[Diagnostic and treatment of necrotizing cervical fascitis. Clinical course after a Ludwig angina]. / Diagnóstico y tratamiento de la fascitis necrotizante cervical. Evolución tras una angina de Ludwig.

The Ludwig angina is an infection of the base of the mouth and submandibular region, frecuently after a dental extraction or a piece in bad state. When it surpassees the milohioid muscle it extends dissecting the superficial aponeurotic planes, and can evolve to a necrotisant fascitis. We present the case of a 67 years old man with a painful tumefaction of the mouth base and submandibular region. The CT reflected an heterogenous submaxilar lesion that extended by the deep cervical fascia introducing itself in the thorax. Under antibiotic treatment the pus was drained by cervicotomy, with daily cures during 3 weeks.

Diagnóstico y tratamiento de la fascitis necrotizante cervical. Evolución tras una angida de Ludwig / Diagnostic and treatment of necrotizing cervical fascitis. Evolution after a ludwig angina

La «angina de Ludwig» es una infección del suelo de la boca y región submandibular, frecuentemente tras una extracción dental o por una pieza en mal estado. Cuando sobrepasa el músculo milohiodeo se extiende disecando los planos aponeuróticos superficiales, pudiendo evolucionar hacia una fascitis necrotizante. Presentamos el caso de un hombre de 67 años con tumefacción dolorosa del suelo de la boca y región submandibular. La TC reflejaba una lesión heterogénea submaxilar que se extendía por la fascia profunda cervical hasta introducirse en el tórax. Bajo tratamiento antibiótico se drenó el pus mediante cervicotomía, con curas diarias durante 3 semanas

The Ludwig angina is an infection of the base of the mouth and submandibular region, frecuently after a dental extraction or a piece in bad state. When it surpassees the milohioid muscle it extends dissecting the superficial aponeurotic planes, and can evolve to a necrotisant fascitis. We present the case oía 67 years old man with a painful tumefaction of the mouth base and submandibular region. The CT reflected an heterogenous submaxilar lesion that extended by the deep cervical fascia introducing itself in the thorax. Under antibiotic treatment the pus was drained by cervicotomy, with daily cures during 3 weeks

Nasal septal perforation in a patient with subclinical celiac disease: a possible new association.

A female patient presented with nasal septal perforation that did not respond to conventional therapeutic management. Later, because of a malabsorption problem in one of her children, she underwent analytic tests and distal duodenal biopsy, which revealed that she was suffering from subclinical/silent celiac disease. The treatment, a gluten-free diet, unexpectedly resulted in the cessation of the destructive nasal process. Four years later, the patient remains asymptomatic. Nasal septal perforation might constitute a new entity associated with celiac disease hitherto not described in the literature.

[Laryngeal neurofibroma. A case report and literature review]. / Neurofibroma laríngeo. Presentación de un caso y revisión bibliográfica.

Neurofibroma is a rare pathology on the larynx. We distinguish two types of neurofibromas: plexiform and not plexiform in which the difference is at the cytoarchitectural level. The plexiform type is usually associated to the Von Recklinhausen disease, also know as neurofibromatosis type 1. They usually affect the supraglottic structure, and more frequently they are described in aritenoids, ariepiglottic folds, and posterior commissure. We present a case located at the glottic level of plexiform type, with a postsurgical follow-up of five years. We make a revision of the aethiopathogenesis, evolution and prognostic of these pathology in the bibliography.

[Paraganglioma of the vagus. A case report and review of literature]. / Paraganglioma del nervio vago. Presentación de un caso y revisión de la literatura.

The vagal nerve paraganglioma is a rare tumor over all the head and neck tumours. It presents with a insidious clinic, appearing usually as a asymptomatic laterocervical mass of low growth pattern. We present a case of a 53 years old woman with a left of painless laterocervical mass that produced cough with the palpation. We pretend to review the most relevant aspects of the diagnosis and treatment of the paraganglioma and therefore include this pathology in the differential diagnosis of laterocervical tumor.

Neurofibroma laríngeo. Presentación de un caso y revisión de la bibliografía / Neurofibroma of the larynx. Presentation of one case and revision of bibliography

El neurofibroma es una patología infrecuente a nivel laríngeo. Se distinguen dos tipos de neurofibromas: plexiforma y no plexiforme, cuya diferencia es a nivel de la citoarquitectura. El tipo plexiforme suele asociarse a la enfermedad de Von Recklinghausen, también conocida como neurofibromatosis tipo I. Suelen afectar a la estructura supraglótica, y con mayor frecuencia se les describe en aritenoides, pliegues ariepiglóticos y comisura posterior. Presentamos un caso localizado a nivel glótico de tipo plexiforme, con seguimiento posquirúrgico de cinco años. Se realiza revisión bibliográfica de la etiopatogenia, evolución y pronóstico de dicha patología (AU)

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Paraganglioma del nervio vago. Presentación de un caso y revisión de la literatura / Paraganglioma of the vagal nerve. Presentation of a case and revision of literature

El paraganglioma del nervio vago es un tumor poco frecuente entre los tumores de cabeza y cuello. Se caracteriza por presentar una clínica insidiosa, apareciendo más frecuentemente como un bultoma laterocervical asintomático y de lento crecimiento. Presentamos un caso de una mujer de 53 años de edad con una masa laterocervical izquierda indolora que producía tos a la palpación. Pretendemos revisar los aspectos más relevantes acerca de su diagnóstico y tratamiento, con el objetivo de que esté presente en nuestro diagnóstico diferencial (AU)

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[Bilateral carotid chemodectoma on the external carotid arteries. A case report]. / Quemodectoma carotídeo bilateral dependiente de la arteria carótida externa. A propósito de un caso.

Tumors of the carotid body are rare neoplasms that arise from neuroectodermic tissues. They are located in the fork of the primitive carotid artery. They are benign, slow-growing, and asymptomatic, and predominate in women. We present a case of bilateral carotid chemodectoma on the external carotids. These tumors were diagnosed by CT, MRI and superselective angiography. The treatment of choice is surgical after arteriographic embolization. Exeresis is curative in most cases, but some cases require radiotherapy.

[Surgery and radiotherapy in esthesioneuroblastoma of the nose, apropos of 2 cases]. / Cirugía y radioterapia en el estesioneuroblastoma olfatorio, a propósito de dos casos.

The esthesioneuroblastoma is a rare tumor localized in nose and sinus with difficult diagnosis (aspect like undifferentiated carcinoma and lymphosarcoma) local malignant. We have 2 cases in our hospital whose treatment and evolution is good. We have revised the diagnosis and treatment in these diseases.

[A retrospective study of 250 diagnostic and therapeutic microlaryngoscopies]. / Estudio retrospectivo de 250 microlaringoscopias diagnósticas y terapéuticas.

Perusal of 250 microlaryngoscopies done with either diagnostic or therapeutic aim and statistical analysis of all them. Bibliographic review checking own results with those of similar studies.

[Treatment of malignant otitis externa]. / Tratamiento de la otitis externa maligna.

Though rare the malignant otitis externa must be borne in mind because in its precocious diagnosis is based the success of the management. Elderly people, diabetics and immunodepressed are especially exposed. The CAT is basic in order to detect the spreading of the process. The patient being admitted at a Medical center, the antibiotherapy started at once with Ceftazidine, 2 g every 12 hours via i.v. The exeresis of the e.e.ca proves sometimes necessary after control of the infection. This procedure assures the healing and prevent the recurrences some times seen. But when infection disappears owing to the success of the antibiotherapy in 2-3 weeks; the culture for Pseudomonas is negative 3 weeks later; and the previous CAT showed no spreading to the tympanal bone, the surgery must be discarded. The process is considered over when the culture for Pseudomonas aeruginosa is negative, but review of the patients is compulsory at least during half a year.

[Dysphonia caused by idiopathic skeletal hyperostosis. Apropos of a case]. / Disfonía por hiperostosis esquelética idiopática. A propósito de un caso.

The Forestier's disease is an skeletal idiopathy described by this A. and Rotés Querol, in 1950, characterized by the systemic ossification in variable degree of the vertebral column. The neck localization can produce pharyngeal or laryngeal symptoms, due to the compression of the structures of the neighbourhood. So was the case recorded which being symptomless remain untreated. Survey of today's literature on the subject so as diagnosis, pathophysiology and its management.