[Group F chronic cholesteatomatous otomastoiditis with spontaneous fistulization]. / Otomastoiditis colesteatomatosa crónica por estreptococo de grupo F con fistulización espontánea.

Chronic cholesteatomatous otomastoiditis is a rare entity in childhood, and its spontaneous intra- or extracranial fistulization is even more uncommon. The otologic sequelae are always important, especially when the disease is long standing. The agents causing chronic otomastoiditis are the same as those that can cause otitis. When there is associated cholesteatoma, Gram-negative and anaerobic bacilli are often present, but not group F beta-hemolytic streptococcus. The case of an 8-year-old boy with chronic cholesteatomatous otomastoiditis and spontaneous fistulization caused by group F beta-hemolytic streptococcus is reported.

Otomastoiditis colesteatomatosa crónica por estreptococo de grupo F con fistulización espontánea / Group F chronic cholesteatomatous otomastoiditis with spontaneous fistulization

La otomastoiditis crónica colesteatomatosa es un proceso muy poco frecuente en la infancia y menos aún su fistulización espontánea intracraneal o extracraneal. Las secuelas óticas son siempre importantes, especialmente en los casos de larga evolución. Los patógenos responsables de la otomastoiditis crónica son los mismos que originan la otitis. Cuando se asocia a colesteatoma, es frecuente la presencia de gramnegativos y anaerobios, pero no de estreptococo betahemolítico de grupo F. Se presenta el caso de un niño de 8 años con otomastoiditis crónica colesteatomatosa de larga evolución originada por estreptococo betahemolítico de grupo F que cursó con fistulización espontánea intracraneal y extracraneal

Chronic cholesteatomatous otomastoiditis is a rare entity in childhood, and its spontaneous intra- or extracranial fistulization is even more uncommon. The otologic sequelae are always important, especially when the disease is long standing. The agents causing chronic otomastoiditis are the same as those that can cause otitis. When there is associated cholesteatoma, Gram-negative and anaerobic bacilli are often present, but not group F beta-hemolytic streptococcus. The case of an 8-year-old boy with chronic cholesteatomatous otomastoiditis and spontaneous fistulization caused by group F beta-hemolytic streptococcus is reported

[Adenoid cystic carcinoma of the minor salivary glands. Our experience]. / Carcinoma adenoide quístico de glándulas salivares menores. Nuestra experiencia.

Adenoid cystic carcinoma is the most frequent malignant tumor of the minor salivary glands. It is characterized by a slow, but aggressive, clinical evolution, which tends to produce distant metastases even years after the initial surgical treatment. We present a clinical study of 19 patients with adenoid cystic carcinoma of the minor salivary glands that were treated with surgery and radiotherapy. The survival (vital) prognosis for this study declined in the third year after initial treatment, with recurrence and distant metastases occurring several years after treatment. Therefore, the clinical course of this disease requires long-term follow-up of patients.

[Objective evaluation of vocal pathology in childhood]. / Evaluación objetiva de la patología vocal en la infancia.

Voice disorders in children are often described as existing on a continuum with anatomic or physiologic causes at one end and functional or psychogenic causes at the other. In this study we report the objective evaluation of the voice disorders on 48 school children. The evaluation was made by means of laryngostroboscopy, acoustic analysis of the voice and narrow-band spectrography. The stroboscopic examination was performed on more than a half of the patients, resulting in the change of diagnose in six cases. The severity of the hoarseness was classified in four groups according Yanagihara method. A multivariate analysis was carried out using jitter, shimmer and harmonic-to-noise ratio as variables. Only the harmonic-to-noise ratio predicts the severity of the spectrographic record. Classification of degrees of hoarseness is found to be clinically useful in two respects: the degree of hoarseness can be numerically expressed and the objective acoustic degree of hoarseness based on this method closely agrees with subjective perceived degree of hoarseness.