[Pseudohypertrophy of the ventricular bands due to deformation of the thyroid cartilage]. / Pseudohipertrofia de bandas ventriculares por deformación del cartílago tiroides.

Hoarseness due to phonation by the false cords (dysphonia plicae ventricularis) is a common cause of functional dysphonia, in relation to excessive muscular tension in the larynx area. Nevertheless, a mechanic cause can be observed in some cases with dysphonia plicae ventricularis, which is usually due to deformation of the thyroid cartilage. We report a case with hypertrophy of the ventricular bands which was treated by vocal rehabilitation followed by suspension laryngoscopy with partial removal of the ventricular bands, without further improvement. This failure was related to a pseudohypertrophy of the ventricular bands, due to deformation of the thyroid cartilage, which was confirmed by computed tomography.

Otalgia como presentación de tuberculosis primaria de nasofaringe / Otalgia as presentation of primary nasopharinx tuberculosis

Presentamos una paciente de 63 años que padecía otalgia izquierda de más de seis meses de evolución. A la exploración, la otoscopia era normal, mientras que la fibroscopia nasal demostró una asimetría en la nasofaringe. La TC confirmó la presencia de una masa nasofaríngea izquierda. Se realizó una exéresis endoscópica de la lesión nasofaríngea. La anatomía patológica demostró una granulomatosis necrotizante, aunque no fue posible hallar bacilos ácido-alcohol resistentes. Se consideró el diagnóstico de tuberculosis nasofaríngea. Tras 36 meses de seguimiento, la endoscopia nasal y la TC no demuestran signos de recidiva. La discusión se centra en la inclusión de la patología nasofaríngea en el diagnóstico diferencial de las otalgias, el diagnóstico histopatológico de los granulomas y la indicación de tratamiento antituberculoso en casos limitados de tuberculosis extrapulmonar

We report a case of a 63 year-old woman who presented with left otalgia during more than six months. On examination, otoscopy was normal, whereas flexible nasopharyngoscopy revealed an asymmetry in the nasopharynx. CT scans confirmed the presence of a left nasopharyngeal mass. A transnasal endoscopic removal of the nasopharyngeal lesion was performed. Necrotizing granulomatosis was found. Tuberculosis of the nasopharynx was considered the final diagnosis, but oral treatment was not started. After 36 months of follow-up, nasal endoscopy and CT images show no sign of recurrence. Discussion is focused on the inclusion of nasopharyngeal diseases in otalgia differential diagnosis, histopathological diagnosis of granulomas and the need of any further treatment for these limited cases of extrapulmonary tuberculosis

Pseudohipertrofia de bandas ventriculares por deformación del cartílago tiroides / Pseudohypertrophy of the ventricular bands due to deformation of the thyroid cartilage

La disfonía por hipertrofia de las bandas ventriculares (disfonia plicae ventricularis) es una causa frecuente de disfonía funcional, relacionada con una tensión muscular excesiva en la región laríngea. Sin embargo, en algunos pacientes puede objetivarse una causa mecánica para dicha disfonía funcional por hipertrofia de bandas, que suele tratarse de una deformidad del cartílago tiroides. Presentamos un caso de hipertrofia de bandas ventriculares que fue tratado mediante foniatría, seguida de laringoscopia directa y microcirugía endolaríngea, con exéresis parcial de las mismas, sin mejoría. Dicho fracaso estaba en relación con una pseudohipertrofia de bandas por deformidad del cartílago tiroides, que fue confirmada en tomografia computarizada

Hoarseness due to phonation by the false cords (dysphonia plicae ventricularis) is a common cause of functional dysphonia, in relation to excessive muscular tension in the larynx area. Nevertheless, a mechanic cause can be observed in some cases with dysphonia plicae ventricularis, which is usually due to deformation of the thyroid cartilage. We report a case with hypertrophy ofthe ventricular bands which was treated by vocal rehabilitation followed by suspension laryngoscopy with parti al removal of the ventricular bands, without further improvement. This failure was related to a pseudohypertrophy ofthe ventricular bands, due to deformation of the thyroid cartilage, which was confirmed by computed tomography

[Otalgia as presentation of primary nasopharynx tuberculosis]. / Otalgia como presentación de tuberculosis primaria de nasofaringe.

We report a case of a 63-year-old woman who presented with left otalgia during more than six months. On examination, otoscopy was normal, whereas flexible nasopharyngoscopy revealed an asymmetry in the nasopharynx. CT scans confirmed the presence of a left nasopharyngeal mass. A transnasal endoscopic removal of the nasopharyngeal lesion was performed. Necrotizing granulomatosis was found. Tuberculosis of the nasopharynx was considered the final diagnosis, but oral treatment was not started. After 36 months of follow-up, nasal endoscopy and CT images show no sign of recurrence. Discussion is focused on the inclusion of nasopharyngeal diseases in otalgia differential diagnosis, histopathological diagnosis of granulomas and the need of any further treatment for these limited cases of extrapulmonary tuberculosis.