Pub Date : 2025-01-01DOI: 10.1016/j.otorri.2024.07.002
Alejandro Klein-Rodríguez
{"title":"Inmovilidad de hemilaringe en paciente con siringomielia","authors":"Alejandro Klein-Rodríguez","doi":"10.1016/j.otorri.2024.07.002","DOIUrl":"10.1016/j.otorri.2024.07.002","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 1","pages":"Pages 50-52"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143099212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.otorri.2024.06.003
Montserrat Asensi-Diaz , Carlos Martin Oviedo , Justo Ramon Gomez Martinez , Alejandro Garcia Palomino , Carlos Serra Smith , Victor Asensi
Syphilis has significantly increased its incidence in Europe and North America in the past 20 years. Although rare, sudden hearing loss might be a complication of syphilis infection. We present two cases of otosyphilis seen in our hospitals and review of the English and Spanish literature already published since 2000.
{"title":"Otosyphilis: Two case reports and review of the English and Spanish literature of the last 24 years","authors":"Montserrat Asensi-Diaz , Carlos Martin Oviedo , Justo Ramon Gomez Martinez , Alejandro Garcia Palomino , Carlos Serra Smith , Victor Asensi","doi":"10.1016/j.otorri.2024.06.003","DOIUrl":"10.1016/j.otorri.2024.06.003","url":null,"abstract":"<div><div>Syphilis has significantly increased its incidence in Europe and North America in the past 20 years. Although rare, sudden hearing loss might be a complication of syphilis infection. We present two cases of otosyphilis seen in our hospitals and review of the English and Spanish literature already published since 2000.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 373-381"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.otorri.2024.03.004
Manuel Á. Gómez-Ríos , José Alfonso Sastre , Xavier Onrubia-Fuertes , Teresa López , Alfredo Abad-Gurumeta , Rubén Casans-Frances , David Gómez-Ríos , José Carlos Garzón , Vicente Martínez-Pons , Marta Casalderrey-Rivas , Miguel Ángel Fernández-Vaquero , Eugenio Martínez-Hurtado , Ricardo Martín-Larrauri , Laura Reviriego-Agudo , Uxía Gutierrez-Couto , Javier García-Fernández , Alfredo Serrano-Moraza , Luis Jesús Rodríguez Martín , Carmen Camacho Leis , Salvador Espinosa Ramírez , Pedro Charco-Mora
The Airway section of the Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) present the Guidelines for the integral management of difficult airway in adult patients. This document provides recommendations based on current scientific evidence, theoretical-educational tools and implementation tools, mainly cognitive aids, applicable to the treatment of the airway in the field of anesthesiology, critical care, emergencies and prehospital medicine. Its principles are focused on the human factors, cognitive processes for decision-making in critical situations and optimization in the progression of the application of strategies to preserve adequate alveolar oxygenation in order to improve safety and quality of care.
{"title":"Resumen ejecutivo de la Guía de la Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor (SEDAR), Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) para el manejo de la vía aérea difícil","authors":"Manuel Á. Gómez-Ríos , José Alfonso Sastre , Xavier Onrubia-Fuertes , Teresa López , Alfredo Abad-Gurumeta , Rubén Casans-Frances , David Gómez-Ríos , José Carlos Garzón , Vicente Martínez-Pons , Marta Casalderrey-Rivas , Miguel Ángel Fernández-Vaquero , Eugenio Martínez-Hurtado , Ricardo Martín-Larrauri , Laura Reviriego-Agudo , Uxía Gutierrez-Couto , Javier García-Fernández , Alfredo Serrano-Moraza , Luis Jesús Rodríguez Martín , Carmen Camacho Leis , Salvador Espinosa Ramírez , Pedro Charco-Mora","doi":"10.1016/j.otorri.2024.03.004","DOIUrl":"10.1016/j.otorri.2024.03.004","url":null,"abstract":"<div><div>The Airway section of the Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) present the Guidelines for the integral management of difficult airway in adult patients. This document provides recommendations based on current scientific evidence, theoretical-educational tools and implementation tools, mainly cognitive aids, applicable to the treatment of the airway in the field of anesthesiology, critical care, emergencies and prehospital medicine. Its principles are focused on the human factors, cognitive processes for decision-making in critical situations and optimization in the progression of the application of strategies to preserve adequate alveolar oxygenation in order to improve safety and quality of care.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 382-399"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.otorri.2024.03.002
Pedro Díaz de Cerio Canduela , Francesc Xavier Avilés Jurado , Julia de Juan Beltrán , Carlos Magri Ruiz , Alfonso Santamaría Gadea , Fernando López
Background and objective
There is great heterogeneity in the methodology and evaluation in specialised health training (SHT) in otorhinolaryngology in our country. The figure of the resident tutor is the cornerstone on which the SHT system is based and the regulation and recognition of this figure varies. This article aims to take a snapshot of the current situation of the SHT in Spain and to describe the activity of tutors.
Materials and methods
During the month of September 2023, a survey was sent in a Google Forms® format through the Spanish Society of Otolaryngology and Head and Neck Surgery. The survey consisted of 8 multiple-choice questions and 4 questions in which they were asked to rank a series of 5 weaknesses, threats, opportunities and strengths selected by the authors, in order to perform a SWOT analysis.
Results
A total of 103 responses were obtained, of which 81 corresponded to accredited tutors. 63% of the tutors indicated that they did not have enough time to carry out their teaching work and 48% did not carry out a regular assessment of their residents. 64% of the tutors believe that the quality of otorhinolaryngology training in Spain is good and 61% are satisfied with their job as tutors. The main weakness was the short duration of the training programme, and the pressure of care was found to be the main threat. An experienced training system was considered the main strength and the creation of a national network of tutors was seen as an opportunity for improvement.
Conclusions
The creation of a common and transversal otorhinolaryngology training pathway for all accredited centres and the creation of a network of mentors and residents are necessary to address the problems of SHT. The role of the tutor must be recognised and reinforced to improve specialist training.
{"title":"Situación actual de la tutoría en la formación especializada en otorrinolaringología en España. ¿Dónde estamos? ¿Hacia dónde queremos ir?","authors":"Pedro Díaz de Cerio Canduela , Francesc Xavier Avilés Jurado , Julia de Juan Beltrán , Carlos Magri Ruiz , Alfonso Santamaría Gadea , Fernando López","doi":"10.1016/j.otorri.2024.03.002","DOIUrl":"10.1016/j.otorri.2024.03.002","url":null,"abstract":"<div><h3>Background and objective</h3><div>There is great heterogeneity in the methodology and evaluation in specialised health training (SHT) in otorhinolaryngology in our country. The figure of the resident tutor is the cornerstone on which the SHT system is based and the regulation and recognition of this figure varies. This article aims to take a snapshot of the current situation of the SHT in Spain and to describe the activity of tutors.</div></div><div><h3>Materials and methods</h3><div>During the month of September 2023, a survey was sent in a Google Forms® format through the Spanish Society of Otolaryngology and Head and Neck Surgery. The survey consisted of 8 multiple-choice questions and 4 questions in which they were asked to rank a series of 5 weaknesses, threats, opportunities and strengths selected by the authors, in order to perform a SWOT analysis.</div></div><div><h3>Results</h3><div>A total of 103 responses were obtained, of which 81 corresponded to accredited tutors. 63% of the tutors indicated that they did not have enough time to carry out their teaching work and 48% did not carry out a regular assessment of their residents. 64% of the tutors believe that the quality of otorhinolaryngology training in Spain is good and 61% are satisfied with their job as tutors. The main weakness was the short duration of the training programme, and the pressure of care was found to be the main threat. An experienced training system was considered the main strength and the creation of a national network of tutors was seen as an opportunity for improvement.</div></div><div><h3>Conclusions</h3><div>The creation of a common and transversal otorhinolaryngology training pathway for all accredited centres and the creation of a network of mentors and residents are necessary to address the problems of SHT. The role of the tutor must be recognised and reinforced to improve specialist training.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 347-353"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The anterior ethmoidal artery flap (AEA) is a pedicle endonasal flap frequently used to repair septal perforations (SP). The posterior incision is the most complex to perform. The primary objective was to determine the minimum height of the posterior incision (PI) of an AEA completely cover an anterior septal perforation.
Materials and methods
A cadaveric specimen was sectioned in the sagittal plane and a SP of 1 cm was created anteriorly. The PI of the AEA flap was made progressively at a height of 10, 20, 30, and 40 mm. The complete closure of the SP and the angle of rotation (AR) of the flap were assessed.
Results
According to the length of the PI the following results were obtained: PI = 10 mm: The SP was covered partially, and the AR was 45º. PI = 20 mm: The SP was fully covered, and the AR was 63º.
PI = 30 mm and 40 mm: The SP was fully covered with redundant tissue.
This study shows that an anterior ethmoidal artery flap that includes the nasal floor and the inferior meatus mucosa combined with a posterior incision of 20 mm could result in adequate coverage of all margins of an anterior SP up to area 1a of the septum.
{"title":"Enhancing the coverage and rotation of anterior ethmoidal artery flap for septal perforation closure: Insights from a flap design study","authors":"Octavio Garaycochea , Lina Piñeros , Camilo Rodríguez-Van Strahlen , María Jesús Rojas-Lechuga , Isam Alobid","doi":"10.1016/j.otorri.2024.06.004","DOIUrl":"10.1016/j.otorri.2024.06.004","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The anterior ethmoidal artery flap (AEA) is a pedicle endonasal flap frequently used to repair septal perforations (SP). The posterior incision is the most complex to perform. The primary objective was to determine the minimum height of the posterior incision (PI) of an AEA completely cover an anterior septal perforation.</div></div><div><h3>Materials and methods</h3><div>A cadaveric specimen was sectioned in the sagittal plane and a SP of 1 cm was created anteriorly. The PI of the AEA flap was made progressively at a height of 10, 20, 30, and 40 mm. The complete closure of the SP and the angle of rotation (AR) of the flap were assessed.</div></div><div><h3>Results</h3><div>According to the length of the PI the following results were obtained: PI = 10 mm: The SP was covered partially, and the AR was 45º. PI = 20 mm: The SP was fully covered, and the AR was 63º.</div><div>PI = 30 mm and 40 mm: The SP was fully covered with redundant tissue.</div><div>This study shows that an anterior ethmoidal artery flap that includes the nasal floor and the inferior meatus mucosa combined with a posterior incision of 20 mm could result in adequate coverage of all margins of an anterior SP up to area 1a of the septum.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 367-372"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.otorri.2024.03.001
Fabrizio Salvinelli , Francesca Bonifacio , Carlo A. Mallio , Andrea Pescosolido , Giulia Chiappino , Fabio Greco , Maurizio Iacoangeli
Purpose
The most used neurosurgical approach to reach cerebellar-pontine angle is the retrosigmoid route. This article describes the presigmoid approach which requires excellent knowledge of the labyrinthine block together with quantitative analysis of temporal bone CT.
Methods
CT-based quantitative measurements were obtained in patients undergoing vestibular neurectomy with a presigmoid approach. Eighteen patients were enrolled, and five measures were taken: Trautmann’s area, the petro-clival angle, presigmoid dura length and its angle. The relationship between these measurements and hospitalization days, operating times, and complications was explored.
Results
The posterior semicircilar canal (PSC)-sigmoid sinus (SS) distance, presigmoid dura- internal auditory canal (IAC)-PSC angle, and duration of surgery are predictors of complications. Specifically, a PSC-sigmoid sinus distance <11 mm, a dura presig-IAC-PSC angle <14 are associated with the highest risk of complications.
Conclusion
Preoperative temporal bone CT scan can guide the surgeon through the narrowest areas of the surgical approach. Trautmann’s triangle area and petro-clival angle reduction are challenging and can be faced with combined microscopic-endoscopic technique, and with optics angulation-rotation. The retrolabyrinthine approach can enable hearing preservation and minimal cerebellar retraction.
{"title":"Retrolabyrinthine approach to the lateral skull base: The value of preoperative temporal bone CT analysis","authors":"Fabrizio Salvinelli , Francesca Bonifacio , Carlo A. Mallio , Andrea Pescosolido , Giulia Chiappino , Fabio Greco , Maurizio Iacoangeli","doi":"10.1016/j.otorri.2024.03.001","DOIUrl":"10.1016/j.otorri.2024.03.001","url":null,"abstract":"<div><h3>Purpose</h3><div>The most used neurosurgical approach to reach cerebellar-pontine angle is the retrosigmoid route. This article describes the presigmoid approach which requires excellent knowledge of the labyrinthine block together with quantitative analysis of temporal bone CT.</div></div><div><h3>Methods</h3><div>CT-based quantitative measurements were obtained in patients undergoing vestibular neurectomy with a presigmoid approach. Eighteen patients were enrolled, and five measures were taken: Trautmann’s area, the petro-clival angle, presigmoid dura length and its angle. The relationship between these measurements and hospitalization days, operating times, and complications was explored.</div></div><div><h3>Results</h3><div>The posterior semicircilar canal (PSC)-sigmoid sinus (SS) distance, presigmoid dura- internal auditory canal (IAC)-PSC angle, and duration of surgery are predictors of complications. Specifically, a PSC-sigmoid sinus distance <11 mm, a dura presig-IAC-PSC angle <14 are associated with the highest risk of complications.</div></div><div><h3>Conclusion</h3><div>Preoperative temporal bone CT scan can guide the surgeon through the narrowest areas of the surgical approach. Trautmann’s triangle area and petro-clival angle reduction are challenging and can be faced with combined microscopic-endoscopic technique, and with optics angulation-rotation. The retrolabyrinthine approach can enable hearing preservation and minimal cerebellar retraction.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 341-346"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.otorri.2024.06.002
Sara Costa , Liliana Igreja , Telma Feliciano
{"title":"Harpoon-marking of deep tongue foreign body for surgical removal","authors":"Sara Costa , Liliana Igreja , Telma Feliciano","doi":"10.1016/j.otorri.2024.06.002","DOIUrl":"10.1016/j.otorri.2024.06.002","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 404-405"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.otorri.2024.06.001
Alejandro Portillo-Medina , Mireia Golet Fors , Anna Penella Prat , Manel Manos , Sebastian Videla , Xavier González-Compta
Objective
The incidence of recurrent peritonsillar abscess (7.4–22%) was estimated in retrospective studies. The aim of this prospective study was to estimate the cumulative incidence of recurrent peritonsillar abscess and related risk factors.
Methods
We performed a prospective longitudinal cohort study. The study included adult patients (≥18 years old) of both sexes who were attended in the emergency facilities of our tertiary hospital, without peritonsillar abscess background, diagnosed of a first episode of peritonsillar abscess and treated with standard of care (abscess drainage and antibiotics). Patients were followed for 24 months. Cumulative incidence of peritonsillar abscess recurrence was estimated and its 95% confidence interval was calculated; and predictive risk factors were assessed.
Results
Between January 1st, 2019 and March 9th, 2020, a total of 181 consecutive patients were included. The cumulative incidence of recurrent peritonsillar abscess at 2 years of the diagnosis was 9.9% (18 out of 181, 95% CI: 6.4–15.2%). The only risk factor associated with recurrent peritonsillar abscess in multivariate analysis was low plasma glucose level at the time of emergency room attendance (HR: 0.46, 95% CI: 0.24–0.91, p-value: 0.026).
Conclusion
Peritonsillar abscess is an incident medical issue, with an established recurrence rate, but with unclear predictive risk factors of recurrence. Further studies are needed to assess the risk factor associated with recurrent peritonsillar abscess.
{"title":"Recurrent peritonsillar abscess in adults: Incidence and risk factors in a prospective longitudinal cohort","authors":"Alejandro Portillo-Medina , Mireia Golet Fors , Anna Penella Prat , Manel Manos , Sebastian Videla , Xavier González-Compta","doi":"10.1016/j.otorri.2024.06.001","DOIUrl":"10.1016/j.otorri.2024.06.001","url":null,"abstract":"<div><h3>Objective</h3><div>The incidence of recurrent peritonsillar abscess (7.4–22%) was estimated in retrospective studies. The aim of this prospective study was to estimate the cumulative incidence of recurrent peritonsillar abscess and related risk factors.</div></div><div><h3>Methods</h3><div>We performed a prospective longitudinal cohort study. The study included adult patients (≥18 years old) of both sexes who were attended in the emergency facilities of our tertiary hospital, without peritonsillar abscess background, diagnosed of a first episode of peritonsillar abscess and treated with standard of care (abscess drainage and antibiotics). Patients were followed for 24 months. Cumulative incidence of peritonsillar abscess recurrence was estimated and its 95% confidence interval was calculated; and predictive risk factors were assessed.</div></div><div><h3>Results</h3><div>Between January 1<sup>st</sup>, 2019 and March 9<sup>th</sup>, 2020, a total of 181 consecutive patients were included. The cumulative incidence of recurrent peritonsillar abscess at 2 years of the diagnosis was 9.9% (18 out of 181, 95% CI: 6.4–15.2%). The only risk factor associated with recurrent peritonsillar abscess in multivariate analysis was low plasma glucose level at the time of emergency room attendance (HR: 0.46, 95% CI: 0.24–0.91, p-value: 0.026).</div></div><div><h3>Conclusion</h3><div>Peritonsillar abscess is an incident medical issue, with an established recurrence rate, but with unclear predictive risk factors of recurrence. Further studies are needed to assess the risk factor associated with recurrent peritonsillar abscess.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 361-366"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.otorri.2024.05.003
Silvia Matarredona Quiles , Marina Carrasco Llatas , Paula Martínez Ruíz de Apodaca , Jose Ángel Díez Ares , Sergio Navarro Martínez , José Dalmau Galofre
Introduction and objectives
Obstructive sleep apnea (OSA) is a prevalent condition among electable to bariatric surgery obese patients, often remaining underdiagnosed, thereby increasing surgical risk. The main purpose was to determine prevalence of OSA among candidates for bariatric surgery and to assess the rate of underdiagnosis of this condition. Additionally, the study aimed to evaluate the specific performance of three sleep questionnaires and scales (Excessive Daytime Sleepiness Scale (EDSS), Epworth Sleepiness Scale (ESS), and STOP-Bang) in these patients.
Methods
A longitudinal, prospective, single-cohort study, with consecutive sampling including patients aged 18-65 years with obesity grade II (body mass index (BMI) ≥ 35 kg/m2) and hypertension, type 2 diabetes, metabolic syndrome or OSA or obesity grade III or IV (BMI ≥ 40 kg/m2) elective for bariatric surgery. Patients were evaluated at the Otorhinolaryngology department with an anamnesis regarding OSA including the administration of three sleep questionnaires (EDSS, ESS, and STOP-Bang), followed by cardiorespiratory polygraphy (CRP) for sleep evaluation.
Results
124 patients were included in this study. While 74.2% of the sample exhibited OSA on CRP, only 28.2% had a prior diagnosis. The STOP-Bang questionnaire demonstrated the highest sensitivity (93.3%) for detecting moderate to severe OSA, although with low specificity (33.8%). EDSS and ESS did not show a significant association with the presence of OSA.
Conclusions
OSA screening is crucial in candidates for bariatric surgery due to its high prevalence and low diagnosis rate. The STOP-Bang questionnaire may serve as a useful tool for identifying patients at risk of moderate to severe OSA and optimizing sleep assessments. However, further research is necessary to validate its utility in this specific population.
导言和目的阻塞性睡眠呼吸暂停（OSA）是可选择进行减肥手术的肥胖患者中的一种普遍病症，往往诊断不足，从而增加了手术风险。研究的主要目的是确定 OSA 在减肥手术候选者中的患病率，并评估该疾病的漏诊率。此外，该研究还旨在评估三种睡眠问卷和量表（日间过度嗜睡量表（EDSS）、埃普沃斯嗜睡量表（ESS）和STOP-Bang）在这些患者中的具体表现。方法一项纵向、前瞻性、单队列研究，连续取样包括 18-65 岁肥胖等级 II（体重指数 (BMI) ≥ 35 kg/m2）和高血压、2 型糖尿病、代谢综合征或 OSA 或肥胖等级 III 或 IV（体重指数 (BMI) ≥ 40 kg/m2）的减肥手术择期患者。患者在耳鼻喉科接受评估，并提供有关 OSA 的病史资料，包括进行三项睡眠问卷调查（EDSS、ESS 和 STOP-Bang），然后进行心肺聚光仪（CRP）睡眠评估。虽然 74.2% 的样本在 CRP 中显示有 OSA，但只有 28.2% 的样本曾被诊断过。STOP-Bang 问卷检测中重度 OSA 的灵敏度最高（93.3%），但特异性较低（33.8%）。结论 由于 OSA 的高患病率和低诊断率，因此对减肥手术患者进行 OSA 筛查至关重要。STOP-Bang 问卷可作为一种有用的工具，用于识别有中度至重度 OSA 风险的患者并优化睡眠评估。不过，还需要进一步的研究来验证其在这一特定人群中的实用性。
{"title":"Prevalencia de apnea obstructiva del sueño en pacientes obesos candidatos a cirugía bariátrica y cuestionarios predictores","authors":"Silvia Matarredona Quiles , Marina Carrasco Llatas , Paula Martínez Ruíz de Apodaca , Jose Ángel Díez Ares , Sergio Navarro Martínez , José Dalmau Galofre","doi":"10.1016/j.otorri.2024.05.003","DOIUrl":"10.1016/j.otorri.2024.05.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Obstructive sleep apnea (OSA) is a prevalent condition among electable to bariatric surgery obese patients, often remaining underdiagnosed, thereby increasing surgical risk. The main purpose was to determine prevalence of OSA among candidates for bariatric surgery and to assess the rate of underdiagnosis of this condition. Additionally, the study aimed to evaluate the specific performance of three sleep questionnaires and scales (Excessive Daytime Sleepiness Scale (EDSS), Epworth Sleepiness Scale (ESS), and STOP-Bang) in these patients.</div></div><div><h3>Methods</h3><div>A longitudinal, prospective, single-cohort study, with consecutive sampling including patients aged 18-65 years with obesity grade II (body mass index (BMI)<!--> <!-->≥<!--> <!-->35<!--> <!-->kg/m<sup>2</sup>) and hypertension, type 2 diabetes, metabolic syndrome or OSA or obesity grade III or IV (BMI<!--> <!-->≥<!--> <!-->40<!--> <!-->kg/m<sup>2</sup>) elective for bariatric surgery. Patients were evaluated at the Otorhinolaryngology department with an anamnesis regarding OSA including the administration of three sleep questionnaires (EDSS, ESS, and STOP-Bang), followed by cardiorespiratory polygraphy (CRP) for sleep evaluation.</div></div><div><h3>Results</h3><div>124 patients were included in this study. While 74.2% of the sample exhibited OSA on CRP, only 28.2% had a prior diagnosis. The STOP-Bang questionnaire demonstrated the highest sensitivity (93.3%) for detecting moderate to severe OSA, although with low specificity (33.8%). EDSS and ESS did not show a significant association with the presence of OSA.</div></div><div><h3>Conclusions</h3><div>OSA screening is crucial in candidates for bariatric surgery due to its high prevalence and low diagnosis rate. The STOP-Bang questionnaire may serve as a useful tool for identifying patients at risk of moderate to severe OSA and optimizing sleep assessments. However, further research is necessary to validate its utility in this specific population.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 354-360"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.otorri.2024.05.004
María del Mar Martínez Ruiz-Coello , Victoria García Peces , Ramón González Herranz , Guillermo Plaza Mayor
{"title":"Resección de paraganglioma timpánico izquierdo mediante láser fotoangiolítico azul","authors":"María del Mar Martínez Ruiz-Coello , Victoria García Peces , Ramón González Herranz , Guillermo Plaza Mayor","doi":"10.1016/j.otorri.2024.05.004","DOIUrl":"10.1016/j.otorri.2024.05.004","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"75 6","pages":"Pages 400-403"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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