Objective Analysis Of Voice Quality In Patients With Thyroid Pathology.

Objective: The goal of this study is to analyze the voice in patients with thyroid pathology through two objective indexes with great diagnostic accuracy. Overall vocal quality was evaluated with the Acoustic Voice Quality Index (AVQI v.03.

[Cerebrospinal fluid rhinorrhea from a transclival meningocele: A case report and literature review].

The most common site of CSF leakage is the floor of the anterior cranial fossa, and less commonly in the sphenoid sinus. Only 3-4% of CSF fistulas are spontaneous. The fourth case is presented of a CSF rhinorrhea due to a transclival meningocele, an extremely rare location for these lesions, and the surgical approach.

[Nasal leprosy: impact of multitherapy in the morphology and physiology of the nose].

Introduction: The multi-drug therapy protocol has allowed leprosy patients following this strategy to achieve complete recovery without developing neurotrophic sequelae or deformities.

Objectives: To assess the impact of multi-drug therapy on the development of nasal deformities and nasal airway patency.

Patients And Method: In an overall group of 84 patients studied, 38 were treated with a therapy based on a single drug and 22 were treated with multi-drug while 24 subjects formed a control group.

[Tonsillar angiofibroma].

We report in this paper a case of a tonsillar angiofibroma, whose histopathological features did not differ from its nasopharyngeal counterpart. In an exhaustive review done we have only found another one reference, in the german literature of such location.

[Perilymph gush. A complication of stapedectomy].

Report of an unusual complication of stapes surgery, called "perilymph gush", resolved with improved hearing and no vertigo.

[Gushers. Perilymphatic leaks].

We report an unusual complication of stapedectomy called <>. It was resolved and the patient's hearing level improved without vertigo.

[Clinical and electronystagmographic manifestations in the elderly with vertigo].

The goal of the present work is to realize a review over the difference aspects of the alterations of the equilibrium and the vestibular system in the elderly patient. We also present a statistics about the symptomatology, the results of the vestibular tests and the diagnose, in a range of patients complaining of vertigo, aged over 65, studied in our ENT-Department.

[Surgical voice rehabilitation: influence of postoperative radiotherapy on tracheoesophageal fistulas. Long-term follow-up study].

In an overall group of 270 patients who underwent total phonatory laryngectomy (TPL) with surgical restoration of alaryngeal voice by tracheoesophageal puncture (TEP) and prosthesis insertion, a subgroup of 152 consecutive patients who had undergone surgery at least 24 months earlier was selected (10 years follow-up). The frequency and type of effects of postoperative radiotherapy on TPL were studied. We analyzed postoperative complications, TEP closure and its causes, the tracheoesophageal voice achieved, and manometric results in the pharyngoesophageal segment.

[Surgical voice rehabilitation: permanence of tracheoesophageal fistula after total phonatory laryngectomy. Long-term follow-up].

A study of the 10-year follow-up of 152 patients who underwent total phonatory laryngectomy (TPL) for surgical alaryngeal voice rehabilitation by trachoesophageal puncture (TEP) and prosthesis insertion is reported. These patients belonged to a larger group of 270 patients who underwent TPL in our department in 1984-1995. Patients who had undergone surgery at least 24 months earlier were selected for the purpose of obtaining more reliable conclusions.

[Herpetic laryngeal involvement simulating neoplasm].

A case of laryngeal involvement by herpes virus is reported. Its appearance suggested an extensive neoplasm. Laryngeal herpes infection is uncommon, but the wide spectrum of forms of onset, from banal laryngitis to severe airway obstruction, hoarseness, or dysphagia, require accurate differential diagnosis to establish an effective treatment and follow-up.

[Videofluoroscopy of the pharyngoesophageal segment after total phonatory laryngectomy].

Twenty-nine postoperative videofluoroscopic studies of the pharyngoesophageal segments, with phonation test, were compared with esophageal manometry findings. The group was drawn from an overall group of 220 patients who underwent total phonatory laryngectomy (1984-94) by tracheoesophageal puncture (TEP) and prosthesis insertion. Radiological videofluoroscopic features were defined (type I and type II) and found to correlate with patterns of esophageal manometry in 20 explorations.

[Tumoral collision: cancer metastases within a second neoplasm].

A case report of epithelial carcinoma of the inferior lip which spread in cervical lymph nodes previously affected by a chronic lymphocitic leukaemia, is presented. The coexistence of both histological findings in some of the nodes (collision tumor) is remarked. We have made a review of the scanty literature about metastases on second tumors and compared and commented those features.

[Cervical dissection in laryngeal cancer: our experience of 15 years].

A retrospective study was made of surgery with cervical dissection in 640 patients with laryngeal carcinoma treated from 1976 to 1991. Cervical dissection was carried out in 386 of 640 patients with laryngeal carcinoma treated surgically. Of a total of 496 cervical dissections performed, there were 173 unilateral functional, 88 bilateral functional, 67 unilateral block, 13 bilateral block, and 27 bilateral block dissections with contralateral functional dissection.

[The study of survival in the glottic cancer].

The survival rate for glottic carcinoma was analyzed in the cases treated in our service in 1978-88. All cases had a minimum of 5 years of follow-up. Clinical manifestations, tumor site, TNM and pTNM stages, histopathologic type, treatment, and five-year survival and recurrence rates were studied.

[Supraglottic carcinoma].

We present the follow-up and end results of 98 horizontal supraglottic laryngectomies done for treatment of supraglottic carcinomata. Both functional and oncologic outcome as well the complications and 5-year survival of these laryngectomies are considered. We conclude that this surgical technique is a suitable one for the larger part of supraglottic carcinomas.

[Aggressive fibromatosis of the nasal sinuses].

A case report of a feminine patient who complained of nasal ventilatory obstruction and nasosinusal polyposis is presented. She underwent surgery and the pathological study revealed the existence of an aggressive fibromatosis. The AA.

[Non-Hodgkin lymphoma of the maxillary sinus].

Non-Hodgkin Lymphoma is an infrequent tumor at the paranasal sinuses site, representing no more than 5.8 to 8 percent of the entire malignant neoplasias in this localization. Clinical manifestations are insignificant and the definitive diagnosis comes through its pathological study.

[Oropharyngeal vascular lesions].

In this paper a case report of a tonsillar cavernous Hemangioma is presented. A review of the literature about oropharyngeal vascular lesions is done and their diagnosis, classification and its treatment is discussed.

[Symptomatic malformations of the first branchial arch].

Congenital malformations of the branchial arches are not infrequent. Among them first branchial cleft anomalies are common and they are to remain asymptomatic. The case reported is one of symptomatic fistula auris, which at the beginning led us to the initial diagnosis of an orbital cellulitis, secondary to ethmoidal sinusitis.

[The value of the computer tomography (CT) and magnetic resonance (MR) in tumors of the ear].

The first case report is an undifferentiated squamous cell carcinoma of the ear. This patient complained with pain and discharging ear, which led us to practice a TC followed by an attico-antrotomy. The pathologist could detect in the removed tissue the neoplasm in its early evolutive stages.

[The value of the anamnesis and physical examination in surgical pathology of the thyroid gland. Report on 423 thyroidectomies].

The purpose of this paper is to present a retrospective study of 423 cases of surgical pathology of the thyroid gland. All the cases underwent surgery during a period of 11 years. The data gained through these ways were statistically studied and compared with those provided by histological diagnosis, with the aim of searching any clinic situations that can lead to the suspicion of oncological pathology of the gland.

[Pleomorphic adenoma of the palate].

Furthermore major salivary glands salivary tissue is localized in minor salivary glands. The AA. present a case of pleomorphic adenoma arising in soft palate.