[Fibroxanthoma of the external auditory canal]. / Fibroxantoma del conducto auditivo externo.

Atypical fibroxanthoma is an scarce skin tumor which usually develops in exposed areas of elderly persons. It is very uncommon in the external auditory canal, where it might be wrongly diagnosed as a sebaceous cyst or carcinoma. We report a case of atypical fibroxanthoma of the external auditory canal and review the current procedure for the differential diagnosis of these lesions.

[Nasal encephalocele: differential diagnosis with nasal glioma]. / Encefalocele nasal: diagnóstico diferencial con el glioma nasal.

Congenital nose neoplasms are infrequent, between them neurogenic tumors of the middle line include nasal gliomata (glial ectopies) and nasal encephaloceles, according to an existing or lacking communicating link with the intracranial cavity. We report one congenital naso-encephalocele case in a 16-year-old girl suffering from repeated meningitis events after several nasal polypectomies performed in other departments. She underwent complete removal through fronto-neurosurgical and paralateronasal approach, being the young woman asymptomatic for 3 years. We discuss about both intranasal gliomata and encephaloceles, certainly of not easy pathologic identification, stressing the decisive value of imaging techniques, as magnetic resonance, in order to clearcut both the diagnosis and the therapeutical planning.

[Congenital anomalies of the first branchial cleft. Retrospective study]. / Anomalías congénitas de primera hendidura branquial: estudio retrospectivo.

Anomalies of the first branchial cleft are occasional problems putting up diagnostic and therapeutic difficulties, because the imperfect settlement of reminders of this cleft, which can appear as cysts or branchial fistula, among patients of any age. Though there are several recommended classifications in order to achieve a precious diagnosis and a total surgical removal, sometimes is laborious to correlate the clinical and the histological findings. We report a sequence of congenital periauricular anomalies operated in our Department during a ten-years-term and compare our findings of those quoted after the literature series.

[Peritonsillar abscess with parotid and peripharyngeal extension. Report of a case]. / Absceso periamigdalino con extensión parotídea y perifaríngea. A propósito de un caso.

Peritonsillar abscess is the most frequent complication of a tonsillar infection. The purulent material can spread from peritonsillar space to the fascial neck spaces. These deep neck infections may be a life threatening complication. The correct treatment of these infections is an appropriate antimicrobial therapy and abscess drainage, most of the times by surgery. We present a clinical case of a large perypharyngeal, and parotid abscess originated from a peritonsillar abscess. It was necessary surgical treatment to drain it.

[Lateral cervical branchial cysts: a retrospective study]. / Quistes branquiales cervicales laterales: un estudio retrospectivo.

The cause of lateral cervical branchial cysts is debated. Some authors claim that they are congenital, whereas others believe that they are acquired, being their likely origin cystic degeneration of the cervical lymph nodes. Their protocol of study and differential diagnosis with respect to malignant neck masses are of special interest. A retrospective clinical study was made of 13 cervical branchial cysts seen by one of the authors over a decade-long period. Based on the results, their probable origin is discussed and a study protocol is proposed. Although it has been discussed by some authors, we conclude that the origin of branchial cysts cannot be determined through this type of clinical study. Computed tomography and fine-needle aspiration currently are essential diagnostic methods in the study protocol of these lesions.

Fibroxantoma del conducto auditivo externo / Fibroxanthoma of the external auditory canal

El fibroxantoma atípico es un tumor cutáneo poco frecuente que aparece en áreas expuestas al sol y en personas de edad avanzada. Es poco habitual en el conducto auditivo externo, donde puede confundirse macroscópicamente con otras lesiones mucho más frecuentes como quistes sebáceos y carcinomas. Presentamos el caso de una paciente con un fibroxantoma atípico del conducto auditivo externo, realizando una revisión actualizada del diagnóstico diferencial de estas lesiones

Atypical fibroxanthoma is an scarce skin tumor which usually develops in exposed areas of elderly persons. It is very uncommon in the external auditory canal, where it might be wrongly diagnosed as a sebaceous cyst or carcinoma. We report a case of atypical fibroxanthoma of the external auditory canal and review the current procedure for the differential diagnosis of these lesions

Absceso periamigdalino con extensión parotídea y perifaríngea. A propósito de un caso / Periamydaline abscess with parotid and parapharyngeal extension. Based on one case

El absceso periamigdalino es la complicación más frecuente de una infección amigdalar. La acumulación de pus en el espacio periamigdalino puede extenderse por los espacios virtuales del cuello delimitados por las capas faciales cervicales. Estas infecciones cervicales profundas pueden representar una complicación seria que incluso amenace la vida del paciente. El tratamiento de estas infecciones incluye una correcta antibioterapia y el drenaje del absceso, casi siempre mediante cirugía. Presentamos un caso clínico de un gran absceso retrofaríngeo, parafarÍngeo y parotídeo, originado a partir de un absceso periamigdalino que precisó tratamiento quirúrgico para su drenaje (AU)

Peritonsillar abscess is the most frequent complication of a tonsillar infection. The purulent material can spread from peritonsillar space to the fascial neck spaces. These deep neck infections may be a life threatening complication. The correct treatment of these infections is an appropriate antimicrobial therapy and abscess drainage, most of the times by surgery. We present a clinical case of a large perypharyngeal, and parotid abscess originated from a peritonsillar abscess. It was necessary surgical treatment to drain it (AU)