<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cuban. med. mil.]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572024000200007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reconstrucción de la base craneal en pacientes con meningioma del surco olfatorio, mediante abordajes endonasales endoscópicos]]></article-title>
<article-title xml:lang="en"><![CDATA[Cranial base reconstruction in patients with olfactory groove meningioma using endoscopic endonasal approaches]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas Gálvez]]></surname>
<given-names><![CDATA[Carlos Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Arbolay]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Machín]]></surname>
<given-names><![CDATA[Marlon Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico-Quirúrgico Hermanos Ameijeiras  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>53</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572024000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572024000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572024000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La reparación de la base craneal anterior en los meningiomas del surco olfatorio a través de abordajes endonasales endoscópicos representa un elevado desafío por las dimensiones tumorales y su disposición más ventral en la base craneal.  Objetivo:  Describir la efectividad de una estrategia de reparación de la base craneal pacientes con meningioma del surco olfatorio, a través de abordajes endonasales endoscópicos.  Método:  Se realizó un estudio descriptivo en 11 pacientes del Hospital Clínico Quirúrgico Hermanos Ameijeiras, operados de meningiomas del surco olfatorio mediante el abordaje endonasal endoscópico extendido transcribiforme, en los cuales se empleó una estrategia de reparación de la base craneal que incluye: estimación de un índice de seguridad del colgajo nasoseptal, método de acortamiento de espacios del colgajo nasoseptal, elementos autólogos, medicina regenerativa y drenaje espinal lumbar. Para el análisis de los datos se utilizaron frecuencias absolutas y relativas como medidas resumen.  Resultados:  La estrategia fue efectiva en el 100 % de los pacientes. Se reporta un paciente con rinitis costrosa, sinequias nasales y sinusitis.  Conclusiones: La presente estrategia de reparación de la base craneal para pacientes con meningioma del surco olfatorio, mediante abordajes endonasales endoscópicos, es efectiva, segura y disminuye las complicaciones posoperatorias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Reconstruction of the anterior cranial base for meningiomas of the olfactory groove through endoscopic endonasal approaches represents a high challenge, given the large tumor dimensions and their more ventral disposition in the cranial base.  Objective:  To describe the effectiveness of a cranial base repair strategy in patients with olfactory groove meningiomas, through endoscopic endonasal approaches.  Method:  A descriptive study was carried out on 11 patients from the Hermanos Ameijeiras Hospital who underwent surgery for meningiomas of the olfactory groove using the extended transcribiform endoscopic endonasal approach, in which a cranial base repair strategy was used that includes: estimation of a safety index of the nasoseptal flap, method of space shortening of the nasoseptal flap, autologous elements, regenerative medicine and lumbar spinal drainage. For data analysis, absolute and relative frequencies were used as summary measures.  Results:  The strategy was effective in 100% of patients. A patient with crusted, rhinitis and nasal synechiae is reported.  Conclusions:  The present cranial base repair strategy for patients with olfactory groove meningioma, using endoscopic endonasal approaches, is effective, safe and reduces postoperative complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[base del cráneo]]></kwd>
<kwd lng="es"><![CDATA[fibrina rica en plaquetas y leucocitos]]></kwd>
<kwd lng="es"><![CDATA[meningioma]]></kwd>
<kwd lng="es"><![CDATA[neuroendoscopía]]></kwd>
<kwd lng="es"><![CDATA[pérdida de líquido cefalorraquídeo]]></kwd>
<kwd lng="en"><![CDATA[cerebrospinal fluid leak]]></kwd>
<kwd lng="en"><![CDATA[leukocyte and platelet rich fibrin]]></kwd>
<kwd lng="en"><![CDATA[meningioma]]></kwd>
<kwd lng="en"><![CDATA[neuroendoscopy, skull base]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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