Preservación de la audición en la cirugía del neurinoma del acústico
Hearing preservation in acoustic neurinomas surgery
E. Cardona, J. Molet, P. Parés, V. Gilete, F. Bartumeus
Servicio de Neurocirugia. Hospital de la Santa Creu i Sant Pau. Universidad Autònoma de Barcelona. Barcelona
* Programa de Cirugfa de Base Craneal. Hospital de la Santa Creu i Sant Pau. Universidad Autònoma de Barcelona. Barcelona
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López-Escobar Fernández, E. Gómez Cárdenas, A. Contreras Jiménez, C. Ramos Guillén" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "López-Escobar Fernández" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Gómez Cárdenas" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Contreras Jiménez" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Ramos Guillén" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147398707158?idApp=UINPBA00004B" "url" => "/11301473/0000000900000001/v1_201305151507/S1130147398707158/v1_201305151507/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Preservación de la audición en la cirugía del neurinoma del acústico" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "21" "paginaFinal" => "25" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "E. Cardona, J. Molet, P. Parés, V. Gilete, F. Bartumeus" "autores" => array:5 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Cardona" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Molet" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Parés" ] 3 => array:2 [ "nombre" => "V." "apellidos" => "Gilete" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Bartumeus" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugia. Hospital de la Santa Creu i Sant Pau. Universidad Autònoma de Barcelona. Barcelona" ] ] ] 1 => array:3 [ "autoresLista" => "B. Oliver, P. Tresserras" "autores" => array:2 [ 0 => array:3 [ "nombre" => "B." "apellidos" => "Oliver" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "P." "apellidos" => "Tresserras" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Programa de Cirugfa de Base Craneal. Hospital de la Santa Creu i Sant Pau. Universidad Autònoma de Barcelona. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Hearing preservation in acoustic neurinomas surgery" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec163239" "palabras" => array:5 [ 0 => "Neurinoma del acústico" 1 => "Audición útil" 2 => "Audiometría" 3 => "Preservación de la audición" 4 => "Abordaje suboccipital" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec163238" "palabras" => array:5 [ 0 => "Acoustic neurinoma" 1 => "Useful hearing" 2 => "Au-diometry" 3 => "Hearing preservation" 4 => "Suboccipital approach" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En la actualidad el diagnóstico de neurinoma del VIII par craneal en pacientes con tumores de pequeño tamaño y audición conservada ha hecho que la preservacion de la audición, en estos casos, sea un objetivo específico. Presentamos los resultados de nuestra serie que abarca 73 casos de neurinoma del VIII p.c, intervenidos en el período 84–94. En 16 pacientes se cumplían criterios de audición ùtil, segùn la American Medical Association y en todos ellos, se intentó la preservación de la audición, lo que se consiguió en el 50%, con criterios de audición ùtil en 3 casos (19%). En 5 casos (31%) quedó audición remanente sin criterios de audición ùtil. La preservación anatómica del VIII p.c. se consiguió en 12 casos (75%). Los resultados se correlacionaron de forma inversamente proporcional con el tamaño del tumor (<2.5<span class="elsevierStyleHsp" style=""></span>cm) y, directamente, con la audición preoperatoria (pérdida <20%). Presentamos los resultados de la serie y la revisión de la Iiteratura.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Hearing preservation has become a surgical goal in resection of middle and small size schwannomas of the VIII nerve in selected cases. Between 1984–1994, 73 8th nerve schwannomas have been operated on in our department. AMA criteria for useful hearing were fulfilled preoperatively in 16 cases. These are the subject of this report. Postoperative anatomical preservation of the cochlear nerve was achieved in 12 cases (75%). In contrast, some hearing function was preserved in 8 cases (50%). In 3 cases (19%) AMA criteria were achieved. Positive prognostic factors were small size tumours (<2.5<span class="elsevierStyleHsp" style=""></span>cm) and good preoperative hearing function (hearing loss < 20%).</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Cardona, E.; Oliver, B.; Tresserras, P.; Molet, J.; Parés, P.; Gilete, V.; Bartumeus, F.: Preservación de la audición en la cirugía del neurinoma del acústico. Neurocirugía 1998; 9: 21–25.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hearing preservation in acoustic neuromas surgery: a continuing study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.D. Atlas" 1 => "C. Harvey" 2 => "P.A. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 0 | 3 | 3 |
| 2022 April | 0 | 2 | 2 |
| 2018 February | 11 | 1 | 12 |
| 2018 January | 11 | 6 | 17 |
| 2017 December | 15 | 9 | 24 |
| 2017 November | 44 | 14 | 58 |
| 2017 October | 5 | 8 | 13 |
| 2017 September | 10 | 15 | 25 |
| 2017 August | 8 | 5 | 13 |
| 2017 July | 7 | 6 | 13 |
| 2017 June | 14 | 3 | 17 |
| 2017 May | 14 | 10 | 24 |
| 2017 April | 9 | 21 | 30 |
| 2017 March | 5 | 4 | 9 |
| 2017 February | 6 | 1 | 7 |
| 2017 January | 12 | 5 | 17 |
| 2016 December | 23 | 14 | 37 |
| 2016 November | 13 | 10 | 23 |
| 2016 October | 22 | 11 | 33 |
| 2016 September | 41 | 16 | 57 |
| 2016 August | 22 | 6 | 28 |
| 2016 July | 27 | 14 | 41 |
| 2015 December | 2 | 0 | 2 |
| 2015 July | 1 | 0 | 1 |
| 2015 June | 12 | 8 | 20 |
| 2015 May | 22 | 20 | 42 |
| 2015 April | 14 | 19 | 33 |
| 2015 March | 20 | 41 | 61 |
| 2015 February | 12 | 34 | 46 |
| 2015 January | 15 | 19 | 34 |
| 2014 December | 16 | 14 | 30 |
| 2014 November | 18 | 31 | 49 |
| 2014 October | 19 | 22 | 41 |
| 2014 September | 14 | 30 | 44 |
| 2014 August | 19 | 18 | 37 |
| 2014 July | 22 | 19 | 41 |
| 2014 June | 20 | 23 | 43 |
| 2014 May | 21 | 33 | 54 |
| 2014 April | 12 | 22 | 34 |
| 2014 March | 14 | 20 | 34 |
| 2014 February | 17 | 27 | 44 |
| 2014 January | 11 | 19 | 30 |
| 2013 December | 13 | 20 | 33 |
| 2013 November | 17 | 16 | 33 |
| 2013 October | 14 | 22 | 36 |
| 2013 September | 18 | 19 | 37 |
| 2013 August | 22 | 24 | 46 |
| 2013 July | 22 | 21 | 43 |
| 2013 June | 14 | 18 | 32 |
| 2013 May | 11 | 17 | 28 |
| 2013 April | 14 | 25 | 39 |
| 2013 March | 14 | 15 | 29 |
| 2013 February | 11 | 7 | 18 |
| 2013 January | 19 | 12 | 31 |
| 2012 December | 18 | 16 | 34 |
| 2012 November | 0 | 13 | 13 |
| 2012 October | 0 | 3 | 3 |
| 2012 September | 0 | 2 | 2 |
| 2012 January | 9 | 0 | 9 |
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