Acta otorrinolaringologica espanola最新文献

{"title":"Section and repositioning of the inferior turbinate in the design of extended septal flaps","authors":"Juan Ramón Gras-Cabrerizo ,&nbsp;María Casasayas-Plass ,&nbsp;María Martel-Martin ,&nbsp;Katarzyna Kolanczak ,&nbsp;Humbert Massegur-Solench ,&nbsp;Fernando Muñoz Hernández","doi":"10.1016/j.otoeng.2024.07.002","DOIUrl":"10.1016/j.otoeng.2024.07.002","url":null,"abstract":"<div><h3>Background and objective</h3><div>Nasoseptal or septal flaps extended to the floor of the fossa and inferior meatus are a resource in the reconstruction of extended endoscopic approaches. We propose the technique of sectioning and repositioning the inferior turbinate to facilitate the design of these extended pedicled flaps.</div></div><div><h3>Material and methods</h3><div>We evaluated 3 cases operated with a skull base lesion: a craniopharyngioma, a petroclival meningioma and a post-surgical fistula of cerebrospinal fluid in the cribiform plate, in which sectioning and repositioning of the inferior turbinate was performed prior to the design of a septal or nasoseptal flap extended to the floor and inferior meatus. To evaluate the anatomy and function of the inferior turbinate, we analysed the results of acoustic rhinometry three months after surgery with and without vasoconstrictor.</div></div><div><h3>Results</h3><div>The pedicled flaps remained visible and vital on endoscopic examination. The area of the C notch obtained by acoustic rhinometry, in the nostril where the turbinate was manipulated, was in all three cases the narrowest area of the nasal cavity. The mean area for the C-notch was .34 cm², .74 cm² and .30 cm² at a distance from the nostril of 2.20 cm, 2.31 cm and 1.93 cm respectively.</div></div><div><h3>Conclusion</h3><div>Performing a section and subsequent repositioning of the inferior turbinate, prior to designing an endonasal pedicled flap that includes the mucosa of the floor and inferior meatus, can greatly facilitate obtaining a larger reconstruction flap without affecting the functionality of the inferior turbinate itself.</div></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 1","pages":"Pages 53-57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303167","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":"Prospective study of sound localisation in patients with single sided deafness and asymmetric hearing loss treated with cochlear implant","authors":"María Aragonés Redó ,&nbsp;Ignacio Pla Gil ,&nbsp;Tomàs Pérez-Carbonell ,&nbsp;Clara Espina González ,&nbsp;Antonio Morant Ventura ,&nbsp;Jaime Marco Algarra","doi":"10.1016/j.otoeng.2024.05.002","DOIUrl":"10.1016/j.otoeng.2024.05.002","url":null,"abstract":"<div><h3>Background and objective</h3><div>Sound localization plays a crucial role in our daily lives, enabling us to recognize voices, respond to alarming situations, avoid dangers, and navigate towards specific signals. However, this ability is compromised in patients with Single-Sided Deafness (SSD) and Asymmetric Hearing Loss (AHL), negatively impacting their daily functioning. The main objective of the study was to quantify the degree of sound source localization in patients with single-sided deafness or asymmetric hearing loss using a Cochlear Implant (CI) and to compare between the two subgroups.</div></div><div><h3>Materials and methods</h3><div>This was a prospective, longitudinal, observational, single-center study involving adult patients diagnosed with profound unilateral or asymmetric sensorineural hearing loss who underwent cochlear implantation. Sound localization was assessed in a chamber equipped with seven speakers evenly distributed from −90º to 90º. Stimuli were presented at 1000 Hz and intensities of 65 dB, 70 dB, and 75 dB. Each stimulus was presented only once per speaker, totaling 21 presentations. The number of correct responses at different intensities was recorded, and angular error in degrees was calculated to determine the mean angular distance between the patient-indicated speaker and the speaker presenting the stimulus. Both assessments were conducted preoperatively without a cochlear implant and two years post-implantation.</div></div><div><h3>Results</h3><div>The total sample comprised 20 patients, with 9 assigned to the SSD group and 11 to the AHL group. The Preoperative Pure Tone Average (PTA) in free field was 31.7 dB in the SSD group and 41.8 dB in the AHL group. There was a statistically significant improvement in sound localization ability and angular error with the use of the cochlear implant at all intensities in both SSD and AHL subgroups.</div></div><div><h3>Conclusions</h3><div>Cochlear implantation in patients with SSD and AHL enhances sound localization, reducing mean angular error and increasing the number of correct sound localization responses.</div></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 1","pages":"Pages 1-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141135307","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":"Normal hearing and verbal discrimination in real sounds environments","authors":"Adriana Lodeiro Colatosti ,&nbsp;Ignacio Pla Gil ,&nbsp;Antonio Morant Ventura ,&nbsp;Emilia Latorre Monteagudo ,&nbsp;Lucía Chacón Aranda ,&nbsp;Jaime Marco Algarra","doi":"10.1016/j.otoeng.2024.05.005","DOIUrl":"10.1016/j.otoeng.2024.05.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Human beings are constantly exposed to complex acoustic environments every day, which even pose challenges for individuals with normal hearing. Speech perception relies not only on fixed elements within the acoustic wave but is also influenced by various factors. These factors include speech intensity, environmental noise, the presence of other speakers, individual specific characteristics, spatial separatios of sound sources, ambient reverberation, and audiovisual cues. The objective of this study is twofold: to determine the auditory capacity of normal hearing individuals to discriminate spoken words in real-life acoustic conditions and perform a phonetic analysis of misunderstood spoken words.</div></div><div><h3>Materials and methods</h3><div>This is a descriptive observational cross-sectional study involving 20 normal hearing individuals. Verbal audiometry was conducted in an open-field environment, with sounds masked by simulated real-word acoustic environment at various sound intensity levels. To enhance sound emission, 2D visual images related to the sounds were displayed on a television. We analyzed the percentage of correct answers and performed a phonetic analysis of misunderstood Spanish bisyllabic words in each environment.</div></div><div><h3>Results</h3><div>14 women (70%) and 6 men (30%), with an average age of 26 ± 5,4 years and a mean airway hearing threshold in the right ear of 10,56 ± 3,52 dB SPL and in the left ear of 10,12 ± 2,49 dB SPL. The percentage of verbal discrimination in the “Ocean” sound environment was 97,2 ± 5,04%, “Restaurant” was 94 ± 4,58%, and “Traffic” was 86,2 ± 9,94% <em>(p = 0,000).</em> Regarding the phonetic analysis, the allophones that exhibited statistically significant differences were as follows: [o] <em>(p = 0,002)</em> within the group of vocalic phonemes, [n] <em>(p = 0,000)</em> of voiced nasal consonants, [r] <em>(p = 0,0016)</em> of voiced fricatives, [b] <em>(p = 0,000)</em> and [g] <em>(p = 0,045)</em> of voiced stops.</div></div><div><h3>Conclusion</h3><div>The dynamic properties of the acoustic environment can impact the ability of a normal hearing individual to extract information from a voice signal. Our study demonstrates that this ability decreases when the voice signal is masked by one or more simultaneous interfering voices, as observed in a “Restaurant” environment, and when it is masked by a continuous and intense noise environment such as “Traffic”. Regarding the phonetic analysis, when the sound environment was composed of continuous-low frequency noise, we found that nasal consonants were particularly challenging to identify. Furthermore in situations with distracting verbal signals, vowels and vibrating consonants exhibited the worst intelligibility.</div></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 1","pages":"Pages 11-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441218","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":"Sensorineural hearing loss as the first manifestation of systemic cobalt metallosis secondary to corrosion of a metal hip prosthesis","authors":"Belén Salvatierra-Vicario ,&nbsp;Carmelo Morales-Angulo","doi":"10.1016/j.otoeng.2024.05.004","DOIUrl":"10.1016/j.otoeng.2024.05.004","url":null,"abstract":"","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 1","pages":"Pages 65-66"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187223","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":"Retrolabyrinthine approach to the lateral skull base: The value of preoperative temporal bone CT analysis","authors":"Fabrizio Salvinelli ,&nbsp;Francesca Bonifacio ,&nbsp;Carlo A. Mallio ,&nbsp;Andrea Pescosolido ,&nbsp;Giulia Chiappino ,&nbsp;Fabio Greco ,&nbsp;Maurizio Iacoangeli","doi":"10.1016/j.otoeng.2024.03.001","DOIUrl":"10.1016/j.otoeng.2024.03.001","url":null,"abstract":"<div><h3>Purpose</h3><div>The most used neurosurgical approach to reach cerebellar-pontine angle is the retrosigmoid route. This article describes the presigmoid approach which requires excellent knowledge of the labyrinthine block together with quantitative analysis of temporal bone CT.</div></div><div><h3>Methods</h3><div>CT-based quantitative measurements were obtained in patients undergoing vestibular neurectomy with a presigmoid approach. Eighteen patients were enrolled, and five measures were taken: Trautmann’s area, the petro-clival angle, presigmoid dura length and its angle. The relationship between these measurements and hospitalization days, operating times, and complications was explored.</div></div><div><h3>Results</h3><div>The posterior semicircilar canal (PSC)-sigmoid sinus (SS) distance, presigmoid dura- internal auditory canal (IAC)-PSC angle, and duration of surgery are predictors of complications. Specifically, a PSC-sigmoid sinus distance &lt;11 mm, a dura presig-IAC-PSC angle &lt;14 are associated with the highest risk of complications.</div></div><div><h3>Conclusion</h3><div>Preoperative temporal bone CT scan can guide the surgeon through the narrowest areas of the surgical approach. Trautmann’s triangle area and petro-clival angle reduction are challenging and can be faced with combined microscopic-endoscopic technique, and with optics angulation-rotation. The retrolabyrinthine approach can enable hearing preservation and minimal cerebellar retraction.</div></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 341-346"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140903778","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":"Harpoon-marking of deep tongue foreign body for surgical removal","authors":"Sara Costa ,&nbsp;Liliana Igreja ,&nbsp;Telma Feliciano","doi":"10.1016/j.otoeng.2024.09.002","DOIUrl":"10.1016/j.otoeng.2024.09.002","url":null,"abstract":"","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 404-405"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303153","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":"Executive Summary of the Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR) Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management","authors":"Manuel Á. Gómez-Ríos ,&nbsp;José Alfonso Sastre ,&nbsp;Xavier Onrubia-Fuertes ,&nbsp;Teresa López ,&nbsp;Alfredo Abad-Gurumeta ,&nbsp;Rubén Casans-Frances ,&nbsp;David Gómez-Ríos ,&nbsp;José Carlos Garzón ,&nbsp;Vicente Martínez-Pons ,&nbsp;Marta Casalderrey-Rivas ,&nbsp;Miguel Ángel Fernández-Vaquero ,&nbsp;Eugenio Martínez-Hurtado ,&nbsp;Ricardo Martín-Larrauri ,&nbsp;Laura Reviriego-Agudo ,&nbsp;Uxía Gutierrez-Couto ,&nbsp;Javier García-Fernández ,&nbsp;Alfredo Serrano-Moraza ,&nbsp;Luis Jesús Rodríguez Martín ,&nbsp;Carmen Camacho Leis ,&nbsp;Salvador Espinosa Ramírez ,&nbsp;Pedro Charco-Mora","doi":"10.1016/j.otoeng.2024.05.001","DOIUrl":"10.1016/j.otoeng.2024.05.001","url":null,"abstract":"<div><div>The Airway section of the Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) present the Guidelines for the integral management of difficult airway in adult patients. This document provides recommendations based on current scientific evidence, theoretical-educational tools and implementation tools, mainly cognitive aids, applicable to the treatment of the airway in the field of anesthesiology, critical care, emergencies and prehospital medicine. Its principles are focused on the human factors, cognitive processes for decision-making in critical situations and optimization in the progression of the application of strategies to preserve adequate alveolar oxygenation in order to improve safety and quality of care.</div></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 382-399"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141137073","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":"Otosyphilis: Two case reports and review of the English and Spanish literature of the last 24 years","authors":"Montserrat Asensi-Diaz ,&nbsp;Carlos Martin Oviedo ,&nbsp;Justo Ramon Gomez Martinez ,&nbsp;Alejandro Garcia Palomino ,&nbsp;Carlos Serra Smith ,&nbsp;Victor Asensi","doi":"10.1016/j.otoeng.2024.09.003","DOIUrl":"10.1016/j.otoeng.2024.09.003","url":null,"abstract":"<div><div>Syphilis has significantly increased its incidence in Europe and North America in the past 20 years. Although rare, sudden hearing loss might be a complication of syphilis infection. We present two cases of otosyphilis seen in our hospitals and review of the English and Spanish literature already published since 2000.</div></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 373-381"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303156","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":"Resection of left tympanic paraganglioma using blue photoangiolytic laser","authors":"María del Mar Martínez Ruiz-Coello ,&nbsp;Victoria García Peces ,&nbsp;Ramón González Herranz ,&nbsp;Guillermo Plaza Mayor","doi":"10.1016/j.otoeng.2024.05.007","DOIUrl":"10.1016/j.otoeng.2024.05.007","url":null,"abstract":"","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 400-403"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749953","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":"Recurrent peritonsillar abscess in adults: Incidence and risk factors in a prospective longitudinal cohort","authors":"Alejandro Portillo-Medina ,&nbsp;Mireia Golet Fors ,&nbsp;Anna Penella Prat ,&nbsp;Manel Manos ,&nbsp;Sebastian Videla ,&nbsp;Xavier González-Compta","doi":"10.1016/j.otoeng.2024.09.001","DOIUrl":"10.1016/j.otoeng.2024.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>The incidence of recurrent peritonsillar abscess (7.4–22%) was estimated in retrospective studies. The aim of this prospective study was to estimate the cumulative incidence of recurrent peritonsillar abscess and related risk factors.</div></div><div><h3>Methods</h3><div>We performed a prospective longitudinal cohort study. The study included adult patients (≥18 years old) of both sexes who were attended in the emergency facilities of our tertiary hospital, without peritonsillar abscess background, diagnosed of a first episode of peritonsillar abscess and treated with standard of care (abscess drainage and antibiotics). Patients were followed for 24 months. Cumulative incidence of peritonsillar abscess recurrence was estimated and its 95% confidence interval was calculated; and predictive risk factors were assessed.</div></div><div><h3>Results</h3><div>Between January 1^st, 2019 and March 9^th, 2020, a total of 181 consecutive patients were included. The cumulative incidence of recurrent peritonsillar abscess at 2 years of the diagnosis was 9.9% (18 out of 181, 95% CI: 6.4–15.2%). The only risk factor associated with recurrent peritonsillar abscess in multivariate analysis was low plasma glucose level at the time of emergency room attendance (HR: 0.46, 95% CI: 0.24–0.91, p-value: 0.026).</div></div><div><h3>Conclusion</h3><div>Peritonsillar abscess is an incident medical issue, with an established recurrence rate, but with unclear predictive risk factors of recurrence. Further studies are needed to assess the risk factor associated with recurrent peritonsillar abscess.</div></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 361-366"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303166","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}