[Practical aspects regarding endoscopic treatment for epistaxis]. / Aspectos prácticos sobre el tratamiento endoscópico de la epistaxis.

INTRODUCTION: A prospective study is presented to evaluate some practical and financial aspects regarding surgical endoscopic ligation or cauterization of sphenopalatine (SP) and anterior ethmoidal (AE) arteries performed to control posterior nasal bleeding. PATIENTS AND METHODS: 35 patients admitted at the ENT ward between 2004 and 2006 were included in the study, and distributed into two groups depending on the protocol applied in each case. Until March 2005 the surgery was performed if there was failure or insecurity of the posterior packing, and since that date a substitutive surgical protocol (not including posterior packing) was applied. RESULTS: 82.9% of the patients were male, with a mean age of 55.74 years and a left bleeding in a 60% of the cases. Ligature/cauterization was performed on SP in 28 (80%) patients, on AE in 4 (11.4%), and on both arteries in 3 cases (8.6%). 38.7% of the SP approach only one sphenopalatine foramen was observed, through which an only branch of the artery passed; 42% of the cases two branches passed through an only foramen, and in 19.3% two or more branches were present, breaking into the nose through two or more independent clefts. AE was intradural in 3 cases, intranasal attached to the cranial base in other 3 and intranasal detached to the cranial base in 1 patient. Besides, highly significant differences were found between the two protocols, observing a mean reduction of hospital stay of 3.1 days, which throws up savings of 939.3 euros per patient. DISCUSSION AND CONCLUSIONS: Surgical treatment for epistaxis has proved to be effective (91.2% in our experience) and safe, determining an important reduction in hospital stay and avoiding the morbility of posterior packing. Accurate knowledge of the anatomy of the arteries implied and specific actuation upon the correct bleeding territory are essential to perform this surgery.

[Otogenic cerebrospinal fistula. Report of an atypical case]. / Fístula otica de líquido cefalorraquídeo. Presentación de un caso atípico.

We report the case of a female patient who consulted to the Room Emergencies due to abundant watery otorrea of 3 months without another symptom or apparent cause. The studys confirmed the presence of cerebrospinal fluid (CSF) and the imaging tests (CT and MRI) demonstrated the existence of a communication between the right ear and middle cerebral fossa through tegmen timpani. The woman was operated by ORL (closing the fistula) and neurosurgery (placing an external lumbar drainage) with good postsurgical evolution.

Aspectos prácticos sobre el tratamiento endoscópico de la epistaxis / Practical aspects regarding endoscopic treatment for epistaxis

Introducción: Presentamos un estudio prospectivo para valorar algunos aspectos técnicos y económicos sobre el tratamiento quirúrgico de la epistaxis posterior mediante ligadura/cauterización de las arterias esfenopalatina (SP) y etmoidal anterior (EA). Pacientes y métodos: 35 pacientes ingresados en nuestro servicio por epistaxis posterior y sometidos a cirugía para su control entre 2004 y 2006, fueron incluidos y distribuidos en dos grupos según el protocolo de actuación empleado en cada caso. Hasta marzo de 2005 se empleó la cirugía por fracaso o inestabilidad del taponamiento posterior, y a partir de esa fecha un protocolo de cirugía sustitutiva (la cirugía sustituyó al taponamiento posterior). Realizamos un estudio comparativo de los dos protocolos y discutimos aspectos prácticos sobre esta cirugía. Resultados: El 82,9% de los pacientes fueron hombres, con una edad media de 55,74 años y un sangrado procedente del lado izquierdo en el 60% de los casos. En 28 (80%) pacientes se actuó sobre la SP, en 4 (11,4%) sobre la EA y en 3 (8,6%) sobre ambas. En el 38,7% de los casos se observó un solo orificio esfenopalatino por el que salía una sola rama bifurcada a los pocos milímetros de su salida, en el 42% de los casos un orificio por el que salían dos ramas, y en el 19,3% se objetivaron dos o más ramas que salían de dos o más orificios distintos. La EA fue intradural en 3 casos, intranasal en íntima relación con la base del cráneo en otros 3, y totalmente intranasal separada de la base del cráneo en 1 caso. Además, se encontraron diferencias altamente significativas entre los dos protocolos, observándose una reducción media de la estancia hospitalaria de 3,1 días con la cirugía sustitutiva, lo que supone un ahorro estimado de 939,3 euros por paciente. Discusión y conclusiones: El tratamiento quirúrgico de la epistaxis ha demostrado ser eficaz (91,2% en nuestra serie) y seguro en el manejo de estos pacientes, determinando una reducción importante de su estancia hospitalaria y eliminando la morbilidad de los taponamientos posteriores. El adecuado conocimiento de la anatomía de las arterias implicadas en estas técnicas y la actuación específica sobre el territorio sangrante son de vital importancia para la correcta realización de este tipo de cirugía

Introduction: A prospective study is presented to evaluate some practical and financial aspects regarding surgical endoscopic ligation or cauterization of sphenopalatine (SP) and anterior ethmoidal (AE) arteries performed to control posterior nasal bleeding. Patients and methods: 35 patients admitted at the ENT ward between 2004 and 2006 were included in the study, and distributed into two groups depending on the protocol applied in each case. Until March 2005 the surgery was performed if there was failure or insecurity of the posterior packing, and since that date a substitutive surgical protocol (not including posterior packing) was applied. Results: 82.9% of the patients were male, with a mean age of 55.74 years and a left bleeding in a 60% of the cases. Ligature/cauterization was performed on SP in 28 (80%) patients, on AE in 4 (11.4%), and on both arteries in 3 cases (8.6%). 38.7% of the SP approach only one sphenopalatine foramen was observed, through which an only branch of the artery passed; 42% of the cases two branches passed through an only foramen, and in 19.3% two or more branches were present, breaking into the nose through two or more independent clefts. AE was intradural in 3 cases, intranasal attached to the cranial base in other 3 and intranasal detached to the cranial base in 1 patient. Besides, highly significant differences were found between the two protocols, observing a mean reduction of hospital stay of 3.1 days, which throws up savings of 939.3 euros per patient. Discussion and conclusions: Surgical treatment for epistaxis has proved to be effective (91.2% in our experience) and safe, determining an important reduction in hospital stay and avoiding the morbility of posterior packing. Accurate knowledge of the anatomy of the arteries implied and specific actuation upon the correct bleeding territory are essential to perform this surgery

Fístula ótica de líquido cefalorraquídeo. Presentación de un caso atípico / Otogenic cerebrospinal fistula. Report of an atypical case

Presentamos el caso de una paciente que acudió al servicio de Urgencias or abundante otorrea acuosa de 3 meses de evolución sin otra clinica añadida ni causa aparente. El análisis posterior confirmó la presencia de liquido cefalorraquídeo (LCR) y las pruebas de imagen (TAC y RMN) demostraron la existencia de una comunicación entre el oído derecho y la fosa cerebral media a través del tegmen timpani. La mujer fue intervenida porORL (sellado de la fistula) y neurocirugía (colocación de drenaje lumbar externo) con buena evolución postoperatoria

We report the case of a female patient who consulted to the Room Emergencies due to abundant watery otorrea of 3 months without another symptom or apparent cause. The studys confirmed the presence of cerebrospinal fluid (CSF) and the imaging tests (CT and MRI) demonstrated the existence of a communication between the right ear and middle cerebral fossa through tegmen timpani. The woman was operated by ORL (closing the fistula) and neurosurgery (placing an extemallumbar drainage) with good postsurgical evolution

[Plaut-Vincent's acute necrotizing ulcerative fusospirillum tonsillitis associated to infectious mononucleosis]. / Amigdalitis aguda ulceronecrótica fusoespirilar de Plaut-Vincent asociada a mononucleosis infecciosa.

We report the case of a 14 years old girl patient with recurrent tonsillitis who had been diagnosed and admitted previously with Plaut-Vincent's angina. Six weeks after leaving the hospital she was assited in Emergencies by an infectious mononucleosis associated to unilateral tonsillar necrotizing ulceration from which a sample was taken to microbiological exam finding the fusospirochaetal complex Borrelia vincenti and Fusobacterium necrophorum. A literature review at the respect of such association and its treatment is performed.

[Utility of the surgical treatment for severe epistaxis by endoscopic approach of sphenopalatine and ethmoidal arteries]. / Utilidad del tratamiento quirúrgico de la epistaxis grave mediante abordaje endoscópico de las arterias esfenopalatina y etmoidal anterior.

INTRODUCTION: To evaluate the efficacy and cost-effectiveness of the treatments used for controlling epistaxis, particularly compared with the surgical endoscopic ligation or cauterization of sphenopalatine (SP) and anterior ethmoid (AE) arteries, a intervention prospective-retrospective study is presented with the aim of assessing the feasibility of these surgical techniques as an alternative to conventional treatments. PATIENTS AND METHODS: 184 consecutive patients admitted in the ENT ward between the years 1997 and 2005 were included in the study, and distributed into three groups depending on the last treatment applied to control their bleeding: AP group.- anterior packing (n=98); PP group.- posterior packing (n=66), and ES group.- endoscopic ligation and/or cauterization of SP or AE (n=20). RESULTS: Highly significant differences were found between the groups, not only regarding the efficacy (90% for surgical treatment compared with 41.3% for AP and 63.1% for PP), but also the length of postreatment hospital stay (AP.- 4.92 days; PP.- 6.3 days; ES.- 2.15 days). DISCUSSION AND CONCLUSIONS: The lack of efficacy of conventional treatment and the increasing risk factors that condition nasal bleeding, together with the advance of endoscopic and anesthesic procedures have brought along the possibility of a surgical solution for these patients. Our results demonstrate the feasibility of these techniques as alternative for nasal packing in the treatment of posterior epistaxis, and even its ethical and economical convenience as a substitutive to posterior packing.

Amigdalitis aguda ulceronecrótica fusoespirilar de Plaut-Vincent asociada a mononucleosis infecciosa / Plaut-Vincent´s acute necrotizing ulcerative fusospirillum tonsillitis associated to infectious mononucleosis

Presentamos el caso de una paciente de 14 años con faringoamigdalitis de repetición que habia sido diagnosticada e ingresada previamente por angina de Plaut-Vincent. Seis semanas después de su alta hospitalaria es atendida en Urgencias por cuadro de mononucleosis infecciosa asociado a una ulceración necrótica amigdalar unilateral de la que se tomó una muestra para estudio microbiológico hallándose el complejo fusoespirilar Borrelia vincenti y Fusobacterium necrophorum. Realizamos una revisión de la literatura al respecto de tal asociación y su tratamiento

We report the case of a 14 years old girl patient with recurrent tonsillit is who had been diagnosed and admitted previously with Plaut-Vincent's angina. Six weeks after leaving the hospital she was assited in Emergencies by an infectious mononucleosis associated to unilateral tonsillar necrotizing ulceration from which a sample was taken to microbiological exam finding the fusospirochaetal complex Borrelia vincenti and Fusobacterium necrophorum. A literature review at the respect of such association and its treatment is performed

Utilidad del tratamiento quirúrgico de la epistaxis grave mediante abordaje endoscópico de las arterias esfenopalatina y etmoidal anterior / Utility of the surgical treatment for severe epistaxis by endoscopic approach of sphenopalatine and ethmoidal arteries

Introducción: Presentamos un estudio de intervención (prospectivo-retrospectivo) para valorar la eficacia y relación coste-beneficio de distintos tratamientos para el control de la epistaxis posterior grave, y en especial para determinar si la cirugía de ligadura/cauterización de las arterias esfenopalatina (SP) y etmoidal anterior (EA) puede emplearse como alternativa a los medios convencionales. Pacientes y métodos: 184 pacientes consecutivos ingresados en nuestro servicio por epistaxis posterior fueron incluidos en el estudio entre los años 1997 y 2005, y asignados a uno de los tres grupos en función del último tratamiento que recibieron para el control de su sangrado: TA.- taponamiento anterior (98 pacientes); TP.- taponamiento posterior (66 pacientes); CE.- cirugía de ligadura/cauterización de las arterias SP y EA (20 pacientes). Resultados: Se encontraron diferencias altamente significativas entre los distintos tratamientos tanto en la eficacia (90% de la cirugía comparada con un 41,3% del taponamiento anterior y un 63,1% del posterior), tanto en lo que se refiere a la estancia media postratamiento (TA.-4,92 días; TP.- 6,3 días; CE.- 2,15 días). Discusión y conclusiones: La necesidad de repetición de los tratamientos en el control de la epistaxis posterior grave y el aumento de los factores de riesgo que la condicionan, junto con el avance de las técnicas endoscópicas y anestésicas, hacen posible la aplicación de una solución quirúrgica que demuestra una mayor eficacia y un acortamiento evidente de la estancia hospitalaria de estos pacientes. Los resultados de este estudio demuestran la viabilidad de estas técnicas como alternativa a los tratamientos convencionales, e incluso su conveniencia ética y económica como sustitutivas del taponamiento posterior

Introduction: To evaluate the efficacy and cost-effectiveness of the treatments used for controlling epistaxis, particularly compared with the surgical endoscopic ligation or cauterization of sphenopalatine (SP) and anterior ethmoid (AE) arteries, a intervention prospective-retrospective study is presented with the aim of assessing the feasibility of these surgical techniques as an alternative to conventional treatments. Patients and methods: 184 consecutive patients admitted in the ENT ward between the years 1997 and 2005 were included in the study, and distributed into three groups depending on the last treatment applied to control their bleeding: AP group.- anterior packing (n=98); PP group.- posterior packing (n=66), and ES group.- endoscopic ligation and/or cauterization of SP or AE (n=20). Results: Highly significant differences were found between the groups, not only regarding the efficacy (90% for surgical treatment compared with 41.3% for AP and 63.1% for PP), but also the length of postreatment hospital stay (AP.- 4.92 days; PP.- 6.3 days; ES.- 2.15 days). Discussion and conclusions: the lack of efficacy of conventional treatment and the increasing risk factors that condition nasal bleeding, together with the advance of endoscopic and anesthesic procedures have brought along the possibility of a surgical solution for these patients. Our results demonstrate the feasibility of these techniques as alternative for nasal packing in the treatment of posterior epistaxis, and even its ethical and economical convenience as a substitutive to posterior packing

[Congenital hemangioma arising of internal orbitary edge. Importance of ENT exploration and treatment options]. / Hemangioma congénito del canto interno orbitario. importancia de la exploración O.R.L. y opciones de tratamiento.

Hemangiomas are the most common tumors in children. It id reported the case of 11 months girl with congenital hemangioma at internal orbitary edge. ENT exploration is essential to rule out the affectation of nose and paranasal sinuses as well as other associated similar injuries in head and neck. As complementary tests we asked for CT and IRM to delimit the tumoration whose classic treatment are oral corticoids in high doses. Surgery usually is reserved for refractory cases to the medical therapy although the present exposition is changing due to different factors that we expose in the final discussion.

Hemangioma congénito del canto interno orbitario. Importancia de la exploración O.R.L. y opciones de tratamiento / Congenital hemangioma arising internal orbitary edge. Importance of ENT exploration and treatment options

Los hemangiomas son los tumores más frecuentes en la infancia. Se presenta el caso de una niña de 11 meses con hemangioma congénito del canto interno orbitario. La valoración ORL es esencial para descartar la afectación de fosas y senos paranasales así como otras lesiones asociadas similares en cabeza y cuello. Como pruebas complementarias realizamos TAC y RMN para delimitar la tumoración cuyo tratamiento clásico de elección son los corticoides por vía oral o altas dosis. La cirugía suele reservarse para casos refractarios a la terapia médica aunque el planteamiento actual está cambiando debido a distintos factores que exponemos en la discusión final

Hemangiomas are the most common tumors in children. It id reported the case of 11 months girl with congenital hemangioma at internal orbitary edge. ENT exploration is essential to rule out the affectation of nose and paranasal sinuses as well as other associated similar injuries in head and neck. As complementary tests we asked for CT and IRM to delimit the tumoration whose classic treatment are oral corticoids in high doses. Surgery usually is reserved for refractory cases to the medical therapy although the present exposition is changing due to different factors that we expose in the final discussion

[Postraumatic massive epistaxis. An indication for selective arterial embolization]. / Epístaxis masiva postraumática. Una indicación de embolización arterial selectiva.

We report a 38 years old male admitted to our hospital with massive epistaxis secondary to nasal trauma which required to perform a posterior packing, transfusion and embolization of the internal maxillary artery for stopping the nosebleed. Then we made a FENS (Functional Endoscopic Nasal Surgery) by cauterization of several bleeding points on nasal septum following an anterior packing that was removed after 48 hours without new epistaxis. In a patient like this we think that an angiography with selective embolization is the main choice when other options have failed.

Epístaxis grave recidivante secundaria a traumatismo nasal. Presentación de un caso atípico en varón de 22 años / Recurrent and severe epistaxis secondary to nasal trauma. Report of an atypical case in a 22 years-old-male

Presentamos el caso de un varón de 22 años que tras traumatismo nasal presentó epístaxis diferida y persistente grave que requirió varios ingresos hospitalarios y diversos tratamientos. Concretamente se realizaron por orden cronológico taponamiento s anteriores, ligadura-cauterización endoscópica de la arteria esfenopalatina, taponamiento posterior clásico y finalmente una nueva CENS con cauterización de la arteria etmoidal anterior. Además fue necesario transfundir para remontar la anemia del paciente cuya estancia global fue de 16 días. Las epístaxis refractarias postraumáticas son muy poco comunes pero ocasionalmente pueden suponer un problema difícil de resolver

We report the case of a 22 years old male who presented a diferred, recurrent and severe epistaxis after nasal trauma which required several admissions in our hospital and different treatments. Concretely by chronological order it has been practiced anterior tamponades, endoscopic ligature-cauterization of the sphenopalatine artery, classic posterior packing and finally a new FENS with cauterization of anterior ethmoidal artery. Besides it was necessary a transfusion to go up the anemia suffered by the patient whose global stay was 16 days. Recurrent postraumatic epistaxis are very rare but can be represent a difficult problem to solve

[Statistical study regarding anemia in patients admitted with epistaxis. Importance of its control and the associated risk factors]. / Estudio estadistico sobre anemia en pacientes ingresados por epistaxis. Importancia de su control y de los factores de riesgo asociados.

OBJECTIVE: To emphasize the importance of hemodinamic control and risk factors in the patients hospitalized due to epistaxis. MATERIAL AND METHODS: Retrospective study of 200 consecutive patients admitted by such cause between 1997 and 2004 of whom 46 (23%) developed some degree of anemia. Among other clinical variables we analyze the present risk factors, age, sex, levels of hematocrit and hemoglobin, origin of the nasal hemorrhage, number of transfusions that were required and type of nasal packing used. RESULTS: We prove a significant statistical association (p<0,01)) between epistaxis with anemia and risk factors. About 39% of the anemizing epistaxis needed a transfusion, generally red cell concentrates. CONCLUSIONS: Every admitted epistaxis needs a good hemodinamic study and control of the patient and the treatment of the base pathology associated.

Estudio estadístico sobre anemia en pacientes ingresados por epístaxis. Importancia de su control y de los factores de riesgo asociados / Statistical study regarding anemia in patients admitted with epistaxis. Importance of its control and the associated risk factors

Objetivo: Destacar la importancia del control hemodinámico y de los factores de riesgo en los pacientes hospitalizados por epístaxis. Material y métodos: Estudio retrospectivo en el que hemos estudiado 200 pacientes consecutivos ingresados por dicho motivo entre los años 1997 y 2004 de los que 46 (23%) desarrollaron algún grado de anemia. Se analizan entre otras variables clínicas los factores de riesgo presentes, edad, sexo, niveles de hematocrito y hemoglobina, origen del sangrado nasal, número de transfusiones requeridas y tipo de taponamiento practicado. Resultados: Asociación estadísticamente significativa (p<0,01) entre epístaxis anemizantes y factores de riesgo. Un 39% de las epístaxis anemizantes precisaron transfusión, generalmente concentrados de hematíes. Conclusiones: En toda epístaxis ingresada es necesario en primer lugar controlar el estado hemodinámico del paciente y el tratamiento de la patología de base asociada

Objective: To emphasize the importance of hemodinamic control and risk factors in the patients hospitalized due to epistaxis. Material and methods: Retrospective study of 200 consecutive patients admitted by such cause between 1997 and 2004 of whom 46 (23%) developed some degree of anemia. Among other clinical variables we analyze the present risk factors, age, sex, levels of hematocrit and hemoglobin, origin of the nasal hemorrhage, number of transfusions that were required and type of nasal packing used. Results: We prove a significant statistical association (p<0,01)) between epistaxis with anemia and risk factors. About 39% of the anemizing epistaxis needed a transfusion, generally red cell concentrates. Conclusions: Every admitted epistaxis needs a good hemodinamic study and control of the patient and the treatment of the base pathology associated

[Simultaneous bilateral sudden deafness. Report of a clinical case]. / Sordera súbita bilateral simultánea. Presentación de un caso.

Bilateral sudden deafness is uncommon and characterized by an acute sensorineural hearing loss in both ears of 30 dB or more in 3 consecutive frequencies. We report the case of a 57 yeras old female with this diagnosis who presented a right anacusia and a severe audiometric loss on left ear without vestibular pathology associated. She was admitted and treated by the protocol of medical therapy that we have performed in our E.N.T. Department (4 days EV and then 10 ones oral medication) with improvement in her audition 25-30 dB average. If sudden bilateral sensorineural deafnes is founded, we must consider an immuno-mediated inner ear disease (IMIED).

[Granular cell tumor of the tongue (Abrikossoff's tumor). Report of a case and review of the literature]. / Tumor de células granulares lingual (tumor de Abrikossoff). Presentación de un caso y revisión de la literatura.

Granular cell tumor, myoblastoma or Abrikossoff's tumor is an uncommon benign lesion, usually of slow-growing, that shows a predilection for the oral cavity, especially the tongue. Its real etiopathogenia remains still controversial and in it's histogenesis have been implicated several cell types. We report the case of a 18 years old woman with that diagnosis, confirmed in AP, who was operated by removal of the tumoration that was located in the left half-tongue. After 28 months she has not suffered any recurrences.

[Glossopharyngeal neuralgia. A propos of one clinical case]. / Neuralgia del glosofaríngeo. A propósito de un caso clínico.

Glossopharyngeal or the 9th cranial nerve neuralgia is an uncommon pathology characterized by severe paroxysmal attacks of pain in the base of the tongue, posterior pharynx and tonsillar fossa some times associated with pain irradiated to the ear. It's Carbamazepine is the first choice of medical treatment while the microvascular decompression is considered the main surgical procedure.

Sordera súbita bilateral simultánea. Presentación de un caso / Simultaneous bilateral sudden deafness. Report of a clinical case

La sordera súbita bilateral es poco frecuente y se caracteriza por una pérdida auditiva neurosensorial brusca en ambos oídos de al menos 30 dB en 3 frecuencias consecutivas. Presentamos el caso de una mujer de 57 años con este diagnóstico que presentaba cofosis derecha e hipoacusia profunda de oído izquierdo sin patología vestibular asociada. Fue ingresada y sometida al protocolo de tratamiento médico establecido por nuestro Servicio (4 días IV y 10 más vía oral) con mejoría de su audición 25-30 dB de media. Ante una hipoacusia brusca neurosensorial bilateral rápidamente progresiva se debe pensar en la enfermedad del oído interno inmunomediada (EOIIM)

Bilateral sudden deafness is uncommon and characterized by an acute sensorineural hearing loss in both ears of 30 dB or more in 3 consecutive frequencies. We report the case of a 57 years old female with this diagnosis who presented a right anacusia and a severe audiometric loss on left ear without vestibular pathology associated. She was admitted and treated by the protocol of medical therapy that we have performed in our E.N.T. Department (4 days EV and then 10 ones oral medication) with improvement in her audition 25-30 dB average. If sudden bilateral sensorineural deafnes is founded, we must consider an immune-mediated inner ear disease (IMIED)

Tumor de células granulares lingual (tumor de Abrikossoff). Presentación de un caso y revisión de la literatura / Granular cell tumor of the tongue (Abrikossoff´s tumor). Report of a case and review of the literature

El tumor de células granulares, mioblastomas o tumor de Abrikossof es una lesión benigna poco frecuente, generalmente de crecimiento lento, que muestra predilección por la cavidad oral, especialmente la lengua. Su etiopatogenia real aún continúa siendo motivo de controversia y en su histogénesis se han implicado varios tipos celulares. Se presenta el caso de una mujer de 18 años con este diagnóstico, confirmado por AP, que fue intervenida mediante exéresis de la tumoración que afectaba la hemilengua izquierda. Tras 28 meses de seguimiento no se han registrado recidivas

Granular cell tumor, myoblastoma or Abrikossof’s tumor is an uncommon benign lesion, usually of slow-growing, that shows a predilection for the oral cavity, especially the tongue. Its real etiopathogenia remains still controversial and in it's histogenesis have been implicated several cell types. We report the case of a 18 years old woman with that diagnosis, confirmed in AP, who was operated by removal of the tumoration that was located in the left half-tongue. After 28 months she has not suffered any recurrences

Neuralgia del glosofaríngeo. A propósito de un caso clínico / Glossopharyngeal neuralgia. A propos of one clinical case

La neuralgia del glosofaríngeo o IX par craneal es una patología poco común que se caracteriza por ataques de dolor paroxístico severo en base de lengua, pared faríngea posterior y fosa amigdalar a menudo acompañados de otalgia refleja. Se trata de un diagnóstico clínico a realizar una vez descartadas otras posibles causas. El tratamiento médico de elección es la carbamacepina mientras que la descompresión microvascular se considera el tratamiento quirúrgico de elección

Glossopharyngeal or the 9th cranial nerve neuralgia is an uncommon pathology characterized by severe paroxysmal attacks of pain in the base of the tongue, posterior pharynx and tonsillar fossa some times associated with pain irradiated to the ear. It's Carbamazepine is the first choice of medical tretament while the microvascular decompression is considered the main surgical procedure