Laberintectomía quirúrgica / Surgical labyrinthectomy
Rev. otorrinolaringol. cir. cabeza cuello
;
77(4): 412-416, dic. 2017. ilus
Article
in Spanish
| LILACS
| ID: biblio-902796
RESUMEN
El tratamiento quirúrgico del vértigo se puede dividir en dos grandes grupos no ablativos y ablativos, dentro de éstos últimos se encuentra la laberintectomía quirúrgica, técnica con la cual se produce cofosis. Su principal indicación es la sintomatología vestibular periférica invalidante, unilateral, que no mejora con medidas farmacológicas ni con terapia psiquiátrica, asociado a hipoacusia sensorioneural severa a profunda. Existen dos tipos de abordajes para realizar la laberintectomía quirúrgica transmastoidea y transcanal, siendo la primera el gold standard para eliminar la función vestibular. Se presentarán dos casos clínicos de pacientes sometidos a estos procedimientos, uno por vía transmastoidea y otro por vía transcanal.
ABSTRACT
The surgical treatment of vertigo can be classified into two main groups non-ablative and ablative. The surgical labyrinthectomy is an ablative treatment in which no hearing is preserved. Its main indication is the disabling peripherical and unilateral vestibular symptoms that do not improve with pharmacological measures or with psychiatric therapy, in patients with severe to profound sensorineural hearing loss. There are two types of approaches for labyrinthectomy, transmastoid and transcanal, the first is the gold standard to eliminate the vestibular function. Here, we present two cases of patients undergoing these procedures, one by transmastoid approach and the other by transcanal approach.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Otologic Surgical Procedures
/
Vertigo
/
Ear, Inner
/
Meniere Disease
Limits:
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. otorrinolaringol. cir. cabeza cuello
Journal subject:
Otolaryngology
Year:
2017
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico de la Universidad de Chile/CL
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