<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2019000300267</article-id>
<article-id pub-id-type="doi">10.24875/ciru.18000407</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Seguimiento a largo plazo del colgajo libre de peroné en la reconstrucción mandibular]]></article-title>
<article-title xml:lang="en"><![CDATA[Fibular free flap in mandible reconstruction, a long-term follow-up]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallegos-Hernández]]></surname>
<given-names><![CDATA[José F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Miramón]]></surname>
<given-names><![CDATA[Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes-Vivanco]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Oncología Departamento de Tumores de Cabeza y Cuello ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional siglo XXI Hospital de Especialidades]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>3</numero>
<fpage>267</fpage>
<lpage>271</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2019000300267&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2019000300267&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2019000300267&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La reconstrucción mandibular con colgajo libre de peroné es el procedimiento estándar en pacientes operados de mandibulectomía por tumores óseos o de la cavidad bucal. El seguimiento a largo plazo y las complicaciones de este procedimiento son poco reportados.  Objetivo: Conocer la evolución a largo plazo de pacientes con colgajo libre de peroné.  Método: Evaluación clínica de pacientes con colgajo libre de peroné para reconstrucción mandibular 10 años después de la intervención. Se incluyeron operados entre 1996 y 2006. Se evaluaron clínicamente la funcionalidad oral, la integración del paciente a la dieta habitual, las complicaciones y la satisfacción estética.  Resultados: Se intervinieron 87 pacientes: 70 por tumores óseos y 17 por carcinomas de la cavidad oral. Fueron exitosos 73 colgajos, y 14 tuvieron pérdida parcial o total y fueron excluidos. En todos los casos, el régimen alimentario fue similar al que tenían antes de la resección; la media para lograr la alimentación normal fue de 3 años. Ninguno requirió reoperación mayor durante el seguimiento. No hubo pérdida tardía del colgajo y la funcionalidad se consideró normal en el 100%. El 80% se consideraron estéticamente satisfechos.  Conclusiones: El colgajo libre de peroné ofrece una alternativa segura para la reconstrucción mandibular a largo plazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Fibula free-flap mandible reconstruction is the gold standard in mandibulectomized patients due to bone or oral cavity tumors. Long term follow-up and complications of this procedure are barely reported.  Objective: To know long term outcomes of patients with fibula free-flap.  Method: Clinical evaluation of patients with fibula free-flap mandible reconstruction, 10 years after procedure. Patients intervened from 1996 to 2006 were included, clinically assessing: oral functionality, habitual dietary intake, complications and aesthetic satisfaction.  Results: 87 patients were included; 70 of them with bone tumors and 17 with oral carcinomas. Were successful 73 flaps, and 14 got total or partial loss, so, they were excluded. In all cases dietary regimen was similar to their original one before resection; even when in average, 3 years were necessary to get this normal intake. Any of them required major re-operation during the follow-up period and there was no late loss of the flap either. Functionality was considered normal in 100% of the cases and 80% considered themselves as aesthetically satisfied.  Conclusions: Fibula free-flap offers a secure alternative for long term mandibular reconstruction.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colgajo libre de peroné]]></kwd>
<kwd lng="es"><![CDATA[Mandíbula]]></kwd>
<kwd lng="es"><![CDATA[Mandibulectomía]]></kwd>
<kwd lng="es"><![CDATA[Reconstrucción]]></kwd>
<kwd lng="en"><![CDATA[Free fibular flap]]></kwd>
<kwd lng="en"><![CDATA[Mandible]]></kwd>
<kwd lng="en"><![CDATA[Mandibulectomy]]></kwd>
<kwd lng="en"><![CDATA[Reconstruction]]></kwd>
</kwd-group>
</article-meta>
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