Carcinoma ex Pleomorphic Adenoma in Nasal Cavity: An Unusual Diagnosis

Primeras experiencias con el dispositivo osteointegrado Ponto™ SuperPower

Resumen Los dispositivos auditivos osteointegrados (DAO) Power y SuperPower presentan indicaciones para umbrales en via osea de 55 y 65 dB, respectivamente. Realizamos un estudio observacional prospectivo de una serie de 6 casos con hipoacusia mixta en los que se realizo implantacion del DAO Ponto™ SuperPower. Se realizaron previo a la implantacion y 6 meses tras la adaptacion valoraciones tonales y verbales sin y con ruido de fondo (HINTS). Todos los participantes mostraron mejoria en los resultados tonales y verbales, variando segun el grado de hipoacusia contralateral. Cabe destacar los resultados verbales con ruido de fondo donde la mayoria de los pacientes obtuvieron una relacion senal…

Relación entre el video head impulse test (vHIT) y la prueba calórica en el estudio evolutivo de pacientes con neuritis vestibular

Resumen Introduccion y objetivos La prueba calorica es hasta ahora la prueba de referencia para el diagnostico y el examen de una hipofuncion vestibular unilateral. El video head impulse test (vHIT) valora el reflejo vestibulo-oculomotor, mediante el registro videoasistido de la maniobra impulsiva. Se pretende comparar la variacion de los resultados del vHIT y la prueba calorica en pacientes con neuritis vestibular respecto a su estado inicial en diferentes puntos de su evolucion, y comprobar su grado de correlacion entre si y con el test Dizziness Handicap Inventory (DHI). Metodos Exploracion en la misma sesion mediante vHIT y prueba calorica de 20 pacientes con neuritis vestibular. Valora…

Audiologic and Subjective Evaluation of Baha ® Attract Device

We included 9 patients implanted with Baha® Attract. All our patients were evaluated by free field tonal audiometry, free field verbal audiometry and free field verbal audiometry with background noise, all the tests were performed with and without the device. To evaluate the subjective component of the implantation, we used the Glasgow Benefit Inventory (GBI) and Abbreviated Profile of Hearing Aid Benefit (APHAB). The auditive assessment with the device showed average auditive thresholds of 35.8dB with improvements of 25.8dB over the previous situation. Speech reception thresholds were 37dB with Baha® Attract, showing improvements of 23dB. Maximum discrimination thresholds showed an average…

Relationship between video head impulse test (vHIT) and caloric test in patients with vestibular neuritis.

Abstract Introduction and objectives The caloric test is the gold standard for the loss of vestibular function diagnosis. The video head impulse test (vHIT) assesses the same reflex by using a video-assisted examination of the impulsive manoeuvre. We intend to compare the variation of results of the vHIT and the caloric test in patients with vestibular neuritis with respect to their initial condition at two different moments of their evolution and to check the level of correlation between them and with that of the DHI test. Methods We explored 20 patients with neuritis by using both vHIT and the caloric test on the same day. We assessed the correlation between these two tests and with the D…

Impact of an oral appliance on obstructive sleep apnea severity, quality of life, and biomarkers

OBJECTIVE/HYPOTHESIS To investigate outcomes including efficacy, quality of life, and levels of inflammatory markers of a mandibular advancement device (MAD) for moderate-to-severe obstructive sleep apnea (OSA). STUDY DESIGN Case-control study. METHODS Patients with apnea-hypopnea index (AHI) ≥ 15/hr who only accepted MAD therapy (study group) or who refused any treatment (control group) were recruited. At baseline and at 6 months, polysomnography, Epworth Sleepiness Scale (ESS), Functional Outcomes of Sleep Questionnaire (FOSQ), C-reactive protein (CRP), interleukin 1β, interleukin 6, and tumor necrosis factor α (TNF-α) were assessed in both groups. RESULTS At baseline, the study group (n …

Epidermoid Septal Carcinoma, A Rare and Singular Tumor: Case Report and Review

Aim: To describe our casuistic and the way we manage these tumors with their differential behavior. Background: Septal epidermoid carcinoma is a rare tumor that accounts for only 9% of tumors of the nasal fossa. This tumor presents histological, clinical, and prognostic characteristics that differentiate it from other nasal cavity tumors, mainly its anterior location that leads to an early diagnosis in incipient stages. Case description: We present a series of six patients diagnosed with nasal squamous cell carcinoma as well as the clinic referred by the patients to the diagnosis, the associated risk factors, and their clinical and therapeutic approach. Conclusion: The majority of cases (4/…

Valoración audiológica y subjetiva del dispositivo Baha ® Attract

Resumen Se incluyeron en el estudio 9 pacientes implantados con el dispositivo Baha® Attract. A todos los pacientes se les realizo, con y sin el dispositivo, una audiometria tonal en campo libre, una audiometria verbal en campo libre, y una audiometria verbal con ruido de fondo, asi como la aplicacion de los cuestionarios Glasgow Benefit Inventory (GBI) y Abbreviated Profile of Hearing Aid Benefit (APHAB). Las valoraciones audiologicas con el dispositivo mostraron unos umbrales auditivos promedios de 35,8 dB, con ganancias medias de 25,8 dB. El umbral de recepcion verbal promedio con el dispositivo se situo en 37 dB, mostrando una ganancia de 23 dB. Los resultados promedio del umbral de dis…

Carcinoma ex adenoma pleomorfo en fosas nasales: un diagnóstico inusual