{"id":89114,"date":"2001-02-03T00:00:00","date_gmt":"2001-02-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/rehabilitacion-vocal-del-laringuectomizado-total-mediante-fistuloplastia-fonatoria\/"},"modified":"2001-02-03T00:00:00","modified_gmt":"2001-02-03T00:00:00","slug":"rehabilitacion-vocal-del-laringuectomizado-total-mediante-fistuloplastia-fonatoria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/rehabilitacion-vocal-del-laringuectomizado-total-mediante-fistuloplastia-fonatoria\/","title":{"rendered":"Rehabilitacion vocal del laringuectomizado total mediante fistuloplastia fonatoria"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Garcia Iriarte M. Teresa <\/strong><\/h2>\n<p>El proposito de esta tesis doctoral es evaluar los resultados funcionales a lo largo del tiempo de someter a una muestra de 143 pacientes de laringuectom\u00eda total y fistula o fistuloplastia fonatoria con inserci\u00f3n de protesis vocal entre los a\u00f1os 1985 y 1998. Se trata de un tema de candente inter\u00e9s tanto para los pacientes como para lo especialistas en otorrinolaringolog\u00eda que se enfrentan a diario a la toma de decisi\u00f3n de realizar una fistula o fistuloplastia fonatoria para la adquisici\u00f3n de una voz tr\u00e1queo-esof\u00e1gica o bien aislar definitivamente la via a\u00e9rea y digestiva e intentar la rehabilitaci\u00f3n vocal mediante voz erigmof\u00f3nica o electrolaringe.  adoptamos la escala de robillard shultz y harrison, con ligeras modificaciones, para establecer nuestra definici\u00f3n de \u00e9xito(voz funcional), dentro de tres periodos de tiempo:inmediato(0-11 semanas), a corto(3-11 meses) y a lo largo plazo (m\u00e1s de 12 meses). Consideramos tres aspectos:porcentaje de uso vocal, calidad de la voz conseguida, y grado de autocuidado e independencia respecto al personal m\u00e9dico. Se otorga una puntuaci\u00f3n a cada logro, y el total una vez sumado, establece la correspondiente relaci\u00f3n entre el \u00e9xito o no. En periodo inmediato obtuvimos \u00e9xito funcional(9 o m\u00e1s puntos) en el 97,2%,. A corto plazo y a largo plazo(10 o m\u00e1s puntos) en el 86% y 70%.  respectivamente.  a continuaci\u00f3n evaluamos la posible influencia de 31 factores en la evoluci\u00f3n hacia la adquisici\u00f3n de una voz funcional o no en cada periodo de tiempo evaluado. En el estudio anal\u00edtico se calcularon la magnitud de la asociaci\u00f3n mediante riesgo relativo y diferencia de riesgo, medidas de impacto potencial mediante fracci\u00f3n atribuible, estudios de inferencia estad\u00edstica poblacional(intervalos de confianza, contraste de hip\u00f3tesis) y estudio de regresi\u00f3n lineal multiple. los factores que mostraron mayor grado de asociaci\u00f3n fueron: manifestar depresi\u00f3n o falta de motivaci\u00f3n, disfagia, a<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Rehabilitacion vocal del laringuectomizado total mediante fistuloplastia fonatoria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Rehabilitacion vocal del laringuectomizado total mediante fistuloplastia fonatoria <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Garcia Iriarte M. Teresa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/03\/2001<\/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>Diego Gomez Angel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Quesada marin <\/li>\n<li>Jorge Roquette gaona (vocal)<\/li>\n<li>Jos\u00e9 Vazquez tapioles (vocal)<\/li>\n<li>adrados Felipe rodriguez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Garcia Iriarte M. Teresa El proposito de esta tesis doctoral es evaluar los resultados funcionales a lo [&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":[155,9,141,1543,435,1226,5780,10715],"tags":[185603,2893,185602,1549,1536,1458],"class_list":["post-89114","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cirugia","category-cirugia-de-garganta-nariz-y-oidos","category-medicina-del-trabajo","category-otorrinolaringologia","category-rehabilitacion-medica","category-sevilla","tag-adrados-felipe-rodriguez","tag-diego-gomez-angel","tag-garcia-iriarte-m-teresa","tag-jorge-roquette-gaona","tag-jose-vazquez-tapioles","tag-pedro-quesada-marin"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/89114","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=89114"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/89114\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=89114"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=89114"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=89114"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}