Acta Otorrinolaringologica Espanola西班牙耳鼻咽喉科学报
Acta Otorrinolaringologica Espanola(英文缩写 ACTA OTORRINOLAR ESP),ISSN 0001-6519,eISSN 1988-3013,中文译名:西班牙耳鼻咽喉科学报 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 未收录 | N/A |
| 2022 | 1.000 | N/A |
| 2023 | 0.900 | Q3 |
| 2024 | 1.100 | Q3 |
| 2025 | 1.200 | Q3 |
Acta Otorrinolaringologica Espanola 最新收录文献
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1. Exercise-Induced Laryngeal Obstruction (EILO) and factors modifying laryngeal function in the population of Polish athletes.
1. 运动诱发性喉部阻塞（EILO）及波兰运动员人群中影响喉功能的因素PMID:日期:2026-07-03Exercise-induced laryngeal obstruction (EILO) is a common cause of breathing difficulties during physical exercise. This study examined the relationship between EILO diagnosis and factors influencing laryngeal function in the cohort of Polish athletes. We retrospectively analyzed data from 31 patients diagnosed with exertional dyspnea at the National Centre for Sports Medicine over a 2.5-year period. The analysis included results from spirometry, flexible videolaryngoscopy at rest, continuous laryngoscopy during exercise (CLE), assessment of laryngeal reflux using the reflux symptom index (RSI) and reflux finding score (RFS) scales, and palpation of neck muscle tension performed by an otolaryngologist. Out of the 31 athletes, 14 (45%) were diagnosed with EILO, 9 (29%) with asthma, and 1(7%) had both EILO and asthma. In 7 athletes, no specific respiratory conditions were diagnosed. While self-reported reflux symptoms (RSI) were similar between groups, RFS scores reflecting visible laryngeal changes were significantly higher in the non-EILO group (4.53 vs. 1.43). Neck muscle tension levels were similar across both groups. The incidence of EILO among Polish athletes diagnosed with exertional dyspnea is consistent with findings in other countries. While laryngopharyngeal reflux disease is not directly correlated with EILO, patients with EILO may report relatively high scores on self-assessment reflux scales due to the similarity of symptoms. Furthermore, neck muscle tension levels were not correlated with EILO in our patient cohort.
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2. Persistent Shoulder Dysfunction After Spinal Accessory Nerve-Preserving Neck Dissection: A Prospective Functional and Neurophysiologic Study.
2. 保留副神经的颈淋巴结清扫术后持续性肩部功能障碍：一项前瞻性功能与神经生理学研究PMID:日期:2026-07-03To characterize spinal accessory nerve (SAN) related shoulder dysfunction under standardized, controlled conditions following anatomically nerve-preserving bilateral selective neck dissection, integrating objective functional, electromyographic, and patient-reported outcomes. Prospective cohort study. Single tertiary referral centre, [blinded institution], Spain. Twenty-six patients with head and neck squamous cell carcinoma requiring bilateral selective neck dissection of levels II-IV including level IIB. Shoulder range of motion (ROM) by digital inclinometry, electromyography (EMG) amplitude and latency of the trapezius muscle, muscle strength (British Medical Research Council scale), shoulder girdle examination, and patient-reported outcomes (Neck and Shoulder Disability Index), assessed preoperatively and at 1, 3, and 6 months postoperatively. Intraoperative neuromonitoring with compound muscle action potential recording was performed before and after dissection. Despite stable intraoperative neuromonitoring amplitudes, significant reductions in abduction (mean 30.5 °, p = 0.0003) and flexion ROM (mean 23.8°, p = 0.0008) persisted at 6 months. EMG amplitude decreased from 8.85 to 4.47 mV at 1 month (p = 0.0003), with partial recovery at 6 months. Latency increased transiently. Strength deficits (BMRC ≤4/5) were present in 19.2% of patients at 6 months. Neck Disability Index increased significantly (p = 0.004). Spinal accessory nerve dysfunction can occur despite anatomical preservation and stable intraoperative monitoring, suggesting neurapraxic changes arising from mechanisms not captured in real time such as possibly traction or perineural disruption at level IIB. These findings highlight the importance of postoperative surveillance and early targeted rehabilitation.
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3. Carolyn's Window as a targeted alternative to Draf IIa in isolated anterior frontal recess obstruction.
3. 卡罗林氏窗作为孤立性前额窦隐窝阻塞中Draf IIa的靶向替代方案PMID:日期:2026-07-02该文献暂无摘要。
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4. Transoral Laser Microsurgery for Early Glottic Carcinoma: Laryngeal Preservation and Long-term Oncological Outcomes in 161 Patients.
PMID:日期:2026-07-02Carbon dioxide transoral laser microsurgery (CO₂TOLMS) is a well-established treatment for early-stage glottic carcinoma, offering excellent oncological control with organ preservation. This study evaluates long-term outcomes and prognostic factors in a consecutive cohort. A retrospective analysis was performed on 161 consecutive patients with Tis-T2 glottic carcinoma treated with CO₂TOLMS between 2016 and 2021. Primary endpoints included overall survival (OS), disease-specific survival (DSS), disease-free survival (DFS), locoregional control (LRC), and laryngeal preservation. Prognostic factors were analyzed using Cox regression models. At a median follow-up of 60.3 months, 5-year OS, DSS, DFS, and LRC were 91.9%, 98.1%, 83.2%, and 82.0%, respectively. Laryngeal preservation was achieved in 96.3% of patients. On univariate Cox analysis, T2 stage (HR 3.39, 95% CI 1.65-7.05, p = 0.003), anterior commissure involvement (HR 2.70, 95% CI 1.32-6.19, p = 0.01), and close or positive margins (HR 6.56, 95% CI 2.82-8.78, p = 0.001) were significantly associated with worse DFS. For OS, significant predictors included age >70 years (HR 3.84, p = 0.035), ASA III status (HR 3.21, p = 0.043), T2 stage (HR 4.61, p = 0.001), anterior commissure involvement (HR 3.12, p = 0.02), and margin status (HR 5.84, p = 0.001). Local recurrence occurred in 14.9% of patients, most within the first two years, and was successfully managed with repeat laser surgery in the majority of cases. CO₂TOLMS achieves excellent oncological outcomes with high laryngeal preservation in early glottic carcinoma. Tumor stage, anterior commissure involvement, and margin status significantly influence recurrence risk, while age and comorbidity impact overall survival. Careful patient selection and structured follow-up remain essential.
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5. A Case of Langerhans Cell Histiocytosis Masquerading as Benign Pediatric Head and Neck Lesions: A Diagnostic Pitfall.
5. 朗格汉斯细胞组织细胞增生症伪装为良性儿童头颈部病变一例：诊断陷阱PMID:日期:2026-07-02该文献暂无摘要。
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7. Hearing in Sickle Cell Disease: Cochlear and Subcortical Dysfunction without Cortical Impairment.
7. 镰状细胞病中的听力：耳蜗及皮层下功能障碍而无皮层损伤PMID:日期:2026-06-24[中文摘要] 同时评估镰状细胞病（SCD）患者的外周和中枢听觉通路，识别听力损伤的模式及可能的初始病变部位。本横断面研究纳入107名参与者（年龄7~49岁），其中54例SCD患者（HbSS或HbSC）和53名对照者（HbAA）。排除耳镜检查异常、合并症或听觉危险因素暴露的参与者。评估包括纯音测听、鼓室导抗测试、对侧声反射测试、脑干听觉诱发电位（BAEP）及皮层听觉诱发电位（P300）。收集临床资料、羟基脲使用情况及输血史。统计分析包括关联检验和二元logistic回归。SCD组中感音神经性听力损失（SNHL）的患病率为29.6%，显著高于对照组（p < 0.001）。在无SNHL的参与者中，对侧声反射阈值升高更为常见，尤其是双耳2 kHz和4 kHz处（p < 0.05）。两组间BAEP绝对潜伏期或峰间潜伏期以及P300潜伏期均未见显著差异。Logistic回归未识别出SNHL的独立临床预测因素。SCD患者SNHL患病率高，并存在亚临床听觉功能障碍。尽管两组间BAEP和P300反应无差异，但对侧声反射阈值的改变提示脑干听觉环路水平存在早期局限性功能障碍，即使在听力阈值正常的个体中亦然。这些亚临床发现凸显了使用敏感客观指标进行定期听力学监测的重要性，以便对该人群的听觉变化实现早期发现和纵向随访。
[英文摘要] To simultaneously evaluate peripheral and central auditory pathways in individuals with sickle cell disease (SCD), identifying patterns of auditory impairment and potential initial sites of lesion. This cross-sectional study included 107 participants (aged 7-49 years), 54 with SCD (HbSS or HbSC) and 53 controls (HbAA). Participants with abnormal otoscopic findings, comorbidities, or auditory risk exposures were excluded. Assessments included pure-tone audiometry, tympanometry, contralateral acoustic reflex testing, brainstem auditory evoked potentials (BAEP), and cortical auditory evoked potentials (P300). Clinical data, hydroxyurea use, and transfusion history were collected. Statistical analyses included association tests and binary logistic regression. Sensorineural hearing loss (SNHL) was present in 29.6% of the SCD group, significantly higher than in controls (p < 0.001). Among participants without SNHL, elevated contralateral acoustic reflex thresholds were more frequent, particularly at 2 and 4 kHz in both ears (p < 0.05). No significant differences were observed in BAEP absolute or interpeak latencies, nor in P300 latency between groups. Logistic regression did not identify independent clinical predictors of SNHL. Individuals with SCD exhibit a high prevalence of SNHL and subclinical auditory dysfunction. Although BAEP and P300 responses did not differ between groups, alterations in contralateral acoustic reflex thresholds suggest early and localized dysfunction at the level of brainstem auditory circuits, even in individuals with normal hearing thresholds. These subclinical findings highlight the importance of regular audiological monitoring using sensitive objective measures to enable early detection and longitudinal follow-up of auditory changes in this population.
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8. Effects of Systemic Clonidine Administration on Blood Loss and Surgical Field Quality in Functional Endoscopic Sinus Surgery.
8. 全身性可乐定给药对功能性内窥镜鼻窦手术中失血量及手术野质量的影响PMID:日期:2026-06-24[中文摘要] 在功能性内镜鼻窦手术（FESS）中，控制术中出血量和改善手术视野质量仍是最具挑战性的技术问题之一。本系统评价和荟萃分析旨在评估研究可乐定在FESS中应用的随机临床试验，重点关注其在减少出血量和改善手术视野质量方面的作用。本系统评价按照系统评价和荟萃分析优先报告条目（PRISMA）指南进行。本系统评价共纳入19项研究，累计招募1281例患者。在比较可乐定与安慰剂/对照的研究中，给予可乐定与显著更低的出血量[标准化均数差（SMD）（95% CI）：-1.16（-1.86，-0.46），p = 0.001]和更好的手术视野质量[SMD（95% CI）：-1.11（-1.65，-0.58），p<0.0001]相关。相比之下，可乐定在出血量[SMD（95% CI）：0.76（-0.10，1.62），p = 0.08]和手术视野质量[SMD（95% CI）：0.83（-0.17，1.83），p = 0.1]方面与右美托咪定相当。总之，与安慰剂/对照相比，在FESS中使用可乐定似乎与更好的手术视野质量和更低的术中出血量相关。其效果与右美托咪定相当。
[英文摘要] Control of intraoperative blood loss and improvement of surgical field quality remain among the most challenging technical issues in functional endoscopic sinus surgery (FESS). This systematic review and meta-analysis aimed to evaluate randomized clinical trials investigating clonidine in FESS, with a focus on its role in reducing blood loss and improving surgical field quality. This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Nineteen studies were included in this systematic review recruiting a total of 1281 patients. In studies that compared clonidine to placebo/control, clonidine administration was associated with significantly lower blood loss [standardized mean difference (SMD) (95% CI): -1.16 (-1.86, -0.46), p = 0.001] and better surgical field quality [SMD (95% CI): -1.11 (-1.65, -0.58), p<0.0001]. In contrast, clonidine was comparable to dexmedetomidine regarding blood loss [SMD (95% CI): 0.76 (-0.10, 1.62), p = 0.08] and surgical field quality [SMD (95% CI): 0.83 (-0.17, 1.83), p = 0.1]. In conclusion, clonidine use in FESS appears to be associated with better surgical field quality and lower intraoperative blood loss when compared with placebo/control. Its effects are comparable to that of dexmedetomidine.
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9. Spanish validation of the Dyspnea Index (DI): translation, cultural adaptation, and psychometric evaluation.
9. 呼吸困难指数（DI）的西班牙语验证：翻译、文化适应及心理测量学评估PMID:日期:2026-06-24[中文摘要] 喉部疾病是耳鼻咽喉科实践中呼吸困难的一个重要但常被低估的病因。由于症状的发作性特征以及症状发作期间客观检查手段的可及性有限，症状严重程度的评估具有挑战性。呼吸困难指数（Dyspnea Index，DI）是一种经过验证的患者报告结局测量工具，专门用于评估喉源性呼吸困难；然而，西班牙语版本此前尚未得到验证。本研究旨在翻译、文化调适并验证呼吸困难指数（DI）的西班牙语版本。研究采用单中心横断面验证研究设计，纳入年龄≥12岁、主诉喉源性呼吸困难的患者，排除由其他原因导致呼吸困难的合并症。从医学生和医院工作人员中招募无耳鼻咽喉科或肺部疾病的健康成人对照。DI由三名独立的耳鼻咽喉科医师进行翻译，综合形成共识版本，并由专业翻译人员进行回译。心理测量学评估包括内部一致性（Cronbach's α）、已知组效度（Welch's t检验、Mann-Whitney U检验、Cohen's d）、地板/天花板效应以及探索性因子分析（PCA）。共分析43例患者和43名健康对照。患者平均DI评分为21.44 ± 10.08，对照组为1.23 ± 1.96（p < 0.0001；Cohen's d = 2.78）。总体内部一致性极好（α = 0.955），患者组为良好至优秀（α = 0.879）。33.7%存在地板效应，1.2%存在天花板效应。PCA支持以单维结构为主（PC1特征值 = 4.99，解释方差 = 48.7%）。西班牙语版DI表现出极好的信度和效度，其心理测量学特性与其他语言的验证版本相当。它是西班牙语环境中评估喉源性呼吸困难的可靠工具。
[英文摘要] Laryngeal disorders are an important but often underrecognized cause of dyspnea in otorhinolaryngology practice. The assessment of symptom severity is challenging due to the episodic nature of symptoms and the limited availability of objective tests during symptomatic episodes. The Dyspnea Index (DI) is a validated patient-reported outcome measure specifically designed to assess laryngeal dyspnea; however, a Spanish version has not previously been validated. The objective of the present study is to translate, culturally adapt and validate the Spanish version of the Dyspnea Index (DI). A single-center, cross-sectional validation study was conducted, including patients aged ≥12 years who complained of laryngeal dyspnea, excluding comorbid conditions causing dyspnea of other origin. Healthy adult controls without otorhinolaryngologic or pulmonary disorders were recruited among medical students and hospital staff. The DI was translated by three independent otolaryngologists, synthesized into a consensus version, and back-translated by a professional translator. Psychometric evaluation included internal consistency (Cronbach's α), known-group validity (Welch's t, Mann-Whitney U, Cohen's d), floor/ceiling effects, and exploratory factor analysis (PCA). Forty-three patients and forty-three healthy controls were analyzed. Mean DI scores were 21.44 ± 10.08 in patients and 1.23 ± 1.96 in controls (p < 0.0001; Cohen's d = 2.78). Internal consistency was excellent overall (α = 0.955) and good-to-excellent in patients (α = 0.879). A floor effect was present in 33.7% and a ceiling effect in 1.2%. PCA supported a predominantly unidimensional structure (PC1 eigenvalue = 4.99, explained variance = 48.7%). The Spanish DI demonstrates excellent reliability and validity, with psychometric properties comparable to validated versions in other languages. It is a robust tool for the assessment of laryngeal dyspnea in Spanish-speaking settings.
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10. Should gastroenterologists expand their role in pharyngeal and laryngeal evaluation during upper endoscopy?
10. 消化内科医生是否应在上消化道内镜检查中扩大其在咽喉评估中的作用？PMID:日期:2026-06-24该文献暂无摘要。