Acta otorrinolaringologica espanola最新文献

{"title":"Experiencia clínica con el implante coclear Nurotron™ en una población postlingual hispanohablante: seguridad clínica y resultados audiólogicos","authors":"Leonardo Elías Ordóñez Ordóñez ,&nbsp;Esther Sofía Angulo Martínez ,&nbsp;Silvia Carolina Vanegas ,&nbsp;Silvia Raquel Rodríguez Montoya","doi":"10.1016/j.otorri.2023.06.004","DOIUrl":"https://doi.org/10.1016/j.otorri.2023.06.004","url":null,"abstract":"<div><h3>Objective</h3><p>to assess clinical safety and postoperative audiological outcomes in postlingual deafness Spanish speaking patients, who underwent surgery with Nurotron<strong>™</strong> cochlear implant.</p></div><div><h3>Material and Methods</h3><p>Retrospective descriptive case series study. We performed follow-up of complications and audiological measurements before and after cochlear implantation. Patients with bilateral severe to profound sensorineural hearing loss or patients with unilateral deafness with/without tinnitus were included. Repeated-measures within-subjects for assess pure tone thresholds and speech performance (bilingual test) with a detailed monitoring to establish security or adverse effects were performed. Analysis of variance tests, repetitive measures, were used for statistical analysis.</p></div><div><h3>Results</h3><p>31 patients were included, 17 (54.8%) men and 14 (45.2%) women. Mean age at the time of surgery was 49.82 ± 18.8 years. The mean follow-up of the group was 31.56 ± 9.57 months (minimum = 19.6 months and maximum = 52.50months). As major complication one patient (3.23%) had a hard failure that required removal and re-implantation. 25.8% of the patients presented minor complications, the most frequent being vertigo/unsteadiness in 22.6%.</p><p>The mean of language discrimination (free field at 65 dB SPL) was 62.19% ± 16.66; being 69.82% ± 7.35 in the group of severe to profound bilateral sensorineural hearing loss. A statistically significant reduction was observed in patients with tinnitus, assessed using the visual analog scale, preoperative = 7.2 ± 1,6 vs postoperative (18 months postoperative) = 1.7 ± 1.3 (p &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>The Nurotron™ cochlear implant shows satisfactory audiological results, in accordance with what has been reported in the literature. Minor complications were similar to previous studies, but the percentage of hard failure should continue to be observed, which was higher than other reports with comparable follow-up.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 3","pages":"Pages 137-147"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0001651923001085/pdfft?md5=7190e0c62c471c69300961032241c453&pid=1-s2.0-S0001651923001085-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140910268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteomas de conducto y promontorio. Hipoacusia bilateral","authors":"Montserrat Asensi Díaz,&nbsp;Carlos Martín Oviedo,&nbsp;Miguel Ángel Arístegui Ruíz","doi":"10.1016/j.otorri.2023.10.009","DOIUrl":"10.1016/j.otorri.2023.10.009","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 3","pages":"Pages 202-203"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019238","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":"Respecto al proceso de adaptación y validación al español del cuestionario específico de calidad de vida en pacientes con traqueostomía (TQOL)","authors":"Ángel Roco-Videla ,&nbsp;Valeska Torres-Bustos","doi":"10.1016/j.otorri.2023.10.007","DOIUrl":"10.1016/j.otorri.2023.10.007","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 3","pages":"Pages 200-201"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140463429","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":"Diagnostic value of vestibular evoked myogenic potentials in benign paroxysmal positional vertigo","authors":"Laura López-Viñas ,&nbsp;Esmeralda Rocío-Martín ,&nbsp;Elena de la Rosa Santiago ,&nbsp;Jorge Prada Pendolero ,&nbsp;Rybel Wix-Ramos","doi":"10.1016/j.otorri.2023.10.006","DOIUrl":"https://doi.org/10.1016/j.otorri.2023.10.006","url":null,"abstract":"<div><h3>Objectives</h3><p>Vestibular evoked myogenic potentials (VEMPs) are useful for studying the disturbances along nerve pathways implicated in the transmission of neurological information from otolithic organs related to vestibular function. This study aims to determine the differences in VEMPs in patients affected with benign paroxysmal positional vertigo (BPPV).</p></div><div><h3>Methods</h3><p>We recruited 36 patients, 9 diagnosed with recurrent BPPV (rBPPV), 9 with only one episode of vertigo (iBPPV), and 18 as a control group. We performed cervical and ocular VEMPs (cVEMPs and oVEMPs).</p></div><div><h3>Results</h3><p>We observed differences in asymmetry ratio, which was 41.82% in cVEMPs in iBPPV and 68.27% in oVEMPs in rBPPV, while no asymmetry was found in control cases. Also, there was a lack of both VEMP responses in 22.2% of cases and an absence of cVEMP in 11.1% in iBPPV; in rBPPV, 11.1 % presented no responses in cVEMPs or oVEMPs, 22.2% showed no oVEMP, and 11.1% showed no cVEMP. These values were normal in the control group.</p></div><div><h3>Conclusion</h3><p>The value of VEMPs in BPPV demonstrates the implication of vestibular damage, mainly utricle damage. For better sensitivity in detecting otolith abnormalities, we should perform oVEMPs and cVEMPs in recurrent BPPV and early stages of BPPV.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 3","pages":"Pages 192-196"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140910266","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":"Rendimiento diagnóstico del estudio genético en adultos con hipoacusia neurosensorial","authors":"Sara Reda del Barrio ,&nbsp;Joaquín de Vergas Gutiérrez ,&nbsp;Juan Francisco Quesada-Espinosa ,&nbsp;María Teresa Sánchez-Calvín ,&nbsp;Irene Gómez-Manjón ,&nbsp;Olalla Sierra-Tomillo ,&nbsp;Alexandra Juárez-Rufián ,&nbsp;Alfredo García Fernández","doi":"10.1016/j.otorri.2023.10.003","DOIUrl":"10.1016/j.otorri.2023.10.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The contribution of genetic causes to sensorineural hearing loss (SNHL) in adults is less clear than in children, and genetic diagnosis is still not standardized in adults. In this study we present the genetic results obtained in a cohort of adult patients with SNHL.</p></div><div><h3>Materials and method</h3><p>We included 63 adults with SNHL that received genetic testing between 2019 and 2022. Whole exome sequencing was performed and variants in genes related to hearing loss (virtual panel with 244 genes) were prioritized and analyzed.</p></div><div><h3>Results</h3><p>Twenty-four percent (15/63) of patients were genetically diagnosed: 87% (13/15) of patients had non-syndromic hearing loss and 13% (2/15) had syndromic hearing loss. We identified pathogenic and likely pathogenic variants in 11 different genes.</p></div><div><h3>Conclusions</h3><p>Our results show that a significant proportion of adults with SNHL have a genetic origin, and that implementation of genetic testing improves diagnostic accuracy and allows personalized management of these patients.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 3","pages":"Pages 185-191"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138987078","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":"Análisis del cribado selectivo de citomegalovirus congénito en un hospital secundario. Problemas y soluciones","authors":"Ana Marco Sabater ,&nbsp;José Miguel Sequi Sabater ,&nbsp;Marta Gómez Delgado ,&nbsp;Alberto Lora Martín ,&nbsp;Víctor Aparisi Climent ,&nbsp;José Miguel Sequi Canet","doi":"10.1016/j.otorri.2023.07.006","DOIUrl":"10.1016/j.otorri.2023.07.006","url":null,"abstract":"<div><p>Universal hearing screening offers unique possibilities for detection of congenital deafness as a consequence of congenital cytomegalovirus (CMVc) infection, so its selective study in the case of a failed test could be a non-negligible screening opportunity while other guidelines covering the possibility of universal screening are adopted. The aim of this study is to analyse the possibility of selective screening for CMVc after an altered hearing test in a regional hospital. During the period studied, the results obtained were unsatisfactory, especially in children born outside the hospital of residence, showing an excessive delay in hearing screening in many cases and in the few cases where CMVc screening could be performed, only 30% had the test ordered in a timely manner. The reasons for this are varied and the solution is to include selective screening for CMVc in the hearing screening programme. This implies shortening the timing of the hearing screening protocol to allow CMVc testing in saliva or urine (preferably) before 21<!--> <!-->days of age and providing screening programmes with the necessary staff and time to perform it properly.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 3","pages":"Pages 162-168"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139295019","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":"En respuesta a la carta al director «Comentarios a: Manifestaciones otorrinolaringológicas en la viruela del mono»","authors":"Berta Alegre ,&nbsp;Isabel Vilaseca","doi":"10.1016/j.otorri.2023.10.004","DOIUrl":"10.1016/j.otorri.2023.10.004","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 2","pages":"Page 135"},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139021981","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":"Comentario a «Manifestaciones otorrinolaringológicas en la viruela del mono»","authors":"Aida Veiga-Alonso ,&nbsp;Trinidad Dierssen-Sotos ,&nbsp;Carmelo Morales-Angulo","doi":"10.1016/j.otorri.2023.10.002","DOIUrl":"10.1016/j.otorri.2023.10.002","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 2","pages":"Pages 134-135"},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195990","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":"Guía de práctica clínica sobre el manejo del schwannoma vestibular","authors":"Luis Lassaletta ,&nbsp;Leticia Acle Cervera ,&nbsp;Xabier Altuna ,&nbsp;Emilio Amilibia Cabeza ,&nbsp;Miguel Arístegui Ruiz ,&nbsp;Ángel Batuecas Caletrio ,&nbsp;Jesús Benítez del Rosario ,&nbsp;Rubén Cabanillas Farpón ,&nbsp;María Costales Marcos ,&nbsp;Pedro Escada ,&nbsp;Juan Manuel Espinosa-Sánchez ,&nbsp;Roberto García Leal ,&nbsp;Javier Gavilán ,&nbsp;Justo Gómez Martínez ,&nbsp;Rocío González-Aguado ,&nbsp;Victor Martinez-Gonzalez ,&nbsp;Gloria Guerra Jiménez ,&nbsp;Alejandro Harguindey Antolí-Candela ,&nbsp;Borja J. Hernández García ,&nbsp;Cesar Orús Dotú ,&nbsp;José Manuel Morales Puebla","doi":"10.1016/j.otorri.2023.10.005","DOIUrl":"10.1016/j.otorri.2023.10.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Vestibular schwannoma (VS) is the most common tumour of the cerebellopontine angle. The greater accessibility to radiological tests has increased its diagnosis. Taking into account the characteristics of the tumour, the symptoms and the age of the patient, three therapeutic strategies have been proposed: observation, surgery or radiotherapy. Choosing the most appropriate for each patient is a frequent source of controversy.</p></div><div><h3>Material and methods</h3><p>This paper includes an exhaustive literature review of issues related to VS that can serve as a clinical guide in the management of patients with these lesions. The presentation has been oriented in the form of questions that the clinician usually asks himself and the answers have been written and/or reviewed by a panel of national and international experts consulted by the Otology Commission of the SEORL-CCC.</p></div><div><h3>Results</h3><p>A list has been compiled containing the 13 most controversial thematic blocks on the management of VS in the form of 50 questions, and answers to all of them have been sought through a systematic literature review (articles published on PubMed and Cochrane Library between 1992 and 2023 related to each thematic area). Thirty-three experts, led by the Otology Committee of SEORL-CCC, have analyzed and discussed all the answers. In Annex 1, 14 additional questions divided into 4 thematic areas can be found.</p></div><div><h3>Conclusions</h3><p>This clinical practice guideline on the management of VS offers agreed answers to the most common questions that are asked about this tumour. The absence of sufficient prospective studies means that the levels of evidence on the subject are generally medium or low. This fact increases the interest of this type of clinical practice guidelines prepared by experts.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 2","pages":"Pages 108-128"},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139015406","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":"The role of allergic and nonallergic rhinitis on success of type 1 cartilage tympanoplasty","authors":"Elif Ersoy Çallıoğlu ,&nbsp;Kazım Bozdemir ,&nbsp;Şadan Soyyiğit ,&nbsp;Saliha Atalay ,&nbsp;Bengi Arslan","doi":"10.1016/j.otorri.2023.07.003","DOIUrl":"https://doi.org/10.1016/j.otorri.2023.07.003","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the role of allergic rhinitis (AR) and non-allergic rhinitis (NAR) on success of type 1 cartilage tympanoplasty.</p></div><div><h3>Methods</h3><p>This prospective study was conducted on 60 patients who had type 1 cartilage tympanoplasty. The patients were divided into three groups as no-rhinitis (<em>n</em> = 28), NAR (<em>n</em> = 18) and AR (<em>n</em> = 14) groups, based on their symptoms, skin prick tests and/or serum specific IgE levels. AR and NAR groups were treated for their rhinitis symptoms both pre- and postoperatively. The patients were followed up for a minimum of 6 months and compared for graft success rates and audiological outcomes.</p></div><div><h3>Results</h3><p>Three study groups were similar for age, gender distributions and preoperative air-bone gaps (<em>p</em> = 0.780, <em>p</em> = 0.167 and <em>p</em> = 0.676, respectively). Postoperative graft perforation rate was 0% in no-rhinitis and AR groups while it was 16.7% in NAR group, with a significant difference among three groups (<em>p</em> = 0.034). The comparison of three study groups for change in the postoperative air bone gaps in comparison with preoperative air bone gaps did not yield any statistically significant result (<em>p</em> = 0.729).</p></div><div><h3>Conclusion</h3><p>Although AR does not result in failure of type 1 cartilage tympanoplasty in patients treated for rhinitis compared to the control group, NAR does. Pre- and postoperative treatment of patients for rhinitis and employment of cartilage graft may be the key factors for success of surgery in patients with AR. Further studies with a larger sample size are needed.</p></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 2","pages":"Pages 102-107"},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140041975","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}