[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.

[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.

[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.

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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Neumatocele traqueal postraumático. Un caso de fístula traqueal y enquistamiento aéreo paratraqueal / Postraumatic tracheal pneumatocele. A case of aerialtracheal fistula and paratracheal encysted

Presentamos un caso de neumatocele traqueal postraumático tras una herida cervical abierta. Aportamos un tratamiento conservador a tener en cuenta como es la punción simple del quiste aéreo y el vendaje compresivo cervical (AU)

[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.

[Experimental animal model for laryngeal cartilage transplantation]. / Modelo de experimentación animal en cirugía de trasplante de cartílago laríngeo.

We evaluated the rabbit (New Zealand) as an experimental animal in reconstructive laryngeal surgery. We report our experience and describe features of rabbit anatomy and surgery.

[Extramedullary plasmacytoma and hypercalcemia]. / Plasmocitoma extramedular e hipercalcemia.

Extramedullary plasmocytoma (EMP) is an infrequent entity characterized by the proliferation of malignant plasma cells which are generally found on the mucosa of the upper respiratory tract. A case of EMP located in the right maxillary sinus is referred. Peculiarities of the same were resistance to radiotherapy with local relapse and severe hyperkalemia. Despite deliberate searching, disease dissemination could not be demonstrated.

[Oropharyngeal pemphigus vulgaris]. / Penfigo vulgar orofaringeo.

Etiologic and pathogenic as well the Pemphigus vulgaris is an autoimmune disease, being its symptomatology polysystemic. Accordingly, under the diagnostic viewpoint, must be considered as a multidisciplinary illness. Either the evolutive course, the differential diagnosis or the treatment emphasizes the importance of the attendance of these patients ambulatory or hospitalized. An exclusively ENT case of pemphigus vulgaris seen by the AA. compelled them to a perusal of the bibliography of the subject, in order to update the problems of diagnosis and treatment of the disease.

[Keratosis obturans]. / Keratosis obturans.

The Keratosis obturans is a disease localized in the EAC. It is an important pathology because its physiopathology differs from other analogous diseases of the same site, and has a clinical and pathological aspect uniform and peculiar, in spite of its evolutive course. The AA. review the bibliography and report their experience with the aim to define and classify this disorder.

[Goldenhar syndrome: apropos of 2 cases]. / Síndrome de Goldenhar: a propósito de dos casos.

The arc branch syndrome are a group of diseases whose classification and etiology are unknown yet. We has 2 patients with Goldenhar's syndrome and we have studied the etiopathogenicity and treatment in these diseases.

[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.

[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.

[Solitary rhinosinusal plasmacytoma. A review of its diagnosis and treatment]. / Plasmocitoma solitario rinosinusal. Revisión del diagnóstico y tratamiento.

The extramedullary plasmocytoma is a rare condition accounting for one per cent of malignancies of the upper air way. We present one case of rhinosinusal location, which diagnosis offered some difficulties owing to both the X-ray and clinical findings. Treated with radio- and chemotherapy (without any surgery) the result proved good. In the paper the AA. review and bring up-to-date this pathology.

[Mucous nasosinus melanoma. Apropos of a case]. / Melanoma mucoso nasosinusal. A propósito de un caso.

The mucous melanoma is a rare affection which has a very poor prognosis by its difficult diagnosis and unsatisfactory treatment. We have a patient with mucous melanoma nasal, which has been studied (clinic evolution, diagnosis and treatment) in our Hospital.

[Nasosinusal aspergillosis]. / Aspergilosis nasosinusal.

The paper reports about a bilateral maxillary sinusitis and a right pansinusitis of this unusual disease. The allergic polyposis present in the second case is probably due to fungus sensitization (as Katzenstein's case). None of them have had dental problems, not even foreign bodies inside of the sinuses (quoted from other AA.). The diagnosis must be confirmed by both the pathologist and the bacteriologist. The treatment is surgery plus antifungal drugs.

[Laryngeal amyloidosis]. / Amiloidosis laríngea.

Reporting a case localized both on the left ventricular band and on Morgagni's ventricle, which histologic examination resulted luckily in this odd entity. Review of possible anatomopathologic techniques and methods for confirm or reject systemic amyloidosis. Surgery is the treatment of choice (microsurgery or laryngofissure). The lost motility of the larynx was recovered.