Acta otorrinolaringologica espanola最新文献_第8页

Sordera infantil con discapacidad asociada (DA+): recomendaciones CODEPEH 儿童耳聋与相关残疾(ad +): CODEPEH建议

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Acta otorrinolaringologica espanola Pub Date : 2023-11-01 DOI: 10.1016/j.otorri.2022.10.003

Faustino Núñez-Batalla , Carmen Jáudenes-Casaubón , Jose Miguel Sequí-Canet , Ana Vivanco-Allende , Jose Zubicaray-Ugarteche

引用次数: 0

Ausencia de hipersensibilidad al efecto ototóxico de la gentamicina en un paciente portador de la mutación 1555A > G en el gen MT-RNR1 MT-RNR1基因1555A > G突变患者对庆大霉素耳毒性作用无过敏反应

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Acta otorrinolaringologica espanola Pub Date : 2023-11-01 DOI: 10.1016/j.otorri.2023.03.002

Cristina Salomón Felechosa , Jaime Gallo Terán , Carmelo Morales-Angulo

引用次数: 0

Postintubation airway injury in the pediatric intensive care unit 儿科重症监护病房插管后气道损伤

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Acta otorrinolaringologica espanola Pub Date : 2023-11-01 DOI: 10.1016/j.otorri.2022.12.004

Otilia E. Blain, Celeste C. Patiño González, Enrique J. Romero Manteola

{"title":"Postintubation airway injury in the pediatric intensive care unit","authors":"Otilia E. Blain, Celeste C. Patiño González, Enrique J. Romero Manteola","doi":"10.1016/j.otorri.2022.12.004","DOIUrl":"https://doi.org/10.1016/j.otorri.2022.12.004","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Airway injury caused by endotracheal intubation (ETI) is a common event in children who require ETI in the pediatric intensive care unit (PICU). The main aim of our study was to determine the incidence and the predisposing factors for the development of airway injury in PICU patients who need ETI. Secondary objectives were to evaluate the reasons for the request of airway endoscopy examination and the tracheostomy rate in this population.</p></div><div><h3>Materials and methods</h3><p>A retrospective, observational, descriptive study was conducted evaluating 1854 patients who were intubated in the PICU of a tertiary-care center between May 2015 and April 2019.</p></div><div><h3>Results</h3><p>The mean age of all intubated patients was 35.6 months and of those who required endoscopy 27.3 months (p = 0.04). Mean length of intubation was 7.2 days for all intubated patients and 23.5 days for those who required endoscopy (p = 0.0001). Extubation failure and stridor were significantly associated with the finding of airway injury (p = 0.0001 and p = 0.0006, respectively).</p></div><div><h3>Conclusions</h3><p>The incidence rate of ETI-related injury was 3%. Age younger than 27 months and intubation for more than 7 days were predisposing factors for the development of injury.</p><p>The main indications for endoscopy were extubation failure and stridor, both related to the presence of injury. Tracheostomy rate in the PICU was 3.34%.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71726080","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

Quality of life after revision mastoidectomy with mastoid obliteration 改良乳突切除术合并乳突闭塞术后的生活质量

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Acta otorrinolaringologica espanola Pub Date : 2023-11-01 DOI: 10.1016/j.otorri.2023.02.001

Vito Pontillo, Sabino Ciprelli, Rossella Grillo, Nicola Quaranta

{"title":"Quality of life after revision mastoidectomy with mastoid obliteration","authors":"Vito Pontillo, Sabino Ciprelli, Rossella Grillo, Nicola Quaranta","doi":"10.1016/j.otorri.2023.02.001","DOIUrl":"https://doi.org/10.1016/j.otorri.2023.02.001","url":null,"abstract":"<div><h3>Aims</h3><p>To evaluate the postoperative quality of life (QoL) after revision canal wall down mastoidectomy with mastoid obliteration (rCWD).</p></div><div><h3>Material and methods</h3><p>A retrospective analysis was conducted on patients treated by rCWD for cholesteatoma between 2016 and 2019. A control group including all patients treated by primary canal wall down with mastoid obliteration (pCWD) for cholesteatoma between 2009 and 2014 was used for the comparison of the postoperative QoL, assessed by the COMQ-12.</p></div><div><h3>Results</h3><p>The rCWD and pCWD groups respectively counted 38 and 78 patients with an average follow-up of 30 and 62 months respectively. No significant difference was found in terms of QoL between the two groups. An intra-group analysis among rCWD patients, showed that patients treated by canal wall down (CWD) at the primary surgery had a significantly worse post-revision QoL compared to those initially treated by canal wall up (CWU), specifically in the hearing and balance domains of the questionnaire.</p></div><div><h3>Conclusions</h3><p>Revision mastoid obliteration leads to similar QoL results to those obtained after primary CWD with obliteration. Patients who had undergone a CWD as primary surgery complain worse hearing and balance problems compared to those primarily submitted to CWU, even after revision surgery.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71726172","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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Sinonasal mucormycosis during 2 years of COVID-19 pandemic in central Iran: incidence rate and clinical features 伊朗中部2年COVID-19大流行期间鼻粘膜真菌病的发病率和临床特征

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Acta otorrinolaringologica espanola Pub Date : 2023-09-01 DOI: 10.1016/j.otorri.2022.11.001

Mohammadhossein Dadgarnia, Mohammad Mandegari, Mohammadhossein Baradaranfar, Sedighe Vaziribozorg, Mahsa Abdollahpour

{"title":"Sinonasal mucormycosis during 2 years of COVID-19 pandemic in central Iran: incidence rate and clinical features","authors":"Mohammadhossein Dadgarnia, Mohammad Mandegari, Mohammadhossein Baradaranfar, Sedighe Vaziribozorg, Mahsa Abdollahpour","doi":"10.1016/j.otorri.2022.11.001","DOIUrl":"https://doi.org/10.1016/j.otorri.2022.11.001","url":null,"abstract":"<div><h3>Introduction</h3><p>As a novel infectious disease, COVID-19 is caused by SARS-COV-2, spreading rapidly worldwide. ENT specialists have faced this challenging disease in various ways since the emergence of the COVID-19 pandemic. We are currently facing an increase in cases referred due to sinonasal mucormycosis which is a rare but invasive, rapidly progressive, and life-threatening infection. We provide an overview of this disease's incidence rate and clinical features.</p></div><div><h3>Methods</h3><p>This descriptive cross-sectional study was conducted on 46 sinonasal mucormycosis patients who were histopathologically confirmed after sinonasal endoscopic surgery in our educational therapeutic hospital during 2 years of the COVID-19 pandemic from March 20, 2020, to March 20, 2022.</p></div><div><h3>Results</h3><p><span>There was an increase in the incidence of mucormycosis more than twice as much as before. All patients had a history of COVID-19 and 69.6% were diabetic. The median time to symptom onset from COVID-19 detection was 3.3 weeks. A total of 60.9% received steroids while 85.7% were prescribed during COVID-19 treatment. The most common manifestation was orbital involvement (80.4%). Of the 46 study cases, unfortunately, 17 (37%) died. An exciting point in our study was the incidence of peripheral </span>facial palsy which is associated involvement of multiple other cranial nerves (II, III, IV, V, VI) considered to be the likely occurrence of a rare phenomenon called Garcin's syndrome.</p></div><div><h3>Conclusion</h3><p>Based on the results of this study, during 2 years of the COVID -19 pandemic, there was an increase in the incidence of sinonasal mucormycosis more than twice as much as before.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49779261","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 assessment in obstructive sleep apnea patients: can computed tomography with lateral cephalometry replace drug-induced sleep endoscopy (DISE)? 阻塞性睡眠呼吸暂停患者的上呼吸道评估:计算机断层扫描与侧位头测量术能否取代药物诱导睡眠内窥镜(DISE)?

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Acta otorrinolaringologica espanola Pub Date : 2023-09-01 DOI: 10.1016/j.otorri.2022.10.004

Ana Campos , Pedro Cebola , Sara Simões Dias , José Pedro Pais , Susana Sousa , Sérgio Cardoso , João Paço , Cristina Caroça

{"title":"Upper airway assessment in obstructive sleep apnea patients: can computed tomography with lateral cephalometry replace drug-induced sleep endoscopy (DISE)?","authors":"Ana Campos , Pedro Cebola , Sara Simões Dias , José Pedro Pais , Susana Sousa , Sérgio Cardoso , João Paço , Cristina Caroça","doi":"10.1016/j.otorri.2022.10.004","DOIUrl":"https://doi.org/10.1016/j.otorri.2022.10.004","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the association between results from drug-induced sleep endoscopy<span><span> (DISE) and computed tomography<span> with lateral cephalometry (CTLC) of the </span></span>pharynx<span> in obstructive sleep apnea (OSA) patients, regarding the same anatomic level, in order to understand if CTLC could replace DISE in selected patients.</span></span></p></div><div><h3>Study design</h3><p>Cross-sectional.</p></div><div><h3>Setting</h3><p>Tertiary hospital.</p></div><div><h3>Methods</h3><p>A total of 71 patients who attended the Sleep Medicine<span> Consultation in the Otorhinolaryngology<span><span> Department of Hospital CUF Tejo between 1.6.2019 and 30.9.2021, performed a polysomnographic sleep study and were elected to undergo DISE and CTLC of the pharynx for diagnostic purposes were selected. Obstructions at the same anatomic levels – tongue base, </span>epiglottis and velum - were compared in both exams.</span></span></p></div><div><h3>Results</h3><p>Patients with reduction of epiglottis-pharynx space on CTLC had also a complete obstruction at epiglottis level on the VOTE classification of DISE (p = 0,027). Reduction of velum-pharynx space or tongue base-pharynx space were not related to complete obstruction of the velum (P = 0,623) or the tongue base (p = 0,594) found in DISE. Those with two or more space reductions had a tendency to multilevel obstruction observed in DISE (p = 0.089).</p></div><div><h3>Conclusion</h3><p>When evaluating the obstruction level(s) of an OSA patient, efforts should be made to perform DISE, since CTLC measures, though regarding at the same structures, don´t correlate completely with obstructions observed in DISE.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49779239","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

Cribado auditivo neonatal universal e hipoacusia diferida o de desarrollo tardío 新生儿听力筛查与延迟或晚期发育性听力损失

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Acta otorrinolaringologica espanola Pub Date : 2023-09-01 DOI: 10.1016/j.otorri.2022.10.001

Faustino José Núñez Batalla , Carmen Fernández-Cedrón Bermejo , Maite Guntín García , Isabel Sandoval Menéndez , Estefanía Fresno Díaz , Justo Ramón Gómez Martínez , José Luis Llorente Pendás

{"title":"Cribado auditivo neonatal universal e hipoacusia diferida o de desarrollo tardío","authors":"Faustino José Núñez Batalla , Carmen Fernández-Cedrón Bermejo , Maite Guntín García , Isabel Sandoval Menéndez , Estefanía Fresno Díaz , Justo Ramón Gómez Martínez , José Luis Llorente Pendás","doi":"10.1016/j.otorri.2022.10.001","DOIUrl":"https://doi.org/10.1016/j.otorri.2022.10.001","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the percentage of children with permanent bilateral postnatal hearing loss in order to study its incidence, related risk factors, diagnosis and treatment.</p></div><div><h3>Methods</h3><p>Retrospective study to collect data on children diagnosed with hearing loss outside the neonatal period in the Hearing Loss Unit of the Hospital Universitario Central de Asturias, from April 2014 to April 2021.</p></div><div><h3>Results</h3><p>52 cases met the inclusion criteria. The detection rate of congenital hearing loss in the neonatal screening programme in the same study period was 1.5 children per thousand newborns per year, adding postnatal hearing loss results in a rate of infant bilateral hearing loss of 2.7 children per thousand (55.5% and 44.4% respectively). Thirty-five children presented risk factors for hearing loss, of which 23 were at retrocochlear risk. The mean age at referral was 91.9 (18-185) months. Hearing aid fitting was indicated in 44 cases (84.6%). Cochlear implantation was indicated in eight cases (15.4%).</p></div><div><h3>Discussion</h3><p>Although congenital hearing loss accounts for the majority of childhood deafness, postnatal hearing loss has a significant incidence. This may be mainly due to: 1) that hearing impairment may arise in the first years of life, 2) that mild hearing loss as well as hearing loss in severe frequencies are undetectable by neonatal screening in some cases, 3) that some children may have false negative results.</p></div><div><h3>Conclusion</h3><p>Postnatal hearing loss requires identification of risk factors and long-term follow-up of children with hearing loss, as it needs to be detected and treated early.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49779240","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

Presentación inusual de un linfoma MALT 麦芽淋巴瘤的不寻常表现

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Acta otorrinolaringologica espanola Pub Date : 2023-09-01 DOI: 10.1016/j.otorri.2022.05.003

Natalia Gordillo Gayo, María Antón Almero, Marta Faubel Serra

引用次数: 0

Evaluation of von Willebrand factor and protein/creatinine ratio in idiopathic sudden hearing loss 特发性突发性听力损失中血管性血友病因子和蛋白/肌酐比值的评价

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Acta otorrinolaringologica espanola Pub Date : 2023-09-01 DOI: 10.1016/j.otorri.2022.09.002

Özge Çaglar Çil , Serkan Bakirdögen , Dilek Ülker Çakir , Hasan Gül , Sibel Oymak

{"title":"Evaluation of von Willebrand factor and protein/creatinine ratio in idiopathic sudden hearing loss","authors":"Özge Çaglar Çil , Serkan Bakirdögen , Dilek Ülker Çakir , Hasan Gül , Sibel Oymak","doi":"10.1016/j.otorri.2022.09.002","DOIUrl":"https://doi.org/10.1016/j.otorri.2022.09.002","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to evaluate the levels of von Willebraund Factor (vWF) in plasma and the protein/creatinine ratio in urine in patients with idiopathic sudden acute hearing loss, which we think to be caused by epithelial dysfunction.</p></div><div><h3>Materials-Methods</h3><p><span>Thirty patients with a sudden hearing loss and thirty healthy individuals were included in the study. Before the </span>treatment, blood and urine were collected from the patients and the control group to investigate the levels of the protein/creatinine ratio and the levels of vWF. The test results of the patients group were compared with those of the control group.</p></div><div><h3>Results</h3><p>We found that the levels of vWF increased in the patient group, which was statistically significant (<em>P</em>  >.05). In addition, we found that the vWF and urine protein/creatin ratio of the patients who benefited from treatment were lower than those who did not benefit.</p></div><div><h3>Conclusions</h3><p>This study showed that sudden sensorineural hearing loss may result from endothelial dysfunction. However, more studies that include more patients are needed in order to support this.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49871867","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

Translation into Spanish and validation of the Tinnitus Functional Index (TFI) 耳鸣功能指数(TFI)的西班牙语翻译与验证

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Acta otorrinolaringologica espanola Pub Date : 2023-09-01 DOI: 10.1016/j.otorri.2022.11.002

Maria Montserrat Soriano-Reixach , Juan José Navarro Sampedro , Miren Sonsoles Goiburu Minguez , Jorge Rey-Martínez , Xabier Altuna

{"title":"Translation into Spanish and validation of the Tinnitus Functional Index (TFI)","authors":"Maria Montserrat Soriano-Reixach , Juan José Navarro Sampedro , Miren Sonsoles Goiburu Minguez , Jorge Rey-Martínez , Xabier Altuna","doi":"10.1016/j.otorri.2022.11.002","DOIUrl":"https://doi.org/10.1016/j.otorri.2022.11.002","url":null,"abstract":"<div><h3>Objective</h3><p>The objectives of this study were to translate into Spanish, cross-culturally adapt and validate the TFI.</p></div><div><h3>Materials and Methods</h3><p>The TFI questionnaire translated into Spanish (Sp-TFI) and cross-culturally adapted following the published guidelines on cross-cultural adaptation of health questionnaires was evaluated using two indicators. Its internal consistency was assessed with Cronbach’s α considering the Tinnitus Handicap Inventory (THI) as the gold standard. Further, its test-retest reliability was assessed with intraclass correlation coefficients (ICCs). ICCs were also calculated for the THI and visual analogue scales (VAS) for tinnitus tested and retested in all participants.</p></div><div><h3>Results</h3><p>The mean age of the 18 participants was 45.77 (SD: 11.87) years; 12 were female (66.67 %) and 6 were male (33.33%). Half of the participants experienced tinnitus in their left ear and half in their right. The mean pure-tone average (PTA) in the affected ear was 29.34 (SD: 8.08) dB-HL. Regarding internal consistency and reliability of the Sp-TFI respectively, Cronbach’s α was 0.83 and the ICC type (2,1) was 1 (CI: 0.99–1). Among the variables studied, we found the following independent predictors had statistically significant effects on THI score: sex (<em>p</em> < 0.01), PTA (<em>p</em> = 0.03), overall Sp-TFI score (<em>p</em> = 0.02) and Sp-TFI SL, R and A subscale scores (<em>p</em> = 0.03, <em>p</em> = 0.03, and <em>p</em> < 0.01, respectively).</p></div><div><h3>Conclusion</h3><p>Based on the internal consistency and reliability results obtained in this study, the cross-culturally adapted Spanish version of the TFI (Sp-TFI) has been validated for use in Spain.</p></div><div><h3>Level of evidence</h3><p>2B: Individual cohort study/low-quality randomized control studies</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49778933","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