Acta otorrinolaringologica espanola最新文献

Comparative analysis of septoplasty and septorhinoplasty using computational fluid dynamics techniques: towards personalized and precision nasal surgery 应用计算流体动力学技术对鼻中隔成形术和鼻中隔成形术的比较分析：走向个性化和精确的鼻部手术

IF 1.2

Acta otorrinolaringologica espanola Pub Date : 2026-09-01 Epub Date: 2026-10-01 DOI: 10.1016/j.otorri.2026.512369

Marta Fernández-Míguez, Alberto Cabana-Pena, Alejandro Pardo-Antúnez, Manuel Antonio Burgos, Virginia Martínez-Villasmil, Alfonso Santamaría-Gadea

{"title":"Comparative analysis of septoplasty and septorhinoplasty using computational fluid dynamics techniques: towards personalized and precision nasal surgery","authors":"Marta Fernández-Míguez, Alberto Cabana-Pena, Alejandro Pardo-Antúnez, Manuel Antonio Burgos, Virginia Martínez-Villasmil, Alfonso Santamaría-Gadea","doi":"10.1016/j.otorri.2026.512369","DOIUrl":"10.1016/j.otorri.2026.512369","url":null,"abstract":"<div><h3>Introduction</h3><div>Nasal obstruction is a common complaint in otolaryngology. Choosing between septoplasty or septorhinoplasty may be challenging due to anatomical variability. Computational fluid dynamics (CFD) has emerged as a complementary, patient-specific tool enabling bilateral simulation and virtual planning, allowing simulation of post-surgical outcomes under physiological conditions.</div></div><div><h3>Materials and methods</h3><div>Virtual surgeries were performed on patients with nasal obstruction using Flowgy® software. For each patient, three anatomical models were simulated: baseline, virtual septoplasty, and virtual septorhinoplasty (with turbinoplasty when indicated). CFD analysis was used to assess pressure drop (ΔP), flow symmetry (Φ), and nasal resistance (R), among other airflow parameters. Comparative data were analysed to determine the functional impact of each intervention.</div></div><div><h3>Results</h3><div>In all five cases, septoplasty resulted in improvements in pressure drop ranging from 10.5% to 50.9%, as well as changes in resistance ranging from +2.98% to −64.3%. Septorhinoplasty provided additional functional gains in pressure (up to 44.8%) and resistance (up to 51%) in selected cases. Based on the analysis, surgical benefit thresholds were proposed: ≥30% improvement in ΔP or R from baseline to justify septoplasty, and ≥20–30% additional benefit over septoplasty to indicate septorhinoplasty.</div></div><div><h3>Conclusions</h3><div>CFD analysis is a valuable adjunct in functional nasal surgery, enabling personalised decision-making. While not a substitute for clinical judgement, CFD-guided planning may enhance the selection of surgical strategy and reduce unnecessary interventions.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512369"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Negative impact of nasal septal perforation on quality of life: insights from 153 patients in a Spanish study 鼻中隔穿孔对生活质量的负面影响：西班牙研究中153名患者的见解

IF 1.2

Acta otorrinolaringologica espanola Pub Date : 2026-09-01 Epub Date: 2026-10-01 DOI: 10.1016/j.otorri.2026.512370

Berta Alegre Edo, María Jesús Rojas-Lechuga, Trinidad Arenas, Natalia Arango Cabezas, Octavio Garaycochea, Katherine Yuen-Ato, Isam Alobid

{"title":"Negative impact of nasal septal perforation on quality of life: insights from 153 patients in a Spanish study","authors":"Berta Alegre Edo, María Jesús Rojas-Lechuga, Trinidad Arenas, Natalia Arango Cabezas, Octavio Garaycochea, Katherine Yuen-Ato, Isam Alobid","doi":"10.1016/j.otorri.2026.512370","DOIUrl":"10.1016/j.otorri.2026.512370","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the impact of nasal septal perforation (NSP) on sinonasal symptoms and quality of life (QoL) using patient-reported outcome measures.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted between 2018 and 2024 in two referral centres. Clinical, demographic, symptom-related, and QoL data were collected for all included patients.</div></div><div><h3>Results</h3><div>A total of 153 patients with NSP were included. The main aetiologies were intranasal cocaine abuse (n = 57; 37.3%), post-sinonasal surgery (n = 47; 30.7%), and rhinotillexomania (n = 31; 20.3%). The mean age was 47.8 years (SD 12.9; range 18.2–82.3), and 60.8% of patients were male. Anterior perforations were the most frequent location (n = 88; 57.5%). Mean perforation dimensions were 15.8 mm (SD 6.7) in height and 22.0 mm (SD 10.6) in length, with an estimated elliptic area of 312.9 mm<sup>2</sup> (SD 265.1; range 14.1–1272.3 mm<sup>2</sup>). The most frequent and severe symptoms reported on visual analogue scales were nasal obstruction (mean 58.3; SD 28.7), crusting (55.3; SD 34.9), and rhinorrhoea (44.8; SD 34.6). Quality of life was markedly impaired, with mean scores of 46.9 (SD 23.1) on the SNOT-22, 25.3 (SD 10.1) on the NOSE-Perf, and 24.1 (SD 10.1) on the SEPEQOL. The SF-36 physical and mental component summary scores were 45.0 (SD 10.5) and 40.5 (SD 14.2), respectively.</div></div><div><h3>Conclusion</h3><div>NSP is associated with a significant burden of sinonasal symptoms and a substantial impairment in quality of life. Patient-reported outcome measures demonstrate an impact on both physical and mental health domains, underscoring the importance of a comprehensive and multidisciplinary approach to the evaluation and management of patients with NSP.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512370"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Head and neck manifestations of indolent T-cell lymphoproliferative disorder of the gastrointestinal tract: a systematic review 胃肠道惰性t细胞增生性疾病的头颈部表现：系统综述

IF 1.2

Acta otorrinolaringologica espanola Pub Date : 2026-09-01 Epub Date: 2026-10-01 DOI: 10.1016/j.otorri.2026.512374

Sarah Figueras-Perez, Julia Cecilia Pipaón-Palomino, Lucía Haro-Núñez, Sonia Gonzalez-de-Villambrosia- Pellon, Trinidad Dierssen-Sotos, Carmelo Morales-Angulo

{"title":"Head and neck manifestations of indolent T-cell lymphoproliferative disorder of the gastrointestinal tract: a systematic review","authors":"Sarah Figueras-Perez, Julia Cecilia Pipaón-Palomino, Lucía Haro-Núñez, Sonia Gonzalez-de-Villambrosia- Pellon, Trinidad Dierssen-Sotos, Carmelo Morales-Angulo","doi":"10.1016/j.otorri.2026.512374","DOIUrl":"10.1016/j.otorri.2026.512374","url":null,"abstract":"<div><div>Indolent T-cell lymphoproliferative disorder of the gastrointestinal tract (iTLPD-GI) is a rare lymphoproliferative disorder with a heterogeneous clinical presentation. Although primarily involving the gastrointestinal tract, head and neck manifestations have been sporadically reported and remain poorly characterized. We conducted a systematic review of case reports and case series, in accordance with PRISMA guidelines, to describe the otorhinolaryngological manifestations of iTLPD-GI and to facilitate early diagnosis and appropriate clinical management. MEDLINE/PubMed, LILACS, Cochrane Library and Web of Science Core Collection were searched to identify case reports and case series published from January 1995 to January 2026 that described head and neck involvement in patients with histologically confirmed iTLPD-GI. Ten studies comprising 13 patients with head and neck manifestations were identified. Patients ranged in age from 22 to 77 years and were predominantly male.</div><div>Oral and oropharyngeal ulcerations were observed in all patients with head and neck involvement, most frequently affecting the soft palate, while laryngeal involvement was reported in three cases. In eight patients, head and neck manifestations represented the initial presentation of the disease, including three cases with isolated oral or oropharyngeal lesions.</div><div>Lesions were predominantly ulcerative in appearance, whereas pseudotumoral presentations were less common. Most patients experienced recurrent spontaneous resolution of head and neck lesions, although some showed clinical improvement only after systemic treatment.</div><div>Head and neck involvement in iTLPD-GI, although rare, may precede gastrointestinal manifestations and should be considered in the differential diagnosis of persistent or treatment-resistant oral or oropharyngeal ulcers.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512374"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Educational value of a live porcine model in head and neck surgery: A face and content assessment 活猪模型在头颈外科手术中的教育价值：面部和内容评估

IF 1.2

Acta otorrinolaringologica espanola Pub Date : 2026-09-01 Epub Date: 2026-10-01 DOI: 10.1016/j.otorri.2026.512337

Abel Bogoya Castaño, Ignacio Alcalá Rueda, Javier Olóriz Marín, Carlos Cenjor Español, José Miguel Villacampa Aubá

{"title":"Educational value of a live porcine model in head and neck surgery: A face and content assessment","authors":"Abel Bogoya Castaño, Ignacio Alcalá Rueda, Javier Olóriz Marín, Carlos Cenjor Español, José Miguel Villacampa Aubá","doi":"10.1016/j.otorri.2026.512337","DOIUrl":"10.1016/j.otorri.2026.512337","url":null,"abstract":"<div><h3>Purpose</h3><div>Surgical training has evolved with the integration of simulation models to enhance skills and reduce complications during the learning process. This study aimed to evaluate the face and content validity of a live porcine model for head and neck surgery training, focusing on tracheotomy, neck dissection, and total laryngectomy.</div></div><div><h3>Methods</h3><div>A questionnaire was distributed to experienced otolaryngologists familiar with the porcine model and to residents who had trained with it. Using Likert-type scales, the survey assessed realism, anatomical accuracy, and perceived utility corresponding to face and content validity. Data were analyzed using ordinal categorical methods, reporting distributions, medians, and interquartile ranges.</div></div><div><h3>Results</h3><div>The model received high acceptance from both surgeons and residents, who highlighted its ability to replicate real surgical conditions. Median scores ranged from 3.5 to 5. Internal consistency was strong, some anatomical limitations were noted, particularly regarding the thyroid gland. All participants agreed that the model improved surgical competencies. Although external validity was not evaluated, the need for future studies assessing skill transfer to real-life surgical settings was identified.</div></div><div><h3>Conclusion</h3><div>The live porcine model proved a valuable tool for training in head and neck surgery. However, further studies are needed to establish its external validity.</div><div>Surgical simulation; Head and neck surgery; Porcine model; Medical education; Face and content validity.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512337"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of cochlear function, hidden hearing loss, and auditory temporal processing in tinnitus patients with normal audiograms 听力图正常的耳鸣患者的耳蜗功能、隐性听力损失和听觉颞叶加工的评价

IF 1.2

Acta otorrinolaringologica espanola Pub Date : 2026-09-01 Epub Date: 2026-10-01 DOI: 10.1016/j.otorri.2026.512372

Emad Mahmoud Abo-Ollo, Samir Ibrahim Assal, HebatAllah Ismail Abdelmotaleb

{"title":"Evaluation of cochlear function, hidden hearing loss, and auditory temporal processing in tinnitus patients with normal audiograms","authors":"Emad Mahmoud Abo-Ollo, Samir Ibrahim Assal, HebatAllah Ismail Abdelmotaleb","doi":"10.1016/j.otorri.2026.512372","DOIUrl":"10.1016/j.otorri.2026.512372","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Some patients complain of tinnitus despite having normal conventional audiograms. However, normal audiograms do not exclude the presence of subtle cochlear or neural damage. The study's objective was to assess cochlear function and the cochlear nerve in tinnitus patients with normal audiograms, as well as assessing temporal processing in these patients.</div></div><div><h3>Materials and Methods</h3><div>The study included a total of 40 participants: 20 tinnitus patients with normal audiograms and 20 healthy controls without tinnitus. All participants underwent otoscopic examination, tympanometry, acoustic reflex (AR) testing, pure-tone audiometry, extended high-frequency (EHF) audiometry, distortion product otoacoustic emissions (DPOAEs), auditory brainstem response (ABR), and auditory temporal processing assessments, including the auditory fusion test–revised and the pitch pattern sequence test.</div></div><div><h3>Results</h3><div>The tinnitus group showed significant findings across multiple tests, including: elevated EHF thresholds and reduced DPOAE amplitudes (indicating cochlear dysfunction); reduced acoustic reflex responses and delayed ABR wave I latency (suggesting cochlear nerve/synapse involvement); and poorer performance in auditory temporal processing tests.</div></div><div><h3>Conclusions</h3><div>Our findings provide compelling clinical evidence for subtle, measurable peripheral (cochlear and neural) and central auditory dysfunction in tinnitus patients with normal audiograms. These deficits in the auditory system are essential components of tinnitus pathology and require the integration of advanced audiological assessments for proper diagnosis and management.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512372"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative analysis of septoplasty and septorhinoplasty using computational fluid dynamics techniques: towards personalized and precision nasal surgery 应用计算流体动力学技术对鼻中隔成形术和鼻中隔成形术的比较分析：走向个性化和精确的鼻部手术

IF 1.2

Acta otorrinolaringologica espanola Pub Date : 2026-09-01 Epub Date: 2026-10-01 DOI: 10.1016/j.otorri.2026.512369

Marta Fernández-Míguez, Alberto Cabana-Pena, Alejandro Pardo-Antúnez, Manuel Antonio Burgos, Virginia Martínez-Villasmil, Alfonso Santamaría-Gadea

{"title":"Comparative analysis of septoplasty and septorhinoplasty using computational fluid dynamics techniques: towards personalized and precision nasal surgery","authors":"Marta Fernández-Míguez, Alberto Cabana-Pena, Alejandro Pardo-Antúnez, Manuel Antonio Burgos, Virginia Martínez-Villasmil, Alfonso Santamaría-Gadea","doi":"10.1016/j.otorri.2026.512369","DOIUrl":"10.1016/j.otorri.2026.512369","url":null,"abstract":"<div><h3>Introduction</h3><div>Nasal obstruction is a common complaint in otolaryngology. Choosing between septoplasty or septorhinoplasty may be challenging due to anatomical variability. Computational fluid dynamics (CFD) has emerged as a complementary, patient-specific tool enabling bilateral simulation and virtual planning, allowing simulation of post-surgical outcomes under physiological conditions.</div></div><div><h3>Materials and methods</h3><div>Virtual surgeries were performed on patients with nasal obstruction using Flowgy® software. For each patient, three anatomical models were simulated: baseline, virtual septoplasty, and virtual septorhinoplasty (with turbinoplasty when indicated). CFD analysis was used to assess pressure drop (ΔP), flow symmetry (Φ), and nasal resistance (R), among other airflow parameters. Comparative data were analysed to determine the functional impact of each intervention.</div></div><div><h3>Results</h3><div>In all five cases, septoplasty resulted in improvements in pressure drop ranging from 10.5% to 50.9%, as well as changes in resistance ranging from +2.98% to −64.3%. Septorhinoplasty provided additional functional gains in pressure (up to 44.8%) and resistance (up to 51%) in selected cases. Based on the analysis, surgical benefit thresholds were proposed: ≥30% improvement in ΔP or R from baseline to justify septoplasty, and ≥20–30% additional benefit over septoplasty to indicate septorhinoplasty.</div></div><div><h3>Conclusions</h3><div>CFD analysis is a valuable adjunct in functional nasal surgery, enabling personalised decision-making. While not a substitute for clinical judgement, CFD-guided planning may enhance the selection of surgical strategy and reduce unnecessary interventions.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512369"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on “Assessment of the impact of post-COVID-19 olfactory dysfunction on quality of life: Comparison of specific questionnaires” 对《评估covid -19后嗅觉功能障碍对生活质量的影响：具体问卷的比较》的评论

IF 1.2

Acta otorrinolaringologica espanola Pub Date : 2026-09-01 Epub Date: 2026-10-01 DOI: 10.1016/j.otorri.2026.512338

Kotina Shridevi, Megha Doiphode, Rakhi Mishra, Archana Dhyani

引用次数: 0

Cross-cultural adaptation of the expanded protocol of orofacial myofunctional evaluation with scores protocol for Spanish-speaking populations 西班牙语人群口面肌功能评分扩展方案的跨文化适应性研究

IF 1.2

Acta otorrinolaringologica espanola Pub Date : 2026-09-01 Epub Date: 2026-10-01 DOI: 10.1016/j.otorri.2026.512336

Gislaine Aparecida Folha, Cláudia Maria de Felício, Carlos O'Connor-Reina, Giédre Berretin-Felix, Felipe Inostroza-Allende, Spanish version of the OMES-E protocol

{"title":"Cross-cultural adaptation of the expanded protocol of orofacial myofunctional evaluation with scores protocol for Spanish-speaking populations","authors":"Gislaine Aparecida Folha, Cláudia Maria de Felício, Carlos O'Connor-Reina, Giédre Berretin-Felix, Felipe Inostroza-Allende, Spanish version of the OMES-E protocol","doi":"10.1016/j.otorri.2026.512336","DOIUrl":"10.1016/j.otorri.2026.512336","url":null,"abstract":"<div><h3>Introduction</h3><div>Orofacial myofunctional disorders are common, especially among individuals with sleep-disordered breathing, particularly those with obstructive sleep apnea. Reliable assessment tools are essential to identify and characterize these dysfunctions across different populations. However, the Expanded Protocol of Orofacial Myofunctional Evaluation with Scores (OMES-E), widely used in research and clinical settings, has not yet been available in Spanish.</div><div>Thus, this study aims to translate and culturally adapt the Expanded Protocol of Orofacial Myofunctional Evaluation with Scores (OMES-E) for use in Spanish-speaking populations.</div></div><div><h3>Methods</h3><div>The cross-cultural adaptation process followed the fourth stages of the methodology proposed by Beaton et al. (2000), including independent forward translations, synthesis, back-translation, expert committee review, and final approval. The expert panel included clinicians and researchers from various Spanish-speaking countries.</div></div><div><h3>Results</h3><div>Discrepancies in terminology and interpretation were resolved through consensus. Back-translations confirmed semantic consistency with the original. The expert review panel rated the Spanish version highly for clarity, cultural appropriateness, and conceptual equivalence. The final version preserved the structure and intent of the original protocol.</div></div><div><h3>Conclusion</h3><div>This study provides the first cross-culturally adapted Spanish version of the OMES-E protocol, preserving the conceptual integrity and operational structure of the original instrument. While this version is ready for initial clinical and research use, future studies are required to establish its psychometric properties in Spanish-speaking populations.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512336"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Cochlear implantation in a child with biallelic RDX variant (DFNB24): long-term auditory outcome 双等位基因RDX变异（DFNB24）儿童人工耳蜗植入术：长期听觉结果

IF 1.2

Acta otorrinolaringologica espanola Pub Date : 2026-09-01 Epub Date: 2026-10-01 DOI: 10.1016/j.otorri.2026.512381

Rosa Pérez-Mora, Julia Cecilia Pipaón-Palomino, Faustino Nuñez-Batalla, Carmelo Morales-Angulo

引用次数: 0

Comment on “Assessment of the impact of post-COVID-19 olfactory dysfunction on quality of life: Comparison of specific questionnaires” 对《评估covid -19后嗅觉功能障碍对生活质量的影响：具体问卷的比较》的评论

IF 1.2

Acta otorrinolaringologica espanola Pub Date : 2026-09-01 Epub Date: 2026-10-01 DOI: 10.1016/j.otorri.2026.512338

Kotina Shridevi, Megha Doiphode, Rakhi Mishra, Archana Dhyani

引用次数: 0