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Publisher: Elsevier   (Total: 3031 journals)

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Showing 1 - 200 of 3031 Journals sorted alphabetically
AASRI Procedia     Open Access   (Followers: 15)
Academic Pediatrics     Hybrid Journal   (Followers: 20, SJR: 1.402, h-index: 51)
Academic Radiology     Hybrid Journal   (Followers: 16, SJR: 1.008, h-index: 75)
Accident Analysis & Prevention     Partially Free   (Followers: 79, SJR: 1.109, h-index: 94)
Accounting Forum     Hybrid Journal   (Followers: 22, SJR: 0.612, h-index: 27)
Accounting, Organizations and Society     Hybrid Journal   (Followers: 27, SJR: 2.515, h-index: 90)
Achievements in the Life Sciences     Open Access   (Followers: 4)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 5, SJR: 0.338, h-index: 19)
Acta Astronautica     Hybrid Journal   (Followers: 303, SJR: 0.726, h-index: 43)
Acta Automatica Sinica     Full-text available via subscription   (Followers: 3)
Acta Biomaterialia     Hybrid Journal   (Followers: 25, SJR: 2.02, h-index: 104)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription  
Acta de Investigación Psicológica     Open Access   (Followers: 2)
Acta Ecologica Sinica     Open Access   (Followers: 8, SJR: 0.172, h-index: 29)
Acta Haematologica Polonica     Free   (SJR: 0.123, h-index: 8)
Acta Histochemica     Hybrid Journal   (Followers: 3, SJR: 0.604, h-index: 38)
Acta Materialia     Hybrid Journal   (Followers: 196, SJR: 3.683, h-index: 202)
Acta Mathematica Scientia     Full-text available via subscription   (Followers: 5, SJR: 0.615, h-index: 21)
Acta Mechanica Solida Sinica     Full-text available via subscription   (Followers: 9, SJR: 0.442, h-index: 21)
Acta Oecologica     Hybrid Journal   (Followers: 9, SJR: 0.915, h-index: 53)
Acta Otorrinolaringologica (English Edition)     Full-text available via subscription   (Followers: 1)
Acta Otorrinolaringológica Española     Full-text available via subscription   (Followers: 3, SJR: 0.311, h-index: 16)
Acta Pharmaceutica Sinica B     Open Access   (Followers: 2)
Acta Poética     Open Access   (Followers: 4)
Acta Psychologica     Hybrid Journal   (Followers: 21, SJR: 1.365, h-index: 73)
Acta Sociológica     Open Access  
Acta Tropica     Hybrid Journal   (Followers: 5, SJR: 1.059, h-index: 77)
Acta Urológica Portuguesa     Open Access  
Actas Dermo-Sifiliograficas     Full-text available via subscription   (Followers: 4)
Actas Dermo-Sifiliográficas (English Edition)     Full-text available via subscription   (Followers: 3)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 3, SJR: 0.383, h-index: 19)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 2)
Actualites Pharmaceutiques     Full-text available via subscription   (Followers: 5, SJR: 0.141, h-index: 3)
Actualites Pharmaceutiques Hospitalieres     Full-text available via subscription   (Followers: 4, SJR: 0.112, h-index: 2)
Acupuncture and Related Therapies     Hybrid Journal   (Followers: 4)
Ad Hoc Networks     Hybrid Journal   (Followers: 11, SJR: 0.967, h-index: 57)
Addictive Behaviors     Hybrid Journal   (Followers: 15, SJR: 1.514, h-index: 92)
Addictive Behaviors Reports     Open Access   (Followers: 5)
Additive Manufacturing     Hybrid Journal   (Followers: 7, SJR: 1.039, h-index: 5)
Additives for Polymers     Full-text available via subscription   (Followers: 20)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 119, SJR: 5.2, h-index: 222)
Advanced Engineering Informatics     Hybrid Journal   (Followers: 11, SJR: 1.265, h-index: 53)
Advanced Powder Technology     Hybrid Journal   (Followers: 16, SJR: 0.739, h-index: 33)
Advances in Accounting     Hybrid Journal   (Followers: 8, SJR: 0.299, h-index: 15)
Advances in Agronomy     Full-text available via subscription   (Followers: 15, SJR: 2.071, h-index: 82)
Advances in Anesthesia     Full-text available via subscription   (Followers: 24, SJR: 0.169, h-index: 4)
Advances in Antiviral Drug Design     Full-text available via subscription   (Followers: 3)
Advances in Applied Mathematics     Full-text available via subscription   (Followers: 6, SJR: 1.054, h-index: 35)
Advances in Applied Mechanics     Full-text available via subscription   (Followers: 10, SJR: 0.801, h-index: 26)
Advances in Applied Microbiology     Full-text available via subscription   (Followers: 21, SJR: 1.286, h-index: 49)
Advances In Atomic, Molecular, and Optical Physics     Full-text available via subscription   (Followers: 16, SJR: 3.31, h-index: 42)
Advances in Biological Regulation     Hybrid Journal   (Followers: 4, SJR: 2.277, h-index: 43)
Advances in Botanical Research     Full-text available via subscription   (Followers: 3, SJR: 0.619, h-index: 48)
Advances in Cancer Research     Full-text available via subscription   (Followers: 26, SJR: 2.215, h-index: 78)
Advances in Carbohydrate Chemistry and Biochemistry     Full-text available via subscription   (Followers: 9, SJR: 0.9, h-index: 30)
Advances in Catalysis     Full-text available via subscription   (Followers: 5, SJR: 2.139, h-index: 42)
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: 24, SJR: 0.183, h-index: 23)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10, SJR: 0.665, h-index: 29)
Advances in Chronic Kidney Disease     Full-text available via subscription   (Followers: 8, SJR: 1.268, h-index: 45)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 28, SJR: 0.938, h-index: 33)
Advances in Colloid and Interface Science     Full-text available via subscription   (Followers: 18, SJR: 2.314, h-index: 130)
Advances in Computers     Full-text available via subscription   (Followers: 16, SJR: 0.223, h-index: 22)
Advances in Developmental Biology     Full-text available via subscription   (Followers: 11)
Advances in Digestive Medicine     Open Access   (Followers: 4)
Advances in DNA Sequence-Specific Agents     Full-text available via subscription   (Followers: 5)
Advances in Drug Research     Full-text available via subscription   (Followers: 22)
Advances in Ecological Research     Full-text available via subscription   (Followers: 39, SJR: 3.25, h-index: 43)
Advances in Engineering Software     Hybrid Journal   (Followers: 25, SJR: 0.486, h-index: 10)
Advances in Experimental Biology     Full-text available via subscription   (Followers: 7)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 38, SJR: 5.465, h-index: 64)
Advances in Exploration Geophysics     Full-text available via subscription   (Followers: 3)
Advances in Fluorine Science     Full-text available via subscription   (Followers: 8)
Advances in Food and Nutrition Research     Full-text available via subscription   (Followers: 41, SJR: 0.674, h-index: 38)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 14)
Advances in Genetics     Full-text available via subscription   (Followers: 15, SJR: 2.558, h-index: 54)
Advances in Genome Biology     Full-text available via subscription   (Followers: 11)
Advances in Geophysics     Full-text available via subscription   (Followers: 6, SJR: 2.325, h-index: 20)
Advances in Heat Transfer     Full-text available via subscription   (Followers: 18, SJR: 0.906, h-index: 24)
Advances in Heterocyclic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 0.497, h-index: 31)
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: 0.396, h-index: 27)
Advances in Immunology     Full-text available via subscription   (Followers: 33, SJR: 4.152, h-index: 85)
Advances in Inorganic Chemistry     Full-text available via subscription   (Followers: 9, SJR: 1.132, h-index: 42)
Advances in Insect Physiology     Full-text available via subscription   (Followers: 3, SJR: 1.274, h-index: 27)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 4)
Advances in Intl. Accounting     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 7, SJR: 0.764, h-index: 15)
Advances in Lipobiology     Full-text available via subscription   (Followers: 1)
Advances in Magnetic and Optical Resonance     Full-text available via subscription   (Followers: 8)
Advances in Marine Biology     Full-text available via subscription   (Followers: 16, SJR: 1.645, h-index: 45)
Advances in Mathematics     Full-text available via subscription   (Followers: 10, SJR: 3.261, h-index: 65)
Advances in Medical Sciences     Hybrid Journal   (Followers: 5, SJR: 0.489, h-index: 25)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4, SJR: 1.44, h-index: 51)
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: 10)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 6, SJR: 0.324, h-index: 8)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 3)
Advances in Oncobiology     Full-text available via subscription   (Followers: 3)
Advances in Organometallic Chemistry     Full-text available via subscription   (Followers: 15, SJR: 2.885, h-index: 45)
Advances in Parallel Computing     Full-text available via subscription   (Followers: 7, SJR: 0.148, h-index: 11)
Advances in Parasitology     Full-text available via subscription   (Followers: 7, SJR: 2.37, h-index: 73)
Advances in Pediatrics     Full-text available via subscription   (Followers: 20, SJR: 0.4, h-index: 28)
Advances in Pharmaceutical Sciences     Full-text available via subscription   (Followers: 14)
Advances in Pharmacology     Full-text available via subscription   (Followers: 13, SJR: 1.718, h-index: 58)
Advances in Physical Organic Chemistry     Full-text available via subscription   (Followers: 7, SJR: 0.384, h-index: 26)
Advances in Phytomedicine     Full-text available via subscription  
Advances in Planar Lipid Bilayers and Liposomes     Full-text available via subscription   (Followers: 3, SJR: 0.248, h-index: 11)
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: 4)
Advances in Protein Chemistry     Full-text available via subscription   (Followers: 18)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 17, SJR: 1.5, h-index: 62)
Advances in Psychology     Full-text available via subscription   (Followers: 56)
Advances in Quantum Chemistry     Full-text available via subscription   (Followers: 5, SJR: 0.478, h-index: 32)
Advances in Radiation Oncology     Open Access  
Advances in Small Animal Medicine and Surgery     Hybrid Journal   (Followers: 1, SJR: 0.1, h-index: 2)
Advances in Space Research     Full-text available via subscription   (Followers: 332, SJR: 0.606, h-index: 65)
Advances in Structural Biology     Full-text available via subscription   (Followers: 7)
Advances in Surgery     Full-text available via subscription   (Followers: 6, SJR: 0.823, h-index: 27)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 28, SJR: 1.321, h-index: 56)
Advances in Veterinary Medicine     Full-text available via subscription   (Followers: 14)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 12)
Advances in Virus Research     Full-text available via subscription   (Followers: 5, SJR: 1.878, h-index: 68)
Advances in Water Resources     Hybrid Journal   (Followers: 42, SJR: 2.408, h-index: 94)
Aeolian Research     Hybrid Journal   (Followers: 5, SJR: 0.973, h-index: 22)
Aerospace Science and Technology     Hybrid Journal   (Followers: 303, SJR: 0.816, h-index: 49)
AEU - Intl. J. of Electronics and Communications     Hybrid Journal   (Followers: 8, SJR: 0.318, h-index: 36)
African J. of Emergency Medicine     Open Access   (Followers: 4, SJR: 0.344, h-index: 6)
Ageing Research Reviews     Hybrid Journal   (Followers: 7, SJR: 3.289, h-index: 78)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 388, SJR: 1.385, h-index: 72)
Agri Gene     Hybrid Journal  
Agricultural and Forest Meteorology     Hybrid Journal   (Followers: 15, SJR: 2.18, h-index: 116)
Agricultural Systems     Hybrid Journal   (Followers: 29, SJR: 1.275, h-index: 74)
Agricultural Water Management     Hybrid Journal   (Followers: 36, SJR: 1.546, h-index: 79)
Agriculture and Agricultural Science Procedia     Open Access  
Agriculture and Natural Resources     Open Access   (Followers: 1)
Agriculture, Ecosystems & Environment     Hybrid Journal   (Followers: 48, SJR: 1.879, h-index: 120)
Ain Shams Engineering J.     Open Access   (Followers: 5, SJR: 0.434, h-index: 14)
Air Medical J.     Hybrid Journal   (Followers: 3, SJR: 0.234, h-index: 18)
AKCE Intl. J. of Graphs and Combinatorics     Open Access   (SJR: 0.285, h-index: 3)
Alcohol     Hybrid Journal   (Followers: 9, SJR: 0.922, h-index: 66)
Alcoholism and Drug Addiction     Open Access   (Followers: 5)
Alergologia Polska : Polish J. of Allergology     Full-text available via subscription   (Followers: 1)
Alexandria Engineering J.     Open Access   (Followers: 1, SJR: 0.436, h-index: 12)
Alexandria J. of Medicine     Open Access  
Algal Research     Partially Free   (Followers: 7, SJR: 2.05, h-index: 20)
Alkaloids: Chemical and Biological Perspectives     Full-text available via subscription   (Followers: 3)
Allergologia et Immunopathologia     Full-text available via subscription   (Followers: 1, SJR: 0.46, h-index: 29)
Allergology Intl.     Open Access   (Followers: 5, SJR: 0.776, h-index: 35)
ALTER - European J. of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 6, SJR: 0.158, h-index: 9)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 45, SJR: 4.289, h-index: 64)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 5)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 3)
American Heart J.     Hybrid Journal   (Followers: 45, SJR: 3.157, h-index: 153)
American J. of Cardiology     Hybrid Journal   (Followers: 47, SJR: 2.063, h-index: 186)
American J. of Emergency Medicine     Hybrid Journal   (Followers: 34, SJR: 0.574, h-index: 65)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 6, SJR: 1.091, h-index: 45)
American J. of Geriatric Psychiatry     Hybrid Journal   (Followers: 14, SJR: 1.653, h-index: 93)
American J. of Human Genetics     Hybrid Journal   (Followers: 32, SJR: 8.769, h-index: 256)
American J. of Infection Control     Hybrid Journal   (Followers: 25, SJR: 1.259, h-index: 81)
American J. of Kidney Diseases     Hybrid Journal   (Followers: 31, SJR: 2.313, h-index: 172)
American J. of Medicine     Hybrid Journal   (Followers: 48, SJR: 2.023, h-index: 189)
American J. of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American J. of Obstetrics and Gynecology     Hybrid Journal   (Followers: 173, SJR: 2.255, h-index: 171)
American J. of Ophthalmology     Hybrid Journal   (Followers: 51, SJR: 2.803, h-index: 148)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 2)
American J. of Orthodontics and Dentofacial Orthopedics     Full-text available via subscription   (Followers: 6, SJR: 1.249, h-index: 88)
American J. of Otolaryngology     Hybrid Journal   (Followers: 22, SJR: 0.59, h-index: 45)
American J. of Pathology     Hybrid Journal   (Followers: 23, SJR: 2.653, h-index: 228)
American J. of Preventive Medicine     Hybrid Journal   (Followers: 21, SJR: 2.764, h-index: 154)
American J. of Surgery     Hybrid Journal   (Followers: 32, SJR: 1.286, h-index: 125)
American J. of the Medical Sciences     Hybrid Journal   (Followers: 13, SJR: 0.653, h-index: 70)
Ampersand : An Intl. J. of General and Applied Linguistics     Open Access   (Followers: 5)
Anaerobe     Hybrid Journal   (Followers: 4, SJR: 1.066, h-index: 51)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 52, SJR: 0.124, h-index: 9)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 3)
Anales de Cirugia Vascular     Full-text available via subscription  
Anales de Pediatría     Full-text available via subscription   (Followers: 2, SJR: 0.209, h-index: 27)
Anales de Pediatría (English Edition)     Full-text available via subscription  
Anales de Pediatría Continuada     Full-text available via subscription   (SJR: 0.104, h-index: 3)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 2, SJR: 2.577, h-index: 7)
Analytica Chimica Acta     Hybrid Journal   (Followers: 38, SJR: 1.548, h-index: 152)
Analytical Biochemistry     Hybrid Journal   (Followers: 151, SJR: 0.725, h-index: 154)
Analytical Chemistry Research     Open Access   (Followers: 7, SJR: 0.18, h-index: 2)
Analytical Spectroscopy Library     Full-text available via subscription   (Followers: 10)
Anesthésie & Réanimation     Full-text available via subscription  
Anesthesiology Clinics     Full-text available via subscription   (Followers: 21, SJR: 0.421, h-index: 40)
Angiología     Full-text available via subscription   (SJR: 0.124, h-index: 9)
Angiologia e Cirurgia Vascular     Open Access  
Animal Behaviour     Hybrid Journal   (Followers: 141, SJR: 1.907, h-index: 126)
Animal Feed Science and Technology     Hybrid Journal   (Followers: 5, SJR: 1.151, h-index: 83)
Animal Reproduction Science     Hybrid Journal   (Followers: 5, SJR: 0.711, h-index: 78)
Annales d'Endocrinologie     Full-text available via subscription   (SJR: 0.394, h-index: 30)
Annales d'Urologie     Full-text available via subscription  
Annales de Cardiologie et d'Angéiologie     Full-text available via subscription   (SJR: 0.177, h-index: 13)
Annales de Chirurgie de la Main et du Membre Supérieur     Full-text available via subscription  
Annales de Chirurgie Plastique Esthétique     Full-text available via subscription   (Followers: 2, SJR: 0.354, h-index: 22)
Annales de Chirurgie Vasculaire     Full-text available via subscription   (Followers: 1)

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Journal Cover Acta Otorrinolaringologica (English Edition)
  [1 followers]  Follow
    
   Full-text available via subscription Subscription journal  (Not entitled to full-text)
   ISSN (Print) 2173-5735
   Published by Elsevier Homepage  [3031 journals]
  • A New Malleostapedotomy Prosthesis. Experimental Analysis by Laser Doppler
           Vibrometer in Fresh Cadaver Temporal Bones
    • Authors: Luis A. Vallejo; María T. Manzano; Antonio Hidalgo; Alberto Hernández; Juan Sabas; Hugo Lara; Elisa Gil-Carcedo; David Herrero
      Pages: 69 - 79
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): Luis A. Vallejo, María T. Manzano, Antonio Hidalgo, Alberto Hernández, Juan Sabas, Hugo Lara, Elisa Gil-Carcedo, David Herrero
      Introduction and objectives One of the problems with total ossicular replacement prostheses is their stability. Prosthesis dislocations and extrusions are common in middle ear surgery. This is due to variations in endo-tympanic pressure as well as design defects. The design of this new prosthesis reduces this problem by being joined directly to the malleus handle. The aim of this study is to confirm adequate acoustic-mechanical behaviour in fresh cadaver middle ear of a new total ossicular replacement prosthesis, designed using the finite elements method. Methods Using the doppler vibrometer laser, we analysed the acoustic-mechanical behaviour of a new total ossicular replacement prosthesis in the human middle ear using 10 temporal bones from fresh cadavers. Results The transfer function of the ears in which we implanted the new prosthesis was superimposed over the non-manipulated ear. This suggests optimum acoustic-mechanical behaviour. Conclusions The titanium prosthesis analysed in this study demonstrated optimum acoustic-mechanical behaviour. Together with its ease of implantation and post-surgical stability, these factors make it a prosthesis to be kept in mind in ossicular reconstruction.

      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otoeng.2017.02.001
       
  • Analysis and Results of Endoscopic Sinus Surgery in Chronic Rhinosinusitis
           With Polyps
    • Authors: M. Soledad Cabrera-Ramírez; M. Sandra Domínguez-Sosa; Silvia Andrea Borkoski-Barreiro; Juan Carlos Falcón-González; Ángel Ramos-Macías
      Pages: 80 - 85
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): M. Soledad Cabrera-Ramírez, M. Sandra Domínguez-Sosa, Silvia Andrea Borkoski-Barreiro, Juan Carlos Falcón-González, Ángel Ramos-Macías
      Introduction and objectives Endoscopic sinus surgery is currently the surgical procedure chosen in cases of sinonasal polyposis refractory to medical treatment. The aim of this study was to show our experience in managing such patients operated using endoscopic sinus surgery. Method A retrospective study of 246 patients with chronic rhinosinusitis and nasal polyps who were operated by endoscopic surgery. We studied the characteristics of the population, symptoms, grade of affectation, complications and recurrences. Results The most frequent comorbidity was asthma (34.6%) and its relationship with Samter's triad (16.3%). Grades 2 and 3 polyposis prevailed according to Lildholdt staging by nasofibroscopy, coinciding with the radiological preoperative staging. The microdebrider did not shorten surgical time but it lowered complications. Reducing the average stay with the use of absorbable haemostatic agents and their effectiveness in controlling haemostasis were statistically significant. We found 23.2% complications, with only one (0.4%) being a major complication; the rest were minor complications, with synechiae as the most frequent (16.3%). Conclusion Endoscopic sinus surgery is a minimally invasive and safe technique. Absorbable haemostatic agents are an effective alternative to get complete and stable haemostasis, reducing mean hospital stay. Synechiae continue being the most frequent complication. The fact that many patients recurred but without complications speaks in favour of a natural evolution of the disease and not of the influence of technique.

      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otoeng.2017.02.002
       
  • Middle Cranial Fossa Approach for the Repair of Spontaneous Cerebrospinal
           Fluid Leaks to the Middle Ear
    • Authors: Xabier Altuna; Juan José Navarro; Leire García; Ane Ugarte; Izaskun Thomas
      Pages: 86 - 91
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): Xabier Altuna, Juan José Navarro, Leire García, Ane Ugarte, Izaskun Thomas
      Introduction Spontaneous cerebrospinal fluid (CSF) leaks to the middle ear due to tegmen tympani defects can result in hearing loss or hypoacusis and predispose to meningitis as well as other neurological complications. Surgical repair of the defect can be performed through a middle cranial fossa (MCF) approach or a transmastoid approach. Material and methods We conducted a retrospective study of the patients in our Department due to a spontaneous CSF leak to the middle ear treated using a MCF approach during a 6-year period (2009–2014). Results Thirteen patients with spontaneous CSF leak to the middle ear were treated with this approach. The primary and first symptom in all of them was conductive hearing loss. In all cases, the defect or defects were closed in a multilayer manner using muscle, temporalis fascia and cortical bone. Minimum follow-up in this series was 14 months, with successful closure in all but one patient (who required reintervention). We found no intra- or postoperative complications due to the craniotomy, and the audiometry improved and normalised in all cases except for the failed case. Conclusions The MCF approach with a multilayer closure of the defect is an effective technique for repairing spontaneous CSF leaks to the middle ear and for restoring hearing in these patients.

      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otoeng.2017.02.003
       
  • Work Activity in Patients Treated With Cochlear Implants
    • Authors: Alicia Huarte; Marta Martínez-López; Raquel Manrique-Huarte; Sandra Erviti; Diego Calavia; Cora Alonso; Manuel Manrique
      Pages: 92 - 97
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): Alicia Huarte, Marta Martínez-López, Raquel Manrique-Huarte, Sandra Erviti, Diego Calavia, Cora Alonso, Manuel Manrique
      Introduction The aim of this study was to determine the impact that the cochlear implant (CI) had in the working life of individuals implanted, using the first version of a questionnaire developed in the cochlear implant program at the University Clinic of Navarre. Its purpose was to demonstrate that the CI significantly affected the working lives of these patients. Material and methods This was a retrospection study on a population of 60 patients (mean age, 48 years old) with bilateral profound sensorineural hearing loss treated with CI and to whom a questionnaire on working life satisfaction was given. Results Of the patients completing the questionnaire, 94.23% were currently satisfied at work. Almost all of them (93.05%) were more motivated to go to work after the implantation. The majority (79.31%) considered themselves more competent after surgery and device activation. Social relations at work were considered to have improved after cochlear implantation by 67.23% of patients. Conclusions The CI provided positive support in the professional sphere as well as in social abilities by improving communication skills of implanted patients. The development of tools to assess the degree of job satisfaction of patients treated with a CI is of great interest.

      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otoeng.2017.02.004
       
  • Hiccups. Attitude in Otorhinolaryngology Towards Consulting Patients. A
           Diagnostic and Therapeutic Approach
    • Authors: Francisco Javier García Callejo; Jaume Redondo Martínez; Tomás Pérez Carbonell; Rafael Monzó Gandía; M. Paz Martínez Beneyto; Inés Rincón Piedrahita
      Pages: 98 - 105
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): Francisco Javier García Callejo, Jaume Redondo Martínez, Tomás Pérez Carbonell, Rafael Monzó Gandía, M. Paz Martínez Beneyto, Inés Rincón Piedrahita
      Introduction Hiccup crises are generally benign and self-limiting, but longer episodes affect quality of life and must be treated. There are recognisable causes that otorhinolaryngologists must know and be aware for diagnosis and therapeutic alternatives. The main expression is a spasmodic glottic noise with characteristic neck alterations. Patients and methods This was a retrospective study from 1979 with patients suffering persistent or recurrent hiccups. Chronobiology, comorbidity, findings from explorations, therapies and outcomes were noted. Thirty-seven patients were studied (mean age, 45.5±13.5 years; 30 males), with persistent hiccups in 23 (62%). Results A potential associated aetiology was observed in 24 cases (65%): oesophageal disorders–mainly gastroesophageal reflux–were detected in 14 cases and concomitant oncological disease was found in 8. Only 3 cases were admitted for surgery due to these findings. Therapeutic strategies with metoclopramide were used in 18 subjects, chlorpromazine in 17 and baclofen in 13, while carbamazepine or haloperidol were used in a minority. Phrenic nerve stimulation was employed in 6 patients. Hiccups disappeared in 32 cases. Out of 22 cases for which follow-up was possible, the hiccups recurred in 5 subjects (the subjects requiring new therapies) and 11 patients died. Conclusions Chronic hiccup represents a multidisciplinary challenge that includes potential head and neck affection, a diagnostic schedule for ruling out causes, frequent base oesophageal alterations and high incidence of malignant neoplasm. Prokinetic and neuroleptic agents with antidopaminergic and anticholinergic effects are the pillars of its treatment.

      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otoeng.2017.02.005
       
  • Hypoparathyroidism following thyroidectomy: Predictive factors
    • Authors: Cristiana Coimbra; Francisco Monteiro; Pedro Oliveira; Leandro Ribeiro; Mário Giesteira de Almeida; Artur Condé
      Pages: 106 - 111
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): Cristiana Coimbra, Francisco Monteiro, Pedro Oliveira, Leandro Ribeiro, Mário Giesteira de Almeida, Artur Condé
      Objective To evaluate the incidence and predictive factors for transient and permanent hypocalcemia and hypoparathyroidism following thyroidectomy. Method We studied all the 162 patients that underwent thyroid surgery in the ENT department of the Centro Hospitalar Vila Nova Gaia/Espinho from January 2005 to December 2014. We reviewed pre-operative, 6h and 12h after surgery ionized calcium and PTH levels. All patients were reviewed and evaluated according to the following criteria: gender, age, thyroid function, histologic diagnosis of the specimen, surgery extension and presence or absence of hypoparathyroidism. Results There were 31 (19.1%) cases of transient hypoparathyroidism and 8 (5%) of permanent hypoparathyroidism. No significant difference was found for transient hypoparathyroidism when patients were analyzed by gender. However, all cases of permanent hypoparathyroidism were observed in female individuals. Comparing hemithyroidectomy with all other surgical procedures, we found that extension of surgery was a great predictor of transient (p =0.0001) and permanent (p =0.001) hypoparathyroidism. Diagnosis of malignancy was a strong predictor of transient hypoparathyroidism (p =0.002). It was also associated with permanent hypoparathyroidism, although differences did not reach statistical significance (p =0.096). Conclusion Extension of surgery (total thyroidectomy) and diagnosis of malignancy are predictors of transient and permanent hypoparathyroidism.

      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otorri.2016.06.008
       
  • Effect of the Stringency of Conditions on Caloric Test Results in Healthy
           Subjects
    • Authors: Claudio Krstulovic; Bharti Tulsidas Mahtani; Nabil Atrache Al Attrache; Herminio Pérez-Garrigues
      Pages: 112 - 114
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): Claudio Krstulovic, Bharti Tulsidas Mahtani, Nabil Atrache Al Attrache, Herminio Pérez-Garrigues
      The caloric test is widely used to assess vestibular function, but the conditions in which it is performed can vary. Caloric nystagmus obtained in 57 healthy subjects were compared: 24 subjects studied in ideal conditions and 33 subjects in non-ideal conditions. A statistically significant decrease in the slow phase velocity of the 4 irrigations performed on the subjects in non-ideal conditions was observed. This must be considered, especially in subjects with suspected bilateral involvement. Stringent conditions reduce the risk of misdiagnosis with bilateral deficit.

      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otoeng.2017.02.006
       
  • Simulation in Otolaryngology: A Teaching and Training Tool
    • Authors: Natalie Thone; Matías Winter; Raimundo J. García-Matte; Claudia González
      Pages: 115 - 120
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): Natalie Thone, Matías Winter, Raimundo J. García-Matte, Claudia González
      Simulation in medical education is an effective method of teaching and learning, allowing standardisation of the learning and teaching processes without compromising the patient. Different types of simulation exist within subspecialty areas of Otolaryngology. Models that have been developed include phantom imaging, dummy patients, virtual models and animal models that are used to teach and practice different skills. Each model has advantages and disadvantages, where virtual reality is an emerging model with a promising future. However, there is still a need for further development of simulation in the area of Otolaryngology.

      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otoeng.2017.02.007
       
  • Cervical Vagus Nerve Neurilemmoma Mimicking Parathyroid Adenoma
    • Authors: Antonio Prat Calero; Pedro Cascales Sánchez; Agustina Martínez Moreno; Julio Valer Corellano
      Pages: 121 - 123
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): Antonio Prat Calero, Pedro Cascales Sánchez, Agustina Martínez Moreno, Julio Valer Corellano


      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otoeng.2017.02.008
       
  • Nasopharyngeal Oncocytoma as a Cause of Eustachian Tube Dysfunction
    • Authors: Shirley J. Pérez Pérez; Carlos Almódovar Álvarez; José Diego Contreras Sánchez; Alberto Iñiguez de Onzoño
      Pages: 124 - 126
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): Shirley J. Pérez Pérez, Carlos Almódovar Álvarez, José Diego Contreras Sánchez, Alberto Iñiguez de Onzoño


      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otoeng.2017.02.009
       
  • Nasal septal schwannoma: An extremely rare tumor
    • Authors: Konstantinos Valsamidis; Iokasti Koutsampasopoulou; Konstantinos Titelis
      Pages: 127 - 128
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): Konstantinos Valsamidis, Iokasti Koutsampasopoulou, Konstantinos Titelis


      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otorri.2016.02.004
       
  • Unilateral Deafness Associated With a Glossopharyngeal Neurinoma
    • Authors: Frank Alberto Betances Reinoso; Rios Adela Pérez-Carro; Carlos Miguel Chiesa Estomba
      Pages: 129 - 130
      Abstract: Publication date: March–April 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 2
      Author(s): Frank Alberto Betances Reinoso, Rios Adela Pérez-Carro, Carlos Miguel Chiesa Estomba


      PubDate: 2017-03-27T14:35:28Z
      DOI: 10.1016/j.otoeng.2017.02.010
       
  • Revision Endoscopic Sinonasal Surgery
    • Authors: Pablo Cantillano; Fabián Rubio; Alfredo Naser; Rodolfo Nazar
      Pages: 1 - 8
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): Pablo Cantillano, Fabián Rubio, Alfredo Naser, Rodolfo Nazar
      Introduction and objectives Endoscopic sinonasal surgery is the procedure of choice in the treatment of chronic rhinosinusitis and sinonasal polyposis refractory to medical treatment, with high rates of success (76%–97.5%). However, 2.5%–24% of those patients will require revision surgery (RESS). In this study, we present the clinical, anatomical, radiological and histological features of patients receiving RESS in our centre during a 3-year period. Methods A retrospective review of clinical, anatomical, radiological and histopathological data of patients receiving revision endoscopic sinonasal surgery between 2012 and 2014 was carried out. Results From 299 surgery procedures performed, 27 (9%) were revision surgeries. The mean patient age was 46 years, with a male/female ratio of 1.4/1. The most frequent preoperative and postoperative diagnosis was chronic polypoid rhinosinusitis. The mean time since the previous surgery was 6.1 years, with 11.9 months of mean follow-up since that surgery. Stenotic antrostomy was found during revision in 81.5% of the patients and incomplete anterior ethmoidectomy and persistent uncinate process, in 59.3%. In radiology, 70.4% of patients had persistent anterior ethmoidal cells. Antrostomy or widening of antrostomy was performed in 96.3% of cases and anterior ethmoidectomy or completion of it was performed in 66.7%. Conclusions Polyps, stenotic antrostomy and incomplete ethmoidectomy were the most frequent causes of revision surgery, in concordance with the procedures performed. The patients had long periods of time without follow-up between surgeries. Further investigation is necessary to generate measures to reduce the number of revision surgeries.

      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2017.01.006
       
  • Absence of Chromosomal Translocations and Protein Expression of ALK in
           Sinonasal Adenocarcinomas
    • Authors: Esteban Pacheco; José Luis Llorente; Alejandro López-Hernández; Cristina García-Inclán; María Costales; Sira Potes Ares; Fernando López; Blanca Vivanco; Mario A. Hermsen
      Pages: 9 - 14
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): Esteban Pacheco, José Luis Llorente, Alejandro López-Hernández, Cristina García-Inclán, María Costales, Sira Potes Ares, Fernando López, Blanca Vivanco, Mario A. Hermsen
      Introduction Chromosomal translocations at 2p23 cause overexpression of anaplastic lymphoma kinase (ALK), a receptor tyrosine kinase involved in signalling pathways that regulate cell proliferation. This translocation occurs in 5% of lung adenocarcinoma and has been demonstrated to be useful as a therapeutic target for crizotinib. Sinonasal adenocarcinomas (SNAC) are histologically similar to lung adenocarcinomas; the aim of this study was to evaluate the presence of ALK alterations in SNAC. Method Break-apart fluorescent in situ hybridisation was used to analyse the presence of ALK translocations in 96 tumour samples. In addition, ALK protein expression was studied by immunohistochemistry. Results The samples of SNAC did not show ALK translocation. Moreover, ALK protein expression was absent in all cases. Conclusions These results suggest that ALK is not involved in SNAC.

      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2017.01.005
       
  • Swallowing Disorders in Parkinson's Disease
    • Authors: Sandra Mamolar Andrés; María Liliana Santamarina Rabanal; Carla María Granda Membiela; María José Fernández Gutiérrez; Paloma Sirgo Rodríguez; César Álvarez Marcos
      Pages: 15 - 22
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): Sandra Mamolar Andrés, María Liliana Santamarina Rabanal, Carla María Granda Membiela, María José Fernández Gutiérrez, Paloma Sirgo Rodríguez, César Álvarez Marcos
      Introduction Parkinson's disease is a type of chronic neurodegenerative pathology with a typical movement pattern, as well as different, less studied symptoms such as dysphagia. Disease-related disorders in efficacy or safety in the process of swallowing usually lead to malnutrition, dehydration or pneumonias. The aim of this study was identifying and analyzing swallowing disorders in Parkinson's disease. Subjects and methods The initial sample consisted of 52 subjects with Parkinson's disease to whom the specific test for dysphagia SDQ was applied. Nineteen participants (36.5%) with some degree of dysphagia in the SDQ test were selected to be evaluated by volume-viscosity clinical exploration method and fibreoptic endoscopic evaluation of swallowing. Results Disorders in swallowing efficiency and safety were detected in 94.7% of the selected sample. With regards to efficiency, disorders were found in food transport (89.5%), insufficient labial closing (68.4%) and oral residues (47.4%), relating to duration of ingestion. Alterations in security were also observed: pharynx residues (52.7%), coughing (47.4%), penetration (31.64%), aspiration and decrease of SaO2 (5.3%), relating to the diagnosis of respiratory pathology in the previous year. Conclusion The SDQ test detected swallowing disorders in 36.5% of the subjects with Parkinson's disease. Disorders in swallowing efficiency and safety were demonstrated in 94.7% of this subset. Disorders of efficiency were more frequent than those of safety, establishing a relationship with greater time in ingestion and the appearance of respiratory pathology and pneumonias.

      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2017.01.003
       
  • Malignant External Otitis in Spain
    • Authors: Antonio Guerrero-Espejo; Inmaculada Valenciano-Moreno; Rafael Ramírez-Llorens; Palmira Pérez-Monteagudo
      Pages: 23 - 28
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): Antonio Guerrero-Espejo, Inmaculada Valenciano-Moreno, Rafael Ramírez-Llorens, Palmira Pérez-Monteagudo
      Introduction Malignant external otitis is a necrotising infection, which extends from the squamous epithelium of the ear canal to the adjacent tissue. The objective of the study was to investigate its incidence and other epidemiological data in Spain, reporting the largest case series to date. Methods A descriptive, retrospective study of the Spanish population was carried out using the minimum basic data set (MBDS) based on data of patients admitted to hospitals in the 2008–2013 period. Patients whose diagnosis (principal or secondary) at discharge was encoded as 380.14 (malignant external otitis), according to ICD-9-CM, were included as cases. The Spanish incidence rate was calculated for all its communities and provinces, as well as by season and mortality. Results A total of 355 patients (302 as principal diagnosis and 53 as secondary) were diagnosed. The incidence rate was 1.30 (95% CI, 1.17–1.44) per 106 inhabitants and year, although there were variations among geographical areas. The median age of cases with main diagnosis was 74 years (range 10–95 years). The predominant age group was in patients over 84 years old (19.3 cases per 106 inhabitants and year). The incidence was higher in men and the male–female relative risk was 2.4. Diabetes was present in 74.6% of patients. The diagnosis was predominant in the last quarter of the year. The gross in-hospital mortality rate was 3.7%. Conclusions Malignant external otitis is seen mostly among male elderly and diabetic patients. The incidence and mortality rate are low in Spain.

      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otorri.2016.02.010
       
  • Indications and Radiological Findings of Acute Otitis Media and Its
           Complications
    • Authors: Elena Pont; Miguel Mazón
      Pages: 29 - 37
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): Elena Pont, Miguel Mazón
      Most cases of acute otitis media resolve with antibiotics and imaging is not required. When treatment fails or a complication is suspected, imaging plays a crucial role. Since the introduction of antibiotic treatment, the complication rate has decreased dramatically. Nevertheless, given the critical clinical relevance of complications, the importance of early diagnosis is vital. Our objective was to review the clinical and radiological features of acute otitis media and its complications. They were classified based on their location, as intratemporal or intracranial. Imaging makes it possible to diagnose the complications of acute otitis media and to institute appropriate treatment. Computed tomography is the initial technique of choice and, in most cases, the ultimate. Magnetic resonance is useful for evaluating the inner ear and when accurate evaluation of disease extent or better characterisation of intracranial complications is required.

      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2017.01.008
       
  • Laryngotracheal Stenosis of Autoimmune Aetiology
    • Authors: Maria Dablanca; Ana Maeso; Desiree del C. Méndez; Primitivo Ortega
      Pages: 38 - 42
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): Maria Dablanca, Ana Maeso, Desiree del C. Méndez, Primitivo Ortega
      Autoimmune origin ranks fifth in the etiologic classification of laryngotracheal stenosis. Wegener's disease is the autoimmune illness most associated with stenosis; however, there are other autoimmune diseases that may also be associated with it. A descriptive, retrospective study of 9 cases of laryngotracheal stenosis associated with autoimmune disease was carried out. There were 9 patients (8 females and 1 male) with an average age of 27.9 years. Four of the patients suffered from Wegener's disease, 1 from ulcerative colitis, and 1 from purple vasculitis. The other 3 patients only had positive c-ANA. Endoscopic treatment was performed in 3 cases. The other 6 patients required open surgery. Respiratory results were acceptable. Based on our study, we feel that the immunological profiles should be studied in all patients with stenosis, given that not only Wegener's disease is linked to stenosis.

      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2017.01.011
       
  • Aetiological Diagnosis of Child Deafness: CODEPEH Recommendations
    • Authors: Faustino Núñez-Batalla; Carmen Jáudenes-Casaubón; Jose Miguel Sequí-Canet; Ana Vivanco-Allende; Jose Zubicaray-Ugarteche; Rubén Cabanillas-Farpón
      Pages: 43 - 55
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): Faustino Núñez-Batalla, Carmen Jáudenes-Casaubón, Jose Miguel Sequí-Canet, Ana Vivanco-Allende, Jose Zubicaray-Ugarteche, Rubén Cabanillas-Farpón
      Important progress in the fields of molecular genetics (principally) and diagnostic imaging, together with the lack of a consensus protocol for guiding the diagnostic process after confirming deafness by neonatal screening, have led to this new work document drafted by the Spanish Commission for the Early Detection of Child Deafness (Spanish acronym: CODEPEH). This 2015 Recommendations Document, which is based on the most recent scientific evidence, provides guidance to professionals to support them in making decisions regarding aetiological diagnosis. Such diagnosis should be performed without delay and without impeding early intervention. Early identification of the causes of deafness offers many advantages: it prevents unnecessary trouble for the families, reduces health system expenses caused by performing different tests, and provides prognostic information that may guide therapeutic actions.

      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2016.05.002
       
  • IgG4 Orbital Inflammatory Pseudotumor Associated to Unilateral Ethmoid and
           Maxillary Sinus Aplasia
    • Authors: María Costales; Fernando López; Andrés Coca; José Luis Llorente
      Pages: 56 - 58
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): María Costales, Fernando López, Andrés Coca, José Luis Llorente


      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2017.01.007
       
  • Granular Cell Tumour in the Masseter Muscle
    • Authors: María Martel-Martín; David Virós-Porcuna; Rosa D. Ramirez-Ruiz; Irene Moysset-Agusti
      Pages: 59 - 61
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): María Martel-Martín, David Virós-Porcuna, Rosa D. Ramirez-Ruiz, Irene Moysset-Agusti


      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2017.01.009
       
  • Intraoperative Finding of Non-recurrent Inferior Laryngeal Nerve During
           Papillary Thyroid Carcinoma Surgery
    • Authors: Antonio Prat-Calero; Pedro Cascales-Sánchez; Agustina Martínez-Moreno
      Pages: 62 - 63
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): Antonio Prat-Calero, Pedro Cascales-Sánchez, Agustina Martínez-Moreno


      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2017.01.001
       
  • Aneurysm of the Internal Jugular Vein
    • Authors: Mariel S. Riedemann Wistuba; Amer A. Zanabili Al-Sibbai; Lino Camblor Santervás
      Pages: 64 - 65
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): Mariel S. Riedemann Wistuba, Amer A. Zanabili Al-Sibbai, Lino Camblor Santervás


      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2017.01.004
       
  • Is the Nasal Airway the Main Mode of Transmission for Pharyngeal
           Tuberculosis?
    • Authors: Esteban Vergara-de la Rosa; José Galvez-Olortegui; Tomas Galvez-Olortegui; Luis Concepcion-Urteaga
      Pages: 66 - 67
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): Esteban Vergara-de la Rosa, José Galvez-Olortegui, Tomas Galvez-Olortegui, Luis Concepcion-Urteaga


      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2016.07.010
       
  • Response to: Is the Nasal Airway the Main Mode of Transmission for
           Pharyngeal Tuberculosis?
    • Authors: Hind Temsamani
      First page: 67
      Abstract: Publication date: January–February 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 1
      Author(s): Hind Temsamani


      PubDate: 2017-02-23T14:10:24Z
      DOI: 10.1016/j.otoeng.2017.01.002
       
  • Osteoblastoma of the Thyroid Cartilage
    • Authors: Francisco Javier García Callejo; Jaume Redondo Martínez; Verónica Andrade Gamarra; Tomás Pérez Carbonell
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): Francisco Javier García Callejo, Jaume Redondo Martínez, Verónica Andrade Gamarra, Tomás Pérez Carbonell


      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otoeng.2016.10.003
       
  • Giant Pleomorphic Adenoma of the Parotid Gland
    • Authors: Christian E. Calvo-Henriquez; Andrea Telmo-Mella; Cristina Dios-Loureiro; Carlos Martín-Martín
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): Christian E. Calvo-Henriquez, Andrea Telmo-Mella, Cristina Dios-Loureiro, Carlos Martín-Martín


      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otoeng.2015.12.002
       
  • Practical Management of Periprosthetic Leakage in Patients Rehabilitated
           With a Provox® 2 Voice Prosthesis After Total Laryngectomy
    • Authors: Eviatar Friedlander; Paloma Pinacho Martínez; Daniel Poletti Serafini; Carlos Martín-Oviedo; Tomás Martínez Guirado; Bartolomé Scola Yurrita
      Pages: 301 - 305
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): Eviatar Friedlander, Paloma Pinacho Martínez, Daniel Poletti Serafini, Carlos Martín-Oviedo, Tomás Martínez Guirado, Bartolomé Scola Yurrita
      Introduction and objectives Periprosthetic leakage of liquids is a common complication in patients rehabilitated with voice prostheses. Our objective was to describe and review the results of procedures for treating periprosthetic leakage. Materials and methods This was a retrospective analysis of 41 patients rehabilitated with Provox® 2 voice prostheses between 1997 and 2015. We describe 3 techniques: periprosthetic silicon collar placement, injection of hyaluronic acid into the tracheoesophageal wall and the combination of the 2 techniques. We present a method to reduce the diameter of the tracheoesophageal fistula by removing the voice prosthesis and placing a nasogastric tube through the fistula. Results In the 3 groups treated with silicone collar (n=5, 13 procedures), hyaluronic acid injection (n=5, 9 procedures) and the combination of both techniques (n=3, 5 procedures), we observed an increase in prosthesis lifespan of an average of 56 days (range 7–118 days), 32 days (range 3–55 days) and 63 days (range 28–136 days), respectively. The tracheoesophageal fistula diameter reduction was performed in 100% (n=6) of patients. Conclusions The use of silicone collars, injection of hyaluronic acid into the tracheoesophageal wall and the combination of both techniques for the treatment of periprosthesis leakage increase the lifespan of the prosthesis. Temporary prosthesis removal and placement of nasogastric tube has also been shown effective in our experience. These techniques are simple, inexpensive and reproducible, thereby reducing healthcare costs.

      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otoeng.2015.12.003
       
  • High Frequency Tympanometry (1000Hz) in Young Infants and Its Comparison
           With Otoacoustic Emissions, Otomicroscopy and 226Hz Tympanometry
    • Authors: Eduardo A. Mena-Domínguez; José I. Benito-Orejas; Beatriz Ramírez-Cano; Darío Morais-Pérez; M. Fe Muñoz-Moreno
      Pages: 306 - 314
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): Eduardo A. Mena-Domínguez, José I. Benito-Orejas, Beatriz Ramírez-Cano, Darío Morais-Pérez, M. Fe Muñoz-Moreno
      Introduction and objective In the first 6 months of life, 226Hz tympanometry is considered an ineffective procedure for the diagnosis of otitis media with effusion. With the introduction of universal hearing screening, the use of high frequency 1000Hz (1kHz) tympanometry has been recommended. To optimise the diagnosis of neonatal hearing loss, we present this comparison, from the clinical point of view, of the results of 226Hz and 1kHz tympanometry in infants. Materials and methods We designed a prospective study of 100 children under 9 months of age proceeding from our hearing screening programme. We compare the result of tympanometry with binocular microscopy and transient evoked otoacoustic emissions. Results The application of transient otoacoustic emissions, otomicroscopy and 226Hz and 1kHz tympanometry has shown its usefulness in the management of otitis media with effusion of young infants, with a similar effectiveness between the 4 tests. Conclusion The joint use of otomicroscopy, transient otoacoustic emissions and 226Hz and 1kHz tympanometry, has allowed us to diagnose otitis media with effusion in young infants more accurately than each test separately. We recommend initial use of 1kHz tympanometry, at least in children younger than 7 months, but in the presence of hearing loss or an unclear result, 226Hz tympanometry is a good diagnostic complement.

      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otoeng.2016.10.001
       
  • Change in Tinnitus After Acoustic Neuroma Removal Using a
           Translabyrinthine Approach. A Prospective Study
    • Authors: Leire Alvarez; Ane Ugarte; Miren Goiburu; Iratxe Urreta Barallobre; Xabier Altuna
      Pages: 315 - 323
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): Leire Alvarez, Ane Ugarte, Miren Goiburu, Iratxe Urreta Barallobre, Xabier Altuna
      Introduction Tinnitus is one of the primary symptoms of vestibular schwannoma (VS) and the effect of surgery is unpredictable. Materials and methods We conducted a prospective study of the patients who underwent a translabyrinthine approach for the treatment of their VS (2009–2013) at our Hospital. Patients answered the Tinnitus Handicap Inventory (THI) questionnaire pre- and postoperatively. The clinical charts provided data such as age, gender, tumour size, preoperative audiometry and postoperative facial function. Results The study included 39 patients. Of these, 71.8% suffered from tinnitus: 50% grade I, 17.9% grade II, 10.7% grade III, 21.4% grade IV and 0% grade V. We found no statistical association between tinnitus and the different variables measured preoperatively. Postoperatively, 48.7% of the patients suffered from tinnitus: 31.6% grade I, 36.8% grade II, 10.5% grade III, 15.8% grade IV and 5.3% grade V. The difference between mean pre- and postoperative THI was statistically significant (P=.011); this difference was greater in younger patients. We have found a significant negative correlation (r =−0.335; P =.037) between preoperative audiometry and postoperative THI. Conclusions We did not find any significant association between tinnitus and age, gender, tumour size and postoperative facial function. Translabyrinthine surgical removal of VS in these patients led to better THI results, with the younger patients having better outcomes. The patients with poorest preoperative audition were the ones that had the best results in the postoperative THI questionnaire.

      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otoeng.2016.01.002
       
  • Delayed Diagnosis of Childhood Deafness: The Value of False Negatives in
           the Programme for Early Detection of Neonatal Hearing Loss
    • Authors: María C. Martínez-Pacheco; Luis Ferrán de la Cierva; Francisco J. García-Purriños
      Pages: 324 - 329
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): María C. Martínez-Pacheco, Luis Ferrán de la Cierva, Francisco J. García-Purriños
      Introduction Despite its importance, the existence of false negatives (patients who are told they hear well, but they have some degree of hipacusia) is rarely evaluated in programmes for early detection of hearing loss. The aim of this study is to determine the variables that can lead to a delayed diagnosis, especially the existence of false negatives and the lack of registration of risk factors. Methods A retrospective study of prevalence has been carried out, in which the medical records of children diagnosed with sensorineural hearing loss born within 2005 and 2012 in the health centres of study have been analysed. Results Of the 32 children with sensorineural hearing loss, 16 passed the OAE, 12 did not passed the OAE, and in four they were not carried out. Of the children who passed the OAE, 57% have severe hearing loss. 66% of children with hearing loss presented a risk factor for hearing loss at birth, being the most frecuent family history of hearing loss, but only 7% of those with family history of hearing loss were included in the risk group. Conclusions The results of the study indicate that the late diagnosis of hearing loss is related to the presence of false negatives to the OAE and the non-registration of risk factors.

      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otoeng.2016.01.001
       
  • Cicatricial Posterior Glottic Stenosis. Our Experience
    • Authors: Ana Maeso-Plaza; María Dablanca-Blanco; Consuelo Ortega-Fernandez; Primitivo Ortega-del Álamo
      Pages: 330 - 338
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): Ana Maeso-Plaza, María Dablanca-Blanco, Consuelo Ortega-Fernandez, Primitivo Ortega-del Álamo
      Introduction and objectives Presentation of the results obtained in the treatment of cicatricial posterior glottic stenosis. Methods A retrospective study of 34 patients diagnosed and treated for cicatricial posterior glottic stenosis in our ENT department. Results In our series, 85.36% of our patients were decannulated. Of these, 80% of the patients with glottic stenosis were decannulated, while 92.9% of the patients with other associated laryngotracheal stenosis were paradoxically decannulated. Of all the patients, 70% required more than 1 surgical procedure, although most of these interventions were to resolve minor issues following our protocol. The number of subsequent interventions was determined by the location of the stenosis, with there being more interventions when the posterior glottic stenosis was associated with another type of laryngotracheal stenosis (P=.001). Conclusions The surgical results for treating cicatricial posterior glottic stenosis are quite positive. However, unlike other types of posterior glottic stenosis (such as neurogenic abductor paralysis), it requires a greater number of interventions to achieve definitive decannulation. Endoscopic procedures play an important role and represent our main tool.

      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otoeng.2016.10.002
       
  • Using low level laser therapy to reduce early postoperative airway
           obstruction following modified Hogan's flap
    • Authors: Abdelrahman E. Ezzat; Hanna M. EL-Shenawy; Marwa M. El-Begermy; Mustafa I. Eid; Ayman Y. Abbas
      Pages: 339 - 344
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): Abdelrahman E. Ezzat, Hanna M. EL-Shenawy, Marwa M. El-Begermy, Mustafa I. Eid, Ayman Y. Abbas
      Introduction and objective The most common postoperative complications of velopharyngeal insufficiency surgery are postoperative bleeding and airway obstruction or obstructive sleep apnoea. Consequently, the aim of this study was to evaluate the effect of low level laser therapy (LLLT) during the first postoperative days in children undergoing superiorly based pharyngeal flap (SBF) surgery. Materials and methods A randomized double blind clinical study on 30 children divided on two groups 15 patients each, who underwent SBF. LLLT was used in a group and the other was a control group. The study was conducted in academic tertiary care medical centres between 2013 and 2015. The degree of edema, oxygen saturation, occurrence of obstructive sleep apnoea (OSA) and steroid administration were recorded. Results The mean of the average oxygen saturation was significantly less in the control group in the 1st and 2nd day as compared to the laser group. The need for oxygen and the incidence of OSA in the first 3 days were significantly higher in the control group as compared to the laser group. The degree of edema showed no significant difference in the first day but was significantly higher in the control group in the 2nd and 3rd days. Hence, the need of steroids was significantly higher in the control group in the first 3 days. Conclusions Preliminary results showed that low level laser therapy is effective in reducing the incidence of early postoperative airway obstruction after SBF operations.

      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otoeng.2016.01.003
       
  • Nasal closure for the treatment of epistaxis secondary to hereditary
           hemorrhagic telangiectasia
    • Authors: Sara Sena Esteves; Carla Cardoso; Ana Silva; José Abrunhosa; Cecília Almeida e Sousa
      Pages: 345 - 348
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): Sara Sena Esteves, Carla Cardoso, Ana Silva, José Abrunhosa, Cecília Almeida e Sousa
      Hereditary hemorrhagic telangiectasia (HHT), also known by the eponym Osler-Weber-Rendu syndrome, is an autosomal dominant disorder characterised by the presence of multiple arteriovenous malformations (AVMs) affecting multiple organs. Many procedures have been used for epistaxis control in patients with this disorder. The objective of this study was to report the treatment of severe HHT-related epistaxiswith the modified Young's procedure. Materials and methods We describe the treatment of 4 patients with severe blood-transfusion-dependent epistaxis who underwent a modified Young's procedure in a tertiary hospital. The nasal closure was bilateral and complete in all cases. All patients were followed for 12 months or longer. Results The procedure was well tolerated and complete cessation of bleeding was achieved in all the patients. Conclusion Young's technique is a safe surgical procedure, well tolerated by patients with severe epistaxis and HHT.

      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otorri.2015.12.002
       
  • Palinacousis Secondary to Brain Damage From Methotrexate
    • Authors: Ana Sánchez-Martínez; José I. Benito-Orejas; Dulce M. Campos-Blanco; Darío Morais-Pérez
      Pages: 349 - 351
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): Ana Sánchez-Martínez, José I. Benito-Orejas, Dulce M. Campos-Blanco, Darío Morais-Pérez


      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otoeng.2015.11.003
       
  • Paediatric Mucoepidermoid Carcinoma
    • Authors: Estefanía Hernández-García; Rosario García-Monescillo; Laura Castillo-Fernández; Guillermo Plaza
      Pages: 352 - 354
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): Estefanía Hernández-García, Rosario García-Monescillo, Laura Castillo-Fernández, Guillermo Plaza


      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otoeng.2015.11.005
       
  • Mucocutaneous Leishmaniasis
    • Authors: Vania Novoa Juiz; Raquel Redondo Luciañez
      First page: 355
      Abstract: Publication date: November–December 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 6
      Author(s): Vania Novoa Juiz, Raquel Redondo Luciañez


      PubDate: 2016-12-13T11:00:05Z
      DOI: 10.1016/j.otoeng.2015.11.004
       
  • Venous malformation of right angular vein
    • Authors: Hemanth Vamanshankar; Jyotirmay Shyamsundar Hegde; Pradipta Kumar Parida
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Hemanth Vamanshankar, Jyotirmay Shyamsundar Hegde, Pradipta Kumar Parida


      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otorri.2015.09.010
       
  • Tracheal Osteochondromas, Accidental Finding
    • Authors: Lina Rosique López
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Lina Rosique López


      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otoeng.2016.09.005
       
  • Management of Chronic Otitis Media by Subtotal Petrosectomy
    • Authors: Xabier Altuna; Juan José Navarro; Miren Goiburu; Idoia Palicio
      Pages: 249 - 253
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Xabier Altuna, Juan José Navarro, Miren Goiburu, Idoia Palicio
      Introduction and objectives Subtotal petrosectomy is the complete exenteration of all air cell tracts of the temporal bone. The isthmus of the Eustachian tube is obliterated and the external auditory canal is closed. The aim of this study was to describe the use of this technique in the management of certain cases of chronic otitis media. Materials and methods We conducted a retrospective revision of the patients treated in our institution with this technique for chronic otitis media in a 5-year period (2008–2012). All charts were reviewed and data from the otomicroscopy, audiometry, radiology, surgical findings, postoperative complications and follow-up (including diffusion magnetic resonance imaging, MRI) of a minimum of 24 months were collected. Results In this period petrosectomy was performed on 28 patients for chronic otitis media. We treated 13 cases as primary cases, while 15 cases were secondary (patients that had already undergone another procedure in that ear). Fifteen cases had no serviceable hearing. Only 1 case had an immediate postoperative complication (infection); during the posterior follow-up, 2 cases had to be reoperated for diffusion restriction in the mastoid area revealed in the MRI 2 years after surgery. Conclusions A subtotal petrosectomy is rarely performed for the treatment of chronic otitis media. However, it is a technique that we have to keep in mind for the treatment of certain cases where there is recurrence and deep hearing loss, as well as in cases with good cochlear reserve if the disease coexists with other complications.

      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otoeng.2015.09.003
       
  • Extra-Tympanic Electrocochleography in a Normal Population. A Descriptive
           Study
    • Authors: Jaume Redondo-Martínez; Antonio Morant-Ventura; Diana Robledo-Aguayo; Alejandra Ayas-Montero; Elvira Mencheta-Benet; Jaime Marco-Algarra
      Pages: 254 - 260
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Jaume Redondo-Martínez, Antonio Morant-Ventura, Diana Robledo-Aguayo, Alejandra Ayas-Montero, Elvira Mencheta-Benet, Jaime Marco-Algarra
      Introduction and objectives Extra-tympanic electrocochleography is an electrophysiological register obtained after stimulating the cochlea with an audible stimulus. This stimulus is applied using an earphone over the external auditory canal, while the electrical activity is registered by surface electrodes. There are few studies that analyse normal electrocochleography in our environment. Thus, the main objective of our study was to regularise the values obtained with electrocochleography in ears without any otoneurological diseases. We explain in detail the process of obtaining the register. Methods Sixty healthy ears were studied by extratympanic electrocochleography. Statistical results were analysed. While 30 ears were studied with a stimulus at 90dB, another 30 ears were studied with a stimulus at 80dB. Results Summating potential and action potential latencies and amplitudes were measured. Summating potential/action potential ratios were calculated. Wave I and wave II latencies were also determined. These results were analysed in function of stimulus intensity, patient gender, patient age group and ear side studied. Conclusions This study collected extra-tympanic electrocochleography data in a normal population and the results were in the range of other international studies obtained in other countries. These data can be used as a reference to evaluate illnesses that affect cochlear structure or functions.

      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otoeng.2015.10.001
       
  • Surgical Treatment for Childhood Obstructive Sleep Apnoea: Cold-Knife
           Tonsillar Dissection Versus Bipolar Radiofrequency Thermal Ablation
    • Authors: Eduard Esteller; Juan Carlos Villatoro; Gabriel Pedemonte; Adriana Agüero; Joan Manel Ademà; Montserrat Girabent-Farrés
      Pages: 261 - 267
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Eduard Esteller, Juan Carlos Villatoro, Gabriel Pedemonte, Adriana Agüero, Joan Manel Ademà, Montserrat Girabent-Farrés
      Introduction and objective Adenotonsillectomy for treatment of childhood obstructive sleep apnoea is effective. The uncomfortable postoperative period and possible complications have significantly increased the use of partial techniques, seeking to improve these aspects while achieving the same results in resolving sleep apnoea. The aim was to present the experience with 2 consecutive groups of patients, comparing total tonsillectomy to bipolar radiofrequency ablation (RFA). Method A group of 96 children that underwent total tonsilloadenoidectomy using cold dissection were compared to another group of 101 children that underwent RFA. In all cases, polysomnography was performed before and 1 year after surgery. The percentage of cases with persistent disease (apnea-hypopnea index≥3) and the improvement of clinical symptoms at one year were evaluated. The percentages of surgical and anaesthetic complications in both groups were also compared. Result The persistence of the syndrome was comparable in both groups: 25% in the cold dissection and 22.77% in the radiofrequency ablation group. Anaesthetic complications (5% in the group where cold dissection was used and 4.2% in the radiofrequency ablation group) and postoperative bleeding rates were very low and statistically comparable with both techniques. Conclusion In the treatment of childhood obstructive sleep apnoea syndrome, both extracapsular surgery using cold scalpel and bipolar radiofrequency tunnelling techniques are safe. Likewise, results as to resolution of the syndrome show no statistically significant differences.

      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otoeng.2015.11.001
       
  • Study of the Improvement in Bone Conduction Threshold After Stapedectomy
    • Authors: Leire García-Iza; Juan José Navarro; Miren Goiburu; Nuria Pérez; Xabier Altuna
      Pages: 268 - 274
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Leire García-Iza, Juan José Navarro, Miren Goiburu, Nuria Pérez, Xabier Altuna
      Introduction and objectives Bone conduction threshold depression is not always a result of inner ear and cochlear nerve pathology. In fact, middle ear pathologies may be responsible for such threshold depression, as occurs in otosclerosis. The aims of this study were to evaluate the improvement of bone conduction threshold in patients with otosclerosis that underwent stapedectomy and to study the postoperative audiological results. Materials and methods This was a retrospective study on 95 patients (116 ears) diagnosed with otosclerosis having conductive or mixed hearing loss that received surgery (stapedectomy and complete removal of the footplate) consecutively. Audiometry was performed on all patients pre- and postoperatively (one month and one year after surgery). Bone and air conduction thresholds were measured at 4 frequencies (500, 1000, 2000 and 4000Hz). Results The air-bone gap was closed, with a residual air-bone gap below 10dB in 92.2% of the patients and below 5dB in 79.3% of the cases. The air conduction threshold improved an average of 25dB. The patients that had an affected bone conduction threshold preoperatively improved bone conduction postoperatively at the frequencies of 1000 and 2000Hz (6 and 12dB, respectively). Consequently, the Carhart notch disappeared on the audiogram. These results were maintained at one year of follow up. Conclusions We found a significant improvement in the bone conduction threshold at the frequencies of 1000 and 2000Hz and a disappearance of the Carhart notch in the audiogram after stapedectomy and total footplate removal in patients diagnosed with otosclerosis having mixed hearing loss.

      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otoeng.2015.11.002
       
  • Malformation of the Eighth Cranial Nerve in Children
    • Authors: Carlos de Paula-Vernetta; Noelia Muñoz-Fernández; Fernando Mas-Estellés; Abel Guzmán-Calvete; Laura Cavallé-Garrido; Constantino Morera-Pérez
      Pages: 275 - 281
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Carlos de Paula-Vernetta, Noelia Muñoz-Fernández, Fernando Mas-Estellés, Abel Guzmán-Calvete, Laura Cavallé-Garrido, Constantino Morera-Pérez
      Introduction and objectives Prevalence of congenital sensorineural hearing loss (SNHL) is approximately 1.5–6 in every 1000 newborns. Dysfunction of the auditory nerve (auditory neuropathy) may be involved in up to 1%–10% of cases; hearing losses because of vestibulocochlear nerve (VCN) aplasia are less frequent. The objectives of this study were to describe clinical manifestations, hearing thresholds and aetiology of children with SNHL and VCN aplasia. Methodology We present 34 children (mean age 20 months) with auditory nerve malformation and profound HL taken from a sample of 385 children implanted in a 10-year period. We studied demographic characteristics, hearing, genetics, risk factors and associated malformations (Casselman's and Sennaroglu's classifications). Data were processed using a bivariate descriptive statistical analysis (P<.05). Results Of all the cases, 58.8% were bilateral (IIa/IIa and I/I were the most common). Of the unilateral cases, IIb was the most frequent. Auditory screening showed a sensitivity of 77.4%. A relationship among bilateral cases and systemic pathology was observed. We found a statistically significant difference when comparing hearing loss impairment and patients with different types of aplasia as defined by Casselman's classification. Computed tomography (CT) scan yielded a sensitivity of 46.3% and a specificity of 85.7%. However, magnetic resonance imaging (MRI) was the most sensitive imaging test. Conclusions Ten percent of the children in a cochlear implant study had aplasia or hypoplasia of the auditory nerve. The degree of auditory loss was directly related to the different types of aplasia (Casselman's classification) Although CT scan and MRI are complementary, the MRI is the test of choice for detecting auditory nerve malformation.

      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otoeng.2016.09.001
       
  • High Dose Rate Brachytherapy in Early Stage Squamous-Cell Carcinoma of the
           Lip
    • Authors: Alejandro Mut; José Luis Guinot; Leoncio Arribas; Lorena Díez-Presa; María Isabel Tortajada; Miguel Ángel Santos; Josefa Samper; Paula Santamaría; Juan Bosco Vendrell
      Pages: 282 - 287
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Alejandro Mut, José Luis Guinot, Leoncio Arribas, Lorena Díez-Presa, María Isabel Tortajada, Miguel Ángel Santos, Josefa Samper, Paula Santamaría, Juan Bosco Vendrell
      Introduction and goals To analyse the results obtained after treatment of early stage (T1–T2) squamous cell carcinoma of the lip with high dose rate brachytherapy and evaluate the efficacy of this treatment in both local and regional control. Materials and methods Retrospective analysis of the treatments performed at our department from March 1999 to March 2013 with high dose rate brachytherapy with rigid needles. We included 68 patients, 63 men and 5 women; 37 patients (54.4%) presented a T1 tumour, less than or equal to 2cm, while the other 31 (45.6%) were classified as T2. Median total dose was 45Gy, with a median dose per fraction of 5Gy×9 fractions twice a day for 5 days. Results With a mean follow-up of 56.4 months, local control was 96.9%. Stratifying by tumour size, local control of T1 cases was 100%, while T2 achieved 93.2% (2 local recurrences). Regional control at 5 years was 93.8% for T1, and 80.8% for T2. In 11 cases with elective cervical treatment, no regional failure happened. As for toxicity, no patient presented soft tissue, or bone, necrosis. All patients achieved good or excellent cosmetic and functional results. Conclusions High dose rate brachytherapy allows effective, safe treatments for squamous cell carcinoma of the lip, with good aesthetic and functional results. It can be considered a valid alternative for surgery in early stage tumours.

      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otoeng.2015.12.001
       
  • Proposal for Staging of Inflammatory Lesions in the Frontal Region
    • Authors: Galo S. Soberón; Héctor M. Prado; Andrés Sadek; Olga Plowes; José R. Arrieta; Vladimir Figueroa
      Pages: 288 - 292
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Galo S. Soberón, Héctor M. Prado, Andrés Sadek, Olga Plowes, José R. Arrieta, Vladimir Figueroa
      Frontal swelling can be due to multiple etiologies, including: mucocele, Pott's puffy tumour, fibro osseous lesions, benign, and malignant neoplasms of the nose and paranasal sinuses, intracranial lesions, and metastasis. The objective of this study was to describe the clinical protocol used for the diagnosis of patients presented with frontal swelling and the proposal for staging of inflammatory lesions. We performed an observational retrospective analysis. We found 7 cases of patients with frontal swelling: Four cases secondary to inflammatory pathology (Three Potts puffy tumours and one frontal mucocele), and 3 cases secondary to neoplasms (one benign and 2 malignant neoplasms). It is very important to consider the wide differential diagnosis that can present as frontal swelling, from inflammatory pathologies secondary to possible advanced infections of the paranasal sinuses to invasive malignant neoplasms. We propose a system of staging of frontal inflammatory lesions.

      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otoeng.2016.09.002
       
  • Idiopathic Ulcerative Laryngitis: An uncommon disease
    • Authors: Meritxell Valls; Isabel Vilaseca
      Pages: 293 - 296
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Meritxell Valls, Isabel Vilaseca


      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otorri.2015.09.009
       
  • Oat-Cell Carcinoma of the Tongue
    • Authors: Francina Aguilar; Miguel Cuadrado; Jordi Serra; Xana Bernal-Escoté
      Pages: 297 - 299
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Francina Aguilar, Miguel Cuadrado, Jordi Serra, Xana Bernal-Escoté


      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otoeng.2016.09.004
       
  • Two Cases of Spontaneous Angina Bullosa Hemorrhagica
    • Authors: Belén Lozano-Masdemont; Marta Bergón-Sendín; Ricardo Suárez-Fernández
      First page: 300
      Abstract: Publication date: September–October 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 5
      Author(s): Belén Lozano-Masdemont, Marta Bergón-Sendín, Ricardo Suárez-Fernández


      PubDate: 2016-10-11T12:16:45Z
      DOI: 10.1016/j.otoeng.2015.09.005
       
  • The Efficacy of Individual Treatment of Subjective Tinnitus With Cognitive
           Behavioural Therapy
    • Authors: Pascual Canals; Belén Pérez del Valle; Francisco Lopez; Amparo Marco
      Pages: 187 - 192
      Abstract: Publication date: July–August 2016
      Source:Acta Otorrinolaringologica (English Edition), Volume 67, Issue 4
      Author(s): Pascual Canals, Belén Pérez del Valle, Francisco Lopez, Amparo Marco
      Introduction It has been a long time since subjective tinnitus cases were described for the first time but they still lack a treatment with proven effectiveness. The main goal of this study was to evaluate the effectiveness of cognitive behavioural therapy in these patients. Patients and method Between 2012 and 2013, 310 patients that suffered from subjective tinnitus were studied. Of these, 267 were included in treatment based on cognitive behavioural therapy. The monitoring period lasted 18 months for most cases, while it lasted 21 months for 11 patients. Results Considering patients that interrupted their treatment as failures, the percentage of recovery was 95.7%. Conclusion Cognitive behavioural therapy should always be included in the treatment of people suffering from tinnitus.

      PubDate: 2016-08-12T12:47:00Z
      DOI: 10.1016/j.otoeng.2016.07.009
       
 
 
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