J C Vea Orte

University Hospital Donostia, San Sebastián, Basque Country, Spain

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Publications (7)0 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Exostoses of the external auditory canal are benign bony tumours very common in individuals who frequently participate in aquatic activities. Although most of the cases are asymptomatic, patients with more severe exostoses have recurrent episodes of external otitis and related conductive hearing loss. In the great majority of these cases, a medical treatment (aspiration and antibiotic drops) resolves the symptoms. Patients with more severe canal stenosis, resistant to medical treatment, are candidates for surgical removal of the exostoses. This report reviews our surgical experience with 45 patients, 52 ears, who have undergone surgical removal of exostoses in our Institution during the last 13 years. We describe the technique that we use a well as the results that we achieve.
    No preview · Article · Dec 2006 · Acta Otorrinolaringológica Española
  • [Show abstract] [Hide abstract]
    ABSTRACT: Exostoses of the external auditory canal are benign bony tumours very common in individuals who frequently participate in aquatic activities. Although most of the cases are asymptomatic, patients with more severe exostoses have recurrent episodes of external otitis and related conductive hearing loss. In the great majority of these cases, a medical treatment (aspiration and antibiotic drops) resolves the symptoms. Patients with more severe canal stenosis, resistant to medical treatment, are candidates for surgical removal of the exostoses. This report reviews our surgical experience with 45 patients, 52 ears, who have undergone surgical removal of exostoses in our Institution during the last 13 years. We describe the technique that we use a well as the results that we achieve.
    No preview · Article · Jan 2006 · Acta Otorrinolaringológica Española
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    ABSTRACT: La afectación ganglionar cervical en los pacientes con tumores de cabeza y cuello tiene una gran importancia pronóstica. Por ello la detección y el tratamiento de estas adenopatías es fundamental. Contamos con la exploración física y medios de imagen como la Ecografía, TC, RMN… pero ninguno de ellos nos da el diagnóstico de certeza. El presente estudio tiene por objeto examinar los resultados de palpación y TC en la evaluación de las adenopatías y compararlos según los resultados del estudio anatomopatológico final (Gold Standard). Contamos con 120 vaciamientos realizados tras la evaluación del paciente mediante palpación y TC. La Sensibilidad de la palpación en nuestras manos es de 51,7 y la Especificidad de 96,7 mientras que la Sensibilidad de la TC es de 65 y la Especificidad de 86,7. Ambas pruebas con un alto porcentaje de falsos negativos por lo que el cuello clínicamente negativo sigue siendo un problema para el cirujano oncológico
    No preview · Article · Dec 2004 · Acta Otorrinolaringológica Española
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    ABSTRACT: Exostoses of the External Auditory Canal are benign bony tumours very common in individuals who frequently practice water activities. The objective [corrected] of this study is to determine the prevalence of exostoses in a population of surfers of the Basque Coast. We have studied the correlation between years surfing and the prevalence and severity of exostoses. We have done a cross-sectional epidemiological study giving a questionnaire Twenty-five of the 41 surfers had surfer's ear (61%) and the prevalence was significantly higher in those who had surfed for more than 10 years (p < 0.05). Severity was also higher in the first group (p < 0.05). The relation between the hours dedicated to the sport showed similar results. only one of the 24 cases needed surgery (4%).
    No preview · Article · Oct 2004 · Acta Otorrinolaringológica Española
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    ABSTRACT: Lymphatic metastasis is an important prognostic factor in patients with head and neck squamous cell carcinomas. Diagnostic evaluation and treatment of this adenopathies is very important. We can use physical examination, computered tomography (CT), magnetic resonance, ultrasound... but none of these give us a 100% security. This study evaluates the accuracy of physical examination and CT in detecting cervical lymph nodes. 120 neck dissections were performed after palpation and CT of 72 patients with head and neck carcinoma. Sensitivity of palpation was 51.7 and specificity 96.7. CTs sensitivity was 65 and specificity 86.7. Both, physical examination and palpation have a high number of mistakes evaluating cervical nodes. N0 necks are still a problem for Head and Neck Surgeons.
    No preview · Article · May 2004 · Acta Otorrinolaringológica Española
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    ABSTRACT: The recurrent respiratory papillomatosis is a benign lesion induced by virus, with predisposal factors not yet clear out. Several treatment have been used, being the endoscopic surgery with laser CO2 the most used technique. We present our experience with laryngeal papillomatosis patients operated with laser CO2 in the last 15 years. The high rate of recidive in the youth pattern and the possibility of malignant degeneration in the adults charactherises this patients. Meanwhile without not other concluyent works surgery will be the first therapeutic alternative, avoiding mutilant operations, and paying attention in detecting lesions suggesting malignancy.
    No preview · Article · Feb 2003 · Anales otorrinolaringológicos ibero-americanos
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    ABSTRACT: Carcinoma of the external auditory canal is a rare tumor. Owing to the rarity of this disease, the literature provides very few publications of series. There is not a widely accepted staging system. The lack of a standarized staging system impedes meaningful interpretation of the literature. It is very difficult to compare different treatment strategies and results. The study is a retrospective case review. Seven patients with external auditory canal malignancies were studied. We used the staging system proposed by Arriaga et al. for both the Squamous cell carcinoma and non-SCC. We describe the risk factors, the symptoms, the treatment and the outcome and prognosis for our patients.
    No preview · Article · Feb 2003 · Anales otorrinolaringológicos ibero-americanos