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Biomedical subjects

J Risco Arenas

Publications and source records attributed to J Risco Arenas.

3 recordsLinked to original sources

[Atypical thyrogloss cyst].

UNLABELLED: The thyrogloss cysts present themselves usually as unique tumorations in the anterior cervical zone, more frequently in the second decade of life and affecting equally the two sexs. They move typically with the movements of deglution and can increase its volume with infections processes. In seldom occasions, the thyrogloss cysts can present symptoms as dysphonia, dysphagia or dyspnea facts that can suggest its laryngeal extension. METHODS: We present a case of a patient affected by dysphonia of long evolution, associated to the presence of a cervical mass. The CT showed a cervical cyst with extension to the left preepiglottic and paraglottic space with compression of the left thyroid wing. Although the clinic impression was a laryngeal neoplasia, the CT helped to realize the diagnosis ofthyrogloss cyst. During the surgery the thyrogloss cyst was removed with success, with the technique of Sistrunk and the patient recovered the voice. CONCLUSIONS: We present this case and realize a bibliographic revision on thyrogloss cysts, with atypical symptoms. We discuss also the role of CT in the diagnostic process in these types of processes.

Humans↗

[Treatment and complications of oesophagic foreign bodies].

OBJECTIVE: Revision of characteristics and diagnosis methods and treatment of foreign bodies (FB) embed in the oesophagus (OFB). METHOD: We have realized a retrospective study since 1994 to 2002, with 77 cases with suspicion of ingestion of the (OFB) treated in our ENT Service. RESULTS: We realized a total of 83 oesophagoscopies, flexible and rigid, that reaveled the oesophagic superior third, as the most common place of embedding, dysphagia as the most predominant symptom and coins and bones as the most common type of FB. Most of the cases did not present any kind of complications, but we present a case of death. CONCLUSIONS: The oesophagoscopies are a very useful method conditioned by the kind of FB and experience of the surgeon. We must not subestimate the complications of the embedding of the OFB, because they can be mortals, although they are.

Aged↗

[Laryngeal sarcoidosis: a case report].

Sarcoidosis is a chronic multisystemic granulomatosis of unknown etiology that affects mainly young adults. It characterized by bilateral hiliar adenopathies interstitial pulmonary infiltrate, and cutaneous and ocular lesions. Localization in upper respiratory tract is infrequent. In the present report we describe a 26-year-old male with a three-month history of a globus sensation, hoarse voice, loud snoring and obstructive sleep apnoea, because of a laryngeal noncaseating granulomatous infiltration. The diagnosis is made through the history, the radiology and the pathological examination. Treatment is symptomatic, due to its tendency to a spontaneous regression. The treatment is based on corticosteroids by systemic or aerosol routes. Micro surgical excision and tracheotomy may be useful in selected patients.

Adult↗