RESUMO
Cholesteatoma in children presents characteristics that differentiate it from the adult condition. Surgery has been performed in 55 ears. The main reason for referral was otorrhoea (83 per cent), either alone (29 per cent) or with hearing loss (54 per cent). Apart from three cases with an intact eardrum, a perforation was always present mostly posterior-superior (50 per cent). Open techniques were performed in 27.3 per cent of the ears and the closed technique in 72.7 per cent. Only in 18 per cent of cases was the ossicular chain normal and mobile. The attic was occupied by cholesteatoma in 79 per cent. Recurrence took place in 37 per cent and 13 per cent of the closed and open techniques respectively. Open techniques tend to be employed in the presence of extensive disease, whereas the closed technique is reserved for those with a more localized problem.
Assuntos
Colesteatoma/cirurgia , Otopatias/cirurgia , Orelha Média/cirurgia , Adolescente , Criança , Pré-Escolar , Feminino , Seguimentos , Humanos , Masculino , Recidiva , Membrana Timpânica/cirurgiaRESUMO
In the paper the AA. introduce their experience and the results obtained with the use of an homograft (a cast of fascia treated with formaldehyde) in order to repair tympanic membrane perforations. They discuss the anatomical and functional results.
Assuntos
Orelha Média , Fáscia/transplante , Miringoplastia/métodos , Timpanoplastia/métodos , Adolescente , Adulto , Criança , Otopatias/cirurgia , Feminino , Seguimentos , Formaldeído , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
The AA. inform about 8 patients suffering from congenital cholesteatoma of the tympanomastoidal cleft. They underline the difficulties for achieving a correct diagnosis when the eardrum remains intact and remark the need to keep in mind this process for differential diagnosis of the conductive hypoacusis in childhood. As a matter of fact the AA. emphasize the few cases of recurrences after surgery, in contrast with that of relapses in child's acquired cholesteatoma.
Assuntos
Colesteatoma/congênito , Orelha Média , Adolescente , Adulto , Audiometria , Criança , Pré-Escolar , Colesteatoma/complicações , Colesteatoma/diagnóstico , Otopatias/complicações , Otopatias/congênito , Otopatias/diagnóstico , Feminino , Perda Auditiva Condutiva/diagnóstico , Perda Auditiva Condutiva/etiologia , Humanos , MasculinoRESUMO
In 50 patients (32 females and 18 males) with otosclerosis who underwent stapedectomy, a cytogenetic study of chromosomal abnormalities was made. No description of G banding in patients with otosclerosis was found in the literature. No chromosomal abnormalities were found in the karyotype using this technique.
Assuntos
Otosclerose/cirurgia , Aberrações Cromossômicas/diagnóstico , Transtornos Cromossômicos , Feminino , Humanos , Cariotipagem , Masculino , Fatores Sexuais , Cirurgia do EstriboRESUMO
Fifty patients (32 women, 18 men) who underwent stapedectomy [FISCH, V. (1), 1982] for otosclerosis were studied. Histo-compatibility antigens were typed in all patients using the microlymphocytic test to determine antigens of the HLA system loci A and B. Statistical comparison of results with those obtained in a control group of 339 persons without otosclerosis showed that otosclerosis has a genetic HLA-related component.
Assuntos
Antígenos HLA/genética , Otosclerose/genética , Cromossomos Humanos Par 6 , Feminino , Histocompatibilidade , Humanos , Masculino , Otosclerose/cirurgia , Cirurgia do EstriboRESUMO
In this paper we present a follow up of 24 patients that underwent total laryngectomy with Herrmann's technique of phonatory voice prosthesis. We discuss the complications and the facts that provoqued the removal of the prosthesis.
Assuntos
Carcinoma/cirurgia , Neoplasias Laríngeas/cirurgia , Laringectomia/métodos , Laringe Artificial , Complicações Pós-Operatórias , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
In this paper we introduce our experience dealing with phonatory prosthesis in laryngectomees (secondary technique). We comment about clinical evolution, results and complications.
Assuntos
Laringectomia/reabilitação , Laringe Artificial , Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Falha de Prótese , Fatores de TempoRESUMO
We report three cases of ceruminoma seen in our department over a 1-year period and review the neoplasms of the ceruminous glands. According to the Welti classification, our three cases were ceruminous adenocarcinomas. Based on existing literature, ceruminous adenocarcinoma is the least frequent neoplasm of the ceruminous glands.
Assuntos
Adenocarcinoma/patologia , Neoplasias da Orelha/patologia , Orelha Externa/patologia , Orelha Média/patologia , Idoso , Neoplasias da Orelha/ultraestrutura , Orelha Externa/ultraestrutura , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Invasividade NeoplásicaRESUMO
A group of 122 patients that underwent a total laryngectomy and phonatory prosthesis surgery are evaluated after five years follow up. We compared three different techniques. 1) Herrmann technique; 2) total laryngectomy and inferior pharyngeal constrictor myotomy, and 3) classic total laryngectomy. Failures and complications are analyzed. A functional evaluation of the patients is made by means of oesophageal manometry and pharyngo-oesopyhageal isotopic transport. Voice quality is assessed in each group. As a conclusion inferior pharyngeal constrictor myotomy is very positively evaluated.