Acta otorrinolaringologica espanola最新文献_第2页

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":"75 5","pages":"Pages 324-334"},"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}

引用次数: 0

Tumor fibromixoide osificante en región supraclavicular 锁骨上区域纤维肌骨化性肿瘤

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Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otorri.2024.02.001

引用次数: 0

Perfil clínico, resultados otológicos y auditivos en niños con síndrome de Down 唐氏综合症儿童的临床特征、耳科和听力结果

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Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otorri.2024.03.003

Joan Lorente-Piera, Raquel Manrique-Huarte, Manuel Manrique, Francisco Javier Cervera-Paz

{"title":"Perfil clínico, resultados otológicos y auditivos en niños con síndrome de Down","authors":"Joan Lorente-Piera, Raquel Manrique-Huarte, Manuel Manrique, Francisco Javier Cervera-Paz","doi":"10.1016/j.otorri.2024.03.003","DOIUrl":"10.1016/j.otorri.2024.03.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Even though the incidence has decreased in recent years, Down syndrome remains the most common chromosomal disorder today. Despite being a condition with multisystemic involvement, it often tends to affect the head and neck area, making it a frequent reason for consultation with pediatric otolaryngologists or otologists. The purpose of this work is to be one of the first in Spain to characterize and describe the pathology and therapeutic approach typically provided to these patients, analyzing the evolution from a clinical and auditory perspective.</p></div><div><h3>Material and methods</h3><p>We aim to analyze a sample of 16 pediatric patients recruited over the past 24 years, diagnosed with Down syndrome, and experiencing a wide range of diseases affecting the ear and its auditory function.</p></div><div><h3>Results</h3><p>62.50% of the patients were women, whose main reason for seeking specialist care was acute and serous otitis media, accounting for 31.25%. These patients have an indication for treatment for various entities within the otological sphere that usually do not differ from those of a healthy child. However, the evolution and response to treatments can take on a torpid character due to the anatomical characteristics of the ears of these patients.</p></div><div><h3>Conclusions</h3><p>Although the frequency of children with Down syndrome in the pediatric otolaryngologist's clinic is decreasing, these patients have a predisposition to ear diseases with auditory repercussions, with variable evolution depending on the disease and the child's intrinsic characteristics.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 5","pages":"Pages 296-303"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233591","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

Upper airway manifestations of anti-IgLON5 disease: Otorhinolaryngological point of view 抗IgLON5疾病的上呼吸道表现：耳鼻喉科观点

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Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otorri.2024.04.001

Daniela Pastene , Eduardo Lehrer , Sara Jubes , Joan Santamaria , Alex Iranzo , Carles Gaig , Isabel Vilaseca

{"title":"Upper airway manifestations of anti-IgLON5 disease: Otorhinolaryngological point of view","authors":"Daniela Pastene , Eduardo Lehrer , Sara Jubes , Joan Santamaria , Alex Iranzo , Carles Gaig , Isabel Vilaseca","doi":"10.1016/j.otorri.2024.04.001","DOIUrl":"10.1016/j.otorri.2024.04.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Anti-IgLON5 disease is a recently described neurological disorder with multisystemic features. The disease is characterized by the presence of IgLON5 antibodies in serum and cerebrospinal fluid. Our objective is to describe in detail the otorhinolaryngological manifestations of this disease, which are frequent and may include dysphagia, dysarthria, vocal cord paralysis and laryngospasm.</p></div><div><h3>Methods</h3><p>In this study, we present a series of 9 patients with anti-IgLON5 disease and otolaryngological manifestations. Patients were evaluated between July 2012 and March 2022 by video-polysomnography, fiber-optic laryngoscopy, and functional endoscopic evaluation of swallowing.</p></div><div><h3>Results</h3><p>The median age was 71 years, and 5 (56%) were female. Video-polysomnography showed a NREM/REM parasomnia in 6 patients (67%), obstructive sleep apnea in 8 (88%), stridor during sleep in 7 (78%) and central apneas in 1 (11%). Six out of the 9 patients (67%) presented episodes of acute respiratory failure that required mechanical ventilation, 6 had vocal fold palsy with 4 of them requiring tracheostomy (3 had to be performed on an emergency basis). Dysphagia occurred in 8 patients (89%). Prominent upper airway secretion and sialorrhea was also present in 3 cases.</p></div><div><h3>Conclusion</h3><p>The anti-IgLON5 disease exhibits extensive otolaryngological symptoms, mainly affecting the upper airway. These symptoms affect the quality of life and can be life-threatening. Prompt acute management is essential for stridor, dyspnea, and dysphagia. Given the potential severity of the symptoms and rarity of the disease, it is important for otolaryngologists to be familiar with anti-IgLON5 disease.</p></div><div><h3>Level of evidence</h3><p>Level 4.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 5","pages":"Pages 288-295"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233628","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

Actualización y validación del test percepción temprana de la palabra en lengua española 更新和验证西班牙语早期词语感知测试

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Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otorri.2023.11.002

{"title":"Actualización y validación del test percepción temprana de la palabra en lengua española","authors":"","doi":"10.1016/j.otorri.2023.11.002","DOIUrl":"10.1016/j.otorri.2023.11.002","url":null,"abstract":"<div><h3>Introduction</h3><p>It is extremely important to assess speech perception skills in children with hearing loss, since these skills are essential to guide the rehabilitation process.</p></div><div><h3>Objective</h3><p>Update and validate the Early Speech Perception test in Spanish in normal-hearing children.</p></div><div><h3>Method</h3><p>Different drawings were selected from children's books used daily in the work of teachers and speech therapists. 69 children aged between 3 and 8 years old participated in the study, divided into 6 groups by age (group 1, 3 years of age [n=13]; group 2, 4 years of age [n=15]; group 3, 5 years of age [n=12]; group 4, 6 years of age [n=8]; group 5, 7 years of age [n=10]; group 6, 8 years of age [n=11]). For each category of the test, the children had to name and point to the corresponding drawing.</p></div><div><h3>Results</h3><p>The difference between age and gender groups was statistically evaluated. For the naming phase, a significant difference was observed between groups 1 and group 5; and between group 1 and group 6. For the pointing phase there was no difference between the groups, and in all groups, there was a score greater than 98%. In relation to gender, there was no difference between the groups.</p></div><div><h3>Conclusion</h3><p>The present study demonstrates that the material developed to assess auditory reception in normal-hearing children from 3 to 8 years old is appropriate.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 5","pages":"Pages 281-287"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277942","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

Comparison of Proliferating Cell Nuclear Antigen (PCNA) Expression among Nasal Polyp and Chronic Rhinosinusitis 鼻息肉和慢性鼻窦炎中增殖细胞核抗原 (PCNA) 表达的比较

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Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otorri.2024.02.002

Alireza Barouh M.D. , Mohammadreza Jalali Nadoushan M.D. , Masood Soltanipur M.D.

{"title":"Comparison of Proliferating Cell Nuclear Antigen (PCNA) Expression among Nasal Polyp and Chronic Rhinosinusitis","authors":"Alireza Barouh M.D. , Mohammadreza Jalali Nadoushan M.D. , Masood Soltanipur M.D.","doi":"10.1016/j.otorri.2024.02.002","DOIUrl":"10.1016/j.otorri.2024.02.002","url":null,"abstract":"<div><h3>Background and objective</h3><p>Chronic rhinosinusitis is a common inflammatory disorder in sinonasal mucosa that could be developed with or without nasal polyps. Cellular proliferation is suggested as a possible mechanism of nasal polyp development. However, conducted studies in this context are limited. So, the present study's aim is the comparison of proliferating cell nuclear antigen (PCNA) expression in nasal polyps and chronic rhinosinusitis.</p></div><div><h3>Materials and methods</h3><p>In this cross-sectional study, 70 nasal polyp and 60 chronic rhinosinusitis samples from patients referred to Mostafa Khomeini Hospital, Tehran from 2017 to 2022 were immunohistochemically stained by PCNA marker. The percentage of PCNA nuclear expression was determined in two groups and its association with the type of pathological lesion and the patient's age and sex was analyzed by SPSS statistic software version 24 statistical software (IBM Statistics, USA).</p></div><div><h3>Results</h3><p>The mean percentage expression of PCNA in nasal polyp and chronic rhinosinusitis samples was 16.55 ± 13.66 and 17.58 ± 12.68 respectively (ranging from 0 to 57 in both groups) however, there was no significant statistical difference between the two groups (p = 0.479). No relationship was found between PCNA expression with age and sex in none of the chronic rhinosinusitis and nasal polyp groups.</p></div><div><h3>Conclusion</h3><p>Proliferative activity of the nasal epithelial cell is similar in chronic rhinosinusitis with and without nasal polyps and it is considered that the increase of epithelial cell proliferative activity probably has no role in nasal polyp development in patients with chronic rhinosinusitis.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 5","pages":"Pages 310-315"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233593","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

Bone cement in ossicular chain reconstruction: systematic review and meta-analysis 骨水泥在骨链重建中的应用：系统回顾与荟萃分析

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Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otorri.2024.01.003

Luís Roque Reis , Kaamil Gani , André Sá Pereira , Pedro Branco , Pedro Escada

{"title":"Bone cement in ossicular chain reconstruction: systematic review and meta-analysis","authors":"Luís Roque Reis , Kaamil Gani , André Sá Pereira , Pedro Branco , Pedro Escada","doi":"10.1016/j.otorri.2024.01.003","DOIUrl":"10.1016/j.otorri.2024.01.003","url":null,"abstract":"<div><h3>Objectives</h3><p>To compare the hearing outcomes of ossicular chain reconstruction using bone cement versus other materials such as prostheses and autografts.</p></div><div><h3>Methods</h3><p>This study included articles that compared hearing outcomes in patients with conductive hearing loss who underwent stapes revision surgery or chronic otitis media surgery. A systematic search for articles from January 2000 to February 2022 was conducted in Medline, Embase, and Cochrane Library databases. Only articles in English were included. An effective postoperative air-bone gap (ABG) was defined as ≤20 dB. A bias assessment tool was developed according to Cochrane guidelines, and the chi-square test was used to evaluate the mean age of the samples.</p></div><div><h3>Results</h3><p>Of the 418 studies that met the selection criteria, only seven were eligible for this study, consisting of 187 patients in the bone cement group and 173 in the non-bone cement group. Ossiculoplasty using bone cement yielded significantly better results, with a combined odds ratio (OR) of 2.03 (95% CI: 1.16–3.55, p = 0.01).</p></div><div><h3>Conclusions</h3><p>The results of this study suggest that the effectiveness of bone cement in ossiculoplasty was greater than that of other materials in chronic otitis media surgery or stapes revision surgery, with a higher number of patients achieving ABG ≤20 dB.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 5","pages":"Pages 316-323"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233594","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

Acute vertigo with diplopia: that’s central, right? 急性眩晕伴复视：这是中枢性的，对吗？

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Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otorri.2024.01.005

Francisco Teixeira-Marques, Roberto Estêvão, Adriana Cunha, Nuno Lousan

引用次数: 0

Intraoral ultrasonography: an adjunct in oral onco-surgery 口腔内超声波检查：口腔黏膜手术的辅助手段

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Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otorri.2024.01.006

Divyanshi Singh , Neeti Aggarwal , Ravinder S Minhas , Ramesh K Azad , MS Vasanthalakshmi , Jagdeep S Thakur

{"title":"Intraoral ultrasonography: an adjunct in oral onco-surgery","authors":"Divyanshi Singh , Neeti Aggarwal , Ravinder S Minhas , Ramesh K Azad , MS Vasanthalakshmi , Jagdeep S Thakur","doi":"10.1016/j.otorri.2024.01.006","DOIUrl":"10.1016/j.otorri.2024.01.006","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the precision and accuracy of intraoral sonography in assessing the depth of invasion in oral cancer.</p></div><div><h3>Material and methods</h3><p>A prospective study was conducted in 30 cases of oral cancer. Subjects were subjected to computerised tomography and intraoral sonography before surgery. The depth of invasion assessed through clinical palpation and radiological tools was compared with surgical histopathology.</p></div><div><h3>Results</h3><p>The depth of invasion assessed on clinical palpation and computerized tomography had statistically significant difference with histopathology whereas intraoral sonography didn’t show any difference. The intraoral sonography and computerised tomography had comparable precision and accuracy, with a slight dominance of the computerised tomography in assessing the tumor's depth of invasion greater than 4 mm. However, intraoral sonography was more precise and accurate than computerised tomography in assessing the depth of invasion beyond 10 mm.</p></div><div><h3>Conclusion</h3><p>Intraoral sonography was found to be a reliable tool in the assessment of the depth of invasion in oral cancer. It can prove beneficial during surgery in achieving tumour-free surgical margins.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 5","pages":"Pages 273-280"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233627","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

The association of bacterial biofilm and middle ear mucosa in patients with mucosal chronic suppurative otitis media 粘膜慢性化脓性中耳炎患者的细菌生物膜与中耳粘膜的关系

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Acta otorrinolaringologica espanola Pub Date : 2024-07-01 DOI: 10.1016/j.otorri.2024.02.003

Nahla Nosair , Saad Elzayat , Radwa Elsharaby , Ibrahim A. Abdulghaffar , Haitham H. Elfarargy , Nehal A. Sharaf

{"title":"The association of bacterial biofilm and middle ear mucosa in patients with mucosal chronic suppurative otitis media","authors":"Nahla Nosair , Saad Elzayat , Radwa Elsharaby , Ibrahim A. Abdulghaffar , Haitham H. Elfarargy , Nehal A. Sharaf","doi":"10.1016/j.otorri.2024.02.003","DOIUrl":"https://doi.org/10.1016/j.otorri.2024.02.003","url":null,"abstract":"<div><h3>Objectives</h3><p>To evaluate the bacterial biofilm’s role in mucosal chronic suppurative otitis media (CSOM) utilizing scanning electron microscopy (SEM).</p></div><div><h3>Methods</h3><p>This study involved 123 participating patients with active and inactive mucosal CSOM who underwent tympanomastoid surgery. SEM was used to examine middle ear mucosa biopsies for the development of biofilms. Middle ear discharge or mucosal swabs from patients were cultured to detect any bacterial growth. The biofilm formation was correlated to the culture results.</p></div><div><h3>Results</h3><p>The biofilm was present in 69.9 % of patients (59% of them were with active mucosal CSOM) and absent in 30.1% of the patients (70% of them were with inactive mucosal CSOM), being more statistically significant in active mucosal CSOM (p-value = 0.003). A correlation that was statistically significant was found between active mucosal CSOM and higher grades (3 and 4) of biofilms (p-value <0.05). The mucosal CSOM type and the results of the culture had a relationship that was statistically significant (p-value <0.001). 60% of patients had positive culture (70% of them were with active mucosal CSOM). There was a statistically significant relation between <em>Pseudomonas aeruginosa</em> bacterial growth and active mucosal CSOM (p-value = 0.004) as well as higher grades of biofilms in mucosal CSOM.</p></div><div><h3>Conclusion</h3><p>Mucosal CSOM, especially the active type, is a biofilm-related disease. There is a significant relation between the state of mucosal CSOM (active or inactive) and culture results with predominance of <em>Pseudomonas aeruginosa</em> bacterial growth in active mucosal CSOM and in higher grades of biofilms in mucosal CSOM.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 4","pages":"Pages 244-251"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141582171","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