{"title":"Bilateral cochlear fibrosis complicating chronic myeloid leukemia: A CARE case report","authors":"G. Lahlou , H. Daoudi , C. Djian , I. Mosnier","doi":"10.1016/j.anorl.2024.07.003","DOIUrl":"10.1016/j.anorl.2024.07.003","url":null,"abstract":"<div><h3>Purpose</h3><div>We report the second case of bilateral sudden sensorineural hearing loss with intracochlear fibrosis due to chronic myeloid leukemia.</div></div><div><h3>Case report</h3><div>A 44-year-old man presented to the emergency department with rapidly progressive bilateral hearing loss, tinnitus and vertigo, associated with dyspnea. Chronic myeloid leukemia complicated by pulmonary and cochleovestibular leukostasis was diagnosed, and cytoreductive treatment was started. Despite this treatment, bilateral total hearing loss and complete vestibular deficit persisted. MRI showed bilateral labyrinthitis, and emergency cochlear implantation was indicated. During surgery, inflammatory intracochlear tissue made electrode array insertion possible only against resistance. One year after implantation, there was significant improvement in speech recognition and communication scores.</div></div><div><h3>Conclusion</h3><div>In case of sudden sensorineural hearing loss induced by chronic myeloid leukemia, treatment should be as fast as possible, with prompt cochlear implantation in case of definitive profound hearing loss, because of the risk of cochlear fibrosis and ossification.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 42-45"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908080","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. Al Tabaa , A. Walter , M. Batttistella , C. Mauppin
{"title":"A rare cause of vegetating lesion at a reconstructive surgery site","authors":"K. Al Tabaa , A. Walter , M. Batttistella , C. Mauppin","doi":"10.1016/j.anorl.2024.06.004","DOIUrl":"10.1016/j.anorl.2024.06.004","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 56-57"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428038","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}
Y. Camhi , S. Cerceau , M. Didier , J. Hernandez , N. Leboulanger
{"title":"Carbon footprints of various subtotal tonsillectomy techniques","authors":"Y. Camhi , S. Cerceau , M. Didier , J. Hernandez , N. Leboulanger","doi":"10.1016/j.anorl.2024.09.003","DOIUrl":"10.1016/j.anorl.2024.09.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of the present study was to assess greenhouse gas emissions for the main current subtotal tonsillectomy techniques.</div></div><div><h3>Materials and methods</h3><div>A retrospective study was conducted in 2 French university hospital pediatric ENT departments in 2022. The target techniques were radiofrequency with single-use or reusable needle, coblation, and dissection by cold instruments or by bipolar forceps. The medical devices required by each technique were listed and respective greenhouse gas emissions (carbon footprint, in kg eCO<sub>2</sub>) were calculated, according to weight, energy consumption and place of production.</div></div><div><h3>Results</h3><div>Coblation generated a carbon footprint of 8.6<!--> <!-->kg eCO<sub>2</sub>, versus 0.1–0.2<!--> <!-->kg eCO<sub>2</sub> for the other techniques.</div></div><div><h3>Conclusion</h3><div>Greenhouse gas emissions in subtotal tonsillectomy differ greatly according to technique. Bipolar dissection and radiofrequency have a smaller footprint than coblation. This type of data, which needs to be weighed over time according to medical benefit, should be systematically taken into account in choosing hardware for surgery.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 18-20"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299191","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}
D.H. Nguyen , D. Garcia , H. Mirghani , P. Giraud , O. Laccourreye
{"title":"A STROBE analysis of conservative laryngeal treatment in France for cT1-2N0M0 glottic squamous cell carcinoma in octogenarians","authors":"D.H. Nguyen , D. Garcia , H. Mirghani , P. Giraud , O. Laccourreye","doi":"10.1016/j.anorl.2024.10.004","DOIUrl":"10.1016/j.anorl.2024.10.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To document conservative laryngeal treatment for cT12N0M0 glottic squamous cell carcinoma (SCC) in octogenarians in France in the 21st century.</div></div><div><h3>Material and methods</h3><div>Retrospective observational study comparing a cohort of 38 octogenarians (Group A) to a control cohort of 107 septuagenarians (Group B), with isolated cT12N0M0 glottic SCC, consecutively managed between 2000 and 2018 at a single French university hospital center. The main endpoints were 5-year actuarial overall and disease-free survival and causes of death, compared between groups. Accessory endpoints were 5-year actuarial local control and laryngeal preservation. 93% of patients were followed until death or for a minimum 5<!--> <!-->years. The STROBE guideline was used. The significance threshold was set at <em>P</em> <!--><<!--> <!-->0.005.</div></div><div><h3>Results</h3><div>The only significant difference in demographic, oncologic and treatment variables between groups was a higher mean Charlson index in Group A (<em>P</em> <!-->=<!--> <!-->0.004). Five-year actuarial survival, at 79% overall, did not significantly differ between groups A and B (80% and 79%, respectively; <em>P</em> <!-->=<!--> <!-->0.30). Five-year actuarial disease-free survival, at 74% overall, did not significantly differ between groups (77% and 73%; <em>P</em> <!-->=<!--> <!-->0.42). Intercurrent disease accounted for 44% of causes of death, with cardiovascular etiology in 71% of cases. Five-year actuarial local control, at 76% overall, did not significantly differ between groups (80% and 75%; <em>P</em> <!-->=<!--> <!-->0.41). Salvage treatment for local recurrence yielded a 94% overall local control rate: 98% in Group A and 93% in Group B. Five-year actuarial laryngeal preservation rate, at 92%, did not significantly differ between groups (90% and 98%; <em>P</em> <!-->=<!--> <!-->0.20).</div></div><div><h3>Conclusion</h3><div>Conservative laryngeal treatment for cT12N0M0 SCC in octogenarians yielded the same results as in septuagenarians. Improvement in survival will depend on management and monitoring of comorbidity, and particularly cardiovascular comorbidity.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 21-25"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Postoperative-alveolar bone graft assessment for cleft palate repair using CT.","authors":"S Salma, S A Khan, D T Ginat","doi":"10.1016/j.anorl.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2024.12.001","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848191","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}
P. Gatignol , R. Hervochon , E. Lannadère , M. Calvo , F. Tankéré , D. Picard
{"title":"Impact of facial palsy impact on make-up habits: An observational cohort study","authors":"P. Gatignol , R. Hervochon , E. Lannadère , M. Calvo , F. Tankéré , D. Picard","doi":"10.1016/j.anorl.2024.05.002","DOIUrl":"10.1016/j.anorl.2024.05.002","url":null,"abstract":"<div><h3>Objective</h3><div>The esthetic problems inherent to peripheral (PFP) are frequent causes of complaint. Make-up is advocated as a form of therapy and can alleviate symptoms of depression. The aim of the present study was to collect data on make-up habits in female PFP patients and assess links with esthetic and/or functional complaints.</div></div><div><h3>Material and methods</h3><div>Two questionnaires were drawn up to compare make-up habits in female PFP patients and women in the general population. The first was sent out between September and December 2019, to 39 House-Brackmann grade III PFP patients (group A), and the second on-line questionnaire was sent to a control population of 1385 women (group B).</div></div><div><h3>Results</h3><div>PFP patients used make-up more often than controls at weekends (χ<sup>2</sup> <!-->=<!--> <!-->16.38; <em>P</em> <!-->=<!--> <!-->0.0009) and while at home (χ<sup>2</sup> <!-->=<!--> <!-->8.21; <em>P</em> <!-->=<!--> <!-->0.042), and more often with foundation (χ<sup>2</sup> <!-->=<!--> <!-->17.21; <em>P</em> <!-->=<!--> <!-->0.0006) and lip make-up (χ<sup>2</sup> <!-->=<!--> <!-->59.31; <em>P</em> <!--><<!--> <!-->0.0001). The greater their functional complaint, the less they made up their eyes. The greater their self-confidence and the more they felt attractive, the less they made up their lips.</div></div><div><h3>Conclusion</h3><div>The differences in make-up use found in the present study aimed to mask facial palsy and were related to the esthetic complaint, impacting social life.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"141 6","pages":"Pages 325-328"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176411","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}
C. Zugun-Eloae, C.-M. Trandafir, O. Laccourreye, H. Mirghani
{"title":"Internal mammary pedicle for head-and-neck reconstruction","authors":"C. Zugun-Eloae, C.-M. Trandafir, O. Laccourreye, H. Mirghani","doi":"10.1016/j.anorl.2024.03.002","DOIUrl":"10.1016/j.anorl.2024.03.002","url":null,"abstract":"<div><div>Free-flap reconstruction for recurrence of head-and-neck cancer with vessel depletion is a technical challenge, and the literature is sparse. The present technical note describes the key-points of an approach harvesting the internal mammary pedicle. Results are reported in 3 patients, and pros and cons are discussed.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"141 6","pages":"Pages 345-348"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319595","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":"Persistent headache in granulomatosis with polyangiitis","authors":"M. Fieux , P. Kiessling , M.T. Chang","doi":"10.1016/j.anorl.2024.06.006","DOIUrl":"10.1016/j.anorl.2024.06.006","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"141 6","pages":"Pages 351-352"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471717","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}
S. Gargula , M. Daval , M.-P. Tuset , V. Darrouzet , D. Ayache
{"title":"Burnout in ENT France: Update and risk factors; a STROBE analysis","authors":"S. Gargula , M. Daval , M.-P. Tuset , V. Darrouzet , D. Ayache","doi":"10.1016/j.anorl.2024.04.006","DOIUrl":"10.1016/j.anorl.2024.04.006","url":null,"abstract":"<div><h3>Background</h3><div>Burnout can significantly impact practitioners and their co-workers, and hence patients. There are no data for the prevalence of burnout in French ENT specialists, or for associated risk factors.</div></div><div><h3>Material and methods</h3><div>A French national cross-sectional online survey was performed on the initiative of the ENT National Professional Council (CNPORL), contacting all ENT specialists whose e-mail address was known to the French Society of ENT, the National Professional Council or the National ENT Union. The 22-question Maslach Burnout Inventory (MBI) was sent out, along with 16 extra questions on possible risk factors.</div></div><div><h3>Objectives</h3><div>The study sought to assess the prevalence and severity of burnout, using the MBI, and to analyze risk factors.</div></div><div><h3>Results</h3><div>Among the 1936 physicians, 406 contacted responded to the questionnaire (21%). Mean age was 47<!--> <!-->±<!--> <!-->14 years (range, 25–77 years); 53% male, 47% female. 196 (48%) reported burnout, including 20 (5%) severe burnout. Independent risk factors for burnout of whatever severity, comprised social interaction issues, history of identified burnout, and medicolegal pressures. Social interaction issues were independently associated with specifically severe burnout.</div></div><div><h3>Conclusions</h3><div>Burnout affected almost half of respondents. There are identifiable risk factors, for which improvements could be implemented.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"141 6","pages":"Pages 318-324"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Goodbye, Hasta-luego, Ciao, Auf Wiedersehen, Zài jiàn, Au revoir!","authors":"O. Laccourreye","doi":"10.1016/j.anorl.2024.07.008","DOIUrl":"10.1016/j.anorl.2024.07.008","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"141 6","pages":"Pages 315-316"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903297","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}