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Publisher: Elsevier   (Total: 3043 journals)

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Showing 1 - 200 of 3043 Journals sorted alphabetically
AASRI Procedia     Open Access   (Followers: 15)
Academic Pediatrics     Hybrid Journal   (Followers: 22, SJR: 1.402, h-index: 51)
Academic Radiology     Hybrid Journal   (Followers: 21, SJR: 1.008, h-index: 75)
Accident Analysis & Prevention     Partially Free   (Followers: 84, SJR: 1.109, h-index: 94)
Accounting Forum     Hybrid Journal   (Followers: 25, SJR: 0.612, h-index: 27)
Accounting, Organizations and Society     Hybrid Journal   (Followers: 30, 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: 348, 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   (Followers: 1)
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: 252, 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: 10, 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: 23, SJR: 1.365, h-index: 73)
Acta Sociológica     Open Access  
Acta Tropica     Hybrid Journal   (Followers: 6, 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: 4, 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)
Acute Pain     Full-text available via subscription   (Followers: 13)
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: 21)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 135, 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: 17, SJR: 0.739, h-index: 33)
Advances in Accounting     Hybrid Journal   (Followers: 9, 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: 25, 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: 11, SJR: 0.801, h-index: 26)
Advances in Applied Microbiology     Full-text available via subscription   (Followers: 22, 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: 25, 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: 26, 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: 9, SJR: 1.268, h-index: 45)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 29, 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 Dermatology     Full-text available via subscription   (Followers: 12)
Advances in Developmental Biology     Full-text available via subscription   (Followers: 11)
Advances in Digestive Medicine     Open Access   (Followers: 6)
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: 41, 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: 41, SJR: 5.465, h-index: 64)
Advances in Exploration Geophysics     Full-text available via subscription   (Followers: 3)
Advances in Food and Nutrition Research     Full-text available via subscription   (Followers: 50, SJR: 0.674, h-index: 38)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 16)
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: 22, SJR: 0.906, h-index: 24)
Advances in Heterocyclic Chemistry     Full-text available via subscription   (Followers: 9, SJR: 0.497, h-index: 31)
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: 35, 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: 6)
Advances in Life Course Research     Hybrid Journal   (Followers: 8, SJR: 0.764, h-index: 15)
Advances in Lipobiology     Full-text available via subscription   (Followers: 2)
Advances in Magnetic and Optical Resonance     Full-text available via subscription   (Followers: 9)
Advances in Marine Biology     Full-text available via subscription   (Followers: 15, 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: 6, 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: 22)
Advances in Molecular and Cellular Endocrinology     Full-text available via subscription   (Followers: 10)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 7, SJR: 0.324, h-index: 8)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 4)
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: 24, SJR: 0.4, h-index: 28)
Advances in Pharmaceutical Sciences     Full-text available via subscription   (Followers: 13)
Advances in Pharmacology     Full-text available via subscription   (Followers: 15, SJR: 1.718, h-index: 58)
Advances in Physical Organic Chemistry     Full-text available via subscription   (Followers: 8, 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: 17)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20, SJR: 1.5, h-index: 62)
Advances in Psychology     Full-text available via subscription   (Followers: 61)
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: 3, SJR: 0.1, h-index: 2)
Advances in Space Research     Full-text available via subscription   (Followers: 353, SJR: 0.606, h-index: 65)
Advances in Structural Biology     Full-text available via subscription   (Followers: 8)
Advances in Surgery     Full-text available via subscription   (Followers: 7, SJR: 0.823, h-index: 27)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 30, SJR: 1.321, h-index: 56)
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: 1.878, h-index: 68)
Advances in Water Resources     Hybrid Journal   (Followers: 43, 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: 326, 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: 5, SJR: 0.344, h-index: 6)
Ageing Research Reviews     Hybrid Journal   (Followers: 8, SJR: 3.289, h-index: 78)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 405, 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: 30, SJR: 1.275, h-index: 74)
Agricultural Water Management     Hybrid Journal   (Followers: 39, 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: 54, 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: 5, 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: 10, SJR: 0.922, h-index: 66)
Alcoholism and Drug Addiction     Open Access   (Followers: 8)
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: 8, 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: 4, SJR: 0.776, h-index: 35)
Alpha Omegan     Full-text available via subscription   (SJR: 0.121, h-index: 9)
ALTER - European J. of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 8, SJR: 0.158, h-index: 9)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 47, 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: 4)
American Heart J.     Hybrid Journal   (Followers: 49, 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: 39, SJR: 0.574, h-index: 65)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 8, SJR: 1.091, h-index: 45)
American J. of Geriatric Psychiatry     Hybrid Journal   (Followers: 15, SJR: 1.653, h-index: 93)
American J. of Human Genetics     Hybrid Journal   (Followers: 31, 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: 32, SJR: 2.313, h-index: 172)
American J. of Medicine     Hybrid Journal   (Followers: 45, 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: 249, SJR: 2.255, h-index: 171)
American J. of Ophthalmology     Hybrid Journal   (Followers: 57, SJR: 2.803, h-index: 148)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 5)
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: 25, SJR: 0.59, h-index: 45)
American J. of Pathology     Hybrid Journal   (Followers: 26, 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: 34, SJR: 1.286, h-index: 125)
American J. of the Medical Sciences     Hybrid Journal   (Followers: 12, 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: 57, SJR: 0.124, h-index: 9)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 11)
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: 3, SJR: 2.577, h-index: 7)
Analytica Chimica Acta     Hybrid Journal   (Followers: 37, SJR: 1.548, h-index: 152)
Analytical Biochemistry     Hybrid Journal   (Followers: 167, SJR: 0.725, h-index: 154)
Analytical Chemistry Research     Open Access   (Followers: 8, SJR: 0.18, h-index: 2)
Analytical Spectroscopy Library     Full-text available via subscription   (Followers: 11)
Anesthésie & Réanimation     Full-text available via subscription   (Followers: 1)
Anesthesiology Clinics     Full-text available via subscription   (Followers: 22, 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: 160, 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   (Followers: 1, 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)
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   Full-text available via subscription Subscription journal
   ISSN (Print) 2173-5735
   Published by Elsevier Homepage  [3043 journals]
  • Surgical treatment of nasal septal perforations: SIR (Italian Society of
           Rhinology) experts opinion
    • Authors: Desiderio Passali; Maria Carla Spinosi; Lorenzo Salerni; Michele Cassano; Hugo Rodriguez; Francesco Maria Passali; Luisa Maria Bellussi
      Pages: 191 - 196
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Desiderio Passali, Maria Carla Spinosi, Lorenzo Salerni, Michele Cassano, Hugo Rodriguez, Francesco Maria Passali, Luisa Maria Bellussi
      Background and aim The aim of our study has been to investigate the perception of aspects related to nasal perforation among experts in Rhinology and ENT surgeons. Our aim was reporting the situations in different Countries to improve the knowledge of colleagues interested in this topic. Methods A panel of experts prepared a 20-question questionnaire regarding nasal perforations and their surgical repair, that were emailed to all the members of SIR (Società Italiana di Rnologia – Italian Society of Rhinology). Results Data obtained from their answers showed that Cottle technique (64%) is the most common technique to perform septoplasty worldwide. 37% of the sample reported an occurrence of nasal septal perforation in less than 1% of patients and 75% attributed this occurrence to the skill of the surgeon, to infections, to drug use and to septal deformity. Trauma, pressure and Wegener's granulomatosis were also mentioned. The most common closure technique is the mucosal flap (75%), followed by the cartilage grafts (11%). Much less common were oral flaps, septal buttons and others. The majority agreed not to suggest septal perforation surgery in minimal (less than 3–4mm) perforations (73.5%), or limiting it to symptomatic patients (43.5%). The contraindications to repair surgery were reported to be: Wegener's granulomatosis, drug abuse, non-symptomatic perforation, its dimension and age of the patient. Septal deviation, atrophic rhinitis, smoke epistaxis and systemic diseases were also claimed. Failure in repair surgery has been observed to occur in less than 30% of cases. Discussion and conclusions Given the great difficulty to make random studies about controversial topics and obtain statistically significant data related to that, expert opinion shall be of great value (expert opinion, level of evidence 5)

      PubDate: 2017-07-19T10:53:18Z
      DOI: 10.1016/j.otoeng.2016.10.004
       
  • Contralateral Occlusion Test: The effect of external ear canal occlusion
           on hearing thresholds
    • Authors: Luis Roque Reis; Paulo Fernandes; Pedro Escada
      Pages: 197 - 203
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Luis Roque Reis, Paulo Fernandes, Pedro Escada
      Introduction and goals Bedside testing with tuning forks may decrease turnaround time and improve decision making for a quick qualitative assessment of hearing loss. The purpose of this study was to quantify the effects of ear canal occlusion on hearing, in order to decide which tuning fork frequency is more appropriate to use for quantifying hearing loss with the Contralateral Occlusion Test. Methods Twenty normal-hearing adults (forty ears) underwent sound field pure tone audiometry with and without ear canal occlusion. Each ear was tested with the standard frequencies. The contralateral ear was suppressed with by masking. Ear occlusion was performed by two examiners. Results Participants aged between 21 and 30 years (25.6±3.03 years) showed an increase in hearing thresholds with increasing frequencies from 19.94dB (250Hz) to 39.25dB (2000Hz). The threshold difference between occluded and unoccluded conditions was statistically significant and increased from 10.69dB (250Hz) to 32.12dB (2000Hz). There were no statistically significant differences according to gender or between the examiners. Conclusion The occlusion effect increased the hearing thresholds and became more evident with higher frequencies. The occlusion method as performed demonstrated reproducibility. In the Contralateral Occlusion Test, 256Hz or 512Hz tuning forks should be used for diagnosis of mild hearing loss, and a 2048Hz tuning fork should be used for moderate hearing loss.

      PubDate: 2017-07-19T10:53:18Z
      DOI: 10.1016/j.otoeng.2016.11.001
       
  • Application of the Acoustic Voice Quality Index for Objective Measurement
           of Dysphonia Severity
    • Authors: Faustino Núñez-Batalla; Estefanía Díaz-Fresno; Andrea Álvarez-Fernández; Gabriela Muñoz Cordero; José Luis Llorente Pendás
      Pages: 204 - 211
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Faustino Núñez-Batalla, Estefanía Díaz-Fresno, Andrea Álvarez-Fernández, Gabriela Muñoz Cordero, José Luis Llorente Pendás
      Introduction Over the past several decades, many acoustic parameters have been studied as sensitive to and to measure dysphonia. However, current acoustic measures might not be sensitive measures of perceived voice quality. A meta-analysis which evaluated the relationship between perceived overall voice quality and several acoustic-phonetic correlates, identified measures that do not rely on the extraction of the fundamental period, such the measures derived from the cepstrum, and that can be used in sustained vowel as well as continuous speech samples. A specific and recently developed method to quantify the severity of overall dysphonia is the acoustic voice quality index (AVQI) that is a multivariate construct that combines multiple acoustic markers to yield a single number that correlates reasonably with overall vocal quality. Methods This research is based on one pool of voice recordings collected in two sets of subjects: 60 vocally normal and 58 voice disordered participants. A sustained vowel and a sample of connected speech were recorded and analyzed to obtain the six parameters included in the AVQI using the program Praat. Statistical analysis was completed using SPSS for Windows, version 12.0. Results Correlation between perception of overall voice quality and AVQI: A significant difference exists (t(95)=9.5; P<.000) between normal and dysphonic voices. Conclusions The findings of this study demonstrate the clinical feasibility of the AVQI as a measure of dysphonia severity.

      PubDate: 2017-07-19T10:53:18Z
      DOI: 10.1016/j.otoeng.2017.06.007
       
  • Treatment of Advanced Laryngeal Cancer and Quality of Life. Systematic
           Review
    • Authors: Francisco Javier García-León; Raúl García-Estepa; Antonio Romero-Tabares; Jaime Gómez-Millán Borrachina
      Pages: 212 - 219
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Francisco Javier García-León, Raúl García-Estepa, Antonio Romero-Tabares, Jaime Gómez-Millán Borrachina
      Introduction and objectives The objective was the comparison of the quality of life in patients with advanced laryngeal cancer treated with organ preservation versus surgical treatment. Methods We performed a systematic review in the databases MedLine, EMBASE, and PubMed (1991–2014) and Web of Science (2012–2014). The search terms were: Laryngeal cancer, organ preservation, chemotherapy, laryngectomy, treatment outcomes and quality of life. Systematic reviews, meta-analysis, reports of health technology assessment and comparative studies with control group, published in Spanish, French or English were included. The selection and quality assessment was made by two researchers. The criteria of the Cochrane Collaboration were used to assess the risk of bias and Scottish Intercollegiate Guidelines Network (SIGN) for the level of evidence. Results Of the 208 studies identified in the search, three were included a clinical trial and two observational studies, with a total of 211 patients. Quality and level of evidence was low. The results were contradictory, on occasion they favoured surgery, and on other occasions chemotherapy, but in general there were no statistical differences between the treatments. The studies were heterogeneous, with different methodology, undersized, limitations in quality with high risk of bias and use of different measurement scales. Conclusions There are not enough studies of quality to establish differences in the quality of life in patients with advanced laryngeal cancer according to the treatment received.

      PubDate: 2017-07-19T10:53:18Z
      DOI: 10.1016/j.otoeng.2017.06.010
       
  • Endoscopic Electrocauterization for Congenital Pyriform Sinus Fistula
           Treatment in Paediatrics. Case Series
    • Authors: Giselle Cuestas; Flavia Doormann; Verónica Rodríguez; Patricio Bellia Munzón; Gastón Bellia Munzón
      Pages: 220 - 225
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Giselle Cuestas, Flavia Doormann, Verónica Rodríguez, Patricio Bellia Munzón, Gastón Bellia Munzón
      Pyriform sinus fistulas are rare anomalies of the branchial arches. Most of them are located on the left side. They extend from the apex of the pyriform sinus of the hypopharynx to the thyroid gland or adjacent tissues. The diagnosis is suspected in the presence of acute suppurative thyroiditis or recurrent cervical abscesses, and is confirmed by endoscopic visualisation of the fistula hole. The traditional treatment consists of excision of the fistulous tract, with or without thyroid lobectomy, by cervical approach. However, less invasive alternatives that obliterate the path of the fistula have been developed, such as endoscopic electrocautery. We describe our experience with 7 patients with this condition, who were treated with endoscopic cauterization using radiofrequency electrocautery, and we evaluate the effectiveness and safety of the treatment performed.

      PubDate: 2017-07-19T10:53:18Z
      DOI: 10.1016/j.otoeng.2017.06.005
       
  • Spanish Consensus for the Management of Sinonasal Tumors
    • Authors: Fernando López; Juan José Grau; José Antonio Medina; Isam Alobid
      Pages: 226 - 234
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Fernando López, Juan José Grau, José Antonio Medina, Isam Alobid
      Sinonasal tumors are rare neoplasms with distinctive clinical, aetiological and pathological features. The diagnosis and treatment of these tumors is challenging because of their low incidence, histological diversity and production of nonspecific symptoms in the early stages. They have a variable prognosis depending on their histology, origin and staging. Their location, close to neurocritical structures, which are of special relevance to surgery and postoperative treatment, makes their treatment difficult and complex, leading to high morbidity and mortality. Surgery followed by radiotherapy is the mainstay of treatment. To provide the best possible care, patients with sinonasal cancer should be treated in clinical referral centres specialising in skull-base pathologies. Such centres should include a multidisciplinary team led by otolaryngologist surgeons. This article outlines a consensus protocol for the management of these tumors devised by the Spanish Society of Otolaryngology in collaboration with the Spanish Society of Medical Oncology and the Spanish Society for Radiation Oncology.

      PubDate: 2017-07-19T10:53:18Z
      DOI: 10.1016/j.otoeng.2017.06.008
       
  • Syringocystadenoma Papilliferum of the External Auditory Canal. Case
           Report and Literature Review
    • Authors: Gloria Guerra-Jiménez; Rocío González Aguado; Alejandra Arenas Rodríguez; Ángel Ramos Macías
      Pages: 235 - 237
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Gloria Guerra-Jiménez, Rocío González Aguado, Alejandra Arenas Rodríguez, Ángel Ramos Macías


      PubDate: 2017-07-19T10:53:18Z
      DOI: 10.1016/j.otoeng.2017.06.004
       
  • Alveolar sarcoma of the parapharyngeal space: A case report
    • Authors: Sarina Navarro; Jose F. Carrillo; Dorian Yarih Garcia Ortega; Kuauhyama Luna-Ortiz
      Pages: 241 - 243
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Sarina Navarro, Jose F. Carrillo, Dorian Yarih Garcia Ortega, Kuauhyama Luna-Ortiz


      PubDate: 2017-07-19T10:53:18Z
      DOI: 10.1016/j.otoeng.2016.11.002
       
  • Acute Calcific Tendinitis of the Longus Colli Muscle
    • Authors: Alberto Sierra Solís; Luis Fernández Prudencio
      Pages: 244 - 245
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Alberto Sierra Solís, Luis Fernández Prudencio


      PubDate: 2017-07-19T10:53:18Z
      DOI: 10.1016/j.otoeng.2017.06.001
       
  • Intratonsillar Abscess, a Rare Cause of Odynophagia
    • Authors: Blidy N. Añaguari; Juan Rebollo; Cristina Montes
      Pages: 246 - 247
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Blidy N. Añaguari, Juan Rebollo, Cristina Montes


      PubDate: 2017-07-19T10:53:18Z
      DOI: 10.1016/j.otoeng.2017.06.002
       
  • Diagnostic Surprise in a Menière-like Syndrome: Jugular Bulb
           Diverticulum
    • Authors: Christian E. Calvo-Henriquez; Xenia I. Mota-Rojas; Andrés Soto-Varela
      Pages: 248 - 249
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Christian E. Calvo-Henriquez, Xenia I. Mota-Rojas, Andrés Soto-Varela


      PubDate: 2017-07-19T10:53:18Z
      DOI: 10.1016/j.otoeng.2017.06.003
       
  • Ossiculoplasty in chronic otitis media: Surgical results and prognostic
           factors of surgical success
    • Authors: Ana Castro Sousa; Vânia Henriques; Jorge Rodrigues; Rui Fonseca
      Pages: 131 - 137
      Abstract: Publication date: May–June 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 3
      Author(s): Ana Castro Sousa, Vânia Henriques, Jorge Rodrigues, Rui Fonseca
      Background and objectives The goal of ossiculoplasty is to improve hearing. Successful ossiculoplasty depends on several factors. This retrospective study was carried out to analyze hearing results of ossiculoplasty in ears with chronic otitis media (COM) and evaluate clinical outcomes and factors predictive of hearing improvement. Subjects and methods We reviewed the results of 153 patients with COM (with cholesteatoma (COMC) and without cholesteatoma (COMWC)) who underwent ossiculoplasty between January of 2002 to December of 2011. Several potential prognostic factors were evaluated: cholesteatoma present vs absent; type of surgical procedure, state of the middle ear mucosa, state of the ossicular chain, type of prosthesis. Results We analyzed 153 ossiculoplasties: 96 patients presented COMWC and 57 patients presented COMC. The ossiculoplasties were performed using autologous ossicles for the most part. All ossiculoplasties were carried out in one-stage surgery. In 38% of cases ossiculoplasty was combined with mastoidectomy; in the remaining 62% of cases, ossiculoplasty was performed without mastoidectomy. Ossiculoplasty was successfully achieved in 113 patients (74%). The presence of the stapes superstructure and normal mucosa were significant predictive factors of surgical success. Conclusion The majority of the ossiculoplasties improved hearing status satisfactorily. Multivariate analysis should be performed to investigate prognostic factors of favorable short-term hearing outcomes after ossiculoplasty. Better knowledge of these predictive factors may contribute to the surgeon's judgment and the information given to patients.

      PubDate: 2017-05-28T14:58:19Z
      DOI: 10.1016/j.otorri.2016.06.006
       
  • Parapharyngeal Space Primary Tumours
    • Authors: Gianluigi Grilli; Vanessa Suarez; María Gabriela Muñoz; María Costales; José Luis Llorente
      Pages: 138 - 144
      Abstract: Publication date: May–June 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 3
      Author(s): Gianluigi Grilli, Vanessa Suarez, María Gabriela Muñoz, María Costales, José Luis Llorente
      Introduction and objectives The aim of this study is to present our experience with the diagnostic and therapeutic approaches for parapharyngeal space tumours. Patients and method This study is a retrospective review of 90 patients diagnosed with tumours of the parapharyngeal space and treated surgically between 1984 and 2015. Patients whose tumours were not primary but invaded the parapharyngeal space expanding from another region, tumours originating in the deep lobe of the parotid gland and head and neck metastasis were excluded from this study. Results 74% percent of the parapharyngeal space neoplasms were benign and 26% were malignant. Pleomorphic adenoma was the most common neoplasm (27%), followed by paragangliomas (25%), miscellaneous malignant tumours (16%), neurogenic tumours (12%), miscellaneous benign tumours (10%), and malignant salivary gland tumours (10%). The transcervical approach was used in 56 cases, cervical-transparotid approach in 15 cases, type A infratemporal fossa approach in 13 cases, transmandibular approach in 4 cases and transoral approach in 2 cases. The most common complications were those deriving from nervous injuries. Conclusions Most parapharyngeal space tumours can be removed surgically with a low rate of complications and recurrence. The transcervical approach is the most frequently used.

      PubDate: 2017-05-28T14:58:19Z
      DOI: 10.1016/j.otoeng.2016.06.002
       
  • Assessment of Nasal Obstruction With Rhinomanometry and Subjective Scales
           and Outcomes of Surgical and Medical Treatment
    • Authors: Hugo Lara-Sánchez; Candelas Álvarez Nuño; Elisa Gil-Carcedo Sañudo; Agustín Mayo Iscar; Luis Ángel Vallejo Valdezate
      Pages: 145 - 150
      Abstract: Publication date: May–June 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 3
      Author(s): Hugo Lara-Sánchez, Candelas Álvarez Nuño, Elisa Gil-Carcedo Sañudo, Agustín Mayo Iscar, Luis Ángel Vallejo Valdezate
      Introduction Prospective study of patients with nasal obstruction (NO) in order to measure therapeutic success by anterior active rhinomanometry (AAR), Nasal Obstruction Symptom Evaluation (NOSE) scale and Visual Analogue Scale (VAS) and to establish the correlation between these tests. Methods Patients with NO, on whom we performed an AAR, NOSE and VAS scales at baseline and after medical treatment (topical nasal steroid) or surgery (septoplasty, turbinoplasty or septoplasty and turbinoplasty). The nasal flow obtained by the AAR and the score of both subjective scales (NOSE and VAS) were compared and analysed. Results A total of 102 patients were included in the study. Surgical treatment resulted in statistically significant differences with the AAR and the subjective scales. While in patients with medical treatment there was an increase in the AAR nasal flow but without statistical significance (P=.1363). The correlation between the AAR, the NOSE and VAS scales was measured finding a strong correlation between the NOSE and VAS scales only (r=.83327). Conclusions The patients with NO treated surgically have better results when these are evaluated by AAR or with subjective scales. There is no significant correlation between AAR, NOSE and VAS scales, this is considered to be because the AAR and subjective scales are complementary and measure different aspects of NO. The AAR and subjective scales are useful tools to be used together for the follow up of patients with NO.

      PubDate: 2017-05-28T14:58:19Z
      DOI: 10.1016/j.otoeng.2016.06.003
       
  • Bone Anchored Hearing Aid (BAHA) in children: Experience of a tertiary
           referral centre in Portugal
    • Authors: Francisco Rosa; Ana Silva; Cláudia Reis; Miguel Coutinho; Jorge Oliveira; Cecília Almeida e Sousa
      Pages: 151 - 156
      Abstract: Publication date: May–June 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 3
      Author(s): Francisco Rosa, Ana Silva, Cláudia Reis, Miguel Coutinho, Jorge Oliveira, Cecília Almeida e Sousa
      Objectives The aim of this study is to describe the experience of a tertiary referral centre in Portugal, of the placement of BAHA in children. Methods The authors performed a retrospective analysis of all children for whom hearing rehabilitation with BAHA was indicated at a central hospital, between January 2003 and December 2014. Results 53 children were included. The most common indications for placement of BAHA were external and middle ear malformations (n =34, 64%) and chronic otitis media with difficult to control otorrhea (n =9, 17%). The average age for BAHA placement was 10.66±3.44 years. The average audiometric gain was 31.5±7.20dB compared to baseline values, with average hearing threshold with BAHA of 19.6±5.79dB. The most frequent postoperative complications were related to the skin (n =15, 28%). There were no major complications. Conclusions This study concludes that BAHA is an effective and safe method of hearing rehabilitation in children.

      PubDate: 2017-05-28T14:58:19Z
      DOI: 10.1016/j.otorri.2016.07.002
       
  • Evaluation of Family History of Permanent Hearing Loss in Childhood as a
           Risk Indicator in Universal Screening
    • Authors: Mercedes Valido Quintana; Ángeles Oviedo Santos; Silvia Borkoski Barreiro; Alfredo Santana Rodríguez; Ángel Ramos Macías
      Pages: 157 - 163
      Abstract: Publication date: May–June 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 3
      Author(s): Mercedes Valido Quintana, Ángeles Oviedo Santos, Silvia Borkoski Barreiro, Alfredo Santana Rodríguez, Ángel Ramos Macías
      Introduction and objective Sixty percent of prelingual hearing loss is of genetic origin. A family history of permanent childhood hearing loss is a risk factor. The objective of the study is to determine the relationship between this risk factor and hearing loss. We have evaluated clinical and epidemiological characteristics and related nonsyndromic genetic variation. Material and method This was a retrospective, descriptive and observational study of newborns between January 2007 and December 2010 with family history as risk factor for hearing loss using transient evoked otoacoustic emissions and auditory brainstem response. Results A total of 26,717 children were born. Eight hundred and fifty-seven (3.2%) had family history. Fifty-seven (0.21%) failed to pass the second test. A percentage of 29.1 (n=16) had another risk factor, and 17.8% (n=9) had no classical risk factor. No risk factor was related to the hearing loss except heart disease. Seventy-six point four percent had normal hearing and 23.6% hearing loss. The mean of family members with hearing loss was 1.25. On genetic testing, 82.86% of homozygotes was normal, 11.43% heterozygosity in Connexin 26 gene (35delG), 2.86% R143W heterozygosity in the same gene and 2.86% mutant homozygotes (35delG). We found no relationship between hearing loss and mutated allele. Conclusions The percentage of children with a family history and hearing loss is higher than expected in the general population. The genetic profile requires updating to clarify the relationship between hearing loss and heart disease, family history and the low prevalence in the mutations analyzed.

      PubDate: 2017-05-28T14:58:19Z
      DOI: 10.1016/j.otoeng.2016.08.001
       
  • Familial Clustering of Nasopharyngeal Carcinoma in Non-Endemic Area.
           Report of Three Families
    • Authors: Leydy Mallerling Paredes-Durán; Elvira del Barco-Morillo; María Jesús Baldeón-Conde; Soledad Medina-Valdivieso; María Cecilia Guillen-Sacoto; Juan Jesús Cruz-Hernández
      Pages: 164 - 168
      Abstract: Publication date: May–June 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 3
      Author(s): Leydy Mallerling Paredes-Durán, Elvira del Barco-Morillo, María Jesús Baldeón-Conde, Soledad Medina-Valdivieso, María Cecilia Guillen-Sacoto, Juan Jesús Cruz-Hernández
      Nasopharyngeal carcinoma is the predominant tumour type arising in the nasopharynx. Its aetiology is multifactorial; racial and geographical distribution, EBV infection and environmental exposure to specific substances are considered risk factors. This condition is endemic in some Asian areas, where a genetic predisposition in its oncogenesis has been established. There is a strong susceptibility between nasopharyngeal carcinoma and HLA, where related specific haplotypes have been found. In areas where the incidence is low, there are few reported cases of families affected. We report 3 cases of families with nasopharyngeal carcinoma among siblings, in the non-Asian population, probably related to EBV infection.

      PubDate: 2017-05-28T14:58:19Z
      DOI: 10.1016/j.otoeng.2016.07.011
       
  • Otorhinolaryngology Manifestations Secondary to Oral Sex
    • Authors: Claudia Fernández-López; Carmelo Morales-Angulo
      Pages: 169 - 180
      Abstract: Publication date: May–June 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 3
      Author(s): Claudia Fernández-López, Carmelo Morales-Angulo
      Introduction Over the last few years, oral and pharyngeal signs and symptoms due to oral sex have increased significantly. However, no review articles related to this subject have been found in the medical literature. The objective of our study was to identify otorhinolaryngological manifestations associated with orogenital/oroanal contact, both in adults and children, in the context of consensual sex or sexual abuse. Methods We performed a review of the medical literature on otorhinolaryngological pathology associated with oral sex published in the last 20 years in the PubMed database. Results Otorhinolaryngological manifestations secondary to oral sex practice in adults can be infectious, tumoral or secondary to trauma. The more common signs and symptoms found in the literature were human papillomavirus infection (above all, condyloma acuminata and papilloma/condyloma), oral or pharyngeal syphilis, gonococcal pharyngitis, herpes simplex virus infection and pharyngitis from Chlamydia trachomatis. The incidence of human papillomavirus-induced oropharyngeal carcinoma has dramatically increased. In children past the neonatal period, the presence of condyloma acuminatus, syphilis, gonorrhoea or palatal ecchymosis (the last one, unless justified by other causes) should make us suspect sexual abuse. Conclusions Sexual habits have changed in the last decades, resulting in the appearance of otorhinolaryngological pathology that was rarely seen previously. For this reason, it is important for primary care physicians to have knowledge about the subject to perform correct diagnosis and posterior treatment. Some sexual abuse cases in children may also be suspected based on the knowledge of the characteristic oropharyngeal manifestations secondary to them.

      PubDate: 2017-05-28T14:58:19Z
      DOI: 10.1016/j.otoeng.2016.04.014
       
  • Bilateral Metastasis in the Internal Auditory Canal of Malignant Melanoma
    • Authors: M. Francisca Ropero Carmona; Joaquín J. Cabrera Rodríguez; Juan Quirós Rivero; Julia L. Muñoz García
      Pages: 181 - 182
      Abstract: Publication date: May–June 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 3
      Author(s): M. Francisca Ropero Carmona, Joaquín J. Cabrera Rodríguez, Juan Quirós Rivero, Julia L. Muñoz García


      PubDate: 2017-05-28T14:58:19Z
      DOI: 10.1016/j.otoeng.2016.05.003
       
  • Autosomal Dominant Auditory Neuropathy and Variant DIAPH3
           (c.-173C&gt;T)
    • Authors: Ana Sánchez-Martínez; José I. Benito-Orejas; Juan J. Tellería-Orriols; María J. Alonso-Ramos
      Pages: 183 - 185
      Abstract: Publication date: May–June 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 3
      Author(s): Ana Sánchez-Martínez, José I. Benito-Orejas, Juan J. Tellería-Orriols, María J. Alonso-Ramos


      PubDate: 2017-05-28T14:58:19Z
      DOI: 10.1016/j.otoeng.2016.06.004
       
  • Isolated osteoma of the sphenoid sinus
    • Authors: Ramanuj Sinha; Neeraj Aggarwal; Mainak Dutta
      Pages: 186 - 187
      Abstract: Publication date: May–June 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 3
      Author(s): Ramanuj Sinha, Neeraj Aggarwal, Mainak Dutta


      PubDate: 2017-05-28T14:58:19Z
      DOI: 10.1016/j.otorri.2016.02.011
       
  • Trigeminal Trophic Syndrome: An Unusual Cause of Nasal Ulceration
    • Authors: Carlos Morales-Raya; Esther García-González; Lidia Maroñas-Jiménez
      Pages: 188 - 189
      Abstract: Publication date: May–June 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 3
      Author(s): Carlos Morales-Raya, Esther García-González, Lidia Maroñas-Jiménez


      PubDate: 2017-05-28T14:58:19Z
      DOI: 10.1016/j.otoeng.2016.02.001
       
  • 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
       
  • Sinonasal Papillomas in a Private Referral Otorhinolaryngology Centre:
           Review of 22 Years Experience
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): Aderito de Sousa Fontes, Minaret Sandrea Jiménez, Nelson Urdaneta Lafée, Perfecto A. Abreu Durán, Liwven E. Quintana Páez, Andreina Carmina de Sousa de Abreu
      Objectives To evaluate the clinical presentation, treatment outcome and follow-up of all patients managed with sinonasal papillomas (SP), at a tertiary private otorhinolaryngology centre in Caracas (Venezuela). Material and methods We reviewed 94 patients with SP that were treated at our otolaryngology centre, from July 1st 1993 to June 31st 2015. The demographic data, clinical features, radiological findings, anatomical origin, disease extension into the adjacent structures, surgical approaches performed, histopathology outcomes, recurrent risk, malignant transformation rate and coadjuvant therapies were assessed. Results Sixty-five patients (69.1%) were male and 29 (30.9%) female with an average age of 44.5 years (range 9–80 years). All patients underwent endoscopic sinus surgery. The most commont histologic subtypes of SP were inverted papilloma (58 patients; 61.7%), fungiform papilloma (35 patients; 37.2%) and oncocytic papilloma (one patient; 1.1%). SP was associated in 2 patients with undifferentiated squamous cell carcinoma. Twelve patients (12.8%) had disease with extension beyond the sinus without associated malignancy. All these patients received adjuvant treatment with advanced techniques of radiotherapy. The mean duration of the follow-up period was 9 years and 2 months. Eighteen patients (19.1%) had recurrent disease during the entire course of follow-up. Conclusions Complete endoscopic surgical removal of SP is the treatment of choice. In less endoscopically accessible tumours, with peripheral extension or incompletely resected, Intensity Modulated Radiotherapy and Volumetric Modulated Arc Therapy may be indicated. Timely post-operative endoscopic follow-up with biopsy of suspected lesions is important for early detection of recurrences and associated malignancy.

      PubDate: 2017-09-14T15:46:35Z
       
  • Audiological Findings in Children With Mucopolysaccharidoses Type
           I–IV
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): María F. Vargas-Gamarra, Carlos de Paula-Vernetta, Isidro Vitoria Miñana, Isabel Ibañez-Alcañiz, Laura Cavallé-Garrido, Agustín Alamar-Velazquez
      Objective The aim of our study is to reflect hearing impairment of 23 children diagnosed with mucopolysaccharidosis (MPS) type I, II, III and IV. Methods Retrospective study of the clinical, audiological and treatment (medical vs surgical) findings of 23 children diagnosed with MPS type I, II, III and IV followed at a Tertiary Referral Hospital between 1997 and 2015. Results Six cases of MPS I, 8 of MPS II, 4 of MPS III and 5 of MPS IV were reviewed. 71.2% of patients had secretory otitis media (SOM) and 54% of patients had some type of hearing loss (HL). The behaviour of hearing loss was variable in each of the subgroups of MPS, finding greater involvement and variability in types I and II. Conclusions Children with MPS have a high risk of hearing loss. A significant percentage of transmissive HL progressing to mixed or sensorineural HL was observed. This was more common in types I and II. Periodic follow up of these patients is mandatory because of hearing impairment and consequences for their development and quality of life.

      PubDate: 2017-09-14T15:46:35Z
       
  • A Review of Our Experience in Phonosurgery in Children
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): Mikel Landa, Idoia Palicio, Leire Álvarez, Zuriñe Martínez
      Introduction and objectives Dysphonia is a common problem in children, especially those of school age. Exploration of vocal folds is often difficult and less accurate in children. The most frequent lesions found in children with chronic dysphonia are vocal nodules, followed by epidermoid cysts and other congenital lesions, such as sulci and mucosal bridges. The treatment is multidisciplinary and it is fundamentally based on vocal rehabilitation. We indicate surgical treatment in children older than 9 years of age for whom the problem persists after rehabilitation, especially if we suspect a congenital lesion of the vocal fold. Methods We present a retrospective study of paediatric phonosurgery performed by the Vocal Pathology Unit of our Hospital over a period of 9 years (2005–2013). Fifty-one children were included, ranging in age from 9 to 16 years old. We analysed the distribution of the different lesions, both congenital and acquired. We evaluated the results by subjective evaluation by the children's relatives. Results We obtained a distribution of 76% (n=39) of congenital lesions and 24% (n=12) of acquired lesions. After surgery, there was a global percentage of improvement of 90%, with better results in cases of vocal nodules, without statistical significance. Conclusions The evaluation of the results of this surgery is controversial and in this study is done with a single question survey administered to relatives. We found an overall result of improvement in 90% of operated cases, without any complications. We obtained better results in vocal nodules, although not reaching statistical significance.

      PubDate: 2017-09-14T15:46:35Z
       
  • Electromyography-Guided Hyaluronic Acid Injection Laryngoplasty in Early
           Stage of Unilateral Vocal Fold Paralysis
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): Itziar Gotxi-Erezuma, Mónica Ortega-Galán, Ainhoa Laso-Elguezabal, Gonzalo Prieto Puga, Carolina Bullido-Alonso, Susana García-Gutiérrez, Ane Anton-Ladislao, Enrique Moreno-Alonso
      Introduction and objective To assess the effectiveness of electromyography-guided hyaluronic acid injection laryngoplasty in the early stage of unilateral vocal fold paralysis in terms of patient recovery from dysphonia and quality of life. Methods Between January and December 2014, 28 patients with unilateral vocal fold paralysis underwent electromyography and injection of hyaluronic acid in the thyroarytenoid muscle. We compared the voice handicap index, grade, roughness, breathiness, asthenia, strain scale (GRBAS), videostroboscopic parameters and maximum phonation time assessed before, 15 days and 6 months after the intervention, using the non-parametric Wilcoxon rank test. Results Out of the 28 patients, 1 had a haematoma in the injected vocal fold (3.57%) and 6 required second injections. The maximum phonation time of the vowel /e/ increased from 6.07 to 12.14s (15 days post-intervention) and subsequently 12.75 (6 months post-intervention). There was also a significant improvement in the grade, roughness, breathiness, asthenia, strain scale in parameters G, B and A both 15 days and 6 months after the intervention. The voice handicap index score decreased from 58.29 to 37.63 (15 days post-intervention) and 29.64 (6 months post-intervention). Conclusions Electromyography-guided hyaluronic injection laryngoplasty in unilateral vocal fold paralysis enables, in the same intervention, neuromuscular assessment and temporary treatment of glottic insufficiency with a low risk of complications and improvement in patient's quality of life. This may reduce the need for subsequent treatments, but further research is required to confirm these findings.

      PubDate: 2017-09-14T15:46:35Z
       
  • Treatment of the First Bite Syndrome
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): María Costales-Marcos, Fernando López Álvarez, Laura Fernández-Vañes, Justo Gómez, José Luis Llorente
      First bite syndrome is a potential complication of surgery involving the infratemporal fossa, deep lobe of the parotid gland and parapharyngeal space. It is described as an acute and intense pain in the parotid region caused with the first bite of each meal. It is related to damage to sympathetic innervation of the parotid gland. Parasympathetic hyperactivation is believed to stimulate an exaggerated myoepithelial cell contraction causing pain. Usual analgesic treatments have poor results. Botulinum toxin type A causes parasympathetic nerve paralysis of the parotid gland and this fact would minimise salivation and decrease first bite syndrome. The aim of this study is to show the details of the technique and our outcomes in 5 patients treated with botulinum toxin type A.

      PubDate: 2017-09-14T15:46:35Z
       
  • Transoral Oropharyngeal Resection Classification: Proposal of the SCORL
           Working Group
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): David Virós Porcuna, Francisco Avilés Jurado, Carlos Pollán Guisasola, Rosa Delia Ramírez Ruiz, Jacinto García Lorenzo, Marc Tobed Secall, Isabel Vilaseca González, José Miguel Costa González, Josep Soteras Olle, Francesc Casamitjana Claramunt, Anna Sumarroca Trouboul, Rafael Hijano Esqué, Guillem Viscasillas Pallàs, Manel Mañós Pujol, Miquel Quer Agustí
      Introduction and goals There has been a very significant increase in the use of minimally invasive surgery has in the last decade. In order to provide a common language after transoral surgery of the oropharynx, a system for classifying resections has been created in this area, regardless of the instrumentation used. Methods From the Oncology Working Group of the Catalan Society of Otorhinolaryngology, a proposal for classification based on a topographical division of the different areas of the oropharynx is presented, as also based on the invasion of the related structures according to the anatomical routes of extension of these tumours. Results The classification starts using the letter D or I according to laterality either right (D) or left (I). The number of the resected area is then placed. This numbering defines the zones beginning at the cranial level where area I would be the soft palate, lateral area II in the tonsillar area, area III in the tongue base, area IV in the glossoepiglottic folds, epiglottis and pharyngoepiglottic folds, area V posterior oropharyngeal wall and VI the retromolar trigone. The suffix p is added if the resection deeply affects the submucosal plane of the compromised area. The different proposed areas would, in theory, have different functional implications. Conclusion Proposal for a system of classification by area to define different types of transoral surgery of the oropharynx, and enable as sharing of results and helps in teaching this type of technique.

      PubDate: 2017-09-14T15:46:35Z
       
  • Nasal Agenesis and Other Facial Malformations: Report of a Case of
           Congenital Anomaly and Literature Review
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): María del Carmen Navas-Aparicio, Cinthya Mora-Mesén


      PubDate: 2017-09-14T15:46:35Z
       
  • Cochlear Implant in Patient With Intracochlear Schwannoma
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): Carlos de Paula Vernetta, Nabil Atrache Al Attrache, Laura Cavallé Garrido, Fernando Mas Estellés, Constantino Morera Pérez


      PubDate: 2017-09-14T15:46:35Z
       
  • Cholesterol granuloma of ethmoid sinuses: Report of two cases
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): Nadim Khoueir, Alan Shikani


      PubDate: 2017-09-14T15:46:35Z
       
  • Bilateral Bifid Mandibular Condyle
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): Carlos Prol, Julio Álvarez, Josu Mendiola


      PubDate: 2017-09-14T15:46:35Z
       
  • Intranasal Ectopic Tooth
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): Paula Cruz Toro, Ignacio Clemente, Iván Domènech


      PubDate: 2017-09-14T15:46:35Z
       
  • Do Women With a History of Pregnancy and Endodontics, Have Higher Risk of
           Maxillary Fungal Ball'
    • Abstract: Publication date: September–October 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 5
      Author(s): Esteban Vergara-de la Rosa, José Galvez-Olortegui, Carlos Vargas-Armas, Tomas Galvez-Olortegui


      PubDate: 2017-09-14T15:46:35Z
       
  • Spontaneous laryngeal abscess causing dysphagia
    • Authors: Ata
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Nurdoğan Ata, İrfan Fırat Özcan


      PubDate: 2017-07-19T10:53:18Z
       
  • Asbestos. Laryngeal Cancer
    • Authors: Luis
      Abstract: Publication date: July–August 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 4
      Author(s): Luis Sánchez Galán


      PubDate: 2017-07-19T10:53:18Z
       
 
 
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