Practical Dermatology
Surgical Planes of the Head and Neck
Planos quirúrgicos en cabeza y cuello
E. Samaniego
, C. Prada, M.Á. Rodríguez-Prieto
Corresponding author
Servicio de Dermatología, Complejo Asistencial de León, León, Spain
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"documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Dermosifiliogr. 2011;102:163-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2002 "formatos" => array:3 [ "EPUB" => 40 "HTML" => 1340 "PDF" => 622 ] ] "en" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Opinion Article</span>" "titulo" => "Importance of Dermatologic Surgery: A Clinical Perspective" "tienePdf" => "en" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "163" "paginaFinal" => "166" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Importancia de la práctica quirúrgica en Dermatología: una visión asistencial" ] ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Just-Sarobé" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Just-Sarobé" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219011707806?idApp=UINPBA000044" "url" => "/15782190/0000010200000003/v1_201304241541/S1578219011707806/v1_201304241541/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Practical Dermatology</span>" "titulo" => "Surgical Planes of the Head and Neck" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "167" "paginaFinal" => "174" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "E. Samaniego, C. Prada, M.Á. Rodríguez-Prieto" "autores" => array:3 [ 0 => array:4 [ "nombre" => "E." "apellidos" => "Samaniego" "email" => array:1 [ 0 => "eliasamaniego@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Prada" ] 2 => array:2 [ "nombre" => "M.Á." "apellidos" => "Rodríguez-Prieto" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Complejo Asistencial de León, León, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Planos quirúrgicos en cabeza y cuello" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-06-24" "fechaAceptado" => "2010-07-13" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84869" "palabras" => array:3 [ 0 => "Surgical plane" 1 => "Head and neck" 2 => "Superficial musculoaponeurotic system" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84868" "palabras" => array:3 [ 0 => "Plano quirúrgico" 1 => "Cabeza y cuello" 2 => "Sistema musculoaponeurótico superficial (SMAS)" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The surgical plane is a plane of dissection that can be used to excise a tumor while preserving most of the neurovascular structures. The majority of skin tumors are situated on the head and neck, and dermatologic surgeons should therefore have detailed knowledge of the surgical anatomy of this region. Fear of damaging important structures may result in insufficient efficacy of the surgical treatment, with consequent risk of persistence or recurrence of the tumor. Knowledge of the superficial musculoaponeurotic system and its relationship to key neurovascular structures enables the operation to be planned and will help us to locate the appropriate plane and minimize postoperative complications. The objective of this article is to review the key anatomical features defining suitable planes of dissection in the head and neck, the use of which will ensure survival of flaps and grafts.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El plano quirúrgico es el plano de disección por el que podemos realizar la exéresis del tumor respetando la mayoría de las estructuras anatómicas neurovasculares. La mayoría de los tumores cutáneos se localizan en la cabeza y el cuello. Por tanto, es importante para el cirujano dermatológico tener un profundo conocimiento de la anatomía quirúrgica de esta área. El temor a dañar estructuras importantes puede llevarnos a no ser suficientemente eficaces en el tratamiento quirúrgico, con el consiguiente riesgo de persistencia o recidiva tumoral. El conocimiento del sistema musculoaponeurótico superficial y sus relaciones con los puntos clave neurovasculares nos permitirá planificar la ejecución de la intervención, guiarnos en la localización del plano adecuado y minimizar las complicaciones posquirúrgicas. El objetivo de este artículo es revisar las características anatómicas claves para el conocimiento de los planos de disección adecuados en la cabeza y el cuello, y con ello, asegurar la supervivencia de los colgajos e injertos.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The superficial musculoaponeurotic system (SMAS) in the parotid and cheek area" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "V. Mitz" 1 => "M. Peyronie" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Plast Reconstr Surg." "fecha" => "1976" "volumen" => "58" "paginaInicial" => "80" "paginaFinal" => "88" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/935283" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anatomía quirúrgica de la cara" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "W.F. Larrabee" 1 => "K.H. Makielski" 2 => "J.L. Henderson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "edicion" => "2nd ed." "fecha" => "2006" "editorial" => "Amolca" "editorialLocalizacion" => "Venezuela" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Nguyen TH. Anatomía quirúrgica. 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