F. Boubaker , U. Puel , S. Imbs , A. Blum , C. Parietti-Winkler , R. Gillet
{"title":"Mensurations de la fenêtre ronde pour le bilan pré-implantation cochléaire : importance du plan de Stenvers et de la taille de la membrane","authors":"F. Boubaker , U. Puel , S. Imbs , A. Blum , C. Parietti-Winkler , R. Gillet","doi":"10.1016/j.aforl.2025.06.002","DOIUrl":"10.1016/j.aforl.2025.06.002","url":null,"abstract":"<div><h3>Objectif</h3><div>Déterminer quels paramètres anatomiques de la fenêtre ronde (FR) influencent son approche chirurgicale lors d’une chirurgie d’implantation cochléaire et dans quel plan d’imagerie les mesurer.</div></div><div><h3>Matériel et méthodes</h3><div>Soixante-six patients (40 femmes et 26 hommes ; âge moyen : 60,4<!--> <!-->±<!--> <!-->17,7 [26–84] ans) ayant bénéficié d’un scanner ultra-haute résolution préopératoire ont bénéficié d’une implantation cochléaire entre les mois de février 2020 et mars 2024 dans notre institution. Deux radiologues ont rétrospectivement mesuré les paramètres anatomiques de la niche (type, largeur minimale), de la membrane (taille, inclinaison) et du sourcil osseux (taille, inclinaison) de la FR dans les plans axial, parasagittal et de Stenvers.</div></div><div><h3>Résultats</h3><div>La taille de la membrane de la FR dans le plan de Stenvers était la plus reproductible et la seule différence entre les patients nécessitant une implantation par cochléostomie via le promontoire et ceux présentant une approche chirurgicale « facile » de la FR, avec une valeur seuil optimale inférieure de 1,55<!--> <!-->mm pour la nécessité d’une cochléostomie. La taille de la membrane de la FR dans les plans parasagittal et de Stenvers était fortement corrélée. La largeur minimale et le type de niche de la FR, ainsi que la taille et l’inclinaison du sourcil de la FR n’influençaient pas l’approche chirurgicale et présentaient une concordance interobservateurs variable.</div></div><div><h3>Conclusion</h3><div>La taille de la membrane de la FR devrait être mesurée dans le plan de Stenvers. Les autres paramètres anatomiques de la FR ne semblent pas influencer son approche chirurgicale.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 5","pages":"Pages 242-247"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145128360","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":"Au cœur du marché noir des citations","authors":"F. Rubin","doi":"10.1016/j.aforl.2024.09.003","DOIUrl":"10.1016/j.aforl.2024.09.003","url":null,"abstract":"","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 5","pages":"Pages 225-226"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145128307","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":"Le lambeau libre le plus utilisé pour la reconstruction en cancérologie ORL","authors":"C.A. Righini , C. Fabre","doi":"10.1016/j.aforl.2025.08.001","DOIUrl":"10.1016/j.aforl.2025.08.001","url":null,"abstract":"","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 5","pages":"Pages 227-228"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145128308","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}
C. Thibault , M. Mailly , C. Debry , P. Schultz , L. Fath
{"title":"Injection de toxine botulique pour traitement du syndrome de dysfonction rétrograde du muscle cricopharyngien","authors":"C. Thibault , M. Mailly , C. Debry , P. Schultz , L. Fath","doi":"10.1016/j.aforl.2024.10.008","DOIUrl":"10.1016/j.aforl.2024.10.008","url":null,"abstract":"<div><div>Le syndrome de dysfonction rétrograde du muscle cricopharyngien (R-CPD) atteint des patients qui ont une incapacité d’éructer responsable de symptômes invalidants altérant leur qualité de vie. L’injection de toxine botulique dans le muscle cricopharyngien est décrite comme traitement d’épreuve, dans un but thérapeutique mais aussi de confirmation diagnostique. Nous proposons la description de la technique d’injection de toxine botulique dans le muscle cricopharyngien, sous anesthésie générale par voie endoscopique, et en consultation par voie transcutanée sous contrôle électromyographique (EMG).</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 5","pages":"Pages 258-261"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145128363","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}
M. Saro-Buendía , M. Mansilla-Polo , A. García-Piñero , M. Armengot-Carceller
{"title":"Republication de : Stimulator of interferon genes-associated vasculopathy with onset in infancy (SAVI syndrome): A case report","authors":"M. Saro-Buendía , M. Mansilla-Polo , A. García-Piñero , M. Armengot-Carceller","doi":"10.1016/j.aforl.2025.09.001","DOIUrl":"10.1016/j.aforl.2025.09.001","url":null,"abstract":"<div><h3>Introduction</h3><div>To document through a case report the ENT manifestations of the STING-associated vasculopathy with onset in infancy (SAVI) syndrome, remarking their value to achieve the diagnosis.</div></div><div><h3>Case summary</h3><div>A man in his forties presented with exercise-related dyspnoea and cold-exacerbated painful lesions over the nasal tip, cheeks, ears, and feet since his early childhood. The ENT manifestations included cartilaginous necrosis (both auricles and nasal tip) and a 1-cm anterior septal perforation. A familiar inheritance pattern was evident and genetic studies confirmed the diagnosis of a SAVI syndrome. Therapy with JAK inhibitors was implemented, resulting in a favorable response.</div></div><div><h3>Discussion</h3><div>SAVI syndrome is a recently described disease with recognizable otolaryngologic manifestations that may be key to clinical suspicion and genetic diagnosis.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 5","pages":"Pages 250-252"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145128361","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 : Modified ‘cross-stealing’ repair of nasal septal perforation using unilateral inverted mucosal flap","authors":"S. Wu , F. Jian","doi":"10.1016/j.aforl.2025.09.002","DOIUrl":"10.1016/j.aforl.2025.09.002","url":null,"abstract":"<div><div>Nasal septal perforations (SP) are common yet challenging conditions encountered in otorhinolaryngology. Endoscopic repair of nasal septal perforations using nasal pedicle mucosal flaps has become an important treatment method. However, there are no established guidelines for selecting the appropriate mucosal flaps for repair, and the choice largely depends on the surgeon's experience. This study outlines the procedure and benefits of utilizing a unilateral inverted mucosal flap from the nasal septum, along with criteria for selecting suitable cases for this surgical approach. The technique is best suited for moderate-sized perforations located in the anterior nasal septum, with a diameter of less than 2<!--> <!-->cm. The mucosa around the perforation is thicker. It is essential that the nasal mucosa is healthy and that the perforation edges have sufficient bony and cartilaginous support to prevent mucosal adhesion on both sides of the septum, which could hinder the complete separation of the inverted mucosal flap. Our findings suggest that, with careful case selection, the repair technique involving a unilateral inverted mucosal flap combined with stitching methods is a feasible option. This approach not only simplifies the surgical procedure but also significantly reduces its complexity, making it more accessible to those new to the field.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 5","pages":"Pages 262-265"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145128364","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}
V. Malgorn , L. Dupont , M. Poncelet , L. Lieffrig , A. Lagier
{"title":"Validation du questionnaire Déglutition Handicap Index-Accompagnant","authors":"V. Malgorn , L. Dupont , M. Poncelet , L. Lieffrig , A. Lagier","doi":"10.1016/j.aforl.2025.02.003","DOIUrl":"10.1016/j.aforl.2025.02.003","url":null,"abstract":"<div><h3>But</h3><div>Valider le Déglutition Handicap Index-Accompagnant (DHI-A) qui est un outil d’évaluation de la dysphagie, dérivé du Déglutition Handicap Index (DHI), un questionnaire d’auto-évaluation de la dysphagie en français validé sur le plan psychométrique. Tout comme ce dernier, le DHI-A est constitué de 30 items répartis de façon équivalente en 3 domaines : physique, fonctionnel et émotionnel.</div></div><div><h3>Matériels et méthodes</h3><div>Étude prospective, incluant 61 patients et 61 accompagnants recrutés au sein d’une consultation ORL dédiée à la dysphagie.</div></div><div><h3>Objectifs</h3><div>Valider le DHI-A comme outil d’évaluation et comparer ses résultats à ceux du DHI et aux résultats de la nasofibroscopie de déglutition.</div></div><div><h3>Conclusion</h3><div>Le DHI-A tout comme le DHI a une bonne consistance interne. Ces résultats montrent que le DHI-A est un outil approprié à l’évaluation du statut fonctionnel de la santé et de la qualité de vie liée à la dysphagie du patient via son accompagnant.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 5","pages":"Pages 237-241"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145128359","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}