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Biomedical subjects

J Talavera Sánchez

Publications and source records attributed to J Talavera Sánchez.

At least 19 recordsLinked to original sources

[Hibernoma: a rare case of cervical mass].

The hibernoma is an uncommon benign tumor thought to arise from the vestiges of the fetal brown fat. The term hibernoma is derived from the microscopic similarity of this tumor to the glandular brown adipose tissue occurring in the organs of hibernation of certain animal species. There are reported about 100 hibernomas in the literature world wide and only a small number of them are in the neck. We report the case of a 33 years old male with a 20 months history of a painless mass in his right neck.

Adult↗

[Early corticoid treatment of idiopathic facial palsy (Bell)].

Idiopathic facial palsy (IFP) (Bell's palsy) is the commonest cause of acute facial paralysis. Perhaps because of its unknown origin, a wide range of treatments are used. Controversy exists as to whether the disorder should be left to run its natural course or treated with steroids. The effect of early steroid treatment on the evolution of IFP was evaluated in the Ear, Nose, and Throat Service of the University Hospital of Alicante (Spain) with a prospective protocol from September 1991 to January 1992. The therapeutic protocol for all patients (47 patients) was an intramuscular injection of 60 mg prednisone in the Emergency Room followed by a course of oral steroids (deflazacort) that was gradually tape-red-off. The average duration of IFP before presentation in the Emergency Department was 1.30.9 days. Clinical improvement was observed on day 149 and a complete cure by day 3026. Full recovery of facial motor function without sequelae occurred in 95.6% of patients. Age, the intensity of paralysis, and a history of hypertension and diabetes had a negative influence on the course of IFP. These results support early steroid treatment for IFP.

Adolescent↗

[Botryoid rhabdomyosarcoma of the nasopharynx treated with chemotherapy only. Survival lasting more than ten years].

The progress of Rahbdomyosarcoma (RMS) of the nasopharynx succeed frequently as infiltrative and destructive form to the base of the skull, in which case its prognostic is worse as when localized somewhere else. We report the case of a RMS in a 4-year-old child. The tumour infiltrating the base of the skull (stage III), was treated with chemotherapy only because the neighbourhood of the sella turcica and the pituitary gland strongly forbids the appeal to radiotherapy, in order to avoid untoward side-effects on this gland and also upon the growth of the child. At present, 10 years after, he remains asymptomatic and free of the tumour. Computered tomography has probe to be the best way to study the site and the extent of this growth and even the control of course of treatment.

Child, Preschool↗

[Glottic liposarcoma: a first case in the national literature].

Liposarcoma is a tumour of mesenchymal origin. Only between 3-8 percent of the total amount of cases are localized in the head and neck. Laryngeal sitting is an extremely rare occurrence. The AA. inform about the case princeps published in the national literature. It deals with an 83-years-old woman presenting a polypoid tumor on the left vocal cord. The diagnosis could be confirmed through immunochemistry which verified the positivity of the proliferative cellularity for vimentine and protein S-100, immunophenotype consistent with liposarcoma. 36 months later the patient, alive, remains tumor-free.

Aged↗

[Zenker's diverticulum. Four cases].

The pharyngoesophageal diverticulum (Zenker's diverticulum) is a pathology not often found, but it is responsive of dysphagia and other unpleasant ailments experienced for the patients, who generally must be submitted to surgery. The AA. describe the surgical procedure followed at their ENT-Department at Hospital General de Alicante and also some clinic-pathological features verified. Review about the literature on the subject. The conclusion drawn out remark the feasibility and the effectiveness of this method of diverticulectomy associated to the cricopharyngeal myotomy. The dissection is easied introducing strips of gauze into the diverticular sack and retaining the oesophagoscope inside the organ during the procedure.

Aged↗

[Anterior reconstructive glottecomy].

Shallow lesions of the glottis spreading to both sides of the middle line (T1b) have special characteristics under the viewpoint of its resection, because of the neighbourhood of the anterior commissure. Frontal and frontolateral techniques require a reconstructive step in order to avoid synechiae. The AA. report 35 cases with glottis reconstruction following several procedures: skin pedicled flap or epiglottoplasty. As the results almost the totality of the laryngectomees were "cured" after 5 years follow-up, and a high percentage of them free of tracheostomy tube.

Epiglottis↗

[Supracricoid hemilaryngectomy].

The supracricoid laryngectomy is a surgical procedure clearly identifiable, deserving this denomination either in descriptive and differential sense. In the paper the AA. itemize the characteristics of the operation (concept, history, synonymy, the basic points of the technique) and the anatomopathologic fundamentals, even the results published in the literature. Display of own criteria and report of 41 cases operated on and followed up during 5 years (80 percent survivals without recurrence of the growth).

Cricoid Cartilage↗

[Solitary plasmacytoma of the head and neck. Report of 3 cases and review of the literature].

Solitary plasmocytoma is a rare plasmactic cell tumor occurring in the head and neck. These constitute, less than 1% of all head and neck malignancies. On initial presentation they must be differentiated from multiple myeloma. This may prove to be difficult because a varying percentage may be associated at a later date with the development of multiple myeloma. We describe three cases of plasmocytomas, one occurred in the larynx, in the cavity nasal and other in the skull base. The clinical characteristics, diagnosis criteria and therapeutic problems (radiation, surgery or a combination of booth) are discussed and reviewed in the literature.

Adult↗

[Descriptive study of infectious ear disease in relation to summer].

A descriptive study was made of infectious ear disease (including diffuse otitis externa, otomycosis, acute-on-chronic otitis media, and superinfection of a radical mastoidectomy cavity) in relation to changes of weather and habits in summer. During the months of June, July, and August 1996, 179 patients were evaluated in the emergency room of the Alicante General University Hospital, Spain. Average patient age at presentation was 30.52 (+/- 20.08) years and 56% were men. The most frequent disease was diffuse otitis externa (78%) followed by acute-on-chronic otitis media (12%), otomycosis (8%), and superinfection of a radical mastoidectomy cavity (2%). The most frequently involved microorganisms were Pseudomonas aeruginosa in diffuse otitis externa, Aspergillus niger and Candida in otomycosis, Escherichia coli, Haemophilus influenzae, Proteus mirabilis, and Staphylococcus aureus in acute-on-chronic otitis media. Patients were treated by cleaning detritus and secretions, usually followed by topical antibiotics for a maximum period of one week.

Administration, Topical↗

[Cancer of the larynx in women. Presentation of 4 cases].

Four new cases of laryngeal carcinoma in the women are presented. The two first ones as glottic polyps, the third one as subglottic-tracheal and the fourth one as a submucous lesion of the ventricle with lowly growing. We see the treatment and the evolution.

Adult↗

[Adenoid cystic subglottic carcinoma. A case report].

A case of adenoid cystic carcinoma found in the laryngeal region (suglottically), extending as far as the trachea, four years postoperatively, has not yet shown signs of local recurrence nor of metastasis. The unusual features of this case are its site and favourable progress postoperatively. A study was made of the literature of this type of tumour.

Carcinoma, Adenoid Cystic↗

[Our experience in the surgery of otosclerosis].

A retrospective study of 613 operations on 495 patients with otosclerosis was made in the Department of Otorhinolaryngology of Hospital General Universitario of Alicante between 1974 to 1992. The clinical-pathological characteristics of this series were studied. Statistical analysis of the results was made. The improvement in air-bone gap for conversational frequencies was 27 dB. Closure of the postoperative air-bone gap for conversational frequencies was 7.6 dB and the overall percentage of closure of this gap was 80.5%. Better auditory results were obtained with partial platinectomy than with stapedectomy. Nothing was inserted between the prosthesis and the vestibule, permitting a shorter, easier operation with no occurrence of perilympathic fistule.

Adult↗

[Thyroplasty in the treatment of functional or paralytic dysphonias].

In phonosurgery, the laryngeal framework surgery, with several types of thyroplasty, allow a modification of the vocal function through an indirect action over the thyroid cartilage, without surgical invasion of the vocal fold tissues. We describe our experience and review the literature in this field.

Adult↗