{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T16:27:53Z","timestamp":1722529673399},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>As cicatrizes hipertr\u00f3ficas e quel\u00f3ides representam dist\u00farbios cicatriciais hiperproliferativos que podem ter um impacto significativo na\u00a0vida dos doentes. Os autores apresentam o caso de um doente de 53 anos, com uma cicatriz quel\u00f3ide na regi\u00e3o esternal ap\u00f3s ex\u00e9rese\u00a0de quisto seb\u00e1ceo e m\u00faltiplas sess\u00f5es de infiltra\u00e7\u00e3o de cortic\u00f3ide, com um agravamento marcado da les\u00e3o. O doente foi submetido\u00a0a ex\u00e9rese do quel\u00f3ide e reconstru\u00e7\u00e3o do defeito com retalho livre fasciocut\u00e2neo anterolateral da coxa (anterolateral thigh flap \u2013 ALT).\u00a0O p\u00f3s-operat\u00f3rio imediato e tardio decorreu sem intercorr\u00eancias, sem sinais de recidiva. O tratamento de quel\u00f3ides esternais passa,\u00a0inevitavelmente, por diminuir a tens\u00e3o na regi\u00e3o operada, de forma a evitar a recidiva e eventual agravamento da les\u00e3o. O tratamento\u00a0deste tipo de cicatrizes \u00e9 complexo, tornando-se um verdadeiro desafio para o cirurgi\u00e3o pl\u00e1stico. No caso cl\u00ednico apresentado, dadas\u00a0as dimens\u00f5es e localiza\u00e7\u00e3o da cicatriz, a sua excis\u00e3o provocou um defeito extenso, sendo necess\u00e1ria a transfer\u00eancia microcir\u00fargica\u00a0de tecidos para cobertura completa, minimizando a tens\u00e3o na regi\u00e3o esternal.\u00a0<\/jats:p>","DOI":"10.20344\/amp.10955","type":"journal-article","created":{"date-parts":[[2019,12,2]],"date-time":"2019-12-02T12:30:19Z","timestamp":1575289819000},"page":"784-787","source":"Crossref","is-referenced-by-count":1,"title":["Retalho Livre Anterolateral da Coxa para Tratamento de Quel\u00f3ide Esternal"],"prefix":"10.20344","volume":"32","author":[{"given":"Tiago","family":"Guedes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo","family":"Coelho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o","family":"Guimar\u00e3es","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hor\u00e1cio","family":"Costa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2019,12,2]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/10955\/5817","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/10955\/5817","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T20:51:42Z","timestamp":1666644702000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/10955"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,2]]},"references-count":0,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2019,12,2]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.10955","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2019,12,2]]}}}