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Quer-Castells M, Sandoval M, Larrosa F. Blue laser for the exclusive endoscopic transcanal approach to middle ear paraganglioma. Eur Arch Otorhinolaryngol 2024; 281:2041-2045. [PMID: 38334782 PMCID: PMC10942876 DOI: 10.1007/s00405-024-08470-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Accepted: 01/09/2024] [Indexed: 02/10/2024]
Abstract
BACKGROUND The management of glomus tympanicum tumours can be challenging. Blue laser coagulation may improve bleeding control thus facilitating an endoscopic transcanal excision. The objective of this presentation is to illustrate the authors' experience using this novel tool. METHODS Case report of a patient that underwent exclusive endoscopic transcanal blue laser surgery of a class A2 glomus tympanicum tumour in a tertiary referral center. CONCLUSION The present study provides evidence of the safety and efficacy of endoscopic blue laser surgery, for the minimally invasive treatment of early-stage glomus tympanicum tumours.
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Affiliation(s)
- Mireia Quer-Castells
- Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Clinic de Barcelona, C Villarroel 170, 08036, Barcelona, Spain
| | - Marta Sandoval
- Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Clinic de Barcelona, C Villarroel 170, 08036, Barcelona, Spain
- University of Barcelona Medical School, C Villarroel 170, 08036, Barcelona, Spain
| | - Francisco Larrosa
- Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Clinic de Barcelona, C Villarroel 170, 08036, Barcelona, Spain.
- University of Barcelona Medical School, C Villarroel 170, 08036, Barcelona, Spain.
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Remacha J, Pujol L, Caballero-Borrego M, Sandoval M, Viza I, Codina A, Bernal-Sprekelsen M, Larrosa F. Transcanal endoscopic carbon dioxide laser resection of early-stage (A1-B1) glomus tympanicum tumours: single-centre case series. J Laryngol Otol 2024:1-5. [PMID: 38311335 DOI: 10.1017/s0022215124000288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2024]
Abstract
OBJECTIVE To report a single-centre experience in the endoscopic carbon dioxide laser-assisted approach to glomus tympanicum tumours. METHODS A retrospective case review was conducted of patients diagnosed with class A1 to B1 glomus tympanicum tumours who underwent exclusive transcanal endoscopic carbon dioxide laser surgery. RESULTS Seven patients fulfilled the inclusion criteria. All patients (100 per cent) were women, with a mean age of 65.4 years (standard deviation, 13.6). There were five A2 tumours, one A1 tumour and one B1 tumour. One patient presented with a delayed tympanic membrane perforation needing myringoplasty on follow up. There were no substantial post-operative complications. The mean hospitalisation time was 9.5 hours (standard deviation, 9.8). The mean follow-up period was 32.7 months (standard deviation, 13.1), with all cases having resolution of pulsatile tinnitus and no tumour recurrence. CONCLUSION The study provides further evidence on the safety and efficacy of endoscopic carbon dioxide laser surgery as a minimally invasive technique for treating early-stage glomus tympanicum tumours.
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Affiliation(s)
- Joan Remacha
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
| | - Laura Pujol
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
| | - Miguel Caballero-Borrego
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
- University of Barcelona Medical School, Barcelona, Spain
| | - Marta Sandoval
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
- University of Barcelona Medical School, Barcelona, Spain
| | - Ignacio Viza
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
| | - Alberto Codina
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
| | - Manuel Bernal-Sprekelsen
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
- University of Barcelona Medical School, Barcelona, Spain
| | - Francisco Larrosa
- Department of Otorhinolaryngology - Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
- University of Barcelona Medical School, Barcelona, Spain
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Rojas-Lechuga MJ, Larrosa F. Transcanal Endoscopic Approach of a Rare Chorda Tympani Schwannoma. Otol Neurotol 2022; 43:e1210. [PMID: 36190903 DOI: 10.1097/mao.0000000000003697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Larrosa F, González-Sánchez N, Remacha J, Sandoval M, Bernal-Sprekelsen M. Nuances in transcanal endoscopic approach to benign middle ear tumours in adult patients. Acta Otorrinolaringol Esp (Engl Ed) 2022; 73:279-285. [PMID: 36031112 DOI: 10.1016/j.otoeng.2022.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Accepted: 05/12/2021] [Indexed: 11/24/2022]
Abstract
BACKGROUND AND OBJECTIVE Minimally invasive surgery of benign middle ear tumours is possible by using the endoscope. The optimal lighting and the broadest vision it offers, allow a transcanal approach to these rare tumours. The objective of this work is to summarise its key points through a case series. MATERIALS AND METHODS Retrospective study of benign middle ear tumours that underwent exclusive endoscopic surgery in a third-level adult university hospital between June 2018 and June 2020. Postoperative follow-up was performed by otoendoscopy and audiometry. RESULTS Six patients underwent surgery during the study period. Five patients were female and one male, with an average age of 57.8 years (±21.9). Four tumours were in the left ear and 2 in the right ear. These included four tympanic paragangliomas (three type I and one type II), a chorda tympani neuroma, and a congenital cholesteatoma. There were no serious postoperative complications. At present, no tumour recurrence has been found in either case, with a minimum follow-up of 7 months. CONCLUSIONS The present study adds evidence on the safety and efficacy of endoscopic transcanal ear surgery, as a minimally invasive technique, for the treatment of benign middle ear tumours confined to the tympanic cavity.
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Affiliation(s)
- Francisco Larrosa
- Servicio de Otorrinolaringología, Hospital Clínic de Barcelona, Barcelona, Spain; Departamento de Especialidades Médico-Quirúrgicas, Facultad de Medicina, Universitat de Barcelona, Barcelona, Spain.
| | | | - Joan Remacha
- Servicio de Otorrinolaringología, Hospital Clínic de Barcelona, Barcelona, Spain
| | - Marta Sandoval
- Servicio de Otorrinolaringología, Hospital Clínic de Barcelona, Barcelona, Spain; Departamento de Especialidades Médico-Quirúrgicas, Facultad de Medicina, Universitat de Barcelona, Barcelona, Spain
| | - Manuel Bernal-Sprekelsen
- Servicio de Otorrinolaringología, Hospital Clínic de Barcelona, Barcelona, Spain; Departamento de Especialidades Médico-Quirúrgicas, Facultad de Medicina, Universitat de Barcelona, Barcelona, Spain
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Gonzalez-Sanchez N, Dura MJ, Perez-Grau M, Samara L, Phillips J, Larrosa F. Adaptation and initial validation of the Spanish version of the chronic otitis media questionnaire-12 (COMQ-12) and chronic otitis media benefit inventory (COMBI). Med Clin (Barc) 2022; 159:536-540. [PMID: 35738930 DOI: 10.1016/j.medcli.2022.03.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Revised: 03/23/2022] [Accepted: 03/29/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND OBJECTIVES The chronic otitis media questionnaire-12 (COMQ-12) and chronic otitis media benefit inventory (COMBI) aim to assess the quality of life related to chronic otitis media or its surgical treatment. The objective of this study was to validate the Spanish adaptation of the COMQ-12 and COMBI. PATIENTS AND METHODS Multicentre prospective instrument validation study. guidelines for the cross-cultural adaptation process were followed. The psychometric properties of the Spanish versions ("COMQ-12-Spa" for "COMQ-12-Spanish" and "COMBI-Spa" for "COMBI-Spanish") were assessed in 25 consecutive adults undergoing tympanoplasty and in a separate cohort of 25 unaffected adults. RESULTS COMQ-12-Spa: test-retest reliability, r=0.98; internal consistency reliability, α=0.92. Item-subscale and item-total coefficients, ≥0.40. Between-group discrimination, p<0.0001. COMBI-Spa: internal consistency, α=0.96. A high-intensity relationship between the variables was shown, ≥0.40. Correlation between the COMBI-Spa and the Spanish Glasgow Benefit Inventory (GBI), r=0.89; p<0.01. CONCLUSION Psychometric testing of the Spanish versions of the COMQ-12-Spa and COMBI-Spa yielded satisfactory results, thus allowing pre- and postintervention assessment of the subjective severity of chronic otitis media in adult patients.
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Affiliation(s)
- Nesly Gonzalez-Sanchez
- Department of Otorhinolaryngology-Head and Neck Surgery, Institut Clinic Especialitats Mediques i Quirurgiques, Universitat de Barcelona School of Medicine, Hospital Clinic de Barcelona, Barcelona, Spain
| | - Maria J Dura
- Department of Physical Medicine and Rehabilitation, Universitat Autonoma de Barcelona School of Medicine, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
| | - Marta Perez-Grau
- Department of Otorhinolaryngology-Head and Neck Surgery, Universitat Autonoma de Barcelona School of Medicine, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
| | - Laura Samara
- Department of Otorhinolaryngology-Head and Neck Surgery, Consorci Sanitari Alt Penedes-Garraf, Badalona, Spain
| | - John Phillips
- Department of Otorhinolaryngology-Head and Neck Surgery, Norfolk AND Norwich University Hospital, Norwich, Norfolk, UK
| | - Francisco Larrosa
- Department of Otorhinolaryngology-Head and Neck Surgery, Institut Clinic Especialitats Mediques i Quirurgiques, Universitat de Barcelona School of Medicine, Hospital Clinic de Barcelona, Barcelona, Spain.
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Larrosa F, González-Sánchez N, Remacha J, Sandoval M, Bernal-Sprekelsen M. Nuances in transcanal endoscopic approach to benign middle ear tumours in adult patients. Acta Otorrinolaringol Esp (Engl Ed) 2021; 73:S0001-6519(21)00091-1. [PMID: 34404521 DOI: 10.1016/j.otorri.2021.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 05/05/2021] [Accepted: 05/12/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND AND OBJECTIVE Minimally invasive surgery of benign middle ear tumours is possible by using the endoscope. The optimal lighting and the broadest vision it offers, allow a transcanal approach to these rare tumours. The objective of this work is to summarize its key points through a case series. MATERIALS AND METHODS Retrospective study of benign middle ear tumours that underwent exclusive endoscopic surgery in a third-level adult university hospital between June 2018 and June 2020. Postoperative follow-up was performed by otoendoscopy and audiometry. RESULTS Six patients underwent surgery during the study period. Five patients were female and one male, with an average age of 57.8 years (± 21.9). Four tumours were in the left ear and 2 in the right ear. These included 4tympanic paragangliomas (3 type I and one type II), a chorda tympani neuroma, and a congenital cholesteatoma. There were no serious postoperative complications. At present, no tumour recurrence has been found in either case, with a minimum follow-up of 7 months. CONCLUSIONS The present study adds evidence on the safety and efficacy of endoscopic transcanal ear surgery, as a minimally invasive technique, for the treatment of benign middle ear tumours confined to the tympanic cavity.
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Affiliation(s)
- Francisco Larrosa
- Servicio de Otorrinolaringología, Hospital Clínic de Barcelona, Barcelona, España; Departamento de Especialidades Médico-Quirúrgicas, Facultad de Medicina, Universitat de Barcelona, Barcelona, España.
| | | | - Joan Remacha
- Servicio de Otorrinolaringología, Hospital Clínic de Barcelona, Barcelona, España
| | - Marta Sandoval
- Servicio de Otorrinolaringología, Hospital Clínic de Barcelona, Barcelona, España; Departamento de Especialidades Médico-Quirúrgicas, Facultad de Medicina, Universitat de Barcelona, Barcelona, España
| | - Manuel Bernal-Sprekelsen
- Servicio de Otorrinolaringología, Hospital Clínic de Barcelona, Barcelona, España; Departamento de Especialidades Médico-Quirúrgicas, Facultad de Medicina, Universitat de Barcelona, Barcelona, España
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Larrosa F, de Osso JT, Dura MJ, Bernal-Sprekelsen M. In reply to the letter to the editor regarding "Palisade cartilage tympanoplasty compared to one-piece composite cartilage-perichondrium grafts for transcanal endoscopic treatment of subtotal tympanic membrane perforations: a retrospective study". Eur Arch Otorhinolaryngol 2021; 278:623-624. [PMID: 33388974 DOI: 10.1007/s00405-020-06513-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 11/19/2020] [Indexed: 10/22/2022]
Abstract
This is a reply letter to the manuscript "The size and diameter of pieces of cartilage are not fixed for the palisade technique and one-piece technique", regarding the elevation of a tympanomeatal flap and keratin pearl formation in "Palisade cartilage tympanoplasty compared to one-piece composite cartilage-perichondrium grafts for transcanal endoscopic treatment of subtotal tympanic membrane perforations: a retrospective study" ( https://doi.org/10.1007/s00405-020-05947-3 ).
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Affiliation(s)
- F Larrosa
- Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Clinic de Barcelona, C Villarroel 170, 08036, Barcelona, Spain. .,University of Barcelona Medical School, Barcelona, Spain.
| | - J T de Osso
- Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Clinic de Barcelona, C Villarroel 170, 08036, Barcelona, Spain
| | - M J Dura
- Department of Physical Medicine and Rehabilitation, Hospital Germans Trias I Pujol, Badalona, Spain.,Universitat Autonoma de Barcelona, Barcelona, Spain
| | - M Bernal-Sprekelsen
- Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Quironsalud Valencia, Valencia, Spain.,University of Valencia Medical School, Valencia, Spain
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Avilés-Jurado FX, Prieto-Alhambra D, González-Sánchez N, de Ossó J, Arancibia C, Rojas-Lechuga MJ, Ruiz-Sevilla L, Remacha J, Sánchez I, Lehrer-Coriat E, López-Chacón M, Langdon C, Guilemany JM, Larrosa F, Alobid I, Bernal-Sprekelsen M, Castro P, Vilaseca I. Timing, Complications, and Safety of Tracheotomy in Critically Ill Patients With COVID-19. JAMA Otolaryngol Head Neck Surg 2020; 147:2771317. [PMID: 33034625 PMCID: PMC7545345 DOI: 10.1001/jamaoto.2020.3641] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Accepted: 08/18/2020] [Indexed: 12/22/2022]
Abstract
IMPORTANCE The current coronavirus disease 2019 (COVID-19) pandemic has led to unprecedented needs for invasive ventilation, with 10% to 15% of intubated patients subsequently requiring tracheotomy. OBJECTIVE To assess the complications, safety, and timing of tracheotomy performed for critically ill patients with COVID-19. DESIGN, SETTING, AND PARTICIPANTS This prospective cohort study assessed consecutive patients admitted to the intensive care unit (ICU) who had COVID-19 that required tracheotomy. Patients were recruited from March 16 to April 10, 2020, at a tertiary referral center. EXPOSURES A surgical tracheotomy was performed for all patients following recommended criteria for use of personal protective equipment (PPE). MAIN OUTCOMES AND MEASURES The number of subthyroid operations, the tracheal entrance protocol, and use of PPE. Infections among the surgeons were monitored weekly by reverse-transcriptase polymerase chain reaction of nasopharyngeal swab samples. Short-term complications, weaning, and the association of timing of tracheotomy (early [≤10 days] vs late [>10 days]) with total required days of invasive ventilation were assessed. RESULTS A total of 50 patients (mean [SD] age, 63.8 [9.2] years; 33 [66%] male) participated in the study. All tracheotomies were performed at the bedside. The median time from intubation to tracheotomy was 9 days (interquartile range, 2-24 days). A subthyroid approach was completed for 46 patients (92%), and the tracheal protocol was adequately achieved for 40 patients (80%). Adequate PPE was used, with no infection among surgeons identified 4 weeks after the last tracheotomy. Postoperative complications were rare, with minor bleeding (in 6 patients [12%]) being the most common complication. The successful weaning rate was higher in the early tracheotomy group than in the late tracheotomy group (adjusted hazard ratio, 2.55; 95% CI, 0.96-6.75), but the difference was not statistically significant. There was less time of invasive mechanical ventilatory support with early tracheotomy compared with late tracheotomy (mean [SD], 18 [5.4] vs 22.3 [5.7] days). The reduction of invasive ventilatory support was achieved at the expense of the pretracheotomy period. CONCLUSIONS AND RELEVANCE In this cohort study, with the use of a standardized protocol aimed at minimizing COVID-19 risks, bedside open tracheotomy was a safe procedure for patients and surgeons, with minimal complications. Timing of tracheotomy may be important in reducing time of invasive mechanical ventilation, with potential implications to intensive care unit availability during the COVID-19 pandemic.
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Affiliation(s)
- Francesc Xavier Avilés-Jurado
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
- Departament de Cirurgia i Especialitats Mèdico-Quirúrgiques, Universitat de Barcelona School of Medicine, Barcelona, Spain
- Institut d´Investigacions Biomèdiques August Pi i Sunyer, August Pi i Sunyer Biomedical Research Institute, Barcelona, Spain
- Head Neck Clínic, Agència de Gestió d'Ajuts Universitaris i de Recerca, 2017-SGR-01581, Barcelona, Spain
| | - Daniel Prieto-Alhambra
- Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, UK
| | - Nesly González-Sánchez
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
- PhD Program, Universitat de Barcelona School of Medicine, Barcelona, Spain
| | - José de Ossó
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
| | - Claudio Arancibia
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
| | - María Jesús Rojas-Lechuga
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
| | - Laura Ruiz-Sevilla
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
| | - Joan Remacha
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
| | - Irene Sánchez
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
| | - Eduardo Lehrer-Coriat
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
- Departament de Cirurgia i Especialitats Mèdico-Quirúrgiques, Universitat de Barcelona School of Medicine, Barcelona, Spain
- Institut d´Investigacions Biomèdiques August Pi i Sunyer, August Pi i Sunyer Biomedical Research Institute, Barcelona, Spain
| | - Mauricio López-Chacón
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
- Departament de Cirurgia i Especialitats Mèdico-Quirúrgiques, Universitat de Barcelona School of Medicine, Barcelona, Spain
- Institut d´Investigacions Biomèdiques August Pi i Sunyer, August Pi i Sunyer Biomedical Research Institute, Barcelona, Spain
| | - Cristóbal Langdon
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
- Departament de Cirurgia i Especialitats Mèdico-Quirúrgiques, Universitat de Barcelona School of Medicine, Barcelona, Spain
- Institut d´Investigacions Biomèdiques August Pi i Sunyer, August Pi i Sunyer Biomedical Research Institute, Barcelona, Spain
- Centro de Investigación Biomédica en Red sobre Enfermedades Respiratorias, Bunyola, Spain
| | - Josep María Guilemany
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
- Departament de Cirurgia i Especialitats Mèdico-Quirúrgiques, Universitat de Barcelona School of Medicine, Barcelona, Spain
| | - Francisco Larrosa
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
- Departament de Cirurgia i Especialitats Mèdico-Quirúrgiques, Universitat de Barcelona School of Medicine, Barcelona, Spain
| | - Isam Alobid
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
- Departament de Cirurgia i Especialitats Mèdico-Quirúrgiques, Universitat de Barcelona School of Medicine, Barcelona, Spain
- Institut d´Investigacions Biomèdiques August Pi i Sunyer, August Pi i Sunyer Biomedical Research Institute, Barcelona, Spain
| | - Manuel Bernal-Sprekelsen
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
- Otorhinolaryngology Division, Department of Surgery, Universitat de Valencia, Valencia, Spain
| | - Pedro Castro
- Departament de Cirurgia i Especialitats Mèdico-Quirúrgiques, Universitat de Barcelona School of Medicine, Barcelona, Spain
- Institut d´Investigacions Biomèdiques August Pi i Sunyer, August Pi i Sunyer Biomedical Research Institute, Barcelona, Spain
- Medical Intensive Care Unit, Instituto Clínic de Medicina y Dermatología, Hospital Clínic, Barcelona, Spain
| | - Isabel Vilaseca
- Otorhinolaryngology Head Neck Surgery Department, Institut Clínic d'Especialitats Mèdiques i Quirúrgiques, Hospital Clínic, Barcelona, Spain
- Departament de Cirurgia i Especialitats Mèdico-Quirúrgiques, Universitat de Barcelona School of Medicine, Barcelona, Spain
- Institut d´Investigacions Biomèdiques August Pi i Sunyer, August Pi i Sunyer Biomedical Research Institute, Barcelona, Spain
- Head Neck Clínic, Agència de Gestió d'Ajuts Universitaris i de Recerca, 2017-SGR-01581, Barcelona, Spain
- Centro de Investigación Biomédica en Red sobre Enfermedades Respiratorias, Bunyola, Spain
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Larrosa F, de Osso JT, Dura MJ, Bernal-Sprekelsen M. Palisade cartilage tympanoplasty compared to one-piece composite cartilage-perichondrium grafts for transcanal endoscopic treatment of subtotal tympanic membrane perforations: a retrospective study. Eur Arch Otorhinolaryngol 2020; 277:1955-1959. [PMID: 32253534 DOI: 10.1007/s00405-020-05947-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 03/25/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE The endoscopic approach to tympanoplasty is gaining popularity, but its adoption for the palisade tympanoplasty technique is unstudied. The aim of the present study was to evaluate the effectiveness of endoscopic cartilage palisade tympanoplasty compared to one-piece composite cartilage-perichondrium grafts for tympanic membrane closure in adult patients with subtotal perforations. METHODS Retrospective study of 42 adult patients who underwent endoscopic tympanoplasty for a subtotal perforation in a university tertiary referral center from January 2018 to June 2019. Patients underwent transcanal tympanoplasty either with cartilage palisade grafts or with one-piece composite cartilage-perichondrium grafts. Both techniques were compared for graft take rate and audiometric results. RESULTS Twenty palisade and 22 single-piece tympanoplasties were analyzed. No statistically significant differences between groups were found in terms of tympanic membrane closure (85% vs. 86.3%, p = 0.5) or hearing improvement. CONCLUSION The results of the present study suggest that similar results can be obtained with palisade cartilage grafts compared to the one-piece composite cartilage-perichondrium technique for endoscopic tympanic membrane closure. Further studies with long-term results will be needed to confirm these findings.
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Affiliation(s)
- Francisco Larrosa
- Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Clinic de Barcelona, C Villarroel 170, 08036, Barcelona, Spain. .,University of Barcelona Medical School, Barcelona, Spain.
| | - Jose Tomas de Osso
- Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Clinic de Barcelona, C Villarroel 170, 08036, Barcelona, Spain
| | - Maria Jose Dura
- Department of Physical Medicine and Rehabilitation, Hospital Germans Trias I Pujol, Badalona, Spain.,Universitat Autonoma de Barcelona, Barcelona, Spain
| | - Manuel Bernal-Sprekelsen
- Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Quironsalud Valencia, Valencia, Spain.,University of Valencia Medical School, Valencia, Spain
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Alberti A, Figuerola E, Romero-Farina G, Quer M, Larrosa F. Long-Term Hearing Outcomes following Stapedotomy in Patients with Otosclerosis and Preoperative Small Air-Bone Gap. Audiol Neurootol 2018; 22:350-355. [DOI: 10.1159/000486818] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Accepted: 01/15/2018] [Indexed: 11/19/2022] Open
Abstract
Objectives: To assess the long-term effectiveness of stapedotomies performed on patients with otosclerosis and preoperative small air-bone gaps (ABGs). Methods: Retrospective study comparing the 10-year postoperative hearing outcomes after primary stapedotomies in patients with small (≤20 dB) and large ABGs (> 20 dB). Ninety out of 175 stapedotomies (22 and 68 in the small and large ABG groups, respectively) were monitored with long-term follow-ups. Results: Ten years after the operation, hearing measurements were similar for both groups, although a significant decline of bone conduction thresholds was evident (p = 0.007 and p < 0.001, respectively). An improvement of ≥10 dB in the postoperative ABG (clinical improvement) was achieved only in the large ABG group. Conclusions: Even though long-term hearing levels will evolve similarly in patients with ≤20 and > 20 dB preoperative ABGs, the lack of clinical improvement found in the small ABG group is not in favor of an early surgery.
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Larrosa F, Samara L, Esteller E, Dura M, Escamilla Y, Alberti A, Rosell R, Hopkins C. Cross-cultural adaptation and validation of the Spanish version of the Paediatric Throat Disorders Outcome Test (T-14). Clin Otolaryngol 2017; 43:598-603. [DOI: 10.1111/coa.13029] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/02/2017] [Indexed: 11/30/2022]
Affiliation(s)
- F. Larrosa
- Department of Otorhinolaryngology-Head and Neck Surgery; Hospital Alt Penedes; Barcelona Spain
- Department of Otorhinolaryngology-Head and Neck Surgery; Hospital Quiron Teknon; Barcelona Spain
| | - L. Samara
- Department of Otorhinolaryngology-Head and Neck Surgery; Hospital Parc Taulí; Universitat Autonoma de Barcelona; Sabadell Spain
| | - E. Esteller
- Department of Otorhinolaryngology-Head and Neck Surgery; Hospital General de Catalunya; Universitat Internacional de Catalunya; Barcelona Spain
| | - M.J. Dura
- Hospital Universitari Germans Trias i Pujol; Badalona Spain
| | - Y. Escamilla
- Department of Otorhinolaryngology-Head and Neck Surgery; Hospital Parc Taulí; Universitat Autonoma de Barcelona; Sabadell Spain
| | - A. Alberti
- Department of Otorhinolaryngology-Head and Neck Surgery; Hospital Alt Penedes; Barcelona Spain
| | - R. Rosell
- Department of Otorhinolaryngology-Head and Neck Surgery; Hospital Parc Taulí; Universitat Autonoma de Barcelona; Sabadell Spain
| | - C. Hopkins
- ENT Department of Guy's; St Thomas' Hospital; London UK
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Larrosa F, Alobid I. Comments on the assessment of nasal obstruction with rhinomanometry and subjective scales and outcomes of surgical and medical treatment. Acta Otorrinolaringol Esp (Engl Ed) 2017; 69:124. [PMID: 29033122 DOI: 10.1016/j.otorri.2017.06.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Revised: 06/28/2017] [Accepted: 06/29/2017] [Indexed: 10/18/2022]
Affiliation(s)
- Francisco Larrosa
- Servicio de Otorrinolaringología, Hospital Comarcal de l'Alt Penedès, Vilafranca del Penedès, Barcelona, España.
| | - Isam Alobid
- Unidad de Rinología y Base de Cráneo, Servicio de Otorrinolaringología, Hospital Clínic, Barcelona, España
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Samara L, Esteller E, Dura MJ, Guirao M, Cardesin A, Stewart M, Larrosa F. Adaptation and validation of the Spanish version of the Tonsil and Adenoid Health Status Instrument. Laryngoscope 2017; 128:1469-1475. [DOI: 10.1002/lary.26923] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2017] [Revised: 07/14/2017] [Accepted: 08/22/2017] [Indexed: 11/10/2022]
Affiliation(s)
- Laura Samara
- Department of Otorhinolaryngology–Head and Neck SurgeryHospital Parc Taulí, Sabadell/Universitat Autonoma de BarcelonaBarcelona Spain
| | - Eduard Esteller
- Department of Otorhinolaryngology–Head and Neck SurgeryHospital General de Catalunya/Universitat Internacional de CatalunyaBarcelona Spain
| | - Maria J. Dura
- Hospital Universitari Germans Trias i PujolBadalona Spain
| | - Miquel Guirao
- Department of Otorhinolaryngology–Head and Neck SurgeryHospital Alt PenedesBarcelona Spain
| | - Alda Cardesin
- Department of Otorhinolaryngology–Head and Neck SurgeryHospital Parc Taulí, Sabadell/Universitat Autonoma de BarcelonaBarcelona Spain
| | - Michael Stewart
- Department of Otolaryngology–Head and Neck SurgeryNew York–Presbyterian Hospital/Weill Cornell Medical CollegeNew York New York U.S.A
| | - Francisco Larrosa
- Department of Otorhinolaryngology–Head and Neck SurgeryHospital Alt PenedesBarcelona Spain
- Department of Otorhinolaryngology–Head and Neck SurgeryHospital Quiron TeknonBarcelona Spain
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Larrosa F, Roura J, Dura MJ, Guirao M, Alberti A, Alobid I. Adaptation and validation of the Spanish version of the Nasal Obstruction Symptom Evaluation (NOSE) Scale. Rhinology 2015; 53:176-80. [PMID: 26030042 DOI: 10.4193/rhino14.137] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND The Nasal Obstruction Symptom Evaluation (NOSE) scale is a symptom-specific, self-completed questionnaire for assessing quality of life related to nasal obstruction or its treatment in patients with septal deviation. The aim of this study was to validate the Spanish adaptation of the NOSE, thus allowing comparison across studies and international multicenter projects. METHODOLOGY Multicenter prospective instrument validation study. Guidelines for the cross-cultural adaptation process from the original English language scale into a Spanish language version were followed. The psychometric properties (reproducibility, reliability, validity, responsiveness) of the Spanish version ("NOSE-e" for "NOSE-espanol") were assessed in 58 consecutive patients undergoing septoplasty (both before and 3 months after surgery) and 58 matched asymptomatic controls. RESULTS Test-retest reliability and internal consistency reliability were adequate. The NOSE-e demonstrated satisfactory construct validity. Positive correlations between the NOSE-e scores and the score of a visual analog scale measuring the subjective sensation of nasal obstruction were found. The instrument showed excellent between-groups discrimination and high response sensitivity to change. CONCLUSIONS The Spanish version of the NOSE (NOSE-e) is a valid tool for measuring the subjective severity of nasal obstruction, and its use is recommended.
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Larrosa F, Rama-Lopez J, Benitez J, Morales JM, Martinez A, Alañon MA, Arancibia-Tagle D, Batuecas-Caletrio A, Martinez-Lopez M, Perez-Fernandez N, Gimeno C, Ispizua A, Urrutikoetxea A, Rey-Martinez J. Development and evaluation of an audiology app for iPhone/iPad mobile devices. Acta Otolaryngol 2015; 135:1119-27. [PMID: 26144548 DOI: 10.3109/00016489.2015.1063786] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
CONCLUSION The application described in this study appears to be accurate and valid, thus allowing calculation of a hearing handicap and assessment of the pure-tone air conduction threshold with iPhone/iPad devices. OBJECTIVE To develop and evaluate a newly developed professional, computer-based hearing handicap calculator and a manual hearing sensitivity assessment test for the iPhone and iPad (AudCal). METHODS Multi-center prospective non-randomized validation study. One hundred and ten consecutive adult participants underwent two hearing evaluations, a standard audiometry and a pure-tone air conduction test using AudCal with an iOS device. The hearing handicap calculation accuracy was evaluated comparing AudCal vs a web-based calculator. RESULTS Hearing loss was found in 83 and 84 out of 220 standard audiometries and AudCal hearing tests (Cohen's Kappa = 0.89). The mean difference between AudCal and standard audiogram thresholds was -0.21 ± 6.38 dB HL. Excellent reliability and concordance between standard audiometry and the application's hearing loss assessment test were obtained (Cronbach's alpha = 0.96; intra-class correlation coefficient = 0.93). AudCal vs a web-based calculator were perfectly correlated (Pearson's r = 1).
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Affiliation(s)
- Francisco Larrosa
- a 1 Department of Otolaryngology, Hospital Alt Penedes , Barcelona, Spain
| | - Julio Rama-Lopez
- b 2 Department of Otolaryngology, Hospital Universitario Son Espases , Palma de Mallorca, Spain
| | - Jesus Benitez
- c 3 Department of Otolaryngology, Hospital Universitario de Gran Canaria Dr. Negrín , Las Palmas, Spain
| | - Jose M Morales
- d 4 Department of Otolaryngology, Hospital General Universitario Ciudad Real , Ciudad Real, Spain
| | - Asuncion Martinez
- d 4 Department of Otolaryngology, Hospital General Universitario Ciudad Real , Ciudad Real, Spain
| | - Miguel A Alañon
- d 4 Department of Otolaryngology, Hospital General Universitario Ciudad Real , Ciudad Real, Spain
| | - Diego Arancibia-Tagle
- b 2 Department of Otolaryngology, Hospital Universitario Son Espases , Palma de Mallorca, Spain
| | - Angel Batuecas-Caletrio
- e 5 Department of Otolaryngology, Hospital Universitario de Salamanca, IBSAL , Salamanca, Spain
| | - Marta Martinez-Lopez
- f 6 Department of Otolaryngology, Clinica Universidad de Navarra , Pamplona, Spain
| | | | - Carlos Gimeno
- g 7 Department of Otolaryngology, Clinica Rotger, Palma de Mallorca , Mallorca, Spain
| | - Angel Ispizua
- h 8 Department of Otolaryngology, Hospital Universitario Donostia , San Sebastian, Spain
| | - Alberto Urrutikoetxea
- i 9 Department of Otolaryngology, Hospital Comarcal del Bidasoa , Hondarribia, Spain
| | - Jorge Rey-Martinez
- j 10 Otolaryngology Unit ORLGipuzkoa, Clínica Quirón Donostia , San Sebastian, Spain
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Larrosa F, Roura J, Dura M, Guirao M, Alberti A, Alobid I. Adaptation and validation of the Spanish version of the Nasal Obstruction Symptom Evaluation (NOSE) Scale. Rhinology 2015. [DOI: 10.4193/rhin14.137] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Larrosa F, Dura MJ, Jeremias J, Guirao M, Alberti A, Romero E. The cost associated with interstitial thermotherapy for tonsil reduction vs. standard tonsillectomy. Eur Arch Otorhinolaryngol 2013; 271:1271-6. [DOI: 10.1007/s00405-013-2705-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2013] [Accepted: 09/13/2013] [Indexed: 12/01/2022]
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18
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Larrosa F, Canalís E. Basal-cell adenoma of the subglottis: laryngotracheal resection with laryngotracheoplasty. Arch Bronconeumol 2013; 49:314-5. [PMID: 23497818 DOI: 10.1016/j.arbres.2013.01.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2012] [Revised: 01/17/2013] [Accepted: 01/24/2013] [Indexed: 11/20/2022]
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Larrosa F, Durà MJ, Cordón A, Hernández A, García-Ibáñez L. Prevalencia de test afisiológicos de posturografía dinámica en pacientes laborales. Acta Otorrinolaringológica Española 2012; 63:187-93. [DOI: 10.1016/j.otorri.2011.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2011] [Revised: 10/24/2011] [Accepted: 11/03/2011] [Indexed: 10/28/2022]
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Larrosa F, Durà MJ, Menacho J, González-Sabaté L, Cordón A, Hernández A, García-Ibáñez L. Aphysiologic performance on dynamic posturography in work-related patients. Eur Arch Otorhinolaryngol 2012; 270:93-7. [DOI: 10.1007/s00405-012-1930-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2011] [Accepted: 01/10/2012] [Indexed: 10/14/2022]
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Abstract
The high prevalence of habitual snoring (35% of the general population) and the increasing demand for an effective treatment have led, in the last decade, to the generalisation of laser-assisted uvulopalatoplasty (LAUP). However, acceptable studies on its effectiveness are lacking. The present randomised, placebo-controlled study included 25 nonapnoeic and mild obstructive sleep apnoea snorers to evaluate LAUP effectiveness for snoring. Group I received a one-stage LAUP treatment and group II a placebo (simulated snore surgery followed by an oral placebo). Before each treatment and 3 months after, the variables and procedures assessed were: body weight; sleepiness (Epworth sleepiness scale); quality of life (SF-36); subjective snoring intensity (0-10 analogue scale); objective snoring intensity (average decibel intensity); snoring index (number of snores per hour); and apnoea/hypopnea index. No differences were observed in body weight, sleepiness, quality of life, subjective and objective intensity, and frequency of snoring, and apnoea/hypopnea index between the groups before and 3 months after treatment. In conclusion, this study provides evidence of the lack of effectiveness of one-stage laser-assisted uvulopalatoplasty for snoring in nonapnoeic and mild obstructive sleep apnoea patients, with the result that it does not meet the expectations generated by the procedure.
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Affiliation(s)
- F Larrosa
- Otorhinolaryngology Service, Institut d'Investigacions Biomediques August Pi Sunyer, University of Barcelona, Barcelona, Spain
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Abstract
Spasmodic Dysphonia (SD) is a dystonia involving laryngeal musculature thus causing a characteristic voice disorder. Two main types of SD have been described. The adductor type is the commonest and it is characterized by a strain-strangle, choked voice. The abductor type can be distinguished from the previous one by episodes of a blown and whispering voice, interrupting speech. Botulism toxin (BTX) has demonstrated to be the most effective treatment for this condition. Thirty patients diagnosed of SD (twenty-nine adductor type/one abductor type) were included. Their degree of dysphonia was evaluated using both functional and visual-analogue scales. They were treated with BTX vocal cord injections using a percutaneous technique under EMG guidance. Improvements up to a 100% of the normal vocal function were obtained, with an average of 82% in the adductor type. The adverse effects were mild and transient. Hypophonia affected 61.3% of patients lasting an average of 11.3 days. Dysphagia was reported in 44.1% of cases lasting an average of 5.8 days.
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Affiliation(s)
- F Larrosa
- Servicio de Otorrinolaringología, Hospital Clínic i Provincial de Barcelona
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Larrosa F, Aguilar F, Traserra J. [Ethmoidal metastasis of renal adenocarcinoma]. Acta Otorrinolaringol Esp 2000; 51:76-9. [PMID: 10799938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
The sinonasal tract and, more specifically, the ethmoid sinus, are uncommon sites for metastatic tumors. Fewer than 100 cases have been reported in the world literature. We report the case of a 65-year-ol woman who underwent nephrectomy and adrenalectomy for renal cell carcinoma (hypernephroma) with adrenal metastasis. Four months later the patient was seen for repeated epistaxis and nasal obstruction, which was diagnosed as ethmoidal metastasis of renal adenocarcinoma in a second biopsy. The second metastasis was removed by lateral rhinotomy but recurred six months later. Palliative surgery was performed and the patient died eight months later from brain metastases. Therapeutic strategies for metastatic nasal tumors are reviewed.
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Affiliation(s)
- F Larrosa
- Servicio de ORL, Hospital Clínic i Provincial, Barcelona, 08036, España
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Larrosa F, Aguilar F, Benítez P. [Otoneurological manifestations of Lyme's disease]. Acta Otorrinolaringol Esp 1999; 50:644-8. [PMID: 10619902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
Infection with Borrelia burgdorferi is responsible for Lyme disease, an uncommon disorder in our country. It should be stressed that any of the neurologic manifestations of this disease may occur alone and may be the presenting manifestation of the illness. Several reports suggest that 1/4 of idiopathic Bell's palsies can be associated with this infection and in Europe is the most common cause of childhood facial nerve paresis. The same disease has been related to sudden deafness and vertigo cases. For its important therapeutic and prognostic implications the diagnosis of a Lyme disease must be taken into account in every case of peripheral facial nerve palsy, specially in children, in bilateral or recurrent cases and in those cases associated to other cranial neuritis or general manifestations.
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Affiliation(s)
- F Larrosa
- Servicio de ORL, Hospital Clínic i Provincial, Barcelona, 08036, España
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Aguilar F, Farré J, Larrosa F, Blanch JL. [Psammomatoid ossifying fibroma. Apropos a case]. Acta Otorrinolaringol Esp 1999; 50:493-7. [PMID: 10502706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
A 41-year-old woman had a left palatal tumor diagnosed as psammomatoid ossifying fibroma. This tumor is a rare subtype of benign fibro-osseous craniofacial lesion that occurs mainly in women, younger age groups, and the sinonasal tract. It has distinctive histomorphological features. The tumor is slow-growing but tends to be locally aggressive and to destroy adjacent anatomic structures. Surgical excision with broad margins is the treatment of choice.
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Affiliation(s)
- F Aguilar
- Departamento de ORL, Hospital Clínico Universitario de Barcelona, Barcelona, 08036, España
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Idígora A, Morello A, Maristany M, Larrosa F, Romero E, Traserra J. [Phyolaryngocele: a case report and review of literature]. Acta Otorrinolaringol Esp 1997; 48:73-7. [PMID: 9131933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
A case of pyolaryngocele presented as a lateral cervical mass that produced acute dyspnea requiring tracheotomy. The diagnosis was by direct laryngoscopy, which revealed outflow of purulent material with pressure on the tumor, and was confirmed by CT. Broad-spectrum antibiotic treatment was given and the pyolaryngocele was excised by lateral extramucosal tyrotomy. The literature on laryngocele and pyolaryngocele was reviewed.
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Affiliation(s)
- A Idígora
- Servicio ORL, Hospital Clínic i Provincial de Barcelona
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