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5.
ISRN Surg ; 2011: 451020, 2011.
Article in English | MEDLINE | ID: mdl-22084757

ABSTRACT

When otologic procedures that involve tympanic membrane repairs are performed, biomaterials or biological tissues as normal as grafts are used. At the moment, biological material from the own patient is used with varying success rates. The procedure used and the patient's tissue repair capabilities tend to determine the outcome. We present a preliminary study on tympanic membrane perforation repairs using an autograft obtained by manipulating platelet degranulation and the coagulation cascade and reinforced with a seal using platelet growth factors. We present three cases in which we used this procedure. The results will be valued based on the tympanic perforation closure index. With this study, we want to assess the effectiveness of tympanic perforation repairs with this technically simple method. If this method was objectively proved to be effective, it would lead to lower patient morbidity and sanitary costs.

6.
Acta otorrinolaringol. esp ; 62(2): 161-163, mar.-abr. 2011. ilus
Article in Spanish | IBECS | ID: ibc-88459

ABSTRACT

Presentamos un estudio piloto para evaluar la eficacia de la suspensión estática facial con las suturas Silhouette. Operamos con esta técnica a una paciente con parálisis facial total y completa secundaria a una tuberculosis ótica. Actualmente presenta mejoría de su asimetría facial así como de la masticación y habla. Y con ello una recuperación de su autoestima y de su interacción social. La suspensión estática facial con estas suturas es una alternativa a las técnicas dinámicas en los pacientes que no quieren o no pueden someterse a estas cirugías (AU)


We present a pilot study to evaluate the benefit of static facial suspension with Silhouette sutures. We operated on a female patient with complete facial palsy secondary to otic tuberculosis. The patient has currently achieved satisfactory facial symmetry, mastication and speech production. As a result, self-esteem and social interaction have also been recovered. Static facial suspension with Silhouette sutures is an alternative to dynamic techniques in patients who do not wish to or cannot undergo those more complex surgeries (AU)


Subject(s)
Humans , Female , Aged , Facial Paralysis/surgery , Bone Wires , Recovery of Function , Speech Disorders/rehabilitation , Deglutition Disorders/rehabilitation
7.
Acta Otorrinolaringol Esp ; 62(2): 161-3, 2011.
Article in Spanish | MEDLINE | ID: mdl-20227668

ABSTRACT

We present a pilot study to evaluate the benefit of static facial suspension with Silhouette sutures. We operated on a female patient with complete facial palsy secondary to otic tuberculosis. The patient has currently achieved satisfactory facial symmetry, mastication and speech production. As a result, self-esteem and social interaction have also been recovered. Static facial suspension with Silhouette sutures is an alternative to dynamic techniques in patients who do not wish to or cannot undergo those more complex surgeries.


Subject(s)
Facial Muscles/surgery , Facial Paralysis/surgery , Plastic Surgery Procedures , Suture Techniques , Aged , Articulation Disorders/etiology , Articulation Disorders/psychology , Articulation Disorders/surgery , Esthetics , Facial Asymmetry/etiology , Facial Asymmetry/psychology , Facial Asymmetry/surgery , Facial Paralysis/etiology , Facial Paralysis/psychology , Female , Humans , Interpersonal Relations , Mastication , Osteomyelitis/complications , Patient Satisfaction , Petrous Bone , Pilot Projects , Self Concept , Tuberculosis, Osteoarticular/complications
8.
Acta otorrinolaringol. esp ; 61(4): 277-281, jul.-ago. 2010. ilus
Article in Spanish | IBECS | ID: ibc-85137

ABSTRACT

Introducción y objetivos: La indicación terapéutica de la parálisis facial periférica depende del grado de lesión nerviosa. Una parálisis facial severa (electroneuronografía menor o igual al 10%) evoluciona hacia una curación con secuelas. Las secuelas de una parálisis facial son las contracturas, el espasmo hemifacial y las sincinesias. El propósito de este trabajo es demostrar que este tipo de pacientes puede beneficiarse de un tratamiento rehabilitador. Métodos: Presentamos un estudio con 48 pacientes afectos de parálisis facial periférica severa. Fueron tratados a partir del inicio de la reinervación motora facial mediante ejercicios faciales según la Escuela de Wisconsin y toxina botulínica. Resultados: La eficacia subjetiva de la rehabilitación es alta. Conclusiones: el tratamiento rehabilitador permite informar al paciente sobre sus posibilidades de recuperación, tener un control y calidad de la mímica facial, lograr una mayor simetría facial y con ello dar una mejor funcionalidad y calidad de vida (AU)


Introduction and objectives: Therapeutic indication of peripheral facial paralysis depends on the degree of nerve injury. Severe facial palsy (electroneuronographic study less than or equal to 10%) leads to healing with sequelae. The sequelae of facial paralysis are contractures, hemifacial spasm and synkinesis. Our purpose was to demonstrate that these patients could benefit from rehabilitation treatment. Methods: We present a study of 48 patients with severe peripheral facial paralysis. They were treated from the beginning of reinnervation with botulinum toxin and facial exercises according to the Wisconsin School. Results: The subjective efficacy of rehabilitation is high. Conclusions: Rehabilitation treatment can inform patients about their chances of recovery, give them control over and quality of facial expression and help to achieve greater facial symmetry. These factors provide better functionality and quality of life (AU)


Subject(s)
Humans , Male , Female , Middle Aged , Botulinum Toxins, Type A/therapeutic use , Facial Paralysis/drug therapy , Neuromuscular Agents/therapeutic use , Hemifacial Spasm/complications
9.
Acta Otorrinolaringol Esp ; 61(4): 277-81, 2010.
Article in Spanish | MEDLINE | ID: mdl-20400055

ABSTRACT

INTRODUCTION AND OBJECTIVES: Therapeutic indication of peripheral facial paralysis depends on the degree of nerve injury. Severe facial palsy (electroneuronographic study less than or equal to 10%) leads to healing with sequelae. The sequelae of facial paralysis are contractures, hemifacial spasm and synkinesis.Our purpose was to demonstrate that these patients could benefit from rehabilitation treatment. METHODS: We present a study of 48 patients with severe peripheral facial paralysis. They were treated from the beginning of reinnervation with botulinum toxin and facial exercises according to the Wisconsin School. RESULTS: The subjective efficacy of rehabilitation is high. CONCLUSIONS: Rehabilitation treatment can inform patients about their chances of recovery, give them control over and quality of facial expression and help to achieve greater facial symmetry. These factors provide better functionality and quality of life.


Subject(s)
Bell Palsy/drug therapy , Botulinum Toxins, Type A/therapeutic use , Neuromuscular Agents/therapeutic use , Female , Humans , Male , Middle Aged
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