Tratamiento de la parálisis facial asociada a fractura de peñasco
Present management of facial paralysis associated to petrous bone fracture
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García-Fructuoso, M.J. Guardiola, E. Galito" "autores" => array:3 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "García-Fructuoso" ] 1 => array:2 [ "nombre" => "M.J." "apellidos" => "Guardiola" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Galito" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía, Hospital Universitari del Mar. Barcelona" ] ] ] 1 => array:3 [ "autoresLista" => "F. Gastón, E. Ferrer" "autores" => array:2 [ 0 => array:3 [ "nombre" => "F." "apellidos" => "Gastón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "Ferrer" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Neurocirugía, Hospital Clinic. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Present management of facial paralysis associated to petrous bone fracture" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec156949" "palabras" => array:3 [ 0 => "Parálisis facial" 1 => "Fractura" 2 => "Peñasco" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156950" "palabras" => array:3 [ 0 => "Facial paralysis" 1 => "Petrous bone" 2 => "Fracture" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tras casi un siglo de utilización de diferentes pautas para el manejo de la parálisis facial postraumática, no se ha llegado a un acuerdo sobre las indicaciones quirúrgicas. El objetivo principal de este estudio fue el de encontrar alguna relación entre los detalles de la fractura observados con la TC de alta resolución y la aparición y evolución de la parálisis, así como conocer los resultados de la aplicación del protocolo utilizado en nuestro centro.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Realizamos un estudio prospectivo sobre 216 pacientes con trauma cerebral y fractura de base tratados durante 3 años consecutivos. Encontramos 111 fracturas de peñasco y las clasificamos, de acuerdo con la TC de alta resolucion, en 2 tipos de fracturas longitudinales, 3 tipos de transversas y un tipo de oblícuas O mixtas. La incidencia de parálisis facial fue del 20,7%. Los resultados fueron buenos (Grados I a III de House) en 91,3% de los casos, con sólo 2 indicaciones quirúrgicas. Uno de los tipos de fractura longitudinal mostró una relación estadisticamente significativa con la aparición de parálisis. De los parámetros estudiados, sólo el momento de inicio fue un factor pronóstico importante.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Discutimos nuestros resultados sobre la base de una revisión de la literatura y proponemos nuestras conclusiones, enfatizando la utilidad del manejo conservador de esta patologia.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">After almost a century of being well known, there is still no consensus concerning to the management and surgical indications in patients with post-traumatic facial paralysis. The main objective of this study was to find a possible relationship between the details of the skull fracture provided by high-resolution CT scan and the onset and evolution of facial paralysis. A second aim was to validate the management protocol used in our department.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We performed a prospective study on 216 patients diagnosed during three consecutive years. We found 111 petrous bone fractures and classified them according to the high-resolution CT into two types of longitudinal, three types of transverse and one type of oblique or mixed fracture. We observed good results (House Grades I to Ill) in 91,3% of the patients, with only two surgical indications. One of the longitudinal types of fracture showed an statistically significant relationship with the onset of paralysis. Among all the parameters considered, only the time of onset revealed as an important prognosis factor.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We discuss our results and by reviewing the literature draw our conclusions. We emphasize the utility of conservative treatment in the management of this pathology.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">García-Fructuoso, G.; Guardiola, M.<span class="elsevierStyleSup">a</span>J.; Galito, E.; Gastón, F.; Ferrer, E.: Tratamiento de la parálisis facial asociada a fractura de peñasco. Neurocirugía 2000; 11: 189–195.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Predicting recovery of facial nerve function following injury from a basilar skull fracture" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.B. Adegbite" 1 => "M.I. Khan" 2 => "L. 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Ilstrup" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurology" "fecha" => "1989" "volumen" => "39" "paginaInicial" => "96" "paginaFinal" => "102" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2685655" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/11301473/0000001100000003/v1_201305151025/S1130147300709596/v1_201305151025/es/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/11301473/0000001100000003/v1_201305151025/S1130147300709596/v1_201305151025/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147300709596?idApp=UINPBA00004B" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 4 | 2 | 6 |
| 2020 Agosto | 1 | 0 | 1 |
| 2019 Diciembre | 0 | 2 | 2 |
| 2018 Abril | 1 | 0 | 1 |
| 2018 Marzo | 2 | 1 | 3 |
| 2018 Febrero | 52 | 62 | 114 |
| 2018 Enero | 44 | 53 | 97 |
| 2017 Diciembre | 47 | 80 | 127 |
| 2017 Noviembre | 71 | 70 | 141 |
| 2017 Octubre | 29 | 68 | 97 |
| 2017 Septiembre | 36 | 68 | 104 |
| 2017 Agosto | 41 | 87 | 128 |
| 2017 Julio | 49 | 89 | 138 |
| 2017 Junio | 56 | 79 | 135 |
| 2017 Mayo | 52 | 98 | 150 |
| 2017 Abril | 36 | 95 | 131 |
| 2017 Marzo | 41 | 83 | 124 |
| 2017 Febrero | 39 | 88 | 127 |
| 2017 Enero | 21 | 25 | 46 |
| 2016 Diciembre | 39 | 46 | 85 |
| 2016 Noviembre | 57 | 100 | 157 |
| 2016 Octubre | 74 | 67 | 141 |
| 2016 Septiembre | 116 | 135 | 251 |
| 2016 Agosto | 146 | 141 | 287 |
| 2016 Julio | 74 | 104 | 178 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Julio | 3 | 9 | 12 |
| 2015 Junio | 26 | 68 | 94 |
| 2015 Mayo | 28 | 71 | 99 |
| 2015 Abril | 30 | 78 | 108 |
| 2015 Marzo | 26 | 74 | 100 |
| 2015 Febrero | 22 | 87 | 109 |
| 2015 Enero | 21 | 136 | 157 |
| 2014 Diciembre | 27 | 62 | 89 |
| 2014 Noviembre | 26 | 82 | 108 |
| 2014 Octubre | 34 | 96 | 130 |
| 2014 Septiembre | 30 | 103 | 133 |
| 2014 Agosto | 28 | 97 | 125 |
| 2014 Julio | 28 | 76 | 104 |
| 2014 Junio | 44 | 87 | 131 |
| 2014 Mayo | 40 | 91 | 131 |
| 2014 Abril | 25 | 110 | 135 |
| 2014 Marzo | 20 | 80 | 100 |
| 2014 Febrero | 15 | 58 | 73 |
| 2014 Enero | 17 | 65 | 82 |
| 2013 Diciembre | 25 | 61 | 86 |
| 2013 Noviembre | 33 | 50 | 83 |
| 2013 Octubre | 32 | 68 | 100 |
| 2013 Septiembre | 21 | 59 | 80 |
| 2013 Agosto | 28 | 80 | 108 |
| 2013 Julio | 32 | 53 | 85 |
| 2013 Junio | 16 | 64 | 80 |
| 2013 Mayo | 20 | 59 | 79 |
| 2013 Abril | 27 | 50 | 77 |
| 2013 Marzo | 18 | 40 | 58 |
| 2013 Febrero | 22 | 21 | 43 |
| 2013 Enero | 17 | 16 | 33 |
| 2012 Diciembre | 12 | 17 | 29 |
| 2012 Noviembre | 1 | 13 | 14 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 3 | 3 |
| 2012 Enero | 25 | 0 | 25 |
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