{"id":9294,"date":"2022-10-03T12:00:59","date_gmt":"2022-10-03T12:00:59","guid":{"rendered":"https:\/\/hearbetter.web-dev.medel.com\/?p=9294"},"modified":"2023-03-06T10:44:52","modified_gmt":"2023-03-06T09:44:52","slug":"entrevista-experta","status":"publish","type":"post","link":"https:\/\/hearbetter.medel.com\/es\/entrevista-experta\/","title":{"rendered":"La valoraci\u00f3n preoperatoria es muy importante, especialmente del promontorio"},"content":{"rendered":"<p>\u201cLa valoraci\u00f3n preoperatoria con pruebas de imagen es muy importante, especialmente de la c\u00f3clea\u201d.<\/p>\n<p>\u201cEs fundamental poder valorar la anatom\u00eda de la c\u00f3clea o caracol y la posici\u00f3n de la ventana redonda&#8221;.<\/p>\n<p>Una conversaci\u00f3n con el Doctor Rub\u00e9n Polo L\u00f3pez, jefe de Secci\u00f3n de Otolog\u00eda y Base de Cr\u00e1neo Lateral del Servicio de ORL del Hospital Universitario Ram\u00f3n y Cajal de Madrid<\/p>\n<h4><strong>\u00bfPor qu\u00e9 es tan importante la valoraci\u00f3n preoperatoria con pruebas de imagen, fundamentalmente con un esc\u00e1ner de o\u00eddos?<\/strong><\/h4>\n<p>Porque nos permite valorar muy bien el promontorio, que es la impronta de la c\u00f3clea en el o\u00eddo medio. Es muy importante poder valorar la anatom\u00eda de la c\u00f3clea, descartando malformaciones, y la posici\u00f3n de la membrana de la ventana redonda, que habitualmente es por donde realizamos las inserciones de los electrodos.<\/p>\n<h4><strong>\u00bfQu\u00e9 pasos son los mejores a seguir para conseguir una cirug\u00eda atraum\u00e1tica?<\/strong><\/h4>\n<p>Disponemos de gu\u00edas de cirug\u00eda atraum\u00e1tica, dise\u00f1adas hace unos a\u00f1os. Inicialmente, debemos ser muy cuidadosos con las incisiones de la piel, porque debemos evitar futuras ulceraciones sobre la zona del procesador. De igual manera, con el acceso a la parte por donde se va a realizar la implantaci\u00f3n del haz de electrodos. Yo utilizo un abordaje, para la mayor\u00eda de los implantes, que se denomina timpanotom\u00eda posterior.<\/p>\n<h4><strong>\u00bfQu\u00e9 consejos dar\u00eda a los profesionales para realizar una timpanotom\u00eda posterior adecuada?<\/strong><\/h4>\n<p>Tener un buen conocimiento de la anatom\u00eda antes de embarcarse en esta cirug\u00eda. La entrada es por un espacio muy peque\u00f1o entre el nervio facial y la cuerda del t\u00edmpano \u2013nervio que se encarga de recoger la sensibilidad gustativa de parte de la lengua- y hay que ser muy cuidadoso con esa zona para evitar lesionarlos.<\/p>\n<h4><strong>\u00bfQu\u00e9 consejos dar\u00eda para un fresado lo m\u00e1s atraum\u00e1tico posible en la zona de la c\u00f3clea?<\/strong><\/h4>\n<p>Hay que utilizar fresas diamantadas, evitando las de superficie cortante. Usamos bajas revoluciones y fresamos el anillo \u00f3seo que tapa la ventana redonda hasta exponerla en su totalidad. Posteriormente usamos corticoides para reducir la inflamaci\u00f3n que produce la inserci\u00f3n de los electrodos. Finalmente, hacemos una apertura muy delicada de la membrana\u00a0 y, sobre todo, una inserci\u00f3n muy lenta y cuidadosa.<\/p>\n<h4><strong>\u00bfC\u00f3mo podemos facilitar la inserci\u00f3n del electrodo? \u00bfQu\u00e9 trucos propone para los cirujanos de implante coclear?<\/strong><\/h4>\n<p>Las gu\u00edas de electrodos son muy flexibles, y por este motivo pueden dificultar, en algunos momentos, la inserci\u00f3n: cogemos el haz de electrodos por la parte que est\u00e1 protegida con silicona y lo abocamos al orificio de entrada, que es lo m\u00e1s complicado. Con una mano, cogemos el electrodo y con la otra solemos usar un instrumento como un aspirador o una horquilla para apoyar el electrodo y que no se doble. En el momento en que lo tenemos abocado al orificio, la inserci\u00f3n se facilita bastante.<\/p>\n<p>\u00bfQuiere leer m\u00e1s entrevistas con expertos de la audici\u00f3n? Lea nuestra \u00faltima entrevista <a href=\"https:\/\/hearbetter.web-dev.medel.com\/es\/la-experiencia-con-vibrant-soundbridge\/\">aqu\u00ed<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cLa valoraci\u00f3n preoperatoria con pruebas de imagen es muy importante, especialmente de la c\u00f3clea\u201d. \u201cEs fundamental poder valorar la anatom\u00eda de la c\u00f3clea o caracol y la posici\u00f3n de la ventana redonda&#8221;. Una conversaci\u00f3n con el Doctor Rub\u00e9n Polo L\u00f3pez, jefe de Secci\u00f3n de Otolog\u00eda y Base de Cr\u00e1neo Lateral del Servicio de ORL del [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":12366,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[],"class_list":["post-9294","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-entrevista-con-expertos"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>La valoraci\u00f3n preoperatoria es muy importante<\/title>\n<meta name=\"description\" content=\"hearbetter - entrevista con expertos | la valoraci\u00f3n preoperatoria es muy importante, especialmente de c\u00f3clea.\" \>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \>\n<link rel=\"canonical\" href=\"https:\/\/hearbetter.medel.com\/es\/entrevista-experta\/\" \>\n<meta property=\"og:locale\" content=\"es_ES\" \>\n<meta property=\"og:type\" content=\"article\" \>\n<meta property=\"og:title\" content=\"La valoraci\u00f3n preoperatoria es muy importante\" \>\n<meta property=\"og:description\" content=\"hearbetter - 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