Nuestros investigadores

Alicia Huarte Irujo

Publicaciones científicas más recientes (desde 2010)

Autores: Huarte, Alicia; Martínez, Marta; Manrique, Raquel; et al.
Revista: ACTA OTORRINOLARINGOLOGICA ESPAÑOLA
ISSN 0001-6519  Vol. 68  Nº 2  2016  págs. 92 - 97
Introducción El objetivo de este trabajo es conocer el impacto que el implante coclear (IC) tiene en la vida laboral de las personas implantadas, a través de una primera versión de un cuestionario elaborado en el programa de implantes cocleares de la Clínica Universidad de Navarra. Se pretende demostrar que el IC está teniendo un impacto significativo en la vida laboral de estos pacientes. Material y métodos Se estudia una población de 60 pacientes de 48 años de edad media, con hipoacusia neurosensorial profunda bilateral tratada con un IC, a la que se le presenta un cuestionario elaborado para evaluar su calidad de vida laboral con carácter retrospectivo. Resultados El 94,23% de los pacientes que completaron el cuestionario están actualmente satisfechos con su trabajo. El 93,05% se sienten más motivados para ir a trabajar tras su IC. Un 79,31% se consideran más competentes tras la cirugía y activación del dispositivo. Un 67,23% de los pacientes han mejorado sus relaciones interpersonales en el ámbito de trabajo tras la implantación coclear. Conclusiones El IC proporciona una ayuda positiva en la esfera profesional al igual que en las destrezas sociales al beneficiar la capacidad de comunicación de los pacientes implantados. El desarrollo de herramientas para evaluar el grado de satisfacción laboral de los pacientes tratados con un IC es de gran interés.
Autores: Manrique, Raquel; Calavia D; Huarte, Alicia; et al.
Revista: AUDIOLOGY AND NEURO-OTOLOGY
ISSN 1420-3030  Vol. 21.  Nº Supl 1  2016  págs. 29-35
The study aim was to determine the benefit of cochlear implantation and hearing aids in older adults diagnosed with hearing loss and to evaluate the index of depression, anxiety and quality of life after such treatments. A retrospective cohort comprised 117 patients older than 65 years and diagnosed with moderate to profound hearing loss who were included and classified into 2 groups (treated vs. non-treated). A battery of tests including auditory (pure-tone average, disyllabic words in quiet at 65 dB SPL) and findings from a series of questions relevant to quality of life were compared between both groups. Auditory outcomes for disyllabic words were 58.21% for the cochlear implant-treated group and 82.8% for the hearing aid-treated group. There was a positive effect on anxiety, depression, health status and quality of life in the cochlear implant group versus the profound hearing loss control group. We conclude that older adults with moderate to profound hearing loss gain benefit from hearing aids or cochlear implants not only in terms of improved hearing function, but also in terms of positive effects on anxiety, depression, health status and quality of life.
Autores: Senn; Colletti, V; Lenarz T; et al.
Revista: COCHLEAR IMPLANTS INTERNATIONAL
ISSN 1467-0100  Vol. 17  Nº 4  2016  págs. 163-171
Autores: Sanhueza IA; Manrique, Raquel; Huarte, Alicia; et al.
Revista: JOURNAL OF INTERNATIONAL ADVANCED OTOLOGY
ISSN 1308-7649  Vol. 12  Nº 1  2016  págs. 16-22.
Bimodal stimulation provides better results than any monaural hearing mode, regardless of whether it involves the use of a hearing aid alone or a cochlear implant alone.
Autores: Manrique, Raquel; Huarte, Alicia; Manrique, Manuel Jesús;
Revista: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
ISSN 0937-4477  Vol. 273  Nº 3  2015  págs. 621 - 629
The objective of this study was to review cochlear reimplantation outcomes in the tertiary hospital and analyze whether facts such as type of failure, surgical findings, or etiology of deafness have an influence. A retrospective study including 38 patients who underwent cochlear implant revision surgery in a tertiary center is performed. Auditory outcomes (pure tone audiometry, % disyllabic words) along with etiology of deafness, type of complication, issues with insertion, and cochlear findings are included. Complication rate is 2.7 %. Technical failure rate is 57.9 % (50 % hard failure and 50 % soft failure), and medical failure (device infection or extrusion, migration, wound, or flap complication) is seen in 42.1 % of the cases. Management of cochlear implant complications and revision surgery is increasing due to a growing number of implantees. Cases that require explantation and reimplantation of the cochlear implant are safe procedures, where the depth of insertion and speech perception results are equal or higher in most cases. Nevertheless, there must be an increasing effort on using minimally traumatic electrode arrays and surgical techniques to improve currently obtained results.
Autores: Huarte, Alicia; Manrique, Manuel Jesús;
Revista: AUDIOLOGY AND NEURO-OTOLOGY
ISSN 1420-3030  Vol. 19  Nº Supl. 1  2015  págs. 36 - 39
Objectives: To determine whether individuals older than 60 years of age suffering from profound, bilateral, sensorineural hearing loss and unable to use hearing aids can benefit from a cochlear implant in order to improve hearing performance. Additionally, to evaluate how they manage the external components of their implanted system. Materials and Methods: The records of 68 cochlear implant users over 60 years of age were reviewed. They had undergone tonal and speech audiometry evaluations of hearing before and after implantation. A subset of 27 elderly patients were asked to respond to a specially designed questionnaire regarding the use of the external components of the implanted system. Results: Patients over 60 years of age benefit from cochlear implants. The earlier the implantation, the better the results tend to be. Certain limitations when using the external components of the implanted system were evident among the elderly. Conclusions: People >60 years of age suffering from profound, bilateral, sensorineural hearing loss show improved hearing performance following cochlear implantation. Using the implanted system includes some limitations that should be studied and overcome.
Autores: Gónzalez Navarro, M.; Manrique, Raquel; Manrique, Manuel Jesús; et al.
Revista: ACTA OTO-LARYNGOLOGICA
ISSN 0001-6489  Vol. 135  Nº 12  2015  págs. 1245 - 1252
CONCLUSION: Patients with cochlear implants should be treated no differently than non-implanted patients with similar symptomatology. OBJECTIVES: To describe the spectrum of symptomatology, treatment, and long-term follow-up of patients with cochlear implant and vestibular complaints. METHODS: This retrospective study included 25 patients with late onset vestibular complaints (more than 1 month post-implantation). Each patient underwent an extensive interrogatory and physical exam with ancillary test to complete a diagnosis. Treatment was given according to this and all patients followed a vestibular rehabilitation program. RESULTS: The total population was 72% male and 28% female, median age was 58 years; minimal follow-up was 9 months (mean = 51, median = 34). Cochleostomy was performed in eight cases and round window insertion was performed in 19 (two patients were removed from each group in the analysis due to their bilateral implantation under a different approach). The mean time from implant to vestibular symptoms was 53 months, median = 32; a Kaplan Meier graphic showed the round window approach has faster onset of symptoms with statistical significance (p = 0.020). The most common complaint was instability in all patients and after both surgical approaches. No difference in symptoms was found with a Kruskall Wallis test except for vertigo spells (more common in the round window approach). In 12 patients the symptomatology was attributed to the implanted side. In the long-term follow-up a relatively high number of patients (20/25) recovered with standard treatment, suggesting the presence of the implant is not associated with poor recovery prognosis.
Autores: Manrique, Manuel Jesús; Zubicaray J; Ruiz Erenchun; et al.
Revista: ANALES DEL SISTEMA SANITARIO DE NAVARRA
ISSN 1137-6627  Vol. 38  Nº 2  2015  págs. 289 - 296
La colocación de un implante coclear es una medida útil para paliar la hipoacusia neurosensorial de grado severo-profundo en aquellos casos en los que el beneficio del audífono es escaso. Desde su inicio hace 30 años los resultados auditivos han mejorado gracias a los progresivas mejoras que se han adoptado en distintos ámbitos: su diseño, estrategia, técnica quirúrgica¿Dados los buenos resultados en este periodo, las indicaciones también han variado. El objetivo de este trabajo es revisar los criterios establecidos y emergentes de indicación de implante coclear, estableciendo de manera consensuada, entre los centros sanitarios de la Comunidad Foral de Navarra, unos criterios actualizados para la indicación del mismo en dicha área territorial, de forma que pueden servir de referencia en situaciones clínicas diferenciadas.
Autores: Manrique, Manuel Jesús; Huarte, Alicia;
Revista: ACTA OTORRINOLARINGOLOGICA ESPAÑOLA
ISSN 0001-6519  Vol. 64  Nº 1  2013  págs. 55 - 67
Un programa de implantes cocleares (IC) reúne a una serie de profesionales, que durante las fases de selección, cirugía, programación, rehabilitación y seguimiento, desarrollan una serie de tareas enfocadas a promover una atención integral al paciente implantado. El objetivo de esta publicación es describir con detalle cuales son las tareas a realizar en cada una de las fases descritas en un programa de IC, los materiales y equipos necesarios, y el papel que juegan los profesionales implicados. Así mismo, se plantearán una serie de recomendaciones sobre cómo desarrollar de forma paulatina un programa de IC, con el fin de facilitar su progresión desde los casos más sencillos a los más complejos.
Autores: Morera, C.; Cavalle, L.; Manrique, Manuel Jesús; et al.
Revista: ACTA OTO-LARYNGOLOGICA
ISSN 0001-6489  Vol. 132  Nº 10  2012  págs. 1084 - 1094
Conclusion: The use of a hearing aid (HA) in combination with a cochlear implant (CI) significantly improved performance for speech perception in quiet, in noise, and for localization compared with monaural conditions. No significant differences in functional performance were observed following optimization of HA fitting. Objectives: To evaluate the binaural benefits derived from using a contralateral HA in conjunction with a CI in subjects with significant functional hearing in the nonimplanted ear and the effects of HA fitting optimization. Methods: Fifteen adult CI users, intra-subject controls, were enrolled in a prospective repeated-measure multicenter study. Evaluation of performance for speech understanding, localization, and subjective impressions was conducted before and following HA fitting optimization for CI alone, HA alone, and CI + HA. Results: For speech testing in quiet, bimodal scores were significantly better than for HA alone and CI alone conditions (p < 0.01). For speech and noise (S0N0) at 0 degrees azimuth the scores were significantly better in the bimodal condition than for CI alone (p = 0.01), indicating binaural summation. When noise was presented to the HA side (S0NHA) bimodal scores were significantly better than for CI alone (p < 0.01 and p < 0.05, respectively), suggesting a significant binaural squelch effect. Sound localization ability was significantly improved in the bimodal condition compared with the CI alone condition (p = 0.002).
Autores: Sennaroglu, L.; Colletti, V.; Manrique, Manuel Jesús; et al.
Revista: Otology & Neurotology
ISSN 1531-7129  Vol. 32  Nº 2  2011  págs. 187 - 191
Autores: Manrique, Manuel Jesús; Manrique, Raquel; et al.
Revista: International Journal of Pediatric Otorhinolaryngology
ISSN 0165-5876  Vol. 75  Nº Supl.1  2011  págs. 27 - 28
Autores: Huarte, Alicia; Manrique, Raquel; et al.
Revista: AUDIOLOGY AND NEURO-OTOLOGY
ISSN 1420-3030  Vol. 16  Nº Supl. 1  2011  págs. 13 - 15

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