ABSTRACT
The incidence of tuberculosis has lately increased in developed countries. The most frequent affectation is the pulmonar one and in the ORL area the laryngeal. The lingual affectation is exceptional. We present a case of a man 39 years old, with bilateral pulmonar, left vocal cord and mobile tongue affectation, negative Mantoux, positive spit culture and presence of acido-alcohol resistent bacillus in lingual and laryngeal biopsies. After antituberculosis treatment during 6 months the laryngeal and lingual lesions disappeared. We have only found two cases published of simultaneous tuberculosis in these three localisations in the last 30 years.
Subject(s)
Tongue Diseases/complications , Tuberculosis, Laryngeal/complications , Tuberculosis, Pulmonary/complications , Tuberculosis/complications , Vocal Cords , Adult , Antitubercular Agents/administration & dosage , Antitubercular Agents/therapeutic use , Biopsy , Humans , Larynx/pathology , Male , Mycobacterium tuberculosis/isolation & purification , Radiography, Thoracic , Time Factors , Tongue/pathology , Tongue Diseases/drug therapy , Tongue Diseases/microbiology , Tongue Diseases/pathology , Treatment Outcome , Tuberculosis/drug therapy , Tuberculosis/microbiology , Tuberculosis, Laryngeal/drug therapy , Tuberculosis, Laryngeal/microbiology , Tuberculosis, Pulmonary/diagnostic imaging , Tuberculosis, Pulmonary/drug therapy , Tuberculosis, Pulmonary/microbiologyABSTRACT
OBJECTIVE: To identify the subjetive benefits and limitations of the pre and postlingually adolescent and adult patients of the cochlear implants program at Clinical Hospital San Cecilio (Granada). MATERIAL AND METHODS: Cross-sectional study of 60 pre and postlingually deaf patients who received cochlear implant with more than 12 years and at least a year of experience. A open-ended questionnaire was used to value their subjetive experience. A descriptive analysis was made and we applied the square Chi and Mann-Withney tests. RESULTS: The average implant usage per day was greater in the postlingually patients (14.6 hours) that in the prelingually (10.4 hours). Between the acoustic benefits, both more frequent were the perception of environmental sounds and the possibility of to converse easier, specially with one or two persons. The benefit more indicated by the patients was the improvement in its mood. The perception in noise situations was the difficulty more indicated by all patients. The problems, in relation with the device, more frequently indicated were the size and the weight. CONCLUSION: the cochlear implant provides subjetive benefits to the patients that complement their improvement in perception of the oral language and facilitate the re/integration of the deaf patients at his work and in his social life. Therefore, the speech perception tests must be complemented with another type of materials to value the result of the cochlear implant and then we will can to speak of success or failure.
Subject(s)
Cochlear Implantation , Deafness/surgery , Patient Satisfaction , Postoperative Complications , Adolescent , Adult , Child , Cross-Sectional Studies , Deafness/epidemiology , Female , Humans , Male , Postoperative Complications/epidemiology , Severity of Illness Index , Surveys and QuestionnairesABSTRACT
We report a clinical case of a man with a cervical paraganglioma, originated from ectopic paraganglionic tissue, with metastasis to cervical lymph nodes. We carry out a reviw of the symptoms, diagnosis and treatment of this type of neoplasm.
Subject(s)
Head and Neck Neoplasms , Paraganglioma , Adult , Head and Neck Neoplasms/diagnosis , Head and Neck Neoplasms/surgery , Humans , Male , Paraganglioma/diagnosis , Paraganglioma/surgeryABSTRACT
OBJECTIVES: To analize the results of patients with cohlear implants in postlingual adults with progressive hearing loss and to analize various predictive factors. MATERIAL AND METHODS: Prospective study of 42 patients with profound and progressive hearing loss. We analized the outcomes in the first two years of follow-up. We examined the results in regards to the of age at time of implantation, other handicaps, cause of hearing loss, age of onset, cochlear ossification and actives electrodes. We use the logo-auditory protocol developed at the University Spanish of navarra. RESULTS: All tests presented a significative improvement in the first six months (p<0.01 Student t or Wilcoxon test). After six months the results were not statistically significant. The more important predictive factors were percentage of life with hearing loss, percentage of life with profound hearing loss, cochlear ossification and actives electrodes thus the significancy was more relevant at a follow-up period of 3 months (p<0.05 Student t or Mann-Withney test). CONCLUSIONS: These patients showed clear benefits in a short period of time and the patients with unfavourable circumstances had a more slow progression but a similar final outcome.
