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Biomedical subjects

J Marín García

Publications and source records attributed to J Marín García.

At least 19 recordsLinked to original sources

[Post-traumatic carotid cavernous fistula as a cause of objective tinnitus].

Reporting the case of a patient, seen in our Hospital Consulting Department, enduring heavy pulsatile tinnitus, following a craniocerebral traumatism. ENT examination was negative, but having the feeling of a carotid-cavernous fistula, angiographies confirmed this pathology. Embolisation of the fistula as treatment stopped the patient's symptomatology. We take the advantage of this case in order to review the etiology, the pathology, diagnostic measure and treatment of this condition.

Adolescent↗

[Long-term course of laryngeal verrucous carcinoma].

Verrucous carcinoma is an odd kind from squamous or epidermoid carcinoma, amounting between 1 and 3.5% percent of the whole number of laryngeal growths. Its predominant sitting is glottic and are characterized through the pathological anatomy and its good prognosis. We report one case treated in our Department which evolved during 14 years and we point out its good prognosis and other particularities regarding its etiology, pathologic anatomy and diagnosis.

Carcinoma, Verrucous↗

[Subcutaneous cervico-thoracic emphysema and pneumo-mediastinum following a tracheostomy].

Reporting the case of a man, 70-year-old, suffering a chronic obstructive lung disease of moderate degree linked to important Reinke's oedema, who underwent a tracheotomy, being troubled the immediate postoperative period with subcutaneous emphysema and pneumomediastinitis, complications resolved favourably in a ten days term, and the patient could be decannulated.

Aged↗

[Giant pleomorphic adenoma in accessory salivary gland].

Giant pleomorphic adenoma is the most common neoplasm of salivary glands, specially of parotitis. Less frequently derives from minor salivary glands and, in the case, its size is small. We report one case of pleomorphic adenoma of great mass seated in a palatine salivary gland and avail the opportunity to review these sort of tumors.

Adenoma, Pleomorphic↗

[ENT changes in Crouzon's syndrome].

Crouzon's syndrome is a chapter of the craneosynostosis, congenital diseases characterized for the precocious closure of cranial sutures. It represents an autosomal dominant heredity. Recently has been find out that the mutation lies in the short arm of chromosome 10, which causes the alteration of type 2 receptor of growth factor of fibroblasts (FRFG2). Clinically together with the cranial deformities appear frequently malformations in ENT-sphere, but only in 3 percent of all cases has been observed otic changes. We present the case of a young girl of 16, bearing a Crouzon's syndrome, coming to our office because of bilateral hypacusis. Clinical examination and complementary tests showed bilateral atresia of both auditive meatus lack of mastoid pneumatization, anomalous facial route and heavy bilateral transmissive hearing impairment, together with septum nasi deflection and hypoplasy of paranasal sinuses.

Adolescent↗

[Adenoid cystic carcinoma of the larynx. Case report and literature review].

Adenoid cystic carcinoma is a rare neoplasm that comprise approximately 0.25% of all laryngeal malignancies. The rarity of these lesions has prohibited clarification of definitive therapy. Traditionally, radical surgery is performed because of the usually high stage at presentation. A case of larynx ACC is reported. The literature on this topic has been reviewed, in order to describe the natural course and the different treatments of this tumor.

Biopsy↗

[ENT emergencies due to foreign bodies at a tertiary hospital].

A study of the patients who, through a year, came to the Emergencies Department showing foreign bodies in ENT-area has been accomplished. Among ENT urgencies foreign bodies constitute the most frequent cases. Age, sex, date, time of admission, sitting, kind of body and treatment are taken in consideration. The intruders were most commonly found in the pharyngeal area. A striking correspondence between age and location is underlined.

Adult↗

[Primary mucous melanoma of the nasal cavity: a case report].

Mucous melanoma in the nasal cavity are unusual tumours that develop from common melanocytes pre-existent in the respiratory epithelium. They manifest a high diagnostic and therapeutic difficulties as well as an obscure prognosis. A case of this rare tumour is exposed and a bibliographic review in which clinical, diagnostic, histological, therapeutic and prognostic features are contemplated.

Aged↗

[The influence of age and previous thresholds on stapedectomy results].

This is a retrospective study dealing with 719 primary stapedectomies and 48 reoperations done between 1975 and 1993 by the AA. of the paper. They consider the audiometric tracings before and after surgery (6 and 12 months). Frequencies analyzed were 250 Hz, 500 Hz, 1000 Hz, 2000 Hz and 4000 Hz; the air-bone gap; and modifications of bone thresholds. The patients were ranged in groups according the ages and previous bone thresholds. Thereafter an analysis aiming to a comparison of surgery results en each group was contemplated. The age resulted without influence on the postoperative gap neither in modifications of bone conduction. The previous bone thresholds nor influencing the final gap. Conversely there are significative differences (P > 0.01) regarding the modifications of bone conduction.

Adult↗

[An outpatient study in ENT (otorhinolaryngology) emergencies at a general hospital].

ORL emergencies attended at in a general hospital for a year were studied from 1-7-1990 to 30-6-1991. 168,145 emergencies were received of which 3,101 (1.8%) were attended by an otorhinolaringologist. The age, sex, arrival time, aetiology, treatment, admissions and the admissions where AEP (Appropriateness Evaluation Protocol) criteria was applied were thoroughly examined. The most numerous pathologies presented were infectious inflammations (41%), hemorrhages (21%), and foreign bodies (18.5%). But the most frequent aetiologies were epistaxis (16.3%), otitis media (14.8%) and otitis externa (14.8%). Most patients arrived generally between 9-12 hrs. (21.3%), and 17-20 hrs. (25.4%). The average age was 38.8 years old, though there was a significant difference depending on the pathology presented. Infectious inflammations emergencies were usually the youngest age group (average age 32) and tumoral processes the eldest (average age 60), 5% of the cases were admitted. These admissions accounted for only 17.9% of total admissions. Because AEP criteria was employed 97.5% of admissions presented inclusion criteria.

Adult↗

[Study of 288 stapedectomies performed between 1986 and 1991].

A review of 288 stapedectomies performed between 1986 and 1991 was carried out. Pre- and post-surgical (within six to nine months) audiometries were studied, analyzing the 250 Hz, 500 Hz, 1,000 Hz, 2,000 Hz and 4,000 Hz frequencies. No significant differences between age and sex, type of prosthesis or final auditive gain were found. Patients were distributed in six groups according to their initial audiometry, achieving higher auditive gain those with and worse initial audition.

Adult↗

[Cerebral abscess as a complication of the chronic otitis].

Otogenic intracranial complications are now rare. Meningitis is the most frequent, followed by cerebral abscess. In spite of diagnostic and therapeutic advances, cerebral abscess has a high mortality. We report four cases seen in our service over the last five years and their treatment. The subject is reviewed.

Adult↗

[Congenital cholesteatoma of the petrous process and mastoid: a report of two cases].

Congenital cholesteatoma are unusual. They may arise in different sites of the temporal bone: petrous process, middle ear and mastoid. Primary cholesteatomas originate from embryonary ectodermal inclusions but the pathogenesis is not clear and many different hypotheses regarding its origin have been suggested. The clinical diagnosis is not easy if the tympanic membrane is normal, and computerized tomography and magnetic resonance imaging are useful. We report two cases of congenital cholesteatoma: One located in the petrous process and the other in the mastoid without affection of the tympanic cavity.

Cholesteatoma↗

[Laryngeal histoplasmosis].

A case of laryngeal histoplasmosis is reported. This laryngeal mycosis was diagnosed by histological identification of intracellular hyphae of Histoplasma capsulatum. Laryngoscopy revealed edema, erythema and leukoplakia of the righ vocal cord. Itrakonazole treatment was successful. The relevant literature is reviewed.

Antifungal Agents↗