Estadísticas

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          "autoresLista" => "R. Gutiérrez Díaz, G. Sánchez Aniceto, A. Romance, R.D. Lobato, A. Cabrera, R. Alday"
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    "titulo" => "Abordajes infratemporales de la fosa infratemporal y de la rinofaringe"
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        "titulo" => "Infratemporal approaches of the infratemporal fossa and the nasopharynx"
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        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos 55 pacientes con tumores que invaden la fosa infratemporal originados en la nasofaringe&#44; seno maxilar&#44; orofaringe&#44; par&#243;tida y la propia fosa infratemporal que fueron operados entre 1988 y 1997&#44; realiz&#225;ndose para ello 59 intervenciones &#40;4 pacientes precisaron ser reintervenidos&#41;&#46; Los abordajes utilizados fueron&#58; el abordaje infratemporal con translocaci&#243;n facial &#40;15 casos&#41;&#44; el abordaje subtemporal-preauricular &#40;12 casos&#41;&#44; el abordaje transmandibular-transcervical &#40;10 casos&#41;&#44; la maxilectom&#237;a extendida a la fosa infratemporal &#40;12 casos&#44; 2 de los cuales combinaban una resecci&#243;n craneofacial de etmoides&#41;&#44; la v&#237;a infratemporal transcavernosa &#40;4 casos&#41;&#44; la v&#237;a infratemporal tipo C de Fisch &#40;2 casos&#41; y el abordaje transmaxilar &#40;4 casos&#41;&#44; siendo necesaria la realizaci&#243;n de craniectom&#237;a en 20 casos&#46; Histol&#243;gicamente&#44; 43 tumores eran malignos&#44; mientras que 12 eran benignos&#46; La mayor parte de las lesiones eran de un gran tama&#241;o afectando a gran parte de la base del cr&#225;neo&#46; Se realiz&#243; una extirpaci&#243;n completa del tumor en 43 de los casos&#44; siendo la resecci&#243;n subtotal en 12 tumores&#46; Se utilizaron colgajos locales para el cierre del defecto tras la ex&#233;resis&#44; utilizando predominantemente el m&#250;sculo temporal&#46; Las complicaciones postoperatorias m&#225;s frecuentes consistieron en infecciones de la herida quir&#250;rgica&#44; f&#237;stulas de L&#46;C&#46;R&#46; y ep&#237;fora como consecuencia de la manipulaci&#243;n de la v&#237;a lacrimal&#46; Cinco pacientes &#40;9&#44;1 &#37;&#41; fallecieron debido a complicaciones postoperatorias&#46; En el momento actual 23 pacientes &#40;41 &#37;&#41; han fallecido por progresi&#243;n del tumor&#44; 2 se encuentran vivos con enfermedad local&#44; 23 pacientes est&#225;n libres de enfermedad &#40;41 &#37;&#41;&#44; 1 paciente falleci&#243; por otra causa y otro caso se perdi&#243; para el seguimiento&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Fifty five patients with neoplasms involving the infratemporal fossa and originating in the nasopharynx&#44; the maxillary sinus&#44; the oropharynx&#44; parotid gland and the ipsilateral infratemporal fossa were managed between 1988 and 1997&#44; using 59 surgical procedures &#40;4 patients underwent a new operation&#41;&#46; The surgical approaches used were&#58; the infratemporal fossa approach with facial translocation &#40;15 cases&#41;&#44; the subtemporalpreauricular infratemporal approach &#40;12 cases&#41;&#44; the transmandibular-transcervical approach &#40;10 cases&#41;&#44; the extended maxillectomy &#40;12 cases&#44; 2 of them combined with craneofacial resection&#41;&#44; the transcavernous infratemporal approach &#40;4 cases&#41;&#44; the infratemporal approach type C &#40;2 cases&#41; and the transmaxillary approach &#40;4 cases&#41;&#46; Twenty patients required craniectomy&#46; Forty three tumors were malignant and twelve bening neoplasms&#46; Most of the lesions were large involving multiple areas of the skull base&#46; Tumor excision was total in 43 and subtotal in 12 cases&#46; Local flaps were utilized to sealing the cavity after resection&#44; using temporal muscle flaps predomimantly&#46; The most frequent postoperative complications were wound infections&#44; cerebrospinal leaks and epiphora&#44; due to the transection of the lacrimal duct&#46; Five patients &#40;9&#44;1 &#37;&#41; died as a result of postoperative complications&#46; To date 23 patients &#40;41 &#37;&#41; has died from tumor progression&#44; 2 patients are alive with local disease&#44; 23 patients &#40;41 &#37;&#41; are alive without disease&#44; 1 patient has died from other disease and 1 patient has been lost at the follow-up&#46;</p>"
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        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Garc&#237;a&#44; L&#46;A&#46;&#59; Su&#225;rez Nieto&#44; C&#46;&#59; Fern&#225;ndez de Le&#243;n&#44; R&#46;&#59; Ruiz Moya&#44; B&#46;&#58; Abordajes infratemporales de la fosa infratemporal y de la rinofaringe&#46; Neurocirug&#237;a 1999&#59; 10&#58; 265&#8211;276&#46;</p>"
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