Acta otorrinolaringologica espanola最新文献

{"title":"Where are we heading with sleep medicine? A study of multidisciplinary units in Spain.","authors":"Laura Rodriguez Alcala, Carlos O'Connor-Reina, Carlos Egea, F Javier Puertas, Milagros Merino, Marina Carrasco, Jose Maria Ignacio, Peter Baptista, Guillermo Plaza","doi":"10.1016/j.otoeng.2025.512234","DOIUrl":"10.1016/j.otoeng.2025.512234","url":null,"abstract":"","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":" ","pages":"512234"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694677","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":"Impact of chronic rhinosinusitis with nasal polyps on Eustachian tube dysfunction.","authors":"Francisco Javier García-Callejo, Miguel Juantegui Azpilicueta, María Díaz Ferrer, Pablo Tiziano Guastella Almeida, John Deiver Cardona Henao","doi":"10.1016/j.otoeng.2025.512235","DOIUrl":"10.1016/j.otoeng.2025.512235","url":null,"abstract":"<p><strong>Introduction: </strong>Adequate nasal patency has been classically considered a crucial factor in middle ear ventilation. We valued the influence of nasosinusal polyposis on Eustachian tube (ET) function.</p><p><strong>Material and methods: </strong>A prospective follow-up with all cases of chronic rhinosinusitis with nasal polyps (CRSwNP) assisted between January 2019 and October 2024 was carried out. Their endoscopic, radiological and clinical characteristics were noted, as well as the presence of a type 2 inflammation context (T2I) and the incidence of middle ear pathology. Polypoid involvement and tubal dysfunction were studied using several scores: Lidholdt's scale, Lund-McKay nasal polyp grading, Lund-Kennedy endoscopic scoring system, SNOT-22 and Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7) score.</p><p><strong>Results: </strong>Information was collected from 155 patients, with an incidence of 15,1 cases/100,000 inhabitants. 70,9% showed an T2I profile. This group showed a higher average of cases with acute otitis media and effusion (18,1% vs. 4,4%; P < .001), tympanometric alterations (12,7% vs. 4,4%; P < 0.01), conductive hearing loss (17,2%. vs 4,4%; P < 0.001) and needing for transtympanic drains (9,1% vs. 2,2%; P < .01) than the group without an eosinophilic profile or elevated IgE. The ETDQ-7 score correlated well with the SNOT-22 and Lund-Kennedy scales.</p><p><strong>Conclusions: </strong>Regression analysis revealed that an T2I profile might play a more important role in tubal patency than nasal obstruction. Polyposis may alter ET function, but more likely due to its inflammatory-allergic aetiopathogenesis than to its obstructive nature.</p>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":" ","pages":"512235"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694724","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":"Epignathus: An unusual cause of airway obstruction in the newborn.","authors":"Mónica Rueda Vega, Alex Lowy Benoliel, Rosalía Souvirón Encabo","doi":"10.1016/j.otoeng.2025.512232","DOIUrl":"10.1016/j.otoeng.2025.512232","url":null,"abstract":"","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":" ","pages":"512232"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694718","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":"Nebulized hyaluronic acid and xylitol based solution after turbinate radiofrequency ablation. A triple blind randomized multicentric clinical trial.","authors":"Christian Calvo-Henríquez, Ainhoa García-Lliberos, Byron Maldonado-Alvarado, Miguel Rodriguez-Iglesias, David Lobo-Duro, Juan Maza-Solano, Serafín Sánchez-Gomez, Isam Alobid","doi":"10.1016/j.otoeng.2025.512218","DOIUrl":"10.1016/j.otoeng.2025.512218","url":null,"abstract":"<p><strong>Objective: </strong>This prospective, triple blind randomized clinical trial aims to specifically evaluate the effect of Aluneb® (hyaluronic acid plus xilitol) in the postoperative treatment of inferior turbinate radiofrequency in adults compared to nebulized isotonic saline.</p><p><strong>Methods: </strong>Adults undergoing radiofrequency turbinate ablation were included. Treatment group received Aluneb® (hyaluronic acid plus xylitol) while the control group received nebulized isotonic saline for two months after treatment. Participants were studied the week before surgery (visit 0), and at 7, 15, 30 and 60 days after surgery. At all visits, participants underwent physical examination, rhinomanometry, SNOT-22, and visual analogue scale (VAS) of symptoms.</p><p><strong>Results: </strong>34 participants were recruited. Crusts (endoscopy) were less in the Aluneb® hyaluronic acid plus xylitol group. Nasal crusting, epistaxis and nasal obstruction VAS were statistically significant lower. VAS for Rhinorrea, halitosis, cacosmia and pain and nasal resistance obtained lower self-reported values in the hyaluronic acid plus xilitol group, but these differences were not statistically significant.</p><p><strong>Conclusions: </strong>Hyaluronic acid plus xilitol demonstrated promise in improving postoperative outcomes, future studies with larger sample sizes and different surgical techniques are encouraged.</p>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":" ","pages":"512218"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694739","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":"Cochleo-vestibular phenotype in patients with pathogenic variations in the ACTG1 gene.","authors":"Rocío González-Aguado, Jaime Gallo-Terán, Eshter Onecha, Carmelo Morales-Angulo","doi":"10.1016/j.otoeng.2025.512217","DOIUrl":"10.1016/j.otoeng.2025.512217","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the prevalence of pathogenic, likely pathogenic, and variants of unknown significance in the ACTG1 gene among families with suspected bilateral sensorineural hearing loss of genetic origin. Additionally, the research aimed to elucidate the cochleovestibular phenotype of individuals carrying these variants.</p><p><strong>Methods: </strong>A cohort of 365 unrelated families with sensorineural hearing loss participated in this study. Genetic analysis was conducted using Next-Generation Sequencing (NGS).</p><p><strong>Results: </strong>The study identified c.94C>A and c.721G>A pathogenic variants in heterozygosity in the ACTG1 gene among three probands. Two of these cases exhibited an autosomal dominant inheritance pattern, while the third was a de novo variant. Additionally, three other family members underwent genetic and audiological evaluations. Onset of hearing loss typically occurred between the first and second decades of life, initially affecting high frequencies and gradually extending to all frequencies. Treatment with hearing aids yielded favourable outcomes in all cases.</p><p><strong>Conclusions: </strong>Pathogenic variants in the ACTG1 gene were found to be rare in the studied population. Nonetheless, these variants should be considered in families presenting with postlingual bilateral sensorineural hearing loss, particularly when high-frequency hearing loss progressively worsens to profound levels.</p>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":" ","pages":"512217"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694343","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":"Pediatric maxillary expansion to treat nasal obstruction.","authors":"Christian Calvo-Henriquez, Pedro Martínez-Seijas, Antonino Maniaci, Juan Carlos Pérez-Varela, Sandra Kahn, Isam Alobid, Stanley Liu","doi":"10.1016/j.otoeng.2025.512220","DOIUrl":"10.1016/j.otoeng.2025.512220","url":null,"abstract":"<p><strong>Objective: </strong>An often neglected cause of nasal obstruction is maxillary constriction. Maxillary expansion (ME) has been proven to decrease nasal resistance and increase nasal volume and airflow thus improving nasal obstruction symptoms both in adults and children. However, up to the present, studies have reported on patients with an orthodontic indication for ME, but not being treated for nasal obstruction. In this study we report a case series of pediatric patients who have been diagnosed with nasal obstruction attributed to maxillary constriction and who have been treated with ME.</p><p><strong>Methods: </strong>Participants were consecutively selected. All children performed anterior active rhinomanometry and SN-5 questionnaire before and after ME. The longest follow-up visit to otolaryngology was recorded for this study. The inclusion criteria were children without adenoid or turbinate enlargement with persistent oral breathing and nasal obstruction confirmed through rhinomanometry. All included children were referred to their odontologist who performed ME only if it was safe for the patient.</p><p><strong>Results: </strong>23 participants with a mean age of 10.1 (range 6.66-13.27) were included. 78.3% had been previously submitted to surgery to restore or improve nasal breathing. There was a mean decrease in nasal resistance of 0.13 Pa s/cm³, which is a reduction of 34.2% over the mean initial value (P < .001). There was a statistically significant correlation between the amount of expansion and the decrease in nasal resistance (Rho = 0.75; P < .001), and the increase in nasal airflow (rho = 0.71; P < .001). Participants demonstrated a statistically significant decrease in their nasal symptoms measured with the SN5 questionnaire (P = .033).</p><p><strong>Conclusions: </strong>These are preliminary results that should be managed with caution. Considering previous reports which included ME performed for orthodontic reasons, and the case series herein presented, which includes ME performed for nasal breathing, it seems that ME could be used with this latter objective. Future controlled studies should corroborate these results before producing a general recommendation.</p>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":" ","pages":"512220"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694646","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":"Stratification of the severity of Chronic Obstructive Sialadenitis based on its impact on Quality of Life.","authors":"William Aragonés Sanzen-Baker, José Miguel Villacampa Aubá, Ignacio Alcalá Rueda, Jessica Mireya Santillán Coello, Gonzalo Díaz Tapia, Carlos Cenjor Español, Álvaro Sánchez Barrueco","doi":"10.1016/j.otoeng.2025.512223","DOIUrl":"10.1016/j.otoeng.2025.512223","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic Obstructive Sialadenitis (COS) is a debilitating condition characterized by recurrent inflammation of the salivary glands due to excretory obstruction, significantly impacting patients' quality of life (QoL). The COS Quality of Life Questionnaire (COSQ) has been validated to evaluate QoL in affected patients and to monitor changes post-treatment.</p><p><strong>Materials and methods: </strong>This study included two patient groups with COS-affected glands. The first group of 342 patients completed the COSQ before minimally invasive surgery, while the second group of 215 patients completed both the COSQ and a Visual Analog Scale (VAS). Scores were analyzed and stratified into four severity categories: mild, moderate, severe, and very severe, based on COSQ outcomes.</p><p><strong>Results: </strong>COSQ scores were distributed as follows: mild (12.87%), moderate (37.13%), severe (34.5%), and very severe (15.21%). A significant correlation was observed between COSQ and VAS scores, particularly in the moderate and severe categories. Stratification allowed for identification of patients with severe symptoms, aiding in tailored management.</p><p><strong>Conclusion: </strong>The COSQ effectively assesses QoL in COS patients and aids in stratifying severity. This stratification can guide clinicians in developing personalized treatment strategies, monitoring disease progression, and evaluating treatment outcomes.</p>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":" ","pages":"512223"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694674","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":"Isolated frontal sinus angiofibroma with external forehead deformity: A case report.","authors":"Ali Tawfik, Ahmed Musaad Abd-Elfattah, Hisham Atef Ebada, Ahmad Muhammad Al-Arman, Donia Usama Hamza, Elsharawy Kamal","doi":"10.1016/j.otoeng.2025.512227","DOIUrl":"10.1016/j.otoeng.2025.512227","url":null,"abstract":"","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":" ","pages":"512227"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694734","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 Implant in a Labyrinthine Facial Nerve Dehiscence\".","authors":"Inés Tortajada Torralba, Santiago Almanzo, Carlos de Paula Vernetta","doi":"10.1016/j.otoeng.2025.512226","DOIUrl":"10.1016/j.otoeng.2025.512226","url":null,"abstract":"","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":" ","pages":"512226"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694161","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":"External ear affection in multiple myeloma.","authors":"João Tavares Correia, Isabel Silva-Carvalho, Luís Meireles","doi":"10.1016/j.otoeng.2025.512228","DOIUrl":"10.1016/j.otoeng.2025.512228","url":null,"abstract":"","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":" ","pages":"512228"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694721","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}