Abordaje infratemporal preauricular a los tumores de la base del cráneo: Nuestra experiencia clínica
Infratemporal preauricular approach to skull base tumors
A. Romance, G. Sánchez Aniceto, R. Gutiérrez, R.D. Lobato, R. Alday, A. De La Lama, R. de la Mata
Servicios de Cirugía Maxilofacial y Neurocirugía. Hospital Doce de Octubre. Madrid
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Lobato, R. Alday, A. De La Lama, R. de la Mata" "autores" => array:7 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Romance" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Sánchez Aniceto" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Gutiérrez" ] 3 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Alday" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "De La Lama" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "de la Mata" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicios de Cirugía Maxilofacial y Neurocirugía. Hospital Doce de Octubre. Madrid" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Infratemporal preauricular approach to skull base tumors" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156688" "palabras" => array:4 [ 0 => "Tumores de la base del cráneo" 1 => "Abordaje lateral" 2 => "Tumores infratemporales" 3 => "Resección craneofacial" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156687" "palabras" => array:4 [ 0 => "Skull base neoplasm" 1 => "Lateral approach" 2 => "Infratemporal tumors" 3 => "Craniofacial resection" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Revisión del abordaje infratemporal preuricular, empleado en la resección de tumores de la base del cráneo por los Servicios de Cirugía Maxilofacial y Neurocirugía del Hospital Doce de Octubre. Madrid.</p> <span class="elsevierStyleSectionTitle">Material y Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de once casos de tumores de la región infratemporal de la base craneal. Ocho de los mismos con afectación intracraneal. Tres eran tumores histológicamente malignos. En dos pacientes este abordaje se combinó con la técnica de la translocación facial ampliada.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Las resecciones fueron completas en nueve enfermos, persistiendo en dos casos restos tumorales a nivel del seno cavernoso. Un solo paciente murió por recidiva local del tumor. Las complicaciones postquirúrgicas se relacionaron con resecciones amplias que afectaban piel, senos paranasales o con la combinación de otros abordajes. Ningún paciente presentó parálisis facial o disfunción de la articulación temporomandibular.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El abordaje quirúrgico de los tumores de la base del cráneo depende fundamentalmente de la localización de la lesión. El abordaje infratemporal preauricular es, en nuestra experiencia, el de elección para la resección de los tumores de la fosa infratemporal. Este abordaje permite resecar con facilidad y seguridad los tumores de esta localización y sus extensiones a la región retro-parafaríngea, nasofaríngea, senos paranasales, región petroclival, pared lateral del seno cavernoso y órbita. Cuando el tumor infiltra las regiones parasellares, fosa nasal y orofaringe, se combina con la técnica de la translocación facial ampliada, consiguiéndose un único campo quirúrgico con distintas vías de disección del tumor.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Objetive</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To present our results with the preauricular- infratemporal fossa approach to neoplasm involving the craneal base.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective review of eleven cases of infratemporal tumor involving the cranial base. Eight patients had intracranial involvement. Three tumors were malignant. A preauricular-infratemporal fossa approach was combined with extended facial translocation in two patients.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Total tumor removal was performed in nine patients and subtotal excision was achieved in two with cavernous sinus involvement. One patient died after local recurrence. Patients, who underwent extended resections to skin and paranasal sinus, had more postoperative complications. None patient developed facial palsy or temporal joint disfunction.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Surgical approach for skull base tumors should be selected according to the tumor location. Tumors confined to the infratemporal fossa are better removed by preauricular-infratemporal fossa approach. Infratemporal tumors, extended to the parapharyngeal and retropharyngeal areas, the nasopharynx, petroclival region, and the lateral aspect of the cavernous sinus and orbit, were excised safely with this approach. A preauricular-infratemporal fossa approach may be combined with expanded facial translocation providing an excellent surgical field with a complete vision of tumor.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Romance, A.; Sánchez Aniceto, G.; Gutiérrez, R.; Lobato, R.D.; Alday, R.; De la Lama, A.; De la Mata, R.: Abordaje infratemporal preauricular a los tumores de la base del cráneo: nuestra experiencia clínica. Neurocirugía 1999; 10: 210–218.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:36 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 0 | 1 |
| 2023 March | 2 | 2 | 4 |
| 2018 March | 1 | 0 | 1 |
| 2018 February | 7 | 13 | 20 |
| 2018 January | 14 | 12 | 26 |
| 2017 December | 12 | 15 | 27 |
| 2017 November | 37 | 20 | 57 |
| 2017 October | 16 | 19 | 35 |
| 2017 September | 14 | 19 | 33 |
| 2017 August | 9 | 26 | 35 |
| 2017 July | 18 | 24 | 42 |
| 2017 June | 19 | 40 | 59 |
| 2017 May | 30 | 35 | 65 |
| 2017 April | 22 | 41 | 63 |
| 2017 March | 17 | 62 | 79 |
| 2017 February | 19 | 38 | 57 |
| 2017 January | 13 | 26 | 39 |
| 2016 December | 29 | 25 | 54 |
| 2016 November | 35 | 28 | 63 |
| 2016 October | 48 | 51 | 99 |
| 2016 September | 42 | 48 | 90 |
| 2016 August | 52 | 25 | 77 |
| 2016 July | 41 | 32 | 73 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 0 | 16 | 16 |
| 2015 September | 1 | 21 | 22 |
| 2015 August | 0 | 20 | 20 |
| 2015 July | 2 | 7 | 9 |
| 2015 June | 11 | 21 | 32 |
| 2015 May | 17 | 29 | 46 |
| 2015 April | 18 | 26 | 44 |
| 2015 March | 22 | 38 | 60 |
| 2015 February | 16 | 34 | 50 |
| 2015 January | 22 | 32 | 54 |
| 2014 December | 18 | 31 | 49 |
| 2014 November | 16 | 34 | 50 |
| 2014 October | 22 | 45 | 67 |
| 2014 September | 22 | 41 | 63 |
| 2014 August | 20 | 46 | 66 |
| 2014 July | 19 | 36 | 55 |
| 2014 June | 33 | 40 | 73 |
| 2014 May | 22 | 37 | 59 |
| 2014 April | 31 | 32 | 63 |
| 2014 March | 19 | 41 | 60 |
| 2014 February | 22 | 40 | 62 |
| 2014 January | 22 | 43 | 65 |
| 2013 December | 23 | 32 | 55 |
| 2013 November | 28 | 37 | 65 |
| 2013 October | 36 | 47 | 83 |
| 2013 September | 18 | 58 | 76 |
| 2013 August | 30 | 52 | 82 |
| 2013 July | 31 | 49 | 80 |
| 2013 June | 31 | 55 | 86 |
| 2013 May | 19 | 47 | 66 |
| 2013 April | 19 | 54 | 73 |
| 2013 March | 20 | 41 | 61 |
| 2013 February | 16 | 29 | 45 |
| 2013 January | 24 | 30 | 54 |
| 2012 December | 26 | 29 | 55 |
| 2012 November | 0 | 12 | 12 |
| 2012 October | 0 | 3 | 3 |
| 2012 September | 0 | 2 | 2 |
| 2012 January | 10 | 0 | 10 |
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