[Neonatal hearing loss screening: our results three years after starting the program]. / Despistaje de la hipoacusia neonatal: resultados después de 3 años de iniciar nuestro programa.

Since the 90s there increasing interest in early detection of neonatal hearing loss due to the feasibility of universal neonatal screening as well as to the possibility of early intervention. This has led to set up neonatal screening programs based upon otoacoustic emissions and to a great increase in the number of publications in the field. Our hospital started a neonatal hearing loss screening program using otoacoustic emission in March 2000. We used a Capella Cochlear Emissions (MADSEN electronics) equipment. Until May 2003 we have performed the test in 6372 children with a median age of 71 days. In our study, the sensibility of the test was 90.9% and the specificity 99.7%. Our results are similar to those reported in the literature although the age of the children was higher and we have found an incidence of hearing loss lower than other studies.

[Treating benign paroxysmal positional vertigo with the canalith repositioning maneuver of Epley. Our experience]. / Tratamiento del vértigo posicional paroxístico benigno mediante la maniobra de reposición de partículas de Epley. Nuestra experiencia.

Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common peripheral vestibular disorders. Particle repositioning maneuvers are simple and effective treatments for patients with BPPV. This study included 37 consecutive cases of BPPV treated with the particle repositioning maneuver of Epley. 97% of patients improved and the maneuver was well tolerated. We conclude that Epley Maneuver is safe and effective in the treatment of BPPV.

[Adenoid cystic carcinoma of the minor salivary glands. Our experience]. / Carcinoma adenoide quístico de glándulas salivares menores. Nuestra experiencia.

Adenoid cystic carcinoma is the most frequent malignant tumor of the minor salivary glands. It is characterized by a slow, but aggressive, clinical evolution, which tends to produce distant metastases even years after the initial surgical treatment. We present a clinical study of 19 patients with adenoid cystic carcinoma of the minor salivary glands that were treated with surgery and radiotherapy. The survival (vital) prognosis for this study declined in the third year after initial treatment, with recurrence and distant metastases occurring several years after treatment. Therefore, the clinical course of this disease requires long-term follow-up of patients.

[Objective evaluation of vocal pathology in childhood]. / Evaluación objetiva de la patología vocal en la infancia.

Voice disorders in children are often described as existing on a continuum with anatomic or physiologic causes at one end and functional or psychogenic causes at the other. In this study we report the objective evaluation of the voice disorders on 48 school children. The evaluation was made by means of laryngostroboscopy, acoustic analysis of the voice and narrow-band spectrography. The stroboscopic examination was performed on more than a half of the patients, resulting in the change of diagnose in six cases. The severity of the hoarseness was classified in four groups according Yanagihara method. A multivariate analysis was carried out using jitter, shimmer and harmonic-to-noise ratio as variables. Only the harmonic-to-noise ratio predicts the severity of the spectrographic record. Classification of degrees of hoarseness is found to be clinically useful in two respects: the degree of hoarseness can be numerically expressed and the objective acoustic degree of hoarseness based on this method closely agrees with subjective perceived degree of hoarseness.