array:23 [ "pii" => "S2173573524000644" "issn" => "21735735" "doi" => "10.1016/j.otoeng.2024.05.004" "estado" => "S200" "fechaPublicacion" => "2024-06-07" "aid" => "1243" "copyright" => "Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello" "copyrightAnyo" => "2024" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:18 [ "pii" => "S0001651924000554" "issn" => "00016519" "doi" => "10.1016/j.otorri.2024.05.001" "estado" => "S200" "fechaPublicacion" => "2024-06-01" "aid" => "1243" "copyright" => "Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al director</span>" "titulo" => "Hipoacusia neurosensorial como primera manifestación de una metalosis sistémica por cobalto secundaria a la corrosión de una prótesis de cadera metálica" "tienePdf" => "es" "tieneTextoCompleto" => "es" "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Sensorineural hearing loss as the first manifestation of systemic cobalt metallosis secondary to corrosion of a metal hip prosthesis" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1021 "Ancho" => 990 "Tamanyo" => 111656 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Audiometría tonal por vía aérea un año después.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Belén Salvatierra-Vicario, Carmelo Morales-Angulo" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Belén" "apellidos" => "Salvatierra-Vicario" ] 1 => array:2 [ "nombre" => "Carmelo" "apellidos" => "Morales-Angulo" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173573524000644" "doi" => "10.1016/j.otoeng.2024.05.004" "estado" => "S200" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573524000644?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651924000554?idApp=UINPBA00004N" "url" => "/00016519/unassign/S0001651924000554/v1_202406011118/es/main.assets" ] ] "itemSiguiente" => array:18 [ "pii" => "S2173573524000620" "issn" => "21735735" "doi" => "10.1016/j.otoeng.2024.05.002" "estado" => "S200" "fechaPublicacion" => "2024-06-08" "aid" => "1245" "copyright" => "Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Prospective study of sound localisation in patients with single sided deafness and asymmetric hearing loss treated with cochlear implant" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Estudio prospectivo de la localización sonora en pacientes con hipoacusia unilateral y asimétrica tratados con implante coclear" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 4143 "Ancho" => 2500 "Tamanyo" => 491605 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Mean angular sound localisation error at 65 dB, 70 dB and 75 dB with and without the use of the cochlear implant. º: degrees; dB: decibels.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María Aragonés Redó, Ignacio Pla Gil, Tomàs Pérez-Carbonell, Clara Espina González, Antonio Morant Ventura, Jaime Marco Algarra" "autores" => array:6 [ 0 => array:2 [ "nombre" => "María" "apellidos" => "Aragonés Redó" ] 1 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Pla Gil" ] 2 => array:2 [ "nombre" => "Tomàs" "apellidos" => "Pérez-Carbonell" ] 3 => array:2 [ "nombre" => "Clara" "apellidos" => "Espina González" ] 4 => array:2 [ "nombre" => "Antonio" "apellidos" => "Morant Ventura" ] 5 => array:2 [ "nombre" => "Jaime" "apellidos" => "Marco Algarra" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001651924000578" "doi" => "10.1016/j.otorri.2024.05.002" "estado" => "S200" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651924000578?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573524000620?idApp=UINPBA00004N" "url" => "/21735735/unassign/S2173573524000620/v1_202406080414/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "S217357352400036X" "issn" => "21735735" "doi" => "10.1016/j.otoeng.2024.01.011" "estado" => "S200" "fechaPublicacion" => "2024-03-07" "aid" => "1221" "copyright" => "Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "The effect of interleukin-33 expression on prognosis in patients with nasopharyngeal carcinoma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Efecto de la expresión de interleucina-33 en el pronóstico de los pacientes con cáncer de nasofaringe" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1116 "Ancho" => 1508 "Tamanyo" => 230067 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Diffuse (++) tissue staining for IL-33 (arrows) in a representative nasopharyngeal cancer specimen (magnification ×400).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "İbrahim Arslan, Hatice Yılmazçoban, Hülya Eyigör, Canan Sadullahoğlu, Derya Salim Kıvrak, Gözde Akgün, Ömer Tarık Selçuk" "autores" => array:7 [ 0 => array:2 [ "nombre" => "İbrahim" "apellidos" => "Arslan" ] 1 => array:2 [ "nombre" => "Hatice" "apellidos" => "Yılmazçoban" ] 2 => array:2 [ "nombre" => "Hülya" "apellidos" => "Eyigör" ] 3 => array:2 [ "nombre" => "Canan" "apellidos" => "Sadullahoğlu" ] 4 => array:2 [ "nombre" => "Derya Salim" "apellidos" => "Kıvrak" ] 5 => array:2 [ "nombre" => "Gözde" "apellidos" => "Akgün" ] 6 => array:2 [ "nombre" => "Ömer Tarık" "apellidos" => "Selçuk" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357352400036X?idApp=UINPBA00004N" "url" => "/21735735/unassign/S217357352400036X/v1_202403070437/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Sensorineural hearing loss as the first manifestation of systemic cobalt metallosis secondary to corrosion of a metal hip prosthesis" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Belén Salvatierra-Vicario, Carmelo Morales-Angulo" "autores" => array:2 [ 0 => array:3 [ "nombre" => "Belén" "apellidos" => "Salvatierra-Vicario" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "Carmelo" "apellidos" => "Morales-Angulo" "email" => array:1 [ 0 => "carmelo.morales@scsalud.es" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Otorrinolaringología, Hospital Universitario Marqués de Valdecilla Hospital, Santander, Cantabria, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "IDIVAL, Santander, Cantabria, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Facultad de Medicina, Universidad de Cantabria, Santander, Cantabria, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hipoacusia neurosensorial como primera manifestación de una metalosis sistémica por cobalto secundaria a la corrosión de una prótesis de cadera metálica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1641 "Ancho" => 1591 "Tamanyo" => 219432 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Air conduction tone audiometry one year later.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We have recently seen a 53-year-old male patient who consulted for a post-surgical laryngeal complication (not relevant to the findings we aim to reflect in this letter) after undergoing cardiac transplantation as a consequence of cobalt metallosis cardiomyopathy secondary to corrosion of a metal-on-metal (MoM) hip replacement.</p><p id="par0010" class="elsevierStylePara elsevierViewall">It is important to note that the clinical case of this patient has been previously documented in a specialised cardiology journal due to its uniqueness and clinical interest, as well as from a cardiological perspective.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> However, we wish to focus this letter on the onset of symptoms that the patient manifested before the cardiological problems arose and which are hardly referred to in the aforementioned publication<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> and which, moreover, are not explicitly referred to in the previously published medical literature on the subject.</p><p id="par0015" class="elsevierStylePara elsevierViewall">It is important to note that the patient had never had any previous hearing pathology and months before the onset of his cardiac pathology, and 3 years after the implantation of the metal hip prosthesis due to the breakage of a previous ceramic one, the patient began to experience slightly asymmetrical sensorineural hearing loss and bilateral tinnitus, predominantly at high frequencies, without associated balance disorders. (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>)</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">After ruling out other causes of sensorineural hearing loss, the patient experienced a gradual deterioration in hearing (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), until the explanting of the metal hip prosthesis by indication of the cardiology department, with the aim of reducing the levels of cobalt in the blood and improving the cardiac pathology, with intense local metallosis being observed during surgery. From that point, the patient's clinical condition remained stable, but without improvement.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Upon reviewing the literature concerning cobalt metalosis secondary to the corrosion or wear of a MoM hip prosthesis, we found an unequivocal association between sensorineural hearing loss and this multi-organ condition. In a systematic review conducted by Gessner et al., it was observed that 52% of cases of systemic cobaltism secondary to the corrosion or wear of metal hip prostheses are associated with hearing loss, in some cases severe.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> However, to date, we have only found one published case<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> that specifically describes auditory impairment in these patients, as the existing literature primarily focuses on more severe symptoms such as cardiomyopathy.Therefore, we consider it highly relevant to publish this letter, which highlights the development of sensorineural hearing loss as the first manifestation of systemic cobalt metalosis due to the corrosion or wear of a MoM prosthesis. This can help otolaryngologists make an early diagnosis and thereby prevent much more severe systemic complications associated with it, such as cardiomyopathy or neurological alterations.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">No conflict of interest.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0035" class="elsevierStylePara elsevierViewall">No funding.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Salvatierra-Vicario B and Morales-Angulo C, Hipoacusia neurosensorial como primera manifestación de una metalosis sistémica por cobalto secundaria a la corrosión de una prótesis de cadera metálica, Acta Otorrinolaringol Esp. 2024. <span class="elsevierStyleInterRef" id="intr0005" href="https://doi.org/10.1016/j.otorri.2024.05.001">https://doi.org/10.1016/j.otorri.2024.05.001</span></p>" ] ] "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1633 "Ancho" => 1583 "Tamanyo" => 217922 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Air conduction tone audiometry at the onset of the patient's hearing symptoms.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1641 "Ancho" => 1591 "Tamanyo" => 219432 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Air conduction tone audiometry one year later.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A case report of cobalt cardiomyopathy leading to electric storm and cardiogenic shock: the importance of the orthopaedic background in patients with heart failure of unknown aetiology" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C. Castrillo Bustamante" 1 => "Á Canteli Álvarez" 2 => "V. Burgos Palacios" 3 => "J.A. Sarralde Aguayo" 4 => "D. Serrano Lozano" 5 => "X. Arana Achaga" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/ehjcr/ytab057" "Revista" => array:4 [ "tituloSerie" => "Eur Heart J Case Rep." "fecha" => "2021" "volumen" => "5" "itemHostRev" => array:3 [ "pii" => "S0015028213002501" "estado" => "S300" "issn" => "00150282" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A systematic review of systemic cobaltism after wear or corrosion of chrome-cobalt hip implants" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B.D. Gessner" 1 => "T. Steck" 2 => "E. Woelber" 3 => "S.S. Tower" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/PTS.0000000000000220" "Revista" => array:6 [ "tituloSerie" => "J Patient Saf" "fecha" => "2019" "volumen" => "15" "paginaInicial" => "97" "paginaFinal" => "104" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26076080" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Caballero-Borrego M, Turner M, Larrosa F. Otologic symptoms in 2 patients with cobalt. B-ENT. 2024;1. Epud ahead of print." ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Systemic toxicity related to metal hip prostheses" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S.M. Bradberry" 1 => "J.M. Wilkinson" 2 => "R.E. Ferner" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3109/15563650.2014.944977" "Revista" => array:6 [ "tituloSerie" => "Clin Toxicol (Phila)." "fecha" => "2014" "volumen" => "52" "paginaInicial" => "837" "paginaFinal" => "847" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25132471" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/unassign/S2173573524000644/v1_202406070424/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/21735735/unassign/S2173573524000644/v1_202406070424/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573524000644?idApp=UINPBA00004N" ]
Journal Information
Share
Download PDF
More article options
Letter to the Editor
Available online 7 June 2024
Sensorineural hearing loss as the first manifestation of systemic cobalt metallosis secondary to corrosion of a metal hip prosthesis
Hipoacusia neurosensorial como primera manifestación de una metalosis sistémica por cobalto secundaria a la corrosión de una prótesis de cadera metálica
Article information
These are the options to access the full texts of the publication Acta Otorrinolaringológica Española
Subscriber
Subscribe
Purchase
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail