[Oncocytic schneiderian papilloma. A case report]. / Papiloma schneideriano de células oncocíticas. A propósito de un caso.

Cylindrical cell papilloma is the rarest of three morphologically distinct papillomas that occur in the nose and paranasal sinuses. We report a case of a woman affected of a right sinonasal mass who was removed with the final histopatological diagnosis of oncocytic schneiderian papilloma. We review the literature clinical findings, treatment and evolution.

Papiloma Schneideriano de células oncocíticas. A propósito de un caso / Oncocytic schnederian papilloma. A case report

El papiloma de células cilíndricas es el más raro de los tres tipos morfológicos de papilomas que pueden darse en la mucosa nasal o de senos paranasales. Presentamos el caso de una mujer afecta de una tumoración a nivel de seno maxilar dcho y fosa nasal dcha que fue resecada con el diagnóstico definitivo de papiloma schneideriano de células oncocíticas. Revisamos la literatura: hallazgos clínicos, tratamiento y evolución

Cylindrical cell papilloma is the rarest of three morphologically distinct papillomas that occur in the nose and paranasal sinuses. We report a case of a woman affected of a right sinonasal mass who was removed with the final histopatological diagnosis of oncocytic schneiderian papilloma. We review the literature clinical findings, treatment and evolution

[Secretory otitis media of unconventional course]. / Otitis serosa, una evolución inusual.

Case report of a secretory otitia of sluggish unfolding that put forward serious diagnostic difficulties resulting, at last, to be an otic tuberculousis. Review and discussion on bibliography on otic tuberculousis, its presentation forms, diagnosis difficulties, complications and management.

[Treatment of laryngeal stenosis with laser]. / Tratamiento de las estenosis laríngeas con láser.

Laryngo-tracheal stenosis are conditions in which the treatment remain under discussion and sometimes is far from disappointing. Our results are commented and literature perusal of the subject as well.

Manifestaciones ORL de la miastenia gravis / Otolaryngological presentation of myasthenia gravis

La miastenia gravis se trata de una enfermedad de inicio insidioso cuya primera manifestación de forma frecuente es la disfagia. Esta manifestación pasa a menudo desapercibida, por lo que el paciente es diagnosticado posteriormente cuando la enfermedad está más avanzada y la clínica es más evidente. Presentamos el caso de una mujer de 25 años de edad, que acudió a nuestro servicio por epistaxis, refiriendo ya en la primera visita una disfagia progresiva con endoscopia digestiva, TEGD, así como laringoscopia indirecta normales. El cuadro fue evolucionando hasta aparecer debilidad de extremidades a partir de la cualfue establecida la sospecha de miastenia gravis y posteriormente confirmada mediante electromiografía y la determinación de los anticuerpos antirreceptor de acetilcolina. Realizamos una revisión de la literatura sobre las manifestaciones clínicas, procedimientos diagnósticos y tratamiento de esta entidad. Remarcando la importancia de la sospecha de miastenia gravis en mujeres jóvenes con disfagia y antecedentes familiares o personales de enfermedades autoinmunes cara a un diagnóstico y tratamiento precoz (AU)

Myasthenia gravis is an illness of insidious onset whose first manifestation often is dysphagia. We report the case of a 25 year-old woman who consulted for nosebleed. On her first visit she referred progressive dysphagia, but the results of endoscopic digestive examination and indirect laryngoscopy were normal. The condition evolved until the appearance of weakness of the extremities suggested myasthenia. Myasthenia gravis was diagnosed by means of electromyography and determinations of antibodies against acetylcholine receptors. We reviewed the literature on the clinical manifestations, diagnostic procedures, and treatment of this condition. This case highlights the importance of suspecting myasthenia gravis in young women with dysphagia and a family or personal history of autoimmune disease in order to reach an early diagnosis and treatment (AU)

[Leiomyosarcoma of the larynx]. / Leiomiosarcoma de localización laríngea.

A patient with leiomyosarcoma of the larynx met diagnostic criteria for radiation-induced malignancy. In a review of the literature, only 27 leiomyosarcomas of the larynx were found, none radiation-induced. The histological features and diagnosis and treatment are analyzed.

Leiomiosarcoma de localización laríngea / Leiomysarcoma of the larynx

Se presenta el caso de un paciente afecto de un leiomiosarcoma de localización laríngea que cumple los criterios diagnósticos de los tumores radioinducidos. Tras una revisión bibliográfica se constata su rareza, 27 leiomiosarcomas laríngeos descritos hasta la fecha y ninguno radioinducido, así mismo se revisan tanto sus características anatomopatológicas como su diagnóstico y tratamiento (AU)

A patient with leiomyosarcoma of the larynx met diagnostic criteria for radiation-induced malignancy. In a review of the literature, only 27 leiomyosarcomas of the larynx were found, none radiation-induced. The histological features and diagnosis and treatment are analyzed (AU)

[ORL manifestations of myasthenia gravis]. / Manifestaciones ORL de la miastenia gravis.

Myasthenia gravis is an illness of insidious onset whose first manifestation often is dysphagia. We report the case of a 25 year-old woman who consulted for nosebleed. On her first visit she referred progressive dysphagia, but the results of endoscopic digestive examination and indirect laryngoscopy were normal. The condition evolved until the appearance of weakness of the extremities suggested myasthenia. Myasthenia gravis was diagnosed by means of electromyography and determinations of antibodies against acetylcholine receptors. We reviewed the literature on the clinical manifestations, diagnostic procedures, and treatment of this condition. This case highlights the importance of suspecting myasthenia gravis in young women with dysphagia and a family or personal history of autoimmune disease in order to reach an early diagnosis and treatment.

[Otorhinolaryngological manifestations of varicella-zoster virus]. / Manifestaciones otorrinolaringológicas del virus varicela-zoster.

Otological complications of varicella-zoster syndrome (Ramsay Hunt syndrome) include facial paralysis, tinnitus, hearing loss, vertigo, dysgeusia, and skin rash. The lower cranial nerves sometimes are affected by this neuritis. A case is reported of a woman without immune-system impairment who had cranial multineuritis with unilateral involvement of the VII, VIII, IX and X cranial nerves after infection with varicella-zoster virus without herpetic lesions.

[Multiple extramedullary plasmocytoma of the upper respiratory and digestive tracts. A case report]. / Plasmocitoma extramedular múltiple de vías aerodigestivas superiores. A propósito de un caso.

Solitary or multiple extramedullary plasmacytoma is and odd condition. We report one case of multiple extramedullary plasmacytoma of pharyngolaryngeal site, stressing the importance of the area covered in order to rule out the most frequent systemic disease, that is the multiple myeloma. Comments about pathological anatomy features of the diagnosis and elective treatment as well.

[Cricoid calcification in the study of esophageal foreign bodies]. / La calcificación cricoidea en el estudio de los cuerpos extraños esofágicos.

Lateral radiography of the neck is performed for the study of radio-opaque esophageal foreign bodies that are not visualized by indirect laryngoscopy. This projection may reveal a calcified linear image behind the cricoid cartilage due to calcification of the posterior lamina. In such cases, esophagoscopy and/or computed tomography must be performed to determine whether the image is due to an anatomic variant or a true foreign body.