[Adaptable radial flap for oropharynx reconstructive microsurgery after oncologic resection]. / Versatilidad del colgajo radial en la reconstrucción microquirúrgica de orofaringe-hipofaringe tras resección oncológica.

The free radial forearm flap has become the most common used flap in recreative head and neck. The tolerable complications rate and also the achievements rate offers one of the best choices in pharynx repair.

[Vertigo in the elderly: otorhinolaryngologic approach]. / Vértigo en la tercera edad: enfoque otorrinolaringológico.

Dizziness is a common but little understood ailment of old people. Its presence is the origin of an important incapacity associated with lack of personal autonomy. Clinical and electronystagmographic findings of aging individuals enduring imbalance and coming to our Department allowed us to accept that those cases in which the cause could be identified it was on clinic data, being of scarce utility the other exams done.

[Usefulness of brain stem auditory evoked potentials]. / Utilidad de potenciales evocados auditivos del tronco cerebral.

The neonates, children under 4 years and patients with central nervous system pathology are a population that need a screening test to estimate the hearing threshold. ABR-test (auditory brainstem response) is a viable and effective tool for identification a hearing impairment.

[Specialized care in pediatric otorhinolaryngological emergencies]. / Asistencia especializada de la urgencia pediátrica otorrinolaringológica.

Emergency care for pediatric patients represents a large proportion of total ENT emergencies so we thought that it might be interesting to know the statistical data from a tertiary hospital. These findings are the basis for planning work and training for future specialists in different fields.

[Auditory brain stem response and child attention deficit hyperactivity disorder]. / PTC y déficit de atención e hiperactividad infantil.

Diagnostic audiological test performed in two children showed remarkable differences between the results of behavioral audiometry and those of auditory evoked response audiometry. The results of neuropsychological evaluation showed attention disorders. It is possible that a response desynchronisation in the auditory pathway may exist in these disorders. Interpretation of ABR findings can be problematic in children with learning disabilities or minimal cerebral dysfunction.

[Multiple primaries of the upper aerodigestive tract, esophagus, and lung]. / Múltiples primarios en vías aerodigestivas superiores, esófago y pulmón.

The existence of multiple primary tumors of the upper aerodigestive tract, esophagus, and lung (UADT-E-L) is related with a common etiopathogenic factor (alcohol-tobacco association). In a review of 43 patients, 6.75% with a UADT-E-L tumor developed another neoplasm, 3.25% at the same site. Nine percent (8.59%) of the tumors were synchronic and 10.85% were metachronic. The most frequent association was larynx-lung. Another neoplasm was detected by physical examination and/or radiology in 44.18% of cases, with a time lapse of less than 3 years in 50%. The most frequent treatment was surgery with/without complementary radiotherapy. The most common stage was T1-T2 (62.06%) and N0-N1 (68.96%). The survival rate was 31% at 2 years and 25% at 3 years.

Múltiples primarios en vías aerodigestivas superiores, esófago y pulmón / Multiple primaries of the upper aerodigestive tract, esophagus, and lung

La existencia de múltiples primarios en vías aerodigestivas superiores, esófago y pulmón (VADS-E-P) se relaciona con un factor etiopatogénico, común (asociación alcohol-tabaco). Revisamos 43 pacientes, el 6,75 por ciento con un tumor de VADS-E-P desarrollan otra neoplasia, en un 3,23 por ciento en estas mismas localizaciones. El 8,59 por ciento de los tumores fueron sincrónicos y el 10,85 por ciento metacrónicos. La asociación más frecuente fue laringe-pulmón. La detección de otra neoplasia fue un hallazgo exploratorio y/o radiológico en un 44,18 por ciento de los casos, siendo el intervalo de tiempo entre las mismas menor de 3 años en un 50 por ciento. El tratamiento más utilizado fue cirugía con/sin radioterapia complementaria. El estadio más frecuente fue TI - T2 (62,06 por ciento) y NO-NI (68,96 por ciento). La supervivencia fue del 31 por ciento a 2 años y del 25 por ciento a 3 años (AU)

The existence of multiple primary tumors of the upper aerodigestive tract, esophagus, and lung (UADT-E-L) is related with a common etiopathogenic factor (alcohol-tobacco association). In a review of 43 patients, 6.75% with a UADT-E-L tumor developed another neoplasm, 3.25% at the same site. Nine percent (8.59%) of the tumors were synchronic and 10.85% were metachronic. The most frequent association was larynx-lung. Another neoplasm was detected by physical examination and/or radiology in 44.18% of cases, with a time lapse of less than 3 years in 50%. The most frequent treatment was surgery with/without complementary radiotherapy. The most common stage was T1-T2 (62.06%) and N0-N1 (68.96%). The survival rate was 31% at 2 years and 25% at 3 years (AU)