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                        "paginaFinal" => "714"
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              ]
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            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The use of free periosteum for bone formation in congenital clefts on the maxilla&#59; a preliminary report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "V&#46; Ritsila"
                            1 => "S&#46; Alhopuro"
                            2 => "U&#46; Gylling"
                            3 => "A&#46; Rintala"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Scand J Plast Reconstr Surg"
                        "fecha" => "1972"
                        "volumen" => "6"
                        "paginaInicial" => "57"
                        "paginaFinal" => "60"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5045756"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spinal fusion of idiopathic scoliosis with free periosteal grafts&#58; a preliminary report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "O&#46; Snellman"
                            1 => "K&#46; Osterman"
                            2 => "V&#46; Ritsila"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Acta Orthop Scand"
                        "fecha" => "1977"
                        "volumen" => "48"
                        "paginaInicial" => "339"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bone formation with free periosteum&#46; An experimental study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46; Ritsila"
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                            2 => "A&#46; Rintala"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                        "volumen" => "6"
                        "paginaInicial" => "51"
                        "paginaFinal" => "56"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5045755"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Study of the viable intercostal pedicle graft in tracheobronchial surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "E&#46; Blair"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Thorac Surg"
                        "fecha" => "1957"
                        "volumen" => "36"
                        "paginaInicial" => "869"
                        "paginaFinal" => "878"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13611808"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tracheobronchial reconstruction with autologous periosteum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46;W&#46; Fonkalsrud"
                            1 => "W&#46;G&#46; Plested"
                            2 => "D&#46;G&#46; Mulder"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Thorac Cardiovasc Surg"
                        "fecha" => "1966"
                        "volumen" => "52"
                        "paginaInicial" => "666"
                        "paginaFinal" => "674"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5955178"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reconstruction after extensive tracheal resection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46;W&#46; Worman"
                            1 => "C&#46; Starr"
                            2 => "B&#46;G&#46; Narodick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Marquette Med Rev"
                        "fecha" => "1966"
                        "volumen" => "32"
                        "paginaInicial" => "2"
                        "paginaFinal" => "3"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reconstruction of experimental tracheal cartilage defects with free periosteum&#46; A preliminary report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "V&#46; Ritsila"
                            1 => "S&#46; Alhopuro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Scand J Plast Reconstr Surg"
                        "fecha" => "1973"
                        "volumen" => "7"
                        "paginaInicial" => "116"
                        "paginaFinal" => "119"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4782116"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Influence of oxygen concentration and mechanical factors on differentiation of connective tissues in vitro"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;A&#46; Basset"
                            1 => "I&#46; Herrmann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Nature"
                        "fecha" => "1961"
                        "volumen" => "190"
                        "paginaInicial" => "460"
                        "paginaFinal" => "461"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13687643"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Adaptive shift of tissue metabolism in local hypoxia resulting in higher mucopolysaccharide"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Hadhazy"
                            1 => "E&#46;H&#46; Olag"
                            2 => "S&#46; Krompecher"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Biol Acad Sci Hung"
                        "fecha" => "1963"
                        "volumen" => "14"
                        "paginaInicial" => "67"
                        "paginaFinal" => "75"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14059223"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hypoxia and differentiation of cartilage and bone from common germinal cells in vitro"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46;K&#46; Hall"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Life Sci"
                        "fecha" => "1969"
                        "volumen" => "8"
                        "paginaInicial" => "553"
                        "paginaFinal" => "558"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5793511"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Histogenesis and morphogenesis of bone"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46;K&#46; Hall"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Orthop"
                        "fecha" => "1971"
                        "volumen" => "74"
                        "paginaInicial" => "249"
                        "paginaFinal" => "268"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4251213"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bone and cartilage formation by periosteum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Cohen"
                            1 => "P&#46; Lacroix"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Bone Joint Surg"
                        "fecha" => "1955"
                        "volumen" => "37"
                        "paginaInicial" => "717"
                        "paginaFinal" => "730"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13242605"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tracheal replacement with autogenous grafts of supported fibrocollagenous tissue&#46; Ann experimental study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;M&#46; Poticha"
                            1 => "R&#46;J&#46; Lewis"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Forum"
                        "fecha" => "1962"
                        "volumen" => "13"
                        "paginaInicial" => "91"
                        "paginaFinal" => "93"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13985721"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                      "titulo" => "Behaviour and fate of a buried graft of small intestine&#46; An experimental study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46;G&#46; Zetterlund"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Scand J Plast Reconstr Surg"
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                        "paginaFinal" => "54"
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Journal Information
Vol. 25. Issue 2.
Pages 49-55 (March 1989)
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Vol. 25. Issue 2.
Pages 49-55 (March 1989)
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Estudio experimental de la utilizacion de autoinjertos periosticos libres en la solucion de perdidas de sustancia parietales en la traquea
Experimental study of the use of free periostal autografs for the management of parietal losses of substance in the trachea
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3204
R. Guijarro Jorge, A. Cueto Ladrón de Guevara, A. Sánchez-Palencia Ramos, F. Martí Huedo
Unidad de Cirugía Torácica. Hospital Virgen de las Nieves. Granada
S. Zilbermann Morales*, F. París Romeu**
* Servicio de Anatomía Patológica. Hospital Virgen de las Nieves. Granada
** Servicio de Cirugía Torácica. Hospital La Fe. Valencia
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Article information

De entre todas las procedencias tisulares de injertos usados en cirugía torácica para solucionar defectos por pérdida de sustancia parietal en la tráquea, es el periostio, sin duda, el más utilizado.

Con el fin de establecer la procedencia y orientación idónea de dichos injertos en el campo quirúrgico, se utilizan 30 ratas Wistar en las que se usa periostio procedente de tibia (osificación endocondral) y de calota (osificación membranosa) y se implantan con la cara osteogénica hacia la luz traqueal o hacia los tejidos circundantes.

Se realizan estudios radiológicos y anatomopatológicos de las 4-8 semanas postintervención, concluyendo que son los injertos tibiales orientados hacia la luz traqueal los que producen más hueso y más precozmente.

Among all tissues used in thoracic surgery for the management of defects caused by parietal loss of substance in the trachea, certainly the periostium is the most commonly chosen.

To establish the origin and adequate orientation of these grafts in the surgical field, in 30 Wistar rats periostium from the tibia (endochondral ossification) and the skull (membranous ossification) was implanted with the osteogenic side towards the tracheal lumen or the surrounding tissues.

Radiological and pathological studies were carried out 4-8 weeks after the operation, and it was concluded that the tibial grafts oriented towards the tracheal lumen are those which produce a greater amount of bone at a greater speed.

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Bibliografía
[1.]
R.S. Penton, O.C. Brantigan.
A viable pedicle graft for repairing intrathoracic structres. A preliminary report on tracheal defects.
Bull Sch Med Maryland, 36 (1951), pp. 152-155
[2.]
R.S. Penton, O.C. Brantigan.
The use of viable pedicle graft for repairing an extensive tracheobronchial defect.
Ann Surg, 135 (1952), pp. 709-714
[3.]
B. Narodick, A.M. Pemberton, L.W. Worman.
Tracheoplasty by means of a periosteal pedicle graft.
J Thorac Cardiovasc Surg, 47 (1964), pp. 572-576
[4.]
Y.P. Krespi, S.M. Baek, W.F. Marovitz, M.F. Biller.
Revascularized free pleuroperiosteal flap to correct full thickness tracheal defects.
Bull N y Acad Med, 55 (1979), pp. 939-947
[5.]
Y.P. Krespi.
Tracheal reconstruction with a pleuroperiosteal flap.
Otolaryngol Head Neck Surg, 91 (1983), pp. 610-614
[6.]
F.E. Lejeune.
Tracheal stenosis with laryngeal involvement.
Chir Thor Cardiovasc, 35 (1981), pp. 611-615
[7.]
B.G. Narodick, L.W. Worman, A.H. Pemberton.
Relaxation technique for tracheal reconstructions.
Ann Thorac Surg, 1 (1965), pp. 190-196
[8.]
E. Sperling.
Zur operativen Behandlung langerer organischer Trachealstenosen.
Thoraxchirurgie, 16 (1968), pp. 91-96
[9.]
T. Kufaas, M. Pasila.
Free periosteal transplants in tracheal reconstruction. Report of three cases.
Z Kiderchir, 15 (1974), pp. 371-387
[10.]
J. Padilla, V. Tarazona, F. Paris, A. Camanas, J.M. Borro.
Comportment biologique et mecanique de greffons libres de perichondre et de perioste implantes sur la paroi intestinal du chien.
Chir Thor Cardiovasc, 35 (1981), pp. 643-664
[11.]
T. Kufaas.
Tracheal reconstruction with free periosteal grafts. An experimental study on rabbits.
Scand J Thorax Cardiovasc Sur, 31 (1981), pp. l-63
[12.]
T. Skoog.
The use of periosteal flaps in the repair of the primary palate.
Clefte Palate J, (1965), pp. 332-337
[13.]
V. Ritsila, S. Alhopuro, U. Gylling, A. Rintala.
The use of free periosteum for bone formation in congenital clefts on the maxilla; a preliminary report.
Scand J Plast Reconstr Surg, 6 (1972), pp. 57-60
[14.]
O. Snellman, K. Osterman, V. Ritsila.
Spinal fusion of idiopathic scoliosis with free periosteal grafts: a preliminary report.
Acta Orthop Scand, 48 (1977), pp. 339
[15.]
V. Ritsila, S. Alhopuro, A. Rintala.
Bone formation with free periosteum. An experimental study.
Scand J Plast Reconstr Surg, 6 (1972), pp. 51-56
[16.]
E. Blair.
Study of the viable intercostal pedicle graft in tracheobronchial surgery.
J Thorac Surg, 36 (1957), pp. 869-878
[17.]
E.W. Fonkalsrud, W.G. Plested, D.G. Mulder.
Tracheobronchial reconstruction with autologous periosteum.
J Thorac Cardiovasc Surg, 52 (1966), pp. 666-674
[18.]
L.W. Worman, C. Starr, B.G. Narodick.
Reconstruction after extensive tracheal resection.
Marquette Med Rev, 32 (1966), pp. 2-3
[19.]
V. Ritsila, S. Alhopuro.
Reconstruction of experimental tracheal cartilage defects with free periosteum. A preliminary report.
Scand J Plast Reconstr Surg, 7 (1973), pp. 116-119
[20.]
C.A. Basset, I. Herrmann.
Influence of oxygen concentration and mechanical factors on differentiation of connective tissues in vitro.
Nature, 190 (1961), pp. 460-461
[21.]
C. Hadhazy, E.H. Olag, S. Krompecher.
Adaptive shift of tissue metabolism in local hypoxia resulting in higher mucopolysaccharide.
Acta Biol Acad Sci Hung, 14 (1963), pp. 67-75
[22.]
B.K. Hall.
Hypoxia and differentiation of cartilage and bone from common germinal cells in vitro.
Life Sci, 8 (1969), pp. 553-558
[23.]
B.K. Hall.
Histogenesis and morphogenesis of bone.
Clin Orthop, 74 (1971), pp. 249-268
[24.]
J. Cohen, P. Lacroix.
Bone and cartilage formation by periosteum.
J Bone Joint Surg, 37 (1955), pp. 717-730
[25.]
S.M. Poticha, R.J. Lewis.
Tracheal replacement with autogenous grafts of supported fibrocollagenous tissue. Ann experimental study.
Surg Forum, 13 (1962), pp. 91-93
[26.]
C.G. Zetterlund.
Behaviour and fate of a buried graft of small intestine. An experimental study.
Scand J Plast Reconstr Surg, 1 (1967), pp. 1-54
Copyright © 1989. Sociedad Española de Neumología y Cirugía Torácica
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