Maxilotomía ampliada (LeFort I con segmentación sagital) como vía de abordaje a la base craneal
G. Sánchez Aniceto, A. Silván González de Rivera, J.C. Moreno Vázquez, R. Díez Lobato, A. Cabrera Yesares, V. López Pizarra, R. Castillo Escandón
Servicios de Cirugía Maxilofacial y Neurocirugía. Hospital Universitario 12 de Octubre
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Clavel Escribano, P. Clavel Laria" "autores" => array:2 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Clavel Escribano" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Clavel Laria" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147396707510?idApp=UINPBA00004B" "url" => "/11301473/0000000700000001/v1_201305151450/S1130147396707510/v1_201305151450/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Maxilotomía ampliada (LeFort I con segmentación sagital) como vía de abordaje a la base craneal" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "11" "paginaFinal" => "17" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "G. Sánchez Aniceto, A. Silván González de Rivera, J.C. Moreno Vázquez, R. Díez Lobato, A. Cabrera Yesares, V. López Pizarra, R. Castillo Escandón" "autores" => array:7 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Sánchez Aniceto" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Silván González de Rivera" ] 2 => array:2 [ "nombre" => "J.C." "apellidos" => "Moreno Vázquez" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Díez Lobato" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Cabrera Yesares" ] 5 => array:2 [ "nombre" => "V." "apellidos" => "López Pizarra" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Castillo Escandón" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicios de Cirugía Maxilofacial y Neurocirugía. Hospital Universitario 12 de Octubre" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec162926" "palabras" => array:5 [ 0 => "Maxilotomía ampliada" 1 => "Abordaje transfacial" 2 => "Abordaje transclival" 3 => "Tumor" 4 => "Base craneal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec162925" "palabras" => array:5 [ 0 => "Extended maxillotomy" 1 => "Transfacial approach" 2 => "Transclival approach" 3 => "Tumor" 4 => "Cranial base" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se describe el abordaje mediante maxilotomía ampliada LeFort I con segmentación sagital del compartimento central de la base del cráneo. En cinco pacientes se utilizó para la resección de tumores del clivus, y en otro para la descompresión de la unión bulbomedular en una malformación de la charnela occipitovertebral. En los seis casos el campo quirúrgico fue óptimo, ningún paciente presentó secuelas estéticas ni funcionales relacionadas con la técnica de abordaje. De los seis pacientes, uno falleció en el postoperatorio tardío a causa de una hemorragia masiva proveniente de un tumor maligno de clivus resecado subtotalmente, no mostrando en ningún momento su maxilar superior signos de compromiso vascular. El tiempo medio de abordaje con esta técnica fue de unos noventa minutos, y de otros noventa para la reconstrucción, una vez finalizado el tiempo neuroquirúrgico.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors describe the surgical approach to the central compartment of the skull base by means of an extended maxillotomy -LeFort I osteotomy with midpalatal split. Five patients underwent clival tumor resection, and one a bulbomedullar junction decompression because an occipitovertebral malformation. Surgical exposure obtained with this approach was excelent in all cases, and there were no aesthetic or functional sequels related to the approach itself. One patient died in the late postoperative course because of a local bleeding arising from a subtotally resected clival malignant tumor. The mean surgical time for the approach was ninety minutes, and we spent ninety minutes more for the reconstruction following the neurosurgical intervention.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Sánchez Aniceto, G.; Silván González de Rivera, A.; Moreno Vázquez, J.C.; Díez Lobato, R.; Cabrera Yesares, A.; Lópéz Pizarro, V.; Castillo Escandón, R.: Maxilotomía ampliada (Le Fart I con segmentación sagital) como vía de abordaje a la base craneal. Neurocirugía 1996; 7: 11–17.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 1 | 2 | 3 |
| 2020 Marzo | 0 | 1 | 1 |
| 2018 Marzo | 2 | 2 | 4 |
| 2018 Febrero | 16 | 7 | 23 |
| 2018 Enero | 20 | 9 | 29 |
| 2017 Diciembre | 20 | 24 | 44 |
| 2017 Noviembre | 26 | 26 | 52 |
| 2017 Octubre | 13 | 11 | 24 |
| 2017 Septiembre | 15 | 21 | 36 |
| 2017 Agosto | 19 | 35 | 54 |
| 2017 Julio | 26 | 17 | 43 |
| 2017 Junio | 25 | 16 | 41 |
| 2017 Mayo | 33 | 19 | 52 |
| 2017 Abril | 17 | 34 | 51 |
| 2017 Marzo | 17 | 57 | 74 |
| 2017 Febrero | 7 | 7 | 14 |
| 2017 Enero | 21 | 8 | 29 |
| 2016 Diciembre | 60 | 18 | 78 |
| 2016 Noviembre | 58 | 27 | 85 |
| 2016 Octubre | 63 | 40 | 103 |
| 2016 Septiembre | 58 | 33 | 91 |
| 2016 Agosto | 74 | 24 | 98 |
| 2016 Julio | 50 | 39 | 89 |
| 2016 Junio | 1 | 0 | 1 |
| 2016 Mayo | 2 | 0 | 2 |
| 2016 Marzo | 2 | 0 | 2 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Julio | 1 | 8 | 9 |
| 2015 Junio | 17 | 23 | 40 |
| 2015 Mayo | 28 | 30 | 58 |
| 2015 Abril | 15 | 31 | 46 |
| 2015 Marzo | 21 | 49 | 70 |
| 2015 Febrero | 16 | 37 | 53 |
| 2015 Enero | 18 | 28 | 46 |
| 2014 Diciembre | 16 | 34 | 50 |
| 2014 Noviembre | 14 | 35 | 49 |
| 2014 Octubre | 32 | 44 | 76 |
| 2014 Septiembre | 22 | 44 | 66 |
| 2014 Agosto | 20 | 32 | 52 |
| 2014 Julio | 25 | 29 | 54 |
| 2014 Junio | 23 | 45 | 68 |
| 2014 Mayo | 28 | 60 | 88 |
| 2014 Abril | 23 | 44 | 67 |
| 2014 Marzo | 25 | 54 | 79 |
| 2014 Febrero | 22 | 35 | 57 |
| 2014 Enero | 15 | 35 | 50 |
| 2013 Diciembre | 21 | 22 | 43 |
| 2013 Noviembre | 20 | 33 | 53 |
| 2013 Octubre | 29 | 47 | 76 |
| 2013 Septiembre | 28 | 38 | 66 |
| 2013 Agosto | 21 | 38 | 59 |
| 2013 Julio | 37 | 43 | 80 |
| 2013 Junio | 27 | 45 | 72 |
| 2013 Mayo | 21 | 48 | 69 |
| 2013 Abril | 34 | 45 | 79 |
| 2013 Marzo | 23 | 41 | 64 |
| 2013 Febrero | 23 | 29 | 52 |
| 2013 Enero | 23 | 31 | 54 |
| 2012 Diciembre | 16 | 30 | 46 |
| 2012 Noviembre | 1 | 28 | 29 |
| 2012 Octubre | 0 | 4 | 4 |
| 2012 Septiembre | 0 | 3 | 3 |
| 2012 Enero | 9 | 0 | 9 |
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