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J Dalmau Galofre

Publications and source records attributed to J Dalmau Galofre.

At least 19 recordsLinked to original sources
PubMed2005

[Our findings in the sleep endoscopy exams].

INTRODUCTION: Sleep endoscopy is a technique that allows a direct visualization of the pharynx during drug-induced sleep. It allows an assessment of the anatomical site of obstruction or vibration in habitual snorers. MATERIALS AND METHODS: A total of 51 patients underwent sleep endoscopy. All answered a standard questionnaire and underwent an otolaryngological exam as a part of the diagnostic procedure. RESULTS: The most frequent site of obstruction was the palate in 90.4%, followed by the base of the tongue in 38.5%. Obstruction at multiple levels was found in 60.7% of patients. No correlations were found between the level of the obstruction found in the ENT examination and the one found during the sleep endoscopy. CONCLUSIONS: Sleep endoscopy is useful for the assessment of the usual snorer and we recomend it to label the patient's obstruction.

Adult↗
PubMed2005

[Sentinel node in tumours of the lip and the oral cavity].

OBJECTIVES: This study shows the results obtained by the application of the sentinel node (SN) in oral and lip cancer and performs a lymphatic map of these tumours. PATIENTS AND METHOD: We prospectively studied 14 patients with lip and oral tumours, all of them N0. We injected colloidal particles of serum albumin labeled with Tc-99 peritumoraly and we located the SN intraoperatively. The SN was then sent for anatomopathological study. RESULTS: Sentinel node was identified in all of the patients. In 11 of them the sentinel node was negative for metastases and correctly predicted the status of the neck. In 3 patients the sentinel node was the only node that contained metastases. There were no false negatives. The sensibility of the technique was 100%. CONCLUSIONS: The results showed that this technique is a feasible method for tumours in these locations and can avoid neck dissections in N0 patients.

Adult↗
PubMed2004

[Incompetent tracheoesophageal fistula following phonatory puncture. Surgical resolution].

Large tracheoesophageal fistulas (TEF) following a total laryngectomy are rare. Most often are associated with the creation of a surgical speech fistula or puncture. We describe the surgical technique used in 3 patients with large TEF after a total laryngectomy and the creation of a speech fistula with a voice prosthesis, followed by radiation therapy. Pertinent literature is reviewed.

Humans↗
PubMed2002

[Tympanoplasty using cartilage: 3 years of experience].

We present our results in a timpanoplasty technique using autologous cartilage, in a retrospective study of 71 cases within 3 years. We used this technique in revision surgery, large perforations, severe retractions, and atrophic membranes. 32% of cases needed ossicular chain reconstruction. A complete closing of the membrane was obtained in 86% of cases, while 14% remained re-perforated or discontinued between cartilage pieces. These results are comparable to other studies using cartilage graft with several techniques. These results encourage us to continue using this technique in order to acquire more experience and a better knowledge about the efficacy of this technique.

Adult↗
PubMed1999

[The value of the clinical picture and vestibular exploration in the vertiginous patient].

The aim of this work is to highlight the significance on features more frequent of the troubles of the balance and vestibular system in our environment. Also we present a statistic about the symptomatology, on the results of vestibular examination and the diagnoses of a series of patients, of all ages, suffering vertigo, and studied in our department.

Adolescent↗
PubMed1998

[Malignant rhinosinusal inverted papilloma with orbital involvement].

Contribution with the case of a woman 55-year-old in whom was objectified the recurrence of an inverted rhinosinusal papilloma and, under the anatomopathological viewpoint, an epidermoid carcinoma on the inverted papilloma. Was treated with surgery and radiotherapy. Remarks on several clinical, pathological and therapeutic aspects about inverted rhinosinusal papillomata, underlying its uncertain course so characteristic of these neoformations.

Female↗
PubMedDate not supplied

[Spontaneous middle ear meningoencephalic herniation. 2 case reports].

Two cases of idiopathic brain herniation into the middle ear without previous surgery are reported. Brain herniation is an unusual pathology, usually related to middle ear surgery. The idiopathic appearance of this disease is the secondly most frequent cause. Its origin is believed to be related to a congenital defect of tegmen timpani. Two elements, both rare, are emphazised: the spontaneous bilateral presentation in one of the cases, and the CSF leak as an initial symptom. We present a review of the literature, describing epidemiology results and the main accepted etiology theories. We discuss the diagnosis and treatment methods: magnetic resonance imaging and surgery.

Aged↗
PubMedDate not supplied

[Temporalis myofascial flap: technique description and results in our patients].

INTRODUCTION: Surgical treatment of intraoral and maxillary sinus carcinomas requires a reconstructution of the defect. It is better to do it in one time in order to decrease the morbidity for the patient and the sanitary cost. The temporalis myofascial flap is used for reconstruction of oral cavity, skull base, periorbital region and maxilla because of its feasibility. MATERIAL AND METHODS: We describe the surgical technique and present our results of the reconstructions after total or partial maxillectomy using the temporalis muscle flap in 22 patients. RESULTS: No total necrosis of the flap was seen in any case, a partial necrosis was seen in four cases. CONCLUSION: The temporalis myofascial flap is an excellent choice for oral and maxillary reconstruction.

Adult↗
PubMedDate not supplied

[Clinical evaluation of the patient with a chronic snoring disease].

INTRODUCTION: Sleep disordered breathing patients usually undergo an ENT clinical examination before any therapeutic decision is taker. This clinical examination should be predictive about the occurrence of OSAS, reproductible and should determine the sites of obstruction in the upper airways. We have evaluated the clinical ENT examination and compared it with the bibliography in order to standardize it. MATERIALS AND METHODS: We have done the same clinical ENT examination to 181 patients. 127 had a standar polysomnography. RESULTS: The patient's mean age was 49.6 years, the mean BMI was 29.3 kg/m2. 92.7% had an abnormal palate, 4.5% a tonsilar hipertrophy, 66.5% high Modified Mallampati scores, 60.8% were clasiffied as Fujita IIb type and 39.2% had nasal obstruction. CONCLUSIONS: Upper airway examination is important for the assessment of chronic snoring patients. Most of them have anatomical alterations that can be represented in visual scales to make it more reproductible. The obstruction area does not predict the severity of OSAS.

Body Mass Index↗
PubMedDate not supplied

[Sentinel lymph node in tumors of the larynx: technique and results].

OBJECTIVES: To evaluate the applicability of sentinel node biopsy in NO carcinomas of the larynx. MATERIALS AND METHODS: We carried out a prospective study in 19 patients with carcinoma of the larynx NO. We peritumorally infiltrate with 1 mCi 99mTc-labeled nanocolloidal albumin via rigid endoscopy in general anaesthesia. Sentinel node detection is performed with a gamma sonda during lymph node detection. The histological results of the sentinel node are compared with the excised neck dissection specimen. RESULTS: Identification of sentinel node was successful in 17 patients (89.47%). In 11 patients the sentinel node was tumor negative reflecting the correct neck lymph node status (pNO). Three patients had metastases in the sentinel node. We observed three false- negative. The sensitivity of the technique was 50% (3/6) and the negative predictive value 78.6%. CONCLUSIONS: We think that more studies are needed to use the technique in the laryngeal cancer and that a correct selection of the patients is essential.

Adult↗
PubMedDate not supplied

[Granular cell tumor localized in the glottis].

Granular cell tumor is an unusual tumor of probably neuroectodermal histogenesis, originally reported by Abrikossoff (1926) as a myoblastoma. Of the about 1,200 reported cases since then, 50% are found in the head and neck. Of these, 10% have a laryngeal localization. An infrequent case report of glottic localization which was solved by chirurgical excision with free margins, is presented. The features of the laryngeal presentation, is reviewed and iconography with immunohistochemical techniques of their pathologic characteristics, is showed.

Adult↗
PubMedDate not supplied

[Sinusal cystic adenoid carcinoma. Study of a case].

One case of adenoid cystic carcinoma of maxillary sinus is reported. Is a malignant epithelial tumor which develops in major and minor salivary glands. Is the malignant tumor most common in the minor salivary glands. Incidence in the paranasal sinuses lies between 2-5% of all malignant tumors. These tumors grow by extensive local infiltration and perineural spread is a common feature. They are very high malignancy tumors.

Cystadenocarcinoma↗
PubMedDate not supplied

[Undifferentiated carcinoma of the ear: apropos of a case].

A case report of ear undifferentiated squamous cell carcinoma is presented. The patient complained pain and suppurative ear, which lead to us to practise an exploratory atticotomy, and therefore the tumor was detected on its early stages. It is a very interesting case report due to its unusual localization, and to the early diagnosis to improve the prognosis of these patients.

Carcinoma, Squamous Cell↗
PubMedDate not supplied

[Decannulation after radiotherapy in partial surgery of the larynx].

The purpose of our paper is to study the decannulation of those which a supraglotic horizontal laryngectomy was performed. For that, we compare two groups of patients: those which received postchirurgic radiotherapy, and those which did not need it.

Combined Modality Therapy↗
PubMedDate not supplied

[Treatment of thyroid cancer in our field: attitude regarding lymph node surgery].

We comment our attitude in dealing with lymph nodes and thyroid gland surgery for thyroid cancer. This was based on our 10 years experience with such surgery, in which we have performed 350 chirurgic interventions. Of them, in 55 cases a thyroid carcinoma was detected (36 papilar, 13 follicular, 4 medular, 1 anaplasic and 1 metastasic clear-cell carcinoma).

Humans↗