Publications by authors named "Miguel Armengot-Carceller"

Article Synopsis
  • The review focuses on the importance of histopathological analysis of tissue samples in chronic rhinosinusitis with nasal polyps (CRSwNP) to enhance understanding and treatment options.
  • It highlights that the severity of CRSwNP correlates with factors like eosinophil levels in nasal polyps, and discusses ongoing debates over biopsy methods and sample locations.
  • A pragmatic checklist has been proposed by a panel of experts to standardize tissue analysis, improve communication among healthcare providers, and help identify CRSwNP subtypes for better-targeted therapies.
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Article Synopsis
  • - Enchondromas are benign cartilage tumors that usually develop asymptomatically in the metaphysis and diaphysis of bones.
  • - A rare case of a giant sinonasal enchondroma is presented, highlighting its uncommon location since few similar cases exist.
  • - More research is necessary to better understand the malignancy potential of enchondromas, particularly in unusual sites like the sinonasal area.
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A case of mpox pharyngitis in absence of cutaneous lesions is reported. Usually, clinical presentation is either a cutaneous eruption or a combination of cutaneous and mucosal lesions. In patients with atypical pharyngitis, regardless of the presence of skin lesions, pharyngeal swabs should be collected to rule out mpox.

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Article Synopsis
  • Unlabelled is a gram-positive bacterium typically found in the human body but can become an aggressive pathogen, causing serious infections like head and neck abscesses.
  • A 6-year-old girl developed multiple abscesses and a rare case of cavernous sinus thrombosis due to this organism, highlighting its potential severity.
  • Successful treatment involved a combination of long-term antibiotics, surgical drainage for larger abscesses, and consideration of anticoagulation for venous thrombosis, setting a precedent for future management of similar cases.
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The labyrinthine bifurcation of the facial nerve is extremely rare. Diverse congenital temporal bone anomalies usually coexist, and a detailed preoperative evaluation is needed to detect them. We report a case of labyrinthine bifurcation of the facial nerve detected on the preoperative evaluation of a patient with congenital aural atresia.

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Fallopian canal meningocele is an extremely rare cause of cerebrospinal fluid rhinorrhoea. Also, due to complex anatomical relations and a lack of experience, its management remains a challenge. Here we report a case focusing on its clinical course, radiological features, and management.

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The lingual abscess is rare due to several protective mechanisms against infection in this location. Concretely, the abscess in the base of the tongue (posterior lingual abscess) is even more exceptional. Its prompt detection is crucial to avoid potentially fatal airway complications.

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Introduction: Dizziness is a common scenario in the Emergency Departments (EDs). Among dizziness underlying causes, the posterior circulation stroke is especially relevant due to its mobimortality and concerning misdiagnosis rates. Therefore, we conducted this study to assess dizziness evaluation and baseline characteristics of patients with PS in the ED.

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Background: Iodine contrast-induced sialadenitis (CIS) is an uncommon adverse effect to iodine-containing contrast exposition. There is scarce literature about its clinical course and demography.

Objectives: (1) To determine the clinical course and management of CIS.

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Introduction: SARS COV-2 infection is an emerging disease that has become a global pandemic since the beginning of 2020. To reduce transmission, measures have been imposed by governments such as home confinement, the use of masks, social distancing or promotion of hand hygiene. The aim of this study is to determine if the measures adopted to reduce the COVID-19 pandemic have produced a decrease in the incidence of infectious diseases and their complications in the ENT area in our center.

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Introduction: SARS COV-2 infection is an emerging disease that has become a global pandemic since the beginning of 2020. To reduce transmission, measures have been imposed by governments such as home confinement, the use of masks, social distancing or promotion of hand hygiene. The aim of this study is to determine if the measures adopted to reduce the COVID-19 pandemic have produced a decrease in the incidence of infectious diseases and their complications in the ENT area in our center.

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The displacement of a dental root fragment into the maxillary sinus is a serious complication of tooth extraction that can give rise to maxillary sinusitis. The condition can become chronic if the intrasinusal foreign body is not promptly removed, and Aspergillus fumigatus superinfection may ultimately result, forming a fungus ball. The present study describes the case of a 50-year-old man with fungal rhinosinusitis caused by the accidental displacement of a dental root over 25 years ago.

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Introduction: Langerhans cell histiocytosis (LCH) is a rare disease of unknown etiology with a heterogeneous and unspecific clinical presentation. Any organ or system may be involved but the most frequent is the skeleton. The diagnostic gold standard is done through histopathology combined with immunohistochemistry in the correct clinical setting.

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Diagnosis testing for primary ciliary dyskinesia (PCD) requires a combination of investigations that includes study of ciliary beat pattern by high-speed video-microscopy, genetic testing and assessment of the ciliary ultrastructure by transmission electron microscopy (TEM). Historically, TEM was considered to be the "gold standard" for the diagnosis of PCD. However, with the advances in molecular genetic techniques, an increasing number of PCD variants show normal ultrastructure and cannot be diagnosed by TEM.

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Background And Objective: Vestibular schwannoma is a benign tumour that originates in the eighth cranial nerve. It is termed intralabyrinthine schwannoma (ILS) when it develops in the inner ear, this being a rare origin. We present our experience in the management of three patients with ILS.

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The transmandibular route is often combined with the transparotid-transcervical approach when extensive surgical field exposure is required, as in the case of deep parotid lobe tumors measuring over 4 cm in size. This procedure implies great morbidity and prolongs surgery time. Furthermore, in cases where additional lip division is performed, the aesthetic outcomes may be poorer.

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A cohort of 128 patients from 118 families diagnosed with non-syndromic or syndromic hearing loss (HL) underwent an exhaustive clinical evaluation. Molecular analysis was performed using targeted next-generation sequencing (NGS) with a custom panel that included 59 genes associated with non-syndromic HL or syndromic HL. Variants were prioritized according to the minimum allele frequency and classified according to the American College of Medical Genetics and Genomics guidelines.

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Primary ciliary dyskinesia (PCD) is an autosomal recessive rare disease caused by an alteration of ciliary structure. Immunofluorescence, consisting in the detection of the presence and distribution of cilia proteins in human respiratory cells by fluorescence, has been recently proposed as a technique to improve understanding of disease-causing genes and diagnosis rate in PCD. The objective of this study is to determine the accuracy of a panel of four fluorescently labeled antibodies (DNAH5, DNALI1, GAS8 and RSPH4A or RSPH9) as a PCD diagnostic tool in the absence of transmission electron microscopy analysis.

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Background: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a clinical entity with specific features that impacts significantly on patient quality of life (QoL). CRSwNP is often associated with asthma and is difficult to control and manage despite pharmacological and/or surgical treatment. Omalizumab, a monoclonal anti-IgE antibody, has emerged as a putative therapeutic option.

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Objective: To review the results of a series of patients with glottic insufficiency caused by scarred vocal folds who underwent injection laryngoplasty with centrifuged and emulsified autologous fat.

Study Design: Prospective cohort.

Setting: Single center, tertiary institution.

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Article Synopsis
  • Primary ciliary dyskinesia (PCD) results from ciliary structure issues, making it hard to clear respiratory secretions; diagnosing PCD involves multiple techniques and is complex.
  • This study developed a gene panel for sequencing 44 genes linked to PCD and involved 79 patients suspected of having the condition, according to European Respiratory Society criteria.
  • The gene panel showed an 81.1% sensitivity and 100% specificity, identifying 52 genetic variants in patients, including previously unreported ones, which enhances understanding of PCD’s genetic causes and informs potential therapies.
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Background: Due to the lack of a gold standard diagnostic test, reference centres with experienced personnel and costly procedures are needed for primary ciliary dyskinesia (PCD) diagnostics. Diagnostic flowcharts always start with clinical symptoms. Therefore, the aim of this work is to define differential clinical criteria so that only patients clinically compatible with PCD are referred to reference centres.

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