{"title":"Une brèche pas si spontanée !","authors":"J.-B. Levoy, X. Dufour, F. Carsuzaa","doi":"10.1016/j.aforl.2025.11.004","DOIUrl":"10.1016/j.aforl.2025.11.004","url":null,"abstract":"","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 357-358"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640577","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}
B. Erkal, M. Bozacı Kılıçoğlu, O.M. Topçuoğlu, Z. Alkan
{"title":"Republication de : Intralesional Embolization for a Hypervascular Lesion of the Nasal Vestibule","authors":"B. Erkal, M. Bozacı Kılıçoğlu, O.M. Topçuoğlu, Z. Alkan","doi":"10.1016/j.aforl.2026.07.008","DOIUrl":"10.1016/j.aforl.2026.07.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Lobular capillary hemangioma is benign vascular lesion commonly encountered in the head and neck region. Although surgical excision remains the standard treatment, management may be challenging in postoperative settings or cosmetically sensitive areas such as the nasal vestibule. We present a case of a hypervascular nasal vestibular lesion with clinical and radiological features consistent with lobular capillary hemangioma, managed with intralesional foam embolization.</div></div><div><h3>Case summary</h3><div>A 40-year-old woman presented with unilateral nasal obstruction and left alar swelling. MRI showed a hypervascular polypoid lesion filling the left nasal vestibule. Therapeutic angiography revealed vascular blush with venous drainage into the angular and internal jugular veins, without ophthalmic or intracranial involvement. Intralesional polidocanol foam was injected. Mild post-procedural erythema and edema resolved within one week. The lesion progressively regressed, with approximately 50% reduction at one week and nearly two-thirds reduction at one month. At two months, MRI confirmed marked regression and restored nasal patency. At one-year follow-up, serial endoscopic examinations demonstrated stable lesion size without evidence of regrowth.</div></div><div><h3>Discussion</h3><div>While surgical excision remains the gold standard, intralesional embolization may represent an alternative treatment option in carefully selected superficial vestibular vascular lesions when surgical risks, cosmetic concerns, or patient preference limit operative management.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 347-350"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660505","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}
T. Miura, H. Kessoku, T. Kobayashi, M. Nagaoka, H. Kojima
{"title":"Republication de : Dynamics of prognostic nutritional index before and after surgery in head and neck cancer","authors":"T. Miura, H. Kessoku, T. Kobayashi, M. Nagaoka, H. Kojima","doi":"10.1016/j.aforl.2026.07.003","DOIUrl":"10.1016/j.aforl.2026.07.003","url":null,"abstract":"<div><h3>Aims</h3><div>To evaluate the relationship between changes in the prognostic nutritional index (PNI), which is an indicator of nutritional status, and outcomes in patients with head and neck cancer who underwent surgery at our hospital.</div></div><div><h3>Material and methods</h3><div>We retrospectively reviewed the medical records of 148 patients (128 men and 20 women) who underwent surgery from 2015 to 2022. The median age was 68.5 (range: 40–88) years. Overall survival (OS) was calculated using the Kaplan-Meier method. The PNI was calculated preoperatively and postoperatively. Based on changes in pre- and post-treatment, patients were categorized as having high PNI both before and after surgery (high-to-high [HTH]), low PNI before and high PNI after surgery (low-to-high [LTH]), high PNI before and low PNI after surgery (high-to-low [HTL]), and low PNI both preoperatively and postoperatively (low-to-low [LTL]).</div></div><div><h3>Objectives</h3><div>The effects of pre- and post-treatment changes in the PNI on patient outcomes were determined using the Cox proportional hazards model.</div></div><div><h3>Results</h3><div>The median PNI was 49 and 48 before and after surgery, respectively. In the multivariate analysis, preoperative PNI was an independent poor prognostic factor for disease-free survival (DFS) and OS (<em>P</em> <!-->=<!--> <!-->0.037 and <em>P</em> <em>=</em> <!-->0.039). The postoperative PNI was an independent poor prognostic factor for DFS and OS (<em>P</em> <!--><<!--> <!-->0.01). In the univariate analysis, the HTL and LTL groups showed poorer patient outcomes when the HTH group was used as a reference.</div></div><div><h3>Conclusion</h3><div>Changes in PNI could be a useful indicator of postoperative outcomes in patients with head and neck cancer.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 282-288"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660502","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}
J.R. Lechien, A. Maniaci, G. Salzano, C.M. Chiesa-Estomba, M. Mayo-Yanez, A. Saibene, G. Iannella, S. Saussez, L.A. Vaira
{"title":"Republication de : Patient perception and awareness of psychophysical olfactory tests: A cross-sectional observational survey","authors":"J.R. Lechien, A. Maniaci, G. Salzano, C.M. Chiesa-Estomba, M. Mayo-Yanez, A. Saibene, G. Iannella, S. Saussez, L.A. Vaira","doi":"10.1016/j.aforl.2026.07.002","DOIUrl":"10.1016/j.aforl.2026.07.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the patient perception and awareness of psychophysical olfactory testing (PT).</div></div><div><h3>Methods</h3><div>A survey was distributed to 119 consecutive patients consulting in the Dour Medical Center for olfactory dysfunction (OD) lasting for more than 6<!--> <!-->months. The survey assessed the patient opinion regarding the usefulness, advantages, and impact of PT on the olfactory check-up and follow-up. Smell sense was evaluated with threshold, discrimination and identification (TDI) test, and the Olfactory Disorder Questionnaire (ODQ).</div></div><div><h3>Results</h3><div>Survey was completed by 118 patients (99%). There were 72 females (61%). The mean age was 55.1<!--> <!-->±<!--> <!-->15.1<!--> <!-->years. There were 53 (45.0%) patients with complete smell loss, 43 (36.4%) with partial smell loss, and 22 (18.6%) with disturbed smell (parosmia). The mean TDI was 18.0<!--> <!-->±<!--> <!-->10.9. The mean ODQ was 35.8<!--> <!-->±<!--> <!-->13.9. PT are considered a supportive test for the evaluation of the OD by 66% of patients. The primary PT limitations were considered as the presence of uncommon (65.3%) or unknown odors (42.7%), and the lack of consistency with their OD (55.9%), which was associated with the wish to improve PT with daily life odors (64.4%; r<sub>s</sub> <!-->=<!--> <!-->−0.386; <em>P</em> <!-->=<!--> <!-->0.001). In 53.4% of cases, patients realized that they were able to smell some odors thanks to PT. Patients with parosmia reported less positive opinion of PT compared to those with anosmia/hyposmia.</div></div><div><h3>Conclusion</h3><div>Two thirds of patients with OD have good opinion of PT. Patients with anosmia or hyposmia reported better opinion than those with parosmia, strengthening the importance to consider specific PT dedicated to parosmia for this population. The inclusion of patients’ daily life odors in PT is a potential point of improvement for future studies.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 270-275"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660504","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}
B. Pastor-Benavente, P. Hernández-Lucas, A. González-Castro, R. Leirós-Rodríguez
{"title":"Republication de : Efficacy of swallowing muscle training for the treatment of patients with post-stroke dysphagia: A systematic review and meta-analysis","authors":"B. Pastor-Benavente, P. Hernández-Lucas, A. González-Castro, R. Leirós-Rodríguez","doi":"10.1016/j.aforl.2026.07.007","DOIUrl":"10.1016/j.aforl.2026.07.007","url":null,"abstract":"<div><h3>Purpose</h3><div>Strokes may cause some swallowing difficulty or associated dysphagia in 25–80% of patients, increasing morbidity and mortality associated with nutritional and respiratory disorders. Therefore, the aim of this research was to evaluate the efficacy of swallowing muscle training in patients with dysphagia in post-stroke patients.</div></div><div><h3>Methods</h3><div>A systematic search was carried out in PubMed, Scopus, Web of Science and MEDLINE.</div></div><div><h3>Results</h3><div>Of the 13 investigations analyzed, four evaluated the effects of Shaker exercise, tongue training and chin flexion against resistance; two investigations applied mandibular opening exercises against resistance; and only one, the effect of training with forced swallows was evaluated. Meta-analysis confirmed their significant effect on reducing the risk of penetration and aspiration.</div></div><div><h3>Conclusion</h3><div>Swallowing muscle training has beneficial effects on swallowing function in patients with post-stroke dysphagia and reduced the risk of penetration and aspiration.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 312-320"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640472","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}
A. Magri, A. Moise, E. Ajit-Roger, O. Orishchak, F. Alosamey, S.J. Daniel
{"title":"ChatGPT et l’éducation des patients sur le vertige positionnel paroxystique bénin en français et en anglais","authors":"A. Magri, A. Moise, E. Ajit-Roger, O. Orishchak, F. Alosamey, S.J. Daniel","doi":"10.1016/j.aforl.2025.10.013","DOIUrl":"10.1016/j.aforl.2025.10.013","url":null,"abstract":"<div><h3>Objectif</h3><div>ChatGPT est de plus en plus utilisé en médecine, y compris en otorhinolaryngologie. Cependant, des préoccupations persistent quant à l’exactitude de ses réponses, notamment en langues autres que l’anglais. Cette étude évalue la performance de ChatGPT dans la réponse aux questions sur le vertige paroxystique positionnel bénin (VPPB), une pathologie ORL fréquente, en anglais et en français.</div></div><div><h3>Méthodes</h3><div>ChatGPT 3.5 a été testé avec des questions tirées des lignes directrices de l’American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF), posées en anglais et en français. Trois utilisateurs ont soumis 14 questions à deux reprises lors de sessions distinctes avec différentes adresses IP. Une traduction en deux étapes a été utilisée pour garantir l’exactitude linguistique. Deux ORL indépendants, bilingues, ont évalué les réponses sur une échelle de Likert à 4 niveaux.</div></div><div><h3>Résultats</h3><div>Les réponses aux 14 questions étaient uniformes en anglais et en français, démontrant une grande cohérence et une maîtrise linguistique native. Douze questions correspondaient parfaitement aux lignes directrices (4/4). Deux réponses, bien qu’exactes, manquaient de détails sur le risque de chute chez les aînés atteints de VPPB (3/4).</div></div><div><h3>Conclusion</h3><div>ChatGPT fournit des réponses détaillées et conformes aux lignes directrices en français et en anglais. Son utilisation dans les deux langues officielles du Canada pourrait améliorer l’accessibilité des informations médicales en complément d’une expertise ORL professionnelle.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 276-281"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660500","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}
H. Carrichon, V. Favier, G. Cammaroto, H. Dos Santos, A. de Vito, E. Zancanella, M.B. Cahali, A. Moniri, M. Carrasco-Llatas, M. Ravesloot, U. Alkan, R.C.T. Cheong, J.R. Lechien, A. Maniaci, C. O’Connor, F. Salamanca, O. Jacobowitz, D. Abedipour, A. Decotte, D. Schmitt, F. Carsuzaa
{"title":"Republication de : Definition of severity, management, and follow-up of isolated snoring in adults: An international consensus","authors":"H. Carrichon, V. Favier, G. Cammaroto, H. Dos Santos, A. de Vito, E. Zancanella, M.B. Cahali, A. Moniri, M. Carrasco-Llatas, M. Ravesloot, U. Alkan, R.C.T. Cheong, J.R. Lechien, A. Maniaci, C. O’Connor, F. Salamanca, O. Jacobowitz, D. Abedipour, A. Decotte, D. Schmitt, F. Carsuzaa","doi":"10.1016/j.aforl.2026.07.005","DOIUrl":"10.1016/j.aforl.2026.07.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Isolated snoring (IS), defined by nocturnal upper airway vibration without apneas, remains a prevalent yet underrecognized condition lacking standardized definitions for severity and management. Despite its significant impact on bed partners’ sleep quality and social life, no consensus exists on severity criteria or follow-up practices. This international Delphi consensus aimed to define IS severity, address the management of nasal comorbidity, and establish follow-up protocols to support personalized patient care.</div></div><div><h3>Methods</h3><div>A two-round Delphi process was conducted from December 2024 to April 2025, involving 35 otolaryngology experts from 16 countries. Thirty-nine initial statements were developed by a steering committee and evaluated using a 9-point Likert scale. Consensus was defined as<!--> <!-->≥<!--> <!-->75% agreement.</div></div><div><h3>Results</h3><div>Of 58 evaluated statements, 44 reached consensus. IS severity was associated with frequency of snoring, bed partner's complaints, and impact on the couple's quality of life, while objective acoustic parameters alone were not deemed reliable indicators. Nasal obstruction was recognized as a treatable comorbidity that may be assessed before snoring management. Personalized management using validated subjective tools was strongly recommended. For follow-up, expert consensus supported a 3- to 6-month reassessment using smartphone apps or quality-of-life metrics, with distinctions made between clinical and research goals.</div></div><div><h3>Conclusion</h3><div>This consensus supports a patient- and partner-centered approach to IS. It discourages reliance on isolated acoustic data for severity grading, promotes proactive management of nasal factors, and highlights the need for individualized treatment strategies. Future research should aim to validate objective and subjective tools to further standardize care pathways for IS.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 296-305"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640579","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}
V. Gorzkowski, C. Monnot, C. Castain, G. de Bonnecaze, B. Verillaud, J. Michel, A. Moya-Plana, V. Coste-Martineau, L. Digue, J. Thariat, C. Dupin, L. de Gabory, C. Rumeau
{"title":"Recommandations REFCOR sur la prise en charge des neuroblastomes olfactifs, consensus formalisé d’expert","authors":"V. Gorzkowski, C. Monnot, C. Castain, G. de Bonnecaze, B. Verillaud, J. Michel, A. Moya-Plana, V. Coste-Martineau, L. Digue, J. Thariat, C. Dupin, L. de Gabory, C. Rumeau","doi":"10.1016/j.aforl.2026.04.009","DOIUrl":"10.1016/j.aforl.2026.04.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Les neuroblastomes olfactifs (NO) sont des tumeurs malignes rares du tractus naso-sinusien. L’objectif de ce travail est de présenter une synthèse argumentée des recommandations du Réseau des experts français des cancers ORL rares (REFCOR), publiée en 2022, concernant les modalités diagnostiques et thérapeutiques des NO.</div></div><div><h3>Méthode</h3><div>Ces recommandations résultent d’un consensus multidisciplinaire fondé sur une analyse critique de la littérature et les retours des centres experts dans un processus structuré.</div></div><div><h3>Résultats</h3><div>Les NO représentent 6 % des cancers naso-sinusiens, sans facteur de risque identifié. Le diagnostic repose sur une imagerie combinant scanner et IRM du massif facial et de la base du crâne, associée à un bilan d’extension systémique. L’analyse anatomopathologique nécessite une expertise spécialisée, le grade histologique de Hyams constituant le principal facteur pronostique. La stratégie thérapeutique de référence repose sur une chirurgie d’exérèse suivie d’une radiothérapie adjuvante. La chimiothérapie se discute dans les formes de haut grade ou non résécables. En raison du risque de récidive tardive, une surveillance d’au moins 20 ans est recommandée.</div></div><div><h3>Conclusion</h3><div>Les recommandations REFCOR visent à homogénéiser les pratiques diagnostiques et thérapeutiques du NO, elles sont un guide pour les discussions en réunion de concertation pluridisciplinaire spécialisée, qui restent indispensables.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 4","pages":"Pages 342-346"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640583","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}
F. Carsuzaa , F. Simon , B. Cadre , R. Nicollas , C. Parietti-Winkler , J.-B. Morvan
{"title":"Facteurs humains en ORL : un enjeu de formation incontournable","authors":"F. Carsuzaa , F. Simon , B. Cadre , R. Nicollas , C. Parietti-Winkler , J.-B. Morvan","doi":"10.1016/j.aforl.2025.12.004","DOIUrl":"10.1016/j.aforl.2025.12.004","url":null,"abstract":"","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 3","pages":"Pages 167-168"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146402","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}
E. Dauzier, D. Lazard, C. Sain Oulhen, E. Genty, J.-B. Lecanu
{"title":"Ossiculoplastie isolée sous anesthésie locale potentialisée et sous anesthésie générale en ambulatoire : analyse comparative STROBE des résultats précoces","authors":"E. Dauzier, D. Lazard, C. Sain Oulhen, E. Genty, J.-B. Lecanu","doi":"10.1016/j.aforl.2024.04.009","DOIUrl":"10.1016/j.aforl.2024.04.009","url":null,"abstract":"<div><h3>Objectifs</h3><div>Évaluer et comparer les résultats précoces des ossiculoplasties isolées réalisées sous anesthésie locale potentialisée (ALP) et générale (AG).</div></div><div><h3>Matériel et méthode</h3><div>Étude observationnelle rétrospective monocentrique d’une cohorte de 123 patients consécutivement traités entre 01/09/19 et le 01/03/21 avec une ossiculoplastie isolée dans un établissement de santé privé d’intérêt collectif (ESPIC) français. L’objectif principal était de comparer le parcours de soins (temps d’occupation de salle, temps d’hospitalisation, taux de prise en charge ambulatoire, taux de bypass) selon le mode d’anesthésie. Les objectifs secondaires étaient de comparer les résultats audiométriques et les complications post- et peropératoires (nausées, vomissements, douleurs, vertiges, taux de conversion) selon le mode d’anesthésie. Le seuil de significativité de la valeur de <em>p</em> était établi à 0,005. La ligne rédactionnelle STROBE était suivie.</div></div><div><h3>Résultats</h3><div>Cent vingt-trois patients ont été inclus, 41 dans le groupe ALP, 82 dans le groupe AG. Les groupes étaient homogènes et comparables hormis pour le type de chirurgien réalisant l’intervention. Le taux d’ambulatoire était significativement plus élevé dans le groupe ALP (93 % vs 55 %, sous AG). Les résultats suggéraient des temps de prise en charge opératoire, d’occupation de salle, de salle de réveil et d’ambulatoire plus court dans le groupe ALP. Les vertiges postopératoires étaient significativement plus fréquents dans le groupe AG. Les résultats audiométriques n’étaient pas différents entre les 2 groupes.</div></div><div><h3>Conclusion</h3><div>L’ALP pourrait améliorer la prise en charge organisationnelle et le taux d’ambulatoire de la chirurgie ossiculaire sans diminuer la qualité des résultats.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"143 3","pages":"Pages 169-175"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146403","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}