Indicación del tratamiento endoscópico de los mucoceles maxiloetmoidales / Indication for endoscopic procedures in maxilloethmoydal mucoceles

La cirugía endoscópica nasosinusal ha posibilitado un cambio en el diagnóstico, tratamiento y manejo postquirúrgico de múltiples patologías nasales y sinusales. Los mucoceles de los senos paranasales pueden constituir una de las indicaciones ideales para la realización de esta técnica siempre que reúnan condiciones suficientes de accesibilidad. En estos casos, se lograría evitar tratamiento quirúrgico por vía externa con las secuelas y morbilidad consiguientes. Presentamos un mucocele de gran tamaño y extensión maxiloetmoidal tratado endoscópicamente y analizamos los puntos clave para sentar la indicación de tratamiento endoscópico en esta patología

The Functional Endoscopic Sinus Surgery has posibilitated a change in the diagnosis, treatment and postsurgical management of many nasosinusal diseases. Mucoceles of the paranasal sinuses are an ideal indication for performing these surgical procedures when good accesibility conditions are presented under these circumstances, external approach, with the subsequent impairments and morbility, could be avoided. An endoscopically treated extensive maxilloethmoydal mucocele is presented and key points to endoscopic treatment indication are provided

[An uncommon cause for unilateral vocal fold paralisis: aortic aneurysms. Case report and literature review]. / Una causa poco frecuente de parálisis recurrencial: aneurismas de aorta Aportación de un caso clínico y revisión de la literatura.

Unilateral vocal fold paralysis is frequently encountered during ENT practise. It may result from many different conditions and it always should be regarded as a sign revealingan underlaying disease that can be located anywhere along the traject of the tenth cranial nerve or at the cricoarytenoidjoint being malignancies and trauma the leading causes. Etiology, glottal characteristics and compensative maneuvers, and individual factors such as comorbility or age must be considered when treatment options are proposed to the patient. A case of an uncommon etiology for unilateral vocal fold paralysis, an aortic aneurysm, is presented and considerations about the management of this condition are provided.

Una causa poco frecuente de parálisis recurrencial: aneurisma de aorta. Aportación de un caso clínico y revisión de la literatura / An uncommon cause for unilateral vocal fold paralisis: aortic aneurysms. Case report and literature review

La parálisis unilateral de una cuerda vocal es un hallazgo común durante el ejercicio de la otorrinolaringología que puede deberse a múltiples patologías y que siempre debe considerarse como un signo revelador de una patología subyacente que puede ubicarse a cualquier nivel del trayecto del X par craneal o en la articulación cricoaritenoidea, siendo tumores malignos y traumatismos las principales causas. A la hora de proponer las diferentes opciones terapéuticas factibles, se debe valorar y considerar la etiología de la parálisis, las características exploratorias del la laringe y las maniobras compensatorias que ésta realiza, y factores individuales del paciente tales como comorbilidad, edad, autopercepción de la enfermedad por el paciente y sus deseos. Presentamos un caso de parálisis recurrencial unilateral de una etiología poco frecuente, un aneurisma de aorta, realizando una serie de consideraciones que a nuestro juicio son importantes en estos caso

Unilateral vocal fold paralysis is frequently encountered during ENT practise. It may result from many different conditions and it always should be regarded as a sign revealingan underlaying disease that can be located anywhere along the traject ofthe tenth cranial nerve or at the cricoarytenoid joint being malignancies and trauma the leading causes. Etiology, glottal characteristics and compensative maneuvers, and individual factors such as comorbility or age must be considered when treatment options are proposed to the patient. A case of an uncommon etiology for unilateral vocal fold paralysis, an aortic aneurysm, is presented and considerations about the management of this condition are provided

[Palatine tonsil lipoma]. / Lipoma de amígdala palatina.

Lipomatous tumors represent an unfrequent cause for upper aerodigestive tract neoplasms, specially concerning the palatine tonsils, that should be included in their differential diagnosis. A case of palatine tonsil lipoma in a 11 year-old girl is reported and a revision of the available literature and some considerations about this condition are provided.

[Epiglottic cysts: an unsuspected cause of dysphagia. Anatomo-clinical study and treatment options]. / Quistes epiglóticos: una causa insospechada de disfagia. Estudio anatomoclínico y opciones terapéuticas.

Laryngeal cysts represent a defined group of benign lesions with an actual not well know pathogenesis although fibrosis and glandular obstruction or congenital origin are presumed rather than new growths. When such cysts occur, as a general rule, with the exception of some particular locations, they develop with very few symptoms until very large size is reached or a fast growth is produced due to bleeding or infection. Under these conditions, these cysts may represent a potential treatening lesion and so surgery is recommended under any circunstance and anaesthetic procedure should be case-addapted. A case of an impressive large epiglottic cyst is presented and a revision and discusion on the controversies and available literature are provided.

[Indication for endoscopic procedures in maxiloethmoydal mucoceles]. / Indicación del tratamiento endoscópico de los mucoceles maxiloetmoidales.

The Functional Endoscopic Sinus Surgery has posibilitated a change in the diagnosis, treatment and postsurgical management of many nasosinusal diseases. Mucoceles of the paranasal sinuses are an ideal indication for performing these surgical procedures when good accesibility conditions are present. Under these circumstances, external approach, with the subsequent impairments and morbility, could be avoided. An endoscopically treated extensive maxilloethmoydal mucocele is presented and key points to endoscopic treatment indication are provided.