{"id":40028,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/prevencion-de-la-necrosis-cutanea-en-pacientes-fumadores-sometidos-a-ritidoplastia\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"prevencion-de-la-necrosis-cutanea-en-pacientes-fumadores-sometidos-a-ritidoplastia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/prevencion-de-la-necrosis-cutanea-en-pacientes-fumadores-sometidos-a-ritidoplastia\/","title":{"rendered":"Prevencion de la necrosis cutanea en pacientes fumadores sometidos a ritidoplastia."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pedro Arquero Salinero <\/strong><\/h2>\n<p>La experiencia nos muestra que los pacientes fumadores presentan con mayor frecuencia p\u00e9rdidas cut\u00e1neas en los colgajos. Este trabajo (continuaci\u00f3n de nuestros estudios experimentales con prostaglandinas) tiene como finalidad prevenir las lesiones tanto en pacientes fumadores sometidos a rtidoplastia como en aquellos que presentan riesgo de sufrimiento (\u00e1reas cicatriciales o irradiadas, colgajos isqu\u00e9micos o cian\u00f3ticos, colgajos libres, dermolipectom\u00eda abdominal, mastectom\u00eda subcut\u00e1nea, etc.).  despu\u00e9s de estudiar la microcirculaci\u00f3n y fisiolog\u00eda de los colgajos, la etiopatogenia de la isquemia y los mecanismos para aumentar la supervivencia de los mismos, exponemos nuestra conducta en la ritidoplastia asistida con endoscopia y el m\u00e9todo para la prevenci\u00f3n del sufrimiento del colgajo: no fumar antes ni despu\u00e9s de la intervenci\u00f3n, adecuada t\u00e9cnica quir\u00fargica y tratamiento con buflomedil, calor local y diclofenaco.  estudiamos 129 pacientes intervenidos por el autor y sometidos a ritidoplastia, proponemos un m\u00e9todo de clasificaci\u00f3n y valoraci\u00f3n de las lesiones, y relacionamos \u00e9stas con el tipo de lifting, grado de despegamiento, tabaquismo y tratamiento.  concluimos que el h\u00e1bito de fumar es un importante factor de riesgo para los colgajos realizados en la ritidoplastia, especialmente c\u00e9rvicofacial, cuyas lesiones fueron proporcionales al despegamiento. en pacientes fumadores, el buflomedil, aplicado en el peroperatorio y mantenido durante 7 d\u00edas, mostr\u00f3 eficacia en la prevenci\u00f3n de las necrosis, sobre todo, en aquellos sometidos a despegamiento cervical completo (p=0,0032) mientras que, en no fumadores, el diclofenaco disminuy\u00f3 las lesiones provocadas por hematomas. Finalmente, las alteraciones isqu\u00e9micas del colgajo pueden ser valoradas tanto cualitativamente como cuantitativamente.  palabras claves: colgajos cut\u00e1neos. Humano. envejecimiento ritidoplastia. Fumadores. complicaciones<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Prevencion de la necrosis cutanea en pacientes fumadores sometidos a ritidoplastia.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Prevencion de la necrosis cutanea en pacientes fumadores sometidos a ritidoplastia. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pedro Arquero Salinero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jaime Arias Perez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Balibrea  cantero <\/li>\n<li>Francisco Reyes oliveros (vocal)<\/li>\n<li>Antonio Alarcos llorach (vocal)<\/li>\n<li>Juan  Manuel San roman teran (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pedro Arquero Salinero La experiencia nos muestra que los pacientes fumadores presentan con mayor frecuencia p\u00e9rdidas cut\u00e1neas [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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