ABSTRACT
Since the 90s there increasing interest in early detection of neonatal hearing loss due to the feasibility of universal neonatal screening as well as to the possibility of early intervention. This has led to set up neonatal screening programs based upon otoacoustic emissions and to a great increase in the number of publications in the field. Our hospital started a neonatal hearing loss screening program using otoacoustic emission in March 2000. We used a Capella Cochlear Emissions (MADSEN electronics) equipment. Until May 2003 we have performed the test in 6372 children with a median age of 71 days. In our study, the sensibility of the test was 90.9% and the specificity 99.7%. Our results are similar to those reported in the literature although the age of the children was higher and we have found an incidence of hearing loss lower than other studies.
Subject(s)
Hearing Loss/diagnosis , Hearing Loss/epidemiology , Neonatal Screening/methods , Female , Humans , Infant , Infant, Newborn , Male , Otoacoustic Emissions, Spontaneous/physiologyABSTRACT
Desde los años 90 hay un gran interés en la detección precoz de la hipoacusia, tanto por la posibilidad real de hacer un despistaje universal, como por la posibilidad de una intervención temprana. Ello ha provocado la instauración de programas de detección precoz de la hipoacusia basados fundamentalmente en el empleo de otoemisiones acústicas, además de un gran aumento de la literatura científica en este campo. Nuestro hospital inició el programa de detección universal de la hipoacusia neonatal mediante otoemisiones acústicas evocadas por clic en marzo de 2000, utilizando un equipo Capella Cochlear Emissions (MADSEN Electronics). Hasta mayo de 2003 hemos realizado la prueba en 6372 niños de una edad media de 71 días. En nuestro estudio la sensibilidad fue del 90,9% y la especificidad del 99,7%. Nuestros resultados son similares a los de la literatura, si bien la edad media de los niños estudiados es netamente superior y hemos encontrado una incidencia de hipoacusia inferior a otros estudios
Abstract: Since the 90s there increasing interest in early detection of neonatal hearing loss due to the feasibility of universal neonatal screening as well as to the possibility of early intervention. This has led to set up neonatal screening programs based upon otoacoustic emissions and to a great increase in the number of publications in the field. Our hospital started a neonatal hearing loss screening program using otoacoustic emission in March 2000. We used a Capella Cochlear Emissions (MADSEN electronics) equipment. Until May 2003 we have performed the test in 6372 children with a median age of 71 days. In our study, the sensibility of the test was 90.9% and the specificity 99.7%. Our results are similar to those reported in the literature although the age of the children was higher and we have found an incidence of hearing loss lower than other studies
Subject(s)
Male , Female , Infant, Newborn , Infant , Humans , Hearing Loss/diagnosis , Hearing Loss/epidemiology , Neonatal Screening/methods , Otoacoustic Emissions, Spontaneous/physiologyABSTRACT
Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common peripheral vestibular disorders. Particle repositioning maneuvers are simple and effective treatments for patients with BPPV. This study included 37 consecutive cases of BPPV treated with the particle repositioning maneuver of Epley. 97% of patients improved and the maneuver was well tolerated. We conclude that Epley Maneuver is safe and effective in the treatment of BPPV.
Subject(s)
Posture , Vertigo/therapy , Humans , Retrospective StudiesABSTRACT
El vértigo posicional paroxístico benigno (VPPB) es una de las patologías vestibulares más frecuentes. El desarrollo de las terapias de reposición de partículas ha supuesto un gran avance terapéutico en esta patología. Presentamos una serie de 37 pacientes diagnosticados de VPPB a los que se trató mediante la maniobra de Epley. Se consiguieron unos resultados satisfactorios en el 97 por ciento de los pacientes, con muy buena tolerancia al tratamiento, lo que permite considerar a esta maniobra terapéutica como altamente efectiva en el manejo de esta entidad (AU)
Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common peripheral vestibular disorders. Particle repositioning maneuvers are simple and effective treatments for patients with BPPV. This study included 37 consecutive cases of BPPV treated with the particle repositioning maneuver of Epley. 97% of patients improved and the maneuver was well tolerated. We conclude that Epley Maneuver is safe and effective in the treatment of BPPV (AU)
Subject(s)
Humans , Posture , Vertigo/therapy , Retrospective StudiesABSTRACT
Adenoid cystic carcinoma is the most frequent malignant tumor of the minor salivary glands. It is characterized by a slow, but aggressive, clinical evolution, which tends to produce distant metastases even years after the initial surgical treatment. We present a clinical study of 19 patients with adenoid cystic carcinoma of the minor salivary glands that were treated with surgery and radiotherapy. The survival (vital) prognosis for this study declined in the third year after initial treatment, with recurrence and distant metastases occurring several years after treatment. Therefore, the clinical course of this disease requires long-term follow-up of patients.
Subject(s)
Carcinoma, Adenoid Cystic/radiotherapy , Carcinoma, Adenoid Cystic/surgery , Salivary Gland Neoplasms/radiotherapy , Salivary Gland Neoplasms/surgery , Salivary Glands, Minor/surgery , Adult , Aged , Combined Modality Therapy , Female , Follow-Up Studies , Humans , Male , Middle Aged , Recurrence , Retrospective StudiesABSTRACT
Voice disorders in children are often described as existing on a continuum with anatomic or physiologic causes at one end and functional or psychogenic causes at the other. In this study we report the objective evaluation of the voice disorders on 48 school children. The evaluation was made by means of laryngostroboscopy, acoustic analysis of the voice and narrow-band spectrography. The stroboscopic examination was performed on more than a half of the patients, resulting in the change of diagnose in six cases. The severity of the hoarseness was classified in four groups according Yanagihara method. A multivariate analysis was carried out using jitter, shimmer and harmonic-to-noise ratio as variables. Only the harmonic-to-noise ratio predicts the severity of the spectrographic record. Classification of degrees of hoarseness is found to be clinically useful in two respects: the degree of hoarseness can be numerically expressed and the objective acoustic degree of hoarseness based on this method closely agrees with subjective perceived degree of hoarseness.
