Head and neck cancer is a complex pathology whose incidence has increased in recent years. The primary treatment is surgery, which involves extensive and mutilating interventions through the cervical region, leaving significant anatomofunctional sequelae. Since 2009, the use of robotic surgery using the Da Vinci® system has been consensus for resecting oropharyngeal and supraglottic tumors through transoral surgery. Subsequently, its utility has also been observed in the surgery of patients with Sleep Apnea Syndrome (SAS). The advantages of this technique are based on the improved and early recovery of the patients. This article presents our experience in the management and postoperative care of this surgical technique for both oncological pathology and sleep apnea pathology.
Patients with bilateral and severe neurosensorial hypoacusia are candidates for cochlear implantation. Eventhough it's a relatively modern procedure, it has a very low rate of complications (5-10%), making it a safe surgery. The Cohen classification is currently used to measure and group the complications of this surgery, classifying them according to the moment in which they appear whether it's intraoperative or postoperative time.We present the case of a female patient who suffered the extrusion of the implant several months after the procedure. She was re-operated successfully, but she returned months later with a second extrusion of the same implant. We did not find any other report of this phenomenon in the revised literature. We present this case with pictures of the repair surgery and the patient's current condition. We also analyze possible causes of this cochlear implant rejection, citing both magnetomechanical and immunomediated factors.
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