Mi Tennison
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Transcript of Mi Tennison
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Técnica de Tennison Randall
Colgajos triangulares
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En 1952, CHARLES TENNISON de San Antonio (TEXAS), realiza una breve publicación en la que propone mejorar la técnica de LE MESURIER, diseñando colgajos triangulares para el cierre del labio fisurado. Su publ icación fue breve, confusa e imprecisa, pero tuvo gran difusión y d i o pie a que diversos autores c omo HAGERTI (Boston, 1958); RANDALL (Pensilvania, 1939) y MALEK (París 1961), fueran aclarando los puntos oscuros y desarrollan-d o la idea de la técnica que tiene, como principal ventaja el conservar el arco de cupido.
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Objetivos
Uso de colgajos triangulares para reconstruir la configuración normal del labio y del arco de Cupido
Sutura en zigzag (contracción vertical) Realineación de musculo orbicular Reconstrucción del piso de la fosa nasal
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VENTAJA
Alargamiento del labio entre la base alar y el arco de Cupido en el lado afectado
DESVENTAJA
Se interviene sobre la columna del filtrum del lado fisurado
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INDICACION
Fisura unilateral, especialmente para fisuras amplias con grandes deficiencias de tejidos.
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Colgajos triangulares de Tennison Randall:
Tennison. Randall Finalidad: Descender la línea cutáneomucosa interna del labio
fisurado y colocar el arco de Cupido en posición normal, mediante un colgajo triangular inferior desde el lado externo de la fisura.
Indicación: Fisura unilateral, especialmente para fisuras amplias con grandes deficiencias de tejidos.
PETERSON,Principles of Larry J. Oral and Maxillofacial Surgery. Vol. 3. 1992. 1556.
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Colgajos triangulares de Tennison Randall:
PETERSON,Principles of Larry J. Oral and Maxillofacial Surgery. Vol. 3. 1992. 1556.
Base columella
Arco cupido
Base alar
filtrum
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