Acta otorrinolaringologica espanola最新文献

Otosyphilis: Two case reports and review of the English and Spanish literature of the last 24 years 耳石症：两例病例报告及过去 24 年英语和西班牙语文献综述

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Acta otorrinolaringologica espanola Pub Date : 2024-11-01 DOI: 10.1016/j.otorri.2024.06.003

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Resumen ejecutivo de la Guía de la Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor (SEDAR), Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) para el manejo de la vía aérea difícil 西班牙麻醉、复苏和疼痛治疗学会 (SEDAR)、西班牙急诊医学学会 (SEMES) 和西班牙耳鼻咽喉头颈外科学会 (SEORL-CCC) 困难气道处理指南执行摘要。

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Acta otorrinolaringologica espanola Pub Date : 2024-11-01 DOI: 10.1016/j.otorri.2024.03.004

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Situación actual de la tutoría en la formación especializada en otorrinolaringología en España. ¿Dónde estamos? ¿Hacia dónde queremos ir? 西班牙耳鼻喉科专业培训的指导现状：我们在哪里？我们想去哪里？

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Acta otorrinolaringologica espanola Pub Date : 2024-11-01 DOI: 10.1016/j.otorri.2024.03.002

{"title":"Situación actual de la tutoría en la formación especializada en otorrinolaringología en España. ¿Dónde estamos? ¿Hacia dónde queremos ir?","authors":"","doi":"10.1016/j.otorri.2024.03.002","DOIUrl":"10.1016/j.otorri.2024.03.002","url":null,"abstract":"<div><h3>Background and objective</h3><div>There is great heterogeneity in the methodology and evaluation in specialised health training (SHT) in otorhinolaryngology in our country. The figure of the resident tutor is the cornerstone on which the SHT system is based and the regulation and recognition of this figure varies. This article aims to take a snapshot of the current situation of the SHT in Spain and to describe the activity of tutors.</div></div><div><h3>Materials and methods</h3><div>During the month of September 2023, a survey was sent in a Google Forms® format through the Spanish Society of Otolaryngology and Head and Neck Surgery. The survey consisted of 8 multiple-choice questions and 4 questions in which they were asked to rank a series of 5 weaknesses, threats, opportunities and strengths selected by the authors, in order to perform a SWOT analysis.</div></div><div><h3>Results</h3><div>A total of 103 responses were obtained, of which 81 corresponded to accredited tutors. 63% of the tutors indicated that they did not have enough time to carry out their teaching work and 48% did not carry out a regular assessment of their residents. 64% of the tutors believe that the quality of otorhinolaryngology training in Spain is good and 61% are satisfied with their job as tutors. The main weakness was the short duration of the training programme, and the pressure of care was found to be the main threat. An experienced training system was considered the main strength and the creation of a national network of tutors was seen as an opportunity for improvement.</div></div><div><h3>Conclusions</h3><div>The creation of a common and transversal otorhinolaryngology training pathway for all accredited centres and the creation of a network of mentors and residents are necessary to address the problems of SHT. The role of the tutor must be recognised and reinforced to improve specialist training.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577956","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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Enhancing the coverage and rotation of anterior ethmoidal artery flap for septal perforation closure: Insights from a flap design study 加强用于室间隔穿孔闭合术的乙状前动脉皮瓣的覆盖和旋转：皮瓣设计研究的启示

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Acta otorrinolaringologica espanola Pub Date : 2024-11-01 DOI: 10.1016/j.otorri.2024.06.004

{"title":"Enhancing the coverage and rotation of anterior ethmoidal artery flap for septal perforation closure: Insights from a flap design study","authors":"","doi":"10.1016/j.otorri.2024.06.004","DOIUrl":"10.1016/j.otorri.2024.06.004","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The anterior ethmoidal artery flap (AEA) is a pedicle endonasal flap frequently used to repair septal perforations (SP). The posterior incision is the most complex to perform. The primary objective was to determine the minimum height of the posterior incision (PI) of an AEA completely cover an anterior septal perforation.</div></div><div><h3>Materials and methods</h3><div>A cadaveric specimen was sectioned in the sagittal plane and a SP of 1 cm was created anteriorly. The PI of the AEA flap was made progressively at a height of 10, 20, 30, and 40 mm. The complete closure of the SP and the angle of rotation (AR) of the flap were assessed.</div></div><div><h3>Results</h3><div>According to the length of the PI the following results were obtained: PI = 10 mm: The SP was covered partially, and the AR was 45º. PI = 20 mm: The SP was fully covered, and the AR was 63º.</div><div>PI = 30 mm and 40 mm: The SP was fully covered with redundant tissue.</div><div>This study shows that an anterior ethmoidal artery flap that includes the nasal floor and the inferior meatus mucosa combined with a posterior incision of 20 mm could result in adequate coverage of all margins of an anterior SP up to area 1a of the septum.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577959","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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Retrolabyrinthine approach to the lateral skull base: The value of preoperative temporal bone CT analysis 外侧颅底的迷路入路：术前颞骨 CT 分析的价值

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Acta otorrinolaringologica espanola Pub Date : 2024-11-01 DOI: 10.1016/j.otorri.2024.03.001

{"title":"Retrolabyrinthine approach to the lateral skull base: The value of preoperative temporal bone CT analysis","authors":"","doi":"10.1016/j.otorri.2024.03.001","DOIUrl":"10.1016/j.otorri.2024.03.001","url":null,"abstract":"<div><h3>Purpose</h3><div>The most used neurosurgical approach to reach cerebellar-pontine angle is the retrosigmoid route. This article describes the presigmoid approach which requires excellent knowledge of the labyrinthine block together with quantitative analysis of temporal bone CT.</div></div><div><h3>Methods</h3><div>CT-based quantitative measurements were obtained in patients undergoing vestibular neurectomy with a presigmoid approach. Eighteen patients were enrolled, and five measures were taken: Trautmann’s area, the petro-clival angle, presigmoid dura length and its angle. The relationship between these measurements and hospitalization days, operating times, and complications was explored.</div></div><div><h3>Results</h3><div>The posterior semicircilar canal (PSC)-sigmoid sinus (SS) distance, presigmoid dura- internal auditory canal (IAC)-PSC angle, and duration of surgery are predictors of complications. Specifically, a PSC-sigmoid sinus distance <11 mm, a dura presig-IAC-PSC angle <14 are associated with the highest risk of complications.</div></div><div><h3>Conclusion</h3><div>Preoperative temporal bone CT scan can guide the surgeon through the narrowest areas of the surgical approach. Trautmann’s triangle area and petro-clival angle reduction are challenging and can be faced with combined microscopic-endoscopic technique, and with optics angulation-rotation. The retrolabyrinthine approach can enable hearing preservation and minimal cerebellar retraction.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577955","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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Harpoon-marking of deep tongue foreign body for surgical removal 用鱼叉标记舌深部异物，以便手术取出

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Acta otorrinolaringologica espanola Pub Date : 2024-11-01 DOI: 10.1016/j.otorri.2024.06.002

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Recurrent peritonsillar abscess in adults: Incidence and risk factors in a prospective longitudinal cohort 成人复发性腹股沟周围脓肿：前瞻性纵向队列中的发病率和风险因素

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Acta otorrinolaringologica espanola Pub Date : 2024-11-01 DOI: 10.1016/j.otorri.2024.06.001

{"title":"Recurrent peritonsillar abscess in adults: Incidence and risk factors in a prospective longitudinal cohort","authors":"","doi":"10.1016/j.otorri.2024.06.001","DOIUrl":"10.1016/j.otorri.2024.06.001","url":null,"abstract":"<div><h3>Objective</h3><div>The incidence of recurrent peritonsillar abscess (7.4–22%) was estimated in retrospective studies. The aim of this prospective study was to estimate the cumulative incidence of recurrent peritonsillar abscess and related risk factors.</div></div><div><h3>Methods</h3><div>We performed a prospective longitudinal cohort study. The study included adult patients (≥18 years old) of both sexes who were attended in the emergency facilities of our tertiary hospital, without peritonsillar abscess background, diagnosed of a first episode of peritonsillar abscess and treated with standard of care (abscess drainage and antibiotics). Patients were followed for 24 months. Cumulative incidence of peritonsillar abscess recurrence was estimated and its 95% confidence interval was calculated; and predictive risk factors were assessed.</div></div><div><h3>Results</h3><div>Between January 1<sup>st</sup>, 2019 and March 9<sup>th</sup>, 2020, a total of 181 consecutive patients were included. The cumulative incidence of recurrent peritonsillar abscess at 2 years of the diagnosis was 9.9% (18 out of 181, 95% CI: 6.4–15.2%). The only risk factor associated with recurrent peritonsillar abscess in multivariate analysis was low plasma glucose level at the time of emergency room attendance (HR: 0.46, 95% CI: 0.24–0.91, p-value: 0.026).</div></div><div><h3>Conclusion</h3><div>Peritonsillar abscess is an incident medical issue, with an established recurrence rate, but with unclear predictive risk factors of recurrence. Further studies are needed to assess the risk factor associated with recurrent peritonsillar abscess.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577958","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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Prevalencia de apnea obstructiva del sueño en pacientes obesos candidatos a cirugía bariátrica y cuestionarios predictores 减肥手术肥胖患者中阻塞性睡眠呼吸暂停的患病率及预测问卷。

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Acta otorrinolaringologica espanola Pub Date : 2024-11-01 DOI: 10.1016/j.otorri.2024.05.003

{"title":"Prevalencia de apnea obstructiva del sueño en pacientes obesos candidatos a cirugía bariátrica y cuestionarios predictores","authors":"","doi":"10.1016/j.otorri.2024.05.003","DOIUrl":"10.1016/j.otorri.2024.05.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Obstructive sleep apnea (OSA) is a prevalent condition among electable to bariatric surgery obese patients, often remaining underdiagnosed, thereby increasing surgical risk. The main purpose was to determine prevalence of OSA among candidates for bariatric surgery and to assess the rate of underdiagnosis of this condition. Additionally, the study aimed to evaluate the specific performance of three sleep questionnaires and scales (Excessive Daytime Sleepiness Scale (EDSS), Epworth Sleepiness Scale (ESS), and STOP-Bang) in these patients.</div></div><div><h3>Methods</h3><div>A longitudinal, prospective, single-cohort study, with consecutive sampling including patients aged 18-65 years with obesity grade II (body mass index (BMI)≥35kg/m<sup>2</sup>) and hypertension, type 2 diabetes, metabolic syndrome or OSA or obesity grade III or IV (BMI≥40kg/m<sup>2</sup>) elective for bariatric surgery. Patients were evaluated at the Otorhinolaryngology department with an anamnesis regarding OSA including the administration of three sleep questionnaires (EDSS, ESS, and STOP-Bang), followed by cardiorespiratory polygraphy (CRP) for sleep evaluation.</div></div><div><h3>Results</h3><div>124 patients were included in this study. While 74.2% of the sample exhibited OSA on CRP, only 28.2% had a prior diagnosis. The STOP-Bang questionnaire demonstrated the highest sensitivity (93.3%) for detecting moderate to severe OSA, although with low specificity (33.8%). EDSS and ESS did not show a significant association with the presence of OSA.</div></div><div><h3>Conclusions</h3><div>OSA screening is crucial in candidates for bariatric surgery due to its high prevalence and low diagnosis rate. The STOP-Bang questionnaire may serve as a useful tool for identifying patients at risk of moderate to severe OSA and optimizing sleep assessments. However, further research is necessary to validate its utility in this specific population.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577957","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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Resección de paraganglioma timpánico izquierdo mediante láser fotoangiolítico azul 用蓝色光血管激光切除左侧鼓室旁神经节瘤

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Acta otorrinolaringologica espanola Pub Date : 2024-11-01 DOI: 10.1016/j.otorri.2024.05.004

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Variantes de afectación del conducto semicircular posterior en el vértigo posicional paroxístico benigno 良性阵发性位置性眩晕后半规管受累的变异情况

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Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otorri.2024.01.009

{"title":"Variantes de afectación del conducto semicircular posterior en el vértigo posicional paroxístico benigno","authors":"","doi":"10.1016/j.otorri.2024.01.009","DOIUrl":"10.1016/j.otorri.2024.01.009","url":null,"abstract":"<div><p>Benign paroxysmal positional vertigo is the most common cause of peripheral vertigo. It is characterized by short and recurrent episodes of vertigo, trigged by specific head movements that displace otoconia within the semicircular canals. The movement of dislodge otoconia from the utricle cause abnormal positional endolymphatic currents. Primary treatment involves reposition maneuvers aimed at moving the displaced otoconia out the affected canal, therefore correct identification of the affected canal is essential for the diagnosis. The posterior semicircular canal (PSC) is the most frequently affected due to its spatial orientation and the force of gravity. Recent technological advances have allowed for better assessment of positional nystagmus during diagnostic and therapeutic maneuvers, revealing various possible scenarios of PSC involvement. Regarding the PSC, otoconia may be found in different parts of the canal, and not just in the expected location, floating in the long arm of the canal. The understanding of these variants is crucial, as the prognosis and the disease progression differ in such cases. This review aims to describe the six possible variants of PSC involvement described so far.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140085681","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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