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"documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Acta Otorrinolaringol Esp. 2010;61 Supl 1:53-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2764 "formatos" => array:3 [ "EPUB" => 33 "HTML" => 1527 "PDF" => 1204 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Tratamiento quirúrgico en los trastornos respiratorios del sueño en los niños" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "53" "paginaFinal" => "59" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Surgical treatment of sleep-related breathing disorders in children" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Enrique Fernández Julián" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Enrique" "apellidos" => "Fernández Julián" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651910712474?idApp=UINPBA00004N" "url" => "/00016519/00000061000000S1/v1_201304231421/S0001651910712474/v1_201304231421/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Técnicas actuales de cirugía adenoamigdalar en los trastornos respiratorios del sueño de los niños" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "60" "paginaFinal" => "68" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jordi Coromina Isern, Eduard Esteller Moré" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Jordi" "apellidos" => "Coromina Isern" "email" => array:1 [ 0 => "jordicoromina@telefonica.net" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Eduard Esteller" "apellidos" => "Moré" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Otorrinolaringología, Centro Médico Teknon, Barcelona, España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Otorrinolaringología, Hospital General de Catalunya, Sant Cugat del Vallès, Barcelona, España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Current techniques in tonsil surgery" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec80783" "palabras" => array:6 [ 0 => "Adenoidectomía parcial" 1 => "Amigdalectomía parcial" 2 => "Radiofrecuencia" 3 => "Láser" 4 => "Ultrasonidos" 5 => "Electrodisección" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec80784" "palabras" => array:6 [ 0 => "Partial adenoidectomy" 1 => "Partial tonsillectomy" 2 => "Radiofrequency" 3 => "Laser" 4 => "Ultrasonic scalpel" 5 => "Electrosurgery" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En los últimos años, la consolidación de la hipertrofia amigdalar como principal indicación quirúrgica, ha originado la aparición de nuevas técnicas. La mayoría persigue una reducción de su volumen (es la llamada amigdalotomía o reducción amigdalar). Con ello, se consigue disminuir considerablemente tanto la incidencia de hemorragia intra y postoperatoria como la intensidad del dolor. Describiremos el mecanismo, las ventajas y los inconvenientes de las diferentes técnicas, incluyendo la electrodisección con bisturí eléctrico, la reducción con microdebrider, el bisturí armónico (o de ultrasonidos), la radiofrecuencia (con sus distintas variantes) y el láser CO<span class="elsevierStyleInf">2</span>. Con relación a las técnicas que reducen el volumen amigdalar hay que resaltar que la posibilidad de recidiva de la hipertrofia amigdalar será alta si se elimina menos de un 85% de amígdala. Tampoco es despreciable la posibilidad de infección de los restos amigdalares, sea cual sea la técnica empleada, por lo que no serán válidas en caso de amigdalitis de repetición. Recientemente, también han aparecido alternativas a la adenoidectomía clásica con cucharilla-adenotomo. Consisten en la posibilidad de minimizar el sangrado mediante el uso del microdebrider, de la radiofrecuencia o del aspirador coagulador. También nos referiremos al concepto de adenoidectomía parcial, de preferencia en pacientes con riesgo de insuficiencia velopalatina.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">In recent years, consolidation of tonsillar hypertrophy as the principal surgical procedure has led to the emergence of new techniques. Most aim to reduce volume (tonsillectomy or tonsil reduction). These techniques have considerably decreased intra- and postoperative hemorrhages and pain intensity. The present article describes the mechanisms and the advantages and disadvantages of the various techniques, including electro-dissection using electrical scalpels, reduction using a microdebrider, ultrasonic scalpel, radiofrequency (with its different variations) and CO<span class="elsevierStyleInf">2</span> laser. When techniques that reduce tonsil volume are used, the possibility of recurrence of the tonsillar hypertrophy is high if less than 85% of the tonsil is removed. There is also a considerable possibility of infection of the remaining tonsils, whichever technique is used, and therefore these techniques are not valid in the case of repetitive tonsillitis. Recently, alternatives to classical adenoidectomy using adenoid curette have also appeared. Bleeding can be minimized by using a microdebrider, radiofrequency or a blood coagulator. We also discuss the concept of partial adenoidectomy, which is preferred in patients at risk of velopharyngeal insufficiency.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:47 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Grupo Español de Sueño. Consenso Nacional sobre el síndrome de apneas-hipoapneas del sueño. Arch Bronconeumol. 2005;41 Extraordinario 4:5-110." ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Quality of life and sleep study findings after adenotonsillectomy in children with obstructive sleep apnea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.G. Stewart" 1 => "D.G. Glaze" 2 => "E.M. Friedman" 3 => "E.O. 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año/Mes | Html | Total | |
---|---|---|---|
2024 Octubre | 5 | 0 | 5 |
2024 Abril | 3 | 1 | 4 |
2024 Febrero | 0 | 2 | 2 |
2023 Diciembre | 1 | 1 | 2 |
2023 Septiembre | 0 | 2 | 2 |
2023 Junio | 0 | 2 | 2 |
2023 Marzo | 2 | 0 | 2 |
2022 Noviembre | 0 | 2 | 2 |
2022 Agosto | 0 | 2 | 2 |
2021 Septiembre | 0 | 2 | 2 |
2021 Marzo | 0 | 80 | 80 |
2021 Febrero | 0 | 94 | 94 |
2021 Enero | 1 | 83 | 84 |
2020 Diciembre | 0 | 48 | 48 |
2020 Noviembre | 0 | 86 | 86 |
2020 Octubre | 0 | 41 | 41 |
2020 Septiembre | 0 | 31 | 31 |
2020 Agosto | 0 | 41 | 41 |
2020 Julio | 0 | 26 | 26 |
2020 Junio | 0 | 16 | 16 |
2020 Mayo | 0 | 21 | 21 |
2020 Abril | 1 | 23 | 24 |
2020 Marzo | 5 | 28 | 33 |
2020 Febrero | 7 | 66 | 73 |
2020 Enero | 11 | 76 | 87 |
2019 Diciembre | 13 | 53 | 66 |
2019 Noviembre | 5 | 56 | 61 |
2019 Octubre | 4 | 44 | 48 |
2019 Septiembre | 7 | 32 | 39 |
2019 Agosto | 3 | 34 | 37 |
2019 Julio | 6 | 34 | 40 |
2019 Junio | 15 | 44 | 59 |
2019 Mayo | 31 | 80 | 111 |
2019 Abril | 25 | 57 | 82 |
2019 Marzo | 3 | 30 | 33 |
2019 Febrero | 4 | 28 | 32 |
2019 Enero | 11 | 30 | 41 |
2018 Diciembre | 5 | 26 | 31 |
2018 Noviembre | 2 | 27 | 29 |
2018 Octubre | 16 | 26 | 42 |
2018 Julio | 0 | 1 | 1 |
2018 Mayo | 0 | 11 | 11 |
2018 Abril | 2 | 62 | 64 |
2018 Marzo | 3 | 66 | 69 |
2018 Febrero | 3 | 69 | 72 |
2018 Enero | 1 | 49 | 50 |
2017 Diciembre | 5 | 42 | 47 |
2017 Noviembre | 7 | 90 | 97 |
2017 Octubre | 4 | 53 | 57 |
2017 Septiembre | 11 | 56 | 67 |
2017 Agosto | 5 | 49 | 54 |
2017 Julio | 11 | 89 | 100 |
2017 Junio | 18 | 69 | 87 |
2017 Mayo | 28 | 78 | 106 |
2017 Abril | 22 | 83 | 105 |
2017 Marzo | 15 | 128 | 143 |
2017 Febrero | 16 | 91 | 107 |
2017 Enero | 9 | 33 | 42 |
2016 Diciembre | 28 | 47 | 75 |
2016 Noviembre | 40 | 64 | 104 |
2016 Octubre | 48 | 54 | 102 |
2016 Septiembre | 56 | 67 | 123 |
2016 Agosto | 35 | 53 | 88 |
2016 Julio | 29 | 13 | 42 |
2016 Junio | 27 | 57 | 84 |
2016 Mayo | 25 | 71 | 96 |
2016 Abril | 36 | 51 | 87 |
2016 Marzo | 26 | 74 | 100 |
2016 Febrero | 25 | 68 | 93 |
2016 Enero | 20 | 57 | 77 |
2015 Diciembre | 22 | 51 | 73 |
2015 Noviembre | 20 | 60 | 80 |
2015 Octubre | 23 | 51 | 74 |
2015 Septiembre | 20 | 58 | 78 |
2015 Agosto | 16 | 31 | 47 |
2015 Julio | 7 | 60 | 67 |
2015 Junio | 9 | 43 | 52 |
2015 Mayo | 13 | 43 | 56 |
2015 Abril | 8 | 44 | 52 |
2015 Marzo | 15 | 27 | 42 |
2015 Febrero | 15 | 15 | 30 |
2015 Enero | 17 | 12 | 29 |
2014 Diciembre | 19 | 14 | 33 |
2014 Noviembre | 17 | 7 | 24 |
2014 Octubre | 26 | 4 | 30 |
2014 Septiembre | 21 | 10 | 31 |
2014 Agosto | 13 | 6 | 19 |
2014 Julio | 23 | 7 | 30 |
2014 Junio | 23 | 3 | 26 |
2014 Mayo | 19 | 7 | 26 |
2014 Abril | 10 | 7 | 17 |
2014 Marzo | 17 | 10 | 27 |
2014 Febrero | 13 | 6 | 19 |
2014 Enero | 10 | 7 | 17 |
2013 Diciembre | 15 | 7 | 22 |
2013 Noviembre | 18 | 16 | 34 |
2013 Octubre | 33 | 25 | 58 |
2013 Septiembre | 8 | 18 | 26 |
2013 Agosto | 20 | 13 | 33 |
2013 Julio | 1 | 4 | 5 |
2010 Diciembre | 860 | 0 | 860 |