[Analysis of our recent results in the surgical treatment of the hyperparathyroidism (1990-2005)]. / Análisis de nuestros resultados actuales en el tratamiento quirúrgico del hiperparatiroidismo (1990-2005).

OBJECTIVE: To report our recent experience (1990-2005) in the surgical treatment of hyperparathyroidism. MATERIAL AND METHOD: Up to now we have operated 153 patients (41 male and 112 female) with ages between 14 and 79 years old studying the clinical symptoms referred by them, preoperative imaging tests, type of hyperparathyroidism, its respective surgery, result or final anatomopathological diagnosis and postoperative complications. RESULTS: Parathyroid adenomas represented a 69.73% while the hyperplasias were about 26.31%. In 6 cases the glands removed were informed as normal. It stands out that the most rare adenomas were located in lower parathyroids with a relation > 5,5:1 respect to the upper ones. Among the complications we obtained 35 postoperative hypocalcemias (31 transient and 4 persistent), one case of recurrent nerve palsy after exposure of 233 nerves, 5 haemorrhages that required reintervention and 4 persistences of hypercalcemia. Globally we were able to reduce the calcium and PTH serum levels with clinical improvement in more than 96% of the operated patients. DISCUSSION-CONCLUSION: The surgery for hyperparathyroidism provides very good results in general as we stated in other published series.

Análisis de nuestros resultados actuales en el tratamiento quirúrgico del hiperparatiroidismo (1990-2005) / Analysis of our recent results in the surgical treatment of the hyperparathyroidism (1990-2005)

Objetivo: Presentar nuestra experiencia actualizada (1990-2005) en el tratamiento quirúrgico del hiperparatiroidismo. Material y métodos: Hasta la fecha llevamos intervenidos 153 pacientes (41 varones y 112 mujeres) con edades comprendidas entre los 14 y 79 años. Se estudiaron las manifestaciones clínicas referidas por los mismos, pruebas de imagen preoperatorias, tipo de hiperparatiroidismo, cirugía respectiva, resultado o diagnóstico final anatomopatológico y complicaciones postoperatorias. Resultados: Los adenomas de paratiroides representaron el 69,73% por un 26,31% de hiperplasias. En 6 casos las glándulas remitidas fueron informadas como normales. Destacamos el predominio de adenomas localizados en paratiroides inferiores sobre las superiores (relación > 5,5:1). Entre las complicaciones obtuvimos 35 hipocalcemias postquirúrgicas (31 transitorias y 4 permanentes), 1 caso de parálisis recurrencial sobre 233 nervios expuestos, 5 hemorragias que precisaron reintervención y 4 persistencias de hipercalcemia. Globalmente conseguimos una reducción de calcio y PTH con mejoría clínica en más del 96% de los pacientes operados. Discusión-conclusión: La cirugía del hiperparatiroidismo proporciona muy buenos resultados en general como constatamos en nuestro trabajo y en otras series publicadas

Objective: To report our recent experience (1990- 2005) in the surgical treatment of hyperparathyroidism. Material and method: Up to now we have operated 153 patients (41 male and 112 female) with ages between 14 and 79 years old studying the clinical symptoms referred by them, preoperative imaging tests, type of hyperparathyroidism, its respective surgery, result or final anatomopathological diagnosis and postoperative complications. Results: Parathyroid adenomas represented a 69.73% while the hyperplasias were about 26.31%. In 6 cases the glands removed were informed as normal. It stands out that the most rare adenomas were located in lower parathyroids with a relation > 5,5:1 respect to the upper ones. Among the complications we obtained 35 postoperative hypocalcemias (31 transient and 4 persistent), one case of recurrent nerve palsy after exposure of 233 nerves, 5 haemorrhages that required reintervention and 4 persistences of hypercalcemia. Globally we were able to reduce the calcium and PTH serum levels with clinical improvement in more than 96% of the operated patients. Discussion-conclusion: The surgery for hyperparathyroidism provides very good results in general as we stated in other published series

[Phlegmons and abscesses in the floor of mouth. Report of 10 cases and review of the literature]. / Flemones y abscesos del suelo de boca. Análisis de 10 casos y revisión de la literatura.

We report a review about 10 cases of phlegmons-abscesses in the floor of mouth (Ludwig's angina) treated by our Service analyzing the following variables: Age, sex, time of evolution, personal antecedents, E.N.T. exploration, clinical symptoms, type of treatment and clinical evolution. This pathology represents one of the most severe forms of cervicofacial diffuse cellulitis; it requires an early diagnosis and therapy which can include an urgent tracheostomy ifthe airway is compromised.

[Lobular capillary hemangioma on the floor of the mouth (pyogenic granuloma). Report of a case and literature review]. / Hemangioma lobular capilar del suelo de boca (granuloma piogénico). A propósito de un caso y revisión bibliográfica.

Lobular capillary hemangioma or pyogenic granuloma is a benign lesion with a focal reactive development of fibrovascular tissue and endotelial proliferation. It can appear to any age in different locations and usually has the aspect of a pediculate mass with or without ulceration zones on the area. Its treatment is the simple surgical removal and the control of the traumatic and infectious influential factors. We report a case of pyogenic granuloma on the floor of the mouth making a literature review at respect of that common clinical entity.

Flemones y abscesos del suelo de boca. Análisis de 10 casos y revisión de la literatura / Phlegmons and abscesses in the floor of the mouth. Report of 10 cases and review of the literature

Se presenta una revisión propia de 10 casos de flemones abscesos de suelo de boca (angina de Ludwig) tratados por nuestro Servicio que analiza las siguientes variables: Edad, sexo, tiempo de evolución, antecedentes personales, exploración ORL, sintomatologíaclínica, tratamiento efectuado y evolución clínica. Esta patología representa una de las formas más graves de celulitis difusa cérvicofacial; requiere un diagnóstico y tratamiento precoz que puede incluir la realización de una traqueotomía urgente en caso de compromiso de la vía aérea

We report a review about 10 cases of phlegmons-abscesses in the floor of mouth (Ludwig's angina) treated by our Service analyzing the following variables: Age, sex, time of evolution, personal antecedents, E.N.T. exploration, clinical symptoms, type of treatment and clinical evolution. This pathology represents one of the most severe forms of cervicofacial diffuse cellulitis; it requires an early diagnosis and therapy which can include an urgent tracheostomy if the airway is compromised

Hemangioma lobular capilar del suelo de boca (Granuloma piogénico). A propósito de un caso y revisión bibliográfica / Lobular capillary hemangioma on the floor on the mouth (Pyogenic granuloma). Report of a case and literature review

El hemangioma lobular capilar o granuloma piógeno es una lesión benigna con desarrollo reactivo focal de tejido fibrovascular y proliferación endotelial. Puede darse a cualquier edad en diferentes localizaciones y suele tener el aspecto de una masa pediculada con o sin zonas de ulceración en la superficie. Su tratamiento es la excisión quirúrgica simple junto con la actuación sobre los factores traumáticos o infecciosos predisponentes. Presentamos un caso de granuloma piógeno en el suelo de boca y realizamos una revisión literaria al respecto de esta frecuente entidad clínica

Lobular capillary hemangioma or pyogenic granuloma is a benign lesion with a focal reactive development of fibrovascular tissue and endotelial proliferation. It can appear to any age in different locations and usually has the aspect of a pediculate mass with or without ulceration zones on the area. Its treatment is the simple surgical removal and the control of the traumatic and infectious influential factors. We report a case of pyogenic granuloma on the floor of the mouth making a literature review at respect of that common clinical entity

[Auricular perichondritis in adults. An evaluation-study of 12 hospitalized patients]. / Pericondritis del pabellón auricular en adultos. Estudio-evaluación de 12 pacientes ingresados.

Perichondritis of the auricle in adults can be secondary to traumatic agents, external otitis or surgery being Pseudomona aeruginosa the bacteria more often isolated. We have performed a retrospective study of 12 hospitalized patients with that diagnosis and these following variables have been evaluated: Age, sex, personal antecedents, clinical symptoms, affected auricle, complementary explorations, treatment, evolution and stay.

Pericondritis del pabellón auricular en adultos / An evaluation-study of 12 hospitalized patients

Las pericondritis que afectan al pabellón auricular en adultos pueden ser debidas a traumatismos, otitis externas o cirugía, siendo Pseudoma aeruginosa la bacteria responsable más comúnmente aislada. Realizamos un estudio retrospectivo de 12 pacientes ingresados con este diagnóstico en el que evaluamos las siguientes variables: edad, sexo, antecedentes personales, sintomatología clínica, pabellón afecto, exploraciones complementarias, tratamiento evolución y estancia hospitalaria

Perichondritis of the auricle in adults can be secondary to traumatic agents, external otitis or surgery being Pseudomona aeruginosa the bacteria more often isolated. We have performed a retrospective study of 12 hospitalized patients with that diagnosis and these following variables have been evaluated: Age, sex, personal antecedents, clinical symptoms, affected auricle, complementary explorations, treatment, evolution and stay