Acta otorrinolaringologica espanola最新文献_第9页

Utility of sialendoscopy in the management of juvenile recurrent parotitis. Retrospective study 鞘内镜在治疗青少年复发性腮腺炎中的作用。回顾性研究。

Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otoeng.2024.05.006

Maider Andueza Guembe, Carlos Miguel Chiesa Estomba, Carlos Saga Gutiérrez, Izaskun Thomas Arrizabalaga, Marta Ábrego Olano, María Vázquez Quintano, Xabier Altuna Mariezcurren

{"title":"Utility of sialendoscopy in the management of juvenile recurrent parotitis. Retrospective study","authors":"Maider Andueza Guembe, Carlos Miguel Chiesa Estomba, Carlos Saga Gutiérrez, Izaskun Thomas Arrizabalaga, Marta Ábrego Olano, María Vázquez Quintano, Xabier Altuna Mariezcurren","doi":"10.1016/j.otoeng.2024.05.006","DOIUrl":"10.1016/j.otoeng.2024.05.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Juvenile recurrent parotitis is a rare disease characterized by repeated episodes of inflammation affecting, unilaterally or bilaterally, the parotid glands during childhood.</p></div><div><h3>Material and methods</h3><p>Retrospective study including patients diagnosed with juvenile recurrent parotitis between January 2010 and September 2020 at a tertiary level hospital, with the aim of evaluating the results of medical treatment and sialendoscopy.</p></div><div><h3>Results</h3><p>A total of 48 patients met the inclusion criteria and had a mean follow-up of 4 years (SD = 3; Min: 2/Max: 12). Regarding treatment, 34 (70.8%) patients received conservative treatment and had a mean of 5 episodes (SD = 3; Min: 2/Max: 13) until symptom resolution. Meanwhile, 14 (29.2%) patients underwent sialendoscopy, of which two (12%) required reintervention. In 100% (14) of the patients treated with sialendoscopy, the findings were consistent with JRP and, after sialendoscopy, a statistically significant reduction in episodes was observed, with a mean of 1 post-intervention episode (SD = 1.5; Min:0/Max: 6) (<em>P</em> < .001).</p></div><div><h3>Conclusions</h3><p>The results obtained in this study suggest that sialendoscopy is a useful tool in the treatment of juvenile recurrent parotitis. However, new studies comparing the results of sialendoscopy with other therapeutic alternatives are necessary.</p></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 5","pages":"Pages 304-309"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749954","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

Clinical profile, otologic, and auditory outcomes in patients with Down syndrome 唐氏综合征患者的临床概况、耳科和听力结果。

Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otoeng.2024.05.003

{"title":"Clinical profile, otologic, and auditory outcomes in patients with Down syndrome","authors":"","doi":"10.1016/j.otoeng.2024.05.003","DOIUrl":"10.1016/j.otoeng.2024.05.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Even though the incidence has decreased in recent years, Down syndrome (DS) remains the most common chromosomal disorder today. Despite being a condition with multisystemic involvement, it often tends to affect the head and neck area, making it a frequent reason for consultation with pediatric otolaryngologists or otologists. The purpose of this work is to be one of the first in Spain to characterize and describe the pathology and therapeutic approach typically provided to these patients, analyzing the evolution from a clinical and auditory perspective.</p></div><div><h3>Material and methods</h3><p>We aim to analyze a sample of 16 pediatric patients recruited over the past 24 years, diagnosed with Down syndrome, and experiencing a wide range of diseases affecting the ear and its auditory function.</p></div><div><h3>Results</h3><p>62.50% of the patients were women, whose main reason for seeking specialist care was acute and serous otitis media, accounting for 31.25%. These patients have an indication for treatment for various entities within the otological sphere that usually do not differ from those of a healthy child. However, the evolution and response to treatments can take on a torpid character due to the anatomical characteristics of the ears of these patients.</p></div><div><h3>Conclusions</h3><p>Although the frequency of children with DS in the pediatric otolaryngologist's clinic is decreasing, these patients have a predisposition to ear diseases with auditory repercussions, with variable evolution depending on the disease and the child's intrinsic characteristics.</p></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 5","pages":"Pages 296-303"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187124","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

Update and validation of the early word perception test in the Spanish language 西班牙语早期词语感知测试的更新和验证。

Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otoeng.2023.11.002

{"title":"Update and validation of the early word perception test in the Spanish language","authors":"","doi":"10.1016/j.otoeng.2023.11.002","DOIUrl":"10.1016/j.otoeng.2023.11.002","url":null,"abstract":"<div><h3>Introduction</h3><p>It is extremely important to assess speech perception skills in children with hearing loss, since these skills are essential to guide the rehabilitation process.</p></div><div><h3>Objective</h3><p>Update and validate the Early Speech Perception test in Spanish in normal-hearing children.</p></div><div><h3>Method</h3><p>Different drawings were selected from children's books used daily in the work of teachers and speech therapists. 69 children aged between 3 and 8 years old participated in the study, divided into 6 groups by age (group 1, 3 years of age (<em>n</em> = 13); group 2, 4 years of age (<em>n</em> = 15); group 3, 5 years of age (<em>n</em> = 12); group 4, 6 years of age (<em>n</em> = 8); group 5, 7 years of age (<em>n</em> = 10); group 6, 8 years of age (<em>n</em> = 11)). For each category of the test, the children had to name and point to the corresponding drawing.</p></div><div><h3>Results</h3><p>The difference between age and gender groups was statistically evaluated. For the naming phase, a significant difference was observed between groups 1 and group 5; and between group 1 and group 6. For the pointing phase there was no difference between the groups, and in all groups, there was a score greater than 98%. In relation to gender, there was no difference between the groups.</p></div><div><h3>Conclusion</h3><p>The present study demonstrates that the material developed to assess auditory reception in normal-hearing children from 3 to 8 years old is appropriate.</p></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 5","pages":"Pages 281-287"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023641","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

Variants of posterior semicircular canal involvement in benign paroxysmal positional vertigo 良性阵发性位置性眩晕的后半规管受累变异。

Acta otorrinolaringologica espanola Pub Date : 2024-09-01 DOI: 10.1016/j.otoeng.2024.01.013

{"title":"Variants of posterior semicircular canal involvement in benign paroxysmal positional vertigo","authors":"","doi":"10.1016/j.otoeng.2024.01.013","DOIUrl":"10.1016/j.otoeng.2024.01.013","url":null,"abstract":"<div><p>Benign paroxysmal positional vertigo is the most common cause of peripheral vertigo. It is characterized by short and recurrent episodes of vertigo, trigged by specific head movements that displace otoconia within the semicircular canals. The movement of dislodge otoconia from the utricle cause abnormal positional endolymphatic currents. Primary treatment involves reposition maneuvers aimed at moving the displaced otoconia out the affected canal, therefore correct identification of the affected canal is essential for the diagnosis. The posterior semicircular canal (PSC) is the most frequently affected due to its spatial orientation and the force of gravity. Recent technological advances have allowed for better assessment of positional nystagmus during diagnostic and therapeutic maneuvers, revealing various possible scenarios of PSC involvement. Regarding the PSC, otoconia may be found in different parts of the canal, and not just in the expected location, floating in the long arm of the canal. The understanding of these variants is crucial, as the prognosis and the disease progression differ in such cases. This review aims to describe the six possible variants of PSC involvement described so far.</p></div>","PeriodicalId":93855,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 5","pages":"Pages 324-334"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029774","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

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