ABSTRACT
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Subject(s)
Middle Aged , Female , Humans , Carcinoma, Neuroendocrine , Nose NeoplasmsABSTRACT
El vértigo posicional es una manifestación clínica frecuente de vértigo de causas muy variadas, siendo el vértigo posicional paroxístico benigno (VPPB) el tipo de vértigo posicional más frecuente, representando incluso la causa más frecuente de vértigo periférico en algunas series. Generalmente de etiología benigna, puede aparecer vértigo posicional en el contexto de entidades de gran gravedad y difícil diagnóstico. En estos casos, la persistencia de los síntomas a pesar de las maniobras de reposicionamiento, la asociación con otra sintomatología otológica o neurológica, así como el nistagmo de características atípicas provocado en la maniobra de Dix-Hallpike, deben hacer sospechar al otorrinolaringólogo de la posible existencia de una patología no benigna. Presentamos un caso de VPP causado por una tumoración intracraneal y revisamos los signos clínicos que nos ayudan a sospechar patologías no benignas que pueden simular un vértigo posicional (AU)
Positional vertigo is a frequent clinical manifestation of vertigo of very different etiologies, being the benign paroxystic positional vertigo (BPPV) the most frequent one of them, representing in some series even the most found etiology of peripheral vertigo. Usually of severe entities, positional vertigo may appear in the context of severe entities and of difficult diagnosis. In these cases, the bearing of the symptoms in spite of the repositioning manoeuvers, the association with otological or neurological symptoms, and the atypical nystagmus evoked by Dix-Hallpike manoeuver, must take the otolaryngologist to suspect of a feasible non benign pathology. We report a case of positional paroxysmal vertigo caused by an intracranial tumour and we review the clinical signs that shoved help us to suspect of non benign pathologies that can mimic a positional vertigo (AU)
Subject(s)
Middle Aged , Female , Humans , Vertigo/etiology , Meningioma/complications , Meningeal Neoplasms/complicationsABSTRACT
Positional vertigo is a frequent clinical manifestation of vertigo of very different etiologies, being the benign paroxystic positional vertigo (BPPV) the most frequent one of them, representing in some series even the most found etiology of peripheral vertigo. Usually of severe entities, positional vertigo may appear in the context of severe entities and of difficult diagnosis. In these cases, the bearing of the symptoms in spite of the repositioning manoeuvers, the association with otological or neurological symptoms, and the atypical nystagmus evoked by Dix-Hallpike manoeuver, must take the otolaryngologist to suspect of a feasible non benign pathology. We report a case of positional paroxysmal vertigo caused by an intracranial tumour and we review the clinical signs that shoved help us to suspect of non benign pathologies that can mimic a positional vertigo.
Subject(s)
Meningeal Neoplasms/complications , Meningioma/complications , Vertigo/etiology , Female , Humans , Middle Aged , Vertigo/diagnosisABSTRACT
We present one case of a neuroendocrine carcinoma of nasal fossa and paranasal sinuses, of aggressive behavior, which has been controlled with chemo-radiotherapy after a double postsurgical recurrence. We do a literature revision emphasizing the anatomopathologic differentiation of these tumors with the olfactory neuroblastomas, and the therapeutic controversies in advanced stages.
Subject(s)
Carcinoma, Neuroendocrine , Nose Neoplasms , Carcinoma, Neuroendocrine/diagnosis , Carcinoma, Neuroendocrine/therapy , Female , Humans , Middle Aged , Nose Neoplasms/diagnosis , Nose Neoplasms/therapyABSTRACT
Stapedectomy, with its most innovatory variations, constitutes the treatment of choice for otoesclerosis. Short term results are spectacular, getting GAP closures of less than 5 dB approximatelly in 94% patients, variations depending on the authors. Long term follow up check results show a gradual auditory deterioration. The aim of this study is to audiometric evolution of patients operated of stapedectomy 7 to 10 years ago in our department and to correlate the results with those obtained by other authors, in an attempt to unify conclusions.
Subject(s)
Otosclerosis/physiopathology , Otosclerosis/surgery , Stapes Surgery/methods , Adult , Audiometry, Pure-Tone , Female , Follow-Up Studies , Hearing Loss, Sensorineural/diagnosis , Hearing Loss, Sensorineural/etiology , Humans , Male , Middle Aged , Otosclerosis/complications , Treatment OutcomeABSTRACT
La estapedectomía, con sus más innovadoras variantes, constituye el tratamiento de elección de la otoesclerosis. Los resultados a corto plazo de esta intervención son espectaculares. El seguimiento a lo largo de los años de estos enfermos parece reflejar un deterioro auditivo paulatino. El objetivo de nuestro trabajo es saber si existe deterioro audiométrico valorable en los enfermos intervenidos de estapedectomía hace más de 7 años con buen resultado inicial. Material y métodos: Revisamos pacientes intervenidos de estapedectomía hace 7-10 años en nuestro servicio con buen resultado inicial valorado en el primer mes y volvimos a realizar una revisión audiológica. Resultados: Se produce un deterioro auditivo significativo valorado en 1,76 dB por año, pasando de una media auditiva previa de 56,2 dB a una postoperatoria inmediata de 27.07 dB, y por fin a una media postoperatoria tardía de 40,65 dB. Conclusión: Se produce una pérdida auditiva significativa tras la estapedectomía con el paso del tiempo, aunque se mantiene una audición significativamente mejor que la inicial (AU)
Stapedectomy, with its most innovatory variations, constitutes the treatment of choice for otoesclerosis. Short term results are spectacular, getting GAP closures of less than 5 dB approximatelly in 94% patients, variations depending on the authors. Long term follow up check results show a gradual auditory deterioration. The aim of this study is to audiometric evolution of patients operated of stapedectomy 7 to 10 years ago in our department and to correlate the results with those obtained by other authors, in an attempt to unify conclusions (AU)
Subject(s)
Middle Aged , Adult , Male , Female , Humans , Stapes Surgery/methods , Otosclerosis/physiopathology , Otosclerosis/surgery , Treatment Outcome , Audiometry, Pure-Tone , Follow-Up Studies , Hearing Loss, SensorineuralABSTRACT
In patients suffering from obstructive sleep apnea syndrome (OSAS) the reiterate injuries against the soft structures of the pharyngeal wall causes macro- and microscopic damages, which differ basically from the alterations verified in subjects without OSAS. We present a comparative histological study of 45 patients with OSAS operated on uvulopalatopharyngoplasties to face up 10 palates coming from normal post-mortem human among which a comparative anatomopathological study of 8 parameters was realized and the differences between the two groups signaled.
Subject(s)
Palate, Soft/pathology , Sleep Apnea, Obstructive/pathology , Female , Humans , Male , Middle AgedABSTRACT
Kikuchi-Fujimoto's disease (KFD), Histiocytic Necrotizing lymphadenitis, is a rare self-limiting condition characterized by lymphadenopathy, fever and neutropenia. The aetiology of KFD is controversial, and its diagnosis is confirmed histologically. Although KFD has rarely been reported associated to Systemic lupus erythemotosus (SLE) should be ruled out given its different prognosis and management. We present the clinical, histological and evolution the two cases of patients with Kikuchi's disease; one case had evolution classic and the other case were associated with SLE.
Subject(s)
Histiocytic Necrotizing Lymphadenitis/complications , Lupus Erythematosus, Systemic/complications , Adult , Female , Histiocytic Necrotizing Lymphadenitis/diagnosis , HumansABSTRACT
La enfermedad de Kikuchi-Fujimoto (EKF) o linfadenitis necrotizante histiocítica es una patología autolimitada que se caracteriza por linfadenopatías, fiebre y neutropenia entre otros síntomas. La etiología de la EKF es controvertida y será el estudio histológico el que proporcione el diagnóstico de confirmación. Aunque la EKF no es muy frecuente, se han publicado varios casos en los cuales se asocia a Lupus Eritematoso Sistémico (LES) lo cual se ha de tener presente, puesto que modifica tanto el pronostico como el manejo terapéutico de estos pacientes.Se presentan dos casos de enfermedad de Kikuchi: el primero de los casos presente una evolución clásica de la enfermedad, mientras que el segundo caso asoció un LES (AU)
Subject(s)
Adult , Female , Humans , Histiocytic Necrotizing Lymphadenitis , Lupus Erythematosus, SystemicABSTRACT
Schwannoma are benign tumors of the nerve sheath arising from Schwann cells of cranial and spinal nerves. The most frequent sites are the peripheral nerves of the head and neck and the flexor surfaces of the upper extremities. Cervical schwannoma are rare, which makes them interesting to ENT-specialists. A new case of cervical schwannoma is reported, the literature is reviewed and the pathogenic, criteria and therapy are discussed.
Subject(s)
Cervical Vertebrae/diagnostic imaging , Neurilemmoma/diagnosis , Spinal Neoplasms/diagnosis , Adult , Female , Humans , Jugular Veins/pathology , Jugular Veins/surgery , Magnetic Resonance Angiography , Neurilemmoma/complications , Neurilemmoma/surgery , Spinal Neoplasms/complications , Spinal Neoplasms/surgery , Tomography, X-Ray Computed , Venous Thrombosis/etiology , Venous Thrombosis/pathology , Venous Thrombosis/surgeryABSTRACT
Enlarged vestibular aqueduct syndrome is a clinical condition characterized for a progressive perceptive deafness linked to a broadening of vestibular aqueduct greater than 1.5 mm without other otic abnormal structures. We report the case of a 2-year-old child with such congenital malformation. We have reviewed the actual literature and point out its clinical and physiopathologic features as well treatment possibilities of these cases.
Subject(s)
Vestibular Aqueduct , Dilatation, Pathologic , Humans , Infant , Male , Syndrome , Vestibular Diseases/pathologyABSTRACT
Tosillectomy or palatine tonsils removal was by far as the very middle of the twenty century the commonest surgery in childhood, but owing to the abstinence behavior in past decades this operation has dropped considerabily and in consequence numerous grown up presents frequently tonsillar pathology requiring its removal in middle adult life.
Subject(s)
Sleep Apnea, Obstructive/surgery , Tonsillectomy/statistics & numerical data , Tonsillitis/surgery , Adult , Female , Humans , MaleABSTRACT
A case of temporal bone eosinophilic granuloma is reported. The patient had no symptoms other than aural discharge, conductive hearing loss and postauricular swelling. Otic features of Langerhans cell histiocytosis, diagnosis preferences and therapeutic choices are reviewed.
Subject(s)
Bone Diseases/etiology , Histiocytosis, Langerhans-Cell/complications , Temporal Bone , Adolescent , Biopsy , Bone Diseases/diagnosis , Bone Diseases/pathology , Bone Diseases/surgery , Histiocytosis, Langerhans-Cell/diagnosis , Histiocytosis, Langerhans-Cell/surgery , Humans , Magnetic Resonance Imaging , Male , Temporal Bone/surgery , Tomography, X-Ray ComputedABSTRACT
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.
Subject(s)
Posture , Vertigo/rehabilitation , Adult , Aged , Female , Health Services , Humans , Male , Middle Aged , Otolaryngology , Semicircular Canals/physiopathology , Severity of Illness Index , Vertigo/physiopathologyABSTRACT
The temporo-mandibular joint is directly related to the anterior wall of the external ear canal. Therefore, defects in this wall may lead to herniation of the soft tissues of the temporo-mandibular joint into the external ear canal. Such herniation usually is secondary to external injuries, iatrogenic trauma, neoplasms, and so on, but it may also be congenital. We report a well-documented case of temporo-mandibular joint herniation into the external ear canal of probable congenital origin.
Subject(s)
Ear, External/diagnostic imaging , Hernia/diagnostic imaging , Ear Diseases/diagnostic imaging , Female , Humans , Middle Aged , Tomography, X-Ray ComputedABSTRACT
Deep cervical infections still appear despite antibiotic use. Necrotizing fasciitis of the head and neck is a rare but serious infection caused by mixed, predominantly anaerobic bacterial flora. The natural course of the disease is spreading necrosis of the soft tissues of the neck and septicemia. Three recent cases of cervical necrotizing soft-tissue infection are presented. The importance of early and aggressive surgical treatment complemented by parenteral antibiotics with an aerobic-anaerobic spectrum is emphasized.
Subject(s)
Fasciitis, Necrotizing , Aged , Fasciitis, Necrotizing/microbiology , Fasciitis, Necrotizing/pathology , Fasciitis, Necrotizing/surgery , Fatal Outcome , Female , Humans , Male , Middle Aged , NeckABSTRACT
Las infecciones cervicales profundas continúan apareciendo en la actualidad, a pesar del uso de los antibióticos. Las fascitis necrotizantes de cabeza y cuello son infecciones raras pero graves, de etiología polimicrobiana con predominio de gérmenes anaerobios. El curso natural de la enfermedad supone la necrosis de los tejidos profundos del cuello y la septicemia. Presentamos tres casos recientes de infección cervical profunda haciendo énfasis en la importancia del tratamiento quirúrgico precoz y agresivo, complementado con el uso parenteral de antibióticos de espectro aero-anaerobio (AU)
Deep cervical infections still appear despite antibiotic use. Necrotizing fasciitis of the head and neck is a rare but serious infection caused by mixed, predominantly anaerobic bacterial flora. The natural course of the disease is spreading necrosis of the soft tissues of the neck and septicemia. Three recent cases of cervical necrotizing soft-tissue infection are presented. The importance of early and aggressive surgical treatment complemented by parenteral antibiotics with an aerobic-anaerobic spectrum is emphasized (AU)
Subject(s)
Middle Aged , Aged , Male , Female , Humans , Fasciitis, Necrotizing/microbiology , Fasciitis, Necrotizing/pathology , Fasciitis, Necrotizing/surgery , Fatal Outcome , NeckABSTRACT
An observational study of acoustic voice parameters was made in non-dysphonic adult smokers and non-smokers. The sustained vocal /a/ of 79 smokers and 169 non-smokers was recorded with Mini-Disk equipment. Acoustic analysis was performed with the Dr. Speech Science 3.0 program. Some acoustic parameters differed between smokers and non-smokers: the fundamental frequency (FQ) was lower in smokers. Average jitter (PPQ) and shimmer (APQ) were higher in smokers (Ji:0.27%, Shi: 2.56%) than in non-smokers (Ji: 0.23%, Shi: 2.02%). HNR and NNE values did not differ significantly.
Subject(s)
Smoking/adverse effects , Voice Quality , Adolescent , Adult , Aged , Analysis of Variance , Female , Humans , Male , Middle Aged , Smoking/epidemiology , Speech Acoustics , Statistics, Nonparametric , Voice Disorders/epidemiology , Voice Disorders/physiopathologyABSTRACT
Mucocele of the sphenoidal sinus is a rare benign neoplasm. These tumors are probably under-diagnosed as they may be asymptomatic or cause non-specific symptoms. The findings of computed tomography and magnetic resonance imaging increase the precision of the pretherapeutic evaluation. Treatment is surgical. A case of sphenoidal sinus mucocele in a 41-year-old man is reported. Sudden dyplopia was the first symptom. The characteristics of sphenoidal mucocele are reviewed, with special attention to its clinical features and radiodiagnosis.
Subject(s)
Mucocele/diagnostic imaging , Mucocele/pathology , Sphenoid Bone/diagnostic imaging , Sphenoid Bone/pathology , Adult , Humans , Male , RadiographyABSTRACT
Sarcoma of the larynx are extremely rare neoplasms that account for approximately 1% of all tumors of this organ. Less than 0.1% correspond to chondrosarcomas. Three cases of laryngeal chondromas are described. The patient's age ranged between 65 and 75 years, and all they were men. Two of the tumors arose in the cricoid cartilage, and the other one, in the left wing of the thyroid cartilage. Two of the cases corresponded to high-grade, indifferentiated chondrosarcoma. Two of the patients were alive and free of recurrence of metastases 5 years after surgery.
