los colgajos miocutáneos.

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