Anales otorrinolaringológicos ibero-americanos
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Lingual abscess is an extremely rare entity since the discovery of antibiotics, which, despite of its seriousness, it is usually a cause of death. We describe the case of a right hemilingual abscess, diagnosed by MRI scan because of its poor symptoms. This case is unique because of it affects the hemilingual central part and free edge. We discuss the most relevant aspects of this pathology.
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An Otorrinolaringol Ibero Am · Jan 2005
Case Reports[External severe laryngeal trauma with multiple fractures and airway compromise].
External laryngeal traumas are rare but clinically can cause important life-threatening injuries. We report the case of a 33 yeras old male who suffered a severe traffic accident: TCE, facial trauma with multiple fractures and laryngeal trauma with fracture of the thyroid cartilage and the hyoid bone. Because an important edema in the airway, it was not possible an orotracheal intubation and he required urgent coniotomy with later reconstruction surgery and tracheostomy. Actually our patient has been decanulated and the fibroscopic image of the larynx and its functionality is correct.
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An Otorrinolaringol Ibero Am · Jan 2004
Review Case Reports[Cochlear-vestibular ototoxicity by gentamicin. Report of a case and literature review].
Gentamicin is an antibiotic member of the aminoglycosides family with well known potential to cause permanent ototoxicity by damaging more likely the cochlea vestibular system. We are reporting the clinical case of a 48 year-old female who was treated with such IV drug because of abdominal surgery. ⋯ After the withdrawol of gentamicin, the vestibular pathologic symptoms but not the hearing loss had improved, docummented by the persistance of the audiometric decay in the acute frequencies. Prevention is the best way to avoid iatrogenic lesions with thesse climps.
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An Otorrinolaringol Ibero Am · Jan 2004
Case Reports[Rhinocerebral mucormycosis: differential diagnosis of invasive fungal sinusitis].
Mucormycosis is an opportunistic infection caused by molds Mucoraceae of the family Phycomycetes. This invasive FS is found in debilitated hosts, most frequently in patients with hematologic malignancies, burn patients and diabetes mellitus. There are several differents forms: rhino-cerebral, pulmonary or disseminated. We describe a case of invasive fungal sinusitis (FS): Rhino-orbital-cerebral mucormycosis, treated at our hospital with radical surgery and medical treatmen We reviewed the clinical presentation of the different types.
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Temporal bone trauma are more common nowadays related to sports. We report 2 cases with temporal bone fractures in patients younger than 14 years. They were two male, 9 and 12-year-old respectively, that presented traumatism after accidental falls from lowe height. ⋯ CT scanning was essential to determine the importance of the trauma. Despite the otic capsule rupture, hearing loss in the second case was only significant over 2 KHz, suggesting a selective cochlear trauma. We present clinical and imaging findings, as well as correlation of audiological and vestibular alterations, reviewing the clinical presentation of temporal bone trauma in children.