{"id":33434,"date":"1997-05-12T00:00:00","date_gmt":"1997-05-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ciruga%c2%ada-fara%c2%adngea-reconstructiva-en-pacientes-con-sa%c2%adndrome-de-apneas-del-sueno\/"},"modified":"1997-05-12T00:00:00","modified_gmt":"1997-05-12T00:00:00","slug":"ciruga%c2%ada-fara%c2%adngea-reconstructiva-en-pacientes-con-sa%c2%adndrome-de-apneas-del-sueno","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ciruga%c2%ada-fara%c2%adngea-reconstructiva-en-pacientes-con-sa%c2%adndrome-de-apneas-del-sueno\/","title":{"rendered":"Cirugia far\u00edngea reconstructiva en pacientes con s\u00edndrome de apneas del sue\u00f1o."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Isabel Vilaseca Gonz\u00e1lez <\/strong><\/h2>\n<p>Estudio en el que se analiza la utilidad de la cirug\u00eda far\u00edngea reconstructiva multinivel en el tratamiento del s\u00edndrome de apnea obstructiva del sue\u00f1o (saos). Para ello se estudiaron 20 pacientes consecutivos diagn\u00f3sticados de saos y afectos de una obstrucci\u00f3n multinivel de la v\u00eda a\u00e9rea superior.  los pacientes fueron evaluados preoperatoriamente y 6 meses despu\u00e9s de la cirug\u00eda mediante la anammesis cl\u00ednica, la escala de somnolencia de epworth, una exploraci\u00f3n f\u00edsica detallada que inclu\u00eda una nasofibrolaringoscopia con maniobra de m\u00ed\u00bcller, un an\u00e1lisis cefalom\u00e9trico, una polisomnograf\u00eda nocturna, y la medici\u00f3n de las presiones diferenciales de la v\u00eda a\u00e9rea durante el sue\u00f1o. Los procedimientos quir\u00fargicos realizados inclu\u00edan la uvulopalatofaringoplastia, la osteotom\u00eda mandibular con avance de geniogloso, el avance hioideo con hiotiropexia y la glosectom\u00eda de la l\u00ednea media con l\u00e1ser co2.  los resultados mostraron una disminuci\u00f3n del indice de apnea-hipopnea (iah) medio de 60.4 +- 16.5 to 44.6 +-27 (p=0.007), y del porcentaje de tiempo con una saturaci\u00f3n de hemoglobina por debajo del 90% (p=0.002). la tasa de curaci\u00f3n global fue de un un 35% increment\u00e1ndose a un 57% en pacientes con saos moderado (iah 41-60) y a un 100% en saos leve (iah 21-40). en el grupo de saos severos la tasa de \u00e9xito fue del 9%. Fueron factores predictivos de \u00e9xito quir\u00fargico el iah, ct90, el porcentaje de estad\u00edos ii y iii-iv de sue\u00f1o y el \u00e1ngulo cefalom\u00e9trico anb.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cirugia far\u00edngea reconstructiva en pacientes con s\u00edndrome de apneas del sue\u00f1o.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cirugia far\u00edngea reconstructiva en pacientes con s\u00edndrome de apneas del sue\u00f1o. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Isabel Vilaseca Gonz\u00e1lez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/12\/1997<\/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>Antonio Morsillo Castro<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jos\u00e9p Traserra parareda <\/li>\n<li>miquel Quer agust\u00ed (vocal)<\/li>\n<li>hector Valles valera (vocal)<\/li>\n<li>joan Santamaria cano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Isabel Vilaseca Gonz\u00e1lez Estudio en el que se analiza la utilidad de la cirug\u00eda far\u00edngea reconstructiva multinivel [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[951,9,141,1543],"tags":[91204,20377,91203,34197,73,85240],"class_list":["post-33434","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-medicas","category-cirugia","category-cirugia-de-garganta-nariz-y-oidos","tag-antonio-morsillo-castro","tag-hector-valles-valera","tag-isabel-vilaseca-gonzalez","tag-joan-santamaria-cano","tag-josep-traserra-parareda","tag-miquel-quer-agusti"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/33434","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=33434"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/33434\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=33434"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=33434"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=33434"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}