Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale最新文献

{"title":"Republication de : Effect of parathyroidectomy versus conservative management on bone mineral density in patients with primary hyperparathyroidism","authors":"A. Green,&nbsp;K. Hardy,&nbsp;O. Al-Dadah","doi":"10.1016/j.aforl.2026.07.001","DOIUrl":"10.1016/j.aforl.2026.07.001","url":null,"abstract":"<div><h3>Background</h3><div>Hyperparathyroidism stimulates osteoclasts to increase bone resorption, release skeletal calcium, and cause a reduction of bone mass. Parathyroidectomy remains the only curative treatment however medical therapies can also control symptoms and limit osteoporosis. The aim of this study was to compare the impact of parathyroidectomy with medical management on bone mineral density (BMD) in patients with primary hyperparathyroidism.</div></div><div><h3>Methods</h3><div>An observational study including a total of 82 patients with hyperparathyroidism, comprising the Surgical Group (<em>n</em> <!-->=<!--> <!-->49) and Medical Group (<em>n</em> <!-->=<!--> <!-->33). Patients had BMD assessed at the lumbar spine, hip and forearm using dual-energy X-ray absorptiometry before and after intervention.</div></div><div><h3>Results</h3><div>At a mean follow-up of 4.3 years, BMD increased in the lumbar spine by +6.8% (<em>P</em> <!-->=<!--> <!-->0.004) in the Surgical Group and +3.1% (<em>P</em> <!-->=<!--> <!-->0.016) in the Medical Group. BMD was recovered or maintained in all regions in the Surgical Group, whereas a decrease of −7.1% (<em>P</em> <!-->=<!--> <!-->0.043) was noted in the forearms of the Medical Group. Significant between-group differences in BMD change favouring the Surgical Group in the total hip (+1.6% vs −1.7%, <em>P</em> <!-->=<!--> <!-->0.019), distal one-third radius (+0.3% vs −7.1%, <em>P</em> <!-->=<!--> <!-->0.045) and ultra-distal radius (+2.0% vs −9.1%, <em>P</em> <!-->=<!--> <!-->0.003). A greater proportion of patients in the Medical Group developed osteopenia or osteoporosis (<em>P</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusions</h3><div>This study has demonstrated that BMD improved or was preserved more greatly in patients with primary hyperparathyroidism who underwent parathyroidectomy rather than non-surgical management at 4 years follow-up. Greater BMD preservation in both groups, compared to previous studies, may be explained by greater utilisation of available medical therapies.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 261-269"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Republication de : Predictors of anatomical and functional success in pediatric type I tympanoplasty","authors":"D. Cunha-Cabral,&nbsp;P. Marques Gomes,&nbsp;A.I. Gonçalves,&nbsp;A. Alves Carção,&nbsp;J. Ferreira Penêda,&nbsp;G. Lopes","doi":"10.1016/j.aforl.2026.07.004","DOIUrl":"10.1016/j.aforl.2026.07.004","url":null,"abstract":"<div><h3>Aims</h3><div>Identification of predictors of anatomical and functional success in pediatric type I tympanoplasty.</div></div><div><h3>Material and methods</h3><div>In this case control study, we reviewed the medical records of children undergoing type I tympanoplasty between January 2012 and December 2022 in our hospital. Anatomical success was evaluated at 6 (T1), 12 (T2) months and at the end of follow up (T3). Functional success was defined as a mean postoperative ABG<!--> <!-->&lt;<!--> <!-->10<!--> <!-->dB in ears with sustained tympanic membrane integrity.</div></div><div><h3>Results</h3><div>A total of 79 ears (67 patients) were included. The median age of our sample was 12 years (range, 8–17), and the median follow-up period was 27 months (range, 12–86). The anatomical success rates at T1, T2, and T3 were 88.6%, 83.5%, and 77.2%, respectively. The etiology of the perforation was an independent predictor of anatomical success at T2 and T3. Patients with traumatic or post-ventilation tube perforations were less likely to experience reperforation compared with those with chronic otitis media (<em>P</em> <!-->=<!--> <!-->0.023 and <em>P</em> <!-->=<!--> <!-->0.009, respectively). The presence of tympanosclerosis was an independent predictor of reperforation at T1, T2, and T3. The mean postoperative ABG was 6.45<!--> <!-->±<!--> <!-->0.91<!--> <!-->dB HL. Larger tympanic membrane perforations (&gt;<!--> <!-->50% of the total TM area) had significant worse functional outcomes (<em>P</em> <!-->=<!--> <!-->0.021).</div></div><div><h3>Conclusion</h3><div>Type I tympanoplasty has good anatomical and functional outcomes in the pediatric age. The etiology of the perforation and the presence of tympanosclerosis may be used as predictors of anatomical success. Larger perforations may predict worse postoperative audiometric outcomes.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 289-295"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Otoendoscopie : trucs et astuces pour la gestion du saignement","authors":"E. Chebib,&nbsp;G. Orofino,&nbsp;V. Couloigner,&nbsp;F. Simon","doi":"10.1016/j.aforl.2025.09.013","DOIUrl":"10.1016/j.aforl.2025.09.013","url":null,"abstract":"<div><div>Dans le cadre de la myringoplastie chez l’enfant, l’otoendoscopie offre une alternative moins invasive que la chirurgie microscopique traditionnelle, en permettant une visualisation grand-angle ainsi qu’une identification précise des différentes structures anatomiques et pathologiques. Cette technique présente des avantages significatifs, notamment des taux de fermeture tympanique élevés, une réduction du temps opératoire et des suites post-opératoires simplifiées. Cependant, la gestion des saignements, particulièrement dans les conduits auditifs étroits des enfants, demeure un défi majeur pouvant altérer la visibilité et compliquer la chirurgie. Diverses techniques permettent de surmonter cet obstacle, notamment l’infiltration précautionneuse du conduit auditif externe, et l’utilisation de cotons imbibés d’adrénaline, qui aident à réduire localement les saignements, à absorber l’excès de sang, tout en maintenant le lambeau tympano-méatal surélevé, augmentant l’espace de travail et protégeant le lambeau des instruments. L’utilisation d’instruments spécifiques, tels que des bistouri-aspirateurs, permettent au chirurgien de travailler d’une seule main tout en maintenant une visibilité optimale. Associées à une anesthésie contrôlée, incluant une hypotension modérée et une hypocapnie contrôlée, ces techniques garantissent une gestion efficace des saignements, rendant l’approche otoendoscopique plus confortable et fiable.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 354-356"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dysphonie chronique et masse laryngée kystique chez un homme jeune","authors":"K. Al Tabaa,&nbsp;M. Claire,&nbsp;E. Bequignon,&nbsp;L. Brugel-Ribère","doi":"10.1016/j.aforl.2025.10.012","DOIUrl":"10.1016/j.aforl.2025.10.012","url":null,"abstract":"","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 362-364"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Questionnaires de qualité de vie en ORL : nouveaux outils et mise à jour de l’inventaire","authors":"A. Coudert,&nbsp;S. Gargula","doi":"10.1016/j.aforl.2025.10.008","DOIUrl":"10.1016/j.aforl.2025.10.008","url":null,"abstract":"","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 365-366"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Republication de : Temporal bone osteolytic lesion with skull base extension","authors":"A.D. Asimakopoulos,&nbsp;J.-M. Dumollard,&nbsp;A. Karkas","doi":"10.1016/j.aforl.2026.07.010","DOIUrl":"10.1016/j.aforl.2026.07.010","url":null,"abstract":"","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 359-361"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Republication de : Auditory Neuropathy as the First Sign of Leptomeningeal Metastasis","authors":"R. Santarelli,&nbsp;F. Di Paola","doi":"10.1016/j.aforl.2026.07.009","DOIUrl":"10.1016/j.aforl.2026.07.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Auditory neuropathy is a hearing disorder characterized by impaired temporal coding of acoustic signals in the auditory nerve fibers, resulting in abnormal auditory perceptions relying on temporal cues. We describe the case of a woman with a history of cancer who developed auditory neuropathy as the first manifestation of leptomeningeal metastasis.</div></div><div><h3>Case summary</h3><div>A woman in her sixties complained of severe difficulties in understanding speech despite preserved sensitivity to sounds, which had begun two months before audiological assessment. Her past medical history was remarkable for an occult cancer, possibly breast cancer, diagnosed seven years earlier. Pure-tone audiometry showed mild bilateral sensorineural hearing loss associated with markedly reduced speech intelligibility. Otoacoustic emissions were normal, indicating preserved outer hair cell function, whereas auditory brainstem responses (ABRs) were absent despite preserved hearing thresholds. Contrast-enhanced brain magnetic resonance imaging (MRI) only demonstrated bilateral enhancement of the eighth cranial nerve. However, a brain MRI performed one month later revealed diffuse leptomeningeal enhancement, while cerebrospinal fluid (CSF) cytology was positive for atypical malignant cells, both findings consistent with leptomeningeal metastasis.</div></div><div><h3>Discussion</h3><div>This case illustrates that the onset of auditory neuropathy in a patient with a clinical history of cancer may represent an early clinical sign of leptomeningeal metastasis, highlighting the importance of prompt neuroimaging and CSF analysis.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 351-353"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact des modalités d’exérèse chirurgicale du carcinome à cellules de Merkel de la tête et du cou sur la récidive, la survie et la qualité de vie : revue systématique","authors":"M. Geoffroy,&nbsp;F. Alibert,&nbsp;M. Fadel,&nbsp;M. Samimi,&nbsp;S. Boucher","doi":"10.1016/j.aforl.2026.04.002","DOIUrl":"10.1016/j.aforl.2026.04.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Le traitement standard des carcinomes à cellules de Merkel (CCM) non métastatiques (stades I–III) repose sur une exérèse chirurgicale large associée à une prise en charge ganglionnaire. Toutefois, la stratégie chirurgicale optimale reste débattue, en particulier au niveau de la tête et du cou, où une chirurgie invasive peut entraîner des conséquences esthétiques et fonctionnelles significatives, affectant la qualité de vie des patients et retardant la radiothérapie postopératoire.</div></div><div><h3>Objectif</h3><div>Cette revue systématique avait pour objectif d’évaluer l’impact des modalités d’exérèse chirurgicale des CCM de la tête et du cou — telles que différentes marges cliniques d’exérèse, la chirurgie micrographique de Mohs (<em>Mohs micrographic surgery</em> [MMS]) et le statut des marges histologiques — sur la récidive et la survie. Les objectifs secondaires étaient l’évaluation de la morbidité c’est-à-dire des complications chirurgicales, et de la qualité de vie des patients.</div></div><div><h3>Matériels et méthodes</h3><div>Une recherche systématique a été menée dans les bases de données Medline, Embase et Web of Science afin d’identifier les études portant sur le traitement chirurgical des CCM de la tête et du cou. Les études incluses ont été divisées en deux groupes : une revue collective et descriptive, et une analyse individuelle groupée des cas extraits des séries et des rapports de cas. La sélection des études, l’extraction des données et l’évaluation du risque de biais ont été réalisées indépendamment par deux évaluateurs.</div></div><div><h3>Résultats</h3><div>Quarante-trois études ont été incluses : 9 études de cohorte, 10 séries de cas et 24 cas cliniques. Aucun essai clinique randomisé n’a été identifié. Aucune supériorité n’a été démontrée entre l’exérèse chirurgicale large (<em>wide local excision</em> [WLE]) et la MMS. Aucune étude n’a mis en évidence de lien statistiquement significatif entre différentes marges d’exérèse ou le statut des marges histologiques et le contrôle local ou la survie. Aucune des études de cohorte ou des séries de cas ne rapportait de données concernant la qualité de vie chez les patients atteints de CCM de la tête et du cou.</div></div><div><h3>Conclusion</h3><div>L’importante hétérogénéité des données disponibles ne permet pas de formuler de recommandations définitives concernant les modalités d’exérèse chirurgicale des CCM de la tête et du cou.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 321-334"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Republication de : Bibliometric analysis of global research trends in pediatric hearing impairment","authors":"R. Ravi,&nbsp;K. Kumar,&nbsp;D.R. Gunjawate","doi":"10.1016/j.aforl.2026.07.006","DOIUrl":"10.1016/j.aforl.2026.07.006","url":null,"abstract":"<div><h3>Objectives</h3><div>Bibliometric analysis provides a detailed analysis of the research trends and identify the preferred journals, patterns in collaborations, research topics. Till date, no such bibliometric analysis has been carried out in pediatric hearing impairment. The aim of the present study was to conduct a bibliometric analysis to determine the evolution of research in the area of pediatric hearing impairment including key institutions, journals and authors, collaborative links, and top research priorities areas based on author keywords.</div></div><div><h3>Methods</h3><div>A bibliometric analysis was conducted to identify publications on pediatric hearing impairment in Scopus database. The identified studies were exported from Scopus into Microsoft Excel and VOSviewer for further analysis. Visualization and bibliometric analyses were performed using VOSviewer.</div></div><div><h3>Results</h3><div>A total of 5996 studies were identified for detailed analysis. The results revealed a growing trend in publications over the years. In all, 118 countries being involved in research on pediatric hearing impairment with maximum papers published in the United States (33.89%) with Harvard Medical School, USA being the leading contributor. The <em>International Journal of Pediatric Otorhinolaryngology</em> emerged as the most common choice. The keyword co-occurrences revealed five clusters with interconnections.</div></div><div><h3>Conclusion</h3><div>The study provides an overview of the evolution and research trends in pediatric hearing impairment. These findings provide valuable insights to plan future research in this area.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 306-311"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommandations REFCOR sur la prise en charge des carcinomes épidermoïdes nasosinusiens","authors":"B. Vérillaud,&nbsp;F. Chatelet,&nbsp;A.-C. Baglin,&nbsp;B. Baujat,&nbsp;V. Costes-Martineau,&nbsp;L. de Gabory,&nbsp;L. Digue,&nbsp;C. Dupin,&nbsp;C. Even,&nbsp;F.-R. Ferrand,&nbsp;J. Michel,&nbsp;A. Moya-Plana,&nbsp;C. Righini,&nbsp;C. Rumeau,&nbsp;J. Thariat,&nbsp;S. Vergez,&nbsp;P. Herman","doi":"10.1016/j.aforl.2026.04.008","DOIUrl":"10.1016/j.aforl.2026.04.008","url":null,"abstract":"<div><h3>Objectif</h3><div>Les auteurs exposent les recommandations du REFCOR concernant la prise en charge des carcinomes épidermoïdes nasosinusiens (CENS).</div></div><div><h3>Méthodes</h3><div>Un groupe de travail multidisciplinaire a effectué une revue de la littérature sur la thématique étudiée. La méthodologie du consensus formalisé d’experts a été utilisée pour l’élaboration des recommandations. Les recommandations proposées ont été classées selon le degré d’accord entre les membres du groupe de relecture.</div></div><div><h3>Résultats</h3><div>Accord fort : il est recommandé en raison du risque de transformation maligne de faire l’exérèse d’un papillome inversé nasosinusien ; il est recommandé de faire un scanner et une IRM du massif facial pour le bilan d’extension local. Accord relatif : il est recommandé pour les CENS peu différenciés ou indifférenciés de demander une relecture anatomopathologique spécialisée ; il est recommandé pour le bilan d’extension ganglionnaire et à distance de réaliser un scanner cervical, thoraco-abdomino-pelvien ou un TEP-scanner au 18-FDG ; il est recommandé de proposer pour la tumeur primitive un traitement par chirurgie d’exérèse en marges saines suivie d’une radiothérapie adjuvante ; il est recommandé de faire une irradiation prophylactique des patients N0 sur au moins les premiers relais ganglionnaires 1b, 2 et rétropharyngés ; en cas de lésion T1 opérée avec marges saines, la chirurgie seule doit être discutée en RCP ; la radiothérapie ou la chimiothérapie seules ne sont pas recommandées pour le traitement curatif des CENS opérables ; il est recommandé après traitement d’un CENS de suivre les patients pendant une durée d’au moins 5 ans : 4 fois/an les deux premières années, 3 fois/an la troisième année puis 2 fois/an jusqu’à la cinquième année. Désaccord : il n’est pas recommandé de faire une chimiothérapie d’induction avant chirurgie ; il est recommandé en cas d’extension orbitaire de discuter un traitement par chimiothérapie d’induction suivi d’une radiochimiothérapie concomitante.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 335-341"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}