Extensive, non-healing scalp ulcer associated with trauma-induced chronic osteomyelitis.

A 77-year-old woman presented with a trauma to the scalp caused from the blade of a windmill. The condition was persistent from the past 50 years. At the initial examination, a deep, foul-smelling and well-circumscribed ulcer was apparent on the head region, involving the majority of the cranium.

[Pre-operative symptoms and post-operative improvement in patients diagnosed with hyperparathyroidism. Analysis of 120 consecutive cases].

Objective: To compare the pre-operative and post-operative clinical symptoms in patients diagnosed as having hyperparathyroidism and given surgical treatment, in order to prove the existence of statistically significant improvement.

Material And Method: We report here a retrospective study performed on 120 consecutive patients operated on following diagnosis of hyperparathyroidism between 1990 and 2003.

Results: Nephrolithiasis, generalized bone pain and HBP were the most common clinical manifestations.

[Early hearing loss detection by otoemissions. Analysis of the results in 200 consecutive children reviewed].

We present a retrospective study of 200 consecutive children explored in our hospital between november 2005 and april 2006, as a part of the protocole or program of early identification hearing loss stablished several years ago in our Comunity. In case of suspected hypoacusia after performing otoacoustic emissions, children must be sent to PEATC 3 months later.

[Cholesterol cyst-granuloma on petrous apex. Report of a case and differential diagnosis].

Cholesterol granulomas and cysts located on the petrous apex can course of a silent way during years. We describe one case assisted in our consulting rooms which was discovered after performing CT and MRI (with and without paramagnetic contrast) in a patient with vertigo associated to conscience loss without other symptoms. In the discussion is exposed which must be the differential diagnosis of this pathology.

[Facial and oropharyngeal angioedema in patient with alimentary fish allergy. Diagnosis and treatment].

Vegetal or animal food can produce hipersensibility reactions IgE mediated of diverse intensity. We report the case of a 54 years old woman without previous allergic antecedents who after eating frozen fish had to go to Emergencies due to angioedema especially in face and oropharynx. The ENT exploration by fibroscopia descarted laryngeal edema but the patient showed initially respiratory symptoms so she was treated with SC adrenalina and then steroids during her admission.

[Sphenoidal sinus polyp-cyst as casual finding in a patient with severe and sudden retrocochlear hearing loss].

We present the case of a 56 years old female controlled in our ENT Department because of right sudden hearing loss, tinnitus and vertigo. The endoscopic exam was normal. Audiogram showed a severe neurosensorial hypoacusia and PEATC confirmed the so called hypoacusia suggesting a retrocochlear origin of it.

[Zenker's esophageal diverticulum as differential diagnosis of paratracheal cystic lesion].

We report the case of a 52 years old patient with clinic of food regurgitation and some dysphagia without other added symptoms who was sent to our ENT consulting rooms. It was performed a cervicothoracic CT which informed as a paratracheal cystic lesion with differential diagnosis between esophageal or tracheal diverticulum. The possibility of that last one was discarted by a normal bronchoscopy.

[Cervical osteophytosis as cause of dysphagia. Forestier-Rotes Querol's disease].

The so called Forestier-Rotes Querol's disease or diffuse idiopathic skeletal hyperostosis can affect the neck caused by osteophytos and ossification-calcification of the vertebral ligaments. The location in that region can produce dysphagia or hoarseness, among other symptoms, so that the patient can assist or be sent to ENT valoration. We are reporting a case of this pathology which was diagnosed in our hospital.

[Frontoethmoidal mucocele. Diagnosis and treatment in 7 cases].

Mucocele has its origin by blockage of the paranasal sinuses ostium with mucinous retention inside, sometimes purulent (mucopiocele), and progressive slimming with gradual destruction on the bone walls. We report an own review of 7 patients with diagnosis of frontoethmoidal mucocele, 4 men and 3 women, 50-years average. The oftalmologic clinical symptoms (diplopia, exoftalmos and the eyeball movement restrictiv) were the most frequentjointly to cefalea.

[Maxillary sinus hypoplasia masquerading a chronic sinusitis].

Maxillary sinus hypoplasia is a relatively uncommon clinical condition that may be misdiagnosed as chronic sinusitis or neoplasm by otolaryngologist. We report an unilateral clinical case of this entity confirmed by CT and a short literature review is performed at this respect.

[Etiopathogenia of the epistaxis admitted by emergencies service. Analysis and considerations in 250 consecutive patients].

Epistaxis represent a relatively common symptom in the hospitalary Emergencies Services. In our casuistry of 250 consecutive patients assisted and admitted because of that cause in 2 different hospitals of the region between 1996 and 2005, we have noticed the presence of one or more base pathologies or risk factors in originate most of them which could the nose bleeding. These causes are analysed beside the location of the epistaxis and the different treatment options that were used until its resolution.

[Peripheral vertiginous syndrome with osteocervical lytic pathology. Importance of the exploration and its differential diagnosis].

We are reporting the case of a 52 years old male with a peripheral vertiginous syndrome which could have been diagnosed as a benign paroxysmal positional vertigo. In a craneocervical CT appeared an osteolytical lesion on C3 vertebral body. With this article we pretend to emphasize the importance of a complete exploration and the differential diagnosis in the peripheral vertiginous pathology.

[Vogt Koyanagi Harada syndrome. Report of a case with hearing loss, tinnitus, vertigo associated to uveitis].

Vogt-Koyanagi-Harada sindrome is an autoimmune sistemic disease characterized by granulomatous bilateral uveitis with involvement of the central nervous system which can compromise the VIII craneal pair function producing tinnitus and neurosensorial hypoacusia. We report a case diagnosed in a young woman who also suffered episodes of vertigo. We review the literature of that pathology.

[Kartagener sindrome (primary ciliary dyskinesia). Report of a case and literature review].

Kartagener syndrome (a clinical variant of primary ciliary dyskinesia) is a recessive autossomical disease characterized by the triad of chronic sinusitis, bronchiectasis and situs inversus with dextrocardia. We report one case described in a 8 years old boy who besides presented a seromucous otitis and bronchitis of repetition. Finally we performed a short bibliographic review at respect of this uncommon pathology.

[Acute epiglottitis in adults. Diagnosis and treatment in our experience of 30 cases].

Objective: We present the 15-year-long experience of 2 hospitals in our region regarding the therapeutic management of acute epiglottitis in adults.

Patients And Method: Thirty patients with an average age of 46 years were diagnosed as having acute epiglottitis, either by indirect laryngoscopy or fibroscopy, and studied through a series of clinical parameters: age, sex, personal history, complementary tests, clinical symptoms, treatment, evolution, and average stay in hospital.

Results: We found an obvious predominance of this urgent pathology in males, with most patients reporting dysphagia or odynophagia (90 %).

[Diffuse large B-cells lymphoma of the parotid gland (MALT). Report of a case and review of the literature].

Althouh lymphomas are an illness that characteristically affects the lymph nodes they can present in other locations (extranodes). The lymphoid tissue of the salivary glands can be considered part of the called mucosa-associated lymphoid tissue (MALT). We report the case of a diffuse large B-cells parotid lymphoma.

[Morphology of the parathyroid glands. A study of 146 samples and review of the literature].

Parathyroid hyperfunction condition has a very diverse and unspecific symptoms and signs. We have performed an anatomopathologic study of 146 parathyroid gland from patients diagnosed from hyperparathyroidism. About a 72.

[Cervical hematoma after discectomy for spondylosis. An indication of urgent tracheotomy].

We report the clinical case of a hematoma after surgery of cervical spondylosis which required an urgent tracheotomy due to failure in the orotracheal intubation. This illness in advanced degree, so called cervical spondylotic myelopathy, is the most serious consequence of cervical intervertebral disc degeneration.

[Recurrent intrathyroid abscess in children. Clinical case and review of the literature].

Recurrent thyroid abscesses in children are an uncommon clinical disorder that use to be due to 3rd or 4th branchial anomalies and pyriform sinus fistula. We are reporting the clinical case ofa 6 year-girl who was diagnosed as left thyroid lobe and istmic abscess of 3 cm, drained by general anesthesia with positive culture for St. Viridans.

[Treatment of the benign paroxysmal positional vertigo (BPPV) by Epley maneuver].

Benign paroxysmal positional vertigo (BPPV) is the most common of the peripheral vertigo. We report the case of a 45 years old female with that pathology suspected by the symptoms which the patient related to head changes of positions and movements. Her diagnosis was confirmed by the maneuver of Dix-Hallpike, that was positive, and the treatment consisted in a maneuver of canalicular reposition according to Epley's technique.

[Pseudomonas and acute external otitis. Results of a microbiological study in patients without previous antibiotic treatment].

We report the results of a microbiological clinic study that was performed by our ENT Department between years 2000 and 2001 whose main objective was to determine, in Badajoz Area of Health, which bacteria were involved in the acute diffuse external otitis of patients without previous antibiotic treatment (two weeks before obtaining the samples). Of 79 isolated microorganisms in 62 patients that fulfilled the requirements established Pseudomonas, mainly P. Aeruginosa, represented a 46.

[Spontaneous cervical and pharyngolaryngeal hematoma after coughing attacks].

We report the case of a 86 years old male who, in the course of a coughing attack, refers spontaneous cervical and pharyngeal pain in addition to hoarness, dysphagia and some dyspnea. His exploration revealed a small right neck hematoma but with infiltration of the orohypopharynx and right hemilarynx for spreading later to posterior pharyngeal wall and left aryepiglottic fold. The patient was sent to ICU although he did not required a control of airway by intubation or tracheotomy finally.

[Sudden cardiorespiratory arrest in adults with acute epiglottitis. Report of 2 cases].

We report two adult cases of sudden cardiorespiratory arrest because an acute epiglottitis that ocurred in our hospital. Although it is an uncommon pathology nowdays with good prognosis generally, we try to call the attention about this complication which can happen of unforseeable way even in previous absence of respiratory obstruction. One of the patients required coniotomy in ICU due to impossibility of orotracheal intubation (OI) and the other died in spite of an urgent performance.

[Contralateral hemithyroidectomy due to carcinoma of the thyroid. Our cases reviewed and updated].

Objective: We are reporting our 14 years' experience with prior hemithyroidectomies or contralateral hemithyroidectomies after a pathology result reporting malignancy (thyroid carcinoma) in the first surgery.

Material And Method: Twenty female patients with an average age of 45 years old have been studied and we have analyzed the initial symptoms, results of complementary tests, pathology diagnosis following initial surgery, and final outcome after a second intervention.

Results: The incidence of malignancy shown in our series after secondary surgery was 40 % and the percentage of hemithyroidectomy on hemithyroidectomy was 3 % after operating on 650 thyroid glands.