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C Martín Martín

Publications and source records attributed to C Martín Martín.

13 recordsLinked to original sources
PubMed2004

[Epidemiological notes on nasal bleeding].

The incidence of epistaxis is difficult to calculate because only a 10% of them look for medical attention. In this study the nasal bleeding means the 13.3% of the ENT emergencies (279 patients). Its incidence was 6 cases/10,000/year. The majority were over 50 years old (57.3%). There was season variations. The anterior epistaxis were more frequent but he posterior ones increased over the 40. An 18% had rebleeding more significatively with age and localization. We discuss the mechanisms that can explain the male dominance, the season incidence, and the old ages of the patients with hospital epistaxis.

Aged↗
PubMed2003

[Surgical treatment of laryngotracheal stenoses. Our experience].

Laryngo-tracheal stenoses (LTS) treatment is a problem of difficult management for the otolaryngologist. There are many and varied techniques in order to solve the conundrum. The aim of this article is to analyze retrospectively the outcomes of surgical treatment of LTS in our Institution. We have checked 11 cases (9 men and 2 women, arithmetic mean 30.7 years) operated through surgical procedures during a 6 years lapse of time. All patients were endotracheally intubated prior the stenosis appearance. Stenosis location most encountered were subglottic-tracheal combination. To the end of the study 44 percent of the series was successfully cured and the 33 percent only partially recovered. The employed techniques (endoscopic or open surgery) are revised at the light of today's literature.

Adolescent↗
PubMed2002

[A study of cervical metastases from unknown primary tumor].

Cervical metastases of cancer of an unknown primary tumour (CMUPT) are infrequent but they represent botha diagnostic and therapeutic challenge for ENT physicians. We present a retrospective study over 22 patients with CMUPT diagnosed in our hospital during 13 years (3.4% of the patients with head and neck cancer). The sensitivity of the fine-needle aspiration technique was 94.7%. 54% were N2a, 36% N3 and 9% N2b. 73% were squamous cell carcinoma and 27% were undifferentiated carcinoma. We established our protocol on diagnosis and management: panendoscopy with biopsies of nasopharynx, vallecula and pyriform sinus and ipsilateral tonsillectomy. The primary source was identified in 23% of the series. All squamous cell carcinoma were treated with radical neck surgery plus radiotherapy and the undifferentiated carcinoma with chemotherapy and radiotherapy. The overall survival was 64% at 3 years. The N-stage affected the survival rate.

Adult↗
PubMed2001

[High-frequency audiometry: hearing thresholds in normal ears].

High tone audiometry is an audiometric test serviceable in order to discover with precocity conditions affecting first the basal cochlear turn, as in ototoxicity occurs. Despite its increasing diffusion there are not fixed values allowing the use of a HL decibels scale generally introduced, like the adopted for low tone frequencies. This is partly due to difficulties for gauging several devices employed. Besides the age has an important influence in hearing of high tones and as a result the valutations given by distinct AA., disagree among them and each laboratory must establish their normal values grouped according to ages. However the knowledge of these figures is useful because they get a referent when one looks through the literature. This paper reflect our experience with normal population after being realized a brief medical history including an otoscopy and a diagnostic audiometry with the aim to eliminate possible otological pathology undiagnosed. Our results are compared with those of other authors.

Adult↗
PubMed2001

[Splenic abscess and cat-scratch disease].

Cat-scratch disease is caused by a Gram-negative bacillus known as Bartonella henselae. This disease is usually benign and causes regional adenitis that does not require treatment. However, some patients develop more serious atypical forms of the disease including prolonged systemic illness with hepatic and splenic abscesses.A 14-year-old girl was admitted to hospital with a 12-day history of persistent high fever and abdominal pain. Ultrasonography and computerized tomography of the abdomen revealed splenic abscesses. These findings, together with an antecedent of cat exposure, led to the suspicion of cat-scratch disease, which was confirmed by serology. The girl was treated with intramuscular ceftriaxone and clinical evolution was favorable. Splenic cat-scratch disease is infrequent. Cat-scratch disease sometimes presents as fever of unknown origin and consequently this disease should be considered in the differential diagnosis of prolonged fever. Although evolution is usually favorable, antibiotic therapy is recommended in systemic manifestations of cat-scratch disease.

Abscess↗
PubMedDate not supplied

[Possible factors influencing rehabilitation of the total laryngectomy patient using esophageal speech].

One of the handicaps of patients that have had a total laryngectomy is the loss of oral speech. There are three possibilities to rehabilitate these patients; surgery, voice prosthesis or esophageal speech. This last one appears as an inexpensive, non-invasive rehabilitation method; it does not need a complex learning and in spite of new technics, it continues to be an effective method in the social rehabilitation of laryngectomized patients. We have made a retrospective study of patients who underwent TL between 1992-1998 and that were rehabilitated by esophageal voice learning. Three factors have been evaluated: first, those related to the patient (gender, age, study level...); second, those related to the treatment itself [TL, pharyngolaryngectomy (PTL), TL plus radiotherapy...] and third, those related to the rehabilitation (technics, delayed on starting, number of sessions...). Data were compared with rehabilitation outcome: good (usually using esophageal voice), medium (speaking sometimes) and bad (not speaking). 74.1% had an acceptable outcome and they use esophageal voice with more or less difficulty to communicate, and this outcome increases to 95.8% when we do not take into account 7 patients who gave-up rehabilitation before finishing the first five sessions.

Adult↗
PubMedDate not supplied

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History, Ancient↗
PubMedDate not supplied

[The treatment of benign paroxysmal positional vertigo].

Medical treatment of the benign paroxysmal positional vertigo has achieved a high relevance in the last fifteen years because this is one of the most frequent types of vertigo. However, at the present time it is not possible to reject the surgical treatment yet. A review of 116 cases with benign paroxysmal positional vertigo has been made. Patients were included in three groups of therapy: pharmacological treatment, postural manoeuvres and a combination of both. Results were categorized in different groups according to the time (1 month, 3 months, 6 months and 1 year) that symptoms took to wear off. The most efficient treatment has been the BRANDT and DAROFF'S manoeuvres in association with vestibular sedatives.

Adult↗
PubMedDate not supplied

[Carcinoma of small neuroendocrine cells in major salivary glands. Presentation of two clinical cases and literature review].

To date, only 45 cases of oat cell carcinoma of the major salivary glands have been reported in the literature, which represents less than 1% of primary malignant tumors of the parotid glands. Two subtypes exist: ductal and neuroendocrine. We report two new cases of neuroendocrine oat cell carcinoma of the parotid gland which were treated by surgery associated with radiation therapy and chemotherapy. The literature review showed a predominance of males (61.7%), age 50-70 years, and location in parotid gland (83%). Treatment consists of radical surgery of the tumor associated with radiation therapy and chemotherapy. The prognosis is poor, with survivals at one, three and five years of 77.7%, 40.7%, and 29.6%, respectively, although this is better than the prognosis for other sites.

Aged↗
PubMedDate not supplied

[Smooth muscle tumor of the lower lip. A report of a case of rapid growing and increased mitotic activity].

Smooth-muscle tumors are not often found in the oral cavity. The tumors found usually are benign tumors of the angioleiomyoma type. We report a new case of oral smooth-muscle tumor, in the lower lip of a 74-year-old woman. Immunohistochemistry and electron microscopic study confirmed the nature of the lesion. Although some mitoses were visible, the outcome has been favorable.

Aged↗