%0 Journal Article %T Uso de colgajos musculares en las perforaciones traum芍ticas del es車fago Use of muscular flaps to repair traumatic esophageal perforations. Report of two cases %A RAFAEL ANDRADE-ALEGRE %A CARLOS JIM谷NEZ %A ENRIQUE LIAO GUEVARA %J Revista Chilena de Cirug赤a %D 2009 %I Sociedad de Cirujanos de Chile %X Las perforaciones del es車fago, especialmente las de manejo tard赤o, representan un dilema y un reto para el cirujano. El manejo de las perforaciones tard赤as ha sido controversial y las opciones terap谷uticas incluyen desde manejo conservador y simple drenaje hasta la resecci車n del es車fago. Se presentan 2 casos de perforaciones esof芍gicas producidas por proyectil de arma de fuego referidos a los 28 y 8 d赤as respectivamente. En ambos se realiz車 reparaci車n primaria reforzada con colgajo muscular. The management of esophageal perforations is variable, ranging from conservative management to esophageal excision. Muscular flaps are used specially when there are associated lesions in trachea or aorta. We report two patients managed using this last technique. A 31 years old woman that received a gun shot in the neck that was operated, repairing two tracheal and two esophageal perforations. The patient had to be reoperated 28 days later, due to a dehiscence of the esophageal suture. A muscular flap was used to repair the lesion with a good postoperative evolution. A 17 years old male that received a gunshot in the left supraclavicular region. Eight days later, he was operated, draining a right empyema and repairing an esophageal perforation using a muscular flap. The patient had a good postoperative evolution. %K Perforaci車n traum芍tica del es車fago %K cierre primario %K colgajo muscular %K diagn車stico tard赤o %K Traumatic esophageal perforation %K primary repair %K muscle flap %K delayed diagnosis %U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262009000400009