Rhinotillexomania: A Manifestation of Psychiatric Illness.

Objective: To increase the knowledge of rhinotillexomania, or compulsive nose picking, as a manifestation of psychiatric disease through the presentation of a case series and a review of the literature.

Material: We present three clinical cases with self-destructive nasal injuries as a symptom of different psychiatric diseases.

Results: One patient presented amputation of the middle turbinate as a manifestation of an obsessive-compulsive disorder of bipolar disease.

Rhinotillexomania: a manifestation of psychiatric illness.

Objective: To increase the knowledge of rhinotillexomania, or compulsive nose picking, as a manifestation of psychiatric disease through the presentation of a case series and a review of the literature.

Material: We present three clinical cases with self-destructive nasal injuries as a symptom of different psychiatric diseases.

Results: One patient presented amputation of the middle turbinate as a manifestation of an obsessive-compulsive disorder of bipolar disease.

Inlay butterfly miringoplasty. Our experience.

Introduction: Multiple surgical techniques have been proposed to close tympanic perforations. Eavey, two decades ago, described a technique aimed at closing central perforations in children. For this, he designed a butterfly-shaped cartilage graft that was placed between the tympanic membrane in an inlay manner.

Middle fossa approach: Applications in temporal bone lesions.

The middle fossa approach is a surgical technique that is very useful for lateral skull base surgery. However, it is true that it has limited surgical indications and implementation due to its technical complexity. We present our experience in 10 patients in whom the middle fossa approach was the treatment of choice because of the extent of the injury and complexity of the lesion or process.

Analysis of predisposing factors for complications of percutaneous tracheostomy.

Since the turn of the century, percutaneous tracheostomy (PT) has become an alternative to the classic open technique and is an elective procedure in intensive care units at most centers. We conducted a prospective study to identify and quantify the complication rate with PT and to analyze this procedure's association with potential risk factors. Our study population was made up of 114 patients-83 men (72.

Middle ear promontory osteoma.

Osteomas are benign lesions of the lamellar bone that within the temporal region are common in the external ear canal. Osteomas of the middle ear are extremely rare and until now there are only 14 reported cases. They usually present with conductive hearing loss while others are asymptomatic and diagnosed incidentally.

Facial reanimation surgery with micro-vascular gracilis free flap for unilateral facial palsy.

Introduction And Objectives: Micro-neurovascular free muscle flap transfer is currently the procedure of choice for long-standing facial paralysis. We present a case series of patients treated with gracilis muscle free flap with motor innervation by the masseteric nerve. We discuss the surgical technique and quantify the movement granted by the muscle, the improvement in quality of life and aesthetic results.

[Free radial forearm flap in head and neck: our experience].

Introduction: Oncologic surgery leads to important defects and sequelae, as well as notable cosmetic and functional alterations. In this aspect reconstructive surgery has an essential role, allowing more radical excision and lower associated functional and cosmetic morbidities. The aim of this study was to present and evaluate the experience and results of the reconstructive microsurgery unit in our centre's ENT department.