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1.
Rhinology ; 33(2): 89-92, 1995 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-7569660

RESUMEN

In terms of functional treatment of sinonasal pathologies, endoscopic surgery represents a spectacular advance, offering excellent illumination, views of areas previously impossible to monitor, and the ability to view the main reference points in the surgical field. Over a five-year period (1988-1993), the authors have performed 278 paranasal sinus operations, using endoscopic techniques. The results obtained in 250 patients, with a minimum follow-up period of one year, have been analyzed. The criteria of assessment used include: self-assessment by the patient and the surgeon's assessment, made on basis of the endoscopic data. The best results were obtained in cases of antrochoanal polyps, polyposis not associated with asthma or acetylsalicylic acid (ASA) sensitivity, circumscribed chronic sinusitis, and aspergillomas. The worst results, with a high rate of recurrence, have been obtained with ASA sensitivity and chronic suppurative pan-sinusitis. It is essential to reach a consensus on the staging of polyposis so that treatment can be monitored adequately, even though, in itself, the pathology is difficult to classify as it can vary in a single patient for no apparent reason. On the other hand, there is a difference between the subjective and objective assessment of the condition, and this makes it even harder to explain the results obtained.


Asunto(s)
Endoscopía/estadística & datos numéricos , Pólipos Nasales/cirugía , Senos Paranasales/cirugía , Sinusitis/cirugía , Humanos , Complicaciones Posoperatorias/epidemiología , Reoperación/estadística & datos numéricos
2.
An Otorrinolaringol Ibero Am ; 25(3): 291-310, 1998.
Artículo en Español | MEDLINE | ID: mdl-9658668

RESUMEN

One hundred and ten adult patients suffering from peripheral vertigo were treated in a multifactorial double-blind randomized clinical trial with dotarizine (50 mg b.i.d.) or cinnarizine (75 mg b.i.d.). There was a 60 days clinical follow-up. Results showed that dotarizine was significantly active against the vertigo attacks and its associated symptoms (mainly neurovegetative). The global superiority of dotarizine was confirmed by statistically significant differences between treatments in the improvement of the severity of vertigo, hearing loss in audiometries, global relief of symptoms, disability produced by crises and global assessment by the investigators themselves. No clinically significant unwanted effects were seen in either group on blood pressure, heart rate or analytical parameters. No serious adverse effects to dotarizine were reported. This study confirms the value of dotarizine in the treatment of peripheral vertigo.


Asunto(s)
Compuestos de Bencidrilo/uso terapéutico , Bloqueadores de los Canales de Calcio/uso terapéutico , Cinarizina/uso terapéutico , Antagonistas de los Receptores Histamínicos H1/uso terapéutico , Piperazinas/uso terapéutico , Antagonistas de la Serotonina/uso terapéutico , Vértigo/tratamiento farmacológico , Enfermedad Aguda , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Método Doble Ciego , Femenino , Humanos , Masculino , Persona de Mediana Edad , Resultado del Tratamiento
3.
Acta Otorrinolaringol Esp ; 46(1): 27-9, 1995.
Artículo en Español | MEDLINE | ID: mdl-7734160

RESUMEN

The middle turbinate and its anatomical variations (concha bullosa and paradoxically bent middle turbinate) may be the site of different pathologies due to the alteration of the sinus function at the key area of the osteomeatal complex. In the present work we study 4 cases of concha bullosa and 4 cases of paradoxically bent middle turbinates, associated to recurrent sinusitis and/or headaches, which underwent endoscopic surgery. Improvement was achieved in all recurrent circumscribed sinusitis. One of the patients with bilateral paradoxically bent middle turbinate had an associated pansinusitis, and he only improved in his right side. An aspergilloma was found inside one of the conchae bullosae. Headaches improved in all the cases analyzed. Anatomic variations may be the cause of recurrent sinusal pathology or isolated headaches and it should be noted that, in correctly selected groups, a dramatic improvement can be achieved with a minor surgical procedure on the middle turbinate or ethmoidal infundibulum.


Asunto(s)
Sinusitis/etiología , Cornetes Nasales , Adolescente , Adulto , Aspergilosis/complicaciones , Niño , Endoscopía , Femenino , Cefalea/etiología , Humanos , Masculino , Enfermedades Nasales/complicaciones , Sinusitis/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Cornetes Nasales/diagnóstico por imagen , Cornetes Nasales/cirugía
4.
Acta Otorrinolaringol Esp ; 41(2): 136-8, 1990.
Artículo en Español | MEDLINE | ID: mdl-2390298

RESUMEN

We present a case of squamous cell carcinoma of the lip with metástasis to the mandible and meningeal involvement causing multiple cranial nerve palsies. Biopsy proven metástasis to the mandible was demonstrated. Studies of CT scan of the head were negative. Extension through perineural space have been speculated.


Asunto(s)
Carcinoma de Células Escamosas/secundario , Neoplasias de los Labios/complicaciones , Neoplasias Mandibulares/secundario , Neoplasias Meníngeas/secundario , Carcinoma de Células Escamosas/complicaciones , Parálisis Facial/etiología , Humanos , Masculino , Persona de Mediana Edad , Parálisis/etiología , Nervio Trigémino
5.
Acta Otorrinolaringol Esp ; 41(1): 35-8, 1990.
Artículo en Español | MEDLINE | ID: mdl-2337481

RESUMEN

Inverted papilloma is a papillar lesion of the nasal cavity and paranasal sinuses that arise from the Schneiderian membrane. This tumor has a high rate of local recurrence. We present a review of 10 cases of inverted papilloma of the nose and paranasal sinuses. A review of the literature is done.


Asunto(s)
Papiloma/patología , Neoplasias de los Senos Paranasales/patología , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neoplasias Nasales/patología
6.
Acta Otorrinolaringol Esp ; 40(5): 345-8, 1989.
Artículo en Español | MEDLINE | ID: mdl-2631895

RESUMEN

We report the anatomical and functional results of 156 myringoplasty; 134 with onlay surgical technique and 22 with underlay technique. We comment the climatologic of our area and its relation with the surgical failures.


Asunto(s)
Miringoplastia/métodos , Complicaciones Posoperatorias/fisiopatología , Adolescente , Adulto , Anciano , Niño , Femenino , Humanos , Masculino , Persona de Mediana Edad , Rotura Espontánea , Estaciones del Año , España , Colgajos Quirúrgicos , Membrana Timpánica
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