[Chronic rhonchopathy and obstructive sleep apnea syndrome: the role of otorhinolaryngology].
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Biomedical subjects
Publications and source records attributed to E Perelló.
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The AA. present a rarely encountered case combining a left recurrent palsy due to an sclerosis and hyperostosis of the first costoesternal joint, which improved after an antiinflammatory treatment.
One hundred and ten adult patients suffering from peripheral vertigo were treated in a multifactorial double-blind randomized clinical trial with dotarizine (50 mg b.i.d.) or cinnarizine (75 mg b.i.d.). There was a 60 days clinical follow-up. Results showed that dotarizine was significantly active against the vertigo attacks and its associated symptoms (mainly neurovegetative). The global superiority of dotarizine was confirmed by statistically significant differences between treatments in the improvement of the severity of vertigo, hearing loss in audiometries, global relief of symptoms, disability produced by crises and global assessment by the investigators themselves. No clinically significant unwanted effects were seen in either group on blood pressure, heart rate or analytical parameters. No serious adverse effects to dotarizine were reported. This study confirms the value of dotarizine in the treatment of peripheral vertigo.
A cohort epidemiologic study of second primary tumours appeared in patients diagnosed of laryngeal neoplasms, between years 1988 and 1990, and a follow-up term of 5 years, is presented. An statistical analysis of several data to define a possible high risk group for developing primary tumours was performed for all patients.
The AA. present a retrospective study of all instances diagnosed as mucoceles in the last 15 years (1978-1993) at General University Hospital, Valle de Hebrón. Age of occurrence and sex, foregoing pathologic history, clinical picture, diagnostic tests, treatment and subsequent course of the condition are duly considered and appraised. Our attempt has been to stablish a diagnostic clinical pattern of these conditions, which generally are uncovered through its complications.
The AA. present a study microbiologic and auditive as well about chronic, suppurative otitis media non cholesteatomatous, before and after topical treatment. They contemplate 178 samples of chronic discharging ears which were treated with gentamycin 0.3 %, instillation 5 drops every 8 hours, during 10 days. Twelve days later were newly assessed both the otorrhea and the cochleovestibular picture. Germs most frequently detected: Gram-negative 61.6 %, Gram-positive 19.8 %, associated flora 6.4 % and mycosis 2.2 %, among other. Clinic healing accounted for 97.29 % and not significative differences scored pre--and post-treatment.
BACKGROUND: The aim of this study was to determine the result of partial resection of the soft palate (SPR) as a treatment of the obstructive apnea syndrome during sleep (OASS). METHODS: Fifty-seven patients diagnosed of OASS treated with SPR were studied. The clinical and polysomnographic results prior to surgery and after 6 months were compared. RESULTS: Prior to SPR the 57 patients had a mean index of apnea plus hypopnea per hour of 57 (IAH) and following surgery the same was of 19.2 (p < 0.0001). IAH improved more than 50% in 42 patients (74%), 30 of whom were cured (IAH < or = 10). Daily hypersomnia and snoring disappeared in 58% of the patients and decreased in intensity in most of the remaining cases. The secondary effects observed following SPR were: rhinolalia, nasal fluid reflux, and oropharyngeal disturbances, being present in 32 patients (56%) and permanent, although slight, in only 13 (23%). CONCLUSIONS: Soft palate resection is a good surgical procedure for therapy of obstructive apnea during sleep, with only slight secondary effects.
This prospective protocol for vestibular exploration offers the results gained through 296 patients complaining from vestibular disorders. The aim of the AA. is to check the validity of the test proposed (in the midst of the battery of electronystagmographic explorations), consisting in the thermal bilateral and simultaneous stimulation of the labyrinths. They consider this trial very useful because of its sensibility, quickness and tolerance.
Involvement of the temporal bone by eosinophilic granuloma is rare. Two cases are presented and their clinical manifestations, histopathological findings and treatment procedures discussed.
From October 1987 till November 1989 the AA. have studied 40 cases with Sensorineural sudden hypoacusis. The control term varied between 3 months and 2 years. The whole group followed an scheduled prospective protocol with the aim of find out the more significative factors regarding the etiology and prognostic of the process. On the other hand, minimize the cost of explorations, spare nuisances to the patients and select the most reliable methods were the purposes of the AA.
After a bibliographical perusal of the subject, the AA. deals with the main epidemic factors of allergic rhinitis such as frequency, age, sex, race, geographical differences, climatic and seasonal influences, social and economic status, date of birth, duration, links with asthma bronchial and other allergies, etc. The contribution of the AA. is the personal comparative investigation done, during a 3 years period in rural and urban populations of the province of Barcelona.
The AA. consider the X-ray findings verified in 3 groups of subjects: with Hayfiber, with perennial rhinitis and the last one being a control group. The whole figure comprise as well urban or rural inhabitants. The conclusion drawn out is that more 50 per cent of allergic sufferers show radiologic evidences, especially the urban people, probably on account of the cities pollution.