ABSTRACT
El edema pulmonar por presión negativa (NPPE) es una complicación anestésica por obstrucción aguda de la vía aérea superior, su principal causa es el laringoespasmo. La fisiopatología radica en una marcada presión negativa intrapleural durante una inspiración contra glotis cerrada, la cual desencadena una presión excesiva en la microvasculatura pulmonar. El diagnóstico puede ser difícil, su reconocimiento ayuda a minimizar la morbimortalidad. En este artículo se presenta un caso de NPPE por laringoespasmo postextubación (AU)
Negative pressure pulmonary oedema (NPPO) is an anaesthetic complication due to acute obstruction of the upper airway, whose main cause is laryngospasm. The pathophysiology involves a strong negative intrapleural pressure during inspiration against a closed glottis, which triggers excessive pressure in the pulmonary microvasculature. Although its diagnosis can be difficult, its recognition helps to minimise morbidity and mortality. This article presents a case of NPPO due to postextubation laryngospasm (AU)
Subject(s)
Humans , Male , Adult , Laryngismus/etiology , Airway Extubation/adverse effects , Pulmonary Edema/etiology , Rhinoplasty/adverse effects , Ventilators, Negative-Pressure/adverse effects , Respiration, Artificial/adverse effectsABSTRACT
Negative pressure pulmonary oedema (NPPO) is an anaesthetic complication due to acute obstruction of the upper airway, whose main cause is laryngospasm. The pathophysiology involves a strong negative intrapleural pressure during inspiration against a closed glottis, which triggers excessive pressure in the pulmonary microvasculature. Although its diagnosis can be difficult, its recognition helps to minimise morbidity and mortality. This article presents a case of NPPO due to postextubation laryngospasm.
Subject(s)
Laryngismus/complications , Nasal Septum/surgery , Pulmonary Edema/etiology , Rhinoplasty/adverse effects , Adult , Humans , Male , Pressure , Pulmonary Edema/physiopathologyABSTRACT
BACKGROUND: Stapedectomy is currently the treatment with which the best results are obtained among patients with otosclerosis, which is why it is the treatment of choice. OBJECTIVE: The objective of our paper is to evaluate the auditory results of patients diagnosed with this illness who were subjected to surgery. MATERIAL AND METHOD: The study population comprised all patients attending the otosurgery clinic with a diagnosis of otosclerosis and who were selected to undergo stapedectomy treatment with the Schuknecht technique between June 2003 and June 2005. RESULTS: Our sample contained 44 patients, 3 of whom received bilateral treatment, for a total of 47 operated ears. 70.2 % were women and men the remaining 29.8 %, between the 3rd and 5th decades of life. Partial platinectomy was done in 53.2 % of the patients, total platinectomy in 40.4 %, and platinostomy in 6.4 %. CONCLUSION: The conclusion of our study is that all the patients who received surgical treatment had an auditory improvement of 36.7 dB on average and there was no significant difference in the type of platinectomy performed. Complications were rare and with no auditory repercussions.
Subject(s)
Otosclerosis/surgery , Stapes Surgery/methods , Follow-Up Studies , Humans , Postoperative Complications/epidemiology , Prospective Studies , Severity of Illness Index , Treatment OutcomeABSTRACT
Introducción: La estapedectomía es actualmente el tratamiento con el que se obtienen mejores resultados en los pacientes con otosclerosis, por lo cual es el tratamiento de elección. Objetivo: El objetivo de nuestro trabajo es evaluar los resultados auditivos en los pacientes diagnosticados de esta enfermedad que fueron sometidos a cirugía. Material y método: El universo de estudio estuvo integrado por todos los pacientes atendidos en la consulta de otocirugíacon diagnóstico de otosclerosis, que fueron seleccionados para realizarles estapedectomía con la técnica deSchuknecht, en el período comprendido entre junio de 2003 y junio de 2005.Resultados: Nuestra muestra fue de 44 pacientes, de los que 3 recibieron el tratamiento bilateral, con un total de47 oídos operados. El 70,2 por ciento eran mujeres y el 29,8 por ciento, varones entre la tercera y la quinta década de la vida. Se realizó platinectomía parcial en el 53,2 por ciento de los pacientes, total enel 40,4 por ciento y platinotomía en el 6,4 por ciento.Conclusión: La conclusión de nuestro estudio muestra quetodos los pacientes que recibieron tratamiento quirúrgico tuvieron ganancia auditiva, con un promedio de 36,7 dB, y que no hubo una diferencia significativa entre los tipos de platinectomía realizada. Las complicaciones fueron escasas y sin repercusión auditiva(AU)
Ear Surgery Outcomes in Patients Operated on for Otosclerosis Background: Stapedectomy is currently the treatment with which the best results are obtained among patientswith otosclerosis, which is why it is the treatment of choice. Objective: The objective of our paper is to evaluate the auditory results of patients diagnosed with this illness who were subjected to surgery. Material and method: The study population comprised all patients attending the otosurgery clinic with a diagnosis of otosclerosis and who were selected to undergo stapedectomytreatment with the Schuknecht technique between June 2003 and June 2005. Results: Our sample contained 44 patients, 3 of whom received bilateral treatment, for a total of 47 operated ears. 70.2 percent were women and men the remaining 29.8 percent, between the 3rd and 5th decades of life. Partial platinectomy was done in 53.2 percent of the patients, total platinectomy in 40.4 percent, and platinostomy in 6.4percent.Conclusion: The conclusion of our study is that all the patients who received surgical treatment had an auditory improvement of 36.7 dB on average and there was no significant difference in the type of platinectomy performed.Complications were rare and with no auditory repercussions(AU)
Subject(s)
Humans , Otosclerosis/surgery , Postoperative Complications/epidemiology , Stapes Surgery/methods , Treatment Outcome , Follow-Up Studies , Prospective StudiesABSTRACT
Introducción: La estapedectomía es actualmente el tratamiento con el que se obtienen mejores resultados en los pacientes con otosclerosis, por lo cual es el tratamiento de elección. Objetivo: El objetivo de nuestro trabajo es evaluar los resultados auditivos en los pacientes diagnosticados de esta enfermedad que fueron sometidos a cirugía. Material y método: El universo de estudio estuvo integrado por todos los pacientes atendidos en la consulta de otocirugía con diagnóstico de otosclerosis, que fueron seleccionados para realizarles estapedectomía con la técnica de Schuknecht, en el período comprendido entre junio de 2003 y junio de 2005. Resultados: Nuestra muestra fue de 44 pacientes, de los que 3 recibieron el tratamiento bilateral, con un total de 47 oídos operados. El 70,2 % eran mujeres y el 29,8 %, varones entre la tercera y la quinta década de la vida. Se realizó platinectomía parcial en el 53,2 % de los pacientes, total en el 40,4 % y platinotomía en el 6,4 %. Conclusión: La conclusión de nuestro estudio muestra que todos los pacientes que recibieron tratamiento quirúrgico tuvieron ganancia auditiva, con un promedio de 36,7 dB, y que no hubo una diferencia significativa entre los tipos de platinectomía realizada. Las complicaciones fueron escasas y sin repercusión auditiva
Background: Stapedectomy is currently the treatment with which the best results are obtained among patients with otosclerosis, which is why it is the treatment of choice. Objective: The objective of our paper is to evaluate the auditory results of patients diagnosed with this illness who were subjected to surgery. Material and method: The study population comprised all patients attending the otosurgery clinic with a diagnosis of otosclerosis and who were selected to undergo stapedectomy treatment with the Schuknecht technique between June 2003 and June 2005. Results: Our sample contained 44 patients, 3 of whom received bilateral treatment, for a total of 47 operated ears. 70.2 % were women and men the remaining 29.8 %, between the 3rd and 5th decades of life. Partial platinectomy was done in 53.2 % of the patients, total platinectomy in 40.4 %, and platinostomy in 6.4 %. Conclusion: The conclusion of our study is that all the patients who received surgical treatment had an auditory improvement of 36.7 dB on average and there was no significant difference in the type of platinectomy performed. Complications were rare and with no auditory repercussions
