RESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Linfoma/patologia , Neoplasias Parotídeas/cirurgia , Ensaio Local de Linfonodo , Metástase Linfática/patologia , Excisão de Linfonodo/métodosRESUMO
Introducción: Se han propuesto múltiples técnicas quirúrgicas para cerrar perforaciones timpánicas. Eavey, hace dos décadas, describió una técnica destinada a cerrar perforaciones centrales en niños. Para ello diseñó un injerto de cartílago con forma de alas de mariposa que se colocaba entre la membrana timpánica. Dicha técnica demostró gran efectividad para el cierre de perforaciones así como baja morbilidad, rapidez y gran diferencia económica. Métodos: Se realiza un estudio descriptivo de serie de casos analizando 32 intervenciones en niños y adultos con la técnica de Eavey modificada, durante el periodo de enero de 2012 a noviembre de 2016. Se evaluaron los resultados quirúrgicos y los resultados funcionales audiométricos. Resultados: El éxito quirúrgico se logró en el 93% de los casos, incluyendo los cierres completos en 27 pacientes (84%) y 3 casos en los que se presentaron dehiscencias mínimas asintomáticas. Se presentó un rechazo del injerto y persistencia de la perforación y en un caso una perforación residual. No se describen complicaciones quirúrgicas o posquirúrgicas mayores asociadas al procedimiento. La mejoría de la media del gap audiométrico fue de 17 dB preoperatorio a 7dB posterior a la intervención. Conclusiones: La técnica de Eavey modificada es un procedimiento con baja morbilidad, costo-efectiva, con facilidad técnica que demuestra ser eficaz para el cierre de perforaciones timpánicas en adultos y niños (AU)
Introduction: Multiple surgical techniques have been proposed to close tympanic perforations. Eavey, two decades ago, described a technique aimed at closing central perforations in children. For this, he designed a butterfly-shaped cartilage graft that was placed between the tympanic membrane in an inlay manner. This technique showed great effectiveness for the closure of perforations as well as low morbidity, rapidity and great economic difference. Methods: We performed a descriptive study of a series of cases analysing 32 interventions in children and adults with the modified Eavey technique, during the period from January 2012 to November 2016. We evaluated the surgical and audiometric functional results. Results: Surgical success was achieved in 93% of cases, including complete closures in 27 patients (84%) and 3 cases in which minimal asymptomatic dehiscences occurred. There was rejection of the graft and persistence of the perforation in only one case. No major surgical or postoperative complications associated with the procedure were described. The mean improvement in the audiometric gap was from 17 dB preoperatively to 7 dB after the intervention. Conclusions: The modified Eavey technique is a low morbidity, cost-effective procedure with a technical facility that proves effective for the closure of tympanic perforations in adults and children (AU)
Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Miringoplastia/métodos , Cartilagem/transplante , Perfuração da Membrana Timpânica/cirurgia , Epidemiologia Descritiva , Audiometria , Resultado do Tratamento , Recuperação de Função Fisiológica/fisiologiaRESUMO
INTRODUCTION: Multiple surgical techniques have been proposed to close tympanic perforations. Eavey, two decades ago, described a technique aimed at closing central perforations in children. For this, he designed a butterfly-shaped cartilage graft that was placed between the tympanic membrane in an inlay manner. This technique showed great effectiveness for the closure of perforations as well as low morbidity, rapidity and great economic difference. METHODS: We performed a descriptive study of a series of cases analysing 32 interventions in children and adults with the modified Eavey technique, during the period from January 2012 to November 2016. We evaluated the surgical and audiometric functional results. RESULTS: Surgical success was achieved in 93% of cases, including complete closures in 27 patients (84%) and 3 cases in which minimal asymptomatic dehiscences occurred. There was rejection of the graft and persistence of the perforation in only one case. No major surgical or postoperative complications associated with the procedure were described. The mean improvement in the audiometric gap was from 17dB preoperatively to 7dB after the intervention. CONCLUSIONS: The modified Eavey technique is a low morbidity, cost-effective procedure with a technical facility that proves effective for the closure of tympanic perforations in adults and children.
Assuntos
Cartilagem da Orelha/transplante , Miringoplastia/métodos , Perfuração da Membrana Timpânica/cirurgia , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Adulto JovemRESUMO
No disponible
Assuntos
Adulto , Masculino , Pessoa de Meia-Idade , Humanos , Neuralgia do Trigêmeo/diagnóstico , Neuralgia do Trigêmeo/tratamento farmacológico , Toxinas Botulínicas Tipo A/administração & dosagem , Toxinas Botulínicas Tipo A/uso terapêutico , Toxinas Botulínicas Tipo A/efeitos adversos , Artéria Basilar/anormalidades , Artéria Vertebral/anormalidades , Espasmo Hemifacial/diagnóstico , Espasmo Hemifacial/tratamento farmacológico , Blefarospasmo/diagnóstico , Blefarospasmo/tratamento farmacológico , Espectroscopia de Ressonância MagnéticaAssuntos
Blefarospasmo/etiologia , Aneurisma Intracraniano/complicações , Transtornos de Tique/etiologia , Insuficiência Vertebrobasilar/complicações , Amitriptilina/uso terapêutico , Benzotiazóis/uso terapêutico , Toxinas Botulínicas Tipo A/uso terapêutico , Clonazepam/uso terapêutico , Músculos Faciais/inervação , Músculos Faciais/fisiopatologia , Humanos , Imageamento Tridimensional , Aneurisma Intracraniano/diagnóstico , Aneurisma Intracraniano/diagnóstico por imagem , Angiografia por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Pramipexol , Pregabalina/uso terapêutico , Transtornos de Tique/tratamento farmacológico , Transtornos de Tique/fisiopatologia , Insuficiência Vertebrobasilar/diagnóstico , Insuficiência Vertebrobasilar/diagnóstico por imagemRESUMO
Osteomas are benign lesions of the lamellar bone that within the temporal region are common in the external ear canal. Osteomas of the middle ear are extremely rare and until now there are only 14 reported cases. They usually present with conductive hearing loss while others are asymptomatic and diagnosed incidentally.