[Perilymph gush. A complication of stapedectomy]. / Chorro de perilinfa. Complicación de la estapedectomía.

Report of an unusual complication of stapes surgery, called "perilymph gush", resolved with improved hearing and no vertigo.

[Tonsillar angiofibroma]. / Angiofibroma amigdalar.

We report in this paper a case of a tonsillar angiofibroma, whose histopathological features did not differ from its nasopharyngeal counterpart. In an exhaustive review done we have only found another one reference, in the german literature of such location.

[Gushers. Perilymphatic leaks]. / Chorro de perilinfa. Complicación de la estapedectomía.

We report an unusual complication of stapedectomy called <>. It was resolved and the patient's hearing level improved without vertigo.

[Clinical and electronystagmographic manifestations in the elderly with vertigo]. / Manifestaciones clínicas y electronistagmográficas de los vértigos seniles.

The goal of the present work is to realize a review over the difference aspects of the alterations of the equilibrium and the vestibular system in the elderly patient. We also present a statistics about the symptomatology, the results of the vestibular tests and the diagnose, in a range of patients complaining of vertigo, aged over 65, studied in our ENT-Department.

[Surgical voice rehabilitation: influence of postoperative radiotherapy on tracheoesophageal fistulas. Long-term follow-up study]. / Rehabilitación quirúrgica de la voz: influencia de la radioterapia postoperatoria en las fístulas traqueoesofágicas. Seguimiento a largo plazo.

In an overall group of 270 patients who underwent total phonatory laryngectomy (TPL) with surgical restoration of alaryngeal voice by tracheoesophageal puncture (TEP) and prosthesis insertion, a subgroup of 152 consecutive patients who had undergone surgery at least 24 months earlier was selected (10 years follow-up). The frequency and type of effects of postoperative radiotherapy on TPL were studied. We analyzed postoperative complications, TEP closure and its causes, the tracheoesophageal voice achieved, and manometric results in the pharyngoesophageal segment. We conclude that postoperative radiotherapy at east a maximum dose of 65 Gy did not preclude phonatory surgery.

[Surgical voice rehabilitation: permanence of tracheoesophageal fistula after total phonatory laryngectomy. Long-term follow-up]. / Rehabilitación quirúrgica de la voz: permanencia de la fístula traqueoesofágica tras laringuectomía total fonatoria. Seguimiento a largo plazo.

A study of the 10-year follow-up of 152 patients who underwent total phonatory laryngectomy (TPL) for surgical alaryngeal voice rehabilitation by trachoesophageal puncture (TEP) and prosthesis insertion is reported. These patients belonged to a larger group of 270 patients who underwent TPL in our department in 1984-1995. Patients who had undergone surgery at least 24 months earlier were selected for the purpose of obtaining more reliable conclusions. TPL was a valid option for patients with primary or secondary laryngectomy. Tracheoesophageal voice conservation was achieved in 83.1% when technical surgical conditions and TEP follow-up improved, and dynamic tracheal and hypopharyngeal features were better understood.

[Videofluoroscopy of the pharyngoesophageal segment after total phonatory laryngectomy]. / Observaciones de videofluoroscopia del segmento faringoesofágico tras laringectomía total fonatoria.

Twenty-nine postoperative videofluoroscopic studies of the pharyngoesophageal segments, with phonation test, were compared with esophageal manometry findings. The group was drawn from an overall group of 220 patients who underwent total phonatory laryngectomy (1984-94) by tracheoesophageal puncture (TEP) and prosthesis insertion. Radiological videofluoroscopic features were defined (type I and type II) and found to correlate with patterns of esophageal manometry in 20 explorations. After surgery, these patients (type I VF) remained hypotonic, had fewer swallowing disorders and prosthesis fracture, and achieved a longer phonation time.

[Herpetic laryngeal involvement simulating neoplasm]. / Afectación laríngea por herpes: una lesión que simula neoplasia.

A case of laryngeal involvement by herpes virus is reported. Its appearance suggested an extensive neoplasm. Laryngeal herpes infection is uncommon, but the wide spectrum of forms of onset, from banal laryngitis to severe airway obstruction, hoarseness, or dysphagia, require accurate differential diagnosis to establish an effective treatment and follow-up.

[Tumoral collision: cancer metastases within a second neoplasm]. / Colisión tumoral. (Metástasis de cáncer en una segunda neoplasia).

A case report of epithelial carcinoma of the inferior lip which spread in cervical lymph nodes previously affected by a chronic lymphocitic leukaemia, is presented. The coexistence of both histological findings in some of the nodes (collision tumor) is remarked. We have made a review of the scanty literature about metastases on second tumors and compared and commented those features.

[Cervical dissection in laryngeal cancer: our experience of 15 years]. / Vaciamientos ganglionares cervicales en el cáncer de laringe. Nuestra experiencia de quince años.

A retrospective study was made of surgery with cervical dissection in 640 patients with laryngeal carcinoma treated from 1976 to 1991. Cervical dissection was carried out in 386 of 640 patients with laryngeal carcinoma treated surgically. Of a total of 496 cervical dissections performed, there were 173 unilateral functional, 88 bilateral functional, 67 unilateral block, 13 bilateral block, and 27 bilateral block dissections with contralateral functional dissection. The relations between tumor stage (T) and nodal involvement (N), type of dissection and T, type of dissection and N, laryngeal surgery and neck dissection, clinical and histological N, N+ and histologic type, extracapsular spread, number of recurrences, and their relation with T and N, and the relation between N+ and type of neck dissection were studied.

[The study of survival in the glottic cancer]. / Estudio de la supervivencia en el cáncer de origen glótico.

The survival rate for glottic carcinoma was analyzed in the cases treated in our service in 1978-88. All cases had a minimum of 5 years of follow-up. Clinical manifestations, tumor site, TNM and pTNM stages, histopathologic type, treatment, and five-year survival and recurrence rates were studied.

[Supraglottic carcinoma]. / Carcinoma supraglótico.

We present the follow-up and end results of 98 horizontal supraglottic laryngectomies done for treatment of supraglottic carcinomata. Both functional and oncologic outcome as well the complications and 5-year survival of these laryngectomies are considered. We conclude that this surgical technique is a suitable one for the larger part of supraglottic carcinomas.

[Oropharyngeal vascular lesions]. / Lesiones vasculares orofaríngeas.

In this paper a case report of a tonsillar cavernous Hemangioma is presented. A review of the literature about oropharyngeal vascular lesions is done and their diagnosis, classification and its treatment is discussed.

[Symptomatic malformations of the first branchial arch]. / Malformación del primer arco branquial sintomática.

Congenital malformations of the branchial arches are not infrequent. Among them first branchial cleft anomalies are common and they are to remain asymptomatic. The case reported is one of symptomatic fistula auris, which at the beginning led us to the initial diagnosis of an orbital cellulitis, secondary to ethmoidal sinusitis. We have made a review of the literature dealing with these anomalies and we expose in the paper an update perusal of the clinical features and the management of this rare complication.

[Non-Hodgkin lymphoma of the maxillary sinus]. / Linfoma no Hodgkin de seno maxilar.

Non-Hodgkin Lymphoma is an infrequent tumor at the paranasal sinuses site, representing no more than 5.8 to 8 percent of the entire malignant neoplasias in this localization. Clinical manifestations are insignificant and the definitive diagnosis comes through its pathological study. Treatment is fundamentally radiotherapy, either isolated or in association to polychemotherapy. Its prognosis use to be better than that of those lymphomas arising in Waldeyer's area. In this paper a case of a primary lymphoma of the maxillary antrum is reported and the literature about this condition is reviewed.

[Aggressive fibromatosis of the nasal sinuses]. / Fibromatosis agresiva nasosinusal.

A case report of a feminine patient who complained of nasal ventilatory obstruction and nasosinusal polyposis is presented. She underwent surgery and the pathological study revealed the existence of an aggressive fibromatosis. The AA. review the literature dealing with this illness and explain an update state of the clinical features, treatment and the course of this rare entity, closely related to fibrosarcoma.

[The value of the anamnesis and physical examination in surgical pathology of the thyroid gland. Report on 423 thyroidectomies]. / Valor de la anamnesis y de la exploración física en la patología quirúrgica tiroidea. Estudio de 423 tiroidectomías.

The purpose of this paper is to present a retrospective study of 423 cases of surgical pathology of the thyroid gland. All the cases underwent surgery during a period of 11 years. The data gained through these ways were statistically studied and compared with those provided by histological diagnosis, with the aim of searching any clinic situations that can lead to the suspicion of oncological pathology of the gland.

[The value of the computer tomography (CT) and magnetic resonance (MR) in tumors of the ear]. / Valor de la tomografía axial computarizada y resonancia magnética en la patología tumoral del oído.

The first case report is an undifferentiated squamous cell carcinoma of the ear. This patient complained with pain and discharging ear, which led us to practice a TC followed by an attico-antrotomy. The pathologist could detect in the removed tissue the neoplasm in its early evolutive stages. In the other case the earache and the suppuration suggested at first a carcinoma. In spite of the TAC and MR exams the surgery that followed was not confirmative of the tumor presence.

[Pneumocephalus as a complication of mastoid surgery]. / Neumoencéfalo como complicación de cirugía de la mastoides.

Non-traumatic otologic diseases are a rare cause of Pneumocephalus. Among them few reports have been published whereas it presented following oto-surgery. The AA. communicate one of those events in a patient who presented with CSF-otorrhea, headache and disorientation after recent radical mastoidectomy. The definitive diagnosis was done by CT-scan imaging. Survey of the scarce literature on the subject, description of the clinical and diagnostic features, its possible physiopathology and surgical management.