Afectación subgaleal secundaria del linfoma de células del manto / Secondary presentation of mantle cell lymphoma in the subgaleal layer of the scalp

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Deformidad de Mondini en un caso de síndrome de Turner. Un hallazgo radiológico / Mondini deformity in a case of Turner syndrome. A radiological finding

El síndrome de Turner (ST) es la anomalía cromosómica sexual más frecuente enseres humanos y en más de la mitad de las mujeres afectadas por este síndrome se ha documentado hipoacusia neurosensorial progresiva. Aunque la deformidad de Mondini es la malformación coclear más frecuentemente identificada en otros síndromes polimalformativos, raramente se ha descrito en el síndrome de Turner. Presentamos el caso de una mujer de 32 años con ST que consultó por hipoacusia neurosensorial bilateral progresiva. La tomografía computarizada de oídos demostró una deformidad de Mondini bilateral (AU)

Turner syndrome (TS) is the human being’s most frequent sex chromosome abnormality. Progressive sensorineural hearing loss is documented in more than 50% of the women affected by this syndrome. Although Mondini defect is the cochlear congenital malformation most frequently identified in other polymalformative syndromes, it has rarely been reported in TS. We describe the case of a 32-year-old woman with TS who presented progressive sensorineural hearing loss. The computed tomography of the ears showed bilateral Mondini deformity (AU)

Mondini deformity in a case of Turner syndrome. A radiological finding.

Turner syndrome (TS) is the human being's most frequent sex chromosome abnormality. Progressive sensorineural hearing loss is documented in more than 50% of the women affected by this syndrome. Although Mondini defect is the cochlear congenital malformation most frequently identified in other polymalformative syndromes, it has rarely been reported in TS. We describe the case of a 32-year-old woman with TS who presented progressive sensorineural hearing loss. The computed tomography of the ears showed bilateral Mondini deformity.

[Foreign bodies in maxillary sinus]. / Cuerpos extraños en seno maxilar.

INTRODUCTION: Foreign bodies in maxillary sinus (FBMS), whatever their origin or nature, are an unusual clinical condition. Diagnosis is based on the radiological findings in a clinical context of unilateral chronic rhinosinusitis. Treatment is the surgical removal of the intrasinusal foreign body. PATIENTS AND METHODS: To identify FBMS, the records of 68 patients with unilateral chronic rhinosinusitis operated on from 2000 to 2007 were reviewed. RESULTS: From 68 records reviewed, we found 11 (16 %) FBMS. Ten (91 %) of these 11 foreign bodies were thought to come from the teeth and the last 1 (9 %) had a non odontogenic origin. Eight of the 11 (73 %) patients with FBMS presented with chronic maxillary sinusitis symptoms and all patients showed radiological findings. Treatment was the surgical removal of the foreign body, in 9 (82 %) patients through endonasal approach by functional endoscopic sinus surgery (FEES) and in the other 2 (18 %) patients a mixed surgical procedure by endonasal meatotomy and oral antrotomy was required. CONCLUSIONS: Chronic maxillary sinusitis showing FBMS is rare and it must be suspected with a prior history of dental procedures. The most frequent source of FBMS is material of odontogenic origin, and non-odontogenic origin secondary to an external injury in an accident or assault is much more unusual. We also review the nature of these foreign bodies, their clinical implications and treatment options.

Cuerpos extraños en seno maxilar / Foreign bodies in maxillary sinus

Introducción: La presencia de cuerpos extraños en el seno maxilar (CESM) de cualquier origen o naturaleza es una entidad clínica poco frecuente. Su diagnóstico es habitualmente radiológico en el contexto de una rinosinusitis crónica maxilar unilateral. El tratamiento es la extracción quirúrgica del cuerpo extraño. Pacientes y métodos: Revisión de 68 casos intervenidos de sinupatía maxilar crónica unilateral en nuestro centro entre los años 2000 y 2007 en busca de CESM. Resultados: De los 68 casos revisados, en 11 (16 %) identificamos CESM. De estos 11 casos, en 10 (91 %) se atribuyó el cuerpo extraño a un origen dentario y solamente en 1 (9 %), a un origen no dentario. De los 11 pacientes, 8 (73 %) presentaban clínica de rinosinusitis crónica en el momento del diagnóstico y todos tenían manifestaciones radiológicas. El tratamiento realizado es la extracción quirúrgica del cuerpo extraño, que en 9 (82 %) pacientes se realizó mediante meatotomíaendonasal y en los 2 restantes (18 %) se precisó un abordaje combinado de meatotomíaendonasal y antrotomía oral. Conclusiones: La presencia de CESM es un hallazgo poco frecuente que debe sospecharse ante una sinusitis maxilar crónica unilateral con el antecedente de manipulación dentaria. Su origenes casi siempre dentario, y son mucho más raros los CESM de origen no dentario secundarios a traumatismos externos en accidentes o agresiones. Se discute también la naturaleza de estos cuerpos extraños, así como sus implicaciones clínicas y opciones terapéuticas (AU)

Introduction: Foreign bodies in maxillary sinus (FBMS), whatever their origin or nature, are an unusual clinical condition. Diagnosis is based on the radiological findings in a clinical context of unilateral chronic rhinosinusitis. Treatment is the surgical removal of the intrasinusal foreign body. Patients and methods: To identify FBMS, the records of 68 patients with unilateral chronic rhinosinusitis operated on from 2000 to 2007 were reviewed. Results: From 68 records reviewed, we found 11 (16 %) FBMS. Ten (91 %) of these 11 foreign bodies were thought to come from the teeth and the last 1 (9 %) had a non odontogenic origin. Eight of the 11 (73 %) patients with FBMS presented with chronic maxillary sinusitis symptoms and all patients showed radiological findings. Treatment was the surgical removal of the foreign body, in 9 (82 %) patients through endonasal approach by functional endoscopic sinus surgery (FEES) and in the other 2 (18 %) patients a mixed surgical procedure by endonasal meatotomy and oral antrotomy was required. Conclusions: Chronic maxillary sinusitis showing FBMS is rare and it must be suspected with a prior history of dental procedures. The most frequent source of FBMS is material of odontogenic origin, and non-odontogenic origin secondary to an external injury in an accident or assault is much more unusual. We also review the nature of these foreign bodies, their clinical implications and treatment options (AU)

[Tracheal diverticulum: a case report]. / Divertículo traqueal: presentación de un caso.

Tracheal diverticulum is a clinical entity rarely reported in the literature. It results from a congenital or acquired weakness of the tracheal wall. Most tracheoceles cause few symptoms and are well tolerated. Diagnosis is often based on computerized tomography (CT) scan findings. We describe a case of a middle-aged male presenting non-specific pharyngeal discomfort. A diagnosis of tracheal diverticulum was made based on a cervical CT scan.

Divertículo traqueal: presentación de un caso / Tracheal diverticulum: a case report

El divertículo traqueal es una entidad clínica raramente descrita en la literatura. Su origen es una debilidad congénita o adquirida de la pared traqueal. La mayoría de los divertículos traqueales producen poca clínica y son bien tolerados. La base del diagnóstico es los hallazgos radiológicos obtenidos por tomografía computarizada. Presentamos el caso de un varón de mediana edad al que, por molestias faríngeas inespecíficas, se diagnostica divertículo traqueal mediante tomografía cervical

Tracheal diverticulum is a clinical entity rarely reported in the literature. It results from a congenital or acquired weakness of the tracheal wall. Most tracheoceles cause few symptoms and are well tolerated. Diagnosis is often based on computerized tomography (CT) scan findings. We describe a case of a middle-aged male presenting non-specific pharyngeal discomfort. A diagnosis of tracheal diverticulum was made based on a cervical CT scan

Fascitis necrotizante cervical: presentación de un caso y revisión de la literatura / Cervical necrotizing facitis: a case report and revisionof literature

La fascitis necrotizante cervical es una infección necrosante de tejidos blandos cervicales que provoca extensión a través de los planos fasciales. Presentamos el caso de un varón de 32 años que consulta por dolor y tumefacción laterocervical derechos con el antecedente reciente de un flemón dentario. En el momento del ingreso, presenta buen estado general que contrasta con una amplia expresión radiológica sugestiva de fascitis necrotizante. A las 24 horas del ingreso, y a pesar de una aparente mejoría clínica con el tratamiento médico, repetimos la exploración radiológica objetivando una rápida progresión del proceso. El diagnóstico radiológico precoz y un tratamiento agresivo permiten una resolución satisfactoria

Necrotizing fasciitis is a severe soft tissue infection of the neck, rapidly progressive a long fascia planes. We present a case of cervical necrotizing fasciitis in a 32 year old man, secondary to dental infection. When the patient was admitted to the hospital, he only showed painful swelling in his right neck, but the computed tomography scan showed fluid collections with air in the left cervical region. On the first hospital day, he recounts improvement, but the second computed tomography scan showed a rapid spreading of the process. The early recognition and aggressive management allow a successful non-fatal outcome