[Horizontal supraglottic laryngectomy. Study on 41 operated cases between 1989-1996 in La Rioja]. / Laringectomía horizontal supraglótica. Un estudio de 41 casos intervenidos en La Rioja en el período 1989-1996.

The AA. conduct a retrospective study done with 41 patients operated upon and followed up at the Otolaryngological Department of San Millán y San Pedro Hospital complex, Logroño, between 1989 and 1996. Horizontal supraglottic laryngectomy was the performed surgery, and patients classified in stages I, II, III or IV. The fundamentals of this procedure the oncologic and functional results as well and the survival rate are analysed. Four points are stressed: 1st. The descent of the base of the tongue eases the postoperative swallow. 2nd. The survival shows that recurrences like lymph nodes metastases are the best prognostic factor, with an OR of 2.61. 3rd. More advanced stages have less survival tendency. 4th. The excellence of this technique is evident, having had only one case of local recurrence in our series resolved through totalization of the laryngectomy.

[Mastoid osteosarcoma]. / Osteosarcoma de mastoides.

A case of osteogenic sarcoma of the mastoid region of the temporal bone in a 28-year-old male is reported. The rarity of the site is emphasized and the fundamental clinical and therapeutic features are discussed. The literature is reviewed.

[Microbiological study of the nasopharynx]. / Estudio microbiológico de la nasofaringe.

A microbiological study of the posterior wall of the nasopharynx have been carried out in 90 children subjected to adenoidectomy by chronically hypertrophied and infected adenoids. Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pyogenes and Staphylococcus aureus are the most important pathogens responsible for upper respiratory tract infection. Adenoidectomy produces a physiological effect on the nasopharyngeal microflora by converting an abnormal flora into a nearly normal one. It has been found out that there is a relation between nasopharyngeal pathogens and the seasonal periods, showing a decrease in summer.

[A pharyngolaryngeal cancer study in the Autonomous Community of La Rioja]. / Estudio del cáncer faringolaríngeo en la Comunidad Autónoma de La Rioja.

It has been studied the pharyngolaryngeal cancer in La Rioja region, Spain, about a population of 300,000. It has been commented on its frequency, distribution according to age-sex, alcohol-tobacco and evolution-recovery.

[A further case of fibrous dysplasia]. / Un nuevo caso de displasia fibrosa.

A case of facial fibrous dysplasia involving maxillary, malar and sphenoid in a nineteen year old woman is presented. It is reported the scarcity of this disease in our country. It is emphasized to discard a disseminated pattern of the disease. A modelling removal was successful in the correction of the facial deformity.

[Laryngopyocele: apropos a case with onset as acute respiratory insufficiency]. / Laringopiocele: a proposito de un caso que debuto con insuficiencia respiratoria aguda.

Report of an unwonted case of laryngopyocele because of its presentation. The patient came into Hospital suffering from acute laryngeal dyspnea, which made us to carry out an urgent tracheotomy. Afterwards a direct laryngoscopy discovered a large tumor, covered by a mucosa of normal appearance, blocking the laryngeal inlet. The laryngopyocele was confirmed by thyrotomy after the previous direct laryngoscopy awaken the suspicious either a malignant grown or a cancer with a laryngocele association.