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Introduction: The incidence of multiple malignant neoplasms in the upper aerodigestive tract is high and ranges from 7% to 20%. We make a retrospective study to evaluate the incidence of multiple malignant neoplasms in head and neck squamous cell carcinomas, their main characteristics and survival., Material and Method: We studied 103 multiple malignant neoplasms from an oncological database of 1330 patients with head and neck squamous cell carcinomas. We use the SPSS v15 for analysis of the results., Results: The incidence of multiple malignant neoplasms in our series is 7.73 %. Tumours of the hypopharynx are the primary tumours most often associated with multiple malignant neoplasms (21.34 %), followed by tumours of the oropharynx (15.38 %). Lung tumours are the multiple malignant neoplasms most often associated (29.03 %). The 5-year global survival is 33 % from diagnosis of the second primary tumour, 78.02 % of which are metachronous with an average of 40 months between the diagnosis of the primary tumour and the presentation of the second tumour., Conclusions: Multiple malignant neoplasms are very frequent in the head and neck area which shows the importance of thorough regular check-ups of these patients as the presence of multiple malignant neoplasms considerably worsens the prognosis.

Introduction: Many surgeons use intraoperative frozen section biopsy of the thyroid nodules to confirm malignant disease, but it continues to generate considerable controversy. We reviewed our recent experience to determinate de clinical utility of frozen section in our surgical management and intraoperative decision-making., Patients and Method: All patients who had operations for the thyroid nodular disease between 2000 and 2006 were included in this retrospective study. We compared the results of frozen section diagnosis and definitive histologic results in a population of 212 patients., Results: Frozen section was false negative in 3 patients (1.66 %) and false positive in 1 (0.47 %) and avoided 12 reoperations (5.6 %). When there was not suspicious malignant disease had a sensitivity of 0.75 %. In the group of follicular disease the sensitivity was 3.7 %, and in the group with suspicious malignant disease was 37.5 %., Conclusions: Frozen section was more helpful in the group of suspicious for malignant disease. It does not seem to be necessary when fine-needle biopsy indicates bening or follicular disease.

Unlabelled: The aim of this paper is to study a group of patients with occupancy of a nasal fossal, apparently by polyps, and being the other side of the nose normal. Evaluating on the one hand the true incidence of unspecific polyposis and, of other diagnosis, and on the other hand to compare the preoperative radiological findings with those seen during surgery., Material and Methods: A prospective study of 23 consecutive patients was carried out over a period of 30 months at the ENT Department of the Dr. Peset Hospital, in Valencia. A CT scan and preoperative biopsy was performed in all cases, the results of these being later compared with the surgical findings and the final histopathologic diagnosis., Results and Conclusions: A discrepancy between the preoperative biopsy and final diagnosis was found in 26% of the patients. The incidence of polyposis was 52%, inverted papilloma 26%, malignant tumours 13% and other diagnosis 8.6%. There is a good correlation between preoperative CT scans and surgical findings in those cases of polyposis and inverted papilloma, but not in those of malignant tumours as CT scans often underestimated these lesions.

Tracheoplastia osteoplastica is a rare benign disease of the trachea and major bronchi that is characterized by bony and cartilaginous submucosal nodules covered by normal mucosa. Localized lesions rarely produce clinical manifestations and most symptomatic patients have extensive, diffuse lesions. The bronchoscopic findings are typical and the diagnosis is confirmed by biopsy. We report a case of tracheopathia osteoplastica diagnosed by bronchoscopy in a 64-year-old woman.

With this work we intend to appreciate the true value of outcomes of a series of 48 patients operated on septoplasty under general anesthesia in the surgical unit without admission (SUWA) during a 18 months term. We evaluate the incidence of postoperative complications as well the criteria for medical and social selection of candidates. We have verified that septum deviation in association with rhinitis increases the incidence of postoperative complications. Nevertheless, we have confirmed also that septal surgery is a procedure with low rate of complications and seemly good to carry out at surgical unit without admission, provided are strictly followed the criteria for selection of the cases in order to minimize the risks.

A case of primary tuberculosis of the lingual amygdala is reported. This is a highly unusual location in the head and neck area. This entity can be easily misdiagnosed as a result of confusion with other pathologies.

Necrotizing fasciitis is a severe polybacteria infection characterised by necrosis of the fascial and adjacent soft tissues with rapid expansion of the infection along fascial planes. It may originate potentially fatal complications and often is accompanied by systemic toxicity. It is not a frequent entity in the head and neck, but early diagnosis is very important because early treatment based on intravenous antibiotherapy and aggressive surgical debridement can prevent complications that often cause the death of the patient. Pour reports of necrotizing fasciitis are presented, one of them with fatal outcome, which leads us to emphasize the importance of an early diagnosis.

The purpose of our paper is to study the decannulation of those which a supraglotic horizontal laryngectomy was performed. For that, we compare two groups of patients: those which received postchirurgic radiotherapy, and those which did not need it.

Primary or metastatic malignancies can be originated either in the bone or in the maxillary sinus. Both locations as primary site occur seldom and are exceptionally seen as metastatic growths especially inside the maxillary sinus. The paper reports a metastatic carcinoma of the kidney in the upper maxillary. Survey of the literature and assessment of the prognosis in those patients.