[Supracricoid partial laryngectomy: quality of life assessment]. / Laringectomía parcial supracricoidea. Análisis de calidad de vida.

OBJECTIVES: To assess quality of life in patients diagnosed with epidermoid carcinoma of the larynx, after supracricoid partial laryngectomy (SCPL). To examine how quality-of-life may be associated to the treatment received. PATIENTS AND METHOD: A descriptive, observational, cross-sectional study was conducted involving 32 patients out of a group of 57. They were all males with an average age of 63.3 years at the time of the interview. We used the disease-specific quality of life questionnaire devised by the University of Michigan: the Head and Neck Cancer-specific Quality of life instrument (HNQOL). RESULTS: During an average follow-up period of 86 months, 3 patients (5.26%) suffered a recurrence. Estimated survival after 3, 5 and 10 years was 94.73%. Communication and overall bother caused by treatment were found to be the two quality-of-life domains mainly affected. Patients who had received CHP, radiotherapy, those who had not had their tracheal cannula removed or had undergone neck dissection were the most affected. CONCLUSIONS: SCPL as a surgical technique allows good control of the condition and has a low impact on the patient's quality of life.

Laringectomía parcial supracricoidea. Análisis de calidad de vida / Supracricoid partial laryngectomy: quality of life assessment

Objetivos: cuantificar el grado de calidad de vida en los pacientes con carcinoma epidermoide laríngeo tratados mediante laringectomía parcial supracricoidea (LPSC) con cricohioidoepiglotopexia (CHEP) o cricohioidopexia (CHP) y detectar las posibles relaciones con algunos aspectos referentes al tratamiento como la técnica empleada (CHEP VS CHP), los vaciamientos cervicales, la decanulación y la radioterapia. Pacientes y métodos: estudio descriptivo observacional de tipo transversal llevado a cabo sobre 32 pacientes (26 sometidos sometidos a LPSC+CHEP y 6a LPSC+CHP), seleccionadas de un grupo de 57; todos ellos varones y con una edad media en el momento de la entrevista de 63,3. Para cuantificar la calidad de vida se empleó un cuestionario específico de la Universidad de Michigan para tumores de cabeza y cuello, el Head and Neck Cancer-Specific Quality of Life (HNQOL). Resultados: En un periodo medio de seguimiento de 86 meses se produjeron 3 recidivas (5,26%). La supervivencia estimada a 3, 5 y 10 años fue de 94,73%. Los dominios de calidad de vida más afectados fueron la comunicación y las molestias globales ocasionadas por el tratamiento. En líneas generales los pacientes más afectados fueron aquellos tratamientos tratados mediante CHP, los radiados, los no decanulados y aquellos a los que se le hizo vaciamiento cervical. Conclusiones: La LPSC es una técnica que aporta un excelente control de la enfermedad con escaso impacto en la calidad de vida del paciente

OBJECTIVES: To assess quality of life in patients diagnosed with epidermoid carcinoma of the larynx, after supracricoid partial laryngectomy (SCPL). To examine how quality-of-life may be associated to the treatment received. PATIENTS AND METHOD: A descriptive, observational, cross-sectional study was conducted involving 32 patients out of a group of 57. They were all males with an average age of 63.3 years at the time of the interview. We used the disease-specific quality of life questionnaire devised by the University of Michigan: the Head and Neck Cancer-specific Quality of life instrument (HNQOL). RESULTS: During an average follow-up period of 86 months, 3 patients (5.26%) suffered a recurrence. Estimated survival after 3, 5 and 10 years was 94.73%. Communication and overall bother caused by treatment were found to be the two quality-of-life domains mainly affected. Patients who had received CHP, radiotherapy, those who had not had their tracheal cannula removed or had undergone neck dissection were the most affected. CONCLUSIONS: SCPL as a surgical technique allows good control of the condition and has a low impact on the patient's quality of life

[Middle ear adenoma: our casuistry and revision of the literature]. / Adenoma de oído medio: nuestra casuística y revisión de la literatura.

Tumours of the middle ear are rare. Among them glomus tympanicum is the most frequent, followed by adenoma of the middle ear (AME). This insidious pathology entity displays unspecific clinical and audiological features. Advances in histology and immunohistochemistry have greatly contributed to an accurate diagnosis. We report our experience with two patients, a middle-aged man and a woman, diagnosed in our hospital. Both patients underwent surgical treatment and have shown no signs of recurrence after a 27- and 28-month follow-up. In both cases an accurate diagnosis was confirmed by histological and immunohistochemical analysis.

Adenoma de oído medio: nuestra casuística y revisión de la literatura / Middle ear adenoma: our casuistry and revision of the literature

Los tumores del oído medio son poco habituales, siendo el de mayor frecuencia el glomus timpánico seguido en mucha menor frecuencia por el adenoma de oído medio (AOM). Es una entidad que se presenta de forma insidiosa, con unos hallazgos clínicos y audiológicos muy inespecíficos, a cuyo diagnóstico de certeza han contribuido de forma importante los avances en histología e inmunohistoquímica. Presentamos dos casos diagnosticados recientemente en nuestro centro, en un hombre y una mujer ambos de mediana edad. Los dos pacientes fueron tratados mediante cirugía y permanecen sin signos de recidiva después de 27 y 28 meses de seguimiento. En ambos casos se llegó al diagnóstico definitivo mediante el análisis histológico e inmunohistoquímico

Tumours of the middle ear are rare. Among them glomus tympanicum is the most frequent, followed by adenoma of the middle ear (AME). This insidious pathology entity displays unspecific clinical and audiological features. Advances in histology and immunohistochemistry have greatly contributed to an accurate diagnosis. We report our experience with two patients, a middle-aged man and a woman, diagnosed in our hospital. Both patients underwent surgical treatment and have shown no signs of recurrence after a 27- and 28-month follow-up. In both cases an accurate diagnosis was confirmed by histological and immunohistochemical analysis

[Toxic shock syndrome associated with nasal packing]. / Shock tóxico estafilocócico asociado a cirugía nasal.

Staphiloccocal Toxic Shock Syndrome is a potentially fatal multisystem disease associated to nasal packing, catheter insertion, retention of foreign materials and uneffective sterile techniques. It is usually developed in the immediate postoperative period (first 48 hours) with hypotension, skin rash, fever, multisystemic failure and shock. We report a case in a 24-year-old man secondary to nasal surgery.

Shock tóxico estafilocócico asociado a cirugía nasal / Toxic shock syndrome associated with nasal packing

El síndrome del shock tóxico estafilocócico es unaenfermedad multisistémica potencialmente letal que ha sidoasociada con diversos procedimientos quirúrgicos en relacióncon taponamientos nasales, inserción de catéteres, retenciónde cuerpos extraños y rupturas de la asepsia quirúrgica.Se suele desarrollar en las primeras 48 horas tras laintervención y cursa con hipotensión, rash cutáneo, síndromefebril y en algunos casos shock y fallo multiorgánico.Presentamos el caso de un paciente varón de 24 años deedad que desarrolla el cuadro en el postoperatorio de unaseptoplastia

Staphiloccocal Toxic Shock Syndrome is a potentiallyfatal multisystem disease associated to nasal packing,catheter insertion, retention of foreign materials and uneffectivesterile techniques. It is usually developed in the immediatepostoperative period (first 48 hours) with hypotension,skin rash, fever, multisystemic failure and shock. Wereport a case in a 24-year-old man secondary to nasal surgery

[Fibrous displasia of the temporal bone. Presentation of one case]. / Displasia fibrosa del hueso temporal. Presentación de un caso.

We present one case of a 14 years old girl, diagnosed of fibrous displasia of the temporal bone, who developed a conductive hearing loss of progressive character. We analyse the clinic manifestations, radiologic and histopathologic study, and therapeutic indications of this disease.

Displasia fibrosa del hueso temporal. Presentación de un caso / Fibrous diaplasia of the temporal bone. Presentation of one case

Se presenta el caso de una niña de 14 años diagnosticada de displasia fibrosa del hueso temporal que cursa con hipoacusia conductiva de carácter progresivo.Se realiza un análisis de las manifestaciones clínicas, estudio radiológico e histopatológico, así como de las indicaciones terapéuticas de dicha enfermedad

We present one case of a 14 years old girl, diagnosed of fibrous displasia of the temporal bone, who developed a conductive hearing loss of progressive character. We analyse the clinic manifestations, radiologic and histopathologic study, and therapeutic indications ofthis disease

[Assessment of quality of life in patients treated by supracricoid partial laryngectomy with cricohyoidoepiglottopexy (CHEP)]. / Calidad de vida en pacientes tratados mediante laringectomía parcial supracricoidea con cricohioidoepiglotopexia (CHEP).

OBJECTIVES: To assess quality of life in patients diagnosed with epidermoid carcinoma of the larynx, after supracricoid partial laryngectomy (SCPL) with cricohyoidoepiglottopexy (CHEP). To examine how quality-of-life may be associated to the treatment received: neck dissection, decannulation and radiotherapy. PATIENTS AND METHOD: A descriptive, observational, cross-sectional study was conducted involving 26 patients out of a group of 51. They were all males with an average age of 61.7 years at the time of the interview. We used the disease-specific quality of life questionnaire devised by the University of Michigan: the Head and Neck Cancer-specific Quality of life instrument (HNQOL). RESULTS: During an average follow-up period of 83.65 months, 2 patients (3.92%) suffered a recurrence. Estimated survival after 3, 5 and 10 years was 95.83%. Communication and overall disturbances caused by treatment were found to be the two quality-of-life domains mainly affected. Generally speaking, patients who had received radiotherapy, those who had not had their tracheal cannula removed or those that had undergone neck dissection were the most affected. CONCLUSIONS: SCPL with CHEP as a surgical technique allows good control of the condition and has a low impact on the patient's quality of life.

Calidad de vida en pacientes tratados mediante laringectomía parcial supracricoidea con cricohioidoepiglotopexia (CHEP) / Assessment of quality of life in patients treated by supracricoid partial laryngectomy with cricohyoidoepiglottopexy (CHEP)

Objetivos: Cuantificar el grado de calidad de vida en los pacientes con carcinoma epidermoide laríngeo tratados mediante laringectomía parcial supracricoidea (LPSC) con cricohioidoepiglotopexia (CHEP) y detectar las posibles relaciones con algunos aspectos referentes al tratamiento como la realización de vaciamientos cervicales, la decanulación y la radioterapia. Pacientes y método: Estudio descriptivo observacional de tipo transversal llevado a cabo sobre 26 pacientes seleccionados de un grupo de 51; todos ellos varones y con una edad media en el momento de la entrevista de 61,7 años. Para cuantificar la calidad de vida se empleó un cuestionario específico de la Universidad de Michigan para tumores de cabeza y cuello, el Head and Neck Cancer-Specific Quality of Life (HNQOL). Resultados: En un período medio de seguimiento de 83,65 meses se produjeron 2 recidivas (3,92 por ciento). La supervivencia estimada a 3, 5 y 10 años fue de 95,83 por ciento. Los dominios de calidad de vida más afectados fueron la comunicación y las molestias globales ocasionadas por el tratamiento. En líneas generales los pacientes más afectados fueron los que recibieron radioterapia, los no decanulados y aquellos a los que se le hizo vaciamiento cervical. Conclusiones: La LPSC con CHEP es una técnica que aporta un excelente control de la enfermedad con escaso impacto en la calidad de vida del paciente (AU)

OBJECTIVES: To assess quality of life in patients diagnosed with epidermoid carcinoma of the larynx, after supracricoid partial laryngectomy (SCPL) with cricohyoidoepiglottopexy (CHEP). To examine how quality-of-life may be associated to the treatment received: neck dissection, decannulation and radiotherapy. PATIENTS AND METHOD: A descriptive, observational, cross-sectional study was conducted involving 26 patients out of a group of 51. They were all males with an average age of 61.7 years at the time of the interview. We used the disease-specific quality of life questionnaire devised by the University of Michigan: the Head and Neck Cancer-specific Quality of life instrument (HNQOL). RESULTS: During an average follow-up period of 83.65 months, 2 patients (3.92%) suffered a recurrence. Estimated survival after 3, 5 and 10 years was 95.83%. Communication and overall disturbances caused by treatment were found to be the two quality-of-life domains mainly affected. Generally speaking, patients who had received radiotherapy, those who had not had their tracheal cannula removed or those that had undergone neck dissection were the most affected. CONCLUSIONS: SCPL with CHEP as a surgical technique allows good control of the condition and has a low impact on the patient's quality of life (AU)

[Burkitt's nasopharyngeal lymphoma in pediatric age]. / Linfoma de Burkitt nasofaríngeo en edad pediátrica.

The Burkitt's lymphoma is a haematological neoplasia typical of early ages. In our country, the lymphatic nodes affectation is the most usual. We present a case report with a 12 year-old boy who consults for a asymptomatic cervical mass. The ultimate diagnosic was a nasopharyngeal Burkitt's lymphoma with neck extension.

[Cordectomy by laryngofissure. Review of the period 1978-1998]. / Cordectomía por laringofisura. Revisión del periodo 1978-1998.

OBJECTIVE: The early glottic carcinoma can be approached by different therapeutic options. We analyze the results obtained by means of cordectomy opened up by laryngofissure. MATERIAL AND METHOD: We design a descriptive retrospective study including 75 patients with glottic carcinoma T1N0M0 handled by means of cordectomy by laryngofissure (72 males and 3 females). The anaesthetic technique was locoregional and sedation. Tumor T1a, 62 patients (82.66%); T1b, 13 patients (17.33%). RESULTS: The specific survival rate at three, five and ten years was 100, 96.8 and 85.2% respectively; the global survival was 98.66, 90.47 and 52.17% respectively to three, five and ten years. There were ten recurrences (13.3%). Following treatment, 50% of the relapsed patients died. The probability of survival free of illness to three, five and ten years was considered in 0.9322, 0.9172 and 0.7093 respectively. CONCLUSIONS: This technique means good control of the illness and technical easiness. When doing it without a tracheostomy it is tolerated better and it generates lower costs per patient.

Linfoma de Burkitt nasofaríngeo en edad pediátrica / Burkitt's nasopharyngeal lymphoma in pediatric age

El linfoma de Burkitt es una neoplasia hematológica propia de edades tempranas. En nuestro medio su forma de presentación más habitual es la enfermedad ganglionar. Presentamos el caso clínico de un varón de 12 años que consulta por una masa cervical asintomática, que se correspondía con un linfoma de Burkitt primario de cavum con extensión hacia el cuello (AU)

The Burkitt's lymphoma is a haematological neoplasia typical of early ages. In our country, the lymphatic nodes affectation is the most usual. We present a case report with a 12 year-old boy who consults for a asymptomatic cervical mass. The ultimate diagnosic was a nasopharyngeal Burkitt's lymphoma with neck extension (AU)

Cordectomía por laringofisura. Revisión del período 1978-1998 / Cordectomy by laryngofissure. Review of the period 1978-1998

Objetivo: El carcinoma glótico precoz se puede abordar con diferentes opciones terapéuticas. Analizamos los resultados obtenidos mediante cordectomía abierta por laringofisura. Material y métodos: Estudio descriptivo, retrospectivo, incluyendo 75 pacientes con carcinoma glótico T1N0M0 tratados mediante cordectomía por laringofisura (72 varones y 3 mujeres). La técnica anestésica habitual fue locorregional más sedación de base. Tumor T1a, 62 pacientes (82,66 por ciento); T1b, 13 pacientes (17,33 por ciento). Resultados: La supervivencia causa específica a tres, cinco y diez años fue del 100 por ciento, 96,8 por ciento y 85,2 por ciento respectivamente; la supervivencia global del 98,66 por ciento, 90,47 por ciento y 52,17 por ciento a tres, cinco y diez años respectivamente. Ocurrieron diez recidivas (13,3 por ciento). Tras la repesca murieron el 50 por ciento de los pacientes recidivados. La probabilidad de supervivencia libre de enfermedad a tres, cinco y diez años se estimó en 0,9322, 0,9172 y 0,7093 respectivamente. Conclusiones: Esta técnica aporta buen control de la enfermedad y facilidad técnica. Al prescindir del traqueostoma es mejor tolerada y genera menor coste por paciente (AU)

OBJECTIVE: The early glottic carcinoma can be approached by different therapeutic options. We analyze the results obtained by means of cordectomy opened up by laryngofissure. MATERIAL AND METHOD: We design a descriptive retrospective study including 75 patients with glottic carcinoma T1N0M0 handled by means of cordectomy by laryngofissure (72 males and 3 females). The anaesthetic technique was locoregional and sedation. Tumor T1a, 62 patients (82.66%); T1b, 13 patients (17.33%). RESULTS: The specific survival rate at three, five and ten years was 100, 96.8 and 85.2% respectively; the global survival was 98.66, 90.47 and 52.17% respectively to three, five and ten years. There were ten recurrences (13.3%). Following treatment, 50% of the relapsed patients died. The probability of survival free of illness to three, five and ten years was considered in 0.9322, 0.9172 and 0.7093 respectively. CONCLUSIONS: This technique means good control of the illness and technical easiness. When doing it without a tracheostomy it is tolerated better and it generates lower costs per patient (AU)

[Laryngeal fibrosarcoma. Report of 2 new cases]. / Fibrosarcoma laríngeo. Aportación de dos nuevos casos.

Sarcomas constitute less than one percent of laryngeal neoplasms. Fibrosarcomas are by far the most commonly reported mesenchymal tumors of the larynx. We report two cases of fibrosarcoma of the larynx and discuss clinical aspects, diagnosis and treatment.

[Reconstructive laryngectomy. Review]. / Laringectomía reconstructiva. Revisión.

The AA. review the history, indications, and the surgical technique of the subtotal reconstructive laryngectomy with crico-hyoide-epiglottopexy, that permits natural breathing and voice maintenance. It is an easy operation, indicated for glottic tumours, that gives good oncologic and functional results. It is recommended that loco-regional and general indications be strictly followed. It is enclosed the results of the 25 patients operated in a total time of 5 years.