RESUMEN
The incidence of tuberculosis has lately increased in developed countries. The most frequent affectation is the pulmonar one and in the ORL area the laryngeal. The lingual affectation is exceptional. We present a case of a man 39 years old, with bilateral pulmonar, left vocal cord and mobile tongue affectation, negative Mantoux, positive spit culture and presence of acido-alcohol resistent bacillus in lingual and laryngeal biopsies. After antituberculosis treatment during 6 months the laryngeal and lingual lesions disappeared. We have only found two cases published of simultaneous tuberculosis in these three localisations in the last 30 years.
Asunto(s)
Enfermedades de la Lengua/complicaciones , Tuberculosis Laríngea/complicaciones , Tuberculosis Pulmonar/complicaciones , Tuberculosis/complicaciones , Pliegues Vocales , Adulto , Antituberculosos/administración & dosificación , Antituberculosos/uso terapéutico , Biopsia , Humanos , Laringe/patología , Masculino , Mycobacterium tuberculosis/aislamiento & purificación , Radiografía Torácica , Factores de Tiempo , Lengua/patología , Enfermedades de la Lengua/tratamiento farmacológico , Enfermedades de la Lengua/microbiología , Enfermedades de la Lengua/patología , Resultado del Tratamiento , Tuberculosis/tratamiento farmacológico , Tuberculosis/microbiología , Tuberculosis Laríngea/tratamiento farmacológico , Tuberculosis Laríngea/microbiología , Tuberculosis Pulmonar/diagnóstico por imagen , Tuberculosis Pulmonar/tratamiento farmacológico , Tuberculosis Pulmonar/microbiologíaRESUMEN
The Ludwig angina is an infection of the base of the mouth and submandibular region, frecuently after a dental extraction or a piece in bad state. When it surpassees the milohioid muscle it extends dissecting the superficial aponeurotic planes, and can evolve to a necrotisant fascitis. We present the case of a 67 years old man with a painful tumefaction of the mouth base and submandibular region. The CT reflected an heterogenous submaxilar lesion that extended by the deep cervical fascia introducing itself in the thorax. Under antibiotic treatment the pus was drained by cervicotomy, with daily cures during 3 weeks.
Asunto(s)
Fascitis Necrotizante/diagnóstico , Fascitis Necrotizante/terapia , Angina de Ludwig/complicaciones , Cuello , Anciano , Fascitis Necrotizante/etiología , Humanos , MasculinoRESUMEN
The vagal nerve paraganglioma is a rare tumor over all the head and neck tumours. It presents with a insidious clinic, appearing usually as a asymptomatic laterocervical mass of low growth pattern. We present a case of a 53 years old woman with a left of painless laterocervical mass that produced cough with the palpation. We pretend to review the most relevant aspects of the diagnosis and treatment of the paraganglioma and therefore include this pathology in the differential diagnosis of laterocervical tumor.
Asunto(s)
Neoplasias de los Nervios Craneales/diagnóstico por imagen , Neoplasias de los Nervios Craneales/patología , Paraganglioma/diagnóstico por imagen , Paraganglioma/patología , Nervio Vago/diagnóstico por imagen , Nervio Vago/patología , Neoplasias de los Nervios Craneales/cirugía , Femenino , Humanos , Imagen por Resonancia Magnética , Persona de Mediana Edad , Paraganglioma/cirugía , Tomografía Computarizada por Rayos X , Nervio Vago/cirugíaRESUMEN
Neurofibroma is a rare pathology on the larynx. We distinguish two types of neurofibromas: plexiform and not plexiform in which the difference is at the cytoarchitectural level. The plexiform type is usually associated to the Von Recklinhausen disease, also know as neurofibromatosis type 1. They usually affect the supraglottic structure, and more frequently they are described in aritenoids, ariepiglottic folds, and posterior commissure. We present a case located at the glottic level of plexiform type, with a postsurgical follow-up of five years. We make a revision of the aethiopathogenesis, evolution and prognostic of these pathology in the bibliography.
Asunto(s)
Neoplasias Laríngeas/patología , Neurofibroma/patología , Adulto , Humanos , Neoplasias Laríngeas/cirugía , Masculino , Neurofibroma/cirugíaRESUMEN
We perform a subcutaneous autograft, in animals with preserved immunity (24 rabbits), of cartilage taken from the auricle, treated with tissue engineering thecnics and embeded in a reabsorbable polimer (Ethisorb) that acts as base. We observed a good quality cartilage with the expression of collagen type II and without graft rejection phenomenon.
Asunto(s)
Materiales Biocompatibles , Cartílago Auricular/trasplante , Poliésteres , Ácido Poliglicólico , Animales , Técnicas de Cultivo , ConejosRESUMEN
Supernumerary nostril is an extremely rare congenital anomaly as a result of aberrant embryological development. Frequently it leads to a narrow cavity; in the end, opening into the nearest nasal cavity or just stops blindly after a short course. It can appear isolated or in association with other anomalies. Treatment is always surgical. We present a case of a triple nostril, associated to a congenital auricular hypoplasia and we also review the existing literature.
Asunto(s)
Nariz/anomalías , Rinoplastia/métodos , Anciano , Femenino , Humanos , Nariz/diagnóstico por imagen , RadiografíaRESUMEN
La «angina de Ludwig» es una infección del suelo de la boca y región submandibular, frecuentemente tras una extracción dental o por una pieza en mal estado. Cuando sobrepasa el músculo milohiodeo se extiende disecando los planos aponeuróticos superficiales, pudiendo evolucionar hacia una fascitis necrotizante. Presentamos el caso de un hombre de 67 años con tumefacción dolorosa del suelo de la boca y región submandibular. La TC reflejaba una lesión heterogénea submaxilar que se extendía por la fascia profunda cervical hasta introducirse en el tórax. Bajo tratamiento antibiótico se drenó el pus mediante cervicotomía, con curas diarias durante 3 semanas
The Ludwig angina is an infection of the base of the mouth and submandibular region, frecuently after a dental extraction or a piece in bad state. When it surpassees the milohioid muscle it extends dissecting the superficial aponeurotic planes, and can evolve to a necrotisant fascitis. We present the case oía 67 years old man with a painful tumefaction of the mouth base and submandibular region. The CT reflected an heterogenous submaxilar lesion that extended by the deep cervical fascia introducing itself in the thorax. Under antibiotic treatment the pus was drained by cervicotomy, with daily cures during 3 weeks
Asunto(s)
Masculino , Anciano , Humanos , Fascitis Necrotizante/etiología , Angina de Ludwig/complicaciones , Infecciones Estreptocócicas/tratamiento farmacológico , Metronidazol/uso terapéutico , Streptococcus constellatus/patogenicidad , Piperacilina/uso terapéuticoRESUMEN
La infección de la herida quirúrgica es la complicación postquirúrgica inmediata más frecuente. Repercute en la morbilidad del paciente así como en la prolongación de la estancia hospitalaria, con el consiguiente aumento en el gasto sanitario. La profilaxis antibiótica reduce de manera significativa la probabilidad de aparición de la infección postquirúrgica. En este artículo pretendemos consensuar una pauta de profilaxis, tras revisar las tendencias actuales (AU)