G Dumas, I S Curthoys, A Baguant, P Perrin, S Schmerber
{"title":"Skull Vibration Induced afternystagmus: A new clinical indicator of superior canal dehiscence.","authors":"G Dumas, I S Curthoys, A Baguant, P Perrin, S Schmerber","doi":"10.1016/j.anorl.2025.06.009","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.06.009","url":null,"abstract":"<p><p>Vibrations applied to the cranium induce, in 55%-92% of patients with CT-verified superior canal dehiscence (SCD), a perstimulatory nystagmus most often ipsilaterally beating when the vertex location is stimulated at 100Hz. The skull vibration-induced nystagmus (SVIN) test is a bone-conducted (BC) Tullio phenomenon in patients with a 3rd mobile window syndrome (TMWS). Here, we describe the technical cues and procedures to obtain an afternystagmus regularly observed in 55% of a series of 43 patients with SCD chosen as examples and stimulated at 100Hz and higher frequencies by bone-conducted vibrations (BCV). Only 6% of 32 patients with total unilateral vestibular loss (TUVL) show this afternystagmus with a very small slow phase velocity. The SVIN afternystagmus is characterized by a persistent nystagmus with a slow decay after stimulation withdrawal and is associated with dizziness. This distinctive sign in SCD is usually not observed in TUVL patients but only in some other TMWS. Its production likely relies on a cupula deflection secondary to endolymph flow and stimulation of regular discharging neurons by the BCV in SCD but not TUVL patients. It is a simple, specific, robust sign of SCD and TMWS, and its sensitivity is comparable to air-conducted Tullio phenomenon and other compressional tests.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228651","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":"Experimental procedure on a royal skull base.","authors":"R Baudouin, F Simon","doi":"10.1016/j.anorl.2025.09.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.09.001","url":null,"abstract":"<p><p>In 1403, in the battle of Shrewsbury, young Prince Henry, the future Henry V of England (1387-1422), was seriously wounded by an arrow that struck him under his left eye and reached the base of his skull. That he survived was thanks to John Bradmore (date of birth unknown; died 1412), a surgeon and also a metalworker, who designed an original instrument enabling progressive extraction of the arrowhead. He then applied irrigation with wine, honey dressings and a resinous ointment, which achieved healing in 20 days. This story is an illustration of the creativity and experimental attitude at the heart of medical intervention: faced with a desperate situation, Bradmore proved able to invent and apply an adapted solution. The Prince's recovery had major historic consequences: Henry V went on the lead the victorious battle of Agincourt, impose the treaty of Troyes on France and turn relations between the two countries upside down. Little known in France but renowned in Britain, this achievement stands as a reminder that surgical ingenuity can change the destiny not only of a patient but also of nations.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214241","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 price of success in surgery.","authors":"E Babin, E Lescanne","doi":"10.1016/j.anorl.2025.09.003","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.09.003","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208184","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":"French campaign for laryngectomees' quality of life.","authors":"M Perréard, I Huet, C Legrais, E Babin","doi":"10.1016/j.anorl.2025.09.002","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.09.002","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182408","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":"Rebuilding the airway: Integrated surgical management of severe subglottic stenosis.","authors":"C J Hartnick, M A Henao Rincón, S Osorio Anaya","doi":"10.1016/j.anorl.2025.08.005","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.08.005","url":null,"abstract":"<p><p>Subglottic stenosis is a rare but potentially life-threatening condition in pediatric patients. We report the case of a 13-year-old male with a history of neonatal hypoxia, prolonged intubation, and multiple failed airway surgeries, presenting with a Myer-Cotton grade IV subglottic stenosis. Imaging and endoscopic evaluation revealed complete subglottic obstruction, absence of the anterolateral cricoid arch, and preoperative apparent absence of either vocal folds. A complex laryngotracheal reconstruction was performed, involving complete laryngofissure, placement of a posterior costal graft, and a horizontally oriented anterior costal graft to address the extensive anterolateral cricoid defect. Additionally, absorbable pediatric osteosynthesis plates were used in a novel fashion to stabilize the lateral laryngeal walls, providing structural support without permanent materials. Postoperative evolution was favorable, with airway patency and spontaneous ventilation achieved through a Montgomery T-tube. This case illustrates the importance of individualized surgical strategies in managing severe airway stenosis and proposes a novel combination of reconstructive techniques for complex pediatric cases with extensive laryngeal deformities.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151455","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":"IgG4-related disease with primary otologic manifestations","authors":"S. Lu , J. Peng , L. Cui MD , Y. Li","doi":"10.1016/j.anorl.2024.07.004","DOIUrl":"10.1016/j.anorl.2024.07.004","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 5","pages":"Pages 266-267"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141526","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}
K. Goudsmit , A. Tran , A. Tauziède-Espariat , M. Veyrat
{"title":"Progressive anosmia revealing olfactory cleft actinomycosis: A CARE case report","authors":"K. Goudsmit , A. Tran , A. Tauziède-Espariat , M. Veyrat","doi":"10.1016/j.anorl.2024.12.003","DOIUrl":"10.1016/j.anorl.2024.12.003","url":null,"abstract":"<div><h3>Introduction</h3><div><span><span>Progressive anosmia<span>, unlike sudden-onset viral or traumatic anosmia, requires endoscopic screening for </span></span>nasal polyps. In the </span>absence<span> of polyposis<span>, radiological work-up should diagnose and treat any curable pathology. Here, we report the case of a patient treated for olfactory cleft actinomycosis.</span></span></div></div><div><h3>Results</h3><div><span>A 72 year-old man, without relevant medical history<span>, was referred for progressive hyposmia and unilateral greenish </span></span>rhinorrhea<span><span> resistant to well-conducted medical treatment. Nasal endoscopy and imaging suggested a </span>fungus ball<span> in the left olfactory cleft. Endoscopic surgery<span><span> fully restored olfaction, with histologic confirmation of </span>actinomycetes.</span></span></span></div></div><div><h3>Discussion</h3><div>The present case highlights the importance of prompt diagnosis in progressive anosmia, and demonstrates the efficacy of exclusively surgical management.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 5","pages":"Pages 247-250"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865962","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":"Modified ‘cross-stealing’ repair of nasal septal perforation using unilateral inverted mucosal flap","authors":"S. Wu , F. Jian","doi":"10.1016/j.anorl.2024.11.012","DOIUrl":"10.1016/j.anorl.2024.11.012","url":null,"abstract":"<div><div><span>Nasal septal perforations<span><span> (SP) are common yet challenging conditions encountered in otorhinolaryngology. Endoscopic repair of nasal septal perforations using nasal </span>pedicle<span> 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</span></span></span> <span>cm. The mucosa<span> 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.</span></span></div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 5","pages":"Pages 255-259"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525012","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 most commonly used free flap for reconstruction in ENT oncology","authors":"C.-A. Righini , C. Fabre","doi":"10.1016/j.anorl.2025.08.001","DOIUrl":"10.1016/j.anorl.2025.08.001","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 5","pages":"Pages 224-225"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859823","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}