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Case Report
Microsurgical neck reconstruction in an elderly patient
1 General Surgery Resident, General Surgery Department, Hospital Ángeles Del Pedregal, Mexico
2 Plastic Surgeon, Plastic Surgery Department, Hospital Ángeles Del Pedregal, Mexico
3 Radiology Resident, Radiology Department, Hospital Ángeles Del Pedregal, Mexico
4 Oncological Surgeon, Oncology Surgery Department, Hospital Ángeles Del Pedregal, Mexico
5 Pediatric Resident, Pediatrics Department, Instituto Nacional de Pediatria, Mexico
6 Microsurgery, Hand Surgeon and Plastic Surgery, Plastic Surgeon, Plastic Surgery Department, Hospital Ángeles Del Pedregal, Mexico
Address correspondence to:
Lopez Mendoza Francisco Javier
Microsurgery, Hand Surgeon and Plastic Surgery, Plastic Surgeon, Plastic Surgery Department, Hospital Ángeles Del Pedregal, Mexico, Camino de Sta. Teresa 1055-S, Héroes de Padierna, La Magdalena Contreras, 10700, Ciudad de México, CDMX,
Mexico
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Article ID: 100090Z06DM2021
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How to cite this article
Mauricio DCT, Jose TT, Miguel MCY, Javier OCF, Arcelia CDVR, Javier LMF. Microsurgical neck reconstruction in an elderly patient. About a case and review of the literature. Case Rep Int 2021;10:100090Z06DM2021.ABSTRACT
Introduction: The incidence of dermatological malignancies increases with age and a considerable percentage of older adults will require radical surgeries and adjuvant treatments, microsurgery allows repair and coverage of major defects with success rates of up to 90%.
Case Report: We present the case of an elderly patient with an ulcer in the left clavicular region without evidence of healing. Histological and imaging studies were performed, a basal cell carcinoma subtype morphea was found. A wide excision and axillary lymph node dissection were performed, subsequently covering the defect with a free flap. There is an 11-year follow-up.
Conclusion: Complications in microsurgical reconstructions are more associated with comorbidities than with the age of the patient. The same success rates can be obtained in elderly patients.
Keywords: Aged, Basal cell, Microsurgery, Reconstruction
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Author Contributions
De la Concha Tiznado Mauricio - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Telich Tarriba Jose - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Muerrieta Costeño Yehu Miguel - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ochoa Carrillo Francisco Javier - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Final approval of the version to be published
Cano De la Vega Rosa Arcelia - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Lopez Mendoza Francisco Javier - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 De la Concha Tiznado Mauricio et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
