Detección precoz de la sordera mediante otoemisiones. Análisis de los resultados en 200 niños consecutivos explorados / Early hearing loss detection by otoemissions. Analysis of the results in 200 consecutive children reviewed

Presentamos un estudio retrospectivo de 200 niños consecutivos explorados en nuestro hospital entre noviembre del 2005 y abril del 2006 del programa o protocolo de Detección Precoz de Soderas establecido desde hace varios años en nuestra Comunidad. Aquellos niños con sospecha de hipoacusia tras la realización de las otoemisiones acústicas son sometidos a potenciales evocados auditivos de tronco cerebral (PEATC) 3 meses después

We present a retrospective study of 200 consecutive children explored in our hospital between november 2005 and april 2006, as a part of the protocole or program of early identification hearing loss stablished several years ago in our Comunity. In case of suspected hypoacusia after performing otoacoustic emissions, children must be sent to PEATC 3 months later

[Zenker's esophageal diverticulum as differential diagnosis of paratracheal cystic lesion]. / Divertículo esofágico de Zenker como diagnóstico diferencial de lesión quística paratraqueal.

We report the case of a 52 years old patient with clinic of food regurgitation and some dysphagia without other added symptoms who was sent to our ENT consulting rooms. It was performed a cervicothoracic CT which informed as a paratracheal cystic lesion with differential diagnosis between esophageal or tracheal diverticulum. The possibility of that last one was discarted by a normal bronchoscopy.

[Sphenoidal sinus polyp-cyst as casual finding in a patient with severe and sudden retrocochlear hearing loss]. / Pólipo-quiste del seno esfenoidal como hallazgo casual en paciente con hipoacusia brusca severa retrococlear.

We present the case of a 56 years old female controlled in our ENT Department because of right sudden hearing loss, tinnitus and vertigo. The endoscopic exam was normal. Audiogram showed a severe neurosensorial hypoacusia and PEATC confirmed the so called hypoacusia suggesting a retrocochlear origin of it. As imaging tests an otic-craneal CT and IRM were asked for, which informed of the presence of a cystic lesion versus polyp in sphenoidal sinus of 15 x 10 mm without other alterations or significant pathology.

[Facial and oropharyngeal angioedema in patient with alimentary fish allergy. Diagnosis and treatment]. / Angioedema facial y orofaríngeo en paciente con alergia alimentaria a pescado. Diagnóstico y tratamiento.

Vegetal or animal food can produce hipersensibility reactions IgE mediated of diverse intensity. We report the case of a 54 years old woman without previous allergic antecedents who after eating frozen fish had to go to Emergencies due to angioedema especially in face and oropharynx. The ENT exploration by fibroscopia descarted laryngeal edema but the patient showed initially respiratory symptoms so she was treated with SC adrenalina and then steroids during her admission. The diagnosis of alimentary alergia would be confirmed after by Allergology with cutaneous test prick type.

[Cholesterol cyst-granuloma on petrous apex. Report of a case and differential diagnosis]. / Quiste-granuloma de colesterol de la punta del peñasco. Presentación de un caso y diagnóstico diferencial.

Cholesterol granulomas and cysts located on the petrous apex can course of a silent way during years. We describe one case assisted in our consulting rooms which was discovered after performing CT and MRI (with and without paramagnetic contrast) in a patient with vertigo associated to conscience loss without other symptoms. In the discussion is exposed which must be the differential diagnosis of this pathology.

Divertículo Esofágico de Zenker como diagnóstico diferencial de lesión quística paratraqueal / Zenker´s esophageal diverticulum as differential diagnosis of paratracheal cystic lesion

Presentamos el caso de un paciente de 52 años con clínica de regurgitación de alimentos y cierta disfagia sin otra sintomatología añadida visto en nuestras consultas externas de ORL. Se le practicó una TC cérvicotorácico que informaba de una lesión quística paratraqueal compatible con divertículo esofágico o traqueal. La posibilidad de este último se descartó mediante broncoscopia que resultó ser normal

We report the case of 52 years old patient with clinica of food regurgitation and some dysphagia without other added symptoms who was sent to our ENT consulting romos. It was performed a cervicothoracic CT which informed as a paratracheal cystic lesion with differential diagnosis between esophageal or tracheal diverticulum. The possibility of that las one was discarded bya a normal bronchoscopy

Pólipo-quiste del seno esfenoidal como hallazgo casual en paciente con hipoacusia brusca severa retrococlear / Sphenoidal sinus-cyst as casual finding in a patient with severe and audden retrocochlear hearing loss

Presentamos el caso de una mujer de 56 años controlada en nuestro servicio de ORL, a causa de acúfenos y vértigo de aparición brusca. La exploración endoscópica fue normal. La audiometría mostraba una hipoacusia neurosensorial severa y los potenciales evocados auditivos (PEATC) confirmaron la citada hipoacusia apuntando un origen retrococlear de la misma. Como pruebas de imagen se solicitarion TC y RMN óticocraneal, en la que se informaba de la presencia de una lesión quística versus pólipo en seno esfenoidal de 15 por 10 mm sin otras alteraciones o patología significativa

We present the case of a 56 years old female controlled in our ENT Department because of right suden hearing loss, tinnitus and vertigo. The endoscopic exam was normal. Audiogram showed a severe neurosensorial hypoacusia and PEATC confirmed the so called hypoacusia suggesting a retrocochlear origin of it. As imaging tests and otic-craneal CT and IRM were asked for, which informed of the presence of a cystic lesion versus polyp in sphenoidal sinus of 15 x 10 mm without other alterations or significant pathology

Angioedema facial orofaríngeo en paciente con alergia alimentaria a pescado / Facial and oropharyngeal angioedema in patient with alimentary fish allergy

Los alimentos tanto de origen vegetal como animal pueden ocasionar reacciones de hipersensibilidad IgE mediadas de diversa intensidad. Presentamos el caso de una mujer de 54 años sin antecedentes alérgicos previos que tras ingesta de pescado congelado tuvo que acudir a Urgencias por angioedema de predominio en cara y orofaringe. La exploración ORL mediante fibroscopia descartó edema laríngeo pero la paciente presentó inicialmente clínica respiratoria por lo que fue tratada con adrenalina SC y posteriormente corticoides durante su ingreso. El diagnóstico de alergia alimentaria se confirmaría después por parte de Alergología mediante pruebas cutáneas tipo prick-test

Vegetal or animal food can produce hipersensibility reactions IgE mediated of diverse intensity. We report the case of a 54 years old woman without previous allergic antecedents who after eating frozen fish had to go to Emergencies due to angioedema especially in face and oropharynx. The ENT exploration by fibroscopia descarted laryngeal edema but the patient showed initially respiratory symptoms so she was treated with SC adrenalina and then steroids during her admission. The diagnosis of alimentary alergia would be confirmed after by Allergology with cutaneous test prick type

Quiste-granuloma de colesterol de la punta del peñasco. Presentación de un caso y diagnóstico diferencial / Colesterol cyst-granuloma on petrous apex. Report of a case and differential diagnosis

Los quistes y granulomas de colesterol localizados en la punta del peñasco pueden cursar de forma silente durante años. Describimos un caso atendido en nuestras consultas que fue descubierto tras realizar TC y RMN óticocraneal (con y sin contraste) en una paciente con vértigo asociado a pérdida de conocimiento sin otra sintomatología. Exponemos en la discusión cuál debe ser el diagnóstico diferencial de esta patología

Cholesterol granulomas and cysts located on the petrous apex can course of a silent way during years. We describe one case assisted in our consulting rooms which was discovered after performing CT and MRI (with and without paramagnetic contrast) in a patient with vertigo associated to conscience loss without other symptoms. In the discussion is exposed which must be the differential diagnosis of this pathology

[Etiopathogenia of the epistaxis admitted by emergencies service. Analysis and considerations in 250 consecutive patients]. / Etiopatogenia de las epístaxis ingresadas vía de urgencias. Análisis y consideraciones en 250 pacientes consecutivos.

Epistaxis represent a relatively common symptom in the hospitalary Emergencies Services. In our casuistry of 250 consecutive patients assisted and admitted because of that cause in 2 different hospitals of the region between 1996 and 2005, we have noticed the presence of one or more base pathologies or risk factors in originate most of them which could the nose bleeding. These causes are analysed beside the location of the epistaxis and the different treatment options that were used until its resolution.

[Maxillary sinus hypoplasia masquerading a chronic sinusitis]. / Hipoplasia del seno maxilar simulando una sinusitis crónica.

Maxillary sinus hypoplasia is a relatively uncommon clinical condition that may be misdiagnosed as chronic sinusitis or neoplasm by otolaryngologist. We report an unilateral clinical case of this entity confirmed by CT and a short literature review is performed at this respect.

[Frontoethmoidal mucocele. Diagnosis and treatment in 7 cases]. / Mucocele frontoetmoidal. Diagnóstico y tratamiento en 7 casos.

Mucocele has its origin by blockage of the paranasal sinuses ostium with mucinous retention inside, sometimes purulent (mucopiocele), and progressive slimming with gradual destruction on the bone walls. We report an own review of 7 patients with diagnosis of frontoethmoidal mucocele, 4 men and 3 women, 50-years average. The oftalmologic clinical symptoms (diplopia, exoftalmos and the eyeball movement restrictiv) were the most frequentjointly to cefalea. The kind of surgery that we have performed, in 6 of 7 cases, was FES with marsupialization (4 times) and external ethmoidectomy (2). We have performes a literature review at this respect.

[Cervical osteophytosis as cause of dysphagia. Forestier-Rotes Querol's disease]. / Osteofitosis cervical como causa de disfagia. Enfermedad de Forestier-Rotes Querol.

The so called Forestier-Rotes Querol's disease or diffuse idiopathic skeletal hyperostosis can affect the neck caused by osteophytos and ossification-calcification of the vertebral ligaments. The location in that region can produce dysphagia or hoarseness, among other symptoms, so that the patient can assist or be sent to ENT valoration. We are reporting a case of this pathology which was diagnosed in our hospital. Finally a bibliographic review is performed.

[Kartagener sindrome (primary ciliary dyskinesia). Report of a case and literature review]. / Síndrome de Kartagener (disquinesia ciliar primaria). Caso clínico y revisión de la literatura.

Kartagener syndrome (a clinical variant of primary ciliary dyskinesia) is a recessive autossomical disease characterized by the triad of chronic sinusitis, bronchiectasis and situs inversus with dextrocardia. We report one case described in a 8 years old boy who besides presented a seromucous otitis and bronchitis of repetition. Finally we performed a short bibliographic review at respect of this uncommon pathology.

[Vogt Koyanagi Harada syndrome. Report of a case with hearing loss, tinnitus, vertigo associated to uveitis]. / Síndrome de Vogt Koyanagi Harada. A propósito de un caso con hipoacusia, acúfenos y vértigo asociados a la uveitis.

Vogt-Koyanagi-Harada sindrome is an autoimmune sistemic disease characterized by granulomatous bilateral uveitis with involvement of the central nervous system which can compromise the VIII craneal pair function producing tinnitus and neurosensorial hypoacusia. We report a case diagnosed in a young woman who also suffered episodes of vertigo. We review the literature of that pathology.

[Peripheral vertiginous syndrome with osteocervical lytic pathology. Importance of the exploration and its differential diagnosis]. / Síndrome vertiginoso periférico con lesión ósea lítica cervical. Importancia de la exploración y del diagnóstico diferencial.

We are reporting the case of a 52 years old male with a peripheral vertiginous syndrome which could have been diagnosed as a benign paroxysmal positional vertigo. In a craneocervical CT appeared an osteolytical lesion on C3 vertebral body. With this article we pretend to emphasize the importance of a complete exploration and the differential diagnosis in the peripheral vertiginous pathology.

Mucocele frontoetmoidal. Diagnóstico y tratamiento de 7 casos / Frontoethmoidal mucocele. Diagnosis and treatment in 7 cases

El mucocele se origina por una obstrucción de los conductos de drenaje de los senos paranasales con retención de exudado mucinoso, en ocasiones purulento (mucopiocele), y adelgazamieto progresivo con destrucción gradual de las paredes óseas. Presentamos una revisión propia de 7 pacientes con diagnóstico de mucocele frontoetmoidal, 4 varones y 3 mujeres, con una edad media de 50 años. Las manifestaciones clínicas oculares (diplopía, exoftalmos y desplazamiento del globoo ocular) fueron las más frecuentes junto con la cefalea. El tipo de cirugía, realizada en 6 de los 7 casos, consitió en CENS con marsupialización (4 ocasiones) y etmoidectomía externa (2). Realizamos una revisión de la literatura al respecto

Mucocele has its origin by blockage of the paranasal sinuses ostium with mucinous retention inside, sometimes purulent (mucopiocele), and progressive slimming with gradual destruction on the bone walls. We report an own review of 7 patients with diagnosis of frontoethmoidal mucocele, 4 men and 3 women, 50-years average. The oftalmologic clinical symptoms (diplopia, exoftalmos and the eyeball movement restrictiv) were the most frequentjointly to cefalea. The kind of surgery that we have performed, in 6 of 7 cases, was FES with marsupialization (4 times) and external ethmoidectomy (2). We have performes a literature review at this respect

Osteofitosis cervical como causa de disfagia. Enfermedad de Forestier-Rotes Querol / Cervical osteophytosis as cause of dysphagia. Forestier-Rotes Querol's disease

La denominada enfermedad de Forestier-Rotes Querol o hiperostosis esquelética difusa idiopática puede afectar a la columna cervical dando lugar a osteofitos y osificación-calcificación de los ligamentos vertebrales. La afectación a dicho nivel puede producir disfagia y/o disfonía, entre otros síntomas, motivo por el cual el paciente puede acudir o ser remitido a la consulta del ORL. Presentamos un caso de esta patología diagnosticado en nuestro hospital y realizamos una revisión bibliográfica finalmente

The so called Forestier-Rotes Querol's disease or diffuse idiopathic skeletal hyperostosis can affect the neck caused by osteophytos and ossification-calcification of the vertebral ligaments. The location in that region can produce dysphagia or hoarseness, among other symptoms, so that the patient can assist or be sent to ENT valoration. We are reporting a case of this pathology which was diagnosed in our hospital. Finally a bibliographic review is performed

[Cervical hematoma after discectomy for spondylosis. An indication of urgent tracheotomy]. / Hematoma cervical tras disquectomía por espondilosis. Indicación de Traqueotomía Urgente.

We report the clinical case of a hematoma after surgery of cervical spondylosis which required an urgent tracheotomy due to failure in the orotracheal intubation. This illness in advanced degree, so called cervical spondylotic myelopathy, is the most serious consequence of cervical intervertebral disc degeneration.

[Morphology of the parathyroid glands. A study of 146 samples and review of the literature]. / Morfología de las glándulas paratiroides. Estudio de 146 muestras y revisión de la literatura.

Parathyroid hyperfunction condition has a very diverse and unspecific symptoms and signs. We have performed an anatomopathologic study of 146 parathyroid gland from patients diagnosed from hyperparathyroidism. About a 72.6% of the patients presented a parathyroid adenoma while in the rest 27.4% it was observed principal cells hyperplasia. Up to now we have not registered any cases of parathyroid carcinoma after anatomopathological exam of the removed gland. The mayority of the adenomas (85%) were found on the lower parathyroids and its size varied between 6 mm and 5 cm. In one case an double adenoma was diagnosed and in another two cases the adenoma was located in the superior mediastine.