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Biomedical subjects

B Cano Cuenca

Publications and source records attributed to B Cano Cuenca.

15 recordsLinked to original sources

[Amyotrophic lateral sclerosis that begins with voice and deglution alterations].

Amyotrophic lateral sclerosis is a progressive degenerative neuromuscular disease of insidious onset. It involves upper and lower motor neurons and causes both spastic and atrophic muscular symptoms. More than one fourth of patients have complaints relating to the head and neck (bulbar palsy); thus, the otolaryngologist may be the first physician to see them. In bulbar forms of Amyotrophic Lateral Sclerosis, voice and/or swallowing difficulties are often the initial signs of disturbance. Predominant symptoms are slurred speech, hoarseness, dysphagia, and dyspnea. Muscular weakness, atrophy, and fasciculation are noted on examination. We show a case and revise bibliography.

Amyotrophic Lateral Sclerosis↗

[Balloon catheter dilatation in pharyngo-esophageal stenosis].

On the scarring strictures at the level of the pharyngo-esophageal junction, for example following surgery for pharyngo-laryngeal tumours, the treatment was traditionally the use of transoral dilators, as the metallic spark plugs or olives. At present the balloon catheters are the election technique for all cases. The advantages for the balloon catheters versus the traditional methods are the smaller morbidity and mortality, the effectiveness, simplicity and little cost. We show the protocol done in our center for the dilation of these strictures.

Catheterization↗

[Laryngeal infection by Rhodococcus equi in patient with AIDS].

The Rhodococcus equi is an aerobic gram positive pleomorphic bacillus, that was isolated for the first time like a producer of bronchopneumonia in young horses. Every time more often, it is being recognized as a pathogen in humans, mainly in the immunodepressed population. We described a case, until now exceptional, of laryngeal infection by Rhodococcus equi in a patient with positive serology for the virus of the human immunodeficiency (HIV), and we reviewed some clinical and epidemiological characteristics of the infections by this germ. The treatment is riphampicine and/or erythromycin, being the prognosis bad, because usually they are immunodepressed patients.

Acquired Immunodeficiency Syndrome↗

[Mucinous cystadenoma of a minor salivary gland of the nasal fossa].

Tumors of minor nasal salivary glands are relatively sparse. The case reported is a monomorph adenoma of benign character, which first clinical diagnosis mimicked a naso-sinusal polyposis. Examination of the removed piece by functional endoscopic surgery firstly was considered as an adenocarcinoma of low malignity degree but afterwards resulted as a mucinous cysto-adenoma of minor salivary glands with favorable clinical behaviour.

Cystadenoma, Mucinous↗

[Epidermoid cyst of the cerebellopontine angle. Report of a case].

Epidermal cysts of the cerebello-pontine angle (CPA) are lesions arising from epidermal remainders having an expansive and slow growth sitting on the PCA space or on the temporal bone. Are diagnosed approximately in the fourth life's decade by its deficient or irritant symptoms related to VIIth and VIIIth cranial nerves. It is important the nuclear magnetic resonance exam because the specific radiologic characteristics that distinguish these cysts from other conditions of CPA as neuromata or meningiomata.

Cerebellar Neoplasms↗

[Hemifacial microsomia or syndrome of the first and second branchial arch: clinical features and therapeutic considerations].

The syndrome of hemifacial microsomia is formed by a constellation of congenital malformations of the originating face structures of the I and II branchial archs, in which the first pharingeal stock and the first soft palate take part to, along with the nucleus of the temporary bone. We present a new case of hemifacial microsomia, and reviewed its clinical characteristics and therapeutic possibilities.

Adult↗

[Recurrential paralysis as the first manifestation of chordoma of the petrous apex].

We report the case of a 67-year-old woman with paralysis of the right recurrent nerve. Imaging studies showed a mass in the right petrous apex and jugular foramen. Surgery was performed using a lateral approach to the skull base. The tumor excised from the petrous apex was a chondroid chordoma. Chordomas are rare dysontogenic neoplasms that arise from notochord remnants, generally on the midline. It should be included in the differential diagnosis of tumors of the skull base.

Aged↗

[The effect of gingko biloba on cochleovestibulary pathology of vascular origin].

The AA. of the present paper recall the clinical and functional results of this therapy in a group of 70 patients complaining of vertigo. The Gingko biloba extract (4 ml/12 h per mouth) has been continued during 6 months. Neck and vertebrobasilar insufficiency were predominant causes. Six months later statistically significant changes regarding the decrease of intensity of tinnitus and vertigo crises were confirmed. Besides favorable alterations in the peripherical symptomatology as a relative hearing improvement turned up.

Adult↗

[Significant differences in brainstem auditive potentials, in a juvenile normal hearing population].

The aim of this paper is an attempt to show up the possible variations of latencies of the waves of brainstem auditory evoked potentials (SP), in daily practice, without actual otoneurological pathology. The AA. made this study in 62 normal hearing ears from healthy young people with the BSP derived tracings at several intensities of stimulation (60, 75 and 90 db) with the help of two different equipments. They considered the mean and standard latency deviations of I, III and V waves and their intervals and found out that the maximum and minima values were compatible with any otoneurological pathology, that they could't prove afterwards.

Adolescent↗

[Neck adenopathies in epidermoid carcinomas of the piriform sinus: a retrospective study and 5-year survival].

Retrospective survey done with 27 patients of epidermoid carcinoma of the piriform sinus in order to ascertain the degree of regional spread--both clinic and histologic--of the neoplasm and also set up the relation between the actual adenopathies, the rate of recurrences and the actuarial survival at 5 years post-treatment term. The checked results show the bad prognosis of such tumors irrespective of the most aggressive surgery (partial hemipharyngectomy plus total laryngectomy plus neck dissection and postoperative X-ray therapy). The actuarial survival accounts for 29.6 percent after 5 years. The AA. confirm a great lymphophile tendency with an invasion percentage amounting to 55.6 percent but with a certain clinic-histologic disagreement. Relation between the frequency of adenopathies (clinical and histological), the survival and the recurrences at 5 years is indicative to a great extent that adenopathies are a pejorative circumstance of these neoplasms.

Aged↗

[Tubal mucociliary transport in chronic otitis media].

We introduce the results that we have obtained using the mucociliary transport time in the tube in 91 ears with central perforation by means of saccharin solution. The ears have been classified in four groups regarding the situation of the perforation and results have been compared. The fastest time was obtained in the anterior site group and the slowest in the posterior side group.

Adolescent↗

[Myringoplasty using formaldehyde formed fascia (Perkins' foot) in 188 cases: anatomical and functional results at 5 years].

Herein we explain the experiences we have had, in the ORL department of the HCU of Valencia, al along a period of seven years, by using the formaldehyde formed fascia graft, exposing the anatomical and functional results obtained after a minimum pursuit of five years on a sequence of 188 myringoplasties. With such method we got to close the tympanic membrane, and that they remain entire after five years, on the 72.87% of the cases, getting improvement of audition determined by a reduction of the air-bone gap greater than 15 dB, in the 62.77% of the cases. Such results are obtained with a very slight number of complications. This all makes us to consider this technique as the proper one in cases where perforation is greater than 50% of tympanic membrane.

Adolescent↗

[Static posturography: analysis of the area parameter in normal and abnormal subjects].

Static posturography was evaluated in the diagnosis of vestibular disease. The battery of tests carried out on a force platform (DINASCAN) included standing on one or two feet with eyes opened and closed. Fifty-six study subjects were divided into healthy and vestibular disease groups, which in turn were subdivided by age. Area was a study parameter and results were evaluated with the Student "t" test. The only significant differences found were in tests 3 and 4 in the healthy group and test y in the vestibular disease group. Comparisons by age and presence of vestibular disease disclosed no differences. These results suggest that area is not a suitable parameter for detecting latent vestibular disease.

Adult↗