Reconstrucción de hombro en paciente quemado con colgajo de Latissimus Dorsi. Caso Clínico
DOI:
https://doi.org/10.47464/MetroCiencia/vol29/4/2021/107-112Palabras clave:
Reconstrucción nasal, hombro, miembro superior, latissimus dorsi, reconstrucción, hombro, miembro superior, latissimus dorsi, quemadura eléctrica.Resumen
Introducción: Las quemaduras eléctricas forman parte de un gran reto quirúrgico y reconstructivo para la cirugía plástica, con altos índices de morbi-mortalidad. En el Ecuador los casos son prevalentes y afectan en su mayoría al sexo masculino. Caso clínico: Se presenta el caso de paciente joven de 21 años que sufre quemadura eléctrica con alto voltaje del 10% de superficie corporal, punto de entrada mano derecha con secuela de axonotmesis grado III del nervio cubital y radial, y punto de salida hombro izquierdo con quemadura de tercer grado, área más afecta. Se realizaron 15 intervenciones quirúrgicas para debridamiento de tejido necrótico y utilización de injertos de espesor parcial para áreas expuestas. Paciente presentó durante hospitalización cultivos positivos para pseudomona por lo que se manejo con antibioticoterapia de amplio expectro, taquicardia sinusal y depresión. Conclusión: Al obtener tejido granulación y tejido vital se decide utilizar el colgajo de Latissimus dorsi para reconstrucción de hombro con excelentes resultados de funcionalidad, mostrando la utilidad de este colgajo en pacientes con quemadura eléctrica.
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Derechos de autor 2021 Ana Carolina Lizarzaburu Ortiz, Ian Fernando Valdez Crespo, Daniela Domínguez Peralta, María José Flores Reyes, Camila Alejandra Jaramillo Cabezas, Diego Javier Lizarzaburu Bünger
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
