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Publicaciones científicas más recientes (desde 2010)

Autores: Martínez, Marta; López, María de los Reyes; et al.
ISSN 0001-6519  Vol. 70  Nº 5  2019  págs. 306 - 309
Autores: Cervera-Paz FJ; Jordano-Cabrera, M.;
ISSN 1988-3013  Vol. 70  Nº 3  2019  págs. 151 - 157
To characterize laryngo-pharyngeal reflux (LPR) in patients over 60 years of age.Retrospective review of patients over 60 years of age with symptoms suspicious of LPR, seen from 2005 to 2014 at an ENT Department of an academic hospital. Eighty-five consecutive patients (54 females, 31 males) who had completed a dual-sensor 24-hour pH-metry were included (considered "gold-standard" in LPR diagnosis). Body mass index, and reflux information and interventions were revised. pH-metries were evaluated according to DeMeester & Johnson's criteria. Symptoms were assessed according to the Reflux Symptom Index (RSI) and classified as abnormal if score was ¿13. A naso-fibro-laryngoscopy enabled findings to be documented according to the Reflux Finding Score (RFS), and they were classified as abnormal if the score was ¿7.The patients' mean age was 67 years. A positive pH-metry was present in 70 patients (82.5%). Fifty patients (59%) had abnormal body mass index, and almost 90% of them had an abnormal pH-metry. Mean RSI score was 9.8, with abnormal results in 24 patients (28%). Only 20 patients (23%) with abnormal RSI had a positive pH-metry. Posterior commissure hypertrophy was the most common finding (90% of patients). Mean RFS score was 9.07, with abnormal results in 69 patients (81%). Sixty-one patients (70%) with abnormal RFS had a positive pH-metry. Only 18 patients (20%) had coincidental abnormal pH-metry, RSI, and RFS.In ageing patients, abnormal body mass index is strongly associated with abnormal pH-metry. RSI is a weak indicator of LPR, whereas RFS has a moderate value.
Autores: Macias, A. R., (Autor de correspondencia); Zaballos, M. T. P.; de Miguel, A. R.; et al.
ISSN 1531-7129  Vol. 38  Nº 10  2017  págs. E429 - E437
Hypothesis: Modiolar proximity of the cochlear implant electrodes and low impedance values have a positive effect on electrical pitch discrimination. Background: The proximity of the cochlear electrode to the modiolar wall can determine changes in tissue and fluid environment. With the onset of soft-surgery techniques, the trauma caused during surgery has been reduced, minimizing fibrous growth. Methods: Computed tomography-scan measurements of electrode-inner wall distance and psychoacoustic electrode discrimination tests were done. Neural Response Telemery and impedance data were used in the study. Results: It was found that patients fitted with perimodiolar arrays have lower impedance values and smaller electrodeinner wall distances than those fitted with straight arrays. These variables were significantly correlated to electrode discrimination. It was found that a closer distance to the modiolus also results in better electrode discrimination. Conclusion: Perimodiolar electrodes could be a better solution in terms of pitch discrimination both because they are closer to the modiolus and because their impedance is lower.
Autores: Alignani, D.; Delgado, JA; et al.
ISSN 1749-4478  Vol. 41  Nº 5  2016  págs. 606-611
Autores: Manrique, Raquel; Picciafuoco, S.; Cervera-Paz FJ; et al.
ISSN 0937-4477  Vol. 270   Nº 1  2013  págs. 45 - 52
The purpose of this study is to determine if surgical approach to the inner ear is feasible without generating a hearing loss in an animal model. Five Macaca fascicularis were used as experimental animals and followed up for 27 months. Mastoidectomy, posterior tympanotomy and promontorial cochleostomy were performed on four specimens and one specimen was kept as control animal. Before and after drilling and exposing the endosteal layer and the membranous labyrinth, otoacustic emissions (dPOAE) and auditory brainstem responses (ABR) were used to test hearing. In vivo experimental studies prove it is reliable to expose the membranous labyrinth without causing hearing loss. dPOAE were present after 3, 6, 12, 24 and 26 months of follow-up. Regarding the ABR results from the four M. fascicularis in which a cochleostomy has been carried out, auditory thresholds are within the 20-30 dB interval at 27 months of follow-up. Experimental studies support clinical experiences indicating it is feasible to surgically approach the membranous labyrinth of the cochlea without damaging its hearing function.
Autores: Cervera-Paz FJ; Manrique, Manuel Jesús;
Revista: FIAPAS
ISSN 1135-3511  Vol. 141  2012  págs. 1 - 7
Autores: Cervera-Paz FJ; Salvador, Francisco Javier; et al.
ISSN 0035-1334  Vol. 132  Nº 3  2011  págs. 153-155.
The treatment of patients with idiopathic sudden sensorineural hearing loss must be performed as an emergency measure in order to prevent long term hearing deficit. Steroids in monotherapy provide the best outcome. There is some controversy regarding the most efficient route but in order to prevent side effects, intratympanic treatment is the preferred choice, especially in diabetic patients. We here present the case of a patient that developed hyperglycemia after systemic and intratympanic dexamethasone treatment for sudden hearing loss. We conclude that after intratympanic treatment great caution must be taken.
Autores: Pérez-Fernandez, Nicolás; Cervera-Paz FJ; et al.
ISSN 1420-3030  Vol. 15  Nº 6  2010  págs. 399 - 406
Autores: Cervera-Paz FJ;
ISSN 0210-0010  Vol. 50  Nº 2  2010  págs. 65 - 71
The findings of our study both agree and disagree with some earlier works from the literature, which suggests that patients with AD may have their own auditory pattern.