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J Algaba

Publications and source records attributed to J Algaba.

14 recordsLinked to original sources

CO2 laser cordectomy as a day-case procedure.

OBJECTIVE: To evaluate the safety of CO2 laser cordectomy in the treatment of glottic carcinoma as a day-case procedure. STUDY DESIGN: This was a retrospective study of a cohort of 73 patients with glottic carcinoma treated by laser cordectomy as a day-case procedure using a CO2 laser, between January 2000 and June 2004. RESULTS: There were no major complications and no patients required reintubation. More than 90 per cent of the patients were discharged on the day of the procedure. There were seven unplanned admissions to hospital but none of these appeared to be the direct result of the surgery, and the patients were discharged the next day. All the patients stated they would have further surgery in this manner if required. CONCLUSION: Laser cordectomy for glottic carcinoma can be safely performed as an out-patient procedure if patients are carefully selected according to specific criteria.

Adult↗

[Inverted papilloma: treatment and evolution].

Inverted Papilloma is a frequent bening nasosinusal tumour. The high frequency of recurrences and the malignant potential are its clinical characteristics. We present our experience in a retrospective study done in the last 10 years. 10 patients with Inverted Papilloma have been treated during that period. According to the Classification made by krouse who divides the Inverted Papilloma in four stages, we found 3 in stage I, 6 in stage II and 1 in stage IV. The treatment in almost all of the patients in Stage I and II was endonasal surgery. External approach was performed for stage IV. The recurrence rate was 30% and malignization occurred in 10% of the cases. Finally, we have compared other publications, and revised the literature.

Adult↗

Spanish study group on cochlear implants for persons with marginal benefit from acoustic amplification.

Recently the U.S. Food and Drug Administration approved the use of cochlear implants (CI) in patients with severe-to-profound sensorineural hearing loss with marginal benefit (< 30% speech discrimination) from hearing aids (HA). A multicentre trial was developed to determine whether this approval could be applied to the Spanish population. Nine postlingual adults from 3 centres were selected for the study. The mean preoperative unaided PTA threshold (0.25 to 4 KHz) was 108.6 dB HL for the poorer ear and 99.8 dB HL for the better. In all subjects the poorer ear was implanted with a Mini Nucleus 22 device. A single subject design study was used to compare performance with HA preoperatively and with CI postoperatively, or CI with contralateral HA. PTA measures and Spanish open set speech recognition tests were used. Comparing pre-implant levels with results after 6 months of CI use, all subjects improved significantly on all test measures: i) Mean aided soundfield threshold: 73.6 dB vs 39.8 dB ii) Mean bisyllabic recognition: 20% vs 57% iii) Mean consonant discrimination: 20% vs 49% iv) Mean CID sentences: 22% vs 73%. Five subjects discontinued use of the contralateral HA after implantation, three continued occasionally to use the HA, and one continued to use both on a full-time basis. Patients performed significantly better post-implant on speech recognition compared with their best pre-implant HA scores. Therefore the CI appears an appropriate treatment for Spanish speakers with a severe-to-profound hearing loss and marginal benefits with HA.

Adolescent↗

[Ganglioneuroma of the middle ear. Apropos of a case].

We present a clinical case of middle ear Ganglioneuroma correctly diagnosed after its complete exeresis. A previous surgical biopsy of the mass was consistent with an schwannoma of the VIIth cranial nerve. Considering the newness of the case we make this brief note exposing the clinical process as well as the review of the related bibliography of this neoplasm. None previous mention of middle ear ganglioneuroma have been found, according to the reporters perusal.

Adult↗

[Hemangiopericytoma of the maxillary sinus: apropos of a case].

Haemangiopericytoma is a rare vascular tumour arising from the proliferation of pericytes which are cells surrounding the capillaries. Since 1949 only 54 cases of haemangiopericytomas of the nose and paranasal sinuses have been reported in the literature. Of the latter, only 8 cases originated from the maxillary sinus. We report a further case originated from the maxillary sinus.

Adult↗

[Chemodectomas of the carotid body. Apropos 2 cases].

The chemodectoma a paragangliomas of the carotid body are infrequent tumors in the daily medical practice, but they must be taken into account in the differential diagnosis of any lateral neck mass. We present two new cases, reconsidering the existing literature.

Carotid Body↗