Acta otorrinolaringologica espanola最新文献_第7页

Acute vertigo with diplopia: that’s central, right? 急性眩晕伴复视：这是中枢性的，对吗？

Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otoeng.2024.01.007

引用次数: 0

Fibromyxoid ossifying tumor in the supraclavicular region 锁骨上区域的纤维肌骨化性肿瘤。

Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otoeng.2024.02.002

引用次数: 0

Bone cement in ossicular chain reconstruction: systematic review and meta-analysis 骨水泥在骨链重建中的应用：系统回顾和荟萃分析。

Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otoeng.2024.01.005

{"title":"Bone cement in ossicular chain reconstruction: systematic review and meta-analysis","authors":"","doi":"10.1016/j.otoeng.2024.01.005","DOIUrl":"10.1016/j.otoeng.2024.01.005","url":null,"abstract":"<div><h3>Objectives</h3><p>To compare the hearing outcomes of ossicular chain reconstruction using bone cement versus other materials such as prostheses and autografts.</p></div><div><h3>Methods</h3><p>This study included articles that compared hearing outcomes in patients with conductive hearing loss who underwent stapes revision surgery or chronic otitis media surgery. A systematic search for articles from January 2000 to February 2022 was conducted in Medline, Embase, and Cochrane Library databases. Only articles in English were included. An effective postoperative air-bone gap (ABG) was defined as ≤20 dB. A bias assessment tool was developed according to Cochrane guidelines, and the chi-square test was used to evaluate the mean age of the samples.</p></div><div><h3>Results</h3><p>Of the 418 studies that met the selection criteria, only seven were eligible for this study, consisting of 187 patients in the bone cement group and 173 in the non-bone cement group. Ossiculoplasty using bone cement yielded significantly better results, with a combined odds ratio (OR) of 2.03 (95% CI: 1.16–3.55, p = 0.01).</p></div><div><h3>Conclusions</h3><p>The results of this study suggest that the effectiveness of bone cement in ossiculoplasty was greater than that of other materials in chronic otitis media surgery or stapes revision surgery, with a higher number of patients achieving ABG ≤20 dB.</p></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 5","pages":"Pages 316-323"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725264","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

The tortuous course of the anterior ethmoidal artery in the orbit: A cadaveric study 乙状前动脉在眼眶内的曲折走向：尸体研究

Acta otorrinolaringologica espanola Pub Date : 2024-07-01 DOI: 10.1016/j.otoeng.2023.12.001

{"title":"The tortuous course of the anterior ethmoidal artery in the orbit: A cadaveric study","authors":"","doi":"10.1016/j.otoeng.2023.12.001","DOIUrl":"10.1016/j.otoeng.2023.12.001","url":null,"abstract":"<div><h3>Aim</h3><p>The study aimed to define the coursing pattern of the anterior ethmoidal artery (AEA) in the orbit to minimize complications during endoscopic interventions.</p></div><div><h3>Materials and methods</h3><p>A total of ten formalin-fixed cadaveric halves were included in the study. Orbital regions were shown with a superior approach. The superior rectus and superior oblique muscles, as well as the connective tissue and vessels were removed to observe the path of the anterior ethmoidal artery. Measurements such as the width of the artery, the anterior-posterior length of the U formation, the length of the intraorbital part of the ophthalmic artery, and the distance of the AEA from its opthalmic origin to the anterior ethmoidal foramen were made.</p></div><div><h3>Results</h3><p>Ten of the AEAs originated from the ophthalmic artery. The AEA branches originated from the ophthalmic artery approximately 18.4 mm after the orbital artery entered the orbital, and the mean width of the AEAs was 0.82 mm. In seven of the total anterior ethmoidal arteries, they coursed in the intraethmoidal cavities below the cranial base. The mean distance from the origin of AEAs to the medial wall of the orbit was 4.9 mm. After leaving the ophthalmic artery, seven of the AEAs were coursing forward and turned back ('U' turn formation), which have proximately 1.5 mm in anteroposterior direction.</p></div><div><h3>Conclusion</h3><p>The anterior ethmoidal artery is 0.8 mm wide, originates from the distal part of the ophthalmic artery, entering the orbit after a 1.5 mm U-turn.</p></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 4","pages":"Pages 217-223"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139820214","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

Predictors of effusion viscosity in otitis media with effusion: neutrophil lymphocyte ratio versus mean platelet volume 中耳炎渗出液粘稠度的预测因素：中性粒细胞淋巴细胞比值与平均血小板体积。

Acta otorrinolaringologica espanola Pub Date : 2024-07-01 DOI: 10.1016/j.otoeng.2023.11.001

{"title":"Predictors of effusion viscosity in otitis media with effusion: neutrophil lymphocyte ratio versus mean platelet volume","authors":"","doi":"10.1016/j.otoeng.2023.11.001","DOIUrl":"10.1016/j.otoeng.2023.11.001","url":null,"abstract":"<div><h3>Objetivos</h3><p>comparar entre el índice de neutrófilos linfocitos (NLR) y el volumen plaquetario medio (VPM) en la predicción de la viscosidad del derrame en la otitis media con derrame.</p></div><div><h3>Materiales y métodos</h3><p><span>Se incluyeron en el estudio 248 niños con derrame en el oído medio. Se evaluaron los hemogramas completos (CBC) preoperatorios. Se registraron los valores de NLR y </span>MPV. La viscosidad del derrame se evaluó durante la cirugía mientras se aspiraba el derrame después de la miringotomía. Se clasificaron 2 tipos de derrames; tipos serosos y mucoides.</p></div><div><h3>Resultados</h3><p>se reportaron diferencias estadísticamente significativas en NLR y MPV entre los derrames serosos y mucoides. Los valores de corte de NLR y MPV para diferenciar entre derrames serosos y mucoides fueron 1,21 y 7,95 respectivamente. Cuando se compararon NLR y MPV, NLR pareció tener mayor sensibilidad, especificidad y precisión diagnóstica que MPV.</p></div><div><h3>Conclusión</h3><p>NLR es superior a MPV como predictor de la viscosidad del derrame en otitis media con derrame. Ambos marcadores se consideran rentables y fiables para la evaluación de la viscosidad del derrame.</p></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 4","pages":"Pages 205-209"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467473","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

Cavernous hemangioma of the head and neck in adults. Differential diagnosis of neck and salivary gland masses 成人头颈部海绵状血管瘤。颈部和唾液腺肿块的鉴别诊断。

Acta otorrinolaringologica espanola Pub Date : 2024-07-01 DOI: 10.1016/j.otoeng.2024.02.001

引用次数: 0

Disease-free survival and response to therapy of clinically node- negative Papillary Thyroid Cancer treated without central neck dissection: Retrospective study of 321 patients 临床结节阴性甲状腺乳头状癌的无病生存期和对治疗的反应：321例患者的回顾性研究。

Acta otorrinolaringologica espanola Pub Date : 2024-07-01 DOI: 10.1016/j.otoeng.2024.01.006

{"title":"Disease-free survival and response to therapy of clinically node- negative Papillary Thyroid Cancer treated without central neck dissection: Retrospective study of 321 patients","authors":"","doi":"10.1016/j.otoeng.2024.01.006","DOIUrl":"10.1016/j.otoeng.2024.01.006","url":null,"abstract":"<div><h3>Background and objective</h3><p>Nodal metastases in the central compartment are frequent in papillary thyroid cancer (PTC). However, they are mostly micrometastases with no impact on survival and their relevance on the risk of locoregional relapse is controversial.</p><p>There is no consensus regarding optimal management of the central neck in patients with PTC cN0. In our center, we do not perform prophylactic central neck dissection (pCND). The objective of this study is to review our long-term results and compare them with the most recent literature.</p></div><div><h3>Patients and methods</h3><p>Retrospective review of patients with PTC who underwent total thyroidectomy (TT) without CND between 2005 and 2017. Primary result was disease-free survival in the neck (DFS).</p></div><div><h3>Results</h3><p>321 patients were identified, mostly T1-T2 tumors (94.1%). Median follow-up was 90 months. DFS in the central compartment was excellent (96.1% at 10 year’s follow-up). 19 patients had cervical recurrence, of which 15 underwent salvage surgery.</p><p>On their last visit, including salvage surgery when appropriate, 77% of patients had excellent response, 18.7% had indeterminate response, 3.1% had biochemically incomplete response and 1.2% had morphologically incomplete response. Recurrent laryngeal nerve (RLN) paralysis after TT was transient in 4.7% of patients and permanent in 0.9% of patients. There were no RLN paralysis after salvage surgery. Permanent hypoparathyroidism occurred in 3.4% of patients. Only one patient had hypoparathyroidism after salvage surgery and it was permanent.</p></div><div><h3>Conclusions</h3><p>Based on long-term results and low rate of complications associated with salvage surgery in our experience, we consider routine pCND is not justified.</p></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 4","pages":"Pages 224-230"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725268","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

Posterior semicircular canal involvement in sudden hearing loss 突发性听力损失的后半规管受累。

Acta otorrinolaringologica espanola Pub Date : 2024-07-01 DOI: 10.1016/j.otoeng.2024.01.010

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Comments on the article: Diagnostic yield of the genetic study in adults with sensorineural hearing loss 对文章的评论：感音神经性听力损失成年人基因研究的诊断率。

Acta otorrinolaringologica espanola Pub Date : 2024-07-01 DOI: 10.1016/j.otoeng.2023.12.002

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Dysphonia and other voice alterations associated with COVID-19: Systematic review 与 COVID-19 相关的发音障碍和其他嗓音改变：系统回顾

Acta otorrinolaringologica espanola Pub Date : 2024-07-01 DOI: 10.1016/j.otoeng.2024.02.005

引用次数: 0