436 results match your criteria: "BioDonostia Research Institute[Affiliation]"

(1) : Salivary gland tumors (SGTs) are a rare and diverse group of neoplasms arising in the parotid, submandibular, sublingual, and minor salivary glands distributed throughout the upper aerodigestive tract. Given the rarity and complexity of MSGTs, understanding their epidemiology across diverse populations is crucial for improving diagnostic and therapeutic strategies. (2) : A retrospective analysis involving 45 patients diagnosed with malignant salivary gland tumors and treated with curative intention between 1 July 2016 and 1 July 2021 in a tertiary academic hospital was performed.

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Purpose: Head and neck cancer (HNC) remains a significant global health concern with rising incidence and substantial impacts on patients' quality of life. Patients often experience adverse effects from both the disease and its treatment, affecting daily functions and social interactions. This study assesses the usability, interest, and satisfaction of HNC patients in using Step Oncology platform for improved treatment adherence and quality of life.

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Health-Related Quality of Life in Long-Term Colorectal Cancer Survivors.

Healthcare (Basel)

September 2024

The Research Group in Gene-Environment and Health Interactions, Institute of Biomedicine (IBIOMED), Universidad de León, 24071 León, Spain.

Article Synopsis
  • * It analyzed data from 805 CRC survivors using the SF-12 and FCSI questionnaires, revealing that factors like age, sex, and geographic area significantly impact both physical and mental quality of life.
  • * The findings suggest that older women have the worst HRQoL scores, indicating a need to identify these factors to create strategies that improve survivorship outcomes and reduce the negative impacts of cancer.
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Examining the Performance of ChatGPT 3.5 and Microsoft Copilot in Otolaryngology: A Comparative Study with Otolaryngologists' Evaluation.

Indian J Otolaryngol Head Neck Surg

August 2024

Young-Otolaryngologists of the International Federation of Oto-Rhino-Laryngological Societies (YO-IFOS) Study Group, 75000 Paris, France.

Article Synopsis
  • 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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Prophylactic antibiotics in sialendoscopy: a randomized clinical trial.

Eur Arch Otorhinolaryngol

October 2024

Department of Otorhinolaryngology, Osakidetza Donostia University Hospital, Biodonostia Research Institute, San Sebastian, 20014, Spain.

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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Stereotactic body radiotherapy (SBRT) is characterized by a high dose per fraction, well-defined small targets, superior dose conformity, and a steep off-target dose gradient. A literature search was conducted to examine the experience with SBRT as a curative treatment for newly diagnosed mucosal carcinoma of the head and neck (MCHN). Four retrospective case series and one prospective phase I clinical trial published between 2012 and 2020 described 124 patients.

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Article Synopsis
  • The study focused on patients with MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease) and aimed to analyze the effects of different biochemical patterns (hepatocellular, mixed, and cholestatic) on liver damage, diagnostic accuracy, and prognosis.* -
  • Results showed that the hepatocellular pattern had higher rates of liver inflammation, while the cholestatic pattern was more associated with cirrhosis; moreover, non-invasive tests were less accurate for detecting fibrosis in the hepatocellular pattern.* -
  • The study highlighted that biochemical patterns largely remained consistent over time, with the cholestatic pattern linked to higher mortality risk, particularly in patients with age, diabetes, and cirrhosis.*
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Purpose: Migraine is the comorbidity most frequently associated with visual snow syndrome (VSS), but the prevalence of VSS in patients with migraine (PWM) has not been studied. Our objective was to evaluate the frequency of VSS in PWM and to analyze if symptoms of VSS happened in a permanent or episodic manner (eVSS) in this population.

Methods: We conducted a multicenter observational cross-sectional study.

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In Reference to Gastroesophageal Reflux and Chronic Rhinosinusitis: A Mendelian Randomization Study.

Laryngoscope

July 2024

Research Committee of Young-Otolaryngologists of the International Federations of Oto-rhino-Laryngological Societies (YO-IFOS - IFOS), Paris, France.

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Introduction: Dietary intake of (poly)phenols has been linked to reduced adiposity and body weight (BW) in several epidemiological studies. However, epidemiological evidence on (poly)phenol biomarkers, particularly plasma concentrations, is scarce. We aimed to investigate the associations between plasma (poly)phenols and prospective BW change in participants from the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.

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Dermatofibrosarcoma protuberans (DFSP) is a rare, locally aggressive cutaneous sarcoma with a propensity for recurrence. Its management, particularly in the head and neck (H&N) region, presents unique challenges. This study aimed to evaluate the effectiveness of Mohs micrographic surgery (MMS) compared to wide local excision (WLE) in treating H&N DFSP and its impact on recurrence rates and tissue preservation.

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Advancing tracheoesophageal fistula repair techniques: Suggestions for future research.

Am J Otolaryngol

March 2024

Young-Otolaryngologists of the International Federation of Oto-Rhino-Laryngological Societies (YO-IFOS), Research Study Group, 75000 Paris, France; Faculty of Medicine and Surgery, University of Enna "Kore", 94100 Enna, Italy. Electronic address:

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Chat GPT for the management of obstructive sleep apnea: do we have a polar star?

Eur Arch Otorhinolaryngol

April 2024

Head and Neck Department, ENT & Oral Surgery Unity, G.B. Morgagni, L. Pierantoni Hospital, Via Forlanini, 47121, Forlì, Italy.

Purpose: This study explores the potential of the Chat-Generative Pre-Trained Transformer (Chat-GPT), a Large Language Model (LLM), in assisting healthcare professionals in the diagnosis of obstructive sleep apnea (OSA). It aims to assess the agreement between Chat-GPT's responses and those of expert otolaryngologists, shedding light on the role of AI-generated content in medical decision-making.

Methods: A prospective, cross-sectional study was conducted, involving 350 otolaryngologists from 25 countries who responded to a specialized OSA survey.

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Predictors of Success of Pharyngeal Surgery in the Treatment of Obstructive Sleep Apnea: A Narrative Review.

J Clin Med

October 2023

Young Otolaryngologists-International Federations of Oto-Rhinolaryngological Societies (YO-IFOS), 75000 Paris, France.

(1) Background: This narrative review aims to explore the predictors of success for pharyngeal surgery in the treatment of obstructive sleep apnea (OSA). An extensive literature search was conducted, identifying relevant studies published up to June 2023, utilizing various databases and key search terms related to OSA, surgical interventions, and predictors of success. The review encompasses both retrospective and prospective studies, case series, and cohort studies to provide a broad understanding of the topic; (2) Methods: Review of English scientific literature on phenotypes of OSA related to predictors of success of pharyngeal surgery; (3) Results: Of 75 articles, 21 were included, in these the following were determined to be factors for surgical success: body mass index (BMI) (8 articles), apnea/hypopnea index (AHI) (8 articles), cephalometry (8 articles), palatine tonsil size (7 articles), Modified Mallampati score (2 articles), genioglossus electromyography (2 articles), Friedman score or upper airway anatomy (3 articles), nasopharyngolaryngoscopy (2 articles), drug-induced sleep endoscopy (DISE) (1 article), oral cavity anatomy (1 article) and oxygen desaturation index (ODI) (1 article); (4) Conclusions: The lack of standardized protocols for the indication of pharyngeal surgery is a reality, however identifying known predictors of surgical success may facilitate homogenizing indications.

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Biomarkers in Laryngeal Squamous Cell Carcinoma: The Literature Review.

Cancers (Basel)

October 2023

Section of Biochemistry, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, 90127 Palermo, Italy.

Laryngeal squamous cell carcinoma (LSCC) is the second most common cancer among head and neck cancers. Despite a lower incidence of laryngeal carcinoma, new diagnostic techniques, and more targeted therapies, the overall survival has not changed significantly in the last decades, leading to a negative prognosis in advanced stages. Recently, several studies have focused on the identification of biomarkers that may play a critical role in the pathogenesis of LSCC.

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Targeting the Heterogeneous Tumour-Associated Macrophages in Hepatocellular Carcinoma.

Cancers (Basel)

October 2023

Department of Liver and Gastrointestinal Diseases, Biodonostia Research Institute, Donostia University Hospital, University of the Basque Country (UPV-EHU), 20014 Donostia-San Sebastian, Spain.

Hepatocellular carcinoma (HCC) is a prevalent and aggressive cancer that comprises a complex tumour microenvironment (TME). Tumour-associated macrophages (TAMs) are one of the most abundant immune cells present in the TME, and play a key role both in the development and in the progression of HCC. Thus, TAM-based immunotherapy has been presented as a promising strategy to complement the currently available therapies for HCC treatment.

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The velopalatine sphincter is a muscular valve that creates a hermetic seal between the nasopharynx and the oropharynx. It guarantees phonation, swallowing, and breathing (forces expirations). In wind musicians, sphincter closure must be precise during sound generation.

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ChatGPT performance in laryngology and head and neck surgery: a clinical case-series.

Eur Arch Otorhinolaryngol

January 2024

Research Committee of Young Otolaryngologists of the International Federation of Otorhinolaryngological Socities (IFOS), Paris, France.

Objectives: To study the performance of ChatGPT in the management of laryngology and head and neck (LHN) cases.

Methods: History and clinical examination of patients consulting at the Otolaryngology-Head and Neck Surgery department were presented to ChatGPT, which was interrogated for differential diagnosis, management, and treatment. The ChatGPT performance was assessed by two blinded board-certified otolaryngologists using the following items of a composite score and the Ottawa Clinic Assessment Tool: differential diagnosis; additional examination; and treatment options.

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Indications, Efficacy, Safety, and Clinical Outcomes of 585 nm Pulsed Dye Laser in Non-Malignant Laryngeal Lesions: A Systematic Review.

J Pers Med

September 2023

Young-Otolaryngologists of the International Federation of Oto-Rhino-Laryngological Societies (YO-IFOS), Research Study Group, 75000 Paris, France.

The objective of this manuscript was to review the indications, efficacy, and safety of a 585 nm pulsed dye laser (PDL) in non-malignant laryngeal lesions. Following the PRISMA statement recommendations, three independent authors searched for articles published in PubMed/MEDLINE, the Cochrane Library, Google Scholar, Scielo, and Web of Science. A bias analysis was performed following NICE guidance tools.

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Validity and reliability of an instrument evaluating the performance of intelligent chatbot: the Artificial Intelligence Performance Instrument (AIPI).

Eur Arch Otorhinolaryngol

April 2024

Research Committee of Young Otolaryngologists of the International Federation of Otorhinolaryngological Societies (IFOS), Paris, France.

Objectives: To evaluate the reliability and validity of the Artificial Intelligence Performance Instrument (AIPI).

Methods: Medical records of patients consulting in otolaryngology were evaluated by physicians and ChatGPT for differential diagnosis, management, and treatment. The ChatGPT performance was rated twice using AIPI within a 7-day period to assess test-retest reliability.

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