European Annals of Otorhinolaryngology-Head and Neck Diseases最新文献

{"title":"Esophageal fistula associated with cervical stiffness.","authors":"C Jessen, O Al Tabaa, K Al Tabaa","doi":"10.1016/j.anorl.2026.09.007","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.09.007","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical decompression of the nerve for facial palsy in temporal bone trauma: Insights from a three-decade experience.","authors":"J Joye, P Garin","doi":"10.1016/j.anorl.2026.06.008","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.06.008","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the surgical outcomes of facial nerve decompression for facial paralysis in temporal bone fractures.</p><p><strong>Material and methods: </strong>A retrospective review was conducted on 11 patients who underwent surgery for facial paralysis due to temporal bone trauma in our ENT department between March 1994 and July 2024. Inclusion criteria were failure of corticosteroid therapy and persistence of severe facial paralysis. Surgical outcomes were assessed using the House-Brackmann (HB) classification at one year and by monitoring postoperative HB progression. Potential prognostic factors included delay to surgery, intraoperative nerve swelling and response to stimulation with intraoperative facial nerve monitoring (FNM).</p><p><strong>Objectives: </strong>To analyze functional recovery following facial nerve decompression and to identify clinical or intraoperative predictors of improved outcome.</p><p><strong>Results: </strong>In our cohort of patients with temporal bone trauma, 27.3% of patients achieved HB I at one year and 90.9% reached HB≤III. Mean HB improvement increased steadily from<1 month (ΔHB 0.89) to 12 months (ΔHB 3.36). No significant difference in recovery was observed between patients operated≤2 weeks and>2 weeks, although all surgeries were performed within 1 month. Intraoperative nerve swelling was not associated with outcome. A detectable intraoperative nerve response showed a trend toward better complete recovery.</p><p><strong>Conclusion: </strong>Facial nerve decompression yielded favorable functional outcomes, with progressive recovery over one year. Favorable results were observed when surgery was performed within the first month after injury. Intraoperative nerve swelling was not predictive of prognosis, whereas a detectable intraoperative nerve response may have prognostic value. Larger studies are needed to confirm these findings.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conversion of posterior canal BPPV to lateral canal BPPV following the Epley maneuver.","authors":"Q Legois, M Makhoul, S Ismail, M Marx","doi":"10.1016/j.anorl.2026.07.014","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.014","url":null,"abstract":"<p><strong>Introduction: </strong>Benign paroxysmal positional vertigo (BPPV) is caused by freely floating otoconia in the semicircular canals. The posterior canal is the most affected, with the lateral and superior canals less frequently. Canal-specific repositioning maneuvers effectively treat BPPV, but otoconia can migrate between canals, causing \"conversion syndrome\".</p><p><strong>Case summary: </strong>A 56-year-old woman with left posterior canal BPPV underwent an Epley maneuver. Immediate retesting revealed conversion to left lateral canal BPPV, which was successfully treated with a Baloh-Lempert maneuver. At one-week follow-up, positional tests were normal and she was asymptomatic. This case is illustrated in the accompanying video.</p><p><strong>Discussion: </strong>Conversion from posterior to lateral or superior canal BPPV, while uncommon, illustrates the variable behavior of otoconia and the impact of maneuver dynamics. Identifying factors such as sedimentation speed, optimal retest timing, and maneuver type could improve management and reduce the risk of canal conversion.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Solitary laryngeal plasmacytoma treated by TOMES: Case report and review of the literature.","authors":"C Rodríguez-Prado, J R Alba, N Oishi, E Zapater","doi":"10.1016/j.anorl.2026.08.007","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.08.007","url":null,"abstract":"<p><strong>Introduction: </strong>Laryngeal plasmacytomas are rare plasma cell neoplasms that can mimic other lesions, posing a diagnostic and therapeutic challenge. Their location within the airway makes early diagnosis and precise management crucial to prevent airway compromise. This report aims to describe the first documented case of solitary laryngeal plasmacytoma managed with transoral microelectrode surgery (TOMES), highlighting its potential as a minimally invasive therapeutic option.</p><p><strong>Case report: </strong>We describe a 60-year-old man with a laryngeal tumour initially misinterpreted. The tumor, located in the right ventricular band and extending to the ipsilateral vocal fold, was completely resected with TOMES. Histopathological examination confirmed the diagnosis of plasmacytoma, and systemic investigations ruled out multiple myeloma. The postoperative course was uneventful, with no recurrence after years of follow-up.</p><p><strong>Discussion: </strong>Although radiotherapy remains the standard treatment for solitary extramedullary plasmacytoma, complete transoral resection may be a valuable alternative, particularly when airway patency is threatened. TOMES provides precise cutting and excellent haemostatic control, enabling complete tumour excision with minimal morbidity and preservation of laryngeal function.</p><p><strong>Conclusion: </strong>This is the first reported case of solitary laryngeal plasmacytoma successfully treated with TOMES. This minimally invasive technique represents a promising tool in the surgical management of laryngeal tumours.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular management of labyrintho-vascular otic capsule dehiscence (type II): A different therapeutical approach.","authors":"P Reynard, M Hitier, R Moreno-Gomez, C Barbier, F Turjman, T Mom, H Thai-Van, E C Ionescu","doi":"10.1016/j.anorl.2026.07.013","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.013","url":null,"abstract":"<p><strong>Introduction: </strong>Otic capsule dehiscence (OCD) encompasses a spectrum of third mobile window disorders, including type II variants characterized by a direct interface between the membranous labyrinth and adjacent vascular structures. These labyrinthine-vascular dehiscences (type IIa: superior semicircular canal-superior petrosal sinus (SPS); type IIb: internal jugular vein-vestibular structures) may induce pulsatile tinnitus, vertigo, and hearing loss. Endovascular treatment has emerged as a minimally invasive alternative to conventional surgery, aiming to reduce vascular pulsatility transmission to the inner ear. This study evaluates the interest, clinical outcomes and limitations of such approaches.</p><p><strong>Methods: </strong>We conducted a retrospective case series including patients with unilateral type II OCD confirmed by high-resolution imaging and presenting with disabling symptoms as assessed by the DHI and the THI. All patients underwent comprehensive audio-vestibular assessment and multimodal imaging. Endovascular treatment strategies included stenting of the SPS (type IIa) or stent-assisted coiling of the jugular bulb/internal jugular vein (type IIb). Outcomes were assessed clinically, audiometrically, and radiologically at follow-up.</p><p><strong>Results: </strong>Eight patients were included (4 type IIa, 4 type IIb). Endovascular treatment was feasible in most cases, with one technical failure and one conversion to surgery due to unfavorable venous anatomy. At 6 months, 7/7 evaluable patients showed marked clinical improvement, with significant reductions in THI and DHI scores. Pulsatile tinnitus and vertigo improved in the majority of cases. Audiometric outcomes were variable, with closure of the air-bone gap in 4 patients. Vestibular function remained largely preserved, with only transient postoperative impairment in one case. No major complications or venous thrombosis were observed on follow-up imaging.</p><p><strong>Conclusion: </strong>Endovascular management of type II OCD appears to be a safe and effective minimally invasive alternative in selected patients, particularly for vascular-related symptoms. The outcomes depend heavily on venous anatomy and meticulous preoperative imaging. While clinical outcomes are encouraging, limitations include technical feasibility and variable auditory results. Endovascular approaches may be considered a first-line option when anatomically suitable, with surgery reserved for selected or failed cases.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of recurrent barotraumatic and infectious frontal sinusitis by navigated balloon dilation of the nasofrontal duct.","authors":"M Bonnin, C Monnot, C-H Hassan, M Kérimian, L de Gabory","doi":"10.1016/j.anorl.2026.09.008","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.09.008","url":null,"abstract":"<p><strong>Introduction: </strong>Recurrent barotraumatic or isolated infectious frontal sinusitis is linked to anatomical variants of the nasofrontal duct (NFD). Anterior ethmoidectomy, the standard treatment, is incomplete in 50-80% of cases, incurring a 19% rate of stenosis. Balloon dilation of the NFD could be an alternative.</p><p><strong>Objectives: </strong>The primary study objective was to evaluate the safety of the device. The secondary objective was to analyze its long-term efficacy.</p><p><strong>Materials and methods: </strong>This was a retrospective single-center study including patients treated by NFD enlargement using a navigated dilation balloon. The following data were collected: pre- and post-operative symptoms, preoperative CT scans, follow-up time, return to activities, adverse effects and complications, additional care, and patient satisfaction.</p><p><strong>Results: </strong>Twenty-one patients were included: 10 with recurrent isolated infectious sinusitis and 11 with recurrent barotraumatic sinusitis (27 frontal sinuses). There was 1 case of eyelid ecchymosis, and no CSF leaks. Mean follow-up was 36.3±38 months. Ninety-one percent of patients were able to resume their activities involving pressure variations. None required hospitalization, repeat consultation or surgical revision. Four patients experienced symptom recurrence, including 2 for reasons other than the frontal sinus. 86% of patients were satisfied with the procedure, 9.5% were indifferent, and only 1 patient was dissatisfied (recurrence of headaches).</p><p><strong>Conclusion: </strong>Navigated balloon dilation of the NFD was a safe and effective treatment option for these two indications and could replace ethmoidectomy as a first-line procedure.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical characteristics and management strategies of congenital auricular deformities combined with first branchial cleft anomalies in children: A retrospective study of 25 cases.","authors":"J Bi, J Wu, B Yu, F Wang, Y Han, H Zhuang, Y Fu","doi":"10.1016/j.anorl.2026.08.006","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.08.006","url":null,"abstract":"<p><strong>Purpose: </strong>To summarise the clinical characteristics and management strategies of congenital auricular malformations with first branchial cleft anomalies (CFBCAs) in children.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 25 children with complete clinical data who were admitted between January 2020 and January 2025.</p><p><strong>Results: </strong>All patients presented with unilateral auricular malformations. Five had Grade I microtia, two had Grade II conchal adhesion-type deformity, and 14 had Grade II accessory tragus-type deformity; four had hemifacial microsomia. Nineteen had a history of a preoperative infection. CFBCAs are located near the external auditory canal (EAC) and manifest as sinus tracts, fistulas, or small cutaneous pits on the cheek. Based on anatomical location, CFBCAs were classified as type I (located in the postauricular area with roots attached to the cartilage of the inferior wall, n=5), type II (located anterior to the tragus with roots attached to the cartilage of the inferior wall, n=14), and type III (located in the cheek region, which may be accompanied by hemifacial microsomia, with a cartilaginous blind end, n=6). All the lesions were superficial to the facial nerve. Twenty underwent CFBCA excision combined with auricular deformity reconstruction. During the postoperative follow-up (6 months to 5 years), no facial nerve paralysis, recurrence, or auricular infection occurred; five had mild EAC stenosis.</p><p><strong>Conclusion: </strong>Paediatric congenital auricular deformities may coexist with first branchial cleft anomalies, Accurate diagnosis and precise classification are essential for lesion identification and complete excision, which improve treatment outcomes.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency cricothyrotomy: A procedure well worth knowing.","authors":"J-B Morvan, M Fieux, J Schmitt, L Vatin, J-B Caruhel","doi":"10.1016/j.anorl.2026.09.006","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.09.006","url":null,"abstract":"<p><p>There are two possible approaches to the subglottic airway: tracheotomy, and cricothyroidotomy. Cricothyroidotomy is less well known by head and neck surgeons and has a bad reputation due to laryngeal morbidity, liable to progress to subglottic stenosis if not swiftly relayed by tracheotomy. Tracheotomy is taught early on in ENT training, notably to be performed under enhanced local anesthesia in patients with tumoral laryngeal dyspnea. It is, however, completely unsuited to other emergency situations, in patients that cannot be ventilated or in case of failure of orotracheal intubation, notably due to anatomic factors. Cricothyroidotomy is the attitude of choice in this extremity. In certain hazardous wartime situations, where orotracheal intubation is contraindicated for operational reasons and issues of capacity with collective impact, \"tactical\" cricothyroidotomy can be chosen in first line in an awake patient under mild sedation. The French Army Health Service ENT physicians are therefore trained in cricothyroidotomy. We here present our procedural technique, with indications and contraindications in first line in civilian emergency situations of infection, trauma, tumor, allergy and/or edema.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Otitis media with effusion revisited: When a benign condition results in facial nerve involvement.","authors":"A D Asimakopoulos, A Kakou, G Psychogios","doi":"10.1016/j.anorl.2026.07.012","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.012","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pilot feasibility study of awake laryngeal ultrasonography in children.","authors":"C Shan, T Sagardoy, A Soualhi","doi":"10.1016/j.anorl.2026.09.004","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.09.004","url":null,"abstract":"<p><strong>Background: </strong>Flexible nasal laryngoscopy is the gold standard examination for laryngeal assessment, but can be uncomfortable, poorly tolerated or even refused by children. Ultrasonography is non-invasive and well-tolerated and could provide an alternative. Data in children, however, are scarce.</p><p><strong>Aims: </strong>To assess the feasibility of in-office ultrasonography in children for the identification of laryngeal structures using reference imaging planes, and to determine factors influencing examination quality.</p><p><strong>Material and methods: </strong>A single-center non-interventional prospective pilot feasibility study of a diagnostic tool was conducted in children aged 0 to 15 years. Ultrasonographic images were evaluated by the performing operator and by a second blinded observer using recorded sequences. Qualitative data and inter-rater agreement were expressed as percentages. Association was assessed by logistic regression, with the significance threshold set at 1%.</p><p><strong>Results: </strong>One hundred and forty children were included. The 5 ultrasound planes - axial glottic, subglottic and tracheal, and sagittal median and paramedian - allowed visualization of the thyroid, cricoid and arytenoid cartilage and vocal fold mobility in more than 95% of cases for both assessors. Age and gender effects differed between assessors, while BMI showed no significant effect. Calcification foci, without posterior acoustic shadowing, did not interfere with structural analysis.</p><p><strong>Conclusion: </strong>We demonstrated the feasibility of pediatric laryngeal ultrasonography using 5 reference planes, enabling visualization of laryngeal structures regardless of calcifications.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}