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

{"title":"Republication de : Laryngotracheal and esophageal functional reconstruction using a single anterolateral thigh flap","authors":"O. Piccin ,&nbsp;F. Contedini ,&nbsp;V. Sciarretta ,&nbsp;V. Pinto","doi":"10.1016/j.aforl.2025.07.003","DOIUrl":"10.1016/j.aforl.2025.07.003","url":null,"abstract":"<div><div>The main goal for treatment of locally advanced thyroid carcinoma invading the laryngotracheal and esophageal complex, is radical surgical excision and reconstruction of a functional aerodigestive tract. We describe a challenging surgical technique in which a wide laryngotracheal and esophageal defect was functionally reconstructed using a single anterolateral thigh flap. This can represent a good option for a tailored functional reconstruction of extended defects of the aerodigestive tract.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 4","pages":"Pages 208-214"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655373","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 : Trigeminal cervical complex: A neural network affecting the head and neck","authors":"F. Bou Malhab ,&nbsp;J. Hosri ,&nbsp;G. Zaytoun ,&nbsp;U. Hadi","doi":"10.1016/j.aforl.2025.07.002","DOIUrl":"10.1016/j.aforl.2025.07.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To introduce the trigeminal cervical complex (TCC) as a comprehensive framework for understanding the anatomical and functional scope of the afferences and efferences of the trigeminal nerve and explaining common otolaryngologic symptoms, including head and neck myofascial pain syndrome. Additionally, it explores how the bidirectional transmission of neurotransmitters contributes to the sensitization of the TCC and motor nuclei.</div></div><div><h3>Methods</h3><div>The study was conducted as a narrative review. The authors performed a comprehensive search of multiple databases, including Medline/OVID, Embase, Scopus, and PubMed, covering publications from inception until August 2023. Both keywords and medical subject headings related to the TCC were utilized in the search. Information from 66 studies was extracted based on predetermined inclusion and exclusion criteria.</div></div><div><h3>Results</h3><div>This review discusses the multiple afferent connections from cranial nerves, specifically VII, IX, X, and XI, to the TCC, and their respective efferent pathways. These connections may explain various clinical manifestations in the head and neck that cannot be attributed to other medical conditions. Additionally, the review highlights the dual sensory and motor nature of cranial nerves, emphasizing the bidirectional transmission of neurotransmitters in head and neck areas, which leads to the sensitization of both the TCC and motor nuclei innervating the cervicofacial muscles.</div></div><div><h3>Conclusion</h3><div>The authors hypothesize that the central and peripheral sensitization and the intricate connections of the TCC can elucidate the pathophysiology of conditions such as otalgia, tinnitus, hearing loss, vertigo, headache, cervicogenic dizziness, bruxism, and other symptoms affecting the head and neck.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 4","pages":"Pages 194-203"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655302","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":"Stapédotomie chez le patient éveillé sous hypno-analgésie : efficacité et sécurité dans l’otospongiose","authors":"E. Caillaud ,&nbsp;L. Pellé-Boudeau ,&nbsp;M. Férrandière ,&nbsp;D. Bakhos ,&nbsp;E. Lescanne ,&nbsp;F. Micaletti","doi":"10.1016/j.aforl.2025.02.002","DOIUrl":"10.1016/j.aforl.2025.02.002","url":null,"abstract":"<div><h3>Objectif</h3><div>Évaluer l’efficacité et la sécurité d’une stapédotomie éveillée utilisant l’hypno-analgésie (HYP) comparativement à l’anesthésie générale (AG) et à l’anesthésie locale (AL) chez des patients atteints d’otospongiose.</div></div><div><h3>Méthodes</h3><div>Étude rétrospective monocentrique de 131 patients adultes (âge moyen : 49 ans, 78 % de femmes) ayant subi une stapédotomie LASER entre 2020 et 2022 : 58 AG, 23 AL, 50 HYP. Les critères principaux étaient les durées observées au bloc, la consommation d’anesthésiques, et les résultats audiométriques postopératoires.</div></div><div><h3>Résultats</h3><div>La HYP a significativement réduit le temps d’occupation de la salle (73,5<!--> <!-->±<!--> <!-->18,6<!--> <!-->min vs 103,7<!--> <!-->±<!--> <!-->24,6<!--> <!-->min en AG, <em>p</em> <!-->&lt;<!--> <!-->0,001 ; vs 81,8<!--> <!-->±<!--> <!-->20,5<!--> <!-->min en AL, <em>p</em> <!-->=<!--> <!-->0,092), la durée de la stapédotomie (39,9<!--> <!-->±<!--> <!-->12,4<!--> <!-->min vs 48,9<!--> <!-->±<!--> <!-->21,5<!--> <!-->min en AG, <em>p</em> <!-->=<!--> <!-->0,0252 ; vs 38,9<!--> <!-->±<!--> <!-->13,2<!--> <!-->min en AL, <em>p</em> <!-->=<!--> <!-->0,4601), le temps préopératoire (30,2<!--> <!-->±<!--> <!-->9,5<!--> <!-->min vs 45,7<!--> <!-->±<!--> <!-->9,5<!--> <!-->min en AG, <em>p</em> <!-->&lt;<!--> <!-->0,001 ; vs 38,6<!--> <!-->±<!--> <!-->12,2<!--> <!-->min en AL, <em>p</em> <!-->=<!--> <!-->0,0022), et le temps en salle de réveil (26<!--> <!-->±<!--> <!-->15,1<!--> <!-->min vs 67,5<!--> <!-->±<!--> <!-->20,7<!--> <!-->min en AG, <em>p</em> <!-->&lt;<!--> <!-->0,001 ; vs 47,4<!--> <!-->±<!--> <!-->20,7<!--> <!-->min en AL, <em>p</em> <!-->&lt;<!--> <!-->0,001). La HYP a aussi réduit significativement la consommation de remifentanil (169,8<!--> <!-->±<!--> <!-->101,6<!--> <!-->μg vs 848,6<!--> <!-->±<!--> <!-->308,8<!--> <!-->μg en AG, <em>p</em> <!-->&lt;<!--> <!-->0,001 ; vs 323,9<!--> <!-->±<!--> <!-->94,4<!--> <!-->μg en AL, <em>p</em> <!-->&lt;<!--> <!-->0,001). L’analyse des résultats audiométriques n’a pas montré de différence significative entre les groupes.</div></div><div><h3>Conclusion</h3><div>L’hypno-analgésie pour la stapédotomie éveillée représente une alternative efficace et sûre à l’anesthésie générale, réduisant significativement les durées d’intervention et la consommation d’anesthésiques, sans altérer les résultats audiométriques.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 4","pages":"Pages 181-187"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655304","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":"L’écriture médicale scientifique et sceptique","authors":"F. Simon","doi":"10.1016/j.aforl.2024.10.004","DOIUrl":"10.1016/j.aforl.2024.10.004","url":null,"abstract":"","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 4","pages":"Pages 171-172"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655307","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":"Correspondance à propos de l’article « Deciding whether to do elective neck dissection in patients with salivary gland tumors with no evidence of neck lymph node metastasis » de Sanabria A, et al. Eur Ann Otorhinolaryngol Head Neck Dis 2025;142:135–142","authors":"E. Chabrillac ,&nbsp;S. Vergez ,&nbsp;B. Baujat ,&nbsp;N. Fakhry","doi":"10.1016/j.aforl.2025.03.004","DOIUrl":"10.1016/j.aforl.2025.03.004","url":null,"abstract":"","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 4","pages":"Pages 223-224"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655372","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":"Reproduction de l’avancée mandibulaire physiologique lors de l’endoscopie sous sommeil induit de l’adulte","authors":"V. Favier ,&nbsp;M. Agunaoun ,&nbsp;C. Ferret ,&nbsp;C. François","doi":"10.1016/j.aforl.2024.07.011","DOIUrl":"10.1016/j.aforl.2024.07.011","url":null,"abstract":"<div><div>L’endoscopie sous sommeil induit (ESSI) est un examen réalisé au bloc opératoire, permettant un meilleur phénotypage des obstacles chez les patients présentant un syndrome d’apnées-hypopnées obstructives du sommeil (SAHOS). L’ESSI simule un sommeil proche du sommeil physiologique et permet la réalisation de manœuvres dynamiques, notamment l’avancée mandibulaire dont les résultats sont prédictifs du succès ou de l’échec d’une orthèse d’avancée mandibulaire (OAM). Lorsque les obstacles sont levés par l’avancée mandibulaire lors d’une ESSI, l’OAM peut être indiquée. Pourtant il est nécessaire de prendre en compte la capacité d’avancée mandibulaire maximale du patient, et de ne pas réaliser de propulsion au-delà de 75 % de cette valeur (AM75), pour respecter la tolérance sur les articulations temporomandibulaires. Il est donc nécessaire de pouvoir mesurer l’AM75 et de la reproduire précisément lors de l’ESSI pour juger de la pertinence clinique de la prescription d’une OAM prenant en compte l’efficacité et la tolérance. Dans cette note technique, nous décrivons la méthode permettant la mesure de l’AM75 et sa reproduction au cours de l’ESSI avec un dispositif médical adapté, pour mieux sélectionner les patients éligibles à une OAM.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 3","pages":"Pages 156-159"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166794","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 : Deciding whether to do elective neck dissection in patients with salivary gland tumors with no evidence of neck lymph node metastasis","authors":"A. Sanabria ,&nbsp;P. Bradley ,&nbsp;R. de Bree ,&nbsp;O. Guntinas-Lichius ,&nbsp;M. Hamoir ,&nbsp;L.P. Kowalski ,&nbsp;J.P. Rodrigo ,&nbsp;P. Strojan ,&nbsp;V. Vander Poorten ,&nbsp;A. Ferlito","doi":"10.1016/j.aforl.2025.05.003","DOIUrl":"10.1016/j.aforl.2025.05.003","url":null,"abstract":"<div><h3>Aim</h3><div>The treatment of salivary gland cancers with clinically negative neck is controversial, with divergent guidelines about elective neck dissection (END). Even though these guidelines are widely used, they mostly rely on retrospective research that are subject to methodological flaws and selection bias.</div></div><div><h3>Methods</h3><div>A critical narrative review. Problem description, identification of likely clinical scenarios, appraisal of previous recommendations, critical examination of available data, and presentation of clinical decision-making options comprised the article creation.</div></div><div><h3>Results</h3><div>One of the most important factors is the rate of occult lymph node metastases, which ranges from 2-30% and varies greatly depending on the kind and grade of tumor. The use of risk classification according to preoperative findings, such as tumor size, grade, and clinical signs such involvement of the facial nerve, offers some guidance. Nevertheless, unanticipated cancers are frequently discovered by intraoperative and postoperative histological results, which makes decision-making even more difficult. Alternatives to END, including elective neck irradiation, have similar effectiveness in reducing regional recurrence in high-risk scenarios. Although END may enhance regional control, it carries risks of surgical complications, such as injury to nerves and functional impairment. No prospective randomized studies have definitively demonstrated the advantage of END regarding survival or recurrence.</div></div><div><h3>Conclusion</h3><div>END may be appropriate in certain high-risk situations, but its regular use in cN0 salivary gland cancers is still up for debate. A personalized strategy that accounts for tumor-specific and patient-related variables, together with careful use of adjuvant treatments, is advised until substantial prospective data is available.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 3","pages":"Pages 138-145"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166792","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":"Résultats audiométriques des tympanoplasties avec stapédectomie et prothèse ossiculaire totale synthétique : analyse STROBE","authors":"C. Guigou ,&nbsp;M. Folia ,&nbsp;B. Reliquet ,&nbsp;A. Lalande ,&nbsp;M. Brisson ,&nbsp;A. Bozorg Grayeli","doi":"10.1016/j.aforl.2024.10.007","DOIUrl":"10.1016/j.aforl.2024.10.007","url":null,"abstract":"<div><h3>But</h3><div>Évaluer les résultats audiométriques de la tympanoplastie avec stapédectomie et insertion d’une prothèse ossiculaire totale synthétique (TORP).</div></div><div><h3>Matériel et méthodes</h3><div>Étude observationnelle rétrospective menée sur une cohorte de 15 patients (16 oreilles) âgés de 10 à 58<!--> <!-->ans (moyenne : 36<!--> <!-->ans) atteints d’otite moyenne chronique (OMC) avec tympanosclérose (<em>n</em> <!-->=<!--> <!-->9), d’ankylose stapédo-vestibulaire (<em>n</em> <!-->=<!--> <!-->3), d’aplasie mineure (<em>n</em> <!-->=<!--> <!-->3) et de luxation ossiculaire post-traumatique (<em>n</em> <!-->=<!--> <!-->1). Le traitement était une tympanoplastie avec stapédectomie et mise en place de TORP par un même opérateur entre le 01/12/2012 et le 30/01/2023 dans un service hospitalo-universitaire français avec un recul variant de 2 à 92 mois (moyenne : 24 mois). L’objectif principal était l’analyse de l’évolution du seuil en conduction aérienne (CA) et du Rinne audiométrique en postopératoire. Les objectifs secondaires étaient l’analyse de l’évolution des seuils d’intelligibilité (SI) et de discrimination maximale (SDM) et l’analyse des complications. La ligne rédactionnelle STROBE était suivie et le seuil de significativité de la valeur de <em>p</em> était fixé à 0,005.</div></div><div><h3>Résultats</h3><div>Une amélioration significative du seuil en CA (–2 à 25<!--> <!-->dB, moyenne : 10<!--> <!-->dB, <em>p</em> <!-->=<!--> <!-->0,001), du Rinne audiométrique (–8 à 26<!--> <!-->dB, moyenne : 10<!--> <!-->dB), du SI (2 à 30<!--> <!-->dB, moyenne : 13<!--> <!-->dB, <em>p</em> <!-->&lt;<!--> <!-->0,0001) et du SDM (<em>p</em> <!-->=<!--> <!-->0,001) était notée en postopératoire. Aucun patient n’a eu de symptomatologie vestibulaire en postopératoire.</div></div><div><h3>Conclusion</h3><div>Ce travail suggère que cette technique est une option thérapeutique possible et sûre dans des cas sélectionnés de fixation de la base du stapes associée à d’autres anomalies ossiculaires.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 3","pages":"Pages 125-131"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166903","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":"Harcèlement sexuel des praticiens par les personnes malades","authors":"O. Laccourreye","doi":"10.1016/j.aforl.2024.10.005","DOIUrl":"10.1016/j.aforl.2024.10.005","url":null,"abstract":"","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 3","pages":"Pages 169-170"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166798","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 Carnet Auxiliaire : un aperçu de l’activité opératoire d’un département d’otorhinolaryngologie pédiatrique à Paris dans les années 1920","authors":"N. Leboulanger ,&nbsp;C. Celerier ,&nbsp;M. Parodi ,&nbsp;F. Denoyelle ,&nbsp;B. Thierry","doi":"10.1016/j.aforl.2024.09.002","DOIUrl":"10.1016/j.aforl.2024.09.002","url":null,"abstract":"<div><div>Found in an archive, a notebook contained 352 operative reports from the otorhinolaryngology department of the Armand-Trousseau children's hospital in Paris, dated from January 1912 to August 1920. These documents provide a snapshot of surgical activity in this field at the time. Mastoidectomies for mastoiditis were by far the most common procedures performed. This incomplete but original image bears witness to the habits and working conditions of our predecessors, as well as to the progress made in just over a century.</div></div>","PeriodicalId":38853,"journal":{"name":"Annales Francaises d''Oto-Rhino-Laryngologie et de Pathologie Cervico-Faciale","volume":"142 3","pages":"Pages 160-162"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166795","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}