Assuntos
Síndrome Pós-Flebítica/cirurgia , Transplante de Pele/métodos , Retalhos Cirúrgicos , Adulto , Circulação Colateral/fisiologia , Feminino , Sobrevivência de Enxerto , Humanos , Fluxo Sanguíneo Regional/fisiologia , Transplante de Pele/patologia , Nervo Sural/transplante , Retalhos Cirúrgicos/irrigação sanguínea , Retalhos Cirúrgicos/inervação , Tromboflebite/cirurgia , Resultado do Tratamento , Veias/transplanteRESUMO
A rare case of pilomatrixomas associated with Steinert's disease is reported. The patient had 14 tumors which were surgically excised and analyzed under the microscope. Such association seems to be much more common than in the general population. Besides these patients usually have multiple tumours and a positive familial history. This suggest a predisposition to the appearance of these tumours.
Assuntos
Doenças do Cabelo/complicações , Distrofia Miotônica/complicações , Neoplasias Primárias Múltiplas/complicações , Pilomatrixoma/complicações , Neoplasias Cutâneas/complicações , Adulto , Doenças do Cabelo/patologia , Humanos , Masculino , Neoplasias Primárias Múltiplas/patologia , Pilomatrixoma/patologia , Neoplasias Cutâneas/patologiaRESUMO
Open rhinoplasty is a technique that allows a sharper evaluation of nasal deformities since a visual diagnosis may be done. We present a review of the cases in which an open rhinoplasty was performed in our department in the last five years. Preoperative and postoperative data are recorded in a standardized form in order to facilitate their analysis. The techniques used for each type of nasal deformity (dorsal and basal) are described and the results discussed.
Assuntos
Nariz/cirurgia , Rinoplastia , Adulto , Feminino , Humanos , Masculino , Resultado do TratamentoRESUMO
Liposarcoma is a tumour of mesenchymal origin. Only between 3-8 percent of the total amount of cases are localized in the head and neck. Laryngeal sitting is an extremely rare occurrence. The AA. inform about the case princeps published in the national literature. It deals with an 83-years-old woman presenting a polypoid tumor on the left vocal cord. The diagnosis could be confirmed through immunochemistry which verified the positivity of the proliferative cellularity for vimentine and protein S-100, immunophenotype consistent with liposarcoma. 36 months later the patient, alive, remains tumor-free.
Assuntos
Glote/patologia , Neoplasias Laríngeas/patologia , Lipossarcoma/patologia , Idoso , Feminino , Glote/cirurgia , Humanos , Neoplasias Laríngeas/cirurgia , Lipossarcoma/cirurgiaRESUMO
The pharyngoesophageal diverticulum (Zenker's diverticulum) is a pathology not often found, but it is responsive of dysphagia and other unpleasant ailments experienced for the patients, who generally must be submitted to surgery. The AA. describe the surgical procedure followed at their ENT-Department at Hospital General de Alicante and also some clinic-pathological features verified. Review about the literature on the subject. The conclusion drawn out remark the feasibility and the effectiveness of this method of diverticulectomy associated to the cricopharyngeal myotomy. The dissection is easied introducing strips of gauze into the diverticular sack and retaining the oesophagoscope inside the organ during the procedure.
Assuntos
Divertículo de Zenker/diagnóstico , Idoso , Transtornos de Deglutição/etiologia , Esofagoscopia , Humanos , Laringoscopia , Masculino , Pessoa de Meia-Idade , Divertículo de Zenker/complicações , Divertículo de Zenker/cirurgiaRESUMO
Shallow lesions of the glottis spreading to both sides of the middle line (T1b) have special characteristics under the viewpoint of its resection, because of the neighbourhood of the anterior commissure. Frontal and frontolateral techniques require a reconstructive step in order to avoid synechiae. The AA. report 35 cases with glottis reconstruction following several procedures: skin pedicled flap or epiglottoplasty. As the results almost the totality of the laryngectomees were "cured" after 5 years follow-up, and a high percentage of them free of tracheostomy tube.