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Publisher: Elsevier   (Total: 3163 journals)

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Showing 1 - 200 of 3163 Journals sorted alphabetically
A Practical Logic of Cognitive Systems     Full-text available via subscription   (Followers: 9)
AASRI Procedia     Open Access   (Followers: 14)
Academic Pediatrics     Hybrid Journal   (Followers: 30, SJR: 1.655, h-index: 2)
Academic Radiology     Hybrid Journal   (Followers: 22, SJR: 1.015, h-index: 2)
Accident Analysis & Prevention     Partially Free   (Followers: 88, SJR: 1.462, h-index: 3)
Accounting Forum     Hybrid Journal   (Followers: 25, SJR: 0.932, h-index: 2)
Accounting, Organizations and Society     Hybrid Journal   (Followers: 35, SJR: 1.771, h-index: 3)
Achievements in the Life Sciences     Open Access   (Followers: 5)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 7)
Acta Astronautica     Hybrid Journal   (Followers: 394, SJR: 0.758, h-index: 2)
Acta Automatica Sinica     Full-text available via subscription   (Followers: 2)
Acta Biomaterialia     Hybrid Journal   (Followers: 27, SJR: 1.967, h-index: 7)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription   (Followers: 2)
Acta de Investigación Psicológica     Open Access   (Followers: 3)
Acta Ecologica Sinica     Open Access   (Followers: 8, SJR: 0.18, h-index: 1)
Acta Haematologica Polonica     Free   (Followers: 1, SJR: 0.128, h-index: 0)
Acta Histochemica     Hybrid Journal   (Followers: 3, SJR: 0.661, h-index: 2)
Acta Materialia     Hybrid Journal   (Followers: 244, SJR: 3.263, h-index: 6)
Acta Mathematica Scientia     Full-text available via subscription   (Followers: 5, SJR: 0.504, h-index: 1)
Acta Mechanica Solida Sinica     Full-text available via subscription   (Followers: 9, SJR: 0.542, h-index: 1)
Acta Oecologica     Hybrid Journal   (Followers: 10, SJR: 0.834, h-index: 2)
Acta Otorrinolaringologica (English Edition)     Full-text available via subscription  
Acta Otorrinolaringológica Española     Full-text available via subscription   (Followers: 2, SJR: 0.307, h-index: 0)
Acta Pharmaceutica Sinica B     Open Access   (Followers: 1, SJR: 1.793, h-index: 6)
Acta Poética     Open Access   (Followers: 4, SJR: 0.101, h-index: 0)
Acta Psychologica     Hybrid Journal   (Followers: 27, SJR: 1.331, h-index: 2)
Acta Sociológica     Open Access  
Acta Tropica     Hybrid Journal   (Followers: 6, SJR: 1.052, h-index: 2)
Acta Urológica Portuguesa     Open Access  
Actas Dermo-Sifiliograficas     Full-text available via subscription   (Followers: 3, SJR: 0.374, h-index: 1)
Actas Dermo-Sifiliográficas (English Edition)     Full-text available via subscription   (Followers: 2)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 3, SJR: 0.344, h-index: 1)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 1)
Actualites Pharmaceutiques     Full-text available via subscription   (Followers: 6, SJR: 0.19, h-index: 0)
Actualites Pharmaceutiques Hospitalieres     Full-text available via subscription   (Followers: 3)
Acupuncture and Related Therapies     Hybrid Journal   (Followers: 6)
Acute Pain     Full-text available via subscription   (Followers: 15, SJR: 2.671, h-index: 5)
Ad Hoc Networks     Hybrid Journal   (Followers: 11, SJR: 0.53, h-index: 4)
Addictive Behaviors     Hybrid Journal   (Followers: 15, SJR: 1.29, h-index: 3)
Addictive Behaviors Reports     Open Access   (Followers: 8, SJR: 0.755, h-index: 2)
Additive Manufacturing     Hybrid Journal   (Followers: 9, SJR: 2.611, h-index: 8)
Additives for Polymers     Full-text available via subscription   (Followers: 22)
Advanced Cement Based Materials     Full-text available via subscription   (Followers: 3, SJR: 0.732, h-index: 3)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 135, SJR: 4.09, h-index: 13)
Advanced Engineering Informatics     Hybrid Journal   (Followers: 11, SJR: 1.167, h-index: 4)
Advanced Powder Technology     Hybrid Journal   (Followers: 16, SJR: 0.694, h-index: 3)
Advances in Accounting     Hybrid Journal   (Followers: 8, SJR: 0.277, h-index: 1)
Advances in Agronomy     Full-text available via subscription   (Followers: 12, SJR: 2.384, h-index: 5)
Advances in Anesthesia     Full-text available via subscription   (Followers: 28, SJR: 0.126, h-index: 0)
Advances in Antiviral Drug Design     Full-text available via subscription   (Followers: 2)
Advances in Applied Mathematics     Full-text available via subscription   (Followers: 10, SJR: 0.992, h-index: 1)
Advances in Applied Mechanics     Full-text available via subscription   (Followers: 10, SJR: 1.551, h-index: 4)
Advances in Applied Microbiology     Full-text available via subscription   (Followers: 22, SJR: 2.089, h-index: 5)
Advances In Atomic, Molecular, and Optical Physics     Full-text available via subscription   (Followers: 14, SJR: 0.572, h-index: 2)
Advances in Biological Regulation     Hybrid Journal   (Followers: 4, SJR: 2.61, h-index: 7)
Advances in Botanical Research     Full-text available via subscription   (Followers: 2, SJR: 0.686, h-index: 2)
Advances in Cancer Research     Full-text available via subscription   (Followers: 29, SJR: 3.043, h-index: 6)
Advances in Carbohydrate Chemistry and Biochemistry     Full-text available via subscription   (Followers: 7, SJR: 1.453, h-index: 2)
Advances in Catalysis     Full-text available via subscription   (Followers: 5, SJR: 1.992, h-index: 5)
Advances in Cell Aging and Gerontology     Full-text available via subscription   (Followers: 3)
Advances in Cellular and Molecular Biology of Membranes and Organelles     Full-text available via subscription   (Followers: 12)
Advances in Chemical Engineering     Full-text available via subscription   (Followers: 27, SJR: 0.156, h-index: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10, SJR: 0.713, h-index: 1)
Advances in Chronic Kidney Disease     Full-text available via subscription   (Followers: 10, SJR: 1.316, h-index: 2)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 28, SJR: 1.562, h-index: 3)
Advances in Colloid and Interface Science     Full-text available via subscription   (Followers: 19, SJR: 1.977, h-index: 8)
Advances in Computers     Full-text available via subscription   (Followers: 14, SJR: 0.205, h-index: 1)
Advances in Dermatology     Full-text available via subscription   (Followers: 15)
Advances in Developmental Biology     Full-text available via subscription   (Followers: 11)
Advances in Digestive Medicine     Open Access   (Followers: 8)
Advances in DNA Sequence-Specific Agents     Full-text available via subscription   (Followers: 5)
Advances in Drug Research     Full-text available via subscription   (Followers: 23)
Advances in Ecological Research     Full-text available via subscription   (Followers: 42, SJR: 2.524, h-index: 4)
Advances in Engineering Software     Hybrid Journal   (Followers: 27, SJR: 1.159, h-index: 4)
Advances in Experimental Biology     Full-text available via subscription   (Followers: 7)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 43, SJR: 5.39, h-index: 8)
Advances in Exploration Geophysics     Full-text available via subscription   (Followers: 1)
Advances in Fluorine Science     Full-text available via subscription   (Followers: 9)
Advances in Food and Nutrition Research     Full-text available via subscription   (Followers: 53, SJR: 0.591, h-index: 2)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 17)
Advances in Genetics     Full-text available via subscription   (Followers: 15, SJR: 1.354, h-index: 4)
Advances in Genome Biology     Full-text available via subscription   (Followers: 8, SJR: 12.74, h-index: 13)
Advances in Geophysics     Full-text available via subscription   (Followers: 6, SJR: 1.193, h-index: 3)
Advances in Heat Transfer     Full-text available via subscription   (Followers: 21, SJR: 0.368, h-index: 1)
Advances in Heterocyclic Chemistry     Full-text available via subscription   (Followers: 11, SJR: 0.749, h-index: 3)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 22)
Advances in Imaging and Electron Physics     Full-text available via subscription   (Followers: 2, SJR: 0.193, h-index: 0)
Advances in Immunology     Full-text available via subscription   (Followers: 37, SJR: 4.433, h-index: 6)
Advances in Inorganic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 1.163, h-index: 2)
Advances in Insect Physiology     Full-text available via subscription   (Followers: 2, SJR: 1.938, h-index: 3)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 6, SJR: 0.176, h-index: 0)
Advances in Intl. Accounting     Full-text available via subscription   (Followers: 3)
Advances in Life Course Research     Hybrid Journal   (Followers: 8, SJR: 0.682, h-index: 2)
Advances in Lipobiology     Full-text available via subscription   (Followers: 1)
Advances in Magnetic and Optical Resonance     Full-text available via subscription   (Followers: 9)
Advances in Marine Biology     Full-text available via subscription   (Followers: 14, SJR: 0.88, h-index: 2)
Advances in Mathematics     Full-text available via subscription   (Followers: 11, SJR: 3.027, h-index: 2)
Advances in Medical Sciences     Hybrid Journal   (Followers: 6, SJR: 0.694, h-index: 2)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4, SJR: 1.158, h-index: 3)
Advances in Molecular and Cell Biology     Full-text available via subscription   (Followers: 21)
Advances in Molecular and Cellular Endocrinology     Full-text available via subscription   (Followers: 8)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 7, SJR: 0.182, h-index: 0)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 3)
Advances in Oncobiology     Full-text available via subscription   (Followers: 1)
Advances in Organ Biology     Full-text available via subscription   (Followers: 1)
Advances in Organometallic Chemistry     Full-text available via subscription   (Followers: 16, SJR: 1.875, h-index: 4)
Advances in Parallel Computing     Full-text available via subscription   (Followers: 6, SJR: 0.174, h-index: 0)
Advances in Parasitology     Full-text available via subscription   (Followers: 5, SJR: 1.579, h-index: 4)
Advances in Pediatrics     Full-text available via subscription   (Followers: 24, SJR: 0.461, h-index: 1)
Advances in Pharmaceutical Sciences     Full-text available via subscription   (Followers: 10)
Advances in Pharmacology     Full-text available via subscription   (Followers: 16, SJR: 1.536, h-index: 3)
Advances in Physical Organic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 0.574, h-index: 1)
Advances in Phytomedicine     Full-text available via subscription  
Advances in Planar Lipid Bilayers and Liposomes     Full-text available via subscription   (Followers: 3, SJR: 0.109, h-index: 1)
Advances in Plant Biochemistry and Molecular Biology     Full-text available via subscription   (Followers: 8)
Advances in Plant Pathology     Full-text available via subscription   (Followers: 5)
Advances in Porous Media     Full-text available via subscription   (Followers: 5)
Advances in Protein Chemistry     Full-text available via subscription   (Followers: 18)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 19, SJR: 0.791, h-index: 2)
Advances in Psychology     Full-text available via subscription   (Followers: 59)
Advances in Quantum Chemistry     Full-text available via subscription   (Followers: 6, SJR: 0.371, h-index: 1)
Advances in Radiation Oncology     Open Access   (SJR: 0.263, h-index: 1)
Advances in Small Animal Medicine and Surgery     Hybrid Journal   (Followers: 3, SJR: 0.101, h-index: 0)
Advances in Space Biology and Medicine     Full-text available via subscription   (Followers: 5)
Advances in Space Research     Full-text available via subscription   (Followers: 386, SJR: 0.569, h-index: 2)
Advances in Structural Biology     Full-text available via subscription   (Followers: 5)
Advances in Surgery     Full-text available via subscription   (Followers: 10, SJR: 0.555, h-index: 2)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 29, SJR: 2.208, h-index: 4)
Advances in Veterinary Medicine     Full-text available via subscription   (Followers: 17)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 13)
Advances in Virus Research     Full-text available via subscription   (Followers: 5, SJR: 2.262, h-index: 5)
Advances in Water Resources     Hybrid Journal   (Followers: 46, SJR: 1.551, h-index: 3)
Aeolian Research     Hybrid Journal   (Followers: 6, SJR: 1.117, h-index: 3)
Aerospace Science and Technology     Hybrid Journal   (Followers: 335, SJR: 0.796, h-index: 3)
AEU - Intl. J. of Electronics and Communications     Hybrid Journal   (Followers: 8, SJR: 0.42, h-index: 2)
African J. of Emergency Medicine     Open Access   (Followers: 6, SJR: 0.296, h-index: 0)
Ageing Research Reviews     Hybrid Journal   (Followers: 10, SJR: 3.671, h-index: 9)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 438, SJR: 1.238, h-index: 3)
Agri Gene     Hybrid Journal   (SJR: 0.13, h-index: 0)
Agricultural and Forest Meteorology     Hybrid Journal   (Followers: 15, SJR: 1.818, h-index: 5)
Agricultural Systems     Hybrid Journal   (Followers: 31, SJR: 1.156, h-index: 4)
Agricultural Water Management     Hybrid Journal   (Followers: 43, SJR: 1.272, h-index: 3)
Agriculture and Agricultural Science Procedia     Open Access   (Followers: 1)
Agriculture and Natural Resources     Open Access   (Followers: 2)
Agriculture, Ecosystems & Environment     Hybrid Journal   (Followers: 56, SJR: 1.747, h-index: 4)
Ain Shams Engineering J.     Open Access   (Followers: 5, SJR: 0.589, h-index: 3)
Air Medical J.     Hybrid Journal   (Followers: 6, SJR: 0.26, h-index: 0)
AKCE Intl. J. of Graphs and Combinatorics     Open Access   (SJR: 0.19, h-index: 0)
Alcohol     Hybrid Journal   (Followers: 11, SJR: 1.153, h-index: 3)
Alcoholism and Drug Addiction     Open Access   (Followers: 9)
Alergologia Polska : Polish J. of Allergology     Full-text available via subscription   (Followers: 1)
Alexandria Engineering J.     Open Access   (Followers: 1, SJR: 0.604, h-index: 3)
Alexandria J. of Medicine     Open Access   (Followers: 1, SJR: 0.191, h-index: 1)
Algal Research     Partially Free   (Followers: 10, SJR: 1.142, h-index: 4)
Alkaloids: Chemical and Biological Perspectives     Full-text available via subscription   (Followers: 2)
Allergologia et Immunopathologia     Full-text available via subscription   (Followers: 1, SJR: 0.504, h-index: 1)
Allergology Intl.     Open Access   (Followers: 5, SJR: 1.148, h-index: 2)
Alpha Omegan     Full-text available via subscription   (SJR: 3.521, h-index: 6)
ALTER - European J. of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 9, SJR: 0.201, h-index: 1)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 50, SJR: 4.66, h-index: 10)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 4, SJR: 1.796, h-index: 4)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 4, SJR: 1.108, h-index: 3)
Ambulatory Pediatrics     Hybrid Journal   (Followers: 6)
American Heart J.     Hybrid Journal   (Followers: 50, SJR: 3.267, h-index: 4)
American J. of Cardiology     Hybrid Journal   (Followers: 51, SJR: 1.93, h-index: 3)
American J. of Emergency Medicine     Hybrid Journal   (Followers: 44, SJR: 0.604, h-index: 1)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 10)
American J. of Geriatric Psychiatry     Hybrid Journal   (Followers: 14, SJR: 1.524, h-index: 3)
American J. of Human Genetics     Hybrid Journal   (Followers: 32, SJR: 7.45, h-index: 8)
American J. of Infection Control     Hybrid Journal   (Followers: 26, SJR: 1.062, h-index: 2)
American J. of Kidney Diseases     Hybrid Journal   (Followers: 34, SJR: 2.973, h-index: 4)
American J. of Medicine     Hybrid Journal   (Followers: 43)
American J. of Medicine Supplements     Full-text available via subscription   (Followers: 3, SJR: 1.967, h-index: 2)
American J. of Obstetrics and Gynecology     Hybrid Journal   (Followers: 201, SJR: 2.7, h-index: 4)
American J. of Ophthalmology     Hybrid Journal   (Followers: 62, SJR: 3.184, h-index: 4)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 6, SJR: 0.265, h-index: 0)
American J. of Orthodontics and Dentofacial Orthopedics     Full-text available via subscription   (Followers: 6, SJR: 1.289, h-index: 1)
American J. of Otolaryngology     Hybrid Journal   (Followers: 25, SJR: 0.59, h-index: 1)
American J. of Pathology     Hybrid Journal   (Followers: 27, SJR: 2.139, h-index: 4)
American J. of Preventive Medicine     Hybrid Journal   (Followers: 27, SJR: 2.164, h-index: 4)
American J. of Surgery     Hybrid Journal   (Followers: 37, SJR: 1.141, h-index: 2)
American J. of the Medical Sciences     Hybrid Journal   (Followers: 12, SJR: 0.767, h-index: 1)
Ampersand : An Intl. J. of General and Applied Linguistics     Open Access   (Followers: 6)
Anaerobe     Hybrid Journal   (Followers: 4, SJR: 1.144, h-index: 3)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 63, SJR: 0.138, h-index: 0)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 15, SJR: 0.411, h-index: 1)
Anales de Cirugia Vascular     Full-text available via subscription  
Anales de Pediatría     Full-text available via subscription   (Followers: 3, SJR: 0.277, h-index: 0)
Anales de Pediatría (English Edition)     Full-text available via subscription  
Anales de Pediatría Continuada     Full-text available via subscription  
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5, SJR: 4.849, h-index: 10)
Analytica Chimica Acta     Hybrid Journal   (Followers: 39, SJR: 1.512, h-index: 5)
Analytical Biochemistry     Hybrid Journal   (Followers: 173, SJR: 0.633, h-index: 2)
Analytical Chemistry Research     Open Access   (Followers: 10, SJR: 0.411, h-index: 2)
Analytical Spectroscopy Library     Full-text available via subscription   (Followers: 11)
Anesthésie & Réanimation     Full-text available via subscription   (Followers: 2)
Anesthesiology Clinics     Full-text available via subscription   (Followers: 23, SJR: 0.683, h-index: 2)
Angiología     Full-text available via subscription   (SJR: 0.121, h-index: 0)
Angiologia e Cirurgia Vascular     Open Access   (Followers: 1, SJR: 0.111, h-index: 0)

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Journal Cover
Acta Otorrinolaringologica (English Edition)
Number of Followers: 0  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 2173-5735
Published by Elsevier Homepage  [3163 journals]
  • Cleft Lip and Palate Subjects Prevalence of Abnormal Stylohyoid Complex
           and Tonsilloliths on Cone Beam Computed Tomography
    • Authors: Eymi Valery Cazas-Duran; Izabel Regina Fischer Rubira-Bullen; Otávio Pagin; Bruna Stuchi Centurion-Pagin
      Pages: 61 - 66
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Eymi Valery Cazas-Duran, Izabel Regina Fischer Rubira-Bullen, Otávio Pagin, Bruna Stuchi Centurion-Pagin
      Introduction and objectives Tonsilloliths and abnormal stylohyoid complex may have similar symptoms to others of different aetiology. Individuals with cleft lip and palate describe similar symptoms because of the anatomical implications that are peculiar to this anomaly. The aim of this study was to determine the prevalence of abnormal stylohyoid complex and tonsilloliths on cone beam computed tomography in individuals with cleft lip and palate. Methods According to the inclusion and exclusion criteria, 66 CT scans out of 2794 were analysed, on i-Cat® vision software with 0.8 index Kappa intra-examiner. Results The total prevalence of ossification of the incomplete stylohyoid complex in individuals with cleft lip and palate was 66.6%; the prevalence of these findings in females was 75% and 61.9% in males. The total prevalence of tonsilloliths was 7.5%. Conclusion It is important to ascertain calcification of the stylohyoid complex and tonsilloliths in the radiological report, due to the anatomical proximity and similar symptomatology to other orofacial impairments in individuals with cleft lip and palate, focusing on females with oral cleft formation, patients with incisive trans foramen cleft and incisive post foramen cleft because they are more prevalent. Greater knowledge of the anatomical morphometry of individuals with cleft lip and palate greatly contributes towards the selection of clinical behaviours and the quality of life of these patients, since cleft lip and palates one of the most common anomalies.

      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otoeng.2017.07.001
       
  • Discrepancy between clinical and pathological neck staging in oral cavity
           carcinomas
    • Authors: Vânia Henriques; Eduardo Breda; Eurico Monteiro
      Pages: 67 - 73
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Vânia Henriques, Eduardo Breda, Eurico Monteiro
      Introduction The presence of cervical lymph node metastases in patients with oral cavity squamous cell carcinoma reduces survival by up to 50%. Objective The aims of this study are to assess the accuracy of clinical N staging versus pathological N staging and its impact on survival in order to identify predictive factors associated with the presence of occult neck metastases. Methods Outcomes of 105 patients with oral cavity squamous cell carcinoma who underwent surgical treatment of the primary tumor and neck were retrospectively evaluated. Results For pN0 and pN+ patients 5-year overall survival was respectively 53% and 27%; disease specific survival was 66% for pN0 and 33% for pN+. Patients with clinical negative lymph nodes were pathologically upstaged in 62% of cases. Disease specific survival according to staging discrepancy had statistically significant impact on survival (p =0.009). Conclusion Clinical staging usually underestimates the presence of nodal disease. Neck dissection should be performed in cN0 oral cavity squamous cell carcinoma.

      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otorri.2017.02.008
       
  • Impact of Total Laryngectomy on Return to Work
    • Authors: Jose Miguel Costa; Montserrat López; Jacinto García; Xavier León; Miquel Quer
      Pages: 74 - 79
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Jose Miguel Costa, Montserrat López, Jacinto García, Xavier León, Miquel Quer
      Introduction Total laryngectomy is one of the most mutilating oncological operations. There are no specific studies evaluating return to work after this surgery. Patients and methods A cross-sectional study was performed on a sample of 116 laryngectomized patients who were disease-free and had a minimum follow-up of 2 years from total laryngectomy. A survey was conducted to find out their employment situation before and after surgery. At the time of surgery, 62 (53%) were working, 40 (35%) were retired and 14 (12%) were in a disability situation. Results 60% had professions with low qualification requirements, the largest group being construction workers. Of the 62 patients active at the time of total laryngectomy, 29 became inactive and 33 (53%) maintained their work activity. The most important factors in maintaining work activity were the level of professional qualification and the method of vocal rehabilitation. Eighty percent of the patients with high-intermediate qualification maintained their jobs, compared to 35% of those with low professional qualifications (P<.001). Seventy percent of the patients with voice prostheses maintained their work activity, compared to 31% of the patients rehabilitated with oesophageal voice (P=.004). Logistic regression confirmed these as independent variables for continuing to work. Conclusions This is the first study that analyzes the impact of total laryngectomy on the work situation. The most important factors for a return to work were having a high-intermediate skilled job and the use of voice prosthesis as a method of vocal rehabilitation.

      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otoeng.2017.02.013
       
  • Salivary Pepsin Test: Useful and Simple Tool for the Laryngopharyngeal
           Reflux Diagnosis
    • Authors: Luz Barona-Lleó; Claudia Duval; Rafael Barona-de Guzmán
      Pages: 80 - 85
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Luz Barona-Lleó, Claudia Duval, Rafael Barona-de Guzmán
      Introduction and objectives Laryngopharyngeal reflux (LPR) is a disease characterized by the presence of symptoms, signs and tissue damage caused by retrograde flow of gastric contents to the upper aerodigestive tract. It represents up to 10% of otolaryngology consultations. The aim of the study is to describe the findings obtained by applying the salivary pepsin test (PEP-test) in a sample of patients with the clinical suspicion of LPR. Material and methods Our descriptive clinical study included 142 subjects with symptoms suggestive of LPR and a score above 13 on the RSI scale. The subjects underwent laryngeal endoscopy to rule out other pathologies that could justify the symptoms and the salivary pepsin test (PEP-test). The latter was carried out on fasting subjects and a second test one hour after eating, only on those with negative results. Results The results obtained in the tests performed on the 142 patients included in the study were: 105 (73.94%) presented positive results in some of the salivary pepsin tests and the results of both tests were negative in 37 subjects (26.06%). Conclusion The salivary pepsin test is a simple, low-cost, non-invasive and easily repeatable tool which could minimize empirical treatments and invasive tests for LPR diagnosis, although further research is needed for its validation.

      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otoeng.2017.03.002
       
  • Radioguided Surgery in Primary Hyperparathyroidism: Results and
           Correlation With Intraoperative Histopathologic Diagnosis
    • Authors: Juan P. Suárez; María L. Domínguez; Francisco J. de Santos; José M. González; Nuria Fernández; Fidel J. Enciso
      Pages: 86 - 94
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Juan P. Suárez, María L. Domínguez, Francisco J. de Santos, José M. González, Nuria Fernández, Fidel J. Enciso
      Introduction and objectives Radioguided surgery is a minimally invasive surgical technique for the treatment of primary hyperparathyroidism. The goals of our study were to evaluate the rate of success and compare the results with intraoperative histological analysis. Methods We retrospectively studied 84 patients with primary parathyroidism who had undergone radioguided surgery. All the patients had a positive parathyroid scintigraphy prior to surgery. An intravenous injection of Tc-99m sestamibi was administered before surgery, and radioguided location of the pathologic parathyroid tissue was performed using an intraoperative gamma probe, applying the “20% rule”. All resected specimens underwent intraoperative histologic analysis. All patients were followed up for at least 6 months. Positive predictive values of both parathyroid scintigraphy and cervical ultrasonography were also compared. Results Radioguided surgery success rate was 99%. Sensitivity, specificity, positive and negative predictive values for gamma probe were 99%, 73%, 97% and 89%, respectively. After surgery, 83 of 84 patients were eucalcaemic (99%) and parathyroid hormone normalised in 77 of 84 patients (92%). Ultrasonography showed low positive predictive value (41%) when compared with scintigraphy. Conclusions Radioguided surgery is a minimally invasive surgical technique with excellent results for the treatment of primary hyperparathyroidism and could replace both intraoperative histological analysis and intraoperative parathyroid hormone assay. Further studies are needed to confirm these findings.

      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otoeng.2017.04.002
       
  • Correlation Between Measures of Perceptual Assessment of GRB and Contact
           Quotient (CQ)
    • Authors: Rodrigo Maximiliano Jerez
      Pages: 95 - 98
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Rodrigo Maximiliano Jerez
      Objective The aim of the present work is to correlate the perceptual parameters grade, roughness, and breathiness of the GRB scale with the contact quotient (CQ) obtained by electroglotography. Material and method 70 samples of normal and pathological voices were analysed by means of auditory-perceptual analysis and electroglotography. The perceptual analysis was carried out by two expert judges depending on the parameters grade, roughness, and breathiness. The CQ values were obtained through the VoceVista System Version 3.3.7. Results The results show a strong correlation between CQ and breathiness (r =−0.869), whereas between grade of dysphonia and CQ (r =−0.567), and roughness and CQ (r =0.643) the correlation is average. Conclusions It is possible to establish relationships between the vibrational behaviour of the vocal folds and the resulting phenomenon that we perceive auditively. The most relevant parameter in this respect was breathiness. The correlation between grade, roughness and CQ was weaker.

      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otoeng.2017.04.001
       
  • Efficacy of the Myofascial Pectoralis Major Flap in the Reduction of
           Salivary Fistulas After Salvage Total Laryngectomy
    • Authors: Carlos Miguel Chiesa Estomba; Jose Angel González García; Jon Alexander Sistiaga Suarez; Izaskun Thomas Arrizabalaga; Ekhiñe Larruscain Sarasola; Xabier Altuna Mariezcurrena
      Pages: 99 - 104
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Carlos Miguel Chiesa Estomba, Jose Angel González García, Jon Alexander Sistiaga Suarez, Izaskun Thomas Arrizabalaga, Ekhiñe Larruscain Sarasola, Xabier Altuna Mariezcurrena
      Introduction Pharyngocutaneous fistula is the most frequent complication after total laryngectomy. Its incidence varies between 9%–25% in post primary total laryngectomy patients, to 14%–57% in salvage laryngectomy post radiotherapy or post chemotherapy+radiotherapy. The pectoralis major myofascial flap (PMMF) is postulated as a useful tool to decrease the incidence of this complication. Materials and method Retrospective analysis of a group of patients treated by salvage laryngectomy, associated or not with pharyngeal closure reinforcement with PMMF. Results Twenty patients were included, 18 males (90%) and 2 females (10%), in 10 of whom the PMMF was used. The average age was 66.65 years. Seventeen (85%) had a laryngeal tumour and 3 (15%) had a hypopharyngeal tumour. Eight (80%) patients in the non-PMMF group had postoperative fistula, whereas only 2 (20%) patients in the PMMF group had a fistula during the postoperative period (P=.005). The mean time for fistula closure was significantly shorter in the cases where PMMF flap was used (16±11 days vs. 76.8±67 days, P=.001), as was hospital stay (19.6±18 days vs. 83.9±77 days, P=.001). Conclusion The use of PMMF in our series is associated with a lower rate of post salvage laryngectomy fistulas in patients treated primarily by organ preservation protocol for laryngeal/hypopharyngeal cancer. In turn, it promotes local healing by decreasing the mean duration of fistula closure and the mean hospital stay.

      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otoeng.2017.06.012
       
  • Cochleotoxicity monitoring protocol
    • Authors: José Ferreira Penêda; Nuno Barros Lima; Leandro Ribeiro; Diamantino Helena; Bruno Domingues; Artur Condé
      Pages: 105 - 109
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): José Ferreira Penêda, Nuno Barros Lima, Leandro Ribeiro, Diamantino Helena, Bruno Domingues, Artur Condé
      Introduction Cochlear damage is frequent in long-term aminoglycosides therapy or chemotherapeutic treatments with platinum-based agents. Despite its prevalence, it is currently underestimated and underdiagnosed. A monitoring protocol is vital to the early detection of cochleotoxicity and its implementation is widely encouraged in every hospital unit. Our aim was to elaborate a cochleotoxicity monitoring protocol for patients treated with platinum compounds or aminoglycosides antibiotics. Methods PubMed® database was searched using terms relevant to drug cochleotoxicity in order to identify the most adequate protocol. Several articles and guidelines influenced our decision. Results There is no consensus on a universal monitoring protocol. Its formulation and application rely heavily on available resources and personnel. High-frequency audiometry and otoacoustic emissions play an important role on early detection of cochleotoxicity caused by aminoglycoside antibiotics and platinum compounds. Conclusion A cochleotoxicity monitoring protocol consisting on an initial evaluation, treatment follow-up and post-treatment evaluation is proposed.

      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otorri.2017.03.005
       
  • Recurrent Respiratory Papillomatosis With Lung and Chest Wall Involvement:
           A Rare Complication in an Adolescent
    • Authors: Hugo Rodríguez; Giselle Cuestas; Mariana Álvarez; Maira Monaje
      Pages: 110 - 113
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Hugo Rodríguez, Giselle Cuestas, Mariana Álvarez, Maira Monaje


      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otoeng.2016.12.001
       
  • Metastasis of Gallbladder Adenocarcinoma to the Skin of the External
           Auditory Canal, a Case Report
    • Authors: Valery Nuñez Carrasco; Jose Luis Serdio Arias; Juan Jose Artazkoz del Toro; Leticia Melgar Vilaplana
      Pages: 114 - 116
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Valery Nuñez Carrasco, Jose Luis Serdio Arias, Juan Jose Artazkoz del Toro, Leticia Melgar Vilaplana


      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otoeng.2017.01.015
       
  • Castleman's Disease in the Paediatric Neck
    • Authors: Cristina Marco Martin; Roberto Méndez Gallart; Carlos Aliste Santos; Máximo Francisco Fraga Rodriguez; Adolfo Bautista Casasnovas
      Pages: 117 - 119
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Cristina Marco Martin, Roberto Méndez Gallart, Carlos Aliste Santos, Máximo Francisco Fraga Rodriguez, Adolfo Bautista Casasnovas


      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otoeng.2017.03.003
       
  • Arteria lusoria: A rare cause of tracheal compression
    • Authors: Ana Nóbrega-Pinto; Isabel Carvalho; Cecília Almeida-Sousa
      Pages: 120 - 121
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Ana Nóbrega-Pinto, Isabel Carvalho, Cecília Almeida-Sousa


      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otorri.2017.04.004
       
  • Plummer Vinson syndrome
    • Authors: Satvinder Singh Bakshi; Thilagaraj Lokesh Kumar
      Pages: 122 - 123
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Satvinder Singh Bakshi, Thilagaraj Lokesh Kumar


      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otoeng.2017.01.016
       
  • Comments on the Assessment of Nasal Obstruction With Rhinomanometry and
           Subjective Scales and Outcomes of Surgical and Medical Treatment
    • Authors: Francisco Larrosa; Isam Alobid
      First page: 124
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Francisco Larrosa, Isam Alobid


      PubDate: 2018-04-18T10:02:42Z
      DOI: 10.1016/j.otoeng.2017.06.013
       
  • Transoral laser microsurgery as standard approach to hypopharyngeal cancer
           survival analysis in a hospital based population
    • Authors: Eduardo Breda; Raquel Catarino; Eurico Monteiro
      Pages: 1 - 7
      Abstract: Publication date: January–February 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 1
      Author(s): Eduardo Breda, Raquel Catarino, Eurico Monteiro
      Objective Cancer of the hypopharynx remains one of the most challenging chapters in head and neck oncology. The objective of this study is to ascertain the relevance of a transoral laser approach as a valid functional option for treatment of cancer of the hypopharynx in Portugal, and additionally, to confirm the reproducibility of survival and functional outcomes described in other reference centers. Subjects and methods The outcomes of 37 out of 60 patients presenting hypopharyngeal carcinoma primarily treated by TLM (transoral laser microsurgery) and neck dissection and or adjuvant treatment when needed, with curative intention in tertiary referral center, were retrospectively evaluated and compared with published results. Results There were no patients in stage I. Three-year and five-year overall survival (Kaplan–Meier) were 83.5% and 63.5% for stage II (n =12), 57.1% (only 3-year overall survival evaluable for this stage) for stage III (n =7), and 53.1% and 39.8% for stage IVa (n =18), respectively. Five-year local control rates were 90% for stage II and 87.5% for stage IVa, respectively; only three-year local control rates were possible to evaluate for stage III, with a 100% control rate. Five-year total larynx preservation rate was 97.3%. Conclusions TLM, alone or with neck dissection and adjuvant therapy, is a valid procedure for treatment of hypopharyngeal cancer in different stages. Furthermore, this kind of approach can be replicated in different oncologic centers with similar oncologic and functional results.

      PubDate: 2018-02-14T18:04:21Z
      DOI: 10.1016/j.otorri.2016.11.009
       
  • Hypoglossal Nerve Stimulation Surgery for Obstructive Sleep Apnoea: Our
           Preliminary Experience
    • Authors: Peter Baptista; Octavio Garaycochea; Laura Álvarez-Gómez; Juan Alcalde; Manuel Alegre; Elena Urrestarazu
      Pages: 42 - 47
      Abstract: Publication date: January–February 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 1
      Author(s): Peter Baptista, Octavio Garaycochea, Laura Álvarez-Gómez, Juan Alcalde, Manuel Alegre, Elena Urrestarazu
      The objective of this communication is to describe our preliminary results in upper airway stimulation surgery via hypoglossal nerve stimulation implantation for obstructive sleep apnoea. We describe 4 cases and the outcomes of the surgery were analysed using the Epworth scale, apnoea-hypopnoea index, minimal O2 Sat, average O2 Sat and snoring intensity. In all cases a significant reduction in Epworth scale values and apnoea-hypopnoea index were obtained (P<.05). The minimum and average oxygen saturation had better values after the surgery, however, there was no statistically significant difference. The snoring severity measured subjectively changed from “intense” to “absent” in all cases. The preliminary results obtained with the upper airway stimulation surgery via hypoglossal nerve stimulation showed objective and subjective improvement after the implant activation.

      PubDate: 2018-02-14T18:04:21Z
      DOI: 10.1016/j.otoeng.2017.12.005
       
  • Inverted Papilloma of Middle Ear and Temporal Bone
    • Authors: Ignacio Pla-Gil; Antonio Morant Ventura; Jaume Redondo Martínez; Jaime Marco Algarra
      Pages: 48 - 50
      Abstract: Publication date: January–February 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 1
      Author(s): Ignacio Pla-Gil, Antonio Morant Ventura, Jaume Redondo Martínez, Jaime Marco Algarra


      PubDate: 2018-02-14T18:04:21Z
      DOI: 10.1016/j.otoeng.2017.12.002
       
  • Silent sinus syndrome in children
    • Authors: Francisco Rosa; Rosário Figueirinhas; Jorge Oliveira; Cecília Almeida e Sousa
      Pages: 51 - 52
      Abstract: Publication date: January–February 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 1
      Author(s): Francisco Rosa, Rosário Figueirinhas, Jorge Oliveira, Cecília Almeida e Sousa


      PubDate: 2018-02-14T18:04:21Z
      DOI: 10.1016/j.otorri.2016.11.007
       
  • Cranio-cervical junction cerebrospinal fluid leak after
           microdebrider-assisted adenoidectomy – A rare case report
    • Authors: Karthikeyan Ramasamy; Hemanth Vamanshankar; Sunil Kumar Saxena; Vignesh Karunakaran; Arun Alexander
      Pages: 53 - 55
      Abstract: Publication date: January–February 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 1
      Author(s): Karthikeyan Ramasamy, Hemanth Vamanshankar, Sunil Kumar Saxena, Vignesh Karunakaran, Arun Alexander


      PubDate: 2018-02-14T18:04:21Z
      DOI: 10.1016/j.otorri.2017.01.006
       
  • A Rare Benign Tumour on the Dorsum Nasi
    • Authors: Ignacio Pla-Gil; Pedro Segarra Cortés; Jaime Marco Algarra
      Pages: 56 - 57
      Abstract: Publication date: January–February 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 1
      Author(s): Ignacio Pla-Gil, Pedro Segarra Cortés, Jaime Marco Algarra


      PubDate: 2018-02-14T18:04:21Z
      DOI: 10.1016/j.otoeng.2017.12.001
       
  • Alagille's Syndrome: Hypoplasia of Posterior Semicircular Canals
    • Authors: Alexandre Perez-Girbes; Miguel Mazón; Elena Pont
      Pages: 58 - 59
      Abstract: Publication date: January–February 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 1
      Author(s): Alexandre Perez-Girbes, Miguel Mazón, Elena Pont


      PubDate: 2018-02-14T18:04:21Z
      DOI: 10.1016/j.otoeng.2017.12.006
       
  • Comments on “Alveolar sarcoma of the parapharyngeal space: A case
           report”
    • Authors: Ana María Cano-Valdez; Diana Brisa Sevilla-Lizcano; Abelardo Meneses-García
      First page: 60
      Abstract: Publication date: January–February 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 1
      Author(s): Ana María Cano-Valdez, Diana Brisa Sevilla-Lizcano, Abelardo Meneses-García


      PubDate: 2018-02-14T18:04:21Z
      DOI: 10.1016/j.otorri.2017.03.002
       
  • Virtual Surgery for Patients With Nasal Obstruction: Use of Computational
           Fluid Dynamics (MeComLand®, Digbody® & Noseland®) to Document
           Objective Flow Parameters and Optimise Surgical Results
    • Abstract: Publication date: May–June 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 3
      Author(s): Manuel A. Burgos, Maria Agustina Sevilla García, Enrique Sanmiguel Rojas, Carlos Del Pino, Carlos Fernández Velez, Francisco Piqueras, Francisco Esteban Ortega
      Introduction Computational fluid dynamics (CFD) is a mathematical tool to analyse airflow. We present a novel CFD software package to improve results following nasal surgery for obstruction. Methods A group of engineers in collaboration with otolaryngologists have developed a very intuitive CFD software package called MeComLand®, which uses the patient's cross-sectional (tomographic) images, thus showing in detail results originated by CFD such as airflow distributions, velocity profiles, pressure, or wall shear stress. NOSELAND® helps medical evaluation with dynamic reports by using a 3D endoscopic view. Using this CFD-based software a patient underwent virtual surgery (septoplasty, turbinoplasty, spreader grafts, lateral crural J-flap and combinations) to choose the best improvement in nasal flow. Objective To present a novel software package to improve nasal surgery results. To apply the software on CT slices from a patient affected by septal deviation. To evaluate several surgical procedures (septoplasty, turbinectomy, spreader-grafts, J-flap and combination among them) to find the best alternative with less morbidity. Results The combination of all the procedures does not provide the best nasal flow improvement. Septoplasty plus turbinoplasty obtained the best results. Turbinoplasty alone rendered almost similar results to septoplasty in our simulation. Conclusions CFD provides useful complementary information to cover diagnosis, prognosis, and follow-up of nasal pathologies based on quantitative magnitudes linked to fluid flow. MeComLand®, DigBody® and NoseLand® represent a non-invasive, low-cost alternative for the functional study of patients with nasal obstruction.

      PubDate: 2018-05-31T14:53:18Z
       
  • Cepstral Analysis of Normal and Pathological Voice in Spanish Adults.
           Smoothed Cepstral Peak Prominence in Sustained Vowels Versus Connected
           Speech
    • Abstract: Publication date: May–June 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 3
      Author(s): Jonathan Delgado-Hernández, Nieves M. León-Gómez, Laura M. Izquierdo-Arteaga, Yanira Llanos-Fumero
      Introduction and objectives In recent years, the use of cepstral measures for acoustic evaluation of voice has increased. One of the most investigated parameters is smoothed cepstral peak prominence (CPPs). The objectives of this paper are to establish the usefulness of this acoustic measure in the objective evaluation of alterations of the voice in Spanish and to determine what type of voice sample (sustained vowels or connected speech) is the most sensitive in evaluating the severity of dysphonia. Method Forty subjects participated in this study 40, 20 controls and 20 with dysphonia. Two voice samples were recorded for each subject (one sustained vowel/a/and four phonetically balanced sentences) and the CPPs was calculated using the Praat programme. Three raters perceptually evaluated the voice sample with the Grade parameter of GRABS scale. Results Significantly lower values were found in the dysphonic voices, both for/a/(t [38]=4.85, P<.000) and for phrases (t [38]=5.75, P<.000). In relation to the type of voice sample most suitable for evaluating the severity of voice alterations, a strong correlation was found with the acoustic-perceptual scale of CPPs calculated from connected speech (r s =−0.73) and moderate correlation with that calculated from the sustained vowel (r s =−0.56). Conclusion The results of this preliminary study suggest that CPPs is a good measure to detect dysphonia and to objectively assess the severity of alterations in the voice.

      PubDate: 2018-05-31T14:53:18Z
       
  • oVEMP as an objective indicator of successful repositioning maneuver
    • Abstract: Publication date: May–June 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 3
      Author(s): Samir Asal, Osama Sobhy, Amany Balbaa
      Background and objective Benign paroxysmal positioning vertigo (BPPV) is the most common peripheral vestibular disorder. Canalolithiasis in the posterior semi-circular canal is the most common underlying pathology that can be treated effectively by repositioning maneuvers. Our hypothesis suggested that successful maneuvers can lead to repositioning of dislodged otoconia to the utricle. Materials and methods Air conducted oVEMP, which is thought to originate from the contra-lateral utricular organ was measured in twenty patients with unilateral BPPV and we compared n1•p1 peak to peak amplitude of the affected ears in 3 separate intervals: on pre-treatment when typical nystagmus was confirmed, immediately after, and 1 week after repositioning maneuvers to assess change, if any, in amplitude. Results This study showed significant increase of oVEMP amplitude in the affected ears after successful repositioning maneuver that was more significant after 1 week. Conclusions oVEMP can be used as a reliable objective test for ensuring a successful maneuver rather than subjective dependence on the patient's symptoms, which may be misleading due to a remission.

      PubDate: 2018-05-31T14:53:18Z
       
  • Endoscopic Closure of Septal Perforations
    • Abstract: Publication date: May–June 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 3
      Author(s): Isam Alobid
      Objective The management of septal perforations is a challenge for the surgeon. A wide variety of surgical techniques have been described, with different approaches. There is no scientific evidence to support a particular approach. The objective of this review is to present a practical guide on the technique of choice for each case of septal perforation. Discussion Inspection of the nasal mucosa, the size of the perforation, the location and especially the osteo-cartilaginous support, are the pillars of a successful surgery. For the sliding or rotating flaps of the mucosa of the septum it is essential to know in advance if the elevation of the mucopericondrio or mucoperiosteo of the septum is possible, otherwise the use of these flaps would not be indicated. The flaps of the lateral wall or nasal floor are the alternative. The pericranial flap may be indicated in total or near total perforations. Conclusion The remnant of the nasal septum and status of osteo-cartilaginous support are the determining factors in the management of septal perforations. Each case should be evaluated individually and the approach chosen according to the size and location of the perforation, mucosal quality, personal history, previous surgery and the experience of the surgeon.

      PubDate: 2018-05-31T14:53:18Z
       
  • Subglottis Inflammatory Pseudotumour in a 3-Year-old Child
    • Abstract: Publication date: May–June 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 3
      Author(s): Javier Cervera Escario, Sara Sirvent Cerdá, Saturnino Santos Santos, Adolfo Sequeiros González


      PubDate: 2018-05-31T14:53:18Z
       
  • Spontaneous Rupture of Cervical Thoracic Duct: A Case Report
    • Abstract: Publication date: May–June 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 3
      Author(s): Natalia Rodriguez, Maria Luisa Navarrete, Cesar Ortiz, Shelagh Dyer


      PubDate: 2018-05-31T14:53:18Z
       
  • Lipoma of the pre-epiglottic space: A common pathology in an uncommon
           place
    • Abstract: Publication date: May–June 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 3
      Author(s): Nuno Ribeiro Costa, Delfim Duarte, Miguel Viana


      PubDate: 2018-05-31T14:53:18Z
       
  • Osteochondroma of Maxillary Sinus, an Unusual Location
    • Abstract: Publication date: May–June 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 3
      Author(s): Ana Belén Gil Guerra, Esther Gómez San Martín, María Isabel Jiménez Cuenca


      PubDate: 2018-05-31T14:53:18Z
       
  • Maxillary hydatid cyst
    • Abstract: Publication date: May–June 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 3
      Author(s): Satvinder Singh Bakshi, Roopa Urs


      PubDate: 2018-05-31T14:53:18Z
       
 
 
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