Resumen La utilidad del colgajo condrocutáneo del hélix para cubrir defectos menores de 2 cm es ampliamente aceptada. Con esta publicación queremos mostrar el resultado de esta técnica para el manejo de un defecto extenso que incluía el tercio medio del hélix y antihelix. Realizamos la técnica de Antia-Buch con doble colgajo condrocutáneo para reconstruir, en un solo tiempo quirúrgico, un defecto de 40 mm en el tercio medio del pabellón auricular de una paciente de avanzada edad, que había rechazado opciones reconstructivas que requirieran varios tiempos de cirugía, obteniendo un resultado funcional y cosmético adecuado.
Abstract Usefulness of chondrocutaneous helix flap for defects smaller than 2 cm is widely accepted. This paper attempts to show the outcome of this technique for the management of a large helix and antihelix defect. We performed the Antia-Buch technique, with two chondrocutaneous flaps, to reconstruct in a single surgical stage a 40 mm defect in the middle third of the auricle of an elderly patient who refused more than one surgical time, achieving an appropriate functional and cosmetical outcome.
In July 2007 in Medellín, Colombia, 1 200 health care professionals were asked to complete a questionnaire: of the 493 who participated, the mean age was 31.2 years; 58.8% were physicians; and 97.6% had Internet access, 60.5% on a daily basis and 27.7%, weekly. The preferred place to access the Internet was from home (58%) or from the work place (12.5%); 98% reported having a cell phone, and of those, 80% were interested in using health education tools via cell phone. These are the first data published regarding Internet and cellular phone penetration among health care workers in Colombia. Acceptance of the Internet and mobile systems as health information tools is gaining, and as such, creating a new opportunity for training and harnessing of these new technologies.