{"id":40281,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-clinico-y-acustico-de-la-voz-en-pacientes-portadores-de-protesis-fonatoria-de-herrmann-tras-laringuectomia-total-fonatoria\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"estudio-clinico-y-acustico-de-la-voz-en-pacientes-portadores-de-protesis-fonatoria-de-herrmann-tras-laringuectomia-total-fonatoria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-clinico-y-acustico-de-la-voz-en-pacientes-portadores-de-protesis-fonatoria-de-herrmann-tras-laringuectomia-total-fonatoria\/","title":{"rendered":"Estudio clinico y acustico de la voz en pacientes portadores de protesis fonatoria de herrmann tras laringuectomia total fonatoria."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda no Rosique Arias <\/strong><\/h2>\n<p>La muestra que compone el presente estudio est\u00e1 constitu\u00edda por aquellos pacientes diagnosticados de carcinoma epidermoide lar\u00edngeo, que fueron intervenidos de laringuectom\u00eda total entre enero de 1990 y diciembre de 1996 por el servicio de otorrinolaringolog\u00eda del hospital universitario \u00abvirgen arrixaca\u00bb de murcia. Se trata de un estudio retrospectivo que se inicia con la protocolizaci\u00f3n en nuestro servicio del implante de la pr\u00f3tesis fonatoria de herrmann, en la cirug\u00eda fonatoria de la laringuectom\u00eda total. El n\u00famero de pacientes estudiado son 208 de los que 98 son laringuectom\u00edas totales aisladas y 110 han sido laringuectom\u00edas totales con fistuloplastia fonatoria primaria y adaptaci\u00f3n posterior de pr\u00f3tesis fonatoria de herrmann.  la fistuloplastia primaria para adaptaci\u00f3n de la pr\u00f3tesis fonatoria de herrmann en el curso de la laringuectom\u00eda total con o sin vaciamiento ganglionar cervical, no predispone en el postoperatorio a la aparici\u00f3n de mayor n\u00famero de complicaciones que un grupo control sin cirug\u00eda fonatoria. La estancia hospitalaria tampoco se ve prolongada por este motivo.  los resultados oncol\u00f3gicos en el grupo con cirug\u00eda y pr\u00f3tesis fonatoria son similares a los pacientes que s\u00f3lo sufrieron laringuectom\u00eda total aislada.  la calidad de la voz obtenida con la pr\u00f3tesis fonatoria de herrmann presenta unas caracter\u00edsticas perceptuales que la hacen superior a la voz esof\u00e1gica. el inicio de la fonaci\u00f3n con la pr\u00f3tesis se consigue antes que la erigmofon\u00eda.  en la muestra analizada la realizaci\u00f3n de miotom\u00eda del m\u00fasculo constrictor far\u00edngeo inferior no ha mostrado mejor calidad de voz ni una proporci\u00f3n inferior de complicaciones de las pr\u00f3tesis fonatorias como dilataci\u00f3n de la f\u00edstula traqueoesof\u00e1gica o extrusiones repetidas. tan s\u00f3lo hemos observado una mayor duraci\u00f3n de la pr\u00f3tesis fonatoria en el grupo de enfermos con miotom\u00eda de constrictores.  la edad, el nivel de estudios<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio clinico y acustico de la voz en pacientes portadores de protesis fonatoria de herrmann tras laringuectomia total fonatoria.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio clinico y acustico de la voz en pacientes portadores de protesis fonatoria de herrmann tras laringuectomia total fonatoria. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda no Rosique Arias <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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>Jos\u00e9 Luis Ramon Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Sprekelsen Gasso <\/li>\n<li>Jos\u00e9 Talavera Sanchez (vocal)<\/li>\n<li>Francisco Argudo Marco (vocal)<\/li>\n<li>Antonio  Jos\u00e9 Rubio Ayuso (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda no Rosique Arias La muestra que compone el presente estudio est\u00e1 constitu\u00edda por aquellos pacientes diagnosticados [&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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