Acta otorrinolaringologica espanola最新文献

{"title":"Transethmoidal meningoencephalocele: Endoscopic and radiological morphology","authors":"Ainhoa García-LLiberós , Moisés Sánchez-Pardo , Enrique Zapater-Latorre","doi":"10.1016/j.otoeng.2024.09.007","DOIUrl":"10.1016/j.otoeng.2024.09.007","url":null,"abstract":"","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 1","pages":"Pages 67-68"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696080","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":"Does the number of loops affect the results of barbed pharyngoplasties? A retrospective comparison in two techniques","authors":"Marina Carrasco Llatas ,&nbsp;Paula Martínez Ruiz de Apodaca ,&nbsp;Elena González Turienzo ,&nbsp;Miguel Martínez Moreno ,&nbsp;Felipe Domínguez Celis ,&nbsp;Giovanni Cammaroto ,&nbsp;Claudio Vicini","doi":"10.1016/j.otoeng.2024.07.003","DOIUrl":"10.1016/j.otoeng.2024.07.003","url":null,"abstract":"<div><h3>Introduction</h3><div>The use of barbed sutures for pharyngoplasty techniques is a new trend in sleep apnea surgery, but little is known about its short-term results depending on the different techniques. The purpose of this study was to analyse the surgical results in two different centres using barbed sutures with different barbed pharyngoplasty techniques.</div></div><div><h3>Material and methods</h3><div>This is a multicenter retrospective study of patients with obstructive sleep apnea (OSA) undergoing surgery, all of whom underwent pharyngoplasty with barbed suture using a classic or modified technique, which may or may not be associated with other surgical techniques. A univariate and multivariate statistical analysis were performed to assess the relationship of these surgical techniques with surgical success and with different descriptive variables.</div></div><div><h3>Results</h3><div>The final sample size was 126 patients. A surgical success rate of 39.7% was obtained for a postoperative AHI &lt; 10/h and a 51.6% success rate according to Sher's criteria. A greater proportion of success was observed in the modified barbed pharyngoplasty technique that was not maintained after the multivariate analysis, as with other factors such as age, ODI or the presence of nasal surgery.</div></div><div><h3>Conclusion</h3><div>Non-resective pharyngoplasty with barbed sutures is an effective technique for the treatment of OSA in selected patients, with both the classic technique and the modified alternatives having good postoperative results, with no differences observed in relation to surgical success between both. More studies are necessary to evaluate the differences between both techniques in more homogeneous groups.</div></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 1","pages":"Pages 25-30"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303151","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":"Hemilarynx immobility in patient with syringomyelia","authors":"Alejandro Klein-Rodríguez","doi":"10.1016/j.otoeng.2024.07.001","DOIUrl":"10.1016/j.otoeng.2024.07.001","url":null,"abstract":"","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 1","pages":"Pages 50-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303154","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":"Laryngeal chondrosarcoma, a 30-year series","authors":"Patrícia Fernandes Lopes ,&nbsp;Joana Nascimento ,&nbsp;Gustavo Rocha ,&nbsp;Catarina Tinoco ,&nbsp;Ana Hebe ,&nbsp;Pedro Montalvão ,&nbsp;Miguel Magalhães","doi":"10.1016/j.otoeng.2024.09.004","DOIUrl":"10.1016/j.otoeng.2024.09.004","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Laryngeal chondrosarcoma is a rare laryngeal pathology arising from cartilaginous structures and is predominantly found in the cricoid cartilage. This study investigates its presentation, treatment modalities and patient outcomes.</div></div><div><h3>Patients or materials and methods</h3><div>Retrospective study of laryngeal chondrosarcoma cases followed from 1992 to 2022 in the Otorhinolaryngology department of a cancer center - Instituto Português de Oncologia de Lisboa. Statistical analysis was made with Microsoft Excel® and SPSS®.</div></div><div><h3>Results</h3><div>We identified 16 cases, of which two-thirds were male, with an average age of 59.6 years, and only 24% of them had a history of smoking. The commonest presentation was indolent dysphonia and/or dyspnea, and the posterior arch of the cricoid cartilage was the most affected place. Although histopathological studies after biopsy were often inconclusive, surgery emerged as the first-line of treatment for all patients. Larynx microsurgery with lesion debulking was the most frequent surgical approach (47%) followed by partial laryngectomy (24%). Neither adjuvant radiotherapy (RT) nor chemotherapy was administered in any of the cases. There was residual tumor in 23% of the cases so half of these patients were in watchful waiting while the other part underwent further microsurgery or total laryngectomy. Only one patient with recurrence received RT. Disease-specific survival rate at 1 and 5 years was 97% and 91%, respectively.</div></div><div><h3>Conclusion</h3><div>Laryngeal chondrosarcoma etiology is still unknown and is effectively treated with surgery, with a generally favorable prognosis. The main concern lies in its propensity to relapse, highlighting the importance of watchful follow-up.</div></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 1","pages":"Pages 20-24"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303155","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":"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}