[Rhinolithiasis. Review of one case]. / Rinolitiasis. A propósito de un caso.

Rhinoliths are foreign bodies of the nose, which may be found during the course of a routine examination or whe the show, if undetected for a long time, symptoms of nasal obstruction, similar to the ones of sinusitis. They require a high level of suspicion to be diagnosed and surgical removal is the treatment of choice. We present the case of a woman diagnosed of rhinolithiasis and we carry out a literature review.

Rinolitiasis. A propósito de un caso / Rhinolithiasis. Review of one case

Los rinolitos son cuerpos extraños nasales que pueden ser encontrados durante un examen nasal rutinario o producir, en caso de no detectarse, síntomas de obstrucción nasal, simulando una rinosinusitis crónica. Requieren un alto nivel de sospecha para su diagnóstico y la extracción quirúrgica es su tratamiento de elección. Presentamos el caso de una mujer diagnosticada de rinolitiasis y revisamos la literatura

Rhinoliths are foreign bodies of the nose, which may be found during the course of a routine examination or whe the show, if undetected for a long time, symptoms of nasal obstruction, similar to the ones of sinusitis. They require a high level of suspicion to be diagnosed and surgical removal is the treatment of choice. We present the case of a woman diagnosed of rhinolithiasis and we carry out a literature review

[Monostotic fibrous dysplasia. Three cases and literature review]. / Displasia fibrosa monostótica. A propósito de tres casos y revisión de la literatura.

The fibrous dysplagia is a rare benign osseous pathology of unknown aetiology. It presents an incidence of craniofacial affectation of a 10% in its monostotic variety and a 100% in the poliostotic. The temporal bone implication is very rare, being usually referred in the monostotic variety. The diagnosis is based on radiology (CT) and histology. The majority of the authors agree in a conservative treatment. We present three clinical cases of monostotic fibrous dysplagia with craniofacial affectation, two of them in the temporal bone and another one in the frontal bone.

[Current aspects of laryngeal tuberculosis]. / Aspectos actuales de latuberculosis laríngea.

In the preantibiotic era laryngeal tuberculosis was the most frequent pathology of the larynx. In the last decades some changes in the presentation and evolution of the pathology have occurred due to the new chemiotherapy and the improvement of the nutrition. Actually it presents less incidence and infectivity and less evidence of pulmonary disease. In this article we analyse, on occasion of a clinical case and with a revision of the literature, the actual patterns of the laryngeal tuberculosis.

Displasia fibrosa monostótica. A propósito de tres casos y revisión de la literatura / Monostotic fibrous displasia. Three cases and litterature revision

La displasia fibrosa es una enfermedad benigna ósea infrecuente, de etiología desconocida. Presenta una incidencia de afectación craneofacial del 10 por ciento en su variedad monostótica y del 100 por ciento en la poliostótica. La implicación del hueso temporal resulta poco frecuente, siendo principalmente documentada en la forma monostótica. El diagnóstico se basa en la radiología (TC) y la histología. La mayoría de autores están de acuerdo en seguir un tratamiento conservador. Nosotros presentamos tres casos clínicos de displasia fibrosa monostótica con afectación craneofacial, dos de ellos a nivel del hueso temporal y otro a nivel frontal (AU)

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[Retropharyngeal phlegmon in the adult. Presentation of a case]. / Flemón retrofaríngeo en el adulto. A propósito de 1 caso.

Nowadays retropharyngeal phlegmon and abscesses are uncommon. Advances in medical care have changed the morbidity and mortality of this processes. The advance of computed tomography (CT) has made possible a more exact diagnosis of these infections. If CT suggests a cellulitis medical treatment is used, but abscesses need surgical drainnage.

Flemón retrofaríngeo en el adulto. a propósito de un caso / Retropharyngeal pflegmon in the adult. Presentation of one case

Los flemones y abcesos retrofaríngeos son actualmente una entidad poco frecuente. Los avances médicos han cambiado la morbimortalidad de estas infecciones y la tomografía computerizada ha permitido un diagnóstico más exacto. Si el proceso se encuentra en fase de celulitis, el tratamiento es médico, pero si existe abceso se necesita drenaje quirúrgico (AU)

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[Thyroglossal cyst associated with squamous cell carcinoma of the larynx]. / Quiste tirogloso asociado a carcinoma escamoso de laringe.

Cyst of the thyroglossal duct results from a developmental anomaly of the thyroid gland. There are many congenital neck masses only outnumbered by benign lymphadenopathies. The majority appear in children between 2 und 10 year-old, but nearly a third of cases does not manifest clinically until much later (20 year or so). In association to a carcinoma is an uncommon event, but there are published malignant cases. The AA. report the case of a 74-year-old patient with a neck cystic mass evolving during a 40-year-term associated to a laryngeal squamous carcinoma. The imagery shows the radiological and anatomopathological correlation of changes in the tissues interpreted as a cyst of thyroglossal duct and a squamous carcinoma of the larynx, independent of each other.

[Leiomyosarcoma of the larynx]. / Leiomiosarcoma de localización laríngea.

A patient with leiomyosarcoma of the larynx met diagnostic criteria for radiation-induced malignancy. In a review of the literature, only 27 leiomyosarcomas of the larynx were found, none radiation-induced. The histological features and diagnosis and treatment are analyzed.

Leiomiosarcoma de localización laríngea / Leiomysarcoma of the larynx

Se presenta el caso de un paciente afecto de un leiomiosarcoma de localización laríngea que cumple los criterios diagnósticos de los tumores radioinducidos. Tras una revisión bibliográfica se constata su rareza, 27 leiomiosarcomas laríngeos descritos hasta la fecha y ninguno radioinducido, así mismo se revisan tanto sus características anatomopatológicas como su diagnóstico y tratamiento (AU)

A patient with leiomyosarcoma of the larynx met diagnostic criteria for radiation-induced malignancy. In a review of the literature, only 27 leiomyosarcomas of the larynx were found, none radiation-induced. The histological features and diagnosis and treatment are analyzed (AU)

[Multiple extramedullary plasmocytoma of the upper respiratory and digestive tracts. A case report]. / Plasmocitoma extramedular múltiple de vías aerodigestivas superiores. A propósito de un caso.

Solitary or multiple extramedullary plasmacytoma is and odd condition. We report one case of multiple extramedullary plasmacytoma of pharyngolaryngeal site, stressing the importance of the area covered in order to rule out the most frequent systemic disease, that is the multiple myeloma. Comments about pathological anatomy features of the diagnosis and elective treatment as well.

[An auricular pseudocyst. A report of 4 cases]. / Pseudoquiste auricular. A propósito de cuatro casos.

The words pseudocyst of the pinna was suggested in 1966 by Engel for those intracartilaginous swellings of the auricula, presenting in young healthy males without traumatic precedents or previous manipulation. The AA. report 4 cases diagnosed and treated in their Hospital Department. A woman, 85, was one of them. Review of the subject's literature.

[Dysphagia in Forestier's disease (vertebral ankylosing hyperostosis)]. / La disfagia en la enfermedad de Forestier o hiperostosis anquilosante vertebral.

Forestier's disease is characterized by the formation of vertebral bridges which joint the ventral aspect of the vertebral bodies by ossification of the anterior vertebral longitudinal ligament. A 58-year-old man with idiopathic ankylotic hyperostosis had pronounced osteophytosis of the neck that produced the unusual symptom of dysphagia. The literature is reviewed and the pathogenic criteria, diagnosis, and therapy are discussed.

[Peripheral centrofacial T lymphoma]. / Linfoma T periférico centrofacial.

Differentiating between Wegener's granulomatosis and other destructive centrofacial lesions often is difficult for clinicians and pathologists. It has become more confusing since what until now was known as "malignant centrofacial granulomatosis" seems to be a peripheral T-cell lymphoma. The case of an 83-year-old male recently diagnosed as angiocentric peripheral T-cell lymphoma which presented as a destructive centrofacial process is reported. The probable pathogenic role of Epstein-Barr virus (EBV) is highlighted.

[Retropharyngeal abscess]. / Absceso retrofaríngeo.

We present 2 cases of retropharyngeal abscess in adults as complication of acute tonsillitis and cervical pyogenic osteomyelitis, respectively. These cases confirm that retropharyngeal abscess has a significant morbi-mortality despite of new antibiotic drugs introduced. A review of the present characteristics of the complaint is treated in this paper.

[Pseudocyst of the auricle]. / Pseudoquiste de pabellón auricular.

Reporting one case of pseudocyst of the auricle in a young male, 18, white and wealthy, diagnosed and treated. Bibliographical review of this condition and explanation of its etiopathogenetic, clinic and therapeutical characteristics, as well. This deformity seems to be more prevalent as the number of published cases may suggest.

[Does branchiogenic carcinoma exist or not?]. / Carcinoma branquiogénico. Realidad o ficción?

A 43 year-old man with a cystic mass on the side of the neck was admitted to the hospital for possible branchial cyst. The histopathological analysis showed a carcinoma developed on a branchial cyst. After reviewing the literature, we conclude that carcinoma developing on a branchial cyst is uncommon, if, indeed, it exists at all. The diagnostic criteria should be adhered to strictly. When confronted with this histopathologic diagnosis, the possibility of cystic metastasis to the neck of a squamous carcinoma of unknown origin should be considered.

[Neurinoma of the primary facial nerve]. / Neurinoma de la primera porción del nervio facial.

Facial nerve neurinomas are unusual tumors which originate fin the Schwann cells of the nerve sheath. Diagnosis of these tumors has improved in the last years due to radiological and clinical advances. Here presented is a case study of a patient with neurinoma of the primary facial nerve which clinically manifested itself as a recurrent facial paralysis. A high resolution T-C scan was sufficient for tumour identification, treatment consisted in a middle fossa approach and tumour removal followed by hypoglossa-facial anastomosis.

[Pilomatrixoma of the auricle. Differential diagnosis with carcinoma pilomatrixoma]. / Pilomatrixoma de pabellón auricular. Diagnóstico diferencial con el carcinoma pilomatrixial.

A 34 year-old man, with a two centimeter diameter quickly growing nodule on the auricular pavillion is presented. After mass excision the histologic diagnosis of pilomatrixoma was made. Pilomatrixoma is a rare benign tumor arising on the hair matrix. The differential diagnosis include pilomatrix carcinoma, a locally and recurrent aggressive tumor capable to make pulmonary metastasis. A review of the literature is included, with emphasis on the clinical and histopathological aspects and the therapeutic attitude.

[Facial paralysis. Result of our electroneurographic studies]. / Parálisis facial. Nuestros resultados en el estudio electroneurográfico.

The Electroneurography (ENoG) is one of the most employed electrodiagnostical techniques in the appraisal of acute facial palsies (AFP). Since 1989 we have to resort systematically to this exploration in our ENT-Department, which task previously was province of the Neurophysiological Service. On accordance with the exam's results we then express the prognostic, regarding the seriousness of the paralysis, and so settle the indication or the abstention for the rehabilitative treatment. We report here a review of 92 APF's seen during 1990 and consider their evolutive course which is compared with that in advance supposed to be. In the light of our final results we venture to say that ENoG, in our hands, is a good prognostical indicator and also is an adequate standard of judgement in order to recommend the rehabilitative management of AFP.