RESUMEN
The use of a musculocutaneous flap from the upper lid for reconstruction in the orbital region and neighboring areas is described. The anatomical basis is considered. Because of its blood supply, the flap can be raised on its lateral or medical pedicle. When based on its lateral pedicle, innervation can be maintained by raising an innervated musculocutaneous flap, which can restore proper lower lid position and tonus. Twenty-two patients were operated on with this technique to fill defects of the lower and upper lid as well as of the lateral nasal wall. All flaps survived, and only minor deformities of the donor site were seen when the eyebrows were included in the flap.
Asunto(s)
Enfermedades de los Párpados/cirugía , Neoplasias de los Párpados/cirugía , Colgajos Quirúrgicos , Adulto , Anciano , Carcinoma Basocelular/cirugía , Carcinoma de Células Escamosas/cirugía , Coloboma/cirugía , Ectropión/cirugía , Femenino , Humanos , Masculino , Microcirugia/métodos , Persona de Mediana EdadRESUMEN
Local infection is a rare complication after aesthetic rhinoplasty. In the past serious complications and 1 death have been reported. We present 5 cases of local infection after primary and secondary procedures. Infection seems to have more to do with technical details during an operation, such as the external lateral osteotomy, than with the presence of saprophytic bacteria. Care must be taken in the management of cartilage grafts. There is not enough support for the use of prophylactic antibiotics. Usually the organism implicated is Staphylococcus aureus. Once the infection has developed, treatment should be aggressive in view of the grave complications reported in the literature.