¿Quién piensa en un carcinoma escamoso de oído medio? Article Swipe
Juan Losada-Campa
,
José Ignacio Benito-Orejas
,
Michael Bauer
,
Patricia Viveros-Díez
,
María Álvarez-Quiñones-Sanz
,
Jaime Santos-Pérez
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.14201/orl.29010
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.14201/orl.29010
Introducción y objetivo: El carcinoma epidermoide de oído medio es una neoplasia infrecuente, de clínica silente y diagnóstico habitualmente tardío. El pronóstico depende de la localización, de la extensión y del tipo tumoral. Método: Se trata de un varón de 71 años, con antecedentes de anemia megaloblástica de posible origen autoinmune y diabetes mellitus insulino dependiente (DMID). No se refieren antecedentes otológicos. Acude a urgencias por otalgia, supuración e hipoacusia del oído derecho (OD) de 3 semanas de duración, que no mejora con tratamiento antibiótico. 24 horas antes de su ingreso, comienza con parálisis facial del mismo lado. La otoscopia muestra un tímpano edematoso y abombado, con efusión sero-purulenta, que se cultiva y facilita el drenaje, a través de un diábolo transtimpánico. Se objetiva también una parálisis facial, grado IV de House-Brackmann, de predominio inferior. Resultados: Los estudios de imagen (tomografía computarizada y resonancia magnética) muestran una ocupación del oído medio y de la mastoides, con integridad de la cadena osicular, sin lesiones ocupantes de espacio, ni signos de destrucción del canal facial y con un engrosamiento del conducto auditivo externo, que sugieren una otitis media agresiva. El cultivo confirma la presencia de varios microorganismos, entre ellos Pseudomona Aeruginosa. Dados los antecedentes del paciente (DMID) se inicia un tratamiento parenteral orientado hacia la otitis externa maligna, mejorando parcialmente la sintomatología. Pero ante la persistencia de la clínica tras dos meses, se solicita un estudio inmunológico de vasculitis que resulta negativo y se consigue obtener una biopsia de la mucosa del oído medio, a través de la perforación residual timpánica, tras extruirse el drenaje, que es compatible con el diagnóstico de carcinoma escamoso de oído medio. La gammagrafía con tecnecio fue negativa. Discusión y Conclusiones: El carcinoma primario de oído medio es una patología excepcional, que con frecuencia se asocia a otitis media crónica, no soliendo considerarse en el diagnóstico diferencial de cuadros clínicos similares al descrito. Este retraso diagnóstico permite su extensión, habitualmente hacia el endocráneo, pudiendo también metastatizar a cerebro, pulmones, huesos, piel e hígado. El tratamiento consiste en cirugía ablativa seguida de radioterapia (y en ocasiones quimioterapia). La identificación del epicentro tumoral y de la extensión (de los que depende el pronóstico) es muy complejo. o.
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Metadata
- Type
- article
- Language
- es
- Landing Page
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- https://revistas.usal.es/cinco/index.php/2444-7986/article/download/29010/28416
- OA Status
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- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4319982717Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.14201/orl.29010Digital Object Identifier
- Title
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¿Quién piensa en un carcinoma escamoso de oído medio?Work title
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articleOpenAlex work type
- Language
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esPrimary language
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2023Year of publication
- Publication date
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2023-02-09Full publication date if available
- Authors
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Juan Losada-Campa, José Ignacio Benito-Orejas, Michael Bauer, Patricia Viveros-Díez, María Álvarez-Quiñones-Sanz, Jaime Santos-PérezList of authors in order
- Landing page
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https://doi.org/10.14201/orl.29010Publisher landing page
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https://revistas.usal.es/cinco/index.php/2444-7986/article/download/29010/28416Direct link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://revistas.usal.es/cinco/index.php/2444-7986/article/download/29010/28416Direct OA link when available
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Humanities, Medicine, Otitis, Philosophy, SurgeryTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.Dados | 199 |
| abstract_inverted_index.antes | 87 |
| abstract_inverted_index.canal | 171 |
| abstract_inverted_index.ellos | 196 |
| abstract_inverted_index.entre | 195 |
| abstract_inverted_index.grado | 128 |
| abstract_inverted_index.hacia | 211, 323 |
| abstract_inverted_index.horas | 86 |
| abstract_inverted_index.lado. | 97 |
| abstract_inverted_index.media | 185, 301 |
| abstract_inverted_index.medio | 8, 150, 289 |
| abstract_inverted_index.mismo | 96 |
| abstract_inverted_index.oído | 7, 71, 149, 250, 273, 288 |
| abstract_inverted_index.trata | 35 |
| abstract_inverted_index.(DMID) | 204 |
| abstract_inverted_index.anemia | 45 |
| abstract_inverted_index.asocia | 298 |
| abstract_inverted_index.años, | 41 |
| abstract_inverted_index.cadena | 159 |
| abstract_inverted_index.facial | 94, 172 |
| abstract_inverted_index.imagen | 139 |
| abstract_inverted_index.inicia | 206 |
| abstract_inverted_index.medio, | 251 |
| abstract_inverted_index.medio. | 274 |
| abstract_inverted_index.mejora | 81 |
| abstract_inverted_index.meses, | 229 |
| abstract_inverted_index.mucosa | 248 |
| abstract_inverted_index.origen | 49 |
| abstract_inverted_index.otitis | 184, 213, 300 |
| abstract_inverted_index.signos | 167 |
| abstract_inverted_index.varios | 193 |
| abstract_inverted_index.varón | 38 |
| abstract_inverted_index.(DMID). | 56 |
| abstract_inverted_index.biopsia | 245 |
| abstract_inverted_index.cuadros | 311 |
| abstract_inverted_index.cultiva | 111 |
| abstract_inverted_index.cultivo | 188 |
| abstract_inverted_index.depende | 22, 361 |
| abstract_inverted_index.derecho | 72 |
| abstract_inverted_index.estudio | 233 |
| abstract_inverted_index.externa | 214 |
| abstract_inverted_index.facial, | 127 |
| abstract_inverted_index.huesos, | 332 |
| abstract_inverted_index.muestra | 100 |
| abstract_inverted_index.obtener | 243 |
| abstract_inverted_index.permite | 319 |
| abstract_inverted_index.posible | 48 |
| abstract_inverted_index.resulta | 238 |
| abstract_inverted_index.retraso | 317 |
| abstract_inverted_index.seguida | 342 |
| abstract_inverted_index.semanas | 76 |
| abstract_inverted_index.silente | 15 |
| abstract_inverted_index.través | 117, 253 |
| abstract_inverted_index.tumoral | 353 |
| abstract_inverted_index.Método: | 33 |
| abstract_inverted_index.ablativa | 341 |
| abstract_inverted_index.auditivo | 179 |
| abstract_inverted_index.cerebro, | 330 |
| abstract_inverted_index.cirugía | 340 |
| abstract_inverted_index.clínica | 14, 226 |
| abstract_inverted_index.comienza | 91 |
| abstract_inverted_index.conducto | 178 |
| abstract_inverted_index.confirma | 189 |
| abstract_inverted_index.consigue | 242 |
| abstract_inverted_index.consiste | 338 |
| abstract_inverted_index.diabetes | 52 |
| abstract_inverted_index.diábolo | 120 |
| abstract_inverted_index.drenaje, | 115, 262 |
| abstract_inverted_index.efusión | 107 |
| abstract_inverted_index.escamoso | 271 |
| abstract_inverted_index.espacio, | 165 |
| abstract_inverted_index.estudios | 137 |
| abstract_inverted_index.externo, | 180 |
| abstract_inverted_index.facilita | 113 |
| abstract_inverted_index.hígado. | 335 |
| abstract_inverted_index.ingreso, | 90 |
| abstract_inverted_index.insulino | 54 |
| abstract_inverted_index.lesiones | 162 |
| abstract_inverted_index.maligna, | 215 |
| abstract_inverted_index.mellitus | 53 |
| abstract_inverted_index.muestran | 145 |
| abstract_inverted_index.negativo | 239 |
| abstract_inverted_index.objetiva | 123 |
| abstract_inverted_index.otalgia, | 66 |
| abstract_inverted_index.paciente | 203 |
| abstract_inverted_index.primario | 286 |
| abstract_inverted_index.pudiendo | 326 |
| abstract_inverted_index.refieren | 59 |
| abstract_inverted_index.residual | 257 |
| abstract_inverted_index.solicita | 231 |
| abstract_inverted_index.soliendo | 304 |
| abstract_inverted_index.sugieren | 182 |
| abstract_inverted_index.también | 124, 327 |
| abstract_inverted_index.tardío. | 19 |
| abstract_inverted_index.tecnecio | 278 |
| abstract_inverted_index.tumoral. | 32 |
| abstract_inverted_index.tímpano | 102 |
| abstract_inverted_index.abombado, | 105 |
| abstract_inverted_index.agresiva. | 186 |
| abstract_inverted_index.carcinoma | 4, 270, 285 |
| abstract_inverted_index.clínicos | 312 |
| abstract_inverted_index.complejo. | 366 |
| abstract_inverted_index.crónica, | 302 |
| abstract_inverted_index.descrito. | 315 |
| abstract_inverted_index.edematoso | 103 |
| abstract_inverted_index.epicentro | 352 |
| abstract_inverted_index.extruirse | 260 |
| abstract_inverted_index.inferior. | 134 |
| abstract_inverted_index.mejorando | 216 |
| abstract_inverted_index.negativa. | 280 |
| abstract_inverted_index.neoplasia | 11 |
| abstract_inverted_index.objetivo: | 2 |
| abstract_inverted_index.ocasiones | 347 |
| abstract_inverted_index.ocupantes | 163 |
| abstract_inverted_index.orientado | 210 |
| abstract_inverted_index.osicular, | 160 |
| abstract_inverted_index.otoscopia | 99 |
| abstract_inverted_index.presencia | 191 |
| abstract_inverted_index.pulmones, | 331 |
| abstract_inverted_index.similares | 313 |
| abstract_inverted_index.urgencias | 64 |
| abstract_inverted_index.Discusión | 281 |
| abstract_inverted_index.Pseudomona | 197 |
| abstract_inverted_index.autoinmune | 50 |
| abstract_inverted_index.compatible | 265 |
| abstract_inverted_index.duración, | 78 |
| abstract_inverted_index.extensión | 28, 357 |
| abstract_inverted_index.frecuencia | 296 |
| abstract_inverted_index.hipoacusia | 69 |
| abstract_inverted_index.integridad | 156 |
| abstract_inverted_index.mastoides, | 154 |
| abstract_inverted_index.ocupación | 147 |
| abstract_inverted_index.parenteral | 209 |
| abstract_inverted_index.parálisis | 93, 126 |
| abstract_inverted_index.patología | 292 |
| abstract_inverted_index.predominio | 133 |
| abstract_inverted_index.resonancia | 143 |
| abstract_inverted_index.vasculitis | 236 |
| abstract_inverted_index.Aeruginosa. | 198 |
| abstract_inverted_index.Resultados: | 135 |
| abstract_inverted_index.dependiente | 55 |
| abstract_inverted_index.diferencial | 309 |
| abstract_inverted_index.epidermoide | 5 |
| abstract_inverted_index.extensión, | 321 |
| abstract_inverted_index.magnética) | 144 |
| abstract_inverted_index.pronóstico | 21 |
| abstract_inverted_index.supuración | 67 |
| abstract_inverted_index.timpánica, | 258 |
| abstract_inverted_index.tratamiento | 83, 208, 337 |
| abstract_inverted_index.(tomografía | 140 |
| abstract_inverted_index.antecedentes | 43, 60, 201 |
| abstract_inverted_index.considerarse | 305 |
| abstract_inverted_index.destrucción | 169 |
| abstract_inverted_index.diagnóstico | 17, 268, 308, 318 |
| abstract_inverted_index.endocráneo, | 325 |
| abstract_inverted_index.excepcional, | 293 |
| abstract_inverted_index.gammagrafía | 276 |
| abstract_inverted_index.infrecuente, | 12 |
| abstract_inverted_index.metastatizar | 328 |
| abstract_inverted_index.otológicos. | 61 |
| abstract_inverted_index.parcialmente | 217 |
| abstract_inverted_index.perforación | 256 |
| abstract_inverted_index.persistencia | 223 |
| abstract_inverted_index.pronóstico) | 363 |
| abstract_inverted_index.radioterapia | 344 |
| abstract_inverted_index.Conclusiones: | 283 |
| abstract_inverted_index.Introducción | 0 |
| abstract_inverted_index.antibiótico. | 84 |
| abstract_inverted_index.computarizada | 141 |
| abstract_inverted_index.engrosamiento | 176 |
| abstract_inverted_index.habitualmente | 18, 322 |
| abstract_inverted_index.inmunológico | 234 |
| abstract_inverted_index.localización, | 25 |
| abstract_inverted_index.identificación | 350 |
| abstract_inverted_index.megaloblástica | 46 |
| abstract_inverted_index.quimioterapia). | 348 |
| abstract_inverted_index.sero-purulenta, | 108 |
| abstract_inverted_index.House-Brackmann, | 131 |
| abstract_inverted_index.microorganismos, | 194 |
| abstract_inverted_index.sintomatología. | 219 |
| abstract_inverted_index.transtimpánico. | 121 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5091674444, https://openalex.org/A5055928065, https://openalex.org/A5012957548, https://openalex.org/A5101676465, https://openalex.org/A5107981945, https://openalex.org/A5007021667 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| corresponding_institution_ids | https://openalex.org/I4210157802 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7699999809265137 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.01633168 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |