The neurotization of the remaining latissimus dorsi muscle at the donor site is a useful technique in children. It is performed during the same surgical procedure as the free vascularized flap and consists of a neurolysis of the thoracodorsal nerve into three to five fascicles, and introducing them into three to five different openings in the muscle fibers. This technique is important in young patients for avoiding functional long-term sequelae such as scoliosis and developmental muscular defects of the vertebral column. Three cases are reported, with evaluation by electromyography and biopsy.
Se presenta nuestro protocolo de tratamiento quirúrgico para el melanoma, dependiendo del tipo de lesión, de su clasificación histológica y de los compromisos ganglionares linfáticos locales o regionales.
Se describen también las pautas quirúrgicas a seguir según su localización anatómica.
Presentamos nuestro protocolo de tratamiento para el epitelioma de labio. según comprometa un tercio, dos tercios de extensión o todo el labio. También se presenta una técnica personal para aquellos epiteliomas que comprometen todo el labio.
Nuestra casuística se inicia en 1980 y se han intervenido hasta el presente 240 epiteliomas de labio.
Presentamos nuestro protocolo de corrección quirúrgica de ptosis palpebral según los grados de ptosis del párpado superior en situaciones como traumatismos, ptosis senil o ptosis de origen neurogénico.
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