{"id":36120,"date":"2014-06-06T15:46:54","date_gmt":"2014-06-06T20:16:54","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=36120"},"modified":"2014-06-07T16:15:24","modified_gmt":"2014-06-07T20:45:24","slug":"carcinoma-basocelular-solido-adenoideo-del-ala-nasal-respuesta","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/36120","title":{"rendered":"Carcinoma Basocelular S\u00f2lido adenoideo del ala nasal (Respuesta)"},"content":{"rendered":"<p>Caso presentado en la <a href=\"http:\/\/piel-l.org\/blog\/36005\" target=\"_blank\">edici\u00f3n 352<\/a>.<\/p>\n<p><!--more--><\/p>\n<p style=\"text-align: center;\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/1a.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-36121\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/1a-390x297.jpg\" alt=\"1a\" width=\"390\" height=\"297\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/1a-390x297.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/1a.jpg 970w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p>Mujer de 66 a\u00f1os, fototipo IV, campesina, quien consult\u00f2 en 1992 al Instituto de Biomedicina por presentar una lesi\u00f2n pigmentada de consistencia moderada, localizada en el ala nasal izquierda (foto 1a), que seg\u00f9n refiere apareci\u00f2 aproximadamente 5 a\u00f1os antes desde cuando aument\u00f2 de tama\u00f1o progresivamente.<\/p>\n<p>Refiere que la lesi\u00f2n fu\u00e8 asintomatica hasta hace aproximadamente dos a\u00f1os desde cuando ha sangrado en varias oportunidades despu\u00e8s de traumas leves a moderados.<\/p>\n<p><strong>TRATAMIENTO REALIZADO:<\/strong><\/p>\n<p style=\"text-align: center;\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/1b.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-36122\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/1b-390x281.jpg\" alt=\"1b\" width=\"390\" height=\"281\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/1b-390x281.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/1b.jpg 970w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p>Despu\u00e8s de antisepsia y anestesia troncular infraorbitaria y, despu\u00e8s de masajerar por unos dos minutos, se inyect\u00f2 anestesia local infiltrativa, la lesi\u00f2n fu\u00e8 extirpada en bloque mediante bistur\u00ec con hojilla 15 (foto 1b).<\/p>\n<p style=\"text-align: center;\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/1c.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-36123\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/1c-390x325.jpg\" alt=\"1c\" width=\"390\" height=\"325\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/1c-390x325.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/1c.jpg 970w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p>Despu\u00e8s de hemostasia se planific\u00f2 la reconstrucci\u00f2n mediante un colgajo en isla usando la piel del surco nasolabial vecino.<br \/>\nSe realiz\u00f2 la incisi\u00f2n de la zona triangular y se procedi\u00f2 a decolar alrecedor de la misma para facilitar el desplazamiento en sentido cef\u00e0lico del colgajo.<\/p>\n<p style=\"text-align: center;\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/1d.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-36124\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/1d-390x282.jpg\" alt=\"1d\" width=\"390\" height=\"282\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/1d-390x282.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/1d.jpg 970w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p>El colgajo avanzado fu\u00e8 suturado en su nueva pomici\u00f2 con el fin de lograr cerrar el defecto quir\u00f9rgico producido por la extirpaci\u00f2n del carcinoma basocelular.<\/p>\n<p style=\"text-align: center;\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/1e.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-36125\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/1e-390x149.jpg\" alt=\"1e\" width=\"390\" height=\"149\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/1e-390x149.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/1e.jpg 970w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><\/p>\n<p>La foto 1e muestra el antes y el aspecto de la zona tratada mediante el colgajo 3 meses despu\u00e8s de la reconstrucci\u00f2n.<br \/>\n-Cu\u00e0les son las ventajas y desventajas de este colgajo usado en 1992 para la reconstrucci\u00f2n de este defecto en esta localizaci\u00f2n?<br \/>\n-C\u00f2mo lo har\u00ecas? Qu\u00e8 tratamiento sugieres que pudiese distrorsionar menos el ala nasal?<\/p>\n<p>Gracias anticipadas por compartir tus comentarios y experiencia con nosotros,<br \/>\ncordialmente,<\/p>\n<p><strong>Dr. Vito Abrusci<\/strong><br \/>\n<span style=\"font-size: 8pt;\"><strong>Dermat\u00f2logo-Cirujano Dermatol\u00f2gico<\/strong><\/span><br \/>\n<span style=\"font-size: 8pt;\"><strong>Milano-Italia<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Caso presentado en la edici\u00f3n 352.<\/p>\n","protected":false},"author":30,"featured_media":36121,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,40],"tags":[],"class_list":["post-36120","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-secciones-de-colaboradores","category-como-lo-hago"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/36120","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=36120"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/36120\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/36121"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=36120"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=36120"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=36120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}