ABSTRACT
OBJECTIVE: To increase the knowledge of rhinotillexomania, or compulsive nose picking, as a manifestation of psychiatric disease through the presentation of a case series and a review of the literature. MATERIAL: We present three clinical cases with self-destructive nasal injuries as a symptom of different psychiatric diseases. RESULTS: One patient presented amputation of the middle turbinate as a manifestation of an obsessive-compulsive disorder of bipolar disease. Two patients had a septal perforation. In the first patient it was the first symptom of factitious dermatitis and in the second it was during the course of schizophrenia. Only control with psychological treatment and psychotropic drugs stabilised the nasal injury. CONCLUSION: Self-induced injuries are a diagnostic and treatment challenge for the ENT specialist. A knowledge of psychiatric diseases related to destructive injuries to the nose will improve the approach to patients and prevent the progression of local damage and its complications.
Subject(s)
Bipolar Disorder , Nose Diseases , Obsessive-Compulsive Disorder , Self-Injurious Behavior , Humans , NoseABSTRACT
Objetivo: Incrementar el conocimiento de la rinotilexomanía o manipulación compulsiva intranasal como manifestación de enfermedades psiquiátricas mediante la exposición de una serie de casos y revisión de la literatura.MaterialPresentamos 3 casos clínicos con lesiones autodestructivas nasales como síntoma de diferentes enfermedades psiquiátricas.ResultadosUn paciente presentó una amputación del cornete medio como manifestación de un trastorno obsesivo-compulsivo de una enfermedad bipolar. Dos pacientes tuvieron una perforación septal. El primero como primer síntoma de una dermatitis facticia y el segundo en el transcurso de una esquizofrenia. Solo el control con tratamiento psicológico y fármacos psicótropos consiguió la estabilización de la lesión nasal.ConclusiónLas lesiones autoinducidas son un reto diagnóstico y de tratamiento para el otorrinolaringólogo. El conocimiento de las enfermedades psiquiátricas relacionadas con lesiones destructivas centradas en la nariz mejora el abordaje del paciente evitando la progresión de la destrucción local y sus complicaciones. (AU)
Objective: To increase the knowledge of rhinotillexomania, or compulsive nose picking, as a manifestation of psychiatric disease through the presentation of a case series and a review of the literature.MaterialWe present three clinical cases with self-destructive nasal injuries as a symptom of different psychiatric diseases.ResultsOne patient presented amputation of the middle turbinate as a manifestation of an obsessive-compulsive disorder of bipolar disease. Two patients had a septal perforation. In the first patient it was the first symptom of factitious dermatitis and in the second it was during the course of schizophrenia. Only control with psychological treatment and psychotropic drugs stabilised the nasal injury.ConclusionSelf-induced injuries are a diagnostic and treatment challenge for the ENT specialist. A knowledge of psychiatric diseases related to destructive injuries to the nose will improve the approach to patients and prevent the progression of local damage and its complications. (AU)
Subject(s)
Humans , Otolaryngologists , Nose , Wounds and Injuries , PatientsABSTRACT
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Subject(s)
Humans , Male , Middle Aged , Hemangioma, Cavernous/pathology , Tympanic Membrane/pathology , Ear Neoplasms/pathology , Hemangioma, Cavernous/diagnostic imaging , Tympanic Membrane/diagnostic imaging , Ear Neoplasms/diagnostic imaging , Tomography, X-Ray Computed , Audiometry, Pure-ToneABSTRACT
OBJECTIVE: To increase the knowledge of rhinotillexomania, or compulsive nose picking, as a manifestation of psychiatric disease through the presentation of a case series and a review of the literature. MATERIAL: We present three clinical cases with self-destructive nasal injuries as a symptom of different psychiatric diseases. RESULTS: One patient presented amputation of the middle turbinate as a manifestation of an obsessive-compulsive disorder of bipolar disease. Two patients had a septal perforation. In the first patient it was the first symptom of factitious dermatitis and in the second it was during the course of schizophrenia. Only control with psychological treatment and psychotropic drugs stabilised the nasal injury. CONCLUSION: Self-induced injuries are a diagnostic and treatment challenge for the ENT specialist. A knowledge of psychiatric diseases related to destructive injuries to the nose will improve the approach to patients and prevent the progression of local damage and its complications.
ABSTRACT
Along the medical practice of an Otologist he/she will face middle cranial fossa (MCF) bone defects. The purpose of this study is to contribute to the understanding of this possible life threatening condition, and to share and discuss our management approach. A literature review is also presented. STUDY DESIGN: Retrospective case series at García-Ibáñez Otology and Skull base private center referral. METHODS: This study is based on the analysis of data collected from 19 cases of temporal bone meningoencephalic herniations surgically treated from 2006 to 2018. The follow-up ranged from 18 to 162 months with a mean average of 44.5 months. MAIN FINDINGS: Meningoencephalic herniations were divided into four etiologic groups: spontaneous (24.8%), secondary to chronic otitis media (21.8%), iatrogenic (45.9%), and posttraumatic (7.5%). Different surgical techniques were used as treatment: transmastoid (TM) approach (27.8%), MCF approach (27.8%), combined technique (transmastoid plus minicraniotomy, 3%), and middle ear obliteration with blind sac closure of the external auditory canal (41.4%). CONCLUSIONS: Variables like bilateral hearing level, size and location of the bone defect and existence of CSF leak should be analyzed to select the safest and most effective closing surgical approach.
Subject(s)
Cerebrospinal Fluid Leak , Cranial Fossa, Middle/surgery , Encephalocele/surgery , Meningocele/surgery , Neurosurgical Procedures/methods , Temporal Bone/surgery , Adult , Aged , Encephalocele/etiology , Female , Follow-Up Studies , Humans , Male , Meningocele/etiology , Middle Aged , Retrospective Studies , Time Factors , Young AdultABSTRACT
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Subject(s)
Humans , Female , Middle Aged , Ossification, Heterotopic/diagnosis , Thyroid Cartilage/injuries , Dysphonia/diagnosis , Larynx/injuries , Diagnosis, Differential , Tomography, X-Ray Computed , Magnetic Resonance SpectroscopyABSTRACT
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Subject(s)
Humans , Male , Aged, 80 and over , Vocal Cord Paralysis/etiology , Discitis/complications , Staphylococcal Infections/complicationsABSTRACT
La distrofia muscular óculo-faríngea es una entidad infrecuente y poco conocida, genéticamente determinada, que suele presentarse en la 5ª o 6ª década de la vida. Casi siempre estos pacientes son remitidos directamente al digestólogo desde su médico de familia y no con tanta frecuencia al otorrinolaringólogo, por lo que el conocimiento de esta enfermedad es fundamental para sospecharla. Presentamos un caso diagnosticado y tratado en nuestro hospital y revisamos la literatura al respecto(AU)
Oculopharyngeal muscular dystrophy is an infrequent, not widely known entity. Of genetic origin, it usually shows up in the 5th or 6th decade of life. Most cases are referred directly to the gastroenterologist by their general practitioner and not to the otolaryngologist, so it is essential to be aware of this disease to suspect it. We report a case diagnosed and treated in our hospital and we review the literature(AU)
Subject(s)
Humans , Muscular Dystrophy, Oculopharyngeal/diagnosis , Blepharoptosis/diagnosis , Deglutition Disorders/diagnosis , Blepharoptosis/etiology , Deglutition Disorders/etiologyABSTRACT
Oculopharyngeal muscular dystrophy is an infrequent, not widely known entity. Of genetic origin, it usually shows up in the 5th or 6th decade of life. Most cases are referred directly to the gastroenterologist by their general practitioner and not to the otolaryngologist, so it is essential to be aware of this disease to suspect it. We report a case diagnosed and treated in our hospital and we review the literature.
Subject(s)
Muscular Dystrophy, Oculopharyngeal , Aged , Female , Humans , Muscular Dystrophy, Oculopharyngeal/diagnosis , Muscular Dystrophy, Oculopharyngeal/therapyABSTRACT
El título ya de por sí tiene que resultarle al lector inmediatamente sospechoso, si no fuera así, sentiríamos desde el principio que no hemos sido capaces de trasmitir nuestro todavía hoy por hoy irrealizable proyecto de poderlo llevar a efecto con fines primero reales y en definitiva prácticos. La idea nos ha surgido quizás fundamentalmente de las películas de ciencia ficción más recientes y nos referimos sobre todo a aquellas que tratan sobre avatares y su entorno(AU)
The title in itself has to make the reader suspicious immediately, if it were not so, we would feel from the beginning that we still have been unable to transmit, at this moment in time, to be able to put an unfeasible project into effect, firstly with real aims and finally into practice. The idea has arisen, perhaps mainly due to more recent science fiction films and in particular those that are about Avatars and their environment(AU)
Subject(s)
Humans , Male , Female , Tooth Eruption/physiology , Chronology as Topic , Prostheses and Implants/ethics , Prostheses and Implants/history , Prostheses and Implants/trends , Dental Implants/history , Religion and Science , Science/ethics , Science/methodsABSTRACT
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Subject(s)
Humans , Oral Surgical Procedures/trends , Maxillofacial Prosthesis Implantation , Stomatognathic Diseases/surgeryABSTRACT
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Subject(s)
Terminology as Topic , Organ Transplantation/trends , Scientific and Technical PublicationsABSTRACT
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Subject(s)
Humans , Maxillofacial Abnormalities/surgery , Oral Surgical Procedures/methods , Intubation, IntratrachealABSTRACT
Presentamos un caso del inusual síndrome branquio-oto-renal (BOR) asociado a colesteatoma congénito unilateral, anomalía en el trayecto del nervio facial y microdontia. Tales hechos son excepcionales, estando descrita la asociación síndrome BOR-colesteatoma congénito hasta ahora sólo en tres ocasiones y la anomalía en el trayecto del nervio facial en dos. Realizamos una revisión de este síndrome en cuanto a formas de manifestación, etiopatogenia y diagnóstico diferencial (AU)
Subject(s)
Male , Child , Humans , Branchio-Oto-Renal Syndrome/complications , Branchio-Oto-Renal Syndrome/diagnosis , Branchio-Oto-Renal Syndrome/surgery , Cholesteatoma/congenital , Cholesteatoma/diagnosis , Facial Nerve/surgery , Facial Nerve/pathology , Facial Nerve , Diagnosis, Differential , Branchio-Oto-Renal Syndrome/etiology , Branchio-Oto-Renal Syndrome/pathology , Bronchial Fistula/complications , Bronchial Fistula/diagnosisABSTRACT
Some respiratory troubles on childhood keep, comparatively with the same adult's pathology, certain peculiarities worth to know. This is the case of obstructive sleep apnea syndrome, which can suffer both children and adults, but with important etiopathogenical differences: clinical, and therapeutical between the two ages groups, which we must have in mind. Report of differential considerations between the 2 age-groups that we consider more relevants in this syndrome, that every time is more and more seen in clinical practice.
Subject(s)
Sleep Apnea, Obstructive/diagnosis , Sleep Apnea, Obstructive/etiology , Adult , Child , Humans , Palate, Soft/surgery , Severity of Illness Index , Sleep Apnea, Obstructive/surgeryABSTRACT
The etiology of neck masses is multifactorial, including genetical troubles, infections or tumoral lesions. A detailed medical history and a thorough physical check-up with the aid of analyses and imaging pictures properly selected, provide the doctor with the needle information in order to establish a correct diagnosis (table 1). We present the case of a young woman with lateral neck and supraclavicular adenopathies which diagnosis although sporadic must be keep in mind in daily clinic owing its growing incidence in last years.
