Acta otorrinolaringologica espanola最新文献

{"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":"149094829","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":"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":"149094891","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":"Plasma cell granuloma of the external auditory canal: a diagnostic challenge among plasma cell–rich lesions","authors":"Antonio Pérez Serena,&nbsp;Daisy Paola Martínez Betancourt","doi":"10.1016/j.otorri.2026.512329","DOIUrl":"10.1016/j.otorri.2026.512329","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 4","pages":"Article 512329"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148559823","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":"Cáncer de laringe profesional por amianto en España","authors":"Sergio Zaragoza Guijo,&nbsp;Luis Sánchez Galán","doi":"10.1016/j.otorri.2026.512339","DOIUrl":"10.1016/j.otorri.2026.512339","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 4","pages":"Article 512339"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148559824","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":"Facial nerve outcomes following vestibular schwannoma surgery: Multivariate analysis of possible prognostic factors","authors":"Noha Ahmed El-Kholy,&nbsp;Luis Lassaletta,&nbsp;Waleed Moneir,&nbsp;Mohamed Moustafa Abdeltawwab,&nbsp;Mohamed Kassem,&nbsp;Mohamed Rashad Ghonim,&nbsp;José Manuel Morales-Puebla,&nbsp;Javier Gavilán","doi":"10.1016/j.otorri.2026.512324","DOIUrl":"10.1016/j.otorri.2026.512324","url":null,"abstract":"<div><h3>Objective</h3><div>Preservation of facial nerve (FN) function is one of the most important goals addressed during surgery of vestibular schwannoma (VS). The main target of the present study is to assess all possible influencing factors on FN outcomes and detect independent predictors via a multivariate analysis.</div></div><div><h3>Methods</h3><div>This study included 77 patients, retrospectively reviewed, who underwent excision of unilateral VS via a translabyrinthine approach in a tertiary referral center. All clinical, radiological and intraoperative factors were evaluated regarding their effect on FN. All included cases had normal facial function preoperatively. Prognostic factors for FN outcome were assessed at two time points: at the time of discharge, 8th day postoperatively, and at one year to detect early and established results, respectively.</div></div><div><h3>Results</h3><div>At the one-year follow-up evaluation, good/accepted FN function (House-Brackmann I–III) was observed in 66 of 77 patients (85.71%) and fair/poor function (House-Brackmann IV–VI) in 11 of 77 (14.3%). Size of the tumor, relation to the internal auditory canal (IAC), nerve stimulation at the end of surgery were found as independent prognostic factors for facial nerve outcomes. The cutoff point of the extra-canalicular diameter of the tumor beyond which the risk of FN injury increases was found to be 26.5<!--> <!-->mm.</div></div><div><h3>Conclusion</h3><div>At the end of the follow-up period, the most important predictive factor for good/accepted FN outcomes after a TL approach for VS in our series have been identified as follows, small tumor size, positive nerve stimulation at the end of the surgery and centralized position on internal auditory canal.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 4","pages":"Article 512324"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148546847","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":"Beyond the bite: Sensorineural hearing loss as a rare manifestation of lyme disease","authors":"Alina Martín Fernandes,&nbsp;Miguel Quintas-Neves,&nbsp;Filipa Armada Ferreira,&nbsp;Miguel Sá Breda","doi":"10.1016/j.otorri.2025.512308","DOIUrl":"10.1016/j.otorri.2025.512308","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 4","pages":"Article 512308"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148559822","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":"Comment on the PVU-HI-10 questionnaire for unilateral vocal cord paralysis","authors":"Rohit Saxena,&nbsp;Naveen Kumar Sanku,&nbsp;Janvi Patel,&nbsp;Ankita Kalra,&nbsp;Jeffrin Reneus Paul","doi":"10.1016/j.otorri.2026.512322","DOIUrl":"10.1016/j.otorri.2026.512322","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 4","pages":"Article 512322"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148546718","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":"Schwannoma del nervio facial como diagnóstico diferencial de tumor parotídeo","authors":"Blanca Prieto García","doi":"10.1016/j.otorri.2026.512340","DOIUrl":"10.1016/j.otorri.2026.512340","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 4","pages":"Article 512340"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148559825","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":"Effect of external ear canal occlusion on acoustic pressure gain at the tympanic membrane","authors":"Rajaa R. Abbas,&nbsp;Talib R. Abbas","doi":"10.1016/j.otorri.2026.512333","DOIUrl":"10.1016/j.otorri.2026.512333","url":null,"abstract":"<div><h3>Introduction</h3><div>Hearing loss is classified into two primary types: sensorineural and conductive. The less problematic type is conductive hearing loss, which arises from issues or blockages in the outer or middle ear. The most frequent cause of it in the outer ear is an excessive amount of earwax (cerumen) in the ear canal.</div></div><div><h3>Objectives</h3><div>In this work, a three-dimensional finite element (FE) model was used to examine the effect of ear canal occlusion with earwax under different settings on the acoustic pressure gain at the tympanic membrane (TM).</div></div><div><h3>Material and methods</h3><div>The effects of full and partial ear canal occlusion with earwax have been investigated using Comsol Multiphysics FE simulation software. The software used the finite element method to solve the model equations, accounting for a variable ear canal cross-sectional area. A lumped-element acoustic impedance is used to mimic the boundary between the downstream hearing system and the tympanic membrane.</div></div><div><h3>Results</h3><div>The model results are consistent with those presented by other experimental studies. The results show that the acoustic pressure gain at the TM increases with the distance from the earwax layer. Similarly, an increase in the thickness of this layer in a fully occluded ear canal significantly increases the pressure-gain difference at the TM. As the occlusion percentage rises, the gain decreases, and the resonance frequencies shift to lower values. At up to 60% occlusion, there is no significant effect on gain. Considerable gain difference occurs with 95% occlusion. There is a significant phase difference between the 95% occlusion case and the fully open (no occlusion) case, which will affect the quality of sound reaching the TM and, consequently, the entire hearing process.</div></div><div><h3>Conclusions</h3><div>The model presented in this study provides deep insight into the effect of earwax on hearing quality and can be used in other settings.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 4","pages":"Article 512333"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148546825","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":"¿Es útil repetir la prueba de cribado auditivo antes del alta hospitalaria?","authors":"José Miguel Sequi-Canet,&nbsp;José Miguel Sequi-Sabater,&nbsp;Carlos Miguel Angelats-Romero,&nbsp;Elena Felipe Almira,&nbsp;Inmaculada Vilaplana-Mora,&nbsp;Daniel Gomez-Sanchez","doi":"10.1016/j.otorri.2026.512344","DOIUrl":"10.1016/j.otorri.2026.512344","url":null,"abstract":"<div><div>Universal newborn hearing screening in infants without hearing-risk factors is performed in many settings using otoacoustic emissions (OAE) within the first hours of life. A proportion of initial ‘refers’ reflect transient, non-pathological factors rather than genuine congenital hearing loss; minimising these is crucial to programme effectiveness.</div></div><div><h3>Objective</h3><div>To assess the usefulness of repeating OAE screening before hospital discharge in neonates without hearing-risk factors who have an abnormal result on their first test.</div></div><div><h3>Results</h3><div>A total of 2,667 neonates were studied. On OAE-1, 29.65% had at least one ear with a refer result; of these, 93% underwent repeat testing, with 91% achieving a pass on OAE-2. Overall, 95.46% had a pass by discharge.</div></div><div><h3>Conclusion</h3><div>The findings and the literature support performing a second hearing-screening test before hospital discharge in infants who did not pass the first. This approach improves detection rates while reducing parental anxiety associated with an abnormal result and decreasing referrals that may contribute to loss to follow-up.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"77 4","pages":"Article 512344"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148559762","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}