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Publisher: Elsevier   (Total: 3175 journals)

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Showing 1 - 200 of 3175 Journals sorted alphabetically
A Practical Logic of Cognitive Systems     Full-text available via subscription   (Followers: 9)
AASRI Procedia     Open Access   (Followers: 14)
Academic Pediatrics     Hybrid Journal   (Followers: 28, SJR: 1.402, h-index: 51)
Academic Radiology     Hybrid Journal   (Followers: 22, SJR: 1.008, h-index: 75)
Accident Analysis & Prevention     Partially Free   (Followers: 90, 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: 33, SJR: 2.515, h-index: 90)
Achievements in the Life Sciences     Open Access   (Followers: 5)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 6, SJR: 0.338, h-index: 19)
Acta Astronautica     Hybrid Journal   (Followers: 376, SJR: 0.726, h-index: 43)
Acta Automatica Sinica     Full-text available via subscription   (Followers: 2)
Acta Biomaterialia     Hybrid Journal   (Followers: 27, SJR: 2.02, h-index: 104)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription   (Followers: 2)
Acta de Investigación Psicológica     Open Access   (Followers: 3)
Acta Ecologica Sinica     Open Access   (Followers: 8, SJR: 0.172, h-index: 29)
Acta Haematologica Polonica     Free   (Followers: 1, SJR: 0.123, h-index: 8)
Acta Histochemica     Hybrid Journal   (Followers: 3, SJR: 0.604, h-index: 38)
Acta Materialia     Hybrid Journal   (Followers: 236, 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  
Acta Otorrinolaringológica Española     Full-text available via subscription   (Followers: 2, SJR: 0.311, h-index: 16)
Acta Pharmaceutica Sinica B     Open Access   (Followers: 1)
Acta Poética     Open Access   (Followers: 4)
Acta Psychologica     Hybrid Journal   (Followers: 25, 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: 3)
Actas Dermo-Sifiliográficas (English Edition)     Full-text available via subscription   (Followers: 2)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 3, SJR: 0.383, h-index: 19)
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Actualites Pharmaceutiques     Full-text available via subscription   (Followers: 6, SJR: 0.141, h-index: 3)
Actualites Pharmaceutiques Hospitalieres     Full-text available via subscription   (Followers: 3, SJR: 0.112, h-index: 2)
Acupuncture and Related Therapies     Hybrid Journal   (Followers: 6)
Acute Pain     Full-text available via subscription   (Followers: 14)
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: 7)
Additive Manufacturing     Hybrid Journal   (Followers: 9, SJR: 1.039, h-index: 5)
Additives for Polymers     Full-text available via subscription   (Followers: 22)
Advanced Cement Based Materials     Full-text available via subscription   (Followers: 3)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 132, 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: 12, SJR: 2.071, h-index: 82)
Advances in Anesthesia     Full-text available via subscription   (Followers: 27, SJR: 0.169, h-index: 4)
Advances in Antiviral Drug Design     Full-text available via subscription   (Followers: 2)
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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: 14, 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: 2, SJR: 0.619, h-index: 48)
Advances in Cancer Research     Full-text available via subscription   (Followers: 28, SJR: 2.215, h-index: 78)
Advances in Carbohydrate Chemistry and Biochemistry     Full-text available via subscription   (Followers: 7, SJR: 0.9, h-index: 30)
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Advances in Cell Aging and Gerontology     Full-text available via subscription   (Followers: 3)
Advances in Cellular and Molecular Biology of Membranes and Organelles     Full-text available via subscription   (Followers: 12)
Advances in Chemical Engineering     Full-text available via subscription   (Followers: 27, SJR: 0.183, 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: 10, 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: 19, SJR: 2.314, h-index: 130)
Advances in Computers     Full-text available via subscription   (Followers: 14, SJR: 0.223, h-index: 22)
Advances in Dermatology     Full-text available via subscription   (Followers: 14)
Advances in Developmental Biology     Full-text available via subscription   (Followers: 10)
Advances in Digestive Medicine     Open Access   (Followers: 8)
Advances in DNA Sequence-Specific Agents     Full-text available via subscription   (Followers: 5)
Advances in Drug Research     Full-text available via subscription   (Followers: 21)
Advances in Ecological Research     Full-text available via subscription   (Followers: 42, SJR: 3.25, h-index: 43)
Advances in Engineering Software     Hybrid Journal   (Followers: 27, SJR: 0.486, h-index: 10)
Advances in Experimental Biology     Full-text available via subscription   (Followers: 6)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 42, SJR: 5.465, h-index: 64)
Advances in Exploration Geophysics     Full-text available via subscription   (Followers: 1)
Advances in Fluorine Science     Full-text available via subscription   (Followers: 7)
Advances in Food and Nutrition Research     Full-text available via subscription   (Followers: 53, SJR: 0.674, h-index: 38)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 15)
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: 7)
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: 21, 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 Human Factors/Ergonomics     Full-text available via subscription   (Followers: 23)
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: 36, SJR: 4.152, h-index: 85)
Advances in Inorganic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 1.132, h-index: 42)
Advances in Insect Physiology     Full-text available via subscription   (Followers: 2, SJR: 1.274, h-index: 27)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 6)
Advances in Intl. Accounting     Full-text available via subscription   (Followers: 3)
Advances in Life Course Research     Hybrid Journal   (Followers: 8, 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: 9)
Advances in Marine Biology     Full-text available via subscription   (Followers: 14, 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: 21)
Advances in Molecular and Cellular Endocrinology     Full-text available via subscription   (Followers: 8)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 7, SJR: 0.324, h-index: 8)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 3)
Advances in Oncobiology     Full-text available via subscription   (Followers: 1)
Advances in Organ Biology     Full-text available via subscription   (Followers: 1)
Advances in Organometallic Chemistry     Full-text available via subscription   (Followers: 15, SJR: 2.885, h-index: 45)
Advances in Parallel Computing     Full-text available via subscription   (Followers: 6, SJR: 0.148, h-index: 11)
Advances in Parasitology     Full-text available via subscription   (Followers: 5, 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: 10)
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: 7)
Advances in Plant Pathology     Full-text available via subscription   (Followers: 5)
Advances in Porous Media     Full-text available via subscription   (Followers: 5)
Advances in Protein Chemistry     Full-text available via subscription   (Followers: 17)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 18, SJR: 1.5, h-index: 62)
Advances in Psychology     Full-text available via subscription   (Followers: 59)
Advances in Quantum Chemistry     Full-text available via subscription   (Followers: 6, 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 Biology and Medicine     Full-text available via subscription   (Followers: 5)
Advances in Space Research     Full-text available via subscription   (Followers: 375, SJR: 0.606, h-index: 65)
Advances in Structural Biology     Full-text available via subscription   (Followers: 5)
Advances in Surgery     Full-text available via subscription   (Followers: 9, SJR: 0.823, h-index: 27)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 29, 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: 46, SJR: 2.408, h-index: 94)
Aeolian Research     Hybrid Journal   (Followers: 6, SJR: 0.973, h-index: 22)
Aerospace Science and Technology     Hybrid Journal   (Followers: 333, 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: 6, SJR: 0.344, h-index: 6)
Ageing Research Reviews     Hybrid Journal   (Followers: 9, SJR: 3.289, h-index: 78)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 429, 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: 31, SJR: 1.275, h-index: 74)
Agricultural Water Management     Hybrid Journal   (Followers: 43, SJR: 1.546, h-index: 79)
Agriculture and Agricultural Science Procedia     Open Access   (Followers: 1)
Agriculture and Natural Resources     Open Access   (Followers: 2)
Agriculture, Ecosystems & Environment     Hybrid Journal   (Followers: 56, SJR: 1.879, 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: 11, SJR: 0.922, h-index: 66)
Alcoholism and Drug Addiction     Open Access   (Followers: 9)
Alergologia Polska : Polish J. of Allergology     Full-text available via subscription   (Followers: 1)
Alexandria Engineering J.     Open Access   (Followers: 1, SJR: 0.436, h-index: 12)
Alexandria J. of Medicine     Open Access   (Followers: 1)
Algal Research     Partially Free   (Followers: 9, SJR: 2.05, h-index: 20)
Alkaloids: Chemical and Biological Perspectives     Full-text available via subscription   (Followers: 2)
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)
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: 9, SJR: 0.158, h-index: 9)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 48, SJR: 4.289, h-index: 64)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 4)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 4)
Ambulatory Pediatrics     Hybrid Journal   (Followers: 6)
American Heart J.     Hybrid Journal   (Followers: 50, SJR: 3.157, h-index: 153)
American J. of Cardiology     Hybrid Journal   (Followers: 50, SJR: 2.063, h-index: 186)
American J. of Emergency Medicine     Hybrid Journal   (Followers: 42, SJR: 0.574, h-index: 65)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 10, 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: 31, SJR: 8.769, h-index: 256)
American J. of Infection Control     Hybrid Journal   (Followers: 26, 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: 42, 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: 189, SJR: 2.255, h-index: 171)
American J. of Ophthalmology     Hybrid Journal   (Followers: 62, SJR: 2.803, h-index: 148)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 6)
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: 27, SJR: 2.653, h-index: 228)
American J. of Preventive Medicine     Hybrid Journal   (Followers: 27, SJR: 2.764, h-index: 154)
American J. of Surgery     Hybrid Journal   (Followers: 37, 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: 6)
Anaerobe     Hybrid Journal   (Followers: 4, SJR: 1.066, h-index: 51)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 61, SJR: 0.124, h-index: 9)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 14)
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: 4, SJR: 2.577, h-index: 7)
Analytica Chimica Acta     Hybrid Journal   (Followers: 39, SJR: 1.548, h-index: 152)
Analytical Biochemistry     Hybrid Journal   (Followers: 164, SJR: 0.725, h-index: 154)
Analytical Chemistry Research     Open Access   (Followers: 10, 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   (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  [3175 journals]
  • Cleft Lip and Palate Subjects Prevalence of Abnormal Stylohyoid Complex
           and Tonsilloliths on Cone Beam Computed Tomography
    • Authors: Eymi Valery Cazas-Duran; Izabel Regina Fischer Rubira-Bullen; Otávio Pagin; Bruna Stuchi Centurion-Pagin
      Pages: 61 - 66
      Abstract: Publication date: March–April 2018
      Source:Acta Otorrinolaringologica (English Edition), Volume 69, Issue 2
      Author(s): Eymi Valery Cazas-Duran, Izabel Regina Fischer Rubira-Bullen, Otávio Pagin, Bruna Stuchi Centurion-Pagin
      Introduction and objectives Tonsilloliths and abnormal stylohyoid complex may have similar symptoms to others of different aetiology. Individuals with cleft lip and palate describe similar symptoms because of the anatomical implications that are peculiar to this anomaly. The aim of this study was to determine the prevalence of abnormal stylohyoid complex and tonsilloliths on cone beam computed tomography in individuals with cleft lip and palate. Methods According to the inclusion and exclusion criteria, 66 CT scans out of 2794 were analysed, on i-Cat® vision software with 0.8 index Kappa intra-examiner. Results The total prevalence of ossification of the incomplete stylohyoid complex in individuals with cleft lip and palate was 66.6%; the prevalence of these findings in females was 75% and 61.9% in males. The total prevalence of tonsilloliths was 7.5%. Conclusion It is important to ascertain calcification of the stylohyoid complex and tonsilloliths in the radiological report, due to the anatomical proximity and similar symptomatology to other orofacial impairments in individuals with cleft lip and palate, focusing on females with oral cleft formation, patients with incisive trans foramen cleft and incisive post foramen cleft because they are more prevalent. Greater knowledge of the anatomical morphometry of individuals with cleft lip and palate greatly contributes towards the selection of clinical behaviours and the quality of life of these patients, since cleft lip and palates one of the most common anomalies.

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

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

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

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

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

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

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

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


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


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


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


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


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


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

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

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


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


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


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


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


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


      PubDate: 2018-02-14T18:04:21Z
      DOI: 10.1016/j.otorri.2017.03.002
       
  • Does calcemia influence the onset of myringosclerosis after myringotomy
           with the insertion of ventilation tubes'
    • Authors: Carla Branco; João Paço
      Pages: 323 - 327
      Abstract: Publication date: November–December 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 6
      Author(s): Carla Branco, João Paço
      Introduction Myringosclerosis is one of the most frequent late complications of the insertion of ventilation tubes, and its aetiopathogenesis remains unknown. The calcification that occurs in the formation of myringosclerosis plaque raises the hypothesis of the presence of a calcium metabolism disorder. The objective is to determine whether calcemia contributes to the development of myringoscelerosis after insertion of ventilation tubes. Material and methods A longitudinal, prospective, analytical cohort study was conducted in patients undergoing myringotomy with the insertion of ventilation tubes due to otitis media with effusion. Calcemia was evaluated pre-operatively and in the follow-up the appearance of myringosclerosis and the percentage of the tympanum involved were evaluated. Results The study included 156 patients (297 ears), with calcemia values ranging from 7.6 to 10.2mg/dl. Myringosclerosis was identified in 35.4% of the operated ears. No relationship was found between the appearance of myringosclerosis and calcemia (p =.596). It was found, however, that the greater the percentage of the tympanum affected by myringosclerosis, the lower the calcemia values (p =.014). Conclusion The population studied had calcemia values within the normal range, which allows us to infer that no changes in calcium metabolism are required for the development of myringosclerosis. Moreover, unlike in previous studies, higher calcium levels are not associated with more myringosclerosis. Calcemia did not influence the appearance of myringosclerosis after myringotomy with the insertion of ventilation tubes.

      PubDate: 2017-12-07T08:19:24Z
      DOI: 10.1016/j.otorri.2017.02.003
       
  • Results of Total Laryngectomy as Treatment for Locally Advanced
           Hypopharyngeal Cancer
    • Authors: Patricia García-Cabo Herrero; Laura Fernández-Vañes; Fernando López Álvarez; César Álvarez Marcos; José Luis Llorente; Juan Pablo Rodrigo
      Pages: 328 - 335
      Abstract: Publication date: November–December 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 6
      Author(s): Patricia García-Cabo Herrero, Laura Fernández-Vañes, Fernando López Álvarez, César Álvarez Marcos, José Luis Llorente, Juan Pablo Rodrigo
      Introduction and objectives Total laryngectomy (TL), with eventual postoperative radiotherapy, has proven to be effective in treating cases of locally advanced hypopharyngeal cancer. The aim of this study was to analyse the oncological outcomes of this procedure in patients with hypopharyngeal cancer classified T3 and T4. Methods We studied 59 patients (33 T3 and 26 T4a) with primary squamous cell carcinoma of the hypopharynx treated with TL from 1998 to 2012. Results Mean age was 61 years with a male predominance (96.6%). All the patients were smokers and 96% consumed alcohol. Unilateral selective neck dissection (ND) was performed in 12 patients, unilateral radical ND in 11 patients, bilateral selective ND in 20 patients and radical ND plus selective ND in 14 patients. Sixty-six percentage of the patients received postoperative radiotherapy. Lymph node metastases occurred in 81% of the patients and extranodal invasion in 56% of them. Twenty-nine percentage of the patients had loco-regional recurrence, 17% developed distant metastases, and 25% a second primary tumour. The 5-year disease-specific survival was 46%. Conclusions TL extended to pharynx (with eventual postoperative radiotherapy) offers good oncological results in terms of loco-regional control and survival in locally advanced hypopharyngeal cancer, so organ preservation protocols should achieve similar oncological results to those shown by TL.

      PubDate: 2017-12-07T08:19:24Z
      DOI: 10.1016/j.otoeng.2017.10.003
       
  • Lessons from Healthcare Utilization in Children With Obstructive Sleep
           Apnoea Syndrome
    • Authors: Paz Martinez-Beneyto; Cristina E. Soria Checa; Paloma Botella-Rocamora; Inés Rincon-Piedrahita; Francisco J. Garcia Callejo; Jaime Marco Algarra
      Pages: 336 - 343
      Abstract: Publication date: November–December 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 6
      Author(s): Paz Martinez-Beneyto, Cristina E. Soria Checa, Paloma Botella-Rocamora, Inés Rincon-Piedrahita, Francisco J. Garcia Callejo, Jaime Marco Algarra
      Introduction and objectives Paediatric Obstructive Sleep Apnoea-Hypopnoea Syndrome (OSAS) is a multisystemic condition affecting child's health status that may be investigated analyzing demand for healthcare. Objective: to quantify the frequency of medical consultations in children with OSAS over a 5-year period, compared to a healthy population. Methods A longitudinal, case–control, ambispective study was conducted at a hospital pertaining to the national public health system. 69 consecutive children referred for OSAS were recruited with no diseases other than OSAS so that healthcare demand was purely attributed to this condition. Matched healthy control children were selected to compare these data. Data regarding frequency of the medical consultations were obtained over 5 years: the year of the treatment (“Year 0”), 1 and 2 years before (“Year −1” and “Year −2” respectively), and 1 and 2 years after treatment (“Year +1” and “Year +2”). Results Frequentation index (FI), as ratio between the use of health services by OSAS children and healthy controls was 1.89 during Year −2, and 2.15 during Year −1 (P<.05). Treatment diminishes utilisation, with FI of 159 during Year +1 and 1.72 during Year +2 (P<.05). The main causes of attendance were otolaryngological and pneumological diseases, improving after treatment. Conclusions Children suffering from OSAS demand more healthcare services, at least 2 years before treatment, implying that the disease could be present years before we manage it. Therapeutic actions improve healthcare services utilisation, although remain higher than for controls, which suggests OSAS sequelae or residual disease.

      PubDate: 2017-12-07T08:19:24Z
      DOI: 10.1016/j.otoeng.2017.10.005
       
  • Audiologic and Subjective Evaluation of Baha® Attract Device
    • Authors: Tomàs Pérez-Carbonell; Ignacio Pla-Gil; Jaume Redondo-Martínez; Antonio Morant-Ventura; Francisco Javier García-Callejo; Jaime Marco-Algarra
      Pages: 344 - 348
      Abstract: Publication date: November–December 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 6
      Author(s): Tomàs Pérez-Carbonell, Ignacio Pla-Gil, Jaume Redondo-Martínez, Antonio Morant-Ventura, Francisco Javier García-Callejo, Jaime Marco-Algarra
      We included 9 patients implanted with Baha® Attract. All our patients were evaluated by free field tonal audiometry, free field verbal audiometry and free field verbal audiometry with background noise, all the tests were performed with and without the device. To evaluate the subjective component of the implantation, we used the Glasgow Benefit Inventory (GBI) and Abbreviated Profile of Hearing Aid Benefit (APHAB). The auditive assessment with the device showed average auditive thresholds of 35.8dB with improvements of 25.8dB over the previous situation. Speech reception thresholds were 37dB with Baha® Attract, showing improvements of 23dB. Maximum discrimination thresholds showed an average gain of 60dB with the device. Baha® Attract achieves auditive improvements in patients for whom it is correctly indicated, with a consequent positive subjective evaluation. This study shows the attenuation effect in transcutaneous transmission, that prevents the device achieving greater improvements.

      PubDate: 2017-12-07T08:19:24Z
      DOI: 10.1016/j.otoeng.2017.10.004
       
  • Spontaneous Resolution of Chronic Maxillary Atelectasis in a Paediatric
           Patient: An Exceptional Case
    • Authors: Claudia González; Karen M. García; Soledad Palma; Claudio A. Callejas
      Pages: 363 - 365
      Abstract: Publication date: November–December 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 6
      Author(s): Claudia González, Karen M. García, Soledad Palma, Claudio A. Callejas


      PubDate: 2017-12-07T08:19:24Z
      DOI: 10.1016/j.otoeng.2017.10.001
       
  • Nasal Osteoma and Inhaled Salmon Calcitonin: Coincidence or
           Consequence'
    • Authors: Zoila A. Peña-Rodríguez; Matilde Haro-García; Juan R. Benito-Navarro
      Pages: 366 - 368
      Abstract: Publication date: November–December 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 6
      Author(s): Zoila A. Peña-Rodríguez, Matilde Haro-García, Juan R. Benito-Navarro


      PubDate: 2017-12-07T08:19:24Z
      DOI: 10.1016/j.otoeng.2017.10.002
       
  • Epithelioid haemangioendothelioma of the nasal cavity in a woman
    • Authors: Emili Navalón-Ramon; Tomàs Pérez-Garrigues; Pascual Meseguer-Garcia; Tomàs Pérez-Carbonell
      Pages: 369 - 371
      Abstract: Publication date: November–December 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 6
      Author(s): Emili Navalón-Ramon, Tomàs Pérez-Garrigues, Pascual Meseguer-Garcia, Tomàs Pérez-Carbonell


      PubDate: 2017-12-07T08:19:24Z
      DOI: 10.1016/j.otorri.2016.10.003
       
  • Obstructive ectopic intratracheal thyroid
    • Authors: Miguel Mayo Yáñez; Gonzalo Nemecio Esquía Medina; Juan Carlos Vázquez Barro
      Pages: 372 - 373
      Abstract: Publication date: November–December 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 6
      Author(s): Miguel Mayo Yáñez, Gonzalo Nemecio Esquía Medina, Juan Carlos Vázquez Barro


      PubDate: 2017-12-07T08:19:24Z
      DOI: 10.1016/j.otorri.2016.09.003
       
  • Black hairy tongue
    • Authors: Kenta Watanabe
      First page: 374
      Abstract: Publication date: November–December 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 6
      Author(s): Kenta Watanabe


      PubDate: 2017-12-07T08:19:24Z
      DOI: 10.1016/j.otorri.2016.10.002
       
  • Comments on the Finding of Right Non Recurrent Laryngeal Nerve During
           Thyroidectomy
    • Authors: José Luis Pardal-Refoyo
      Pages: 375 - 376
      Abstract: Publication date: November–December 2017
      Source:Acta Otorrinolaringologica (English Edition), Volume 68, Issue 6
      Author(s): José Luis Pardal-Refoyo


      PubDate: 2017-12-07T08:19:24Z
      DOI: 10.1016/j.otoeng.2017.10.006
       
  • Treatment of the First Bite Syndrome
    • Authors: María Costales-Marcos; Fernando López Álvarez; Laura Fernández-Vañes; Justo Gómez; José Luis Llorente
      Pages: 284 - 288
      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
      DOI: 10.1016/j.otoeng.2017.08.005
       
  • Transoral Oropharyngeal Resection Classification: Proposal of the SCORL
           Working Group
    • Authors: 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
      Pages: 289 - 293
      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
      DOI: 10.1016/j.otoeng.2017.08.009
       
  • Nasal Agenesis and Other Facial Malformations: Report of a Case of
           Congenital Anomaly and Literature Review
    • Authors: María del Carmen Navas-Aparicio; Cinthya Mora-Mesén
      Pages: 294 - 296
      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
      DOI: 10.1016/j.otoeng.2017.08.002
       
  • Cochlear Implant in Patient With Intracochlear Schwannoma
    • Authors: Carlos de Paula Vernetta; Nabil Atrache Al Attrache; Laura Cavallé Garrido; Fernando Mas Estellés; Constantino Morera Pérez
      Pages: 297 - 299
      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
      DOI: 10.1016/j.otoeng.2017.08.004
       
  • Cholesterol granuloma of ethmoid sinuses: Report of two cases
    • Authors: Nadim Khoueir; Alan Shikani
      Pages: 300 - 302
      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
      DOI: 10.1016/j.otorri.2016.08.002
       
  • Bilateral Bifid Mandibular Condyle
    • Authors: Carlos Prol; Julio Álvarez; Josu Mendiola
      Pages: 303 - 304
      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
      DOI: 10.1016/j.otoeng.2017.08.003
       
  • Intranasal Ectopic Tooth
    • Authors: Paula Cruz Toro; Ignacio Clemente; Iván Domènech
      Pages: 305 - 306
      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
      DOI: 10.1016/j.otoeng.2017.08.001
       
 
 
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