Publications by authors named "Miguel Mayo Yanez"

Objective: To propose a European consensus for managing and treating laryngopharyngeal reflux disease (LPRD) to guide primary care and specialist physicians.

Methods: Twenty-three European experts (otolaryngologists, gastroenterologists, surgeons) participated in a modified Delphi process to revise 38 statements about the definition, clinical management, and treatment of LPRD. Three voting rounds were conducted on a 5-point scale and a consensus was defined a priori as agreement by 80% of the experts.

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This study evaluates the quality and readability of informed consent documents generated by AI platforms ChatGPT-4 and Bard Gemini Advanced compared to those written by a first-year oral surgery resident for common oral surgery procedures. The evaluation, conducted by 18 experienced oral and maxillofacial surgeons, assessed consents for accuracy, completeness, readability, and overall quality. ChatGPT-4 consistently outperformed both Bard and human-written consents.

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Laryngeal cancer poses a substantial challenge in head and neck oncology, and there is a growing focus on customized medicine techniques. The present state of gene expression indicators in laryngeal cancer and their potential to inform tailored therapy choices are thoroughly examined in this review. We examine significant molecular changes, such as TP53, CDKN2A, PIK3CA, and NOTCH1 mutations, which have been identified as important participants in the development of laryngeal cancer.

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  • * A total of 41 ENS patients were assessed alongside control groups, revealing that ENS patients exhibited significantly higher LPRD symptoms and severity, as well as a notable prevalence of depression.
  • * The results indicated that LPRD symptoms were much more common in ENS patients than in controls, suggesting a strong association that warrants further research using objective methods to confirm these findings.
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  • Oral cavity cancer (OCC) is the most common type of head and neck cancer, with limited studies suggesting that chronic irritation from factors like poor dental hygiene and ill-fitting dentures may contribute to its development, especially in non-smokers and non-drinkers.
  • This scoping review analyzed existing research from several databases to assess the relationship between dental trauma and OCC, following established guidelines for systematic reviews.
  • Results indicate a potential link between chronic dental trauma and OCC, particularly highlighting the risks associated with dentures and poor oral hygiene, while also noting a lack of data on the impact of gender and the specific vulnerability of women without smoking or drinking habits.
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: Patients treated with definitive radiotherapy for nasopharyngeal carcinoma (NPC) develop severe dysphagia, affecting their quality of life. Traditional prognosis biomarkers are insufficient, leading to a search for new predictors like neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR). : We retrospectively enrolled 44 NPC patients who underwent definitive radiotherapy between 2010 and 2018.

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  • A study compared the performance of ChatGPT 3.5 and GPT-4 (Microsoft Copilot) in a public healthcare otolaryngology exam against actual specialist scores.
  • The examination consisted of 135 questions, and GPT-4 scored 88.5 points while ChatGPT scored 60 points, highlighting significant differences in accuracy.
  • GPT-4 ranked as the second-best performer among 108 candidates, while ChatGPT placed 83rd, demonstrating that GPT-4 has a better ability to answer medical questions accurately.
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Objective: Antibiotics have been prescribed routinely in sialendoscopy procedures to reduce the risk of postoperative infection, despite the limited evidence supporting this practice. Being necessary to assess the need for antibiotics in Sialendoscopy, aiming to provide evidence-based guidance to clinicians regarding antibiotic administration in this procedure.

Materials & Method: A prospective, randomized, double-blind, controlled clinical trial to evaluate the of prophylactic antibiotics in Sialendoscopy was designed.

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Previous studies have assessed the capability of PRAAT for acoustic voice analysis in total laryngectomized (TL) patients, although this software was designed for acoustic analysis of laryngeal voice. Recently, we have witnessed the development of specialized acoustic analysis software, Tracheoesophageal Voice Analysis (TEVA). This study aims to compare the analysis with both programs in TL patients.

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Objective: Knowledge about voice prosthesis microbial colonization is vital in laryngectomized patients' quality of life (QoL). Herein, we aimed to explore the relationship between oral microbial patterns, demographic variables and voice prosthesis performance.

Methods: Thirty laryngectomy patients were assessed for microbial colonization in their voice prostheses and oral cavities.

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  • - Young European otolaryngologists (OTOs) were surveyed about their views on transoral robotic surgery (TORS), revealing a 26% response rate from participants.
  • - Key barriers to TORS adoption included robot availability (73%), high costs (69%), and insufficient training (37%), while the main advantages were better surgical visibility (64%), reduced hospital stays (62%), and improved post-op outcomes (61%).
  • - Despite these challenges, 67% of TORS practitioners felt adequately trained, and there was an overall positive perception of TORS among young OTOs, especially for specific cancer types and conditions.
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  • * There was a 90.3% success rate with no implant losses, although 9.7% experienced class 1 exposure, and bleeding on probing occurred at varying rates over a 4-year period.
  • * The results suggested that these implants are a safe and reliable option for treating patients with significant maxillary bone loss.
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The Airway section of the Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) present the Guidelines for the integral management of difficult airway in adult patients. This document provides recommendations based on current scientific evidence, theoretical-educational tools and implementation tools, mainly cognitive aids, applicable to the treatment of the airway in the field of anesthesiology, critical care, emergencies and prehospital medicine. Its principles are focused on the human factors, cognitive processes for decision-making in critical situations and optimization in the progression of the application of strategies to preserve adequate alveolar oxygenation in order to improve safety and quality of care.

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  • The study introduced the Quality Assessment of Medical Artificial Intelligence (QAMAI), a tool aimed at evaluating the quality of health information from AI platforms, highlighting the need for such assessments as AI use expands in healthcare.
  • QAMAI was validated through a rigorous process involving 27 reviewers who evaluated responses generated by ChatGPT4, demonstrating strong reliability and validity metrics, including a high internal consistency (Cronbach's alpha = 0.837) and excellent inter-rater reliability (ICC = 0.983).
  • The successful validation of QAMAI suggests it could be an important resource for healthcare professionals as more patients turn to AI for medical information, helping ensure they receive quality data.
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Transcranial direct current stimulation (tDCS) is a non-invasive and painless technique of brain neuromodulation that applies a low-intensity galvanic current to the scalp with the aim of stimulating specific areas of the brain. Preliminary investigations have indicated the potential therapeutic efficacy of multisession tDCS applied to the auditory cortex (AC) in the treatment of chronic tinnitus. The aim of this study was to explore the therapeutic effects of repeated sessions of bilateral tDCS targeting the AC on chronic tinnitus.

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Head and neck cancer, the seventh most common cancer worldwide, often affects the larynx, with a higher incidence in men. Total laryngectomy, a common treatment, results in the loss of phonation, and tracheoesophageal voice rehabilitation is the current rehabilitation method of choice. Despite ongoing debates regarding the timing of tracheoesophageal puncture (TEP), a crucial procedure for voice prosthesis placement, the secondary puncture continues to be the preferred choice in the majority of cases.

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  • Lemierre syndrome is a rare but serious complication of throat infections, often affecting healthy young adults, and is caused by septic thrombophlebitis of the internal jugular vein.
  • The incidence of Lemierre syndrome is about 3.6 cases per million, with symptoms typically following a pharyngitis infection, leading to potential complications like pulmonary infections.
  • Early diagnosis through CT scans and prompt treatment with broad-spectrum antibiotics are crucial for preventing severe outcomes, as many patients can fully recover with the right therapy.
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Objective: To translate and validate an Italian version of the Questionnaire of Olfactory Disorders (IT-QOD).

Materials And Methods: This is a prospective, multicentre study that involved patients with olfactory dysfunction (OD). Both cases and controls underwent administration of the IT-QOD, Sino-Nasal Outcome Test-22 (SNOT-22) and psychophysical evaluation of orthonasal and retronasal olfactory function.

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  • Biologic therapies are new treatments for Chronic Rhinosinusitis with Nasal Polyps (CRSwNP), but it's not clear who they work best for, how much to use, or how long to treat.
  • An AI program was created to help researchers find and analyze studies on these treatments to improve decision-making.
  • Some biologics, like Dupilumab and Mepolizumab, have shown they can help patients feel better, especially those with asthma, but more research is needed to ensure they're safe and effective over time.
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