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Pardo, S. Trabanco, M.J. Bartolomé, A. Largo" "autores" => array:4 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Pardo" "email" => array:1 [ 0 => "spardo@humv.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Trabanco" ] 2 => array:2 [ "nombre" => "M.J." "apellidos" => "Bartolomé" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Largo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesiología y Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Manejo de la vía aérea a través de faringostoma cervical por radionecrosis" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 658 "Ancho" => 900 "Tamanyo" => 100059 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Insertion of the bronchofibroscope through the cervical pharyngostome.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 62-year-old woman diagnosed with squamous cell carcinoma of the tonsil (T2N0M0) in 1999 and treated with chemotherapy and 32 sessions of radiotherapy. In 2015, she was diagnosed with oropharyngeal carcinoma (T2N0M0), and received 33 radiotherapy sessions. One year later, a cervical mass with a necrotic site was detected, and CT angiography showed myositis with ulceration and loss of soft tissues and thrombosis at the origin of the right carotid artery; the jugular vein was not visualised. In view of the poor evolution and enlargement of the 6<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>6<span class="elsevierStyleHsp" style=""></span>cm opening communicating the pharynx with the exterior, it was decided to close the defect using a pedicle flap. The preoperative evaluation showed extensive cervical and mandibular fibrosis, trismus that severely limited buccal opening and cervical extension, with direct exposure of the pharyngo-laryngeal structures. After consulting the surgeons, we decided to introduce the bronchofibroscope directly through the cervical pharyngostome (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) in order to perform the tracheostomy.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Pardo S, Trabanco S, Bartolomé MJ, Largo A. Manejo de la vía aérea a través de faringostoma cervical por radionecrosis. Rev Esp Anestesiol Reanim. 2017;64:605.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 658 "Ancho" => 900 "Tamanyo" => 100059 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Insertion of the bronchofibroscope through the cervical pharyngostome.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006400000010/v1_201711240853/S2341192917301531/v1_201711240853/en/main.assets" "Apartado" => array:4 [ "identificador" => "70433" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006400000010/v1_201711240853/S2341192917301531/v1_201711240853/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192917301531?idApp=UINPBA00004N" ]
