Recién nacido con úlcera de Bednar / Bednar's aphthae in newborn

La descripción de la ulcera de Bednar es escasa en la literatura actual. Se ha relacionado con el efecto traumático de la tetina del biberón y/o chupetes no ortodóncicos durante la lactancia. Presentamos a un recién nacido de 20 días de vida que acudió a Urgencias por irritabilidad y se asoció, como único hallazgo al momento de la exploración física, dos úlceras bucales. Describimos la presentación clínica, la evolución y el tratamiento. La normalidad de las pruebas complementarias, las características clínicas y la evolución condujeron al diagnóstico de úlcera de Bednar.

The description of the Bednar's ulcer is uncommon in the current literature. It has been associated with the traumatic effect of the bottle's nipple and/or no orthodontic soothers while breastfeeding. We present a newborn of 20 days of life attended at the emergency room for irritability, with the only finding on physical examination of two oral ulcers. We describe the clinical presentation, evolution and treatment. The normality of the diagnostic test, clinical characteristics and evolution lead to the diagnosis of Bednar's ulcer.

[Bednar's aphthae in newborn]. / Recién nacido con úlcera de Bednar.

The description of the Bednar's ulcer is uncommon in the current literature. It has been associated with the traumatic effect of the bottle's nipple and/or no orthodontic soothers while breastfeeding. We present a newborn of 20 days of life attended at the emergency room for irritability, with the only finding on physical examination of two oral ulcers. We describe the clinical presentation, evolution and treatment. The normality of the diagnostic test, clinical characteristics and evolution lead to the diagnosis of Bednar´s ulcer.

La descripción de la úlcera de Bednar es escasa en la literatura actual. Se ha relacionado con el efecto traumático de la tetina del biberón y/o chupetes no ortodóncicos durante la lactancia. Presentamos a un recién nacido de 20 días de vida que acudió a Urgencias por irritabilidad y se asoció, como único hallazgo al momento de la exploración física, dos úlceras bucales. Describimos la presentación clínica, la evolución y el tratamiento. La normalidad de las pruebas complementarias, las características clínicas y la evolución condujeron al diagnóstico de úlcera de Bednar.

[Surgical complications in salvage surgery of patients with head and neck carcinomas treated with concomitant chemoradiotherapy (CCR)]. / Complicaciones quirúrgicas en la cirugía de rescate de pacientes con carcinomas de cabeza y cuello tratados con quimioterapia y radioterapia concomitantes.

INTRODUCTION: One way of treating head and neck carcinomas is using concomitant chemoradiotherapy (CCR). In this study we will try to evaluate the incidence of complications in rescue surgery after CCR. MATERIAL AND METHOD: We have studied data from 103 patients diagnosed as having stage III or IV squamous head and neck carcinoma between 1997 and 2005. They were treated following two different CCR protocols. RESULTS: Of the 103 patients, 26 (25 %) required rescue surgery. Eight patients in this group (30.76 % of those operated on) presented complications. The average stay in our department was 52.8 days (7-197 days). CONCLUSIONS: Patients treated with CCR who have needed rescue surgery apparently have a higher rate of complications and a longer stay than those treated with surgery alone.

Complicaciones quirúrgicas en la cirugía de rescate de pacientes con carcinomas de cabeza y cuello tratados con quimioterapia y radioterapia concomitantes / Surgical complications in salvage surgery of patients with head and neck carcinomas treated with concomitant chemoradiotherapy (CCR)

Introducción: Una de las modalidades de tratamiento de los carcinomas epidermoides de cabeza y cuello es con radioterapia y quimioterapia concomitantes (RQC). En este estudio se intentará evaluar la incidencia de complicaciones que presenta la cirugía de rescate tras la realización de RQC. Material y método: Se ha estudiado los datos de 103 pacientes diagnosticados de carcinoma epidermoide de cabeza y cuello en estadios III y IV tratados entre 1997 y 2005. Se los trató siguiendo dos protocolos distintos de RQC. Resultados: De los 103 pacientes, requirieron cirugía de rescate 26 (25 %). Dentro de este grupo presentaron complicaciones 8 pacientes (el 30,76 % de los intervenidos). La estancia media en el servicio de otorrinolaringología fue de 52,8 (7-197) días. Conclusiones: Los pacientes que han recibido RQC y han necesitado cirugía de rescate posteriormente presentan una aparente mayor tasa de complicaciones, así como un ingreso más prolongado, que aquellos en quienes inicialmente se opta por la cirugía

Introduction: One way of treating head and neck carcinomas is using concomitant chemoradiotherapy (CCR). In this study we will try to evaluate the incidence of complications in rescue surgery after CCR. Material and method: We have studied data from 103 patients diagnosed as having stage III or IV squamous head and neck carcinoma between 1997 and 2005. They were treated following two different CCR protocols. Results: Of the 103 patients, 26 (25 %) required rescue surgery. Eight patients in this group (30.76 % of those operated on) presented complications. The average stay in our department was 52.8 days (7-197 days). Conclusions: Patients treated with CCR who have needed rescue surgery apparently have a higher rate of complications and a longer stay than those treated with surgery alone

Necrosis lingual secundaria a la trombosis carotídea bilateral tras radioterapia / Necrosis of the tongue secondary to bilateral carotid thrombosis after radiotherapy

La necrosis de la lengua es un proceso excepcional porque está altamente vascularizada gracias a las arterias linguales izquierda y derecha. Sin embargo, no existe una marcada anastomosis entre ambas linguales salvo en la punta y la base linguales. Se presenta el caso de un paciente con una gran lesión necrótica en el dorso lingual por una trombosis carotídea externa bilateral, consecuencia de una radioterapia años antes

Necrosis of the tongue is an atypic process, because it has a high irrigation that depends of the right and left lingual arteries. But, there isn't a good anastomosis between both arteries except in the tip and the tongue base. We focus on an exceptional case report about a patient that presented a great necrotic lesion in the middle of the tongue due to a bilateral external carotid trombosis, because of a radiation therapy some years before

[Necrosis of the tongue secondary to bilateral carotid thrombosis after radiotherapy]. / Necrosis lingual secundaria a la trombosis carotídea bilateral tras radioterapia.

Necrosis of the tongue is an atypic process, because it has a high irrigation that depends of the right and left lingual arteries. But, there isn't a good anastomosis between both arteries except in the tip and the tongue base. We focus on an exceptional case report about a patient that presented a great necrotic lesion in the middle of the tongue due to a bilateral external carotid thrombosis, because of a radiation therapy some years before.