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"documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Acta Otorrinolaringol Esp. 2006;57:257-61" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 10291 "formatos" => array:3 [ "EPUB" => 66 "HTML" => 3617 "PDF" => 6608 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Tratamiento quirúrgico de las exóstosis de conducto auditivo externo" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "257" "paginaFinal" => "261" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Surgical treatment of exostosis in the external auditory canal" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "X. Altuna Mariezkurrena, J.C. Vea Orte, J.J. Camacho Arrioaga, J. Algaba Guimerá" "autores" => array:6 [ 0 => array:2 [ "nombre" => "X." "apellidos" => "Altuna Mariezkurrena" ] 1 => array:2 [ "nombre" => "J.C." "apellidos" => "Vea Orte" ] 2 => array:2 [ "nombre" => "J.J." "apellidos" => "Camacho Arrioaga" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Algaba Guimerá" ] 4 => array:2 [ "nombre" => "X." "apellidos" => "Altuna Mariezkurrena" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Algaba Guimerá" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651906787040?idApp=UINPBA00004N" "url" => "/00016519/0000005700000006/v1_201304231449/S0001651906787040/v1_201304231449/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Manifestaciones otorrinolaringológicas en el síndrome de Down" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "262" "paginaFinal" => "265" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "C. Morales-Angulo" "autores" => array:1 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Morales-Angulo" "email" => array:1 [ 0 => "cmorales@hsll.scsalud.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de ORL. Hospital Sierrallana. Torrelavega" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Carmelo Morales Angulo Alto de Veneras, 8 39478 Puente Arce (Cantabria)" ] ] ] 1 => array:3 [ "autoresLista" => "J. Gallo-Terán, N. Azuara, J. Rama Quintela" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Gallo-Terán" ] 1 => array:2 [ "nombre" => "N." "apellidos" => "Azuara" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Rama Quintela" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de ORL. Hospital Marqués de Valdecilla. Santander" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Otorhinolaryngological manifestations in patients with Down syndrome" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-03-13" "fechaAceptado" => "2006-04-24" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec81661" "palabras" => array:3 [ 0 => "Síndrome de Down" 1 => "Hipoacusia" 2 => "Síndrome de apnea obstructiva del sueño" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec81660" "palabras" => array:3 [ 0 => "Down syndrome" 1 => "Hearing loss" 2 => "Obstructive sleep apnea" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de nuestro estudio fue conocer las manifestaciones otorrinolaringológicas más frecuentes en pacientes con síndrome de Down y proponer un protocolo de manejo de las mismas para que tengan el menor impacto en su calidad de vida.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se realizó un estudio retrospectivo de los pacientes con síndrome de Down vistos en los Servicios de ORL de dos centros hospitalarios durante 4 años. Las siguientes variables fueron recogidas de la historia clínica: motivo de consulta, diagnóstico, comorbilidad, intervenciones quirúrgicas realizadas y sus complicaciones.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Treinta pacientes con síndrome de Down fueron incluidos en nuestro estudio. La mayor parte consultó por problemas auditivos o procedente del Programa de Detección de Hipoacusia Neonatal de Cantabria. El diagnóstico más frecuente fueron la otitis serosa, la hipertrofia adenoidea y el síndrome de apnea obstructiva del sueño. Cinco pacientes fueron sometidos a procedimientos quirúrgicos de cabeza y cuello sin presentar complicaciones.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los pacientes con síndrome de Down presentan con frecuencia manifestaciones otorrinolaringológicas, sobre todo hipoacusia secundaria a patología de oído medio y obstrucción de vías aéreas superiores.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The objetive of our study was to assess the most frequent otorhinolaryngological manifestations in patients with Down syndrome, and to propose diagnostic and management guidelines to improve their quality of life.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Patients with Down’s syndrome referred to the ENT Department of two spanish Hospitals during a 4-year period were retrospectively reviewed. Data of the following variables were collected: main symptoms, diagnosis, comorbidities, surgical procedures, and complications.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Thirty patients with Down’s syndrome were included in our study. The most frequent reasons for referral were hearing loss and newborns from the Hearing Impairment Screening Program. Otitis media with effusion, adenoid hypertrophy and obstructive sleep apnea were the most common diagnosis. Five patients underwent head and neck surgical procedures without complications.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Hearing loss secondary to chronic otitis media with effusion and upper airway obstruction are frequent pathologies in patients with Down syndrome.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "OMIM = 190685 Down Syndrome" ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Le Mongolis. Premier exemple dáberration autosomique humaine" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. 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Journal Information
Manifestaciones otorrinolaringológicas en el síndrome de Down
Otorhinolaryngological manifestations in patients with Down syndrome
C. Morales-Angulo
,1
Corresponding author
cmorales@hsll.scsalud.es
Correspondencia: Carmelo Morales Angulo Alto de Veneras, 8 39478 Puente Arce (Cantabria)
Correspondencia: Carmelo Morales Angulo Alto de Veneras, 8 39478 Puente Arce (Cantabria)
* Servicio de ORL. Hospital Sierrallana. Torrelavega
J. Gallo-Terán, N. Azuara, J. Rama Quintela
Servicio de ORL. Hospital Marqués de Valdecilla. Santander