[Multifocal localized amyloidosis in a pediatric patient]. / Amiloidosis localizada multifocal de la vía aérea superior en una paciente pediátrica.

Amyloidosis of the upper airway is rare in the pediatric age group. We present a primary amyloidosis in the nasopharynx and nasal cavity in a 14-year-old girl. The symptoms were nasal obstruction and mucoid discharge. The diagnostic was revealed by histologycal analysis obtained from local surgical excision.

[Malignant oncocytic papilloma. An infrequent type of sinonasal papilloma]. / Papiloma oncocítico malignizado. Una variante infrecuente de papiloma nasosinusal.

Oncocytic scheneiderian papilloma (OSP), or cylindrical cell papilloma, is the less frequent of the three morphologically distinct papillomas occurring in the nose and paranasal sinuses. We report a case of a patient with an OSP and review on the diagnostic and prognostic implications of this type of tumor.

[Possible benefits of calcitonin in the treatment of otosclerosis]. / Posible beneficio de la calcitonina en el tratamiento de la otosclerosis.

This study shows the results obtained after treatment with intranasal calcitonin in 23 patients (36 ears) suffering from otosclerosis. 19.4% showed a hearing improvement upper of 10 dB. The gain was 32 dB in air conduction thresholds and 23 dB. In bone conduction. Tinnitus disappeared in 25% of cases suffering from tinnitus. Calcitonin tolerance was good, 8.7% of patients reported migraine. Authors recommended additional studies in order to evaluate the efficacy of this drug in the treatment of otosclerosis.

[Laryngeal tuberculosis. Report of 4 cases]. / Tuberculosis laríngea. Exposición de 4 casos.

Reporting 4 cases of laryngeal tuberculosis seen between 1992 and 1998 in La Rioja Community. All were men tobacco addicted and alcoholism and since several months presented with dysphonia, odynophagia, dysphagia and lung aspirations. The lesions were localized in epiglottis, vocal fold, back commisure and the subglottic space. Primary complex was pulmonary. All of them were successfully treated with tuberculostsatic drugs, except one who remain with pulmonary aspirations because of a severed epiglottis.

[Descriptive epidemiology of hospital interconsultations carried out at the ORL Service for a year in the San Millan-San Pedro Hospital Complex]. / Epidemiología descriptiva de las interconsultas hospitalarias realizadas al Servicio de ORL durante un año en el Complejo Hospitalario San Millán-San Pedro.

UNLABELLED: 391 requests of collaboration to our ENT Department during 1996 have been collected. Twelve variables were analysed: number of request, age, sex, date of emission, type (ordinary, with priority, urgent), time elapsed from emission until valuation of the patient, source, reason's request, pathology, complementary tests, treatment and destination (discharge, re-examination during admission or as an outpatient and admission to ENT-Service). RESULTS: 1,58 request were attended per working day, 80 percent were resolved during the first 48 hours, the Internal Medicine Department was the most frequent source, fever without focus or recalcitrant was the most frequent reason from Paediatric Department. We report the epidemiologic features of the most frequent variables.

[Granular cell tumor of the tongue. A case report]. / Tumor lingual de células granulares. Aportación de un caso.

Reporting the case of a granular cell tumor (granular cell myoblastoma) developed on the tongue, of a 50-year-old woman presenting with a painless, slightly excrescent and whitish on the tongue's top surface. Diagnose was anatomopahologica was made through. The growth was totally removed even healthy tissue. The case evolved a year later without recurrence.

[Therapy perspectives in subjective tinnitus]. / Perspectivas terapéuticas en los acúfenos subjetivos.

The AA. of this article have achieved a bibliographical perusal about treatment of subjective tinnitus, including even papers based on controlled clinical trials. Pharmacologic agents are settled on vasodilators of cochlear microcirculation (nimodipine, trimetazidine, Ginkgo biloba extract, misoprostol), lidocaine, the anxiolitics (alprazolam, corazepam) and the antidepressants (nortrityline). Comments sonorous amplification. Also are displayed, because of their benefits, the relaxation techniques (biofeeback, hypnotherapy, acupuncture and yoga) and psychological counseling.

[Nasopharyngeal bacterial flora and secretory otitis in adults]. / Flora bacteriana nasofaríngea y otitis secretora en el adulto.

The AA. have realized a prospective study of the links between the bacterial flora of the nasopharynx and the secretory otitis media in grown-up people. For achieving this purpose nasopharyngeal smears of rhinopharyngeal samples belonging to 85 otitic patients and other 85 healthy adults were cultivated. Statistical analysis showed that the otitis cases presented with 63.6% of microorganisms potentially pathogenic, being the 17.6% the percentage among healthy individuals (p < 0.001). Microorganisms more frequently encountered were: Haemophilus influenzae, Streptococcus pneumoniae, Moraxella catarrhalis and Staphylococcus aureus. After the medical treatment those patients recovered showed an increase of saprophyte flora from early 36.4% till 86% (p < 0.001). It could be appreciate a seasonal influence in the debut of this malady specially in winter.

[Frontolateral laryngectomy. Our experience in La Rioja]. / Laringectomía frontolateral. Nuestra experiencia en La Rioja.

It has been carried out a retrospective study on 16 patients who have suffered from glotic tumorus in T1b stage and have been treated by frontolateral laryngectomy from 1989 to 1998. Data related to age, sex, toxic habits, anatomopathological diagnosis, surgery, recurrence and survival were analysed. The disease affects more in males, in the 5th and 6th decade of life, with a medium to a high consumption of alcohol. The anatomopathological diagnosis in 96.75% of the cases was epidermoid carcinoma. The survival analysis showed that 87.5% of the patients survived free of recurrence for the first five years and only 6.25% had a local recurrence.

[Microbiological study of the nasopharynx]. / Estudio microbiológico de la nasofaringe.

A microbiological study of the posterior wall of the nasopharynx have been carried out in 90 children subjected to adenoidectomy by chronically hypertrophied and infected adenoids. Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pyogenes and Staphylococcus aureus are the most important pathogens responsible for upper respiratory tract infection. Adenoidectomy produces a physiological effect on the nasopharyngeal microflora by converting an abnormal flora into a nearly normal one. It has been found out that there is a relation between nasopharyngeal pathogens and the seasonal periods, showing a decrease in summer.

[Tonsillar microsurgery by bipolar dissection]. / Microcirugía amigdalar con disección bipolar.

The 66 amygdalectomies done by the AA. under general anesthesia and tracheal intubation are considered in two groups. The first one was composed by 32 patients operated following a dissection and coagulation procedure with the aid of a bipolar forceps and under microscopical magnification. The second group, 34 cases, underwent the classical procedure with ligature of the bleeding vessels. The usage of the bipolar forceps procure lesser loss of blood as compared with the dissection-ligature procedure. On the contrary, the bipolar clip method showed and increased postoperative pain and also the lagging of the swallow function. Both techniques presented with very similar complications (bleeding, edema, loca infection).

[A pharyngolaryngeal cancer study in the Autonomous Community of La Rioja]. / Estudio del cáncer faringolaríngeo en la Comunidad Autónoma de La Rioja.

It has been studied the pharyngolaryngeal cancer in La Rioja region, Spain, about a population of 300,000. It has been commented on its frequency, distribution according to age-sex, alcohol-tobacco and evolution-recovery.

[2 cases of laryngeal amyloidosis]. / Sobre dos casos de amiloidosis laríngea.

Two cases of amyloidosis involving larynx in a fifty-five-year-old male and a seventy-nine-year-old female have been presented. It is confirmed the most implication of the supraglottic area in the laryngeal amyloidosis. It has been discarded the general kind of the disease. The treatment by endoscopic remove was successful to improve the disease.

[A further case of fibrous dysplasia]. / Un nuevo caso de displasia fibrosa.

A case of facial fibrous dysplasia involving maxillary, malar and sphenoid in a nineteen year old woman is presented. It is reported the scarcity of this disease in our country. It is emphasized to discard a disseminated pattern of the disease. A modelling removal was successful in the correction of the facial deformity.

[Laryngopyocele: apropos a case with onset as acute respiratory insufficiency]. / Laringopiocele: a proposito de un caso que debuto con insuficiencia respiratoria aguda.

Report of an unwonted case of laryngopyocele because of its presentation. The patient came into Hospital suffering from acute laryngeal dyspnea, which made us to carry out an urgent tracheotomy. Afterwards a direct laryngoscopy discovered a large tumor, covered by a mucosa of normal appearance, blocking the laryngeal inlet. The laryngopyocele was confirmed by thyrotomy after the previous direct laryngoscopy awaken the suspicious either a malignant grown or a cancer with a laryngocele association.