ABSTRACT
OBJECTIVE: To compare the pre-operative and post-operative clinical symptoms in patients diagnosed as having hyperparathyroidism and given surgical treatment, in order to prove the existence of statistically significant improvement. MATERIAL AND METHOD: We report here a retrospective study performed on 120 consecutive patients operated on following diagnosis of hyperparathyroidism between 1990 and 2003. RESULTS: Nephrolithiasis, generalized bone pain and HBP were the most common clinical manifestations. Primary hyperparathyroidisms represented 76.7 %, while secondary ones were 20.8 % and 2.5 % were tertiary. We carried out 85 adenoma removals, 30 sub-total and 5 total parathyroidectomies. We only encountered one case of recurrent palsy and about 25 % of hypocalcemias (2 of them permanent). Osteoarticular pathology and nephrolithiasis suffered by our patients clearly improved after surgery (P< .01) after 2 years of follow-up. There was no significant improvement in HBP, digestive and psychiatric pathology or pruritus. CONCLUSIONS: The improvement in quality of life for most of the patients operated on for this condition amply justifies parathyroidectomy by an experienced otolaryngology team.
Subject(s)
Hyperparathyroidism/diagnosis , Hyperparathyroidism/surgery , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Retrospective Studies , Treatment Outcome , Young AdultABSTRACT
Objetivo: Comparar los síntomas clínicos preoperatorios y postoperatorios en pacientes diagnosticados de hiperparatiroidismo y sometidos a tratamiento quirúrgico, para comprobar si se produce mejoría estadísticamente significativa. Material y método: Estudio retrospectivo realizado sobre 120 pacientes consecutivos intervenidos con diagnóstico de hiperparatiroidismo entre 1990 y 2003. Resultados: La litiasis renal, los dolores óseos generalizados y la hipertensión fueron las manifestaciones clínicas más frecuentes. El 76,7 % eran hiperparatiroidismos primarios; el 20,8 %, secundarios y el 2,5 %, terciarios. Se practicaron 85 resecciones de adenoma, 30 paratiroidectomías subtotales y 5 paratiroidectomías totales. Sólo hemos constatado 1 caso de parálisis recurrencial y un 25 % de hipocalcemias (2 definitivas). Mejoraron significativamente tras la cirugía (p < 0,01) la afección osteo articular y la litiasis renal que presentaban los pacientes tras 2 años de seguimiento. No mejoraron de forma significativa la hipertensión, las enfermedades digestivas y psiquiátricas y elprurito. Conclusiones: La mejoría en la calidad de vida de la mayoría de los pacientes operados por esta enfermedad justifica sobradamente la paratiroidectomía por un equipo otorrinolaringológico experimentado (AU)
Objective: To compare the pre-operative and post-operative clinical symptoms in patients diagnosed as having hyperparathyroidism and given surgical treatment, in order to prove the existence of statistically significant improvement. Material and method: We report here a retrospective study performed on 120 consecutive patients operated on following diagnosis of hyperparathyroidism between 1990 and 2003. Results: Nephrolithiasis, generalized bone pain and HBP were the most common clinical manifestations. Primary hyperparathyroidisms represented 76.7 %, while secondary ones were 20.8% and 2.5 % were tertiary. We carried out85 adenoma removals, 30 sub-total and 5 total parathyroidectomies. We only encountered one case of recurrent palsy and about 25 % of hypocalcemias (2 of them permanent). Osteoarticular pathology and nephrolithiasis suffered by our patients clearly improved after surgery (P<0.01) after 2 years of follow-up. There was no significant improvement in HBP, digestive and psychiatric pathology or pruritus. Conclusions: The improvement in quality of life for most of the patients operated on for this condition amply justifies parathyroidectomy by an experienced otolaryngology team (AU)
Subject(s)
Humans , Adolescent , Male , Female , Adult , Middle Aged , Hyperparathyroidism/diagnosis , Hyperparathyroidism/surgery , Postoperative Care/methods , Paralysis/complications , Hypocalcemia/complications , Retrospective Studies , Adenoma/complications , Parathyroidectomy/methods , Quality of Life , Postoperative Complications/pathologyABSTRACT
OBJECTIVE: We are reporting our 14 years' experience with prior hemithyroidectomies or contralateral hemithyroidectomies after a pathology result reporting malignancy (thyroid carcinoma) in the first surgery. MATERIAL AND METHOD: Twenty female patients with an average age of 45 years old have been studied and we have analyzed the initial symptoms, results of complementary tests, pathology diagnosis following initial surgery, and final outcome after a second intervention. RESULTS: The incidence of malignancy shown in our series after secondary surgery was 40 % and the percentage of hemithyroidectomy on hemithyroidectomy was 3 % after operating on 650 thyroid glands. CONCLUSIONS: Though opinions differ in the medical literature, we feel a total thyroidectomy must be performed after a casual finding of thyroid carcinoma because of the oncologically safer outcome and the better control of the patient.
Subject(s)
Thyroid Neoplasms/surgery , Thyroidectomy/methods , Adult , Female , Humans , Male , Middle AgedABSTRACT
Objetivo: Se presenta nuestra experiencia de 14 años en hemitiroidectomías sobre hemitiroidectomías previas o hemitiroidectomías contralaterales tras un resultado anatomopatológico de malignidad (carcinoma de tiroides) en la primera cirugía. Material y método: Hemos incluido a 20 pacientes, todas ellas mujeres, con una media de edad de 45 años. Se analizan los síntomas clínicos iniciales, los resultados de las exploraciones complementarias, el diagnóstico anatomopatológico de la primera intervención y el resultado final tras la segunda cirugía. Resultados: En nuestra serie la segunda hemitiroidectomía resultó positiva en un 40 % y el porcentaje de hemitiroidectomías sobre hemitiroidectomías de 650 tiroides operados fue del 3 %. Conclusiones: Aunque hay diferentes opiniones en la literatura médica, nosotros creemos que ante el hallazgo casual de un carcinoma tiroideo se debe completar una tiroidectomía total, por su mayor seguridad oncológica y mejor control del paciente
Objective: We are reporting our 14 years' experience with prior hemithyroidectomies or contralateral hemithyroidectomies after a pathology result reporting malignancy (thyroid carcinoma) in the first surgery. Material and method: Twenty female patients with an average age of 45 years old have been studied and we have analyzed the initial symptoms, results of complementary tests, pathology diagnosis following initial surgery, and final outcome after a second intervention. Results: The incidence of malignancy shown in our series after secondary surgery was 40 % and the percentage of hemithyroidectomy on hemithyroidectomy was 3 % after operating on 650 thyroid glands. Conclusions: Though opinions differ in the medical literature, we feel a total thyroidectomy must be performed after a casual finding of thyroid carcinoma because of the oncologically safer outcome and the better control of the patient
Subject(s)
Humans , Adult , Female , Male , Middle Aged , Thyroidectomy/methods , Thyroid Neoplasms/surgery , Neoplasm Recurrence, Local/pathology , Thyroid Neoplasms/pathologyABSTRACT
The association of hyperparathyroidism with thyroid pathology previous to surgery is not very frequent in our cases, almost a 15%, but it means another difficulty for the diagnostic and treatment. Between 1991 and 2001 we have studied and operated 15 patients with this clinic association. 14 were female and only 1 male with a range age of 59 years old. We studied the type of hyperparathyroidism, personal history, clinic, type of thyroid pathology associated, complementary explorations, type of surgery, anatomopathology evolution, and hospital stay. We have done 12 adenoma resections, 1 subtotal parathyroidectomy, 2 total thyroidectomies and 5 hemithyroidectomies. Only in one patient the anatomopathology was informed as a thyroid carcinoma associated to a parathyroid adenoma, being the other patients benign pathologies. We did literaturer revision on this association. We believe that in all patients with a thyroid pathology we should an associated hyperparathyroidism and vice versa.
Subject(s)
Hyperparathyroidism/complications , Thyroid Diseases/complications , Adult , Aged , Female , Humans , Male , Middle Aged , Retrospective Studies , Time FactorsABSTRACT
No disponible
No disponible
Subject(s)
Middle Aged , Adult , Aged , Male , Female , Humans , Time Factors , Thyroid Diseases , Retrospective Studies , HyperparathyroidismABSTRACT
The cavum or rhinopharynx carcinomas are rare tumors who are divided basically in two histologic types: epidermoid carcinoma and indiferenciated carcinoma. We present a personal revision of 18 patients (15 males and 3 females) diagnosed of cavum carcinoma, the majority (72.2% of indiferenciated type. We have done a descriptive-retrospective study of 12 years (1990-2001) with the following parameters: clinic presentation, associated symptoms, TNM stage, anatomopathology, treatment and clinic evolution. The 38.9% of the patients (7) are actually in complete remission after at last 2 years treatment completion. 3 patients have died and another 2 have not followed the periodic controls in our hospital. The others present a residual tumor in rhinopharynx or in ganglionar level. In one case there are distant metastasis (liver and lungs).
Subject(s)
Carcinoma, Squamous Cell/drug therapy , Carcinoma, Squamous Cell/radiotherapy , Nasopharyngeal Neoplasms/drug therapy , Nasopharyngeal Neoplasms/radiotherapy , Adult , Aged , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
The sinusites orbital complications usually associated to ethmoidites are rare in the childhood. We present a revision of 14 adults patients (10 males and 4 females) 18 to 61 years old. Seven presented a preseptal cellulitis, two had a subperiostial abscess and five an orbitary cellulitis in accordance with the Candler classification. We analyse the personal previous history, the clinical data, complementary tests and treatments (medical and surgical) evolution and hospital stay. We realise a literature revision about this subject.
Subject(s)
Orbital Diseases/etiology , Sinusitis/complications , Adolescent , Adult , Anti-Bacterial Agents/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Drug Therapy, Combination , Female , Humans , Male , Middle Aged , Orbit , Orbital Diseases/diagnosis , Sinusitis/drug therapy , SteroidsABSTRACT
The antrochoanal polyps or solitary Killian polyps are seldom benign pathologies. Since 1990 to October 2002 we have registered a total of 30 patients with these diagnosis (20 male and 10 female) between 5 and 70 years old. The nasal obstruction, usually unilateral, has been constant in all of them and in more than a 63% they referred it since more than one year. They underwent surgery with Functional Endoscopic Endonasal Surgery. The postoperative results have been satisfactory except in two patients who have had a recidive with another surgery. We analyse also a bibliography revision on this pathology.
Subject(s)
Nasal Polyps/surgery , Adult , Aged , Female , Humans , Male , Middle Aged , Nasal Obstruction/etiology , Nasal Polyps/complications , Terminology as TopicABSTRACT
No disponible
No disponible
Subject(s)
Middle Aged , Adolescent , Adult , Male , Female , Humans , Sinusitis , Steroids , Orbital Diseases , Anti-Bacterial Agents , Anti-Inflammatory Agents , Drug Therapy, Combination , OrbitABSTRACT
No disponible
No disponible
Subject(s)
Middle Aged , Adult , Aged , Male , Female , Humans , Nasal Obstruction , Nasal Polyps , TerminologyABSTRACT
No disponible
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