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"apellidos" => "Mir Ulldemolins" "email" => array:1 [ 0 => "nmir@hes.scs.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "X." "apellidos" => "Barceló Colomer" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Díez Tejerina" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio De Otorrinolaringología. Hospital Esperit Sant. Santa Coloma De Gramenet. Barcelona" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "a" "correspondencia" => "Núria Mir Ulldemolins. Servicio ORL. Hospital Esperit Sant. Avenida Mossen Pons i Rabadà s/n. Santa Coloma de Gramenet. 08923 Barcelona" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Combined nasal approach: maxilla-premaxilla approach and external approach" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-08-24" "fechaAceptado" => "2004-10-02" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec80527" "palabras" => array:4 [ 0 => "Septorrinoplastia" 1 => "Abordaje nasal combinado" 2 => "Vía maxila-premaxila" 3 => "Vía externa" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec80528" "palabras" => array:4 [ 0 => "Septo-rhinoplasty" 1 => "Combined nasal approach" 2 => "External approach" 3 => "Maxilla-premaxilla approach" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El tratamiento global de los defectos septopiramidales es uno de los objetivos prioritarios del otorrinolaringólogo. Describimos nuestra técnica de abordaje del septum nasal y de la pirámide nasal, mediante la combinación del abordaje vía maxila-premaxila y del abordaje vía externa, en un único tiempo quirúrgico. Presentamos nuestros resultados funcionales y estéticos</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se analizan 16 pacientes operados de septorrinoplastia utilizando el abordaje combinado vía externa y vía maxila-premaxila operados entre los años 1999 y 2003. Se realizó rinomanometría anterior activa (RAA) y se valoró la respiración nasal postoperatoria mediante una escala analógica visual. Se evaluaron los defectos piramidales mediante la escala de Anderson antes de la cirugía y un año después</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Desde el punto de vista funcional, la RAA mejoró de forma significativa con una media postoperatoria de flujo total a 100 Pa, de 730 cm3/s para el conjunto de pacientes. Los pacientes mostraron una satisfacción elevada referente a la mejoría en su respiración nasal. En relación a los resultados estéticos, el análisis estadístico de la escala de Anderson mostró la mejoría significativa de los defectos piramidales después de la cirugía (p < 0,001), así como una mejoría significativa de las distintas partes de la pirámide. No hubo complicaciones en la cicatrización de las incisiones y ningún paciente se mostró preocupado por la incisión columelar</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El abordaje nasal combinado, vía externa y vía maxila-premaxila en la septorrinoplastia es una técnica segura que permite unos buenos resultados funcionales y estéticos, principalmente cuando existen defectos de septum nasal combinados con defectos de la base nasal</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A major aim of septo-rhinoplasty is the treatment of the internal and external nasal defects overall. We describe our technique with a combined external approach and maxilla-premaxilla approach in one surgical process. We present our functional and aesthetic results</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We analyse 16 patients that underwent septo-rhinoplasty using a combined approach; external approach and maxilla-premaxilla approach between 1999 and 2003. Anterior active rhinomanometry (RAA) and Anderson’s scale to grade nose defects were performed before the operation and once again a year later. Furthermore, patients answered a visual analogical scale in order to know if they had noticed an improvement in nasal a year after the operation</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">RAA showed significant improvement in nose flow by 100 Pa pressure with a total flow mean of 730 cm3/s after surgery. After the operation, the majority of patients felt a definitive improvement in their nasal respiration. Scores on Anderson’s scale of nose defects showed a significant improvement in nasal defects after surgery p<0.001. We achieved also a significant improvement for each pyramidal subunit. There were no complications in the healing of incisions neither patients complained of them</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Nasal combined approach; external approach and maxilla-premaxilla approach in septo-rhinoplasty is a safe technique and allows functional and aesthetic improvement in nose defects, mainly in nasal base defects combined with septal defects</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Journal Information
Abordaje nasal combinado: vía maxila-premaxila y vía externa
Combined nasal approach: maxilla-premaxilla approach and external approach
N. Mir Ulldemolinsa
, X. Barceló Colomer, S. Díez Tejerina
Corresponding author
nmir@hes.scs.es
Núria Mir Ulldemolins. Servicio ORL. Hospital Esperit Sant. Avenida Mossen Pons i Rabadà s/n. Santa Coloma de Gramenet. 08923 Barcelona
Núria Mir Ulldemolins. Servicio ORL. Hospital Esperit Sant. Avenida Mossen Pons i Rabadà s/n. Santa Coloma de Gramenet. 08923 Barcelona
Servicio De Otorrinolaringología. Hospital Esperit Sant. Santa Coloma De Gramenet. Barcelona