Rehabilitación vestibular en la dependencia visual y somatosensorial.
Resumen Introducción: En la disfunción vestibular crónica es frecuente que se incremente el mareo o el desequilibrio con el propio movimiento o con el de un ambiente visual sobrecargado, lo que se denomina dependencia visual, que forma parte del síndrome de vértigo/mareo inducido visualmente. En otras ocasiones, la dependencia es somatosensorial y el paciente pierde con facilidad el equilibrio al alterarse la superficie de soporte.El objetivo de esta revisión es describir las características de la dependencia visual y somatosensorial y el modo de tratarlas.Método: Revisión narrativa.Resultados: El vértigo visual se diagnostica clínicamente a través de los síntomas referidos por el paciente. Mediante la exposición a estímulos desencadenantes, el sistema nervioso central se habitúa, incrementando la tolerancia. El tratamiento utilizado se basa en la terapia física, la realidad virtual y la estimulación optocinética progresiva.Conclusión/Discusión: Aunque sigue siendo tema de discusión la naturaleza de las entradas visuales que determinan la estabilidad postural, el objetivo terapéutico consiste en desensibilizar al individuo del estímulo visual para mejorar su sintomatología.
- Referencias
- Cómo citar
- Del mismo autor
- Métricas
Alahmari KA, Sparto PJ, Marchetti GF, Redfern MS, Furman JM, Whitney SL. Comparison of virtual reality based therapy with customized vestibular physical therapy for the treatment of vestibular disorders. IEEE Trans Neural Syst Rehabil Eng. 2014 Mar;22(2):389-99. doi: 10.1109/TNSRE.2013.2294904.
Alghadir AH, Anwer S. Effects of Vestibular Rehabilitation in the Management of a Vestibular Migraine: A Review. Front Neurol. 2018 Jun 12;9:440. doi: 10.3389/fneur.2018.00440.
Balaban CD, Jacob RG. Background and history of the interface between anxiety and vertigo. J Anxiety Disord. 2001 Jan-Apr;15(1-2):27-51.
Bisdorff A, Von Brevern M, Lempert T, Newman-Toker DE. Classification of vestibular symptoms: towards an international classification of vestibular disorders. J Vestib Res. 2009;19(1-2):1-13. doi: 10.3233/VES-2009-0343.
Bles W, Vianney de Jong JM, de Wit G. Compensation for labyrinthine defects examined by use of a tilting room. Acta Otolaryngol. 1983 May-Jun;95(5-6):576-9.
Brandt T, Arnold F, Bles W, Kapteyn TS. The mechanism of physiological height vertigo. I. Theoretical approach and psychophysics. Acta Otolaryngol. 1980 May-Jun;89(5-6):513-23.
Bronstein AM, Lempert T. Management of the patient with chronic dizziness. Restor Neurol Neurosci. 2010;28(1):83-90. doi: 10.3233/RNN-2010-0530.
Bronstein AM. Multisensory integration in balance control. En: Aminoff MJ, Boller F, Swaab D. Handbook of clinical neurology. Neuro-Otology. Furman JM, Lempert T eds. Vol. 137 (3rd series). Elsevier;2016. p.57-66.
Bronstein AM. Oscillopsia and visuo-vestibular symptoms. En: Bronstein AM. Oxford textbook of Vertigo and Imbalance. 1ª ed. United Kingdom: Oxford University Press;2013. p.137-44.
Bronstein AM. Under-rated neuro-otological symptoms: Hoffman and Brookler 1978 revisited. Br Med Bull. 2002;63:213-21.
Bronstein AM. Visual vertigo syndrome: clinical and posturography findings. J Neurol Neurosurg Psychiatry. 1995 Nov;59(5):472-6.
Bronstein AM. Vision and vertigo: some visual aspects of vestibular disorders. J Neurol. 2004 Apr;251(4):381-7.
Clark RA, Bryant AL, Pua Y, McCrory P, Bennell K, Hunt M. Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait Posture. 2010 Mar;31(3):307-10. doi: 10.1016/j.gaitpost.2009.11.012.
Cousins S, Cutfield NJ, Kaski D, Palla A, Seemungal BM, Golding JF, et al. Visual dependency and dizziness after vestibular neuritis. PLoS One. 2014 Sep 18;9(9):e105426. doi: 10.1371/journal.pone.0105426. eCollection 2014.
Dannenbaum E, Chilingarian G, Fung J. Validity and Responsiveness of the Visual Vertigo Analogue Scale. J Neurol Phys Ther. 2019 Apr;43(2):117-121. doi: 10.1097/NPT.0000000000000261.
Dannenbaum E, Chilingaryan G, Fung J. Visual vertigo analogue scale: an assessment questionnaire for visual vertigo.J Vestib Res. 2011;21(3):153-9. doi: 10.3233/VES-2011-0412.
Dichgans J, Held R, Young LR, Brandt T. Moving visual scenes influence the apparent direction of gravity. Science. 1972 Dec 15;178(4066):1217-9.
Furman JM, Jacob RG. Psychiatric dizziness. Neurology. 1997 May;48(5):1161-6.
Gottshall KR, Sessoms PH, Bartlett JL. Vestibular physical therapy intervention: utilizing a computer assisted rehabilitation environment in lieu of traditional physical therapy. Conf Proc IEEE Eng Med Biol Soc. 2012;2012:6141-4. doi: 10.1109/EMBC.2012.6347395.
Guerraz M, Yardley L, Bertholon P, Pollak L, Rudge P, Gresty MA, et al. Visual vertigo: symptom assessment, spatial orientation and postural control. Brain. 2001 Aug;124(Pt 8):1646-56.
Han BI, Song HS, Kim JS. Vestibular rehabilitation therapy: review of indications, mechanisms, and key exercises. J Clin Neurol. 2011 Dec;7(4):184-96. doi: 10.3988/jcn.2011.7.4.184.
Herdman SJ, Whitney SL. Physical therapy treatment of vestibular hypofunction. En: Herdman SJ, Clendaniel RA. Vestibular Rehabilitation. 4ª ed. Philadelphia: FA Davis Co;2014. p.394-431.
Herdman SJ. Advances in the treatment of vestibular disorders. Phys Ther. 1997 Jun;77(6):602-18.
Herdman SJ. Role of vestibular adaptation in vestibular rehabilitation. Otolaryngol Head Neck Surg. 1998 Jul;119(1):49-54.
Hester RB 3rd, Farris BK. Acetazolamide in the treatment of abnormal oculovestibular response. Am J Ophthalmol. 1991 Feb 15;111(2):215-20.
Hoffman RA, Brookler KH. Underrated neurotologic symptoms. Laryngoscope. 1978 Jul;88(7 Pt 1):1127-38.
Hood JD. Unsteadiness of cerebellar origin: an investigation into its cause. J Laryngol Otol. 1980 Aug;94(8):865-76.
Horak FB. Postural compensation for vestibular loss and implications for rehabilitation. Restor Neurol Neurosci. 2010;28(1):57-68. doi: 10.3233/RNN-2010-0515.
Longridge NS, Mallinson AI. Visual vestibular mismatch in work-related vestibular injury. Otol Neurotol. 2005 Jul;26(4):691-4.
Meldrum D, Herdman S, Vance R, Murray D, Malone K, Duffy D, et al. Effectiveness of conventional versus virtual reality-based balance exercises in vestibular rehabilitation for unilateral peripheral vestibular loss: results of a randomized controlled trial. Arch Phys Med Rehabil. 2015 Jul;96(7):1319-1328.e1. doi: 10.1016/j.apmr.2015.02.032.
Pavlou M, Acheson J, Nicolaou D, Fraser CL, Bronstein AM, Davies RA. Effect of Developmental Binocular Vision Abnormalities on Visual Vertigo Symptoms and Treatment Outcome. J Neurol Phys Ther. 2015 Oct;39(4):215-24. doi: 10.1097/NPT.0000000000000105.
Pavlou M, Bronstein AM, Davies RA. Randomized trial of supervised versus unsupervised optokinetic exercise in persons with peripheral vestibular disorders. Neurorehabil Neural Repair. 2013 Mar-Apr;27(3):208-18. doi: 10.1177/1545968312461715.
Pavlou M, Davies RA, Bronstein AM. The assessment of increased sensitivity to visual stimuli in patients with chronic dizziness. J Vestib Res. 2006;16(4-5):223-31.
Pavlou M, Kanegaonkar RG, Swapp D, Bamiou DE, Slater M, Luxon LM. The effect of virtual reality on visual vertigo symptoms in patients with peripheral vestibular dysfunction: a pilot study. J Vestib Res. 2012;22(5-6):273-81. doi: 10.3233/VES-120462.
Pavlou M, Whitney SL, Alkathiry AA, Huett M, Luxon LM, Raglan E, et al. Visually Induced Dizziness in Children and Validation of the Pediatric Visually Induced Dizziness Questionnaire. Front Neurol. 2017 Dec 5;8:656. doi: 10.3389/fneur.2017.00656.
Pavlou M. The use of optokinetic stimulation in vestibular rehabilitation. J Neurol Phys Ther. 2010 Jun;34(2):105-10. doi: 10.1097/NPT.0b013e3181dde6bf.
Peterka RJ, Benolken MS. Role of somatosensory and vestibular cues in attenuating visually induced human postural sway. Exp Brain Res. 1995;105(1):101-10.
Pérez-Fernández N, Fernández-González S. Vértigo ocular. En: Bartual-Pastor J, Pérez-Fernández N. El sistema vestibular y sus alteraciones. Tomo II. 1ª ed. Barcelona: Masson, SA;1999. p.495-500.
Sanchez-Blanco C, Yañez-Gonzalez R, Benito-Orejas JI, Gordon CR, Batuecas-Caletrio A. Cinetosis. Rev Soc Otorrinolaringol Castilla Leon Cantab La Rioja. 2014 Nov. 5 (28): 233-251.
Sauvage JP. Rehabilitation vestibulaire: bilan et méthodes. En: Sauvage JP. Vertiges: manuel de diagnostic et de réhabilitation. 1ª ed. Paris: Elsevier Masson;2010. p.137-46.
Sluch IM, Elliott MS, Dvorak J, Ding K, Farris BK. Acetazolamide: A New Treatment for Visual Vertigo. Neuroophthalmology. 2017 Aug 2;41(6):315-320. doi: 10.1080/01658107.2017.1326944.
Smith-Wheelock M, Shepard NT, Telian SA. Physical therapy program for vestibular rehabilitation. Am J Otol. 1991 May;12(3):218-25.
Sugaya N, Arai M, Goto F. The effect of vestibular rehabilitation on sleep disturbance in patients with chronic dizziness. Acta Otolaryngol. 2017 Mar;137(3):275-278. doi: 10.1080/00016489.2016.1244859.
Sulway S, Whitney SL. Advances in Vestibular Rehabilitation. Adv Otorhinolaryngol. 2019;82:164-169. doi: 10.1159/000490285.
Szturm T, Ireland DJ, Lessing-Turner M. Comparison of different exercise programs in the rehabilitation of patients with chronic peripheral vestibular dysfunction. J Vestib Res. 1994 Nov-Dec;4(6):461-79.
Trinidad Ruiz G, Domínguez Pedroso M, Cruz de la Piedad E, Solís Vázquez R, Samaniego Regalado B, Rejas Ugena E. Rehabilitación vestibular domiciliaria guiada, asistida por medios audiovisuales. Acta Otorrinolaringol Esp. 2010 Nov-Dec;61(6):397-404. doi: 10.1016/j.otorri.2010.07.003.
Van Ombergen A, Lubeck AJ, Van Rompaey V, Maes LK, Stins JF, Van de Heyning PH, et al. The Effect of Optokinetic Stimulation on Perceptual and Postural Symptoms in Visual Vestibular Mismatch Patients. PLoS One. 2016 Apr 29;11(4):e0154528. doi: 10.1371/journal.pone.0154528.
Vitte E, Sémont A, Berthoz A. Repeated optokinetic stimulation in conditions of active standing facilitates recovery from vestibular deficits. Exp Brain Res. 1994;102(1):141-8.
Zee DS. Vestibular adaptation. En: Herdman SJ. Vestibular Rehabilitation. 3ª ed. Philadelphia: FA Davis Co;2007. p.77-90.
Alghadir AH, Anwer S. Effects of Vestibular Rehabilitation in the Management of a Vestibular Migraine: A Review. Front Neurol. 2018 Jun 12;9:440. doi: 10.3389/fneur.2018.00440.
Balaban CD, Jacob RG. Background and history of the interface between anxiety and vertigo. J Anxiety Disord. 2001 Jan-Apr;15(1-2):27-51.
Bisdorff A, Von Brevern M, Lempert T, Newman-Toker DE. Classification of vestibular symptoms: towards an international classification of vestibular disorders. J Vestib Res. 2009;19(1-2):1-13. doi: 10.3233/VES-2009-0343.
Bles W, Vianney de Jong JM, de Wit G. Compensation for labyrinthine defects examined by use of a tilting room. Acta Otolaryngol. 1983 May-Jun;95(5-6):576-9.
Brandt T, Arnold F, Bles W, Kapteyn TS. The mechanism of physiological height vertigo. I. Theoretical approach and psychophysics. Acta Otolaryngol. 1980 May-Jun;89(5-6):513-23.
Bronstein AM, Lempert T. Management of the patient with chronic dizziness. Restor Neurol Neurosci. 2010;28(1):83-90. doi: 10.3233/RNN-2010-0530.
Bronstein AM. Multisensory integration in balance control. En: Aminoff MJ, Boller F, Swaab D. Handbook of clinical neurology. Neuro-Otology. Furman JM, Lempert T eds. Vol. 137 (3rd series). Elsevier;2016. p.57-66.
Bronstein AM. Oscillopsia and visuo-vestibular symptoms. En: Bronstein AM. Oxford textbook of Vertigo and Imbalance. 1ª ed. United Kingdom: Oxford University Press;2013. p.137-44.
Bronstein AM. Under-rated neuro-otological symptoms: Hoffman and Brookler 1978 revisited. Br Med Bull. 2002;63:213-21.
Bronstein AM. Visual vertigo syndrome: clinical and posturography findings. J Neurol Neurosurg Psychiatry. 1995 Nov;59(5):472-6.
Bronstein AM. Vision and vertigo: some visual aspects of vestibular disorders. J Neurol. 2004 Apr;251(4):381-7.
Clark RA, Bryant AL, Pua Y, McCrory P, Bennell K, Hunt M. Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait Posture. 2010 Mar;31(3):307-10. doi: 10.1016/j.gaitpost.2009.11.012.
Cousins S, Cutfield NJ, Kaski D, Palla A, Seemungal BM, Golding JF, et al. Visual dependency and dizziness after vestibular neuritis. PLoS One. 2014 Sep 18;9(9):e105426. doi: 10.1371/journal.pone.0105426. eCollection 2014.
Dannenbaum E, Chilingarian G, Fung J. Validity and Responsiveness of the Visual Vertigo Analogue Scale. J Neurol Phys Ther. 2019 Apr;43(2):117-121. doi: 10.1097/NPT.0000000000000261.
Dannenbaum E, Chilingaryan G, Fung J. Visual vertigo analogue scale: an assessment questionnaire for visual vertigo.J Vestib Res. 2011;21(3):153-9. doi: 10.3233/VES-2011-0412.
Dichgans J, Held R, Young LR, Brandt T. Moving visual scenes influence the apparent direction of gravity. Science. 1972 Dec 15;178(4066):1217-9.
Furman JM, Jacob RG. Psychiatric dizziness. Neurology. 1997 May;48(5):1161-6.
Gottshall KR, Sessoms PH, Bartlett JL. Vestibular physical therapy intervention: utilizing a computer assisted rehabilitation environment in lieu of traditional physical therapy. Conf Proc IEEE Eng Med Biol Soc. 2012;2012:6141-4. doi: 10.1109/EMBC.2012.6347395.
Guerraz M, Yardley L, Bertholon P, Pollak L, Rudge P, Gresty MA, et al. Visual vertigo: symptom assessment, spatial orientation and postural control. Brain. 2001 Aug;124(Pt 8):1646-56.
Han BI, Song HS, Kim JS. Vestibular rehabilitation therapy: review of indications, mechanisms, and key exercises. J Clin Neurol. 2011 Dec;7(4):184-96. doi: 10.3988/jcn.2011.7.4.184.
Herdman SJ, Whitney SL. Physical therapy treatment of vestibular hypofunction. En: Herdman SJ, Clendaniel RA. Vestibular Rehabilitation. 4ª ed. Philadelphia: FA Davis Co;2014. p.394-431.
Herdman SJ. Advances in the treatment of vestibular disorders. Phys Ther. 1997 Jun;77(6):602-18.
Herdman SJ. Role of vestibular adaptation in vestibular rehabilitation. Otolaryngol Head Neck Surg. 1998 Jul;119(1):49-54.
Hester RB 3rd, Farris BK. Acetazolamide in the treatment of abnormal oculovestibular response. Am J Ophthalmol. 1991 Feb 15;111(2):215-20.
Hoffman RA, Brookler KH. Underrated neurotologic symptoms. Laryngoscope. 1978 Jul;88(7 Pt 1):1127-38.
Hood JD. Unsteadiness of cerebellar origin: an investigation into its cause. J Laryngol Otol. 1980 Aug;94(8):865-76.
Horak FB. Postural compensation for vestibular loss and implications for rehabilitation. Restor Neurol Neurosci. 2010;28(1):57-68. doi: 10.3233/RNN-2010-0515.
Longridge NS, Mallinson AI. Visual vestibular mismatch in work-related vestibular injury. Otol Neurotol. 2005 Jul;26(4):691-4.
Meldrum D, Herdman S, Vance R, Murray D, Malone K, Duffy D, et al. Effectiveness of conventional versus virtual reality-based balance exercises in vestibular rehabilitation for unilateral peripheral vestibular loss: results of a randomized controlled trial. Arch Phys Med Rehabil. 2015 Jul;96(7):1319-1328.e1. doi: 10.1016/j.apmr.2015.02.032.
Pavlou M, Acheson J, Nicolaou D, Fraser CL, Bronstein AM, Davies RA. Effect of Developmental Binocular Vision Abnormalities on Visual Vertigo Symptoms and Treatment Outcome. J Neurol Phys Ther. 2015 Oct;39(4):215-24. doi: 10.1097/NPT.0000000000000105.
Pavlou M, Bronstein AM, Davies RA. Randomized trial of supervised versus unsupervised optokinetic exercise in persons with peripheral vestibular disorders. Neurorehabil Neural Repair. 2013 Mar-Apr;27(3):208-18. doi: 10.1177/1545968312461715.
Pavlou M, Davies RA, Bronstein AM. The assessment of increased sensitivity to visual stimuli in patients with chronic dizziness. J Vestib Res. 2006;16(4-5):223-31.
Pavlou M, Kanegaonkar RG, Swapp D, Bamiou DE, Slater M, Luxon LM. The effect of virtual reality on visual vertigo symptoms in patients with peripheral vestibular dysfunction: a pilot study. J Vestib Res. 2012;22(5-6):273-81. doi: 10.3233/VES-120462.
Pavlou M, Whitney SL, Alkathiry AA, Huett M, Luxon LM, Raglan E, et al. Visually Induced Dizziness in Children and Validation of the Pediatric Visually Induced Dizziness Questionnaire. Front Neurol. 2017 Dec 5;8:656. doi: 10.3389/fneur.2017.00656.
Pavlou M. The use of optokinetic stimulation in vestibular rehabilitation. J Neurol Phys Ther. 2010 Jun;34(2):105-10. doi: 10.1097/NPT.0b013e3181dde6bf.
Peterka RJ, Benolken MS. Role of somatosensory and vestibular cues in attenuating visually induced human postural sway. Exp Brain Res. 1995;105(1):101-10.
Pérez-Fernández N, Fernández-González S. Vértigo ocular. En: Bartual-Pastor J, Pérez-Fernández N. El sistema vestibular y sus alteraciones. Tomo II. 1ª ed. Barcelona: Masson, SA;1999. p.495-500.
Sanchez-Blanco C, Yañez-Gonzalez R, Benito-Orejas JI, Gordon CR, Batuecas-Caletrio A. Cinetosis. Rev Soc Otorrinolaringol Castilla Leon Cantab La Rioja. 2014 Nov. 5 (28): 233-251.
Sauvage JP. Rehabilitation vestibulaire: bilan et méthodes. En: Sauvage JP. Vertiges: manuel de diagnostic et de réhabilitation. 1ª ed. Paris: Elsevier Masson;2010. p.137-46.
Sluch IM, Elliott MS, Dvorak J, Ding K, Farris BK. Acetazolamide: A New Treatment for Visual Vertigo. Neuroophthalmology. 2017 Aug 2;41(6):315-320. doi: 10.1080/01658107.2017.1326944.
Smith-Wheelock M, Shepard NT, Telian SA. Physical therapy program for vestibular rehabilitation. Am J Otol. 1991 May;12(3):218-25.
Sugaya N, Arai M, Goto F. The effect of vestibular rehabilitation on sleep disturbance in patients with chronic dizziness. Acta Otolaryngol. 2017 Mar;137(3):275-278. doi: 10.1080/00016489.2016.1244859.
Sulway S, Whitney SL. Advances in Vestibular Rehabilitation. Adv Otorhinolaryngol. 2019;82:164-169. doi: 10.1159/000490285.
Szturm T, Ireland DJ, Lessing-Turner M. Comparison of different exercise programs in the rehabilitation of patients with chronic peripheral vestibular dysfunction. J Vestib Res. 1994 Nov-Dec;4(6):461-79.
Trinidad Ruiz G, Domínguez Pedroso M, Cruz de la Piedad E, Solís Vázquez R, Samaniego Regalado B, Rejas Ugena E. Rehabilitación vestibular domiciliaria guiada, asistida por medios audiovisuales. Acta Otorrinolaringol Esp. 2010 Nov-Dec;61(6):397-404. doi: 10.1016/j.otorri.2010.07.003.
Van Ombergen A, Lubeck AJ, Van Rompaey V, Maes LK, Stins JF, Van de Heyning PH, et al. The Effect of Optokinetic Stimulation on Perceptual and Postural Symptoms in Visual Vestibular Mismatch Patients. PLoS One. 2016 Apr 29;11(4):e0154528. doi: 10.1371/journal.pone.0154528.
Vitte E, Sémont A, Berthoz A. Repeated optokinetic stimulation in conditions of active standing facilitates recovery from vestibular deficits. Exp Brain Res. 1994;102(1):141-8.
Zee DS. Vestibular adaptation. En: Herdman SJ. Vestibular Rehabilitation. 3ª ed. Philadelphia: FA Davis Co;2007. p.77-90.
Bauer, M., Benito-Orejas, J. I., & Ramírez-Salas, J. E. (2019). Rehabilitación vestibular en la dependencia visual y somatosensorial. Revista ORL, 11(1), 79–88. https://doi.org/10.14201/orl.21241
Artículos más leídos del mismo autor/a
- Juan Losada-Campa, José Ignacio Benito-Orejas, María San Millán-González, Mariana González-Sosto, Maria Fe Muñoz-Moreno, Jaime Santos-Pérez, Revisión sistemática sobre la influencia de la edad, el género y las variaciones estacionales en el absceso periamigdalino , Revista ORL: Vol. 15 Núm. 1 (2024)
- Enrique Coscarón-Blanco, Pablo Santos-Gorjón, María-Cruz Pérez-Liedo, Mar De Prado-San José, María Martín-Bailón, Michael Bauer, María-Soledad Suárez-Ortega, Miriam González-Sánchez, Causas de vértigo periférico en la infancia , Revista ORL: Vol. 15 Núm. 2 (2024)
- Luis Miguel Torres-Morientes, Ana Sánchez-Martínez, Ana Fernández-Rodríguez, José Ignacio Benito-Orejas, Darío Morais-Pérez, Duplicidad parcial de la vena yugular interna y su relación con el nervio espinal. Descripción de dos casos , Revista ORL: Vol. 7 Núm. 2 (2016)
- José Ignacio Benito-Orejas, Laura Parra-Morais, Marleny Casasola-Girón, Ramón Cicuéndez-Ávila, Darío Morais-Pérez, María Fe Muñoz-Moreno, Resultados de aplicar un protocolo de seguridad al paciente traqueotomizado procedente de una unidad de cuidados críticos , Revista ORL: Vol. 13 Núm. 3 (2022)
- Patricia Viveros-Díez, José Ignacio Benito-Orejas, Jesús Eduardo Ramírez Salas, María Álvarez Quiñones-Sanz, Victoria Duque-Holguera, María Álvarez-Álvarez, Tricofoliculoma del conducto auditivo externo. Un caso excepcional de presentación agresiva , Revista ORL: Vol. 13 Núm. 1 (2022)
- Marleny Casasola-Girón, José Ignacio Benito-Orejas, Felipe Bobillo-de Lamo, Laura Parra-Morais, Ramón Cicuéndez-Ávila, Darío Morais-Pérez, Proyecto de seguridad del paciente traqueotomizado procedente de una unidad de cuidados críticos. , Revista ORL: Vol. 9 Núm. 1 (2018)
- José Ignacio Benito-Orejas, Miguel Arturo Schüller-Arteaga, Margarita Rodríguez- Velasco, María Álvarez-Álvarez, Mariana González-Sosto, Juan Losada-Campa, El paciente nos cuenta que tiene un zumbido pulsátil , Revista ORL: Vol. 13 Núm. S2 (2022): XXVIII Congreso de la Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja Valladolid 2, 3 y 4 de junio de 2022
- Patricia Viveros-Díez, José Ignacio Benito-Orejas, María Álvarez Quiñones-Sanz, Jesús Eduardo Ramírez Salas, Victoria Duque-Holguera, María Álvarez-Álvarez, Tricofoliculoma del conducto auditivo externo. Revisión bibliográfica , Revista ORL: Vol. 13 Núm. 1 (2022)
- Ana Rodríguez-García, Gerardo Martín-Sigüenza, Sara Fernández-Cascón, Jesús Eduardo Ramírez-Salas, María Puente-Vérez, Ignacio Álvarez-Álvarez, Fístula de seno piriforme. A propósito de un caso. , Revista ORL: Vol. 13 Núm. S2 (2022): XXVIII Congreso de la Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja Valladolid 2, 3 y 4 de junio de 2022
- José Ignacio Benito-Orejas, Ángel Batuecas-Caletrío, Guía práctica de vértigo posicional paroxístico benigno: la colaboración como camino a la mejora asistencial , Revista ORL: Vol. 8 Núm. 3 (2017)
Descargas
Los datos de descargas todavía no están disponibles.
+
−