[Comparative study of the use of manual and mechanical suturing in the closure of the mucosal defect in total laryngectomy]. / Estudio comparativo entre el empleo de la sutura manual y la sutura mecánica en el cierre del defecto mucoso en la laringectomía total.

With the present study we try to achieve an objective confirmation of the efficacy given by the mechanical suture in the closing of the pharyngeal defect following a total laryngectomy against the conventional manual suture with absorbable material. Therefore we have studied three random groups of patients: in the first one we include those who had a manual suture (n = 50), in the second one those who had performed a mechanical suture with closed technique (n = 38) and in the third one those who had a mechanical suture with an open technique (n = 12). We have checked that mechanical suture with a closed technique improves significantly the surgical length (212 minutes), the beginning of the oral feeding (10.73 days) and the time of in-hospital stay (13.5 days). Mechanical sutures with a closed technique also reduce the rate of complications such as fistulae (5.26%), infection (0%) and haemorrhage (0%).

Estudio comparativo entre el empleo de la sutura manual y la sutura mecánica en el cierre del defecto mucoso en la laringectomía total / Comparative study between the use of manual versus mechanical sutures in the closing of the mucous defect following a total laryngectomy

Con el presente estudio se pretende realizar una confirmación objetiva de la eficacia de la sutura mecánica en el cierre del defecto faríngeo tras laringectomía total, frente a la sutura convencional manual con material reabsorbible. Para ello hemos estudiado tres grupos aleatorios de pacientes: en el primero incluimos aquellos a los que se realizó sutura manual del defecto postlaringectomía total (n=50), en el segundo aquellos en los que se practicó sutura mecánica con técnica cerrada (n=38), y en el tercero aquellos a los que se realizó sutura mecánica con técnica abierta (n=12). Hemos comprobado que el empleo de la sutura mecánica con técnica cerrada mejora significativamente los tiempos de intervención (212 minutos), inicio de la ingesta oral (10,73 días) y estancia hospitalaria (13,5 días) respecto a los otros tipos de sutura. Así mismo, este tipo de sutura mecánica disminuye la incidencia de complicaciones como faringostomas (5,26%), infección (0%) y hemorragia (0%) (AU)

With the present study we try to achieve an objective confirmation of the efficacy given by the mechanical suture in the closing of the pharyngeal defect following a total laryngectomy against the conventional manual suture with absorbable material. Therefore we have studied three random groups of patients: in the first one we include those who had a manual suture (n = 50), in the second one those who had performed a mechanical suture with closed technique (n = 38) and in the third one those who had a mechanical suture with an open technique (n = 12). We have checked that mechanical suture with a closed technique improves significantly the surgical length (212 minutes), the beginning of the oral feeding (10.73 days) and the time of in-hospital stay (13.5 days). Mechanical sutures with a closed technique also reduce the rate of complications such as fistulae (5.26%), infection (0%) and haemorrhage (0%) (AU)

[Intramuscular epithelioid hemangioma of the parapharyngeal space]. / Hemangioma epitelioide intramuscular del espacio parafaríngeo.

A clinical case of epithelioid hemangioma of the scalene muscle that occupied the parapharyngeal space is reported. The patient was a 34 year old man with a 2-month history of sensation of pharyngeal foreign body and mild dysphagia. The exploration revealed a tumor of the posterior and lateral wall of the oropharynx that extended from the rhinopharynx to the hypopharynx. The diagnostic sequence included CT, MRI, Doppler echography, and arteriography, which identified a right post-styloid tumor located behind and medial to the jugular vein, internal carotid artery, and vagal nerve, but did not affect arterial blood flow. The patient underwent surgical treatment consisting of lateral cervicotomy, tumor excision, and histological study.

[Benign esophagobronchial fistula in an adult]. / Fístula esofagobronquial benigna en un adulto.

The case of a senile dementia patient 86 year old, and a supposed clinical history of swallowing a foreign body is presented. After a clinical study (esophagogram, flexible and rigid esophagoscopy and bronchoscopy) and finally the autopsy of the patient, we found and idiopathic esophago-bronchial fistula.