Nuestros investigadores

Bernardo Carlos Hontanilla Calatayud

Publicaciones científicas más recientes (desde 2010)

Autores: Farago-Magrini, S. ; Aubá, Cristina; Camargo, C.; et al.
Revista: AESTHETIC PLASTIC SURGERY
ISSN 0364-216X  Vol. 42  Nº 3  2018  págs. 702 - 707
Background Breast reconstruction after mastectomy is a part of breast cancer treatment. There is a lack of data regarding the impact of reconstruction over psychological traits and quality of life. The aim of this study is to evaluate personality changes in patients who underwent recon-tructive surgery. Methods Thirty-seven women underwent breast reconstruction. These women took the Crown-Crisp Experiential Index before and after the different procedures. The questionnaire analyzes: (a) the satisfaction level with personal relationships before and after surgery, and the level of satisfaction with surgical results and (b) personality index. Comparisons of preoperative and postoperative personality traits were made by using the Crown-Crisp test and analyzed by Chi-square test. Correlations between preoperative concerns and CCEI traits and correlations between physical aspects and Crown-Crisp, both preoperatively and postoperatively, were performed using the Spearman test. Results We found statistically significant differences in the following traits: anxiety anticipating possible technique failures (p = 0.01); cancer recurrence (p = 0.04); dissatisfaction with results (p = 0.02); phobic anxiety for possible technique failure (p = 0.03); obsessionality with possible technique failure (p = 0.01); preoccupations around cancer recurrence (p = 0.01) and dissatisfaction with results (p = 0.03); somatic of technique failure (p = 0.05); and finally, depression and hysteria traits in response to surgical procedures except anesthesia. Conclusion This prospective study suggests that personality traits define perceptions of body image, which has an influence over quality of life and satisfaction with results.
Autores: Hontanilla B, (Autor de correspondencia); Olivas, Jesus; Cabello, Álvaro; et al.
Revista: PLASTIC AND RECONSTRUCTIVE SURGERY
ISSN 0032-1052  Vol. 142  Nº 2  2018  págs. 179E - 191E
Background: Incomplete facial paralysis is still a challenge because we must restore what is missing without causing damage to what has recovered. The current literature is insufficient, with a small number of cases. The use of nerve transfers has gained recent popularity for reanimating facial palsy. The authors present a comparative study between cross-face nerve grafting and masseteric-to-facial nerve transposition for incomplete facial paralysis. Methods: Twenty-eight patients with incomplete unilateral facial paralysis were reanimated with either cross-face nerve grafting (group I, n = 10) or masseteric nerve transfer (group II, n = 18). Commissural displacement and commissural contraction velocity were measured using the FACIAL CLIMA dystem. Spontaneity of the movement and satisfaction were also assessed. Results: When comparing the reconstructed and the healthy sides, statistical differences were found in group I but not in group II, suggesting that the resulting movement was symmetrical in group II but not in group I. Intergroup comparison showed that both commissural displacement and commissural contraction velocity were higher in group II. Spontaneity in group I was higher than in group II, but patients in group II showed more satisfaction, both without being statistically significant. Conclusions: Reanimation of incomplete facial paralysis can be satisfactorily achieved with both cross-face nerve grafting and direct masseteric-to-facial nerve transposition. However, with the masseteric nerve, better symmetry, a higher degree of recovery, and an increased level of satisfaction are achieved in a one-stage operation. Furthermore, both nerve sources are able to restore spontaneity in more than 50 percent of the patient's daily life, with no significant differences between them.
Autores: Guillén-Grima, F; Hontanilla B;
Revista: JOURNAL OF PLASTIC SURGERY AND HAND SURGERY
ISSN 2000-6764  Vol. 51  Nº 6  2017  págs. 14-19
Both techniques were similar regarding satisfaction. In this study, patients with large resection and high BMI more often had the inverted T technique and were just as happy as those with smaller resections, who more often had the vertical techniques.
Autores: Hontanilla B; Cabello, Álvaro;
Revista: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
ISSN 1010-5182  Vol. 44  Nº 9  2016  págs. 1305-1309
Along with providing a strong and reliable commissural pull, the motor nerve to the masseter is able to restore spontaneity as well. Women seem more prone to achieving it. Brain plasticity and the close relationship between the cortical areas of the masseteric and facial nerves are most likely the mechanisms underlying smile spontaneity.
Autores: Hontanilla B; Cabello, Álvaro; Olivas, Jesus;
Revista: PLASTIC AND RECONSTRUCTIVE SURGERY. GLOBAL OPEN
ISSN 2169-7574  Vol. 4  Nº 6  2016  págs. e764
Nasal osteotomies are a cornerstone step for closing an open roof deformity after dorsal hump surgery. Notwithstanding, the optimal method of nasal osteotomy remains controversial, as evidenced by the variety of approaches with no consensus between authors. Moreover, the election of the technique responds to surgeon's preference. We proposed a new way to perform both medial and lateral osteotomies under direct vision. Direct vision of nasal osteotomies provides more predictable control and precision than blind procedures, making this procedure more reliable and easier for both novel and experienced surgeons. Other advantages include conservation of nasal muscle, angular vasculature, and periosteum, which allow less postoperative ecchymosis and edema and less risk of synechia and lacrimal sac injury
Autores: Buendía, Javier; Francis R Loayza; Elkin Luis; et al.
Revista: JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
ISSN 1748-6815  Vol. 69   Nº 3  2016  págs. 417-426
Several techniques have been described for smile restoration after facial nerve paralysis. When a nerve other than the contralateral facial nerve is used to restore the smile, some controversy appears because of the nonphysiological mechanism of smile recovering. Different authors have reported natural results with the masseter nerve. The physiological pathways which determine whether this is achieved continue to remain unclear. Using functional magnetic resonance imaging, brain activation pattern measuring blood-oxygen-level-dependent (BOLD) signal during smiling and jaw clenching was recorded in a group of 24 healthy subjects (11 females). Effective connectivity of premotor regions was also compared in both tasks. The brain activation pattern was similar for smile and jaw-clenching tasks. Smile activations showed topographic overlap though more extended for smile than clenching. Gender comparisons during facial movements, according to kinematics and BOLD signal, did not reveal significant differences. Effective connectivity results of psychophysiological interaction (PPI) from the same seeds located in bilateral facial premotor regions showed significant task and gender differences (p < 0.001). The hypothesis of brain plasticity between the facial nerve and masseter nerve areas is supported by the broad cortical overlap in the representation of facial and masseter muscles.
Autores: Miller KE; Hontanilla B; Cabello, Álvaro; et al.
Revista: JOURNAL OF PLASTIC, RECONSTRUCTIVE & AESTHETIC SURGERY (ONLINE)
ISSN 1532-1959  Vol. 69  Nº 1  2016  págs. 70-76
The difference in thickness between the control capsules and those from the infection group is an indication that bacterial contamination of a capsule from a remote late infection may increase the incidence of capsular contracture suggesting that treating late infections could in fact prevent capsular contracture.
Autores: Hontanilla B; Cabello, Álvaro; et al.
Revista: BRITISH JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
ISSN 0266-4356  Vol. 54  Nº 4  2015  págs. 466-68
Autores: Hontanilla B;
Revista: PLOS MEDICINE
ISSN 1549-1277  Vol. 10e0144489.  Nº 12  2015 
Topical application of an inhibitor of TGF-ß1 may promote scar maturation and clinical improvement of hypertrophic scar morphology features in an "in vivo" model in nude mice after two weeks of treatment
Autores: Hontanilla B;
Revista: BRITISH JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
ISSN 0266-4356  Vol. 53  Nº 10  2015  págs. 943-948
Enterococci are implicated in less than 2.3% of prosthetic joint infections. These infections can be difficult to treat and therapeutic failures are not uncommon. In these situations, daptomycin is a safe and effective alternative. We present a clinical case with a successful response to the prolonged use of high-dose daptomycin.
Autores: Aubá, Cristina; Cabello, Álvaro; Hontanilla B; et al.
Revista: JOURNAL OF CRANIOFACIAL SURGERY
ISSN 1049-2275  Vol. 26  2015  págs. e463-464
Autores: Hontanilla B; Cabello, Álvaro;
Revista: BRITISH JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
ISSN 0266-4356  Vol. 52  Nº 2  2014  págs. 118-123
Our aim was to describe our experience with the masseteric nerve in the reanimation of short term facial paralysis. We present our outcomes using a quantitative measurement system and discuss its advantages and disadvantages. Between 2000 and 2012, 23 patients had their facial paralysis reanimated by masseteric-facial coaptation. All patients are presented with complete unilateral paralysis. Their background, the aetiology of the paralysis, and the surgical details were recorded. A retrospective study of movement analysis was made using an automatic optical system (Facial Clima). Commissural excursion and commissural contraction velocity were also recorded. The mean age at reanimation was 43(8) years. The aetiology of the facial paralysis included acoustic neurinoma, fracture of the skull base, schwannoma of the facial nerve, resection of a cholesteatoma, and varicella zoster infection. The mean time duration of facial paralysis was 16(5) months. Follow-up was more than 2 years in all patients except 1 in whom it was 12 months. The mean duration to recovery of tone (as reported by the patient) was 67(11) days. Postoperative commissural excursion was 8(4)mm for the reanimated side and 8(3)mm for the healthy side (p=0.4). Likewise, commissural contraction velocity was 38(10)mm/s for the reanimated side and 43(12)mm/s for the healthy side (p=0.23). Mean percentage of recovery was 92(5)mm for commissural excursion and 79(15)mm/s for commissural contraction velocity. Masseteric ne
Autores: Hontanilla B;
Revista: ANNALS OF PLASTIC SURGERY
ISSN 0148-7043  Vol. 73  Nº 3  2014  págs. 291-294
The presence of foreign material in deep brain stimulation is a risk factor for infection, and hardware-related pressure under the scalp may cause skin erosion. The aim of this article is to present our experience in the coverage of scalp in relation to underlying hardware. We analyzed 21 patients with Parkinson disease who had undergone deep brain stimulation surgery and developed scalp erosion with hardware exposition during follow-up. Nine patients were programmed for a scalp rotation flap, whereas free tisue transfer was performed in the rest of the patients. Minimum follow-up was 2 years. A hardware-related ulcer appeared in 5 of 9 rotation flap patients. No ulceration or major complications were observed in free flap patients. Free flaps are probably the best option for stable coverage in hardware-related scalp erosion with a high rate of success.
Autores: Hontanilla B;
Revista: HEAD & NECK PATHOLOGY
ISSN 1936-055X  Vol. 36  Nº 8  2014  págs. 1176-1180
After reanimation with masseteric nerve, women seem to be able to smile spontaneously and independently from teeth clenching earlier than men.
Autores: Hontanilla B;
Revista: HEAD & NECK PATHOLOGY
ISSN 1936-055X  Vol. 36  Nº 1  2014  págs. 113-119
Brachytherapy plus radiotherapy does not affect the functional outcomes of immediate facial nerve repair with nerve grafts.
Autores: Hontanilla B; Cabello, Álvaro;
Revista: JOURNAL OF CRANIOFACIAL SURGERY
ISSN 1049-2275  Vol. 25  Nº 2  2014  págs. 623-625
Innervation to the platysma muscle is relatively constant and consists of 1 major branch accompanied by 1 or 2 accessory branches. Harvest of a muscle flap with a neural pedicle long enough to reach the contralateral healthy side is anatomically feasible.
Autores: Cuccia G.; et al.
Revista: BIOMED RESEARCH INTERNATIONAL
ISSN 2314-6133  Vol. 2014  2014  págs. 549819
Innervation of an acellular matrix can be obtained by direct nerve stump implantation. The flow-through system was relatively easy to build and reliable to provide adequate blood supply. The collagen scaffold may be a promising support or further studies of preinnervated microsurgical flaps.
Autores: Hontanilla B; Cabello, Álvaro;
Revista: JOURNAL OF RECONSTRUCTIVE MICROSURGERY
ISSN 0743-684X  Vol. 30  Nº 1  2014  págs. 25-30
Although in most cases Bell palsy resolves spontaneously, approximately one-third of patients will present sequela including facial synkinesis and paresis. Currently, the techniques available for reanimation of these patients include hypoglossal nerve transposition, free muscle transfer, and cross-face nerve grafting (CFNG). Between December 2008 and March 2012, eight patients with incomplete unilateral facial paralysis were reanimated with two-stage CFNG. Gender, age at surgery, etiology of paralysis denervation time, donor and recipient nerves, presence of facial synkinesis, and follow-up were registered. Commissural excursion and velocity and patient satisfaction were evaluated with the FACIAL CLIMA and a questionnaire, respectively. Mean age at surgery was 33.8 ± 11.5 years; mean time of denervation was 96.6 ± 109.8 months. No complications requiring surgery were registered. Follow-up period ranged from 7 to 33 months with a mean of 19 ± 9.7 months. FACIAL CLIMA showed improvement of both commissural excursion and velocity greater than 75% in 4 patients, greater than 50% in 2 patients, and less than 50% in the remaining two patients. Qualitative evaluation revealed a high grade of satisfaction in six patients (75%). Two-stage CFNG is a reliable technique for reanimation of incomplete facial paralysis with a high grade of patient satisfaction.
Autores: Hontanilla B;
Revista: BRITISH JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
ISSN 0266-4356  Vol. 51  Nº 8  2014  págs. 752-756
We describe the benefits of an early surgical approach to large (more than 3 cm) venous malformations in the lower face, and discuss the advantages over conservative treatment. Fifty-eight patients with venous malformations of the lower face were treated in this hospital between 2005 and 2010 with sclerotherapy (lipidocanol), or láser, or resection, or all three. Only patients with recurrent malformations and a history of previously ineffective conservative treatment were included in the study (n=17). Follow-up ranged from 23-65 months (mean 40). Functional and cosmetic outcomes and recurrence were recorded on a single questionnaire. Seventeen patients with a history of recurrent malformations, which had previously been treated ineffectively with conservative treatment and were more than 3 cm in diameter, benefited from early and wide resection. No recurrences were recorded during follow-up. Patients were satisfied with the postoperative cosmetic and functional results. Large malformations are both deforming and functionally disabling. These patients, who initially do not respond to conservative treatment, benefit from early definitive resection.
Autores: Cambeiro, Felix Mauricio; Hontanilla B;
Revista: ANNALS OF PLASTIC SURGERY
ISSN 0148-7043  Vol. 73  Nº 2  2014  págs. 205-209
This study aimed to analyze the differences in quality of life (QOL) in head and neck stage IV squamous cell cancer patients treated with surgery and reconstruction versus radical radiotherapy.The QOL was analyzed in 2 groups of patients. All patients had the same demographic and oncologic features but were treated differently. Group 1 (n = 16) was compound with patients treated with surgery and radiotherapy, whereas group 2 (n = 14) was formed with those who received radical radiotherapy. The University of Washington questionnaire was used for this purpose.A total of 30 questionnaires were received. The total score of the questionnaires ranged from 485 to 1120. The mean values were 837.8 for group 1 and 827.85 for group 2, with no statistical significance. Significant differences were found in several domains. By using a validated questionnaire, it is possible to estimate the impact in QOL of these patients.
Autores: Hontanilla B;
Revista: JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
ISSN 1748-6815  Vol. 66  Nº 4  2013  págs. 518-524
The paralytic upper and lower eyelid can be successfully managed with gold weight implant and tendon suspension. The FACIAL CLIMA system is a reliable method to quantify upper eyelid excursion and blinking velocity and to detect the exact position of the lower eyelid.
Autores: Hontanilla B; Cabello, Álvaro;
Revista: PLASTIC AND RECONSTRUCTIVE SURGERY
ISSN 0032-1052  Vol. 13  Nº 6  2013  págs. 1241-1252
Free gracilis muscle transfer neurotized by the masseteric nerve is a reliable technique for reanimation of longstanding facial paralysis. Compared with cross-facial nerve graft neurotization, this technique provides better symmetry and a higher degree of recovery.
Autores: Hontanilla B;
Revista: BRITISH JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
ISSN 0266-4356  Vol. 51  Nº 8  2013  págs. 684-688
Sex is likely to play an important part in reanimation of the face after paralysis, with women being superior in terms of resistance to neural injury and regeneration. Our aim was to evaluate the influence of the sex of the patient on the recovery of facial paralysis after surgical reanimation by comparing the degree of restored movement between men and women with long-standing paralysis that was reanimated by transfer of the hypoglossal nerve or cross-face nerve grafting. Between 1999 and 2010 we operated on 174 patients with facial paralysis. Of these we studied 26 cases (19 women and 7 men) with complete long-standing paralysis reanimated with either cross-face nerve grafting (n=14) or transfer of the hemihypoglossal nerve (n=12). The degree of movement restored was recorded in each case. Statistical analysis showed that in cases with long-standing paralysis women had significantly more movement restored than men for both cross-face nerve grafting (p=0.02) and hypoglossal transposition (p=0.04). We conclude that, after a neural injury, women tend to maintain the viability of the facial musculature longer than men, which suggests that they are more resistant to both denervation and the development of muscular atrophy. Whether this phenomenon can be explained by neural or muscular processes, or both, warrants further studies.
Autores: Hontanilla B; Buendía, Javier;
Revista: PLASTIC AND RECONSTRUCTIVE SURGERY
ISSN 0032-1052  Vol. 131  Nº 3  2013  págs. 473e-474e
Autores: Hontanilla B;
Revista: JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
ISSN 1748-6815  Vol. 66  Nº 1  2013  págs. 80-86
Ischaemia time is an independent risk factor for microvascular complications in the DIEP flap for breast reconstruction. Keeping such time to the minimum necessary and avoiding needless delays is likely to improve flap survival.
Autores: Jurado, Matías; Hontanilla B;
Revista: PLASTIC AND RECONSTRUCTIVE SURGERY
ISSN 0032-1052  Vol. 132  Nº 6  2013  págs. 1020e-1027e
The DIEP flap seems to be a promising flap for this kind of reconstruction and could replace the TRAM flap. The authors detected a decrease in donor-site abdominal morbidity when using the DIEP flap compared with the TRAM flap.
Autores: Buendía, Javier; Hontanilla B;
Revista: ANNALS OF PLASTIC SURGERY
ISSN 0148-7043  Vol. 69  Nº 1  2012  págs. 73-78
STSs are best treated in specialist centers. Early referral is highly recommended to achieve good oncologic outcomes. Our results show a clear tendency of higher wound complication rates in patients lately referred for reconstruction. We believe that early involvement of plastic surgeons in the management of STS is mandatory
Autores: Hontanilla B;
Revista: JOURNAL OF PLASTIC SURGERY AND HAND SURGERY
ISSN 2000-6764  Vol. 46  Nº 1  2012  págs. 25-31
To compare quantitatively the results obtained after hemihypoglossal nerve transposition and microvascular gracilis transfer associated with a cross facial nerve graft (CFNG) for reanimation of a paralysed face, 66 patients underwent hemihypoglossal transposition (n = 25) or microvascular gracilis transfer and CFNG (n = 41). The commissural displacement (CD) and commissural contraction velocity (CCV) in the two groups were compared using the system known as Facial clima. There was no inter-group variability between the groups (p > 0.10) in either variable. However, intra-group variability was detected between the affected and healthy side in the transposition group (p = 0.036 and p = 0.017, respectively). The transfer group had greater symmetry in displacement of the commissure (CD) and commissural contraction velocity (CCV) than the transposition group and patients were more satisfied. However, the transposition group had correct symmetry at rest but more asymmetry of CCV and CD when smiling.
Autores: Hontanilla B;
Revista: JOURNAL OF CRANIOFACIAL SURGERY
ISSN 1049-2275  Vol. 23  Nº 1  2012  págs. 203-205
The knowledge of the anatomy of the masseter nerve and its vascular supply is the key to preventing nerve damage when the muscle is split for facial reanimation. The possibility of selecting the bundle included in the transposed section of the muscle could be used for dynamic reanimation of the paralyzed face.
Autores: Aubá, Cristina; et al.
Revista: MICROSURGERY
ISSN 0738-1085  Vol. 32  Nº 4  2012  págs. 261-268
Abstract The purpose of this work was to report our initial experience with lymphaticovenular anastomoses (LVA), a controversial technique for lymphedema treatment. Although LVA technique was described many years ago, the procedure is not as widespread as it was supposed to be, taking into account the high impact that lymphedema has in the quality of life of patients. Thus, 12 patients, 5 with lower limb and 7 with upper limb lymphedema, underwent LVA surgery under local anesthesia. Two patients were excluded from the study due to the lack of follow-up. At 18 months, 8 out 10 patients showed a variable objective reduction of the perimeter of the limbs and 9 patients presented a subjective clinical improvement. These results joined to the outcomes of the most experienced surgeons in this field are encouraging, although there are still many issues that need to be addressed with research to optimize the efficacy of this technique.
Autores: Hontanilla B;
Revista: PLASTIC AND RECONSTRUCTIVE SURGERY
ISSN 0032-1052  Vol. 130  Nº 5  2012  págs. 662e-672e
Reanimation of short-term facial paralysis can be satisfactorily addressed by means of either hemihypoglossal transposition with a nerve graft or direct masseteric-facial coaptation. However, with the latter, better symmetry and a faster onset of movement are observed. In addition, masseteric nerve transfer avoids morbidity from nerve graft harvesting.
Autores: Hontanilla B;
Revista: PLASTIC AND RECONSTRUCTIVE SURGERY
ISSN 0032-1052  Vol. 129  Nº 1  2012  págs. 190e-192e
Autores: Hontanilla B;
Revista: JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
ISSN 1748-6815  Vol. 65  Nº 11  2012  págs. 1597-98
Autores: Hontanilla B;
Revista: ANNALS OF PLASTIC SURGERY
ISSN 0148-7043  Vol. 68  Nº 1  2011  págs. 97-100
Brain plasticity is likely to play an important role in smile restoration in patients with bilateral facial palsy. Intensive physiotherapy and psychosocial relevance of facial expression might be key in such phenomenon.
Autores: Hontanilla B;
Revista: JOURNAL OF CRANIOFACIAL SURGERY
ISSN 1049-2275  Vol. 22  Nº 3  2011  págs. 1099-1100
In recent years, microsurgical transplant of the gracilis muscle has been the most widely used technique in the dynamic rehabilitation of the smile. The most frequently used donor nerve is the seventh cranial nerve, as it allows for the most physiological rehabilitation, including the rehabilitation of spontaneous smile. An exception to this is the case of bilateral facial paralyses, in which there is no contralateral nerve to be used as a donor. In these cases, it is necessary to use other nerves such as the hypoglossal, the accessory nerve, or the masseter branch of the trigeminal nerve. In this article, we describe a case of dynamic bilateral facial rehabilitation with a bilateral transplant of the gracilis muscle neurotized to the masseter nerve to achieve a strong, symmetrical smile, which is properly controlled by the patient.
Autores: Aubá, Cristina; et al.
Revista: HERIDAS Y CICATRIZACIÓN
ISSN 2171-8644  Vol. 2  Nº 5  2011  págs.  -
El carcinoma epidermoide originado de una úlcera crónica (úlcera de Marjolin) debe tratarse agresivamente incluyendo radioterapia en determinados casos. Debido a las caracteristicas de la piel radiada es importante aportar tejido sano para una cobertura adecuada. Por todo ello presentamos un caso de un tumor epidermoide originado sobre un sinus pilonidal de años de evolución que precisó de un colgajo posterior de muslo como cobertura definitiva del defecto creado.
Autores: Hontanilla B;
Revista: ANNALS OF PLASTIC SURGERY
ISSN 0148-7043  Vol. 67  Nº 2  2011  págs. 129-133
This modified technique for frontalis suspension could be a good alternative to raise the ptotic upper eyelid. The use of an autogenous tendon has long-term results.
Autores: Marré, Diego; Hontanilla B;
Revista: J RECONSTR MICROSURG
ISSN 0743-684X  Vol. 27  Nº 7  2011  págs. 449 - 450
Autores: Hontanilla B; Aubá, Cristina;
Revista: JOURNAL OF CRANIOFACIAL SURGERY
ISSN 1049-2275  Vol. 22  Nº 3  2011  págs. 845-847
Free transplant of gracilis muscle is the criterion-standard technique in dynamic rehabilitation of long-standing facial paralysis in which the facial musculature is atrophied. When the facial nerve is not available because of a bilateral lesion, other sources are the masseteric, hypoglossal, or accessory nerves. Although the use of hypoglossal nerve has been relegated to the background because of the morbidity caused by its loss, there are special situations in which the hypoglossal nerve should be considered the first option as donor motor nerve. The present article discusses the case of a patient with dynamic reanimation of bilateral facial paralysis with free-muscle transfer neurotized to the hypoglossal nerve. End-to-side coaptation of gracilis motor nerve and hypoglossal motor nerve allows neurotization of the transplanted muscle with minimum repercussion in speech or swallowing and can provide an adequate spontaneous smile with time.
Autores: Hontanilla B;
Revista: PLASTIC AND RECONSTRUCTIVE SURGERY
ISSN 0032-1052  Vol. 128  Nº 1  2011  págs. 15e-17e
Autores: Hontanilla B;
Revista: JOURNAL OF RECONSTRUCTIVE MICROSURGERY
ISSN 0743-684X  Vol. 26  Nº 5  2010  págs. 325-333
In this work, the authors discuss the effect of freezing on vascular anastomosis performed in the femoral arteries of the rat. For this purpose, they utilize dimethyl propane ether (-60 degrees C). Two experiments were performed independently from each other. On the right side, they froze the artery before cutting and anastomosing it. On the left side, the artery was first transected and then frozen before anastomosis was performed. Patency was studied at 7 days. Changes in diameter of the vascular lumen were measured both in the experimental as well in the control group. Permeability of the arteries frozen before being cut was greater than in those in which freezing was performed subsequently. On the other hand, the authors found some cases of thrombosed vessels, which have not been previously described in the literature. They also noticed proximal and distal vasospasm when cool was applied locally. They conclude that freezing of microarteries before cutting them produces vasodilatation with a low incidence of thrombotic phenomena. However, the presence of a significant proximal and distal vasospasm leads them to believe that further studies are necessary before this technique is applied in the clinical setting
Autores: Martinez F.; Hontanilla B;
Revista: AESTHETIC PLASTIC SURGERY
ISSN 0364-216X  Vol. 34  Nº 4  2010  págs. 430-437
We detected no statistically significant reduction in fibrosis in the periprosthetic capsule after treating the implants with the inhibitor peptide p144, but we feel that the influence of trauma around the prosthesis is critical in impeding the antifibrotic activity of the inhibitor peptide
Autores: Hontanilla B; Gómez, Raúl;
Revista: EUROPEAN JOURNAL OF PLASTIC SURGERY
ISSN 0930-343X  Vol. 33  2010  págs. 227-229
Autores:  et al.
Revista: EUROPEAN JOURNAL OF PLASTIC SURGERY
ISSN 0930-343X  Vol. 33  2010  págs. 135 - 142
Autores: Buendía, Javier; et al.
Revista: ACTAS UROLOGICAS ESPAÑOLAS
ISSN 0210-4806  Vol. 34  Nº 6  2010  págs. 567-568
La fijación de la prótesis al escroto previene su elevación y asegura un correcto emplazamiento. El uso del catéter de Foley proporciona un sencillo y práctico sistema de medida que asegura la correcta elección de tamaño de la prótesis, repercutiendo todo ello en una mayor satisfacción del paciente
Autores: Hontanilla B; Cabello, Álvaro;
Libro:  Facial Paralysis: Clinical Features, Management and Outcomes
2016  págs. 87-137
Autores: Hontanilla B; Aubá, Cristina;
Libro:  The sciatic nerve: blocks injuries and regeneration
2010  págs. 1-38
Autores: Hontanilla B, (Editor literario); Aubá, Cristina; et al.
2010