Afectación subgaleal secundaria del linfoma de células del manto / Secondary presentation of mantle cell lymphoma in the subgaleal layer of the scalp

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Deformidad de Mondini en un caso de síndrome de Turner. Un hallazgo radiológico / Mondini deformity in a case of Turner syndrome. A radiological finding

El síndrome de Turner (ST) es la anomalía cromosómica sexual más frecuente enseres humanos y en más de la mitad de las mujeres afectadas por este síndrome se ha documentado hipoacusia neurosensorial progresiva. Aunque la deformidad de Mondini es la malformación coclear más frecuentemente identificada en otros síndromes polimalformativos, raramente se ha descrito en el síndrome de Turner. Presentamos el caso de una mujer de 32 años con ST que consultó por hipoacusia neurosensorial bilateral progresiva. La tomografía computarizada de oídos demostró una deformidad de Mondini bilateral (AU)

Turner syndrome (TS) is the human being’s most frequent sex chromosome abnormality. Progressive sensorineural hearing loss is documented in more than 50% of the women affected by this syndrome. Although Mondini defect is the cochlear congenital malformation most frequently identified in other polymalformative syndromes, it has rarely been reported in TS. We describe the case of a 32-year-old woman with TS who presented progressive sensorineural hearing loss. The computed tomography of the ears showed bilateral Mondini deformity (AU)

Mondini deformity in a case of Turner syndrome. A radiological finding.

Turner syndrome (TS) is the human being's most frequent sex chromosome abnormality. Progressive sensorineural hearing loss is documented in more than 50% of the women affected by this syndrome. Although Mondini defect is the cochlear congenital malformation most frequently identified in other polymalformative syndromes, it has rarely been reported in TS. We describe the case of a 32-year-old woman with TS who presented progressive sensorineural hearing loss. The computed tomography of the ears showed bilateral Mondini deformity.

[Clinical significance of unilateral tonsillar enlargement]. / Significación clínica de la asimetría amigdalina.

INTRODUCTION: Asymptomatic unilateral tonsillar enlargement is usually treated with systematic tonsillectomy under suspicion of malignancy. Due to the fact that most of the cases are benign pathologies, we set out to study the clinical signs that would help us in the diagnosis in order to avoid unnecessary tonsillectomies. MATERIAL AND METHODS: We reviewed 267 tonsillectomies performed from 1996 to 2006 and 30 of these were indicated because of asymmetry. We evaluated risk factors for malignancy: cervical lymphatic node enlargement, sex, age, tonsillar enlargement noticed by the patient, suspicious appearance, systemic symptoms, history of malignancy and immunocompromise. RESULTS: Histopathologic study revealed 80 % to be benign and 20 % malignant. The risk factors with the strongest association were enlargement of cervical lymphatic nodes and suspicious appearance of the tonsil. CONCLUSIONS: Strict control of a unilateral tonsillar enlargement is possible, but it is mandatory to perform a tonsillectomy when the appearance of the tonsil raises suspicions or there are enlarged lymphatic nodes.

Significación clínica de la asimetría amigdalina / Clinical significance of unilateral tonsillar enlargement

Introducción: El aumento unilateral asintomático de una amígdala palatina suele tratarse con amigdalectomía sistemática por sospecha de malignidad. Ante la mayor frecuencia de procesos benignos, se estudian datos clínicos que puedan servir como factores de riesgo para evitar amigdalectomías innecesarias. Material y métodos: Se revisan 267 amigdalectomías realizadas entre 1996 y 2006, de las cuales 30 se indicaron por asimetría. Se valoran factores de riesgo, como adenopatías, ser varón, mayor de 45 años, detección por el mismo paciente, aspecto sospechoso, clínica sistémica, historia de malignidad e inmunodeficiencia. Resultados: El resultado anatomopatológico fue de proceso benigno en el 80 % de los casos y maligno, en el 20 %. Los factores de riesgo que muestran mayor relación con malignidad son las adenopatías y el aspecto sospechoso.C onclusiones: Se puede realizar control estricto ante una asimetría amigdalina, aunque cuando hay factores de riesgo debemos indicar amigdalectomía (AU)

Introduction: Asymptomatic unilateral tonsillar enlargement is usually treated with systematic tonsillectomy under suspicion of malignancy. Due to the fact that most of the cases are benign pathologies, we set out to study the clinical signs that would help us in the diagnosis in order to avoid unnecessary tonsillectomies. Material and methods: We reviewed 267 tonsillectomies performed from 1996 to 2006 and 30 of these were indicated because of asymmetry. We evaluated risk factors for malignancy: cervical lymphatic node enlargement, sex, age, tonsillar enlargement noticed by the patient, suspicious appearance, systemic symptoms, history of malignancy and immune compromise. Results: Histopathologic study revealed 80 % to be benign and 20 % malignant. The risk factors with the strongest association were enlargement of cervical lymphatic nodes and suspicious appearance of the tonsil. Conclusions: Strict control of a unilateral tonsillar enlargement is possible, but it is mandatory to perform a tonsillectomy when the appearance of the tonsil raises suspicions or there are enlarged lymphatic nodes (AU)

[First-bite syndrome]. / El síndrome del primer mordisco.

First-bite syndrome consists of the appearance of pain in the parotid at the beginning of mastication, due to damage to the cervical sympathetic chain or the sympathetic plexus innervating the parotid gland. Clinical presentation in a patient who has undergone surgery of the parapharyngeal space suggests the diagnosis. We report here the case of a patient who presented first-bite syndrome after being operated on for a cervical sympathetic chain schwannoma.

El síndrome del primer mordisco / First-bite syndrome

El síndrome del primer mordisco consiste en la aparición de dolor en la parótida al inicio de la masticación, por lesión de la cadena simpática cervical o del plexo simpático que inerva la parótida. El diagnóstico es fundamentalmente clínico en un paciente con antecedentes de cirugía del espacio parafaríngeo. Presentamos un paciente con síndrome del primer mordisco tras ser intervenido de schwannoma del simpático cervical(AU)

First-bite syndrome consists of the appearance of pain in the parotid at the beginning of mastication, due to damage to the cervical sympathetic chain or the sympathetic plexus innervating the parotid gland. Clinical presentation in a patient who has undergone surgery of the parapharyngeal space suggests the diagnosis. We report here the case of a patient who presented first-bite syndrome after being operated on for a cervical sympathetic chain schwannoma(AU)

[The silent sinus syndrome]. / Síndrome del seno silente.

The silent sinus syndrome is a very infrequent pathology. It is described as an enophthalmos secondary to collapse and opacification of maxillary sinus without presenting sinus or nasal symptoms. Osteomeatal complex obstruction is the triggering physiopathologic factor. The clinical symptoms and imaging findings lead to the diagnosis. The treatment consists in restoring sinus ventilation and, if necessary, correcting the orbital floor. We report a case of a woman who was diagnosed and treated because of this entity in our hospital.

Síndrome del seno silente / The silent sinus syndrome

El síndrome del seno silente es una afección muy poco frecuente. Se describe como un enoftalmos unilateral secundario a colapso y opacificación del seno maxilar sin síntomas nasosinusales. La obstrucción del complejo osteomeatal es el factor fisiopatológico desencadenante. El diagnóstico se basa en los hallazgos clínicos y radiológicos. El tratamiento irá dirigido a restablecer la ventilación del seno y, si es necesario, corregir el suelo orbitario. Presentamos el caso de una mujer diagnosticada y tratada en nuestro hospital por esta entidad

The silent sinus syndrome is a very infrequent pathology. It is described as an enophthalmos secondary to collapse and opacification of maxillary sinus without presenting sinus or nasal symptoms. Osteomeatal complex obstruction is the triggering physiopathologic factor. The clinical symptoms and imaging findings lead to the diagnosis. The treatment consists in restoring sinus ventilation and, if necessary, correcting the orbital floor. We report a case of a woman who was diagnosed and treated because of this entity in our hospital

Estado actual del tratamiento de la otoesclerosis / No disponible

Los autores realizan una revisión bibliográfica de la literaturareciente sobre el tratamiento de la otoesclerosis.Se comprueba que la idea inicial de Shea al realizar laprimera platinectomía hasta hoy no ha variadosustancialmente. Se analizan algunos aspectos frecuentementesometidos a debate, como el tratamiento médico,la edad ideal para realizar la intervención quirúrgica,la posibilidad de cirugía ambulatoria. En el aspecto técnicose analiza la literatura actual de la estapedectomíatotal, parcial y la estapedotomía, los medios para realizarla platinotomía, los diferentes tipos de prótesis y eldenominado sellado de la ventana oval. Por último seestudian algunas técnicas menos habituales como la conservacióndel tendón del estribo o la estapedotomía desdeel mango del martillo

The authors do a bibliographic review on the recent articlesabout otosclerosis treatment. It is verified that Shea's initialidea of the first platinectomy hasn't been changedsignificantly to date. They analize some different aspectsoften discussed: the medical treatment, the best age toperform the surgery, the outpatient-surgery management.They review some articles about technical aspects focusingon total and partial stapedectomy, stapedotomy, thedifferent means to do the platinectomy, the several typesof prosthesis used, and the so-called oval window seal.Finally they analize several infrequent techniques asstapedius tendon preservation and malleostapedotomy