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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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 0 | 3 | 3 |
| 2022 Abril | 0 | 2 | 2 |
| 2018 Febrero | 11 | 1 | 12 |
| 2018 Enero | 11 | 6 | 17 |
| 2017 Diciembre | 15 | 9 | 24 |
| 2017 Noviembre | 44 | 14 | 58 |
| 2017 Octubre | 5 | 8 | 13 |
| 2017 Septiembre | 10 | 15 | 25 |
| 2017 Agosto | 8 | 5 | 13 |
| 2017 Julio | 7 | 6 | 13 |
| 2017 Junio | 14 | 3 | 17 |
| 2017 Mayo | 14 | 10 | 24 |
| 2017 Abril | 9 | 21 | 30 |
| 2017 Marzo | 5 | 4 | 9 |
| 2017 Febrero | 6 | 1 | 7 |
| 2017 Enero | 12 | 5 | 17 |
| 2016 Diciembre | 23 | 14 | 37 |
| 2016 Noviembre | 13 | 10 | 23 |
| 2016 Octubre | 22 | 11 | 33 |
| 2016 Septiembre | 41 | 16 | 57 |
| 2016 Agosto | 22 | 6 | 28 |
| 2016 Julio | 27 | 14 | 41 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 1 | 0 | 1 |
| 2015 Junio | 12 | 8 | 20 |
| 2015 Mayo | 22 | 20 | 42 |
| 2015 Abril | 14 | 19 | 33 |
| 2015 Marzo | 20 | 41 | 61 |
| 2015 Febrero | 12 | 34 | 46 |
| 2015 Enero | 15 | 19 | 34 |
| 2014 Diciembre | 16 | 14 | 30 |
| 2014 Noviembre | 18 | 31 | 49 |
| 2014 Octubre | 19 | 22 | 41 |
| 2014 Septiembre | 14 | 30 | 44 |
| 2014 Agosto | 19 | 18 | 37 |
| 2014 Julio | 22 | 19 | 41 |
| 2014 Junio | 20 | 23 | 43 |
| 2014 Mayo | 21 | 33 | 54 |
| 2014 Abril | 12 | 22 | 34 |
| 2014 Marzo | 14 | 20 | 34 |
| 2014 Febrero | 17 | 27 | 44 |
| 2014 Enero | 11 | 19 | 30 |
| 2013 Diciembre | 13 | 20 | 33 |
| 2013 Noviembre | 17 | 16 | 33 |
| 2013 Octubre | 14 | 22 | 36 |
| 2013 Septiembre | 18 | 19 | 37 |
| 2013 Agosto | 22 | 24 | 46 |
| 2013 Julio | 22 | 21 | 43 |
| 2013 Junio | 14 | 18 | 32 |
| 2013 Mayo | 11 | 17 | 28 |
| 2013 Abril | 14 | 25 | 39 |
| 2013 Marzo | 14 | 15 | 29 |
| 2013 Febrero | 11 | 7 | 18 |
| 2013 Enero | 19 | 12 | 31 |
| 2012 Diciembre | 18 | 16 | 34 |
| 2012 Noviembre | 0 | 13 | 13 |
| 2012 Octubre | 0 | 3 | 3 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 9 | 0 | 9 |
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