[Congenital radio-ulnar synostosis].
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Biomedical subjects
Publications and source records attributed to L Rodríguez García.
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The bronchogenic cyst is a tracheobronchial tree congenital malformation, normally intrathoracic. Usually presenting as an acute respiratory insufficiency (especially during infancy) or as recurrent respiratory infections or may be an accidental finding in asymptomatic patients. We present a rare case of cervical localization which began as an acute respiratory distress following a tonsilar infection.
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OBJECTIVE: To describe the main anthropometric characteristics of a young adult population, to compare some measurements obtained with different formulas, and to compare these results with a reference population. MATERIAL AND METHODS: We have studied 72 healthy female university students aged 19.0 to 20.9 years (mean age 19.63). We have measured weight, height, body mass index (BMI), cervical and arm circumferences, and biceps, triceps, and submandibular skinfolds. We have calculated total arm area, fat arm area and muscular arm area using traditional formulas and others recently published. Means were compared using Student's t test and we also calculated Pearson correlations. RESULTS: Concerning anthropometric measurements, they were similar to those of the reference population. Arm areas were different when calculated with different formulas (p < 0.000). All the anthropometric characteristics measured correlated with each other, except with height. Submandibular skinfold correlated with biceps skinfold (0.467), triceps skinfold (0.513), BMI (0.503), weight (0.476), cervical circumference (0.511) and arm circumference (0.505). Submandibular skinfold also showed a significant correlation with arm measurements, especially fat area (0.519, p < 0.001). CONCLUSIONS: Fat and muscular arm areas were different depending on the different formulas used to be calculated. Submandibular skinfold is easy to obtain and is related with the other indexes of body fat. This measure could be included in nutritional surveys.
We present a case of acute upper airway obstruction due to cricoarytenoid arthritis in severe rheumatoid arthritis. Although laryngeal involvement is common in severe rheumatoid arthritis, the upper airway obstruction is a very rare complication. The endotracheal intubation may be very difficult in these patients, thus fiberotopic bronchoscopy may be useful. Surgery is the final treatment.
A retrospective review was made of 460 myringoplasties performed in our department from 1984 to 1990. In 80%, the perforation closed successfully. There were no differences in site, size, cause, or previous operations. Results were statistically better with the onlay technique than with the underlay technique, particularly in large perforations. Poorer results were obtained in younger patients, a difference that almost reached statistical significance. Hearing improved in 64% of patients with closed perforations and hearing deteriorated in 29% (2.1% complete hearing loss).
Hyperkeratosis of the laryngeal epithelium is considered a clinically premalignant lesion that develops into invasive carcinoma in about 7-20% of cases. We reviewed 125 cases of patients with laryngeal keratosis in biopsy obtained by direct laryngocopy over a 10-year period. The evolution of these lesions to malignancy was conditioned by age, the presence of atypias in the initial lesions, and smoking; smoking is a modifiable factor. Surgery is the treatment of choice, with periodic follow-up for three to five years. The literature was reviewed.
A case of semi-invasive maxillary aspergillosis that presented with epiphora and responded well to surgical treatment is reported. Sixteen percent of cases of chronic sinusitis are produced by mycosis (particularly aspergillosis). The infection may be limited to the affected sinus (non-invasive forms) or may destroy the sinus wall, without tissue invasion (semi-invasive forms) or with tissue invasion (invasive forms). The diagnosis is mainly histological. Cultures present a high percentage of false positives and negatives. Treatment consists of surgical debridement of the sinus. Systemic amphotericin B is reserved for invasive aspergillosis (particularly fulminant cases).