[Unilateral polyposis: evaluation of preoperative tests]. / Poliposis unilaterales: evaluación de las pruebas preoperatorias.

UNLABELLED: The aim of this paper is to study a group of patients with occupancy of a nasal fossal, apparently by polyps, and being the other side of the nose normal. Evaluating on the one hand the true incidence of unspecific polyposis and, of other diagnosis, and on the other hand to compare the preoperative radiological findings with those seen during surgery. MATERIAL AND METHODS: A prospective study of 23 consecutive patients was carried out over a period of 30 months at the ENT Department of the Dr. Peset Hospital, in Valencia. A CT scan and preoperative biopsy was performed in all cases, the results of these being later compared with the surgical findings and the final histopathologic diagnosis. RESULTS AND CONCLUSIONS: A discrepancy between the preoperative biopsy and final diagnosis was found in 26% of the patients. The incidence of polyposis was 52%, inverted papilloma 26%, malignant tumours 13% and other diagnosis 8.6%. There is a good correlation between preoperative CT scans and surgical findings in those cases of polyposis and inverted papilloma, but not in those of malignant tumours as CT scans often underestimated these lesions.

Poliposis unilaterales: evaluación de las pruebas preoperatorias / Unilateral polyposis: evaluation of preoperative tests

El objetivo del trabajo es estudiar a aquellos pacientes que presentan una ocupación unilateral de fosa nasal, en apariencia polipoidea, y la fosa contralateral normal.Valorando, por un lado, la incidencia real de poliposis inespecíficas y de otros diagnósticos. Y, por otro lado, comparamos los datos que nos ofrece la radiología preoperatoria con los hallazgos quirúrgicos encontrados. Material y métodos: Hacemos un estudio prospectivo de 23 pacientes recogidos en un periodo de 30 meses en el servicio de ORL del Hospital Dr. Peset de Valencia. Se realiza en todos los pacientes TAC y biopsia preoperatoria, comparándolos posteriormente con los hallazgos quirúrgicos y el diagnóstico anatomopatológico definitivo. Resultados y conclusiones: Hubo discordancia entre la biopsia preoperatoria y el diagnóstico definitivo en el 26 por ciento de los pacientes, siendo la incidencia de poliposis del 52 por ciento, papilomas invertidos del 26 por ciento, tumores malignos el 13 por ciento y otros diagnósticos 8,6 por ciento. Hay una buena correlación entre La TAC preoperatoria y los hallazgos quirúrgicos en las poliposis y los papilomas invertidos, pero no en los tumores malignos donde la TAC suele infravalorar las lesiones. (AU)

The aim of this paper is to study a group of patients with occupancy of a nasal fossal, apparently by polyps, and being the other side of the nose normal. Evaluating on the one hand the true incidence of unspecific polyposis and, of other diagnosis, and on the other hand to compare the preoperative radiological findings with those seen during surgery. MATERIAL AND METHODS: A prospective study of 23 consecutive patients was carried out over a period of 30 months at the ENT Department of the Dr. Peset Hospital, in Valencia. A CT scan and preoperative biopsy was performed in all cases, the results of these being later compared with the surgical findings and the final histopathologic diagnosis. RESULTS AND CONCLUSIONS: A discrepancy between the preoperative biopsy and final diagnosis was found in 26% of the patients. The incidence of polyposis was 52%, inverted papilloma 26%, malignant tumours 13% and other diagnosis 8.6%. There is a good correlation between preoperative CT scans and surgical findings in those cases of polyposis and inverted papilloma, but not in those of malignant tumours as CT scans often underestimated these lesions (AU)

[The results and evaluation of septoplasty in an outpatient surgical unit]. / Resultados y evaluación de la septoplastia en la unidad de cirugía sin ingreso.

With this work we intend to appreciate the true value of outcomes of a series of 48 patients operated on septoplasty under general anesthesia in the surgical unit without admission (SUWA) during a 18 months term. We evaluate the incidence of postoperative complications as well the criteria for medical and social selection of candidates. We have verified that septum deviation in association with rhinitis increases the incidence of postoperative complications. Nevertheless, we have confirmed also that septal surgery is a procedure with low rate of complications and seemly good to carry out at surgical unit without admission, provided are strictly followed the criteria for selection of the cases in order to minimize the risks.

[Tracheopatia osteochondroplastica. A case report]. / Traqueopatía osteocondroplástica. A propósito de un caso.

Tracheoplastia osteoplastica is a rare benign disease of the trachea and major bronchi that is characterized by bony and cartilaginous submucosal nodules covered by normal mucosa. Localized lesions rarely produce clinical manifestations and most symptomatic patients have extensive, diffuse lesions. The bronchoscopic findings are typical and the diagnosis is confirmed by biopsy. We report a case of tracheopathia osteoplastica diagnosed by bronchoscopy in a 64-year-old woman.

[Primary tuberculosis of the lingual tonsil. A case report]. / Tuberculosis primaria en amígdala lingual. A propósito de un caso.

A case of primary tuberculosis of the lingual amygdala is reported. This is a highly unusual location in the head and neck area. This entity can be easily misdiagnosed as a result of confusion with other pathologies.

[Necrotizing fasciitis of the head and neck. Report of 4 cases of cervical necrotizing fasciitis]. / Fascitis necrotizante en cabeza y cuello. A propósito de cuatro casos de fascitis necrotizante cervical.

Necrotizing fasciitis is a severe polybacteria infection characterised by necrosis of the fascial and adjacent soft tissues with rapid expansion of the infection along fascial planes. It may originate potentially fatal complications and often is accompanied by systemic toxicity. It is not a frequent entity in the head and neck, but early diagnosis is very important because early treatment based on intravenous antibiotherapy and aggressive surgical debridement can prevent complications that often cause the death of the patient. Pour reports of necrotizing fasciitis are presented, one of them with fatal outcome, which leads us to emphasize the importance of an early diagnosis.

[Decannulation after radiotherapy in partial surgery of the larynx]. / Estudio de la decanulación tras radioterapia en la cirugía parcial laríngea.

The purpose of our paper is to study the decannulation of those which a supraglotic horizontal laryngectomy was performed. For that, we compare two groups of patients: those which received postchirurgic radiotherapy, and those which did not need it.

[The upper maxilla as the site of tumor metastasis. Apropos of 1 case]. / Maxilar superior como localización de metástasis tumoral. A propósito de un caso.

Primary or metastatic malignancies can be originated either in the bone or in the maxillary sinus. Both locations as primary site occur seldom and are exceptionally seen as metastatic growths especially inside the maxillary sinus. The paper reports a metastatic carcinoma of the kidney in the upper maxillary. Survey of the literature and assessment of the prognosis in those patients.