El tubo de derivación salival de Montgomery: una solución sencilla para las fístulas faringocutáneas
Montgomery salivary bypass tube: a simple solution for pharyngocutaneous fistulas
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"apellidos" => "Suárez Nieto" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651906787490?idApp=UINPBA00004N" "url" => "/00016519/0000005700000010/v1_201304231442/S0001651906787490/v1_201304231442/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "El tubo de derivación salival de Montgomery: una solución sencilla para las fístulas faringocutáneas" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "467" "paginaFinal" => "470" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.A. Sevilla García, V. Suárez Fente, J.P. Rodrigo Tapia, J.L. 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"apellidos" => "Llorente Pendás" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "J.P." "apellidos" => "Rodrigo Tapia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "J.L." "apellidos" => "Llorente Pendás" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Instituto Universitario de Oncología. Universidad de Oviedo. Oviedo" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: María Agustina Sevilla García C/ Asturcón nº 13, 2º I. 33006 Oviedo (Asturias)" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Montgomery salivary bypass tube: a simple solution for pharyngocutaneous fistulas" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec81410" "palabras" => array:3 [ 0 => "By-pass salival" 1 => "Fístula" 2 => "Laringectomía" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec81409" "palabras" => array:3 [ 0 => "Salivary bypass" 1 => "Fistula" 2 => "Laryngectomy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Una de las complicaciones más temidas por los cirujanos y el personal de enfermería en el paciente sometido a una laringectomía son las fístulas faringocutáneas (FFC) por su complejidad en prevenirlas y/o curarlas. El tubo de derivación salival de Montogomery ha demostrado ser eficaz en el tratamiento de las mismas. Se describe nuestra experiencia en el uso del bypass salival en el tratamiento de la FFC.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se realizó un estudio retrospectivo de 21 casos de pacientes intervenidos de laringectomía total por carcinoma epidermoide de laringe e hipofaringe entre 1999 y 2005, los cuales desarrollan una FFC y en los que se empleó el by-pass salival. Se evaluó la eficacia del by-pass en la solución de la fístula.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Las FFC aparecieron entre el 2º y 20º día (media: 7º día tras la cirugía) y como tratamiento de la misma se les colocó un by-pass salival, con anestesia local a 12 y con anestesia general a 9 pacientes. En todos los casos, excepto en uno, la fístula se cerró en una mediana de 26 días con el by-pass, no requiriendo otro tratamiento. El caso en que la fístula persistió tras la retirada del by-pass, ésta se cerró de forma espontánea posteriormente.</p> <span class="elsevierStyleSectionTitle">Concluciones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El by-pass salival es una importante ayuda en el tratamiento de las FFC pues ningún paciente requirió tratamiento quirúrgico.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The pharyngocutaneous fistulas (PCF) are among the complications surgeons and nursing personnel fear the most due to their complexity to prevent and/or cure them. Montgomery salivary bypass tube is an effective therapeutic option in the treatment of the PCF following laryngectomy. The aim of our study was to describe our experience with salivary bypass in the treatment of the PCF.</p> <span class="elsevierStyleSectionTitle">Methds</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">This was a retrospective analysis of pharyngocutaneous fistulas in 21 patients in whom total laryngectomy was performed for squamous cell carcinoma of the larynx or hypopharynx (January 1999-December 2005). We determinate the overall efficacy of the Montgomery salivary bypass tube in the treatment of the PCF.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A pharyngocutaneous fistula developed within a mean time of 7 days from surgery (from 2nd to 20th day). Montgomery salivary bypass tube was the therapeutic option in all these PCF.12 patients required local anesthesia to introduce the tube and in 9 patients the insertion method was with general anesthesia with direct vision of the hypopharynx. The mean healing time was 26 days, except in one case. This PCF achieved spontaneous closure with local wound care after the bypass was removed.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The observed results corroborated the relevance of Montgomery salivary bypass tube as an important therapeutic option in the treatment of the PCF. There was no need of surgical treatment.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 1 | 0 | 1 |
| 2024 Septiembre | 1 | 0 | 1 |
| 2024 Agosto | 1 | 0 | 1 |
| 2024 Junio | 4 | 0 | 4 |
| 2024 Mayo | 1 | 0 | 1 |
| 2024 Abril | 4 | 2 | 6 |
| 2024 Enero | 0 | 1 | 1 |
| 2023 Diciembre | 1 | 0 | 1 |
| 2023 Julio | 1 | 1 | 2 |
| 2023 Mayo | 0 | 2 | 2 |
| 2023 Marzo | 15 | 2 | 17 |
| 2022 Septiembre | 1 | 1 | 2 |
| 2022 Agosto | 2 | 1 | 3 |
| 2022 Julio | 2 | 2 | 4 |
| 2022 Junio | 1 | 0 | 1 |
| 2022 Mayo | 2 | 2 | 4 |
| 2022 Marzo | 3 | 6 | 9 |
| 2022 Febrero | 2 | 0 | 2 |
| 2021 Abril | 1 | 0 | 1 |
| 2021 Marzo | 3 | 5 | 8 |
| 2021 Febrero | 1 | 2 | 3 |
| 2021 Enero | 0 | 1 | 1 |
| 2020 Diciembre | 23 | 2 | 25 |
| 2020 Noviembre | 0 | 2 | 2 |
| 2020 Septiembre | 1 | 2 | 3 |
| 2020 Agosto | 3 | 7 | 10 |
| 2020 Julio | 0 | 2 | 2 |
| 2020 Junio | 12 | 0 | 12 |
| 2020 Mayo | 0 | 2 | 2 |
| 2020 Abril | 3 | 0 | 3 |
| 2020 Marzo | 28 | 8 | 36 |
| 2020 Febrero | 61 | 14 | 75 |
| 2020 Enero | 49 | 24 | 73 |
| 2019 Diciembre | 49 | 20 | 69 |
| 2019 Noviembre | 26 | 14 | 40 |
| 2019 Octubre | 60 | 26 | 86 |
| 2019 Septiembre | 53 | 31 | 84 |
| 2019 Agosto | 37 | 21 | 58 |
| 2019 Julio | 45 | 35 | 80 |
| 2019 Junio | 88 | 59 | 147 |
| 2019 Mayo | 229 | 131 | 360 |
| 2019 Abril | 104 | 71 | 175 |
| 2019 Marzo | 26 | 20 | 46 |
| 2019 Febrero | 35 | 39 | 74 |
| 2019 Enero | 23 | 22 | 45 |
| 2018 Diciembre | 26 | 34 | 60 |
| 2018 Noviembre | 35 | 32 | 67 |
| 2018 Octubre | 30 | 13 | 43 |
| 2018 Junio | 0 | 1 | 1 |
| 2018 Mayo | 1 | 4 | 5 |
| 2018 Abril | 19 | 34 | 53 |
| 2018 Marzo | 8 | 24 | 32 |
| 2018 Febrero | 14 | 28 | 42 |
| 2018 Enero | 14 | 22 | 36 |
| 2017 Diciembre | 12 | 25 | 37 |
| 2017 Noviembre | 11 | 24 | 35 |
| 2017 Octubre | 18 | 33 | 51 |
| 2017 Septiembre | 17 | 40 | 57 |
| 2017 Agosto | 13 | 50 | 63 |
| 2017 Julio | 12 | 32 | 44 |
| 2017 Junio | 12 | 53 | 65 |
| 2017 Mayo | 27 | 42 | 69 |
| 2017 Abril | 26 | 23 | 49 |
| 2017 Marzo | 20 | 67 | 87 |
| 2017 Febrero | 16 | 44 | 60 |
| 2017 Enero | 23 | 31 | 54 |
| 2016 Diciembre | 34 | 28 | 62 |
| 2016 Noviembre | 32 | 36 | 68 |
| 2016 Octubre | 33 | 21 | 54 |
| 2016 Septiembre | 30 | 41 | 71 |
| 2016 Agosto | 13 | 15 | 28 |
| 2016 Julio | 19 | 6 | 25 |
| 2016 Junio | 16 | 43 | 59 |
| 2016 Mayo | 21 | 49 | 70 |
| 2016 Abril | 14 | 40 | 54 |
| 2016 Marzo | 15 | 35 | 50 |
| 2016 Febrero | 14 | 33 | 47 |
| 2016 Enero | 20 | 38 | 58 |
| 2015 Diciembre | 11 | 33 | 44 |
| 2015 Noviembre | 23 | 41 | 64 |
| 2015 Octubre | 14 | 33 | 47 |
| 2015 Septiembre | 9 | 23 | 32 |
| 2015 Agosto | 13 | 14 | 27 |
| 2015 Julio | 10 | 32 | 42 |
| 2015 Junio | 5 | 28 | 33 |
| 2015 Mayo | 12 | 44 | 56 |
| 2015 Abril | 9 | 33 | 42 |
| 2015 Marzo | 12 | 16 | 28 |
| 2015 Febrero | 16 | 9 | 25 |
| 2015 Enero | 17 | 7 | 24 |
| 2014 Diciembre | 30 | 6 | 36 |
| 2014 Noviembre | 16 | 8 | 24 |
| 2014 Octubre | 24 | 5 | 29 |
| 2014 Septiembre | 22 | 4 | 26 |
| 2014 Agosto | 23 | 1 | 24 |
| 2014 Julio | 20 | 2 | 22 |
| 2014 Junio | 14 | 5 | 19 |
| 2014 Mayo | 15 | 4 | 19 |
| 2014 Abril | 14 | 5 | 19 |
| 2014 Marzo | 16 | 5 | 21 |
| 2014 Febrero | 12 | 4 | 16 |
| 2014 Enero | 14 | 7 | 21 |
| 2013 Diciembre | 20 | 8 | 28 |
| 2013 Noviembre | 15 | 11 | 26 |
| 2013 Octubre | 17 | 13 | 30 |
| 2013 Septiembre | 10 | 7 | 17 |
| 2013 Agosto | 11 | 17 | 28 |
| 2013 Julio | 5 | 4 | 9 |
| 2006 Diciembre | 814 | 0 | 814 |
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