ABSTRACT
We present the case of a localized monostotic fibrous dysplasia in the frontal sinus with orbital extension and persistency after the first surgery; it had to be operated again with a fronto-orbitary reconstruction. The fibrous dysplasia is a rare bony alteration with transformation of the healthy bony tissue for a disestructuredone. Its etiology is unknown and can be associated to different syndromes, such as Albright's Disease. Its treatment is surgical, but presents a high percentage of recurrence, this is the xenson why it needs a close follow up.
Subject(s)
Fibrous Dysplasia, Monostotic/diagnosis , Frontal Bone , Orbit , Adult , Fibrous Dysplasia, Monostotic/complications , Humans , MaleABSTRACT
We present a case of a 44-year-old man that came to the clinic with exophthalmus and frontal headaches. TC and MRI showed a fronto-sphenoidal mass with extension to the cribiform plate involving the orbit and pushing the eyeball forward. The mass was completely excised through intranasal endoscopic surgery and it was found out to be a mucocele from concha bullosa.
Subject(s)
Exophthalmos/diagnosis , Mucocele/diagnosis , Turbinates/pathology , Adult , Endoscopy/methods , Exophthalmos/complications , Exophthalmos/surgery , Humans , Magnetic Resonance Imaging , Male , Mucocele/surgery , Severity of Illness Index , Tomography, X-Ray Computed , Turbinates/surgeryABSTRACT
Presentamos un caso de displasia fibrosa monostótica localizada en el seno frontal con extensión orbitaria y persistencia tras la primera intervención, siendo operado nuevamente con reconstrucción fronto-orbitaria. La displasia fibrosa es una alteración ósea infrecuente con transformación del tejido óseo sano por otro fibro-óseo desestructurado, es de etiologia desconocida y puede asociarse a varios síndromes, entre ellos el síndrome de Albright (sólo en casos de displasia poliostótica). Su tratamiento es quirúrgico aunque presenta altas tasas de recidiva, por lo que su seguimiento debe ser continuado. (AU)
We present the case of a localized monostotic fibrous dysplasia in the frontal sinus with orbital extension and persistency after the first surgery; it had to be operated again with a fronto-orbitary reconstruction. The fibrous dysplasia is a rare bony alteration with transformation of the healthy bony tissue for a disestructuredone. Its etiology is unknown and can be associated to different syndromes, such as Albright's Disease. Its treatment is surgical, but presents a high percentage of recurrence, this is the xenson why it needs a close follow up (AU)
Subject(s)
Adult , Male , Humans , Frontal Bone , Orbit , Fibrous Dysplasia, Monostotic/diagnosis , Fibrous Dysplasia, Monostotic/complicationsABSTRACT
Se presenta el caso de un varón de 44 años que consultó por exoftalmos y cefalea frontal. La tomografía computarizada y la resonancia magnética demostraron una masa etmoidoesfenoidal con expansión hacia la lámina cribosa que comprometía el volumen orbitario y empujaba el globo ocular hacia delante. La masa fue eliminada totalmente por cirugía endoscópica intranasal, descubriendo que se trataba de un mucocele originado en la concha bullosa (AU)
We present a case of a 44-year-old man that came to the clinic with exophthalmus and frontal headaches. TC and MRI showed a fronto-sphenoidal mass with extension to the cribiform plate involving the orbit and pushing the eyeball forward. The mass was completely excised through intranasal endoscopic surgery and it was found out to be a mucocele from concha bullosa (AU)
Subject(s)
Adult , Male , Humans , Turbinates/pathology , Mucocele/diagnosis , Magnetic Resonance Imaging , Exophthalmos/diagnosis , Tomography, X-Ray Computed , Endoscopy/methods , Severity of Illness IndexABSTRACT
El hemangiopericitoma es un tumor vascular infrecuente a nivel nasal, que produce epistaxis y clínica obstructiva respiratoria como principales síntomas. Tiene a nivel nasal características clínicas especiales que lo diferencian de los de otras localizaciones. Presentamos un caso de hemangiopericitoma nasosinusal con apariencia polipoidea y tratado mediante cirugía endoscópica nasosinusal, con remisión completa y controles continuos sin observar recidiva. Revisamos la bibliografía y comentamos sus principales características (AU)
The hemangiopericytoma is an infrequent vascular tumour in the nose, that produces epistaxis and obstructive respiratory clinical like principal symptoms. It has, in the nose, special clinical characteristics that makes it different of the others localitations. We report a case of nasosinusal hemangiopericytoma with appearance of polyposis and treated with nasosinusal endoscopic surgery; after that, the patient had a complete remission and subsequent follow-up without recurrence. We review the literature and study the most important characteristics (AU)
Subject(s)
Middle Aged , Female , Humans , Hemangiopericytoma/diagnosis , Paranasal Sinus Neoplasms/diagnosisABSTRACT
The hemangiopericytoma is an infrequent vascular tumour in the nose, that produces epistaxis and obstructive respiratory clinical like principal symptoms. It has, in the nose, special clinical characteristics that makes it different of the others localitations. We report a case of nasosinusal hemangiopericytoma with appearance of polyposis and treated with nasosinusal endoscopic surgery; after that, the patient had a complete remission and subsequent follow-up without recurrence. We review the literature and study the most important characteristics.
Subject(s)
Hemangiopericytoma/diagnosis , Paranasal Sinus Neoplasms/diagnosis , Female , Humans , Middle AgedABSTRACT
A 57-year-old patient diagnosed as squamous cell carcinoma of the larynx underwent total laryngectomy and homolateral radical neck dissection. Twenty-eight days after an uncomplicated postoperative evolution, he presented headache, lowgrade evening fever, and a neurologic process with involvement at different levels. He quickly worsened and died within 72 hours. The case is analyzed and the literature is reviewed.
Subject(s)
Carcinoma, Squamous Cell/surgery , Laryngeal Neoplasms/surgery , Carcinoma, Squamous Cell/pathology , Humans , Laryngeal Neoplasms/pathology , Laryngectomy/methods , Magnetic Resonance Imaging , Male , Middle Aged , Neoplasm StagingABSTRACT
Presentamos el caso de un paciente de 57 años de edad diagnosticado de carcinoma epidermoide de laringe y sometido a laringuectomía total con vaciamiento cervical ganglionar bilateral que a los 28 días de la intervención, y tras un postoperatorio sin complicaciones, debuta con un cuadro de cefalea, febrícula vespertina y un cuadro neurológico con afectación multinivel, que empeora de forma rápidamente progresiva produciendo la muerte del paciente en 72 horas. En este trabajo analizamos el caso y revisamos la literatura (AU)
A 57-year-old patient diagnosed as squamous cell carcinoma of the larynx underwent total laryngectomy and homolateral radical neck dissection. Twenty-eight days after an uncomplicated postoperative evolution, he presented headache, lowgrade evening fever, and a neurologic process with involvement at different levels. He quickly worsened and died within 72 hours. The case is analyzed and the literature is reviewed (AU)
Subject(s)
Middle Aged , Male , Humans , Carcinoma, Squamous Cell/surgery , Laryngeal Neoplasms/surgery , Laryngectomy/methods , Magnetic Resonance Imaging , Neoplasm Staging , Laryngeal Neoplasms/pathologyABSTRACT
El carcinoma de oído medio es una entidad infrecuente y, como además, su clínica inicial semeja la de una otitis crónica, su diagnóstico suele ser tardío, en estado avanzado y con mal pronóstico en la mayoría de ellos. El caso que presentamos es un carcinoma de oído medio con gran extensión que llega incluso a espacio parafaríngeo y porción superior de la parótida, irresecable y con tratamiento paliativo. Analizamos el caso y revisamos la bibliografía (AU)
Subject(s)
Female , Middle Aged , Humans , Carcinoma/surgery , Carcinoma/complications , Carcinoma/pathology , Tomography, X-Ray Computed/methods , Tomography, X-Ray Computed , Cholesteatoma, Middle Ear/surgery , Cholesteatoma, Middle Ear/complications , Cholesteatoma, Middle Ear/diagnosis , Cholesteatoma, Middle Ear/pathology , Cholesteatoma, Middle Ear , Dissection/methods , Dissection , Carcinoma, Adenoid Cystic/surgery , Carcinoma, Adenoid Cystic/complications , Carcinoma, Adenoid Cystic/diagnosis , Carcinoma, Adenoid Cystic/pathology , Ear, Middle/surgery , Ear, Middle/pathology , Adenocarcinoma/surgery , Adenocarcinoma/diagnosis , Adenocarcinoma/complications , Pharyngeal Neoplasms/surgery , Pharyngeal Neoplasms/complications , Pharyngeal Neoplasms , Parotid Neoplasms/surgery , Parotid Neoplasms/complications , Palliative Care , Palliative Care/trends , Ear/surgery , Ear/pathology , Ear , Biopsy/methods , Biopsy , Alzheimer Disease/complications , Alzheimer Disease/surgery , Intellectual Disability/surgery , Intellectual Disability/complications , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/surgeryABSTRACT
Dermoid cysts are congenital lesions deriving from the ectodermal differentiation of stem cells. They are uncommon in the floor of the mouth. We report a sublingual dermoid cyst in a 24-year-old male and review the literature.
Subject(s)
Dermoid Cyst , Mouth Floor , Mouth Neoplasms , Adult , Dermoid Cyst/diagnosis , Dermoid Cyst/surgery , Humans , Male , Mouth Neoplasms/diagnosis , Mouth Neoplasms/surgeryABSTRACT
INTRODUCTION: To accurate the diagnosis and treatment of retropharyngeal hematoma. MATERIAL AND METHODS: The authors show a case of retropharyngeal hematoma that appears just after a difficult and urgent orotracheal intubation. DISCUSSION: The retropharyngeal hematomas use to be spontaneously uptaken so that treatment may be observation. Sometimes, a surgical drainage is needed. Etiology, clinical signs, diagnosis and surgical indications are reviewed.
