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Biomedical subjects

J L Pardal Refoyo

Publications and source records attributed to J L Pardal Refoyo.

At least 19 recordsLinked to original sources
PubMed2001

[Commentaries on the complication of vestibular diseases].

Handicap of the patient with vestibular disease can be measured by means of scales and questionnaires. The utility of a questionnaire developed and validated in Spanish language is commented (CEMPV). The CEMPV consists of 46 questions distributed in three scales (emotional, functional and organic) whose obtained scores are related to diverse degrees of handicap (global, emotional, functional and organic). The CEMPV is self-employed and evaluates the evolution of the patient and allows to accredit the results obtained between different investigators.

Dizziness↗
PubMed2001

[Subglottic pleomorphic adenoma].

Pleomorphic adenoma is the most common tumor of major salivary glands, but it is unusual into the larynx. The AA. expose a case of a 74-year-old man who consulted for dysphonia and diagnosed as having a subglottic pleomorphic adenoma. The patient needed an urgent tracheotomy owing to the dyspnoea. Removal of the tumor was made through direct laryngoscopy. Literature on pleomorphic laryngeal adenoma is reviewed.

Adenoma, Pleomorphic↗
PubMed2000

[Disability and vestibular pathology].

OBJECTIVE: To probe the ability in differentiate the handicap degree among patients with peripheral vestibular illness by means of a questionnaire carefully thought with this purpose. DESIGN: Prospective study covering 2 years (May 1st. 1991 till May the 1st. 1996). FIELD OF STUDY: Patients from the Health Area of Zamora, ambulatory attended at Otolaryngology Department, complaining of peripheral vestibular troubles. INDIVIDUALS INCLUDED: 60 patients diagnosed as paroxitic positional vertigo or Ménière's disease, lasting the discomfort either 6 weeks or less or 2 years or more, the totality split into 4 groups, of 15 individuals each. SCORING: Analysis of the performed scores of the first valuation by means of the Questionnaire for Assessment of the Disability in Vestibular Pathology (Q.A.D.V.P.). Descriptive statistics were performed for each group and each scale. RESULTS: Patients with more than 2 years of evolvement present themselves, usually, with higher scores in both emotional and functional scales if compared with those resulting from patients suffering from paroxistic positional vertigo. CONCLUSIONS: The Q.A.D.V.P. is a measure instrument very useful, by allowing the differentiation of several degrees of disabled people of our studied samples.

Adult↗
PubMed2000

[Fronto-ethmoidal mucocele: endoscopic fronto-orbital approach].

OBJECTIVE: To revise the references of surgical approach of the mucocele into frontal sinus. DESIGN: A retrospective study. STUDY SUBJECTS: Three patients with mucocele frontal and orbitary encroachment were treated with endoscopic and associated external approach. The follow-up period has been between 22 and 36 months. RESULTS: Combined approach allow marsupialization and adequate repermeabilization of the nasofrontal duct. CONCLUSIONS: Endoscopy surgery is the choice method in treatment of mucoceles, but the access has to be completed by an external approach when the lateral wall of the frontal sinus is extended or the mucocele exterioriced.

Aged↗
PubMed2000

[Solitary extramedullary plasmacytoma of the rhinopharynx].

Solitary extramedullary plasmacytoma involving the nasopharynx is very rare. A case of asymptomatic extramedullary plasmacytoma in the nasopharynx in a 69-year-old man is presented. Radiotherapy was the treatment (60 Gy). In this patient two neoplasms of B series are associated (lymphoproliferative B Kappa syndrome and extramedullary plasmacytoma).

Aged↗
PubMed1998

[Treatment review in rhinocerebral mucormycosis].

The rhinocerebral mucormycosis is the more common form produced by Rhizopus, a genus of fungi. It's a serious infective disease with high mortality, that needs a precocious medical treatment. Amphotericin B is the choice medical treatment, but liposomal amphotericine B in recent years is a better drug, due to minor renal toxicity and greater tisular diffusion. Even can not to treat all affected areas it's necessary an extensive surgical treatment according to individual characteristics and disease evolution. A 56-year-old man with rhinocerebral mucormycosis, caused by Rhizopus, who was treated with liposomal-amphotericin B and extensive rhino-orbital surgery is presented.

Amphotericin B↗
PubMed1998

[Questionnaire for disability assessment in vestibular pathology].

The QADVP (questionnaire for assessment of disabled by vestibular pathology) is self-employed and consists of a series of 46 questions divided into 3 scales (emotional, functional and organic) from which direct and proportionate scores (both for each scale and as a whole for the full questionnaire) are gained. The aim of the paper is to show its application-way, the outcome of assessments and the disability degree drawn out from the scores. A prospective study fulfilled within 2 years term (May, 1st 1994 until May, 1st 1996) between patients of the Health Area of Zamora, seen at the ENT outpatients Department. The validation's study (reliability, homogeneity and discriminatory power in each scale and of the whole questionnaire) was made from a sample of 30 patients suffering of recurring-paroxysmal vestibular disease of several etiologies. In order to establish the handicap degree the questionnaire was employed in 60 patients suffering postural-paroxysmal vertigo or Ménière disease, grouped in 4 homogenous sets after the evolutive time. The series in each scale and globally for the whole questionnaire make sharp 4 levels of handicap (from I to IV). Zero degree is equivalent to absence of vestibular disorder. The QADVP is a measuring tool allowing: assessment several degrees of incapacity, to control the development of the disorder and try therapeutic changes.

Adolescent↗
PubMed1997

[Comments on the treatment of rhinocerebral mucormycosis].

Rhinocerebral mucormycosis is a serious infectious disease with a high mortality rate that requires early medical treatment. Liposomal amphotericin B is the medical treatment of choice because of its low renal toxicity and good tissue diffusion. Surgical treatment is necessary, even if all affected areas cannot be reached. The surgical indication should be based on individual characteristics and disease evolution. The case of a 56-year-old man with rhinocerebral mucormycosis caused by Rhizopus and treated with liposomal amphotericin B and extensive rhino-orbital surgical treatment is commented.

Amphotericin B↗
PubMed1997

[Anxiety and vertigo].

AIM OF THE STUDY: To determinate the prevalence of anxiety associated with vertigo of vestibular origin. DESIGN: A retrospective study. SETTING: Patients from Salamanca's University Hospital (Neuro-Otology). PATIENTS: 138 patients with asymptomatic vestibular dysfunction (group A: with filiated disease and group B: with unfiliated disease). INSTRUMENTATION: Structured anamnese and STAI questionnary (State-Trait-Anxiety-Scale) were realized in the whole collective. RESULTS: Anxiety (elevated score in STAI-scale) was detected in 48.6% patients and more differences between groups A and B were not significant. With logistic regression anxiety is related with previous symptomatological experiences and subjective global incapacity. Anxiety is clearly connected with the symptoms in the intercritic periods. CONCLUSION: Anxiety is associated with vestibular disease and it follows a parallel course.

Anxiety Disorders↗
PubMed1997

[The anamnesis in old people with equilibrium disorder].

Equilibratory troubles in aged individuals are the consequence of changes in vestibular, visual, proprioceptive, neuro-muscular and skeletal systems. Often related as well, to iatrogenic effects induced by pharmacological treatments. Its assessment is not easy at all because elderly population undergo physiological inability and so offer great difficulties in both diagnosis and management. At least informative data related to the equilibration must be collected: feelings, positional and postural unleashing factors, evolutive pattern, intercrises symptoms, cochlear and neurologic findings. Pharmacological treatments, associated pathologies and psycho-affective conditions as well. In the anamnestic model proposed by the AA. other helpful data in order to arouse clinical suspicion on vasculocerebral and vertebrobasilaris pathologies are contemplated. A sample concerning 51 patients more than 70-year-old with the gained descriptive results in detailed.

Aged↗
PubMed1996

[Validity of videolaryngoscopy in detecting laryngeal structural changes].

STUDY OBJECTIVE: To determinate the validity of videolaryngoscopy on diagnose of laryngeal diseases versus other laryngoscopic methods. DESIGN: Retrospective study covering 2 years (1992 and 1993). SETTING: 267 were the consulting patients because of dysphony. This collective was ranged in 2 groups. Group A included those hoarse individuals in whom was detected a growth, confirmed afterwards by means of direct laryngoscopy, biopsy and pathologists examination of a smear. Group B was formed for dysphonics with no organic changes seen through indirect laryngoscopy. INTERVENTIONS: All patients underwent indirect laryngoscopy (laryngeal mirror) and videolaryngoscopy. Patients showing an organic lesion underwent, also, suspension direct laryngoscopy, biopsy and histopathological control (reference's measurement). In all laryngoscopic procedures were determinated presence or absence of laryngeal changes (organic or functional) and the glottic area involved. RESULTS: In 156 patients direct laryngoscopies were performed. Organic lesion could be confirmed in 154 cases. The relative sensibility of videolaryngoscopy versus laryngeal mirror account for 0.4 and its negative predictive value for 0.26. The correlation videolaryngoscopy direct laryngoscopy results in 1. CONCLUSIONS: Videolaryngoscopy is a method with major sensibility and negative predictive value as indirect laryngoscopy with mirror. But the latter is indispensable in diagnosis of laryngeal organic lesions and must be done prior to microlaryngoscopie direct examination.

Humans↗
PubMed1996

[Asymptomatic thoracic and abdominal tumors with lymph nodes metastasis as a reason for consultation].

OBJECTIVE: To determine the incidence of metastatic cancer to the neck from asymptomatic primary tumors in thorax, abdomen or pelvis. DESIGN: Two years term (January 1992 to December 1993) retrospective study. PATIENTS AND METHOD: Presentation of 57 patients with a neck mass which through puntion-aspiration (FNB), cervicotomy and biopsy confirmed any type of carcinoma. RESULTS: In 39 cases (68.42%) a primary tumor either in the pharynx or mouth were affirmative of growth; in other 10 (17.54%) the site of the primary remainded unknown; and 8 cases (14.04%) the primary tumor even asymptomatic could be localized inside the thorax or abdomen (3 pulmonary, 2 kidney, 1 stomach, 1 prostate and 1 esophagus). In other 2 occurrences, a cervicofacial association existed (1 case a synchronic growth of the hypopharynx-prostate, the other one cavum pharyngis and lung). COMMENTS: Cases diagnosed as asymptomatic thoracic or abdominal tumors are commented and its bibliography reviewed. The same as diagnostic strategy in hidden primaries aiming to the probability of ascertain the sitting in each diagnostic stage.

Abdomen↗
PubMed1996

[Intraparotid facial neurofibroma].

A 56-year-old man with a solitary neurofibroma involving the main trunk of the intraparotid facial nerve is presented. Because its small frequency it's an unexpected tumour of which the definitive diagnosis is only established after its removal. Literature is revised.

Facial Nerve↗
PubMed1996

[Adiposis dolorosa (Dercum's disease)].

Adiposis dolorosa (Dercum's disease) is a rare fat-tissue malady most frequently presenting in middle-aged women as fatty lumps in the body. Its etiology and pathogenesis isn't known. Two female patients are reported who had symptomatic adiposis dolorosa (32 and 62-year-old).

Adiposis Dolorosa↗
PubMed1996

[Hospital register for upper aerodigestive tract malignancies in health care in Zamora. A discriptive study].

Incidence of malignant tumours of the upper digestive tract and airway (naso-endooropharynx, hypopharynx, larynx, oral cavity, salivary glands and neck tumours of unknown origin) from 1992 to 1994 in Zamora's Sanitary Area (Virgen de la Concha Hospital) is evaluated. Geographic distribution according to the residence, tumour sitting, age and staging of the growth is exposed. The incidence is estimated at 24.7 cases per 100.000 inhabitants and year (lymphomas excluded). Utility of the cancer register for clinic activity and epidemiological research is stressed.

Adult↗