Quilotórax a tensión en postoperatorio tardío de neumonectomía izquierda / Tension chylothorax in the late postoperative period of left-sided pneumonectomy

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[Etiopathogenia of the epistaxis admitted by emergencies service. Analysis and considerations in 250 consecutive patients]. / Etiopatogenia de las epístaxis ingresadas vía de urgencias. Análisis y consideraciones en 250 pacientes consecutivos.

Epistaxis represent a relatively common symptom in the hospitalary Emergencies Services. In our casuistry of 250 consecutive patients assisted and admitted because of that cause in 2 different hospitals of the region between 1996 and 2005, we have noticed the presence of one or more base pathologies or risk factors in originate most of them which could the nose bleeding. These causes are analysed beside the location of the epistaxis and the different treatment options that were used until its resolution.

[Maxillary sinus hypoplasia masquerading a chronic sinusitis]. / Hipoplasia del seno maxilar simulando una sinusitis crónica.

Maxillary sinus hypoplasia is a relatively uncommon clinical condition that may be misdiagnosed as chronic sinusitis or neoplasm by otolaryngologist. We report an unilateral clinical case of this entity confirmed by CT and a short literature review is performed at this respect.

[Frontoethmoidal mucocele. Diagnosis and treatment in 7 cases]. / Mucocele frontoetmoidal. Diagnóstico y tratamiento en 7 casos.

Mucocele has its origin by blockage of the paranasal sinuses ostium with mucinous retention inside, sometimes purulent (mucopiocele), and progressive slimming with gradual destruction on the bone walls. We report an own review of 7 patients with diagnosis of frontoethmoidal mucocele, 4 men and 3 women, 50-years average. The oftalmologic clinical symptoms (diplopia, exoftalmos and the eyeball movement restrictiv) were the most frequentjointly to cefalea. The kind of surgery that we have performed, in 6 of 7 cases, was FES with marsupialization (4 times) and external ethmoidectomy (2). We have performes a literature review at this respect.

[Kartagener sindrome (primary ciliary dyskinesia). Report of a case and literature review]. / Síndrome de Kartagener (disquinesia ciliar primaria). Caso clínico y revisión de la literatura.

Kartagener syndrome (a clinical variant of primary ciliary dyskinesia) is a recessive autossomical disease characterized by the triad of chronic sinusitis, bronchiectasis and situs inversus with dextrocardia. We report one case described in a 8 years old boy who besides presented a seromucous otitis and bronchitis of repetition. Finally we performed a short bibliographic review at respect of this uncommon pathology.

[Vogt Koyanagi Harada syndrome. Report of a case with hearing loss, tinnitus, vertigo associated to uveitis]. / Síndrome de Vogt Koyanagi Harada. A propósito de un caso con hipoacusia, acúfenos y vértigo asociados a la uveitis.

Vogt-Koyanagi-Harada sindrome is an autoimmune sistemic disease characterized by granulomatous bilateral uveitis with involvement of the central nervous system which can compromise the VIII craneal pair function producing tinnitus and neurosensorial hypoacusia. We report a case diagnosed in a young woman who also suffered episodes of vertigo. We review the literature of that pathology.

[Peripheral vertiginous syndrome with osteocervical lytic pathology. Importance of the exploration and its differential diagnosis]. / Síndrome vertiginoso periférico con lesión ósea lítica cervical. Importancia de la exploración y del diagnóstico diferencial.

We are reporting the case of a 52 years old male with a peripheral vertiginous syndrome which could have been diagnosed as a benign paroxysmal positional vertigo. In a craneocervical CT appeared an osteolytical lesion on C3 vertebral body. With this article we pretend to emphasize the importance of a complete exploration and the differential diagnosis in the peripheral vertiginous pathology.

Mucocele frontoetmoidal. Diagnóstico y tratamiento de 7 casos / Frontoethmoidal mucocele. Diagnosis and treatment in 7 cases

El mucocele se origina por una obstrucción de los conductos de drenaje de los senos paranasales con retención de exudado mucinoso, en ocasiones purulento (mucopiocele), y adelgazamieto progresivo con destrucción gradual de las paredes óseas. Presentamos una revisión propia de 7 pacientes con diagnóstico de mucocele frontoetmoidal, 4 varones y 3 mujeres, con una edad media de 50 años. Las manifestaciones clínicas oculares (diplopía, exoftalmos y desplazamiento del globoo ocular) fueron las más frecuentes junto con la cefalea. El tipo de cirugía, realizada en 6 de los 7 casos, consitió en CENS con marsupialización (4 ocasiones) y etmoidectomía externa (2). Realizamos una revisión de la literatura al respecto

Mucocele has its origin by blockage of the paranasal sinuses ostium with mucinous retention inside, sometimes purulent (mucopiocele), and progressive slimming with gradual destruction on the bone walls. We report an own review of 7 patients with diagnosis of frontoethmoidal mucocele, 4 men and 3 women, 50-years average. The oftalmologic clinical symptoms (diplopia, exoftalmos and the eyeball movement restrictiv) were the most frequentjointly to cefalea. The kind of surgery that we have performed, in 6 of 7 cases, was FES with marsupialization (4 times) and external ethmoidectomy (2). We have performes a literature review at this respect

[Morphology of the parathyroid glands. A study of 146 samples and review of the literature]. / Morfología de las glándulas paratiroides. Estudio de 146 muestras y revisión de la literatura.

Parathyroid hyperfunction condition has a very diverse and unspecific symptoms and signs. We have performed an anatomopathologic study of 146 parathyroid gland from patients diagnosed from hyperparathyroidism. About a 72.6% of the patients presented a parathyroid adenoma while in the rest 27.4% it was observed principal cells hyperplasia. Up to now we have not registered any cases of parathyroid carcinoma after anatomopathological exam of the removed gland. The mayority of the adenomas (85%) were found on the lower parathyroids and its size varied between 6 mm and 5 cm. In one case an double adenoma was diagnosed and in another two cases the adenoma was located in the superior mediastine.

Síndrome de Kartagener (disquinesia ciliar primaria). Caso clínico y revisión de la literatura / Kartagener sindrome (primary ciliary dyskinesia). Report of a case and literature review

El syndrome de Kartagener (variante clínica de la disquinesia ciliar primaria) es una enfermedad autosómica recesiva caracterizada por la triada de sinusitis crónica, bronquiectasias y situs inversus con dextrocardia. Presentamos un caso descrito en un niño de 8 años que presentaba además una otits seromucosa evolucionada y bronquitis de repetición. Finalmente realizamos una breve revisión bibliográfica en realizamos una breve revisión bibiográfica en relación a esta patología poco común

Kartagener syndrome (a clinical variant of primary ciliary dyskinesia) is a recessive autossomical disease characterized by the triad of chronic sinusitis, bronchiectasis and situs inversus with dextrocardia. We report one case described in a 8 years old boy who besides presented a seromucous otitis and bronchitis of repetition. Finally we performed a short bibliographic review at respect of this uncommon pathology

Síndrome de Vogt Koyanagi Harada. A propósito de un caso con hipoacusia, acúfenos y vértigo asociados a la uveitis / Vogt Koyanagi Harada syndrome. Report of a case with hearing loss, tinnitus, vertigo associated to uveitis

El syndrome de Vogt-Koyamagi-Harada es una enfermedad sistémica autoinmune caracterizada por uveítis granulomatosa bilateral con afectación del sistema nervioso central que puede comprometer la función del VIII par ocasionando acúfenos e hipoacusia neurosensorial. Presentamos un caso diagnosticado en una mujer joven que presentaba además episodios de vértigo y revisamos la literatura al respecto de esta patología

Vogt-Koyanagi-Harada sindrome is an autoimmune sistemic disease characterized by granulomatous bilateral uveitis with involvement of the central nervous system which can compromise the VIII craneal pair function producing tinnitus and neurosensorial hypoacusia. We report a case diagnosed in a young woman who also suffered episodes of vertigo. We review the literature of that pathology

Síndrome vertiginoso periférico con lesión ósea lítica cervical. Importancia de la exploración y del diagnóstico diferencial / Peripheral vertiginous syndrome with osteocervical lytic pathology. Importance of the exploration and its differential diagnosis

Presentamos el caso de un varón de 52 años con un síndrome vertiginoso periférico en principio compatible con un vértifo posicional paroxístico en principio compatible con un vértigo posicional paroxístico benigno. En un TAC cráneocervical se constató una lesión ósea con lisis a nivel del cuerpo vertebral de C3. Con etse artículo queremos subrayar la importancia de una exploración completa y del diagnóstico diferencial en la patología vertiginosa periférica

We are reporting the case of a 52 years old male with a peripheral vertiginous syndrome which could have been diagnosed as a benign paroxysmal positional vertigo. In a craneocervical CT appeared an osteolytical lesion on C3 vertebral body. With this article we pretend to emphasize the importance of a complete exploration and the differential diagnosis in the peripheral vertiginous pathology

[Sudden cardiorespiratory arrest in adults with acute epiglottitis. Report of 2 cases]. / Parada cardiorrespiratoria súbita en adultos con epiglotitis aguda presentación de dos casos.

We report two adult cases of sudden cardiorespiratory arrest because an acute epiglottitis that ocurred in our hospital. Although it is an uncommon pathology nowdays with good prognosis generally, we try to call the attention about this complication which can happen of unforseeable way even in previous absence of respiratory obstruction. One of the patients required coniotomy in ICU due to impossibility of orotracheal intubation (OI) and the other died in spite of an urgent performance.

[Spontaneous cervical and pharyngolaryngeal hematoma after coughing attacks]. / Hematoma faringolaríngeo y cervical espontáneo tras crisis tusígena.

We report the case of a 86 years old male who, in the course of a coughing attack, refers spontaneous cervical and pharyngeal pain in addition to hoarness, dysphagia and some dyspnea. His exploration revealed a small right neck hematoma but with infiltration of the orohypopharynx and right hemilarynx for spreading later to posterior pharyngeal wall and left aryepiglottic fold. The patient was sent to ICU although he did not required a control of airway by intubation or tracheotomy finally.

[Pseudomonas and acute external otitis. Results of a microbiological study in patients without previous antibiotic treatment]. / Pseudomonas y otitis externa aguda. Resultados de un estudio microbiológico en pacentes sin tratamiento antibiótico previo.

We report the results of a microbiological clinic study that was performed by our ENT Department between years 2000 and 2001 whose main objective was to determine, in Badajoz Area of Health, which bacteria were involved in the acute diffuse external otitis of patients without previous antibiotic treatment (two weeks before obtaining the samples). Of 79 isolated microorganisms in 62 patients that fulfilled the requirements established Pseudomonas, mainly P. Aeruginosa, represented a 46.83% altogether followed by Staphylococcus (18.98%). In almost one fourth part of the cases strains of associated fungi were identified.

Morfología de las glándulas paratiroides. Estudio de 146 muestras y revisión de la literatura / Morphology of the parathyroid glands. A study of 146 samples and review of the literature

Los estados de hiperfunción paratiroidea condicionan sintomatología clínica muy diversa e inespecífica en diferentes aparatos, órganos y sistemas del cuerpo humano. En este trabajo realizamos un estudio morfológico de 146 lesiones glandulares paratiroideas tras exéresis de las mismas en pacientes intervenidos por nuestro Servicio de ORL con diagnóstico de hiperparatiroidismo. Alrededor de un 72,6% de los pacientes presentó un adenoma de paratiroides mientras que en el 27,4% restante se evidenció una hiperplasia de células principales. Hasta la fecha no hemos registrado ningún caso de carcinoma de paratiroides. La mayoría de los adenomas (85%) predominaron en las paratiroides inferiores y su tamaño osció entre los 6mm y los 5 cm. En un caso se diagnosticó un adenoma doble y en otros dos se encontraba localizado en mediastino superior

Parathyroid hyperfunction condition has a very diverse and unspecific symptoms and signs. We have performed an anatomopathologic rathyroidism. About a 72,6% of the patients presented a parthyroid adenoma while in the rest 27,4% it was observed principal cells hyperplasia. Up to now we have not registered any cases of parathyroid carcinoma after anatomopathological exam of the removed gland. The mayority of the adenomas (85%) were found on the lower parathyroids and its size varied between 6mm and 5 cm. In one case an double adenoma was diagnosed and in another two cases he adenoma was located in the superior mediastine

Parada cardiorrespiratoria súbita en adultos con epiglotitis aguda. Presentación de dos casos / Sudden cardiorrespiratory arrest in adults with acute epiglottiti. Report of 2 cases

Presentamos dos casos reales acontecidos en nuestro Hospital de parada cardiorrespiratoria brusca en sendos adultos con diagnóstico de epiglotis aguda. Aunque se trata de una patología poco común en la actualidad y de buen pronóstico en general pretendemos llamar la atención sobre esta complicación, que puede ocurrir de manera imprevisible incluso en ausencia previa de compromiso respiratorio. Uno de los pacientes requirió cricotomía en UCI por imposibilidad de intubación orotraqueal (IOT) y el otro fue éxitus a pesar de la actuación urgente practicada

We report two adult cases of sudden cardiorespiratory arrest because an acute epiglottitis that ocurred in our hospital. Although it is an uncommon pathology nowdays with good prognosis generally, we try to call the attention about this complication which can happen of unforseeable way even in previous absence of respiratory obstruction. One of the patients required coniotomy in ICU due to impossibility of orotracheal intubation (OI) and the other died in spite of an urgent performance

Hematoma faringolaríngeo y cervical espontáneo tras crisis tusígena / Spontaneous cervical and pharyngolaryngeal hematoma after coughing attacks

Presentamos el caso clínico de un varón de 86 años que en el curso de una crisis tusígena comienza con dolor cervical y faríngeo espontáneo acompañado de disfonía, disfagia y cierta diseña. La exploración reveló un discreto hematoma laterocervical derecho pero con infiltración de la orohipofaringe y hemilaringe derechas para extenderse con posterioridad a la pared faríngea posterior y repliegue aritenoepiglótico izquierdo. El paciente fue trasladado a la UCI aunque no precisó finalmente control de la vía aérea mediante intubación o traqueotomía

We report the case of a 86 years old male who, in the course of a coughing attack, refers spontaneous cervical and pharyngeal pain in addition to hoarness, dysphagia and some dyspnea. His exploration revealed a small right neck hematoma but with infiltration of the orohypopharynx and right hemilarynx for spreading later to posterior pharyngeal wall and left aryepiglottic fold. The patient was sent to ICU although he did not required a control of airway by intubation or tracheotomy finally

Pseudomonas y otitis externa aguda. Resultados de un estudio microbiológico en pacientes sin tratamiento antibiótico previo / Pseudomonas and acute external otitis. Results of a microbiological study in patients without previous antibiotic treatment

Presentamos los resultados de un estudio clínico microbiológico realizado por nuestro servicio de ORL entre los años 2000 y 2001 cuyo objetivo principal fue determinar, en el área de Salud de Badajoz, qué bacterias estaban implicadas en las otitis externas agudas difusas de pacientes sin tratamiento antibiótico previo las dos semanas anteriores a la obtención de las muestras. Del total de 79 gérmenes aislados en los 62 pacientes que cumplían los requisitos establecidos las Pseudomonas, sobre todo P. aeruginosa, representaron el 46,83% del toal seguidas por los Estafilococos (18,98%). En casi una cuarta parte de los casos se identificaron cepas de hongos asociadas

We report the results of a microbiological clinic study that was performed by our ENT Department between years 2000 and 2001 whose main objective was to determine, in Badajoz Area of Health, which bacteria were involved in the acute diffuse external otitis of patients without previous antibiotic treatment (two weeks before obtaining the samples). Of 79 isolated microorganisms in 62 patients that fulfilled the requirements established Pseudomonas, mainly P. Aeruginosa, represented a 46.83% altogether followed by Staphylococcus (18.98%). In almost one fourth part of the cases strains of associated fungi were identified