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Ródenas" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J.M." "apellidos" => "Ródenas" "email" => array:1 [ 0 => "jose.m.rodenas@gmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sección de Dermatología, Hospital General Universitario Morales Meseguer, Murcia, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Una regla nemotécnica para la reconstrucción de defectos quirúrgicos en el cuero cabelludo" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The excision of tumors from the scalp is a frequent procedure in dermatologic surgery. The specifics of anatomy in this region, which is equipped with a musculoaponeurotic system that offers little elasticity, prevent repairing a defect by direct closure when it is greater than 2<span class="elsevierStyleHsp" style=""></span>cm in diameter. The scalp is also highly vascularized and the abundance of anastomoses available favors the survival of flaps even if their pedicles are narrower than is usual. Medium-sized scalp defects are therefore often reconstructed with flaps, the most commonly used ones being the classic rotation flap or the O-Z double rotation flap. These reconstructions achieve their objective, but at the expense of detaching and mobilizing fairly large areas of tissue.</p><p id="par0010" class="elsevierStylePara elsevierViewall">In this issue of <span class="elsevierStyleItalic">Actas Dermo-Sifiliográficas</span>, Francisco Russo<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> analyzes his experience repairing scalp defects in a series of over 100 patients using a mnemonic “1–2–3” rule for starting the reconstruction of medium-sized defects of 1 to 4<span class="elsevierStyleHsp" style=""></span>cm. The rule refers to starting the process with 1, 2 or 3 release incisions depending on whether the defect measures 1 to 2<span class="elsevierStyleHsp" style=""></span>cm, 2 to 3<span class="elsevierStyleHsp" style=""></span>cm, or 3 to 4<span class="elsevierStyleHsp" style=""></span>cm. About half the cases in the series were repaired using these release incisions. When closure cannot be achieved with this initial approach, the author proposes extending the incisions to create classic flaps.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The author has previously given other original suggestions to help us make improvements in our customary surgical procedures.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> This issue's article offers a practical, simple, and stepped approach to reconstructing defects after scalp surgery.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ródenas J. Una regla nemotécnica para la reconstrucción de defectos quirúrgicos en el cuero cabelludo. Actas Dermosifiliogr. 2019;110:424–425.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Regla «1-2-3» para la reconstrucción de los defectos quirúrgicos de mediano tamaño del cuero cabelludo" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F. Russo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ad.2019.01.0022" "Revista" => array:2 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2019" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mercedes Flap With Releasing Incisions for Scalp Defects" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F. Russo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Ann Plast Surg" "fecha" => "2017" "volumen" => "79" "paginaInicial" => "149" "paginaFinal" => "155" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000011000000006/v1_201907040838/S1578219019301738/v1_201907040838/en/main.assets" "Apartado" => array:4 [ "identificador" => "66476" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Commentaries" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011000000006/v1_201907040838/S1578219019301738/v1_201907040838/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019301738?idApp=UINPBA000044" ]
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