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

{"title":"Cervical resection of Zenker's diverticulum.","authors":"C-A Righini, C Fabre, M Makeieff","doi":"10.1016/j.anorl.2025.05.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.05.001","url":null,"abstract":"<p><p>Treatment for symptomatic Zenker's diverticulum is surgical. This has greatly progressed in recent years and two surgical approaches are possible: the external or cervical approach, and the other, more recent, endoscopic approach. Both are based on sectioning the cricopharyngeal muscle. The majority of authors recommend an endoscopic approach in first line, reserving open surgery for cases in which exposure of the diverticular collar is impossible or endoscopic surgery has failed. There are therefore still indications for open surgery, and this technique must be perfectly mastered.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188321","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":"Assessment of two olfactory training methods for post-COVID-19 loss of olfaction: Classical and intensive.","authors":"V Masson, P L Nguyen-Thi, P Gallet, R Jankowski, C Rumeau, D T Nguyen","doi":"10.1016/j.anorl.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.04.007","url":null,"abstract":"<p><strong>Objectives: </strong>To determine whether intensive olfactory training provides better chances of recovery than classic protocols in persistent dysosmia after Covid-19.</p><p><strong>Introduction: </strong>In the literature, olfactory training holds pride of place in the management of post-infection olfactory disorder, with a classic 4-odor protocol. On the other hand, few studies have assessed the benefit of more intensive training.</p><p><strong>Materials and methods: </strong>This prospective randomized clinical trial (No. 2020-A01397-32) assessed olfactory training for persistent dysosmia due to COVID-19, with 5 weeks' to 12 months' progression. Patients were divided between 2 groups, receiving a classical 4-odor protocol (n=49) or an intensive 8-odor protocol (n=30). Olfaction was assessed in consultation on the Sniffin' Sticks test, the DyNaChron self-reported olfaction questionnaire and a visual analogue scale (VAS), at inclusion (V1) and at 4 and 8 months (V2 and V3, respectively).</p><p><strong>Results: </strong>Both protocols significantly improved subjective olfactory assessment on VAS, with non-significant trends for improvement on psychophysical tests. There was no significant difference in olfactory recovery between the classic and intensive protocols. Adhesion to the training program decreased markedly beyond 4 months.</p><p><strong>Conclusion: </strong>Intensive olfactory training did not increase the chances of olfactory recovery compared to the classic protocol in a population with persistent dysosmia following COVID-19 infection.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095397","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":"Suicide attempts in patients treated by total laryngectomy or total pharyngolaryngectomy in France.","authors":"T Vermeulin, A Zago, V Merle, A Augustynen","doi":"10.1016/j.anorl.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.03.006","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044140","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":"Audiometric results of tympanoplasty with stapedectomy and synthetic total ossicular replacement prosthesis: A STROBE analysis","authors":"C. Guigou ,&nbsp;M. Folia ,&nbsp;B. Reliquet ,&nbsp;A. Lalande ,&nbsp;M. Brisson ,&nbsp;A. Bozorg Grayeli","doi":"10.1016/j.anorl.2024.11.006","DOIUrl":"10.1016/j.anorl.2024.11.006","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the audiometric results of tympanoplasty with stapedectomy and insertion of a synthetic total ossicular replacement prosthesis (TORP).</div></div><div><h3>Material and methods</h3><div>Retrospective observational study conducted on a cohort of 15 patients (16 ears) aged 10 to 58 years (mean: 36 years) with chronic otitis media (COM) and tympanosclerosis (<em>n</em> <!-->=<!--> <!-->9), stapediovestibular ankylosis (<em>n</em> <!-->=<!--> <!-->3), minor aplasia (<em>n</em> <!-->=<!--> <!-->3) or post-traumatic ossicular dislocation (<em>n</em> <!-->=<!--> <!-->1). Treatment consisted in tympanoplasty with stapedectomy and TORP placement by the same operator, between December 1, 2012 and January 30, 2023, in a French university hospital department, with follow-up ranging from 2 to 92 months (mean: 24 months). The primary endpoint was postoperative change in air conduction (AC) threshold and air-bone gap (ABG). Secondary endpoints comprised change in speech recognition threshold (SRT) and speech discrimination score (SDS) and analysis of complications. The STROBE editorial line was followed and the significance threshold was set at <em>P</em> <!-->&lt;<!--> <!-->0.005.</div></div><div><h3>Results</h3><div>There was significant improvement in AC threshold (−2 to 25<!--> <!-->dB, mean: 10<!--> <!-->dB; <em>P</em> <!-->=<!--> <!-->0.001), ABG (−8 to 26<!--> <!-->dB, mean: 10<!--> <!-->dB), SRT (2 to 30<!--> <!-->dB, mean: 13<!--> <!-->dB; <em>P</em> <!-->&lt;<!--> <!-->0.0001) and SDS (<em>P</em> <!-->=<!--> <!-->0.001). No patients showed vestibular symptoms postoperatively.</div></div><div><h3>Conclusion</h3><div>This study suggests that this technique is a possible and safe therapeutic option in selected cases of stapes footplate fixation associated with other ossicular anomalies.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 3","pages":"Pages 121-128"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792645","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":"Asthenia, insomnia, malaise and high blood pressure during nasal spray corticotherapy in an adult","authors":"J. De Mestier,&nbsp;J.-B. Lecanu,&nbsp;O. Laccourreye","doi":"10.1016/j.anorl.2025.03.001","DOIUrl":"10.1016/j.anorl.2025.03.001","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 3","pages":"Pages 162-164"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671528","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":"The Auxiliary Report Book: A glimpse of surgical activity in a pediatric ENT department in Paris in the 1920s","authors":"N. Leboulanger ,&nbsp;C. Celerier ,&nbsp;M. Parodi ,&nbsp;F. Denoyelle ,&nbsp;B. Thierry","doi":"10.1016/j.anorl.2024.09.007","DOIUrl":"10.1016/j.anorl.2024.09.007","url":null,"abstract":"<div><div>A report book unearthed in our archives 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. Mastoidectomy for mastoiditis was by far the most common procedure. This incomplete but original snapshot 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":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 3","pages":"Pages 156-158"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401682","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":"First example of airway restoration using cryopreserved aortic allograft after total laryngectomy: CARE case report","authors":"C. Debry ,&nbsp;E. Brenet ,&nbsp;E. Martinod ,&nbsp;P. Lavalle ,&nbsp;A. Dupret-Bories ,&nbsp;P. Schultz ,&nbsp;L. Fath","doi":"10.1016/j.anorl.2024.11.007","DOIUrl":"10.1016/j.anorl.2024.11.007","url":null,"abstract":"<div><h3>Case description</h3><div>A 70 year-old woman presenting T4aN2cM0 laryngeal carcinoma first underwent total laryngectomy with airway reconstruction by cryopreserved aortic allograft. Six months after chemoradiotherapy, she underwent endoscopic surgery to create a neo-laryngopharynx.</div></div><div><h3>Results</h3><div>At 13 months after primary surgery, day- and night-time breathing was effectively restored, with a little persistent salivary false passage, and a whispering but comprehensible voice after tracheostomy closure. Swallowing was possible for small amounts of soft food, thanks to sustained rehabilitation, although normal feeding was not achieved. The patient showed no episodes of pneumopathy. General health status was good, with no oncologic relapse.</div></div><div><h3>Discussion</h3><div>This was the first case of laryngeal replacement by cryopreserved aortic allograft, showing progress in the decades-long aim of final tracheostomy closure. The ultimate objective is to achieve swallowing without false passage, by improving various aspects of surgical technique,without, so far as possible, making the procedures more complex by active airway protection systems.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 3","pages":"Pages 147-151"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807709","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":"Middle-ear osteolytic transthyretin amyloidosis: A CARE case report","authors":"C. Maquet ,&nbsp;A. Willemet ,&nbsp;A. Francois ,&nbsp;F. Crampon ,&nbsp;S. Deneuve","doi":"10.1016/j.anorl.2024.09.002","DOIUrl":"10.1016/j.anorl.2024.09.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Wild-type transthyretin amyloidosis (ATTRwt) is a rare but serious disease that is underestimated due to asymptomatic progression. Cardiac deposits worsen prognosis, highlighting the importance of early detection for preventive treatment.</div></div><div><h3>Case report</h3><div>An elderly patient presented with an osteolytic lesion of the middle ear. Pathology diagnosed amyloid transthyretin deposits associated with cholesteatoma.</div></div><div><h3>Discussion</h3><div>Identifying reliable markers to screen for risk of cardiac amyloidosis is important, due to poor prognosis. Recent studies found higher prevalence of hearing loss in ATTRwt than in the general population. The present case identified the middle ear as a target of ATTR, which could improve our understanding of the pathophysiology.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 3","pages":"Pages 143-146"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299193","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":"The challenge of de-escalating adjuvant therapy in HPV-positive patients","authors":"H. Mirghani,&nbsp;A. Boghossian","doi":"10.1016/j.anorl.2024.04.007","DOIUrl":"10.1016/j.anorl.2024.04.007","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 3","pages":"Pages 113-114"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892545","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":"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.anorl.2025.02.001","DOIUrl":"10.1016/j.anorl.2025.02.001","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":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 3","pages":"Pages 135-142"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450051","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}