RESUMO
No disponible
Assuntos
Humanos , Masculino , Adulto , Leishmaniose Mucocutânea/patologia , Pavilhão Auricular/patologia , Leishmaniose Mucocutânea/complicações , Leishmaniose Mucocutânea/diagnóstico , HIV , Biópsia/métodosRESUMO
La hiperplasia nodular oncocítica multifocal es una lesión infrecuente de la glándula parótida. Se presenta un caso de hiperplasia nodular oncocítica multifocal de la glándula parótida en espacio parafaríngeo de una mujer de 74 años y se revisan las lesiones oncocíticas de la glándula parótida(AU)
Multifocal nodular oncocytic hyperplasia is a rare lesion of the parotid gland. A case of multifocal nodular oncocytic hyperplasia of the parotid gland in the parapharyngeal space in a 74-year-old woman is reported and the oncocytic lesions of the parotid gland are reviewed(AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Hiperplasia do Linfonodo Gigante/diagnóstico , Hiperplasia do Linfonodo Gigante/patologia , Hiperplasia Nodular Focal do Fígado/diagnóstico , Hiperplasia Nodular Focal do Fígado/patologia , Adenoma Oxífilo/diagnóstico , Adenoma Oxífilo/patologia , Imuno-Histoquímica/instrumentação , Imuno-Histoquímica/tendências , Glândula Parótida/patologia , Glândula Parótida , Neoplasias Parotídeas/patologia , /instrumentação , /métodos , Diagnóstico Diferencial , Sensibilidade e EspecificidadeRESUMO
No disponible
Assuntos
Humanos , Masculino , Adulto , Extração Dentária/efeitos adversos , Dente Serotino/cirurgia , Enfisema Mediastínico/etiologia , Enfisema Subcutâneo/etiologiaRESUMO
OBJECTIVE: To describe our experience with the use of trachea-oesophageal puncture (TEP) after total laryngectomy. MATERIAL AND METHOD: We have studied retrospectively 96 patients who received a voice prosthesis through tracheoesophageal puncture between October 2000 and December 2005. RESULTS: The punctures effected were 86 primary (89.6 %) and 10 secondary (10.4 %); of the prostheses, 81 (84.4 %) were Provox(R) type and 74 % of patients used it as their normal means of communication. Reasons for withdrawal included insufficiency and aspiration in 66.7 % (14/21), lack of use in 23.8 % (2/21), granulation tissue, and inflammation in 4.7 % (1/21). CONCLUSIONS: Voice rehabilitation by TEP and prosthesis was successful in 74 % of our patients with acceptable complications and better results than those obtained by tracheaoesophageal speech. We recommend the use of TEP in those patients who have the motivation and a good oncological and physical assessment.
Assuntos
Fístula Traqueoesofágica/complicações , Fístula Traqueoesofágica/fisiopatologia , Distúrbios da Voz/etiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fístula Traqueoesofágica/diagnóstico , Distúrbios da Voz/diagnósticoRESUMO
Objetivo: Analizar nuestra experiencia con el uso de prótesis fonatorias (PF) tras la realización de laringectomía total. Material y método: Estudio retrospectivo de 96 pacientes a quienes se colocó una PF mediante punción traqueoesofágica entre octubre de 2000 y diciembre de 2005. Resultados: Se realizaron 86 (89,6 %) punciones primarias y 10 (10,4 %) secundarias; el 84,4 % (81/96) de las prótesis eran del tipo Provox® y el 74 % de los pacientes la utilizaban como medio habitual de comunicación. Las causas de retirada fueron: insuficiencia y aspiración, 66 % (14/21); no emplearla, 23,8 % (2/21), y granulaciones e inflamación, 4,7 % (1/21). Conclusiones: El empleo de PF mediante punción traqueoesofágica ha sido útil en el 74 % de nuestros pacientes, con una tasa de complicaciones asumible y resultados fonatorios superiores a los obtenidos mediante erigmofonía, por lo que recomendamos su uso en pacientes que, por motivación y valoración física y oncológica, sean candidatos
Objective: To describe our experience with the use of trachea-oesophageal puncture (TEP) after total laryngectomy. Material and method: We have studied retrospectively 96 patients who received a voice prosthesis through tracheoesophageal puncture between October 2000 and December 2005. Results: The punctures effected were 86 primary (89.6 %) and 10 secondary (10.4 %); of the prostheses, 81 (84.4 %) were Provox® type and 74 % of patients used it as their normal means of communication. Reasons for withdrawal included insufficiency and aspiration in 66.7 % (14/21), lack of use in 23.8 % (2/21), granulation tissue, and inflammation in 4.7 % (1/21). Conclusions: Voice rehabilitation by TEP and prosthesis was successful in 74 % of our patients with acceptable complications and better results than those obtained by tracheaoesophageal speech. We recommend the use of TEP in those patients who have the motivation and a good oncological and physical assessment
