RESUMO
A prospective study was undertaken to determine whether stapedectomy can safely be performed in an outpatient setting. Twenty patients with otosclerosis amenable to surgical treatment were divided into two groups; those in the hospitalized group were admitted the day before surgery and discharged 24 hours after the procedure. The patients in the ambulatory group were admitted on the day surgery was scheduled and released 1 or 2 hours after the procedure. We analyzed the intensity and duration of postoperative vertigo, and the hearing gain obtained, studying the speech frequencies(500 to 2000 Hz) separately from the high frequencies (4000 to 8000 Hz). No significant difference was found at 1, 3, and 6 months of follow-up in any of the parameters studied, concluding that small-fenestra stapedectomy can safely be performed as an outpatient procedure.
Assuntos
Procedimentos Cirúrgicos Ambulatórios , Hospitalização , Otosclerose/cirurgia , Cirurgia do Estribo/métodos , Adulto , Humanos , Tempo de Internação , Pessoa de Meia-Idade , Projetos Piloto , Complicações Pós-Operatórias/etiologia , Estudos Prospectivos , Vertigem/etiologiaRESUMO
An important factor that all cochlear implant teams have to deal with one way or another is the coast of the prostheses. This problem takes on very special characteristics in developing countries. This paper is based on the authors' experience in establishing the cochlear implant program of the "Hospital General Manuel Gea Gonzalez", a public hospital in Mexico City, and tries to determine which should be the optimal characteristics of an implant to be used in developing countries.