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        "titulo" => "Failure Analysis In The Treatment Of Pediatric Subglottic Stenosis"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los buenos resultados obtenidos en el programa de cirug&#237;a de las estenosis subgl&#243;ticas &#40;ES&#41; hasta la fecha nos obliga tambi&#233;n a analizar aquellos casos en los que no obtuvimos el resultado deseado&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudian restrospectivamente 48 casos tratados en los &#250;ltimos 8 a&#241;os de dos centros hospitalarios&#44; y revisamos las siguientes variables&#58; edad&#44; diagn&#243;stico previo&#44; antecedentes&#44; diagn&#243;stico endosc&#243;pico&#44; grado de estenosis&#44;tratamiento quir&#250;rgico&#44; complicaciones y evoluci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La edad media fue de 2&#44;8 &#177; 0&#44;43 a&#241;os &#40;reci&#233;n nacidos-17 a&#241;os&#41;&#46; En 13 casos &#40;27&#37;&#41; el resultado obtenido se consider&#243; fracaso&#44; fundamentando los errores en&#58; elecci&#243;n del tratamiento &#40;7&#44;7&#37;&#41;&#44; elecci&#243;n de la t&#233;cnica quir&#250;rgica &#40;23&#37;&#41;&#44; inherente a la t&#233;cnica &#40;23&#37;&#41;&#44; iatrogenia &#40;15&#44;4&#37;&#41; y enfermedad asociada &#40;30&#44;7&#37;&#41;&#46; La mortalidad de la serie fue del 8&#44;3&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La curva de aprendi aje de este tipo de t&#233;cnicas quir&#250;rgicas es dif&#237;cil aunque una vez alcanzada la experiencia deseada&#44; los resultados son excelentes&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The good results obtained until nowadays in the surgery of subglottic stenosis is followed by an analysis of the failures&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We study retrospectively 48 cases treated in the last eight years in two institutions&#46; Study variables were&#58; age&#44; previous diagnosis&#44; grade os the stenosis&#44; surgical treatment&#44; complications and evolution&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Mean age was 2&#46;8 &#177; 0&#46;43 years &#40;newborn-17 years&#41;&#46; In 13 cases &#40;27&#37;&#41; the result obtained was considered a failure&#46; Failure indexes were&#58; treatment selection &#40;7&#44;7&#37;&#41;&#44; surgical technique selection &#40;23&#37;&#41;&#44; due to the technique itself &#40;23&#37;&#41;&#44; iatrogenia &#40;15&#44;4&#37;&#41;&#44; associated diseases &#40;30&#44;7&#37;&#41;&#46; Mortality of the serie was 8&#46;3&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The learning curve of these technniques is dificult although once the necessary experience is achieved the results are excelent&#46;</p>"
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Vol. 52. Núm. 3.
Páginas 242-244 (marzo 2000)
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Vol. 52. Núm. 3.
Páginas 242-244 (marzo 2000)
Acceso a texto completo
Análisis de los fracasos del tratamiento de la estenosis subglótica en la infancia
Failure Analysis In The Treatment Of Pediatric Subglottic Stenosis
Visitas
7955
J.A. Matutea,*, M.A. Villafruelab, J.M. Hernándezb, J. Vázqueza
a Unidad de Cirugía Cardiotorácica. Servicio de Cirugía Pediátrica. Hospital General Universitario Gregorio Marañón
b Servicios de ORL Anestesia Infantil. Hospital 12 de Octubre. Madrid
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Bibliografía
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Estadísticas
Fundamento

Los buenos resultados obtenidos en el programa de cirugía de las estenosis subglóticas (ES) hasta la fecha nos obliga también a analizar aquellos casos en los que no obtuvimos el resultado deseado.

Pacientes y método

Se estudian restrospectivamente 48 casos tratados en los últimos 8 años de dos centros hospitalarios, y revisamos las siguientes variables: edad, diagnóstico previo, antecedentes, diagnóstico endoscópico, grado de estenosis,tratamiento quirúrgico, complicaciones y evolución.

Resultados

La edad media fue de 2,8 ± 0,43 años (recién nacidos-17 años). En 13 casos (27%) el resultado obtenido se consideró fracaso, fundamentando los errores en: elección del tratamiento (7,7%), elección de la técnica quirúrgica (23%), inherente a la técnica (23%), iatrogenia (15,4%) y enfermedad asociada (30,7%). La mortalidad de la serie fue del 8,3%.

Conclusiones

La curva de aprendi aje de este tipo de técnicas quirúrgicas es difícil aunque una vez alcanzada la experiencia deseada, los resultados son excelentes.

Palabras clave:
Estenosis subglótica
Vía aérea
Niños
Background

The good results obtained until nowadays in the surgery of subglottic stenosis is followed by an analysis of the failures.

Methods

We study retrospectively 48 cases treated in the last eight years in two institutions. Study variables were: age, previous diagnosis, grade os the stenosis, surgical treatment, complications and evolution.

Results

Mean age was 2.8 ± 0.43 years (newborn-17 years). In 13 cases (27%) the result obtained was considered a failure. Failure indexes were: treatment selection (7,7%), surgical technique selection (23%), due to the technique itself (23%), iatrogenia (15,4%), associated diseases (30,7%). Mortality of the serie was 8.3%.

Conclusions

The learning curve of these technniques is dificult although once the necessary experience is achieved the results are excelent.

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Bibliografía
[1.]
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Cirugía de las lesiones obstructivas traqueobronquiales.
An Esp Pediatr, 41 (1994), pp. 1-7
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Acta Otorrinolaring Esp, (1994), pp. 212-217
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Paediatric laryngotracheal reconstruction: 20 years experience.
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Copyright © 2000. Asociación Española de Pediatría
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