{"id":24330,"date":"2003-04-07T00:00:00","date_gmt":"2003-04-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-pre-y-posoperatoria-de-las-estenosis-lara%c2%adngeas-y-traqueales-mediante-la-curva-flujo-volumen\/"},"modified":"2003-04-07T00:00:00","modified_gmt":"2003-04-07T00:00:00","slug":"valoracion-pre-y-posoperatoria-de-las-estenosis-lara%c2%adngeas-y-traqueales-mediante-la-curva-flujo-volumen","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/malaga\/valoracion-pre-y-posoperatoria-de-las-estenosis-lara%c2%adngeas-y-traqueales-mediante-la-curva-flujo-volumen\/","title":{"rendered":"Valoraci\u00f3n pre y posoperatoria de las estenosis lar\u00edngeas y traqueales, mediante la curva flujo-volumen"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan Rebollo Otal <\/strong><\/h2>\n<p>Objetivos  investigar las alteraciones la curva flujo-volumen en las estenosis de la v\u00eda a\u00e9rea superior.  material y m\u00e9todos  estudio prospectivo de 85 pacientes: 53 con estenosis tumorales y 32 con estenosis no tumorales. Se les practicaron espirometr\u00edas preoperatorias, tras la intervenci\u00f3n quir\u00fargica, al alta, al mes, a los tres y a los seis meses. Se intervinieron un total de 71 pacientes, 49 con estenosis tumorales y 22 con estenosis no tumorales.  resultados  observamos que la afectaci\u00f3n funcional ventilatoria en las estenosis no tumorales, fue m\u00e1s intensa que en las tumorales. Los pacientes con traqueotom\u00eda previa, tuvieron mayor afectaci\u00f3n de los par\u00e1metros de flujo que los no traqueotomizados. El pef, pif y fef75 fueron los par\u00e1metros espirom\u00e9tricos que m\u00e1s se afectaron, tanto en las estenosis tumorales como en las no tumorales, y en \u00e9stas tambi\u00e9n disminuyeron claramente el fiv1 y el fiv1%.  la clasificaci\u00f3n tnm y el estadiaje tumoral no se correlacionaron con la afectaci\u00f3n de los par\u00e1metros ventilatorios. El fiv1% se encontr\u00f3 significativamente m\u00e1s disminuido en las estenosis tumorales gl\u00f3ticas respecto a las supragl\u00f3ticas. la mejor\u00eda postoperatoria fue mayor en las estenosis m\u00e1s severas.  en las estenosis tumorales el fef25 y el pef, fueron los par\u00e1metros m\u00e1s \u00fatiles para valorar la evoluci\u00f3n postoperatoria de las estenosis, y en las no tumorales el fiv1, el pif, el fif75, el fif50 y el fif25. En las estenosis malignas un pif inferior al 24%, debe hacernos sospechar la inviabilidad de una ex\u00e9resis microcirug\u00eda endosc\u00f3pica l\u00e1ser y la alta probabilidad de tener que recurrir a una cirug\u00eda por v\u00eda externa.  en las estenosis no tumorales con un fiv1 superior 60%, se deber\u00eda reconsiderar la indicaci\u00f3n quir\u00fargica, ya que probablemente se obtendr\u00eda poco beneficio funcional ventilatorio.  conclu\u00edmos diciendo que los par\u00e1metros funcionales espirom\u00e9tricos, poco utilizados en la orl actual<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoraci\u00f3n pre y posoperatoria de las estenosis lar\u00edngeas y traqueales, mediante la curva flujo-volumen<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoraci\u00f3n pre y posoperatoria de las estenosis lar\u00edngeas y traqueales, mediante la curva flujo-volumen <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan Rebollo Otal <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/07\/2003<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Miguel Rosales Jaldo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan Bartual pastor <\/li>\n<li>Fernando S\u00e1nchez gasc\u00f3n (vocal)<\/li>\n<li>Miguel Gonzalez perez (vocal)<\/li>\n<li>Francisco Casas maldonado (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Rebollo Otal Objetivos investigar las alteraciones la curva flujo-volumen en las estenosis de la v\u00eda a\u00e9rea [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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