{"id":73172,"date":"2005-11-03T00:00:00","date_gmt":"2005-11-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tumores-benignos-de-parotida-tecnicas-de-exeresis-parcial-subtotal-y-total-valoracion-comparativa\/"},"modified":"2005-11-03T00:00:00","modified_gmt":"2005-11-03T00:00:00","slug":"tumores-benignos-de-parotida-tecnicas-de-exeresis-parcial-subtotal-y-total-valoracion-comparativa","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tumores-benignos-de-parotida-tecnicas-de-exeresis-parcial-subtotal-y-total-valoracion-comparativa\/","title":{"rendered":"Tumores benignos de parotida. tecnicas de exeresis parcial, subtotal y total. valoracion comparativa."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Galan Sanchez Rosa Mar\u00eda <\/strong><\/h2>\n<p>Estudio tumores parotideos. Hospitales universitarios alicante y elche.  diseccion parotida y nervio facial.  e(enucleaci\u00f3n), psp(parotidectom\u00eda superficial parcial), psc(parotidectom\u00eda superficial completa), psub(parotidectom\u00eda subtotal) y pt(parotidectom\u00eda total).  se constata en la disecci\u00f3n en cad\u00e1ver y en la cirug\u00eda que el nervio facial sigue un patr\u00f3n de ramificaciones y anastomosis diferente en cada persona. As\u00ed mismo, el tama\u00f1o glandular var\u00eda ampliamente de una persona a otra.  se constata en el estudio general de todos los pacientes intervenidos (157) que el adenoma pleomorfo es el tumor m\u00e1s frecuente en par\u00f3tida (43,9%), seguido del tumor de warthin (18,5%), existiendo un porcentaje alto de tumores malignos secundarios (10,8%).  se indica en el estudio del tratamiento quir\u00fargico de los tumores benignos de par\u00f3tida (116) que la par\u00e1lisis facial es la \u00fanica complicaci\u00f3n estad\u00edsticamente significativa con los tres par\u00e1metros estudiados: aumenta con el mayor tama\u00f1o tumoral, su localizaci\u00f3n m\u00e1s compleja y la mayor extensi\u00f3n de la cirug\u00eda.  se constata que cuando hay secci\u00f3n del nervio en cirug\u00eda, la aparici\u00f3n o no de secuela depende de la zona donde se haya producido la lesi\u00f3n. Se muestran esquemas de los 5 casos con secci\u00f3n conocida, s\u00f3lo 2 presentan par\u00e1lisis como secuela.  el s\u00edndrome de frey aparece con m\u00e1s frecuencia tras pt que con parotidectom\u00edas m\u00e1s reducidas (psp, psc, psub) o e.  se expone en el estudio de los adenomas pleomorfos intervenidos (70) las posibles causas de las 4 recidivas aparecidas (todas ellas tras psp), y se concluye que en estos 4 casos una cirug\u00eda m\u00e1s amplia (pt o psc) no hubiera evitado la recidiva, por estar estas relacionadas con caracter\u00edsticas locales del tumor o de su localizaci\u00f3n: 1 ruptura tumoral (tumor muy blando de predominio mixoide), 1 tumor con capsula incompleta, 1 tumor muy anterior adherido a m\u00fasculo masetero (recidiva en masetero) y 1 ca<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tumores benignos de parotida. tecnicas de exeresis parcial, subtotal y total. valoracion comparativa.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tumores benignos de parotida. tecnicas de exeresis parcial, subtotal y total. valoracion comparativa. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Galan Sanchez Rosa Mar\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/03\/2005<\/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>Jose Talavera Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alfonso Puchades orts <\/li>\n<li>teresa Heitzmann hernandez (vocal)<\/li>\n<li>guillermo Severa ferrandiz (vocal)<\/li>\n<li>Manuel Herrera lara (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Galan Sanchez Rosa Mar\u00eda Estudio tumores parotideos. Hospitales universitarios alicante y elche. diseccion parotida y nervio facial. [&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":[9,141,7472,37169],"tags":[11971,76529,158901,19288,12140,158900],"class_list":["post-73172","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-maxilofacial","category-miguel-hernandez-de-elche","tag-alfonso-puchades-orts","tag-galan-sanchez-rosa-maria","tag-guillermo-severa-ferrandiz","tag-jose-talavera-sanchez","tag-manuel-herrera-lara","tag-teresa-heitzmann-hernandez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/73172","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=73172"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/73172\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=73172"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=73172"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=73172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}