Biomedical subjects
Publications and source records attributed to M Faubel Serra.
The 14 subglottic and glottic-subglottic carcinomas treated in the Otolaryngologic Department of the AA. between 1984 and 1989 are reviewed. Check of literature about subglottic carcinomas.
Angiolymphoid hyperplasia with eosinophilia is a multisystemic disease characterized mainly by cutaneous nodules, vascular proliferation with atypical histiocytoid endothelial cells and numerous eosinophiles, often with blood eosinophilia. It use to recur "in situ" and persist after surgical excision. The AA. review the literature about this rare tumor and present the clinical and histopathological features of a case of Angiolymphoid hyperplasia with eosinophilia of the tongue.
Pseudocyst of the auricle is a spontaneous intracartilaginous collection of serous fluid in the anterior aspect of the auricle. These cysts occur frequently in young healthy Chinese males. Engel (1966) was the first to report a series of pseudocysts of the auricle in Chinese. Its etiology is unknown, treatment is difficult and recurrence frequent. In the paper a case report is presented and a review of the literature of this rare condition is done.
The onset of the bone radionecrosis is a relatively unusual problem which should be considered in the differential diagnosis of recurrences of irradiated tumors showing a high degree of aggressiveness. The AA. present a case report of a re-operated lower lip carcinoma which underwent further radiation therapy. A bony mandibular lesion was then observed, which led to the diagnosis of tumoral invasion at the mandible, and a partial mandibulectomy was then performed. The histopathological examination revealed a bone necrosis, probably due to radiotherapy. The clinical features and therapeutic management of mandibular osteoradionecrosis are commented.
The AA. present 2 cases of olfactory Neuroblastoma in different stages of histologic differentiation, which are compared. Bibliographic survey of the entity.
The paper reports the case of a maxillary brown tumor as early sign of primary hyperparathyroidism. Brown tumors are very unusual growths in daily ENT practice and an odd start of primary hyperparathyroidism. The AA. emphasize the importance of a correct differential diagnosis, especially with those tumors showing multinucleated giant cells (osteoclast type)--such as true giant cells tumor and central giant granuloma--prior to its management. They also comment on the interesting contribution to diagnosis by imagery brought by CT scan, magnetic resonance (MR), ultrasonography (echography) and digital subtraction gammagraphy to attain the topographic site of the parathyroid tumor.
The AA. evaluate the incidence of peristomal recurrences among 349 total laryngectomies operated between 1975 and 1985, at ENT Service, Hospital Dr. Peset, Valencia. As possible etiologies they emphasize: first of all the infraglottic spreading of the tumor, the emergency tracheostomy done prior to the surgery of the larynx, and the lacking of irradiation of the tracheostoma.
The first symptom in this case was an spastic paraplegia following a compressive metastasis of the spine sitting in the D8-9 after a follicular Carcinoma of the thyroid gland.
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Non-traumatic otologic diseases are a rare cause of pneumocephalus. Among them, few reports have been described whereas it occurred following oto-surgery. We present a case report of pneumocephalus in a patient who presented with CSF-otorrhea, headache, disorientation, after recent mastoid radical surgery. The definite diagnosis was done by CT scan imaging. We realize a review of the literature about this subject, we describe the clinical and diagnostic features, its possible physiopathology, and its surgical management.
The importance of the inferior myotomy for speech restoration in total laryngectomized patients following not only primary techniques (speech restoration by tracheo-esophageal puncture during total laryngectomy) but also secondary punctures, is well documented. In this paper, the results obtained by manometric studies applied to 25 patients divided into two groups are shown (the first group) (15 patients) following primary techniques, and the second one (10 patients) following secondary punctures. We observe a sphincter pressure decreasing after secondary myotomy in those patients which previously presented dysphagia, prostheses breaking or intermittent speech, therefore considering the inferior constrictor myotomy as of great value in speech rehabilitation.
Granular cell tumor is an unusual tumor of probably neuroectodermal histogenesis, originally reported by Abrikossoff (1926) as a myoblastoma. Of the about 1,200 reported cases since then, 50% are found in the head and neck. Of these, 10% have a laryngeal localization. An infrequent case report of glottic localization which was solved by chirurgical excision with free margins, is presented. The features of the laryngeal presentation, is reviewed and iconography with immunohistochemical techniques of their pathologic characteristics, is showed.
A case report of ear undifferentiated squamous cell carcinoma is presented. The patient complained pain and suppurative ear, which lead to us to practise an exploratory atticotomy, and therefore the tumor was detected on its early stages. It is a very interesting case report due to its unusual localization, and to the early diagnosis to improve the prognosis of these patients.
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The purpose of our paper is to study the decannulation of those which a supraglotic horizontal laryngectomy was performed. For that, we compare two groups of patients: those which received postchirurgic radiotherapy, and those which did not need it.
We comment our attitude in dealing with lymph nodes and thyroid gland surgery for thyroid cancer. This was based on our 10 years experience with such surgery, in which we have performed 350 chirurgic interventions. Of them, in 55 cases a thyroid carcinoma was detected (36 papilar, 13 follicular, 4 medular, 1 anaplasic and 1 metastasic clear-cell carcinoma).