Anales Otorrinolaringologicos Ibero-Americanos

A. Dávila Morillo

E. Solís García

A. Moreno Torres

R. Ramírez Ponferrada

J.M. Castilla Pérez-Navarro

A. Gallardo Avila

Anales otorrinolaringológicos Ibero-Americanos

Carcinoma linfoepitelial de laringe: Aportación de un nuevo caso

喉淋巴上皮癌：一例新病例的报告

Miguel Burgueño García

José Luis del Castillo Pardo de Vera

José Luis Cebrián Carretero

Vicente Martorell Martínez

Colgajo libre de peroné con doble isla cutánea para la reconstrucción orofacial: presentación de un caso

游离腓骨瓣联合双皮岛技术在口腔颌面部重建中的应用：一例报告

喉淋巴上皮癌：一例新病例的贡献

游离腓骨瓣联合双皮岛修复口腔颌面部缺损：一例报告

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.

V Pino Rivero

M Rodríguez Carmona

D Sánchez García

R J Iglesias González

F del Castillo Beneyto

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

[岩尖胆固醇肉芽肿。病例报告及鉴别诊断]。

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.

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

[Zenker憩室作为气管旁囊性病变的鉴别诊断]。

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.

C G Pantoja Hernandez

A González Palomino

M E Mora Santos

G Pardo Romero

A Blasco Huelva

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

成人急性会厌炎突发心肺骤停. 2例报告.

Infantile myofibromatosis is an infrequent and benign pathology. It can turn up as a single or multiple tumour. The prognosis depends on visceral involvement. The differential diagnosis includes some pathologies with similar clinical appearance but worse prognosis. We report a 6 months old boy that arrived to our office refering a short progress and fast growth facial mass. The diagnosis after hystologic study and immunohistochemistry was infantile myofibromatosis. After more than a year of monitoring he is actually disease free.

V Palomar Asenjo

V Palomar García

J C Fortuny Llanses

E Sarroca Capell

[Facial solitary infantile myofibromatosis].

[面部孤立性婴儿肌纤维瘤病]。

Oto cerebrospinal fluid leakage occurs frequently in skull base fractures but it is not always recognized which may produce potentially serious consequences on the prognosis. The aim of this study is to present a case of an extended skull base fracture with bad defined symptoms. A male in coma was admitted to our hospital following a road accident. Imaging revealed a fracture that transversally crossed the squamous occipital bone and petrous portions of temporal bone on the right, the sphenoid bone, and the left zygomatic bone. Ten days later the patient regained consciousness presenting symptoms of right complete hearing loss, cephalalgia and fever. Lumbar puncture showed a Gram negative germ growth. After specific antibiotic treatment he underwent surgery with exclusion of the middle ear and the mastoid from outside by obliterating the Eustachian tube, sealing the surgical cavity (subtotal petrosectomy) with abdominal fat and closing the external auditory canal as a blind sac. At the same time, nasal fibroendoscopy was also performed to close the fistulas in the sphenoid region. Since the cephalalgia persisted further CT examination was performed and revealed another fracture rima in the ethmoid bone. Nasal fibroendoscopy was performed again to close this fistula. The symptoms thus disappeared and the patient has continued to be symptom-free during the two years follow-up. Skull base fractures may involve various bone structure (petrous portion of temporal bone, ethmoid, sphenoid, parietal bone). As a result of the complex anatomy of the skull base, the fracture may damage numerous vital structures (cranial nerves, internal carotid artery, cavernous sinus, jugular vein etc) and the dura mater, causing cerebrospinal fluid leak. When the fracture in the petrous bone is transversal, it is highly important not to delay surgery. In fact the otic capsule does not repair but the bone step is covered by a thin layer of fibrous tissue. For this reason patients, with clear damage to the otic capsule, risk meningitis. Fistulas in the ethmoid are the most difficult to diagnose and the easiest to underestimate. It is fundamental to follow the appropriate diagnostic procedure.

Publication Information	Publisher: Anales Otorrinolaringologicos Ibero-Americanos，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1974，Proportion of original research papers: ，Self Citation Rate:， Gold OA Rate:

Anales Otorrinolaringologicos Ibero-Americanos

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Carcinoma linfoepitelial de laringe: Aportación de un nuevo caso

Colgajo libre de peroné con doble isla cutánea para la reconstrucción orofacial: presentación de un caso

Carcinoma linfoepitelial de laringe: Aportación de un nuevo caso

Colgajo libre de peroné con doble isla cutánea para la reconstrucción orofacial: presentación de un caso

Carcinoma linfoepitelial de laringe: Aportación de un nuevo caso

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

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

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

[Facial solitary infantile myofibromatosis].

Cranial base fracture and rhino cerebrospinmal fluid leakage. A case report.