array:23 [ "pii" => "S2173573509701383" "issn" => "21735735" "doi" => "10.1016/S2173-5735(09)70138-3" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "70138" "copyright" => "Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Acta Otorrinolaringol Esp. 2009;60:238-52" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 952 "formatos" => array:3 [ "EPUB" => 22 "HTML" => 139 "PDF" => 791 ] ] "itemSiguiente" => array:18 [ "pii" => "S2173573509701395" "issn" => "21735735" "doi" => "10.1016/S2173-5735(09)70139-5" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "70139" "copyright" => "Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Acta Otorrinolaringol Esp. 2009;60:253-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 625 "formatos" => array:3 [ "EPUB" => 25 "HTML" => 281 "PDF" => 319 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Peripheral and central audiologic findings in patients with Vogt-Koyanagi-Harada syndrome" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "253" "paginaFinal" => "259" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hallazgos audiológicos, periféricos y centrales en pacientes con síndrome de Vogt-Koyanagi-Harada" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Laura D. Ruiz-Allec, Yolanda R. Peñaloza-López, Nieves del R. Ocaña-Plante, Teresa Valdez-González, Ellery López-Star" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Laura D." "apellidos" => "Ruiz-Allec" ] 1 => array:2 [ "nombre" => "Yolanda R." "apellidos" => "Peñaloza-López" ] 2 => array:2 [ "nombre" => "Nieves del R." "apellidos" => "Ocaña-Plante" ] 3 => array:2 [ "nombre" => "Teresa" "apellidos" => "Valdez-González" ] 4 => array:2 [ "nombre" => "Ellery" "apellidos" => "López-Star" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573509701395?idApp=UINPBA00004N" "url" => "/21735735/0000006000000004/v1_201304231428/S2173573509701395/v1_201304231428/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2173573509701371" "issn" => "21735735" "doi" => "10.1016/S2173-5735(09)70137-1" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "70137" "copyright" => "Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Acta Otorrinolaringol Esp. 2009;60:234-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 418 "formatos" => array:3 [ "EPUB" => 22 "HTML" => 157 "PDF" => 239 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Association between endolymphatic hydrops and benign paroxysmal positional vertigo: coincidence or casuality?" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "234" "paginaFinal" => "237" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Asociación entre el hydrops endolinfático y vértigo posicional paroxístico benigno: ¿casualidad o causalidad?" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Marcos Rossi Izquierdo, Andrés Soto Varela, Sofía Santos Pérez, Torcuato Labella Caballero" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Marcos" "apellidos" => "Rossi Izquierdo" ] 1 => array:2 [ "nombre" => "Andrés" "apellidos" => "Soto Varela" ] 2 => array:2 [ "nombre" => "Sofía" "apellidos" => "Santos Pérez" ] 3 => array:2 [ "nombre" => "Torcuato" "apellidos" => "Labella Caballero" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573509701371?idApp=UINPBA00004N" "url" => "/21735735/0000006000000004/v1_201304231428/S2173573509701371/v1_201304231428/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Inverted acoustic reflex: an analysis of its morphological characteristics in different physiological and pathological situations" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "238" "paginaFinal" => "252" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luis Ángel Vallejo, David Herrero, Carlos Sánchez, Elena Sánchez, Elisa Gil-Carcedo, Luis María Gil-Carcedo" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Luis" "apellidos" => "Ángel Vallejo" "email" => array:1 [ 0 => "lvallejoval@telefonica.net" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "David" "apellidos" => "Herrero" ] 2 => array:2 [ "nombre" => "Carlos" "apellidos" => "Sánchez" ] 3 => array:2 [ "nombre" => "Elena" "apellidos" => "Sánchez" ] 4 => array:2 [ "nombre" => "Elisa" "apellidos" => "Gil-Carcedo" ] 5 => array:2 [ "nombre" => "Luis María" "apellidos" => "Gil-Carcedo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Otorrinolaringología, Hospital Universitario del Río Hortega, Universidad de Valladolid, Valladolid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Reflejo acústico invertido: análisis de sus características morfológicas en distintas situaciones fisiológicas y patológicas" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-11-28" "fechaAceptado" => "2009-01-12" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec80969" "palabras" => array:4 [ 0 => "Invested acoustic reflex" 1 => "Stapedial reflex" 2 => "Admittancemetry" 3 => "Physiology of the middle ear" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec80970" "palabras" => array:4 [ 0 => "Reflejo o efecto acústico invertido" 1 => "Reflejo estapedial" 2 => "Admitanciometría" 3 => "Fisiología del oído medio" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">and objectives Inverted acoustic reflex (IAR) or inverted acoustic effect is the name given to the positive deflexion observed during the carrying out of an admittancemetry when the ear is subjected to a high intensity sound, rather than the typical negative deflexion due to the contraction of the middle ear musculature. The objective of the paper is to analyze the morphology of the IAR by relating it to the situations (physiological or pathological) in which this effect appears with the aim of establishing a pathogenic hypothesis.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We study the admittance traces obtained in 50 patients on stimulating the ear with high sound intensities (between 100 and 110 dB HL) in different situations (ageing, death, otosclerosis, facial palsy, perception hypoacusia, and normoacusia). We analyse the morphologies of the resulting traces as well as the onset and offset latencies of the reflexes.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The morphology and latency parameters are similar in all cases in which IAR appears, regardless of the physical conditions of the ear but always with the prior condition of the absence of any contraction of the stapes bone muscle. The inverted acoustic effect does not disappear after deep muscular relaxation induced by anaesthesia and is present in corpses at a time when neural activity can no longer take place.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Although some of the characteristics of IAR cannot be explained by purely mechanical hypotheses, the appearance of this effect in a corpse and its non-disappearance with muscular relaxation means that we consider its origin to be a purely mechanical effect not mediated by any muscular reflex contraction in the human middle ear.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Se denomina reflejo o efecto acústico invertido (RAI) a la deflexión positiva observada durante la realización de una admitanciometría al someter al oído a un sonido de intensidad elevada, en vez de la típica deflexión negativa debida a la contracción de la musculatura del oído medio. El objetivo del trabajo es analizar la morfología del RAI relacionándola con las situaciones (fisiológicas o patológicas), en las que este efecto aparece con el fin de establecer una hipótesis patogénica.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudiamos los trazados admitanciométricos obtenidos en 50 pacientes al estimular el oído con elevadas intensidades sonoras (entre 100 y 110 dB HL) en distintas situaciones (envejecimiento, muerte, otosclerosis, parálisis facial, hipoacusia de percepción y normoacusia). Analizamos las morfologías de los trazados resultantes así como las latencias de aparición y de cese (onset y offset) de los reflejos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La morfología y los parámetros de latencia son similares en todos los casos en los que el RAI aparece, independientemente de las condiciones físicas del oído, pero siempre con el condicionante previo de ausencia de contracción del músculo del estribo. El RAI no desaparece tras la relajación muscular profunda inducida por la anestesia y está presente en el cadáver cuando ya no puede aparecer actividad neural alguna.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Aunque algunas de las características del RAI no se pueden explicar sirviéndonos de forma exclusiva de hipótesis mecánicas, la aparición de ese efecto en el cadáver y la no desaparición con la relajación muscular hace que consideremos su origen como un efecto puramente mecánico no mediado por contracción refleja muscular alguna en el oído medio humano.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Inverted acoustic reflex: an analysis of its morphological characteristics in different physiological and pathological situations
Reflejo acústico invertido: análisis de sus características morfológicas en distintas situaciones fisiológicas y patológicas
Luis Ángel Vallejo
, David Herrero, Carlos Sánchez, Elena Sánchez, Elisa Gil-Carcedo, Luis María Gil-Carcedo
Autor para correspondencia
Servicio de Otorrinolaringología, Hospital Universitario del Río Hortega, Universidad de Valladolid, Valladolid, Spain