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Biomedical subjects

A Ruiz Giner

Publications and source records attributed to A Ruiz Giner.

9 recordsLinked to original sources

[Malleostapedotomy in the pathology of the incudomalleolar complex combined with fixation of the stapes].

INTRODUCTION: Stapes fixation combined with disorders of the incudo-malleolar complex disorders requires a sound transmission reconstruction that often is difficult to solve. This circumstance can turn up in several pathologies and also in revision surgery for otosclerosis. PATIENTS AND METHODS: We present our experience with four patients that underwent to malleostapedotomy with removal of the malleus anterior ligament and the malleus anterior apophysis. RESULTS: We discuss the previous findings in each case. Two patients reached a gap closure and the other two patients obtained an auditive gain without complete gap closure. DISCUSSION: We set out the ethiology of malleus and incus hipomobility. We do a bibliographic review on the results of this technique in revision stapedectomy.

Female↗

[Importance of laser in the surgical technique of otosclerosis and its results].

The authors bring up the matter of the usefulness of laser in otosclerosis surgery. They set out some advantages of laser utilization. A bibliografic review is done and some important authors are found explaining the advantages of this instrument. Some new tendencies on stapes surgery are presented. Teaching on otosclerosis surgery problems are stated, with some different criteria. The idea that improvement of audiologic results in stapes surgery is not easy is strengthened, because the results obtained with the classic techniques are excellent, but some of these methods increase the surgical comfort and reduce the potential risks to the patient.

Humans↗

[Peritonsillar infection. Out-patient management].

INTRODUCTION: Peritonsillar infections are the most frequent deep infections in head and neck. The estimated annual incidence is 30 cases per 100.000 inhabitants. PATIENTS AND METHODS: A retrospective study was undertaken in 132 patients with peritonsillar infection. A diagnostic and therapeutic protocol was used consisting on diagnostic needle aspiration, incision and drainage and intravenous antibiotic and steroids. RESULTS: 35,6% were peritonsillar phlegmons and 64,4% were abscesses. The median of hospital monitoring was 9,2 hours. Only 25,8% were admitted to the hospital. Six patients had recurrences of the symptoms during the study. DISCUSSION: The needle aspiration is useful in differential diagnosis between phlegmons and abscesses. Bacteriologic studies are not necessary in the routine management of peritonsillitis. Surgical treatment of these patients is controversial. Incision and drainage seems to be appropiated in the management of this pathology. Admission to the hospital is not always necessary if a correct outpatient control is possible.

Adolescent↗

[Cidofovir activity in infantile recurrent respiratory papillomatosis].

We report the case of a 4 year old boy that arrived to our department refering a 4 months history of dysphony complicated in the last week with inspiratory estridor. He was diagnosed of respiratory papillomatosis. In the next 10 months he underwent 6 operations to remove papillomas with CO2 laser. In the last operation we decided to add adjuvant therapy with intralesional injections of cidofovir once all papillomas had been removed. After more than a year of monitoring he remains disease free.

Antiviral Agents↗

[Secondary hearing impairment due to Paget's disease].

Paget's disease presents frequently in skull bones with incidence in temporal bone, causing vertigo, hearing loss and tinnitus. The AA. present one case in a woman, 60-year-old, diagnosed as Paget's disease, complaining of left ear deafness and hearing impairment of the right ear resulting from a conductive disorder.

Audiometry, Pure-Tone↗

[Lymphoepithelioma of the larynx].

Non-nasopharyngeal Lymphoepithelioma is a tumor of undifferentiated non-keratinizing cells enclosed in an lymphocytic stroma. The lymphoid tissue does not participate in the tumor process. Its tendency is to precociously spreading in the lymph nodes and viscera, but shows a good radiotherapeutic response. Unlike the nasopharyngeal lymphoepithelioma there is no etiological relationship with the Epstein-Barr virus, in spite of the histological similitudes, therefore the pathogenesis must be different in each. Discrimination between lymphoepithelioma and other neoplasms of the epithelial lineage is important in order to indicate the treatment and also to provide prognostic information.

Carcinoma, Squamous Cell↗

[Review of ORL manifestations in AIDS. Case series at the Arnau de Vilanova Hospital, Lleida].

The majority of patients suffering AIDS-syndrome present with ENT aspects, being the most prevalent lateral adenopathy of the neck firstly, followed by thrush, pharyngo-esophageal candidiasis and herpes simplex. Differences regarding the distribution in percentage in risk groups are signaled by the AA. between their own statistics and those of the americans writers.

Acquired Immunodeficiency Syndrome↗

[Recurrent polychondritis].

The interest of the relapsing polychondritis is specially due to its otolaryngological implications. The case reported evolved favourably and responded fairish to the corticoidtherapy. Nevertheless an assidous follow-up will be wise in order to stablish the pronostic in view of the outbreacks of the illness. The AA. compare the own case with others referred to in the literature.

Adult↗

[Tuberculous otitis media].

Report of a case of middle ear tuberculosis in an elderly woman with a chronic discharging ear withstanding the common treatment. The diagnosis could be made through examination of the pieces taken at surgery (tympanoplasty). The A. advice is to arouse suspicion when findings compatible with tubercular otitis are encountered, in order to treat wisely the patient and avoid complications.

Aged↗