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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tras casi un siglo de utilizaci&#243;n de diferentes pautas para el manejo de la par&#225;lisis facial postraum&#225;tica&#44; no se ha llegado a un acuerdo sobre las indicaciones quir&#250;rgicas&#46; El objetivo principal de este estudio fue el de encontrar alguna relaci&#243;n entre los detalles de la fractura observados con la TC de alta resoluci&#243;n y la aparici&#243;n y evoluci&#243;n de la par&#225;lisis&#44; as&#237; como conocer los resultados de la aplicaci&#243;n del protocolo utilizado en nuestro centro&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Realizamos un estudio prospectivo sobre 216 pacientes con trauma cerebral y fractura de base tratados durante 3 a&#241;os consecutivos&#46; Encontramos 111 fracturas de pe&#241;asco y las clasificamos&#44; de acuerdo con la TC de alta resolucion&#44; en 2 tipos de fracturas longitudinales&#44; 3 tipos de transversas y un tipo de obl&#237;cuas O mixtas&#46; La incidencia de par&#225;lisis facial fue del 20&#44;7&#37;&#46; Los resultados fueron buenos &#40;Grados I a III de House&#41; en 91&#44;3&#37; de los casos&#44; con s&#243;lo 2 indicaciones quir&#250;rgicas&#46; Uno de los tipos de fractura longitudinal mostr&#243; una relaci&#243;n estadisticamente significativa con la aparici&#243;n de par&#225;lisis&#46; De los par&#225;metros estudiados&#44; s&#243;lo el momento de inicio fue un factor pron&#243;stico importante&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Discutimos nuestros resultados sobre la base de una revisi&#243;n de la literatura y proponemos nuestras conclusiones&#44; enfatizando la utilidad del manejo conservador de esta patologia&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">After almost a century of being well known&#44; there is still no consensus concerning to the management and surgical indications in patients with post-traumatic facial paralysis&#46; 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&#46; A second aim was to validate the management protocol used in our department&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We performed a prospective study on 216 patients diagnosed during three consecutive years&#46; We found 111 petrous bone fractures and classified them according to the high-resolution CT into two types of longitudinal&#44; three types of transverse and one type of oblique or mixed fracture&#46; We observed good results &#40;House Grades I to Ill&#41; in 91&#44;3&#37; of the patients&#44; with only two surgical indications&#46; One of the longitudinal types of fracture showed an statistically significant relationship with the onset of paralysis&#46; Among all the parameters considered&#44; only the time of onset revealed as an important prognosis factor&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We discuss our results and by reviewing the literature draw our conclusions&#46; We emphasize the utility of conservative treatment in the management of this pathology&#46;</p>"
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Tratamiento de la parálisis facial asociada a fractura de peñasco
Present management of facial paralysis associated to petrous bone fracture
G. García-Fructuoso, M.J. Guardiola, E. Galito
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F. Gastón*, E. Ferrer*
* Servicio de Neurocirugía, Hospital Clinic. Barcelona

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