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Anales de Otorrinolaringología Mexicana

Anales de Otorrinolaringología Mexicana
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2011, Number 2

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Otorrinolaringología 2011; 56 (2)

Wet ear surgeries, done 30 years ago, at Specialty Hospital of West National Medical Center. A retrospective study of 50 cases, 1978-1979

López LE, López DE, Stephens GA, Arcaute VF, Robles MB, Bañuelos AR, Cervantes MR, Bravo CA, Troyo SR, Macías BM
Full text How to cite this article

Language: Spanish
References: 12
Page: 76-81
PDF size: 285.62 Kb.


Key words:

ear wet, differential between the air hearing curve and the curve of bone hearing (gap), otologic diagnoses.

ABSTRACT

Background: The wet ear surgery at the worldwide level has not changed its approach to therapy, so that operative paragraphs of this disease concepts are the same as 30 years ago and in the same order: 1) the elimination of infection and 2) the deaf surgery.
Objective: To assess the results of this surgery with current concepts.
Material and method: We performed a descriptive, longitudinal and retrospective clinical records were analyzed medical records of 50 surgeries performed wet ear 30 years ago in the Specialty Hospital of the Western National Medical Center, Guadalajara, Jalisco. The dependent variable was: The difference between the curve of hearing air and bone hearing curve (gap) of the operated ear in the preoperative and postoperative three months. The intervening variables were: age, sex, otologic diagnosis, preoperative audiological diagnosis, types of surgical procedures, histopathology diagnosis and postoperative audiological diagnosis to three months. We calculated the average, standard deviation, minimum and maximum for age global and by sex and compared the difference by age between sex using the Student’s t test, for other variables frequency tables were developed using an ordinal scale which is assigned the value 0 to the condition anacusia, the value of 1 to the hearing loss and the value of 3 to cases with normal hearing and applying Wilcoxon test and we evaluated the diagnostic changes between preoperative and postoperative audiological.
Results: The analysis allows us to obtain a p ‹ 0.001 whit the Wilcoxon test that underlies the good operative ability of otologist surgeons 30 years ago.
Conclusions: The study shows that doctors 30 years ago were good, because 70% of the operated patients were cured.


REFERENCES

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  2. Faramarzi A, Motasaddi-Zarandy M, Taghi Khorsandi M. Intraoperative findings in revision chronic otitis media surgery. Arch Iranian Med 2008;11(2):196-199.

  3. Vallejos UM, Dentone SL. Timpanoplastias en mayores de 50 años. Rev Otorrinolaringol Cir Cabeza Cuello 2003;63:100-105.

  4. Fisch U, May J, Linder T, Porcellini B. Tympanoplasty, mastoidectomy, and stapes surgery. Int J Pediatr Otorhinolaryngol 1995;32:193.

  5. Staecker H, O’Malley BW, Eisenberg H, Emmerich Yoder B. Use of the LandmarXTM Surgical Navigation System in Lateral Skull Base and Temporal Bone Surgery. Skull Base 2001;11(4):245-255.

  6. López Lizárraga E. Patología ótica. Tribuna médica, Junio (II) 1980 No. 459 Tomo XXXVIII No. 12, págs. 25-30.

  7. López Lizárraga E. La mastoidectomía radical en nuestro medio (Hospital de Especialidades del Centro Médico Nacional de Occidente). Revista de la Asociación Médica de Jalisco, Colegio Médico AC 1989;8:12-16.

  8. Arcaute Velázquez F. Complicaciones en cirugía otológica. Urgencias en otorrinolaringología. Decisiones diagnósticas y tratamiento. Sociedad Mexicana de Otorrinolaringología y Cabeza y Cuello, AC: Editorial Harcourt Brace de México; 1998:169-182.

  9. Tesis recepcional de maestría en Ciencias Médicas, “Orientación cirugía”. Macías RH. “Utilidad de la endoscopia transoperatoria en la identificación de patología residual de la otitis media crónica”. CUCS, Universidad de Guadalajara, 2005.

  10. López Lizárraga E. Complicaciones de la cirugía de la otitis media crónica con o sin colesteatoma (nueva clasificación). Boletín de la Sociedad Mexicana de Otorrinolaringología y Cirugía de Cabeza y Cuello, AC; 2005;2:12-13.

  11. Ledesma Sola M, López Lizárraga E. Complicaciones de la cirugía de la otitis media crónica con o sin colesteatoma. Otorrinolaringología práctica. Jalisco: Editorial Cuéllar Ayala; 2010:289-291.

  12. Ferrer Ramírez MJ, Brotons Durban S, Carrasco Llatas M, Guallart Domenech F y col. ¿Por qué supura una cavidad de mastoidectomía? Nuestra experiencia y revisión de la literatura. Acta Otorrinolaringol Esp 2002;53:14-18.




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C?MO CITAR (Vancouver)

Otorrinolaringología. 2011;56