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One vascular system for multiple purposes in head and neck reconstructive surgery" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "135" "paginaFinal" => "136" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Comentario a: Reconstrucción mediante colgajos basados en el sistema de la arteria facial. Un sistema vascular para múltiples usos en cirugía reconstructiva de cabeza y cuello" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Olindo Massarelli, Luigi Angelo Vaira, Giacomo De Riu" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Olindo" "apellidos" => "Massarelli" ] 1 => array:2 [ "nombre" => "Luigi Angelo" "apellidos" => "Vaira" ] 2 => array:2 [ "nombre" => "Giacomo" "apellidos" => "De Riu" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651920301497?idApp=UINPBA00004N" "url" => "/00016519/0000007200000002/v1_202103041126/S0001651920301497/v1_202103041126/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0001651920300674" "issn" => "00016519" "doi" => "10.1016/j.otorri.2020.02.004" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "998" "copyright" => "Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Acta Otorrinolaringol Esp. 2021;72:131-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imágenes en otorrinolaringología</span>" "titulo" => "Enfisema subcutáneo orbitario espontáneo" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "131" "paginaFinal" => "132" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spontaneous Subcutaneous Orbital Emphysema" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 733 "Ancho" => 750 "Tamanyo" => 87215 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Liliana F. Invêncio da Costa, David Neagu, María Belen García Carreira" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Liliana F." "apellidos" => "Invêncio da Costa" ] 1 => array:2 [ "nombre" => "David" "apellidos" => "Neagu" ] 2 => array:2 [ "nombre" => "María Belen" "apellidos" => "García Carreira" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173573521000168" "doi" => "10.1016/j.otoeng.2020.02.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573521000168?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651920300674?idApp=UINPBA00004N" "url" => "/00016519/0000007200000002/v1_202103041126/S0001651920300674/v1_202103041126/es/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Otorhinolaryngology</span>" "titulo" => "Follicular lymphoma presenting as an isolated concha cymba mass" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "133" "paginaFinal" => "134" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ângela Reis-Rego, João Almeida, João Lino" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Ângela" "apellidos" => "Reis-Rego" "email" => array:1 [ 0 => "angelareisrego@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "João" "apellidos" => "Almeida" ] 2 => array:2 [ "nombre" => "João" "apellidos" => "Lino" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Porto Hospital and University Center - Otorhinolaryngology and Cervical-Facial Surgery Department, Largo do Prof. Abel Salazar, 4099-001 Porto, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Linfoma folicular con presentación de masa aislada en la cymba de la concha" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 573 "Ancho" => 900 "Tamanyo" => 61042 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Lymphomas are frequently observed in the head and neck compartment, however they rarely involve the external ear.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 41 year old unemployed male was referred to the ENT department due to a slow growing, non-tender mass in the right concha cymba. He had Burkkit Lymphoma at 27 years old, cured by quimiorradition and already discharged from the Heamatology Clinic, with no other remarkable antecedents.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The ENT physical examination was unremarkable, except for a 2<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">2</span> reddish, nontender, round, smooth and elastic mass on the right concha cymba (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">A CT scan showed absence of an infiltrative lesion with light contrast enhancement (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Due to the uncertainty of the lesion's nature we decided for surgical excision biopsy, including the lesion and covering skin with cartilage sparing. The surgical defect was reconstructed with a postauricular skin flap (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The frozen section histopathology exam revealed a capsulated lesion with no carcinoma involvement.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The definitive histologic examination of the mass revealed a follicular lymphoma with an immune-proliferative activity (Ki-67 index) of 30%. Immunoperoxidase staining of the atypical cells was positive for CD20, bcl2, bcl6, CD10 and CD23 and negative for CD3 and CD5.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The patient was admitted to the Haematology Clinic. Clinical staging was completed and resulted negative for other lymphoma's localization. No adjuvant treatments were recommended.</p><p id="par0035" class="elsevierStylePara elsevierViewall">At 6 months follow-up evaluation confirms stable complete remission and well implemented flap with good aesthetic outcome (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 573 "Ancho" => 900 "Tamanyo" => 61042 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 437 "Ancho" => 1498 "Tamanyo" => 177975 ] ] ] 2 => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1012 "Ancho" => 1500 "Tamanyo" => 338007 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/00016519/0000007200000002/v1_202103041126/S0001651920300686/v1_202103041126/en/main.assets" "Apartado" => array:4 [ "identificador" => "5862" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes en otorrinolaringología" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00016519/0000007200000002/v1_202103041126/S0001651920300686/v1_202103041126/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651920300686?idApp=UINPBA00004N" ]
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