Zuriñe Martínez

Publications (2)0 Total impact

• Article: Posterior cordectomy. Our experience.

  Mikel Landa, Iñigo Luqui, Javier Gómez, Zuriñe Martínez
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  ABSTRACT: Several surgical procedures have been proposed for the treatment of respiratory distress secondary to bilateral cord palsy. We performed a retrospective study of our experience in posterior cordectomy with a laser CO(2), analysing the improvement of dyspnoea and voice quality after surgery. This was a retrospective study of 13 cases (9 female, 4 male). The age range was 25-79 years. Iatrogenic post-thyroidectomy (4 cases) was the most common aetiology of bilateral laryngeal palsy in our study. We assessed the subjective improvement of respiratory function and voice quality after laser surgery using the Spanish adaptation of the Voice Handicap Index (VHI). Dyspnoea improved in all patients. Two cases had a worsening of dyspnoea in the immediate postoperative period and one case was successfully solved with a new surgical intervention. After surgery, most of patients suffered from mild or middle dysphonia. The posterior cordectomy is an easy, safe and effective treatment for dyspnoea secondary to bilateral laryngeal palsy, maintaining acceptable voice quality.
  Acta Otorrinolaringológica Española 09/2011; 63(1):26-30.
• Article: [Island cartilage myringoplasty. Anatomical and functional results in 122 cases].

  Xabier Altuna, Juan José Navarro, Zuriñe Martínez, Rocío Lobato, Jesús Algaba
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  ABSTRACT: In certain situations ("high risk perforations") such as large perforations, revision cases, middle ear pathology, eustachian tube dysfunction and atelectatic ears, the failure rate of myringoplasty is high. Some authors have suggested that the materials most frequently used for myringoplasty (fascia and perichondrium) may have a role in this failure rate. Cartilage myringoplasty, however, achieves good results in these "high risk" cases. The purpose of this study is to analyze our results and describe the technique. A retrospective study of all consecutive patient charts for cartilage myringoplasties performed in a 5-year period (2002-2007) was carried out. During the study period, cartilage was used in 99 patients (122 cases). More than 66% of the cases were large perforations and 26% of the cases were revision cases. Successful closure was achieved in 92% of the cases and the functional results show an improvement in the air-bone gap average with statistical significance for type I tympanoplasties. The reconstruction of tympanic membrane perforations with cartilage is recommended in certain cases ("high risk" perforations). The results described here show that the anatomical and functional results are good and we consider the technique easy to learn. We consider cartilage myringoplasty a technique that could be used in "high risk" perforations where a technique using fascia or perichondrium may have a higher risk of failure.
  Acta Otorrinolaringológica Española 11/2009; 61(2):100-5.