[Neurinoma of the cervical hypoglossal nerve. A clinical case and review of the literature]. / Neurinoma del hipogloso cervical. Caso clínico y revisión de literatura.

Neurilemmomas are relatively rare tumors derived from Schwann cells that may occur at any part of the body. Many are encapsulated and they are more frequently encountered in adults. A neurilemmoma of the hypoglossal cervical nerve, an unusual site, is reported. Submaxillary angioma was initially suspected.

[Benign positional paroxysmal vertigo in the general ear, nose, and throat clinic]. / El vértigo posicional paroxístico benigno en la consulta de ORL general.

Benign positional paroxysmal vertigo is a common disease which may be caused by abnormal movement of utricular debris in the posterior semicircular canal. It is diagnosed by the Dix-Hallpike positional maneuver eliciting vertigo and nystagmus. Treatment generally consists of physical exercises with the Epley or Semont maneuvers. We review 43 consecutive patients diagnosed as BPPV in the last year and treated with physical therapy (Epley maneuvers). Results were very good, with a cure rate of 88.37% (53.5% after a single maneuver). Physical therapy is an effective treatment for BPPV.

El vértigo posicional paroxístico benigno en la consulta de ORL general / Benign positional paroxysmal vertigo in the general ear, nose, and throat clinic

El vértigo posicional paroxístico benigno (VPPB) es una enfermedad frecuente en nuestro medio, provocado por un desplazamiento anómalo de las otoconias de la mácula del utrículo al conducto semicircular posterior. Se diagnostica por la maniobra posicional de DIX-HALLPIKE que desencadena crisis de vértigo y nistagmus. Su tratamiento es rehabilitador, generalmente con una maniobra única (EPLEY o SEMONT) o con ejercicio repetidos por el paciente en su domicilio. Revisamos 43 pacientes diagnosticados en una consulta de ORL general en el período de tiempo de un año y tratados generalmente con las maniobras de reposición de Epley, que han demostrado ser altamente efectivas. Obtuvimos una curación en el 88,37 por ciento de los casos, de los que en el 53,5 por ciento sólo fue precisa una maniobra (AU)

Benign positional paroxysmal vertigo is a common disease which may be caused by abnormal movement of utricular debris in the posterior semicircular canal. It is diagnosed by the Dix-Hallpike positional maneuver eliciting vertigo and nystagmus. Treatment generally consists of physical exercises with the Epley or Semont maneuvers. We review 43 consecutive patients diagnosed as BPPV in the last year and treated with physical therapy (Epley maneuvers). Results were very good, with a cure rate of 88.37% (53.5% after a single maneuver). Physical therapy is an effective treatment for BPPV (AU)

[ENT changes in Crouzon's syndrome]. / Alteraciones otorrinolaringológicas en el síndrome de Crouzon.

Crouzon's syndrome is a chapter of the craneosynostosis, congenital diseases characterized for the precocious closure of cranial sutures. It represents an autosomal dominant heredity. Recently has been find out that the mutation lies in the short arm of chromosome 10, which causes the alteration of type 2 receptor of growth factor of fibroblasts (FRFG2). Clinically together with the cranial deformities appear frequently malformations in ENT-sphere, but only in 3 percent of all cases has been observed otic changes. We present the case of a young girl of 16, bearing a Crouzon's syndrome, coming to our office because of bilateral hypacusis. Clinical examination and complementary tests showed bilateral atresia of both auditive meatus lack of mastoid pneumatization, anomalous facial route and heavy bilateral transmissive hearing impairment, together with septum nasi deflection and hypoplasy of paranasal sinuses.

[Granular cell tumor of the larynx]. / Tumor de células granulomatosas de laringe.

Granular cell tumor is an unusual growth of probably neuroectodermal histogenesis, first reported by Abrikossoff in 1926 with the name of myoblastoma. Of the about 1200 cases reported since, the 50 percent were found in the head and neck. Of second mentioned 10 percent had a laryngeal sitting. A case of glottic granular cell tumor surgically removed with free borders is presented. Bibliographical review.

[2 cases of esophageal perforation by foreign bodies]. / A propósito de dos casos de perforación esofágica por cuerpo extraño.

The AA. present 2 cases of esophageal perforation due to foreign bodies among 179 esophagoscopies done for removal of other intruders, which required the endoscopic procedure, during a lapse of 4 years. Considerations regarding the treatment and the evolutive course.