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Biomedical subjects

L M Gil-Carcedo García

Publications and source records attributed to L M Gil-Carcedo García.

10 recordsLinked to original sources

[Neuroendocrine cervicofacial tumors. Revision and report of six cases].

The neuroendocrine cervicofacial tumors are proliferative infrequent process in head and neck but no exceptional. They possess a common origin from the cells derivided from the neural crest, that today gathered on the term of neuroendocrine diffuse system (SNED). Incidentally several associated tumors appear, synchronically or metachronically and some of them possess secretor character. We present the clinic cases of 6 patients, with 6 different types of tumor in head and neck, with the common link to belong to SNED. We analyse their clinical diagnostic characteristics, evolution and treatment.

Adult↗

[Presumption diagnosis: otomycosis. A 451 patients study].

Otomycosis is a common disease. We try to analyze the causative factors for otomycosis in our environment. Our study includes 451 patients with a presumed diagnosis of otomycosis. The patients were included by ear, nose and throat specialist and general doctors; the diagnosis was confirmed in 24.43% and 16.16% respectively. The most common fungal pathogen found was Aspergillus spp. and Candida sp. The high frecuency of Aspergillus Niger may be because of the diferent ways of gathering samples. The abundance of Candida parapsilosis in the samples that came from general doctors may be because the inadequate treatment with topic antibiotics contributes fungal proliferation. We conclude that the causative factors for otomycosis could be avoided or treated. Treatment with antifungal agents is not enought to ensure complete cure, an furthermore the treatment should be aimed to restore the physiology of the external auditory cannal.

Adolescent↗

[The ductal parotid carcinoma. A rare malignant neoplasm].

The annual incidence of parotid neoplasms are between 0,4-13,5 for 100.000 people, almost the fourth part of it with malignant histology. The ductal parotid carcinoma has a lower incidence and a high malignancy. In the last years, the imaging advances permit a better therapeutical approach, facilitating the realisation of more complex surgical techniques. We present a male patient 76 years old with a ductal parotid carcinoma affecting all the gland and contacting the mastoid. We insist that precise preoperatory exams of the tumorals lesions of the parotid area are important for an adequate surgical interpretation and to try a complexe extirpation.

Aged↗

[Anatomical variation of the helix root (Radicis Helicis)].

The root of the helix is not a smooth structure and morphologically constant but shows a series of irregularities, which are described in this article. 288 patients were aleatory studied and found some prominences, localized on the root of the helix. There are two tubercules--upper and lower--and one cleft or groove facing the lower branch of the antehelix. We report these variants as well as the prevalences dues to the age and sex.

Adolescent↗

[Prospective follow-up of 27 tumors of the oropharynx].

The diagnosis of an oropharyngeal tumor should be simple because the site is easily accessible. However, these tumors are not often diagnosed is early stages, even when lesions are visible. We followed-up 27 oropharyngeal tumors from 1 January 1996 to 31 December 1997. Etiological data, the characteristics of the problem leading to diagnosis, and time from symptoms to definitive diagnosis were studied. Histopathological differentiation and stage determination were analyzed. Therapeutic strategy and post-treatment evolution were studied, among other parameters. Our results suggest that the most important etiopathogenic factors in the development of oropharyngeal carcinoma were alcohol and tobacco use, to effects of which are potentiated at this site. The most frequent primary oropharyngeal site was the tonsils in 58% of patients. Treatment of each tumor should be individualized. The general prognosis is poor because 40% of patients are stage IV.

Adult↗

[Pediculated flaps: experimental study].

Seventy dorsal flaps were created in rabbits: 18 cutaneous pedicled flaps and 7 cutaneous free flaps: 23 myocutaneous pedicled flaps and 22 myocutaneous free flaps. Flap viability was compared and its predictability using subjective and objective tests was evaluated. Pedicled flaps had a better survival rate. Cutaneous fluorescence was useful for predicting flap viability.

Animals↗

[Anatomic considerations in relation to the importance of the external branch of the spinal nerve in surgery on the posterior cervical triangle].

The integrity of the spinal accessory nerve plays an important role in cervicofacial surgery since the majority of surgical approaches involve this structure. The resection of the spinal accessory nerve leads to the so-called < > mainly due to the denervation of the trapezius. This syndrome is characterised by the onset of regional pain, functional deficit and deformation of the shoulder joint. The anatomy of the accessory nerve is defined in the light of 93 functional neck dissections with particular regard to the following aspects: its relation with the internal jugular vein, its relation with the sternocleidomastoid muscle (ECM) and mastoid tip and its anastomoses with the cervical plexus.

Accessory Nerve↗

[Retropharyngeal abscess: report of 2 cases].

Retropharyngeal abscesses are uncommon and their frequency has decreased since the development of antibiotics. It is important to recognize this serious condition in order to begin treatment promptly. The causes of these processes differ in children and adults, as do the symptoms of presentation. Lateral cervical radiography and CT are diagnostic in only a few cases. Treatment is abscess drainage. Two cases of retropharyngeal abscess are reported. The first case occurred in a child and was due to infection of Waldeyer's lymphatic ring. The second occurred in an adult as a result of foreign body trauma.

Adult↗