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J M Bertrán

Publications and source records attributed to J M Bertrán.

8 recordsLinked to original sources
PubMed1999

[Results of surgery of the endolymphatic sac].

Surgery of the endolymphatic sac is controversial. Some consider it a placebo and others consider it the surgical treatment of choice in Ménière's disease. We studied the medical records of 87 patients who underwent surgery between 1978 and 1996. Simple decompression was practiced in 89% and a House shunt in 27.6%. The 1-year results were improvement or recovery from vertigo in 65.4%, no improvement in 25%, and reoperation in 9.5%. Tinnitus improved in only 11.9% and hearing loss improved in 9.5% and worsened in 19%. We reviewed the cases of 50 patients with a 5-year follow-up(60%). Vertigo improved in 72%,hearing loss worsened in 72%, and tinnitus remained unchanged in 78%. In view of the good results, scant complications and simplicity of the surgical procedure, we consider endolymphatic saccule surgery to be the first choice in Ménière's disease that is unresponsive to medical treatment.

Endolymphatic Sac↗
PubMed1994

[Long term outcome of phonatory fistulae].

Since January 1983 to January 1990 we have operated 84 Phonatory fistuloplasties (P.F.). The aim of this paper is an intend to know the long term results, farther than 3 years follow-up. We have practiced 70 primary P.F. and 14 secondary. The technique used have been plain puncture and Algaba's procedure. Myotomy of the cricopharyngeus muscle and Herrmann' flap (skin-platysma-fascia) was sometimes associated. The early success of the primary P.F. has been 95 percent and the late one 48 percent. In the secondary P.F. 54 percent and 29 percent, respectively. The most frequent causes of failure have been: enlargement, accidental loss of the prothesis and spontaneous closure and unhappy patient and fibrosis periprosthesis as well. Two factors have to be taken into account in late failures; the immediate postoperative positive psychological feeling and the fact that every patient uses the esophageal voice satisfactorily.

Female↗
PubMed1990

[Orbital complications of sinusitis. Study of 40 cases].

During the past few years we have seen an increasing number of orbital complications of sinusitis. In the whole there are summarized 40 complications: 34 cellulitis, 4 exophthalmos and 2 neuritis of the optic nerve. In our opinion the complications were due to the wrongly use of the antibiotics as well as to erroneous indications for surgery. After the survey of diagnosis and managements, the AA. believe the TAC technique is unavoidable for ranging the cellulitis cases in one of the 5 groups established by Chandler and accordingly to treat them medically (antibiotics through the vein) or by surgery (external ethmoidectomy, Caldwell-Luc or osteoplasty of the frontal sinus).

Abscess↗
PubMed1988

[Diagnostic clinical and immunologic characteristics of infection by the human immunodeficiency virus in infants].

Acquired immunodeficiency syndrome (AIDS) in infants has different clinical and immunological characteristics from adult AIDS because of immunological immaturity of the fetus and newborn when infection is produced. Differential diagnosis with primary immunodeficiency diseases, mainly with severe combined immunodeficiency and hypogammaglobulinemia is often difficult, but clinical, epidemiological and immunological data aid in establishing diagnosis. Repeated bacterial infections and abnormal antibody production are common in such children and gammaglobulin therapy is indicated to prevent them and avoid continuous immunological stimulation that viral replication and disease progression.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

[Common variable immunodeficiency in children].

UNLABELLED: Common variable immunodeficiency (CVID) is one of the more frequent primary immunodeficiencies (PID), after IgA deficiency, and affects a heterogeneous group of patients of various ages and with autosomal recessive inheritance. Our objective is to present the group of children diagnosed with CVID treated in our Hospital Infantil Vall d'Hebron and comment on the diagnostic problems that can arise. Sixteen boys and girls were diagnosed between the ages of 7 months and 15 years. The diagnosis is based on low immunoglobulins and a clinical picture of infection. Differential diagnosis in the paediatric age must consider mainly other PIDs: transient hypogammaglobulinaemia of infancy, X chromosome-linked agammaglobulinaemia (XLA), X chromosome-linked hyper IgM syndrome (X-HIM), IgG subclass deficiency and IgA deficiency (IgAD). Other processes that evolve with recurrent respiratory infections, such as cystic fibrosis, must also be discarded. CONCLUSIONS: These patients present a high incidence of respiratory infections and bronchiectasias. We also observe associated allergic and autoimmune processes. Early diagnosis is indispensable to initiate suitable treatment and avoid the consequences of both respiratory and digestive infections.

Adolescent↗