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      Modificación de la técnica de Fujimori para reconstrucción de secuela de trauma facial. Caso clínico Translated title: Modified Fujimori technique for reconstruction of facial trauma sequel. Case report

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          Abstract

          Resumen El trauma facial severo y sus secuelas siguen siendo una causa importante de defectos funcionales y estéticos. La reconstrucción de los labios y de la región perioral debe proporcionar al paciente un resultado estético y también funcional para asegurar el éxito del tratamiento. En la literatura existen múltiples opciones y técnicas quirúrgicas para la reconstrucción de esta zona anatómica. El objetivo del siguiente trabajo es presentar un caso clínico de una paciente con secuela de incompetencia del esfínter oral secundaria a trauma facial, a quien se le realizó reconstrucción con colgajo nasolabial (gate flap) bilateral, modificando la técnica original propuesta por Fujimori.

          Translated abstract

          Abstract Severe facial trauma and its sequelae continue to be an important cause of functional and aesthetic defects. The reconstruction of the lips and the perioral region must provide the patient with an aesthetic and functional result to guarantee the success of the treatment. In the literature there are multiple options and surgical techniques for the reconstruction of this anatomical area. The objective of this paper is to present the clinical case of a patient with an oral sphincter incompetence sequel secondary to facial trauma, and its reconstruction with bilateral gate flap, modifying the original technique proposed by Fujimori.

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          Most cited references12

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          Total and partial reconstruction of the lower lip with innervated musclebearing flaps.

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            Lip and perioral reconstruction.

            For defects up to approximately 80% of either upper or lower lip, reconstructions that use remaining lip and cheek can function and look reasonably well. Free tissue transfers, such as the free radial forearm flap, are useful for larger defects as they import additional tissue in one step and reduce microstomia, which is more likely to result from local tissue repairs. At best, free flaps provide a static dam or curtain that functions as a lip; at worst, they deliver a large amount of composite tissue to allow for primary healing. Satisfactory outcomes after free flap reconstructions for lip are best achieved when the transferred tissue is integrated with the native tissues by suspending free flaps appropriately, resurfacing with the flaps with vermilion substitutes, and judicious interposition of remaining lip segments.
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              Total upper lip reconstruction with bilateral Fujimori gate flaps.

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                Author and article information

                Journal
                cpil
                Cirugía Plástica Ibero-Latinoamericana
                Cir. plást. iberolatinoam.
                Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE) (Madrid, Madrid, Spain )
                0376-7892
                1989-2055
                September 2021
                : 47
                : 3
                : 301-304
                Affiliations
                [2] orgnameHospital Municipal de Urgencias (HMU) orgdiv1Servicio de Cirugía Plástica y Reparadora
                [1] orgnameHospital Municipal de Urgencias (HMU) orgdiv1Servicio de Cirugía Plástica y Reparadora
                [3] orgnameHospital Municipal de Urgencias (HMU) Córdoba orgdiv1Servicio de Cirugía Plástica y Reparadora Argentina
                Article
                S0376-78922021000300010 S0376-7892(21)04700300010
                10.4321/s0376-78922021000300010
                c5b7c04d-0bf8-4be7-bc6d-eac75ddbabe9

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 23 July 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 4
                Product

                SciELO Spain

                Categories
                Reconstructiva

                Facial flaps,Facial reconstruction,Facial injuries,Surco nasolabial,Labio,Colgajos faciales,Reconstrucción facial,Lesiones faciales,Nasolabial fold,Lip

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