[Long-term course of laryngeal verrucous carcinoma]. / Carcinoma verrucoso laríngeo de larga evolución.

Verrucous carcinoma is an odd kind from squamous or epidermoid carcinoma, amounting between 1 and 3.5% percent of the whole number of laryngeal growths. Its predominant sitting is glottic and are characterized through the pathological anatomy and its good prognosis. We report one case treated in our Department which evolved during 14 years and we point out its good prognosis and other particularities regarding its etiology, pathologic anatomy and diagnosis.

[Sarcoidosis in otorhinolaryngology]. / Sarcoidosis en O.R.L.

Sarcoidosis is a disease affecting the reticulo-histiocytary system and characterized by its several manifestations, always linked to the same lesion: the epithelioid granuloma without caseous necrosis. We make a review of this disease so scarce in our consulting rooms, and consider all patients diagnosed in our Hospital during one year-term, with their manifestations in ENT-area as well in other specialties and compare our inventory with other published series.

[Sjögren syndrome in ORL. Diagnostic considerations]. / Síndrome de Sjögren en O.R.L. Consideraciones diagnósticas.

A presentation the history of a 51-year-old woman with xerostomia and keratoconjunctivitis sicca (KCS), developed in 10 months, investigations revealed the presence in serum of antibodies against cytoplasmic antigens SS-A (Ac anti-Ro/SS-A), antinuclear antibodies (ANAs) and rheumatoid factor (RF). The Rose Bengal test was positive and in the salivary gammagraphy, made with pertecnate 99 mTc, it was observed a decrease of the captation and excretion of the designer for salivary glands. The histopathology and immunohistochemical study of minor salivary glands showed the presence of a focal lymphocitic sialadenitis (fsa) and a predominance of lymphocites CD4+. It was diagnosed as primary Sjögren's syndrome (PSS) and the patient treated with salivary substitutes, artificial tears and corticoids. We analyse the current diagnostic criteria of the group of study of the European Community for the Sjögren's syndrome (SS) and emphasize the importance of histologic and immunochemical studies, that together with the rest of complementary tests will led us to distinguish not only the different forms of the presentation of the illness but also those of all patients with pathologies which are nowadays very prevalent in our environment, such as the hepatitis C (HCV) an the human immune deficiency (HIV) virus infections.

[Jugular-tympanic paraganglioma: our experience in 2 years]. / Paraganglioma yugulotimpánico: nuestra experiencia en dos años.

The paper is a review of the jugulotympanic paragangliomata seen in our Hospital in a 2 years term. The AA. discuss every case and achieve a checking of several therapeutics procedures accepted for these growths.

[Deep neck infections: complications of acute pharyngitis]. / Infección cervical profunda: complicación de faringitis aguda.

Deep neck infections develop as aftermath of spreading infections from an initial focus to the neighbourhood and soft tissues of the neck, through routes offering lesser resistance as fascial sheets. These cervical pictures are not numerous and generally after infective focus bad treated, linked with concomitant factors easing the rapid spread. The presence of complications as the involvement of great blood vessels, mediastin or jeopardizing the air-way may darken the prognosis, for which reason its precocious diagnosis and correct behaviour are very decisive. The paper deals with one case of neck infect, following an acute banal pharyngitis without predisposing circumstances. Follows a review of the published bibliography.

[Biopsy cannula as diagnostic alternative to puncture-aspiration biopsy with fine needle in head and neck tumors]. / La cánula de biopsia: alternativa diagnóstica de la punción-aspiración con aguja fina en tumores de cabeza y cuello.

Biopsy cannula is a diagnostic tool allowing anatomopathological examination of tissue samples, achieved through a percutaneous perforation. Unlike puncture-aspiration with fine needle method that only permits a cytologic study, this technique eases the removal of pieces big enough to provide the knowledge of the whole architecture of the lesion. At length in other specialities in our has been forgotten perhaps for the great efficiency of PAFN on neck masses or as complement of traditional surgery. We present one case in which the biopsy-cannula showed its diagnostic usefulness. We also discuss on the technique and made a bibliographic perusal about the published literature.

[Cervical emphysema caused by Forestier's disease]. / Enfisema cervical por enfermedad de forestier.

Diffuse idiopathic skeletal hyperostosis is a rare cause of dysphagia, preferentially affecting older men. This condition is also known as Forestier's malady, being characterized by a paravertebral ossification of 4 contiguous vertebrae at least. Seldom is the last etiology evoked for high dysphagia after other possible diagnosis exclusion. The diagnosis is confirmed by standard or contrast radiography. Introductory treatment is medical, being the surgery indicated for serious or resisting cases. One case is reported with dysphagia as primary sign of Forestier's malady, and review of possible diagnostic exams and treatments.

[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.

[Neuroendocrine tumor of the submandibular gland. Report of one case and review of literature]. / Tumor neuroendocrino de glándula submaxilar. Presentación de un caso y revisión de literatura.

Report on one case of primary neuroendocrine tumor of the submandibularis gland, early detected without initial spread. Immunohistochemistry and electron microscopy were realized in order to determine the presence of intracytoplasmatic hypersecretory thick granules, these being the laboratory trials to differentiate between neuroendocrine tumors and undifferentiate carcinomata. Bibliographic review and proposal of classification of this sort of tumors.

[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.

[Vernet's syndrome as an early manifestation of systemic erythematous lupus]. / Síndrome de Vernet como manifestación precoz de un lupus eritematoso sistemico.

Report of one case of Vernet's syndrome (involving the IX, X and XIth cranial nerves) in a young woman, as early sing of SEL. The patient presented the 4 criteria suggested by the American Society in order to diagnose SEL: arthritis, serositis, positive anti-nuclear antibodies and anemia. The AA. carry out a study in search of other cases sitting in the larynx and a perusal about etiopathogenical theories as well. Hinting, for the clinical picture, of being it due to a localised vasculitis of vasa nervorum, a treatment with corticoids and pentoxifylline was ordered, being the outcome, after 3 weeks, the eradication of ENT syndrome.