Acta otorrinolaringologica espanola最新文献

{"title":"Anatomical variations of sphenoid sinus on cone beam computed tomography","authors":"Patrícia Fernandes Lopes ,&nbsp;Tatiana Carvalho ,&nbsp;Miguel Furtado","doi":"10.1016/j.otorri.2025.512229","DOIUrl":"10.1016/j.otorri.2025.512229","url":null,"abstract":"<div><h3>Introduction</h3><div>The surgical approach to the sphenoid sinus (SS) is one of the most challenging aspects of endoscopic surgery due to its proximity to critical structures. To minimize risks, computed tomography (CT) aids in navigational guidance. Although cone beam computed tomography (CBCT) has lower contrast resolution, it offers improved precision, reduced radiation exposure, and faster imaging, making it a viability as a preoperative tool.</div></div><div><h3>Methods</h3><div>We randomly selected 75 patients from 707 who underwent CBCT between January and December 2023. Two observers evaluated SS anatomy with consensus. Statistical analyses were conducted using Excel® and Jamovi®.</div></div><div><h3>Results</h3><div>Anatomical variations were documented, with prevalence rates as follows: sphenoethmoidal cell (15%); optic nerve (ON) protrusion (21%) and dehiscence (4%); internal carotid artery (ICA) protrusion (31%) and dehiscence (0%); vidian canal (VC) protrusion (39%) and dehiscence (6%); foramen rotundum (FR) protrusion (23%) and dehiscence (5%); anterior clinoid process (ACP) pneumatization (20%); pterygoid process (PP) pneumatization (33%); conchal (1%), presellar (7%), sellar (36%) and postsellar type (56%) SS; and intersphenoidal septum (47%). Statistically significant correlations were observed between ACP pneumatization and ON protrusion (<em>p</em> &lt; 0.001) and dehiscence (<em>p</em> = 0.018), and ICA protrusion (<em>p</em> = 0.001). PP pneumatization was significantly correlated with VC protrusion (<em>p</em> &lt; 0.001) and dehiscence (<em>p</em> = 0.011), and foramen rotundum protrusion (<em>p</em> &lt; 0.001).</div></div><div><h3>Discussion/Conclusion</h3><div>Our CBCT findings largely aligned with CT data in existing literature. Due to its faster acquisition and lower radiation exposure, CBCT shows potential as a preoperative evaluation method for assessing the SS.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 4","pages":"Article 512229"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713622","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}

{"title":"A look at DFNB16 markers and their application in the genetic study of hearing loss in Iranian deaf families","authors":"Reihane Fazeli-Jezei ,&nbsp;Elham Davoudi-Dehaghani","doi":"10.1016/j.otorri.2025.512230","DOIUrl":"10.1016/j.otorri.2025.512230","url":null,"abstract":"<div><h3>Introduction</h3><div>The study of the gene encoding stereocilin (<em>STRC</em>) is complicated by the presence of a pseudogene (<em>STRCP1</em>) with over 98.8% similarity. We analysed the linkage between hearing loss and the DFNB16 locus in consanguineous Iranian deaf families.</div></div><div><h3>Materials and methods</h3><div>A review of previous studies on the DFNB16 locus was conducted to find the smallest regions linked to the <em>STRC</em> gene with no reported crossing-overs, as well as an investigation of short tandem repeat (STR) and single nucleotide polymorphism (SNP) markers of the DFNB16 locus using the UCSC, NCBI, and Iranome databases. A total of 36 consanguineous families with at least two individuals affected by autosomal recessive non-syndromic hearing loss (ARNSHL) were selected for the study. Autozygosity mapping was performed using tag SNP markers linked to the DFNB16 locus.</div></div><div><h3>Results</h3><div>The investigation showed that SNPs are more appropriate for linkage studies in these families than STR markers. In this study, 12 distinct haplotypes were identified, with frequencies ranging from 3.1% to 21.8%. Based on the haplotype analysis results and the autozygosity mapping, no linkage was found in any families analysed.</div></div><div><h3>Discussion</h3><div>In genetic studies of deafness in multi-affected consanguineous families, preliminary screening by autozygosity mapping can be helpful, especially for complicated genes like <em>STRC</em>. If the distance between STRs and the gene under study is significant, SNPs can provide a more effective solution. This study can potentially help to develop a more cost-effective method for genetic testing of <em>STRC</em>-related deafness.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 4","pages":"Article 512230"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713623","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}

{"title":"Estratificación de la severidad de la sialoadenitis obstructiva crónica en función de su impacto en la calidad de vida","authors":"William Aragonés Sanzen-Baker ,&nbsp;José Miguel Villacampa Aubá ,&nbsp;Ignacio Alcalá Rueda ,&nbsp;Jessica Mireya Santillán Coello ,&nbsp;Gonzalo Díaz Tapia ,&nbsp;Carlos Cenjor Español ,&nbsp;Álvaro Sánchez Barrueco","doi":"10.1016/j.otorri.2025.512223","DOIUrl":"10.1016/j.otorri.2025.512223","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic Obstructive Sialadenitis (COS) is a debilitating condition characterized by recurrent inflammation of the salivary glands due to excretory obstruction, significantly impacting patients’ quality of life (QoL). The COS Quality of Life Questionnaire (COSQ) has been validated to evaluate QoL in affected patients and to monitor changes post-treatment.</div></div><div><h3>Materials and methods</h3><div>This study included two patient groups with COS-affected glands. The first group of 342 patients completed the COSQ before minimally invasive surgery, while the second group of 215 patients completed both the COSQ and a Visual Analog Scale (VAS). Scores were analyzed and stratified into four severity categories: mild, moderate, severe, and very severe, based on COSQ outcomes.</div></div><div><h3>Results</h3><div>COSQ scores were distributed as follows: mild (12.87%), moderate (37.13%), severe (34.5%), and very severe (15.21%). A significant correlation was observed between COSQ and VAS scores, particularly in the moderate and severe categories. Stratification allowed for identification of patients with severe symptoms, aiding in tailored management.</div></div><div><h3>Conclusion</h3><div>The COSQ effectively assesses QoL in COS patients and aids in stratifying severity. This stratification can guide clinicians in developing personalized treatment strategies, monitoring disease progression, and evaluating treatment outcomes.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 4","pages":"Article 512223"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713667","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}

{"title":"Características acústicas de la voz de los niños usuarios de implante coclear","authors":"Faustino Núñez-Batalla ,&nbsp;Ainoa Álvarez ,&nbsp;Isabel Sandoval ,&nbsp;Paula Sánchez ,&nbsp;Estefania Díaz-Fresno ,&nbsp;Jorge Javier Ramírez ,&nbsp;Maite Guntín ,&nbsp;Justo Gómez ,&nbsp;Jose Luis Llorente ,&nbsp;Verónica Suárez-Martínez","doi":"10.1016/j.otorri.2025.512238","DOIUrl":"10.1016/j.otorri.2025.512238","url":null,"abstract":"<div><h3>Introduction</h3><div>Congenital profound bilateral hearing loss prevents the correct development of speech and voice. This study assesses certain acoustic parameters of the voice in order to determine their normality in the implanted population.</div></div><div><h3>Method</h3><div>Two population groups were studied. A control group consisting of 42 healthy pediatric patients, 22 boys and 20 girls, and a group of 22 pediatric patients, 11 boys and 11 girls with congenital profound hearing loss implanted bilaterally.</div><div>The variables median pitch, CPPS, <em>jitter</em> rap and <em>shimmer</em> apq5 were evaluated in an isolated phonation exercise and another in connected speech for the phoneme /a/ with the PRAAT program. Student's t-test and Wilcoxcon tests were applied.</div></div><div><h3>Results</h3><div>Significant intergroup differences were obtained for all variables in the vowel extracted from connected speech, but not in the sustained vowel. The hearing-impaired population showed some significant differences in the intra-group analysis. The experimental group showed better results in the vocal quality parameters, particularly jitter, shimmer and CPPS showed statistically significant differences.</div></div><div><h3>Conclusion</h3><div>Early bilateral implantation allows the cochlear implant user to approximate his acoustic values to normative values in terms of pitch, stability, quality and articulatory precision.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 4","pages":"Article 512238"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713680","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}

{"title":"Isolated frontal sinus angiofibroma with external forehead deformity: A case report","authors":"Ali Tawfik,&nbsp;Ahmed Musaad Abd-Elfattah,&nbsp;Hisham Atef Ebada,&nbsp;Ahmad Muhammad Al-Arman,&nbsp;Donia Usama Hamza,&nbsp;Elsharawy Kamal","doi":"10.1016/j.otorri.2025.512227","DOIUrl":"10.1016/j.otorri.2025.512227","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 4","pages":"Article 512227"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713659","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}

{"title":"¿Dónde se dirige la medicina del sueño? Un análisis de las unidades multidisciplinares en España","authors":"Laura Rodriguez Alcala ,&nbsp;Carlos O’Connor-Reina ,&nbsp;Carlos Egea ,&nbsp;F. Javier Puertas ,&nbsp;Milagros Merino ,&nbsp;Marina Carrasco ,&nbsp;Jose Maria Ignacio ,&nbsp;Peter Baptista ,&nbsp;Guillermo Plaza","doi":"10.1016/j.otorri.2025.512234","DOIUrl":"10.1016/j.otorri.2025.512234","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 4","pages":"Article 512234"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713660","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}

{"title":"External ear affection in multiple myeloma","authors":"João Tavares Correia,&nbsp;Isabel Silva-Carvalho,&nbsp;Luís Meireles","doi":"10.1016/j.otorri.2025.512228","DOIUrl":"10.1016/j.otorri.2025.512228","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 4","pages":"Article 512228"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144712491","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}

{"title":"Complicaciones respiratorias en pacientes intervenidos por cáncer de cavidad oral, faringe y laringe en un hospital terciario","authors":"Marta Zabaleta López ,&nbsp;Belén Clemente Cuartero ,&nbsp;Pedro Díaz de Cerio Canduela ,&nbsp;Nisa Boukichou Addelkader ,&nbsp;Javier Ugedo Urruela","doi":"10.1016/j.otorri.2025.512236","DOIUrl":"10.1016/j.otorri.2025.512236","url":null,"abstract":"<div><h3>Background and objective</h3><div>The incidence of head and neck cancer (HNC) is directly related to tobacco and alcohol consumption, which explains why patients with HNC often present comorbidities, with chronic obstructive pulmonary disease (COPD) being an example. This condition is underdiagnosed, and various authors have demonstrated how its presence increases the incidence of respiratory complications in patients undergoing surgery for HNC.</div><div>We conducted a study aimed at evaluating respiratory complications in patients undergoing surgery for HNC at the San Pedro University Hospital (HUSP).</div></div><div><h3>Materials and methods</h3><div>A retrospective and descriptive study was conducted, including all adult patients diagnosed with oral cavity, pharyngeal, or laryngeal carcinoma who underwent surgery at the HUSP in Logroño between 2018 and 2021. Sociodemographic variables, medical history, previous pulmonary evaluation, and respiratory complications were recorded. A two-year follow-up was carried out.</div></div><div><h3>Results</h3><div>A total of 160 patients were included. 74.4% of the patients were men, and the mean age was 72<!--> <!-->years. 69.4% had a smoking habit, and 41.2% consumed alcohol. Comorbidities were documented in 82.5% of patients, with hypertension being the most prevalent, while COPD ranked fifth at 8.1%. Prior to surgery, only 16% of patients underwent spirometry, and fewer than 2% were evaluated in the pulmonology clinic.</div><div>Ten patients (6.25%) developed respiratory complications. Of these, 80% were smokers, and 30% had COPD, yet none had been evaluated in the pulmonology clinic prior to surgery. Diabetes mellitus and non-epidermoid cancer types were significantly associated with complications (<em>P</em> <!-->&lt;<!--> <!-->.05).</div></div><div><h3>Conclusions</h3><div>6.25% of patients who underwent surgery for HNC experienced respiratory complications. Although this rate is lower than those reported in other studies, it is noteworthy. This is especially relevant considering that, despite 30% of these patients having a prior diagnosis of COPD, none were evaluated before surgery to optimize treatment for this condition. These findings underscore the importance of identifying and managing COPD in patients with HNC and the need for further research in this area.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 4","pages":"Article 512236"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713612","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}

{"title":"Nebulized hyaluronic acid and xylitol based solution after turbinate radiofrequency ablation. A triple blind randomized multicentric clinical trial","authors":"Christian Calvo-Henríquez ,&nbsp;Ainhoa García-Lliberos ,&nbsp;Byron Maldonado-Alvarado ,&nbsp;Miguel Rodriguez-Iglesias ,&nbsp;David Lobo-Duro ,&nbsp;Juan Maza-Solano ,&nbsp;Serafín Sánchez-Gomez ,&nbsp;Isam Alobid","doi":"10.1016/j.otorri.2025.512218","DOIUrl":"10.1016/j.otorri.2025.512218","url":null,"abstract":"<div><h3>Objective</h3><div>This prospective, triple blind randomized clinical trial aims to specifically evaluate the effect of Aluneb® (hyaluronic acid plus xilitol) in the postoperative treatment of inferior turbinate radiofrequency in adults compared to nebulized isotonic saline.</div></div><div><h3>Methods</h3><div>Adults undergoing radiofrequency turbinate ablation were included. Treatment group received Aluneb® (hyaluronic acid plus xylitol) while the control group received nebulized isotonic saline for two months after treatment. Participants were studied the week before surgery (visit 0), and at 7, 15, 30 and 60 days after surgery. At all visits, participants underwent physical examination, rhinomanometry, SNOT-22, and visual analogue scale (VAS) of symptoms.</div></div><div><h3>Results</h3><div>34 participants were recruited. Crusts (endoscopy) were less in the Aluneb® hyaluronic acid plus xylitol group. Nasal crusting, epistaxis and nasal obstruction VAS were statistically significant lower. VAS for Rhinorrea, halitosis, cacosmia and pain and nasal resistance obtained lower self-reported values in the hyaluronic acid plus xilitol group, but these differences were not statistically significant.</div></div><div><h3>Conclusions</h3><div>Hyaluronic acid plus xilitol demonstrated promise in improving postoperative outcomes, future studies with larger sample sizes and different surgical techniques are encouraged.</div></div>","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 3","pages":"Article 512218"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144088752","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}

{"title":"Epignatus: una causa inusual de obstrucción de vía aérea en el recién nacido","authors":"Mónica Rueda Vega,&nbsp;Alex Lowy Benoliel,&nbsp;Rosalía Souvirón Encabo","doi":"10.1016/j.otorri.2025.512232","DOIUrl":"10.1016/j.otorri.2025.512232","url":null,"abstract":"","PeriodicalId":7019,"journal":{"name":"Acta otorrinolaringologica espanola","volume":"76 3","pages":"Article 512232"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144088754","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}