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J Poch Broto

Publications and source records attributed to J Poch Broto.

At least 19 recordsLinked to original sources
PubMed2000

[Clinical and histological indicators predictive of cervical metastases in laryngeal cancer].

INTRODUCTION: A study was made of possible clinical and pathological indicators associated with cervical lymph node involvement in laryngeal cancer. PATIENTS AND METHODS: Between 1994 and 1997, 85 patients with laryngeal cancer underwent surgery in the ENT department of the Complutense University of Madrid (Spain). A statistical analysis was made to identify clinical and pathological indicators of lymph node metastases. RESULTS: Predictive indicators (PI) of cervical metastatic disease in our study were: 1) tumor location; 2) low degree of differentiation; 3) invasion > 5 mm deep; 4) perineural invasion; and 5) invasion of the pre-epiglottic space.

Carcinoma, Squamous Cell↗
PubMed1999

[Rhinoscleroma. A case report].

Rhinoscleroma is a chronic, specific, inflammatory granulomatous condition of the nose and other structures of the upper respiratory tract. It is caused by the bacterium Klebsiella rhinoscleromatis. We report a case in a 29-year-old black male emigrant who consulted for a 2-year history of hoarseness, cough, and nasal discharge. The diagnosis was scleroma with nasal, laryngeal, tracheal, and bronchial involvement and ulcerating and necrotizing lesions that caused respiratory obstruction. Bacterial over-infection responded to treatment with third-generation cephalosporins and clindamycin. The sclerotic lesions responded well to treatment with ciprofloxacin. We review the clinical findings at different stages, diagnostic options, and several treatments.

Adult↗
PubMed1989

[Bilateral laryngeal paralysis in adduction: therapeutic aspects].

Fourteen patients with bilateral laryngeal paralysis in adduction were studied. Six of these patients were treated by arytenoidopexy and chordopexy, and the other 8 underwent endoscopic CO2 laser endoscopy. After comparison of the two groups we concluded that the latter technique yielded better respiratory and phonatory results than others previously used.

Arytenoid Cartilage↗
PubMedDate not supplied

[Elective dissection in cancer of the larynx].

OBJECTIVE: 1) To determine if elective neck dissection (END) is more effective than surgery without END in patients with cancer and a clinically negative neck (N0). 2) To determine if selective posterolateral neck dissection is effective in these patients. PATIENTS AND METHODS: The study included 74 patients with laryngeal cancer and no palpable nodes who were treated surgically at the ENT Department of the Universidad Complutense de Madrid between 1994 and 1997. Thirty-seven patients underwent surgery alone (Group A) and 37 patients underwent laryngeal surgery and elective neck dissection (Group B). No patient underwent irradiation. Minimum follow-up was 24 months. RESULTS: Cervical recurrence was observed in 4 (11%) patients who underwent laryngeal surgery alone and in 2 (5%) patients who underwent laryngeal surgery and elective neck dissection. CONCLUSIONS: Laryngeal surgery with elective neck dissection was more effective than laryngeal surgery without END in patients with laryngeal cancer and a clinically negative neck. Selective lateral neck dissection was effective for the elective treatment of these patients.

Adult↗
PubMedDate not supplied

[Stomal recurrence after laryngectomy. An inevitable late complication].

Postlaryngectomy tumoral recurrence on the stoma is a terrible late complication that has a fatal outcome. In spite of advances in laryngeal surgery and modern reconstructive techniques, it is still a major cause of death in patients with laryngeal cancer. In a review of 500 patients who underwent surgery for laryngeal cancer in 1981-86 and 1995-97, we found no changes in the frequency of stomal recurrence between periods (4% in both periods). Stomal recurrence was associated in our study with subglottic extension and with transglottic lesions. Previous tracheotomy was not a decisive factor in the appearance of stomal recurrence in our patients.

Carcinoma, Squamous Cell↗
PubMedDate not supplied

[Rhinocerebral mucormycosis].

Mucormycosis is unusual in ORL pathology. We present a case of a 53-year-old patient in the dialysis program for the past 6 years for renal insufficiency. Starting with some trouble in the left lacrimal region, he was diagnosed by his ophthalmologist as having deep dacryocystitis, appearing as an ulcero-necrotic lesion on the same side of the nasal dorsum. In the presumption of clinical mucormycosis, a microbiological and histological study was done to confirm the diagnosis, starting treatment with amphotericin B. Because of the rapid extension of the lesion, surgical debridement of the zone was done but his evolution was bad, lapsing into a coma and requiring a neurosurgical operation for intracranial complications. The patient died 12 days after admission. For that reason we did an evaluation of the problem and also a review of the literature.

Amphotericin B↗
PubMedDate not supplied

[Positron emission tomography in carcinomas of the head and neck].

Recently published studies indicate a potential clinical application of PET in head and neck tumors. In the preoperative staging phase, PET enables confirmation of regional lymph node extension and guides nodal neck dissection or systemic treatment. In this phase, a high negative predictive value, near 100%, could make it possible to avoid many negative neck dissections. This is a reliable technique for confirming or excluding the presence of recurrent/residual tumor and for obtaining an early evaluation of chemotherapeutic and radiotherapeutic response. PET imaging in many cases makes it possible to locate and guide histological study of tumors with an unknown primary. PET imaging for these indications is a perfect complementary method for clinical exploration and better than other imaging techniques.

Head and Neck Neoplasms↗