Acta otorrinolaringologica espanola最新文献

{"title":"Exercise-induced laryngeal obstruction (EILO) and factors modifying laryngeal function in the population of Polish athletes","authors":"Małgorzata Litwiniuk-Kosmala,&nbsp;Barbara Jamróz,&nbsp;Aleksandra Piechuta,&nbsp;Łukasz Milanowski,&nbsp;Paul Armatowicz,&nbsp;Hubert Krysztofiak","doi":"10.1016/j.otorri.2026.512383","DOIUrl":"10.1016/j.otorri.2026.512383","url":null,"abstract":"<div><h3>Objective</h3><div>Exercise-induced laryngeal obstruction (EILO) is a common cause of breathing difficulties during physical exercise. This study examined the relationship between EILO diagnosis and factors influencing laryngeal function in the cohort of Polish athletes.</div></div><div><h3>Material and Methods</h3><div>We retrospectively analyzed data from 31 patients diagnosed with exertional dyspnea at the National Centre for Sports Medicine over a 2.5-year period. The analysis included results from spirometry, flexible videolaryngoscopy at rest, continuous laryngoscopy during exercise (CLE), assessment of laryngeal reflux using the reflux symptom index (RSI) and reflux finding score (RFS) scales, and palpation of neck muscle tension performed by an otolaryngologist.</div></div><div><h3>Results</h3><div>Out of the 31 athletes, 14 (45%) were diagnosed with EILO, 9 (29%) with asthma, and 1(7%) had both EILO and asthma. In 7 athletes, no specific respiratory conditions were diagnosed. While self-reported reflux symptoms (RSI) were similar between groups, RFS scores reflecting visible laryngeal changes were significantly higher in the non-EILO group (4.53 vs. 1.43). Neck muscle tension levels were similar across both groups.</div></div><div><h3>Conclusion</h3><div>The incidence of EILO among Polish athletes diagnosed with exertional dyspnea is consistent with findings in other countries. While laryngopharyngeal reflux disease is not directly correlated with EILO, patients with EILO may report relatively high scores on self-assessment reflux scales due to the similarity of symptoms. Furthermore, neck muscle tension levels were not correlated with EILO in our patient cohort.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512383"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094798","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}

{"title":"Cochlear implantation in a child with biallelic RDX variant (DFNB24): long-term auditory outcome","authors":"Rosa Pérez-Mora,&nbsp;Julia Cecilia Pipaón-Palomino,&nbsp;Faustino Nuñez-Batalla,&nbsp;Carmelo Morales-Angulo","doi":"10.1016/j.otorri.2026.512381","DOIUrl":"10.1016/j.otorri.2026.512381","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512381"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094832","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}

{"title":"Educational value of a live porcine model in head and neck surgery: A face and content assessment","authors":"Abel Bogoya Castaño,&nbsp;Ignacio Alcalá Rueda,&nbsp;Javier Olóriz Marín,&nbsp;Carlos Cenjor Español,&nbsp;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":"149094889","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}

{"title":"Cross-cultural adaptation of the expanded protocol of orofacial myofunctional evaluation with scores protocol for Spanish-speaking populations","authors":"Gislaine Aparecida Folha,&nbsp;Cláudia Maria de Felício,&nbsp;Carlos O'Connor-Reina,&nbsp;Giédre Berretin-Felix,&nbsp;Felipe Inostroza-Allende,&nbsp;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":"149094836","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}

{"title":"Head and neck manifestations of indolent T-cell lymphoproliferative disorder of the gastrointestinal tract: a systematic review","authors":"Sarah Figueras-Perez,&nbsp;Julia Cecilia Pipaón-Palomino,&nbsp;Lucía Haro-Núñez,&nbsp;Sonia Gonzalez-de-Villambrosia- Pellon,&nbsp;Trinidad Dierssen-Sotos,&nbsp;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":"149094892","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}

{"title":"A Case of Langerhans Cell Histiocytosis Masquerading as Benign Pediatric Head and Neck Lesions: A Diagnostic Pitfall","authors":"Alex Zxi Jian Ho,&nbsp;Siew Chung Cheah,&nbsp;Azwan Halim Abdul Wahab,&nbsp;Khairul Azhar M. Rajet","doi":"10.1016/j.otorri.2026.512380","DOIUrl":"10.1016/j.otorri.2026.512380","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512380"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094893","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}

{"title":"A Case of Langerhans Cell Histiocytosis Masquerading as Benign Pediatric Head and Neck Lesions: A Diagnostic Pitfall","authors":"Alex Zxi Jian Ho,&nbsp;Siew Chung Cheah,&nbsp;Azwan Halim Abdul Wahab,&nbsp;Khairul Azhar M. Rajet","doi":"10.1016/j.otorri.2026.512380","DOIUrl":"10.1016/j.otorri.2026.512380","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512380"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094839","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}

{"title":"Comprehensive cancer centre accreditation: experience and achievements of a head neck cancer unit","authors":"Francesc Xavier Avilés-Jurado,&nbsp;Izaskun Valduvieco,&nbsp;Santiago Medrano-Martorell,&nbsp;África Muxí,&nbsp;Joan Lop,&nbsp;Francisco Javier Cuesta,&nbsp;Nuria Cuesta,&nbsp;Ada Ferrer-Fuertes,&nbsp;Eduardo Lehrer,&nbsp;Mauricio Lopez-Chacon,&nbsp;María Jesús Rojas-Lechuga,&nbsp;Marta Molins-Vigatà,&nbsp;Gerard Castells,&nbsp;Ana Dieguez,&nbsp;Déborah García,&nbsp;Carme Ares,&nbsp;Carla Climent,&nbsp;Manuel Mazariegos,&nbsp;Ada Cabero,&nbsp;Mónica Egea,&nbsp;Isabel Vilaseca","doi":"10.1016/j.otorri.2026.512371","DOIUrl":"10.1016/j.otorri.2026.512371","url":null,"abstract":"<div><h3>Introduction</h3><div>Improving the quality and equity of oncology care is a strategic priority in Europe. The Organisation of European Cancer Institutes (OECI) Accreditation and Designation Programme provides a unified framework integrating care, research, education, and governance. Its standards emphasise multidisciplinary coordination, digital infrastructures, and patient-centred outcomes. Head and neck cancer remains a major global challenge, with rising incidence and heterogeneous results, highlighting the need for standardised pathways and interoperable data systems. This study describes how a Head and Neck Cancer Unit was redesigned and digitalised to comply with OECI requirements, focusing on elements of the care domain.</div></div><div><h3>Materials and methods</h3><div>A structured organisational redesign was undertaken using workflow mapping, a RACI matrix, and Plan-Do-Act-Check cycles. Governance involved clinical leaders, specialised nurses, quality officers, and IT and engineering staff. Guidelines were updated, fast‑track pathways refined, and synoptic forms integrated into the electronic health record using terminologies compatible with OMOP. PROMs and PREMs were deployed through the institutional portal. A modified Delphi survey assessed team consensus.</div></div><div><h3>Results</h3><div>Between January and October 2025, 353 patients were evaluated, 198 through fast‑track referral. Diagnostic and treatment intervals met targets. PROM completion reached 61%. PREMs highlighted strengths in professionalism and multidisciplinary coordination and identified communication and administrative burden as areas for improvement. The Delphi survey showed strong agreement (α = 0.71), particularly for Multidisciplinary participation and nursing collaboration.</div></div><div><h3>Discussion</h3><div>The redesign, aligned with OECI standards, strengthened governance, digitalisation, and patient‑centred care. The model demonstrates how accreditation can drive sustainable, data‑driven improvement and support integrated cancer networks.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 5","pages":"Article 512371"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149094838","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}

{"title":"Negative impact of nasal septal perforation on quality of life: insights from 153 patients in a Spanish study","authors":"Berta Alegre Edo,&nbsp;María Jesús Rojas-Lechuga,&nbsp;Trinidad Arenas,&nbsp;Natalia Arango Cabezas,&nbsp;Octavio Garaycochea,&nbsp;Katherine Yuen-Ato,&nbsp;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 mm² (SD 265.1; range 14.1–1272.3 mm²). 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":"149094895","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}

{"title":"Evaluation of cochlear function, hidden hearing loss, and auditory temporal processing in tinnitus patients with normal audiograms","authors":"Emad Mahmoud Abo-Ollo,&nbsp;Samir Ibrahim Assal,&nbsp;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":"149095320","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}