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La translocación facial ampliada en la resección de tumores de la base craneal. Nuestra experiencia con tres casos
Extended facial translocation for the resection of cranial base tumors. Our experience with three cases
R.D. Lobato, A. Romance, G. Sánchez Aniceto, A. Cabrera, B. Rivera, J. Campollo
Servicio de Neurocirugía, Cirugía Maxilofacial y Sección de Neurorradiología. Hospital Doce de Octubre. Madrid
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            "entidad" => "Servicio de Neurocirug&#237;a&#44; Cirug&#237;a Maxilofacial y Secci&#243;n de Neurorradiolog&#237;a&#46; Hospital Doce de Octubre&#46; Madrid"
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        "titulo" => "Extended facial translocation for the resection of cranial base tumors&#46; Our experience with three cases"
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        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta el abordaje quir&#250;rgico de la translocaci&#243;n facial ampliada&#44; empleado en tres enfermos con tumores extensos de la base craneal&#46; En dos de los enfermos se consigui&#243; una resecci&#243;n macrosc&#243;picamente completa&#46; En el tercer enfermo la reducci&#243;n tumoral permiti&#243; emplear con mayor efectividad la radioterapia externa&#46; La t&#233;cnica de la translocaci&#243;n facial combinada con otras v&#237;as de abordaje anterolaterales a la base del cr&#225;neo proporciona un campo quir&#250;rgico excelente&#46; El par&#233;nquima cerebral no es retra&#237;do durante la resecci&#243;n y las estructuras neurovasculares son manipuladas bajo un control directo&#46; La distancia quir&#250;rgica al tumor se reduce al m&#225;ximo&#44; pudiendo &#233;ste ser disecado desde distintas direcciones&#46; Los principales problemas relacionados con este abordaje son&#44; la obturaci&#243;n de los grandes defectos postquir&#250;rgicos y la obtenci&#243;n de resultados est&#233;tico-funcionales adecuados&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We are presenting our experience with the extended facial translocation in the surgical treatment of three patients with extensive cranial base tumors&#46; In two cases we achieved complete tumor resection and in the third case the mass of the neoplasm &#40;a pituitary adenoma&#41; was largely reduced facilitating external radiation therapy&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">This surgical approach combined with anterolateral approaches to the cranial base provides an excellent surgical field for the resection of large cranial base tumors under direct control&#44; avoiding brain retraction and manipulation of neurovascular structures&#46; The distance to tumor boundaries is much reduced and dissection can be performed from different directions&#46; The main problem related with this technique is the filling of the large postsurgical dead spaces and obtaining satisfactory aesthetic results&#46;</p>"
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      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Lobato&#44; R&#46;D&#46;&#59; Romance&#44; A&#46;&#59; S&#225;nchez Aniceto&#44; G&#46;&#59; Cabrera&#44; A&#46;&#59; Rivero&#44; B&#46;&#59; Campollo&#44; 1&#46;&#58; La translocaci&#243;n facial ampliada en la resecci&#243;n de tumores de la base craneal&#46; Nuestra experiencia en tres casos&#46; Neurocirug&#237;a 1997&#59; 8&#58; 302&#8211;310&#46;</p>"
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Article information
ISSN: 11301473
Original language: Spanish
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