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

{"title":"Patient-Reported Outcome Measures (PROMs) to support hearing aid fitting in children with mild bilateral hearing loss.","authors":"E Colin, M Grinand, F Alshawareb, S Roman","doi":"10.1016/j.anorl.2026.09.002","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.09.002","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117177","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":"Cochlear implantation via the retrofacial route in a child with a malformed inner ear: A clinical capsule report.","authors":"K Messaoudi, S Benmeziane, I Bazouzi, R Rikha, S Ouanis, C Dardek","doi":"10.1016/j.anorl.2026.07.011","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.011","url":null,"abstract":"<p><strong>Objective: </strong>To report the technical feasibility and early outcome of cochlear implantation using a retrofacial approach (RFA) in a child with an inner ear malformation and limited access to the round window.</p><p><strong>Methods: </strong>A 3-year-old child with bilateral profound sensorineural hearing loss presented with an incomplete partition type I (IP-I) malformation characterized by a cystic cochlear cavity, enlarged vestibule, and hypoplasia of the lateral and posterior semicircular canals. Preoperative imaging suggested limited exposure of the round window through the facial recess. Intraoperative assessment indicated that conventional posterior tympanotomy would provide limited and tangential access to the round window. Cochlear implantation was therefore performed using a RFA with management of a cerebrospinal fluid gusher.</p><p><strong>Main outcome measures: </strong>Electrode insertion, intraoperative safety, postoperative imaging findings, and early auditory rehabilitation outcomes.</p><p><strong>Results: </strong>Complete electrode insertion was achieved. Intraoperative telemetry responses were obtained from several electrodes, indicating neural responsiveness. Postoperative imaging confirmed intracochlear placement. No facial nerve dysfunction or surgical complications occurred. Early auditory responses were observed.</p><p><strong>Conclusions: </strong>The RFA may represent a useful alternative in selected pediatric patients with IP-I malformation when access to the round window through the facial recess is limited. Careful imaging analysis, intraoperative assessment, and surgical planning remain essential.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076332","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 bruise on the neck without a knock.","authors":"A Chennevière, G Braux, J Bois","doi":"10.1016/j.anorl.2026.07.006","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.006","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076274","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":"Bamboo nodes: Retrospective study of 44 patients.","authors":"R Tournegros, B Coulombeau, D Alayadhi, M Fieux, M Auroy, P Céruse, A R Pérouse, P Philouze","doi":"10.1016/j.anorl.2026.09.003","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.09.003","url":null,"abstract":"<p><strong>Objective: </strong>Bamboo nodes (BNs) are rare inflammatory lesions of the vocal folds, often associated with autoimmune disease. The aim of this study was to identify epidemiological characteristics and treatments in a case series.</p><p><strong>Material and methods: </strong>Retrospective multicenter chart review of patients with suspected BNs between 1986 and 2020.</p><p><strong>Results: </strong>Forty-four patients met the inclusion criteria. All were female. Mean age at diagnosis was 44 years (±11). BNs were mostly bilateral but 5% of patients presented unilateral forms. Sixty-four percent of patients (28/44) were known to have autoimmune disease (AID), while AID was diagnosed secondary to the discovery of BNs in 18% (5/28). All patients received speech therapy. Forty-five percent (20/44) underwent surgical resection of the lesion on the most affected vocal fold. Ten percent of these (2/20) required secondary surgery on the contralateral fold. Mean follow-up after first consultation was 15 months. Sixty-seven percent of patients reported improvement after treatment. Dysphonia improved in 55% of patients who were operated on (11/20), and remained stable in 15% (3/20); the others were lost to follow-up (6/20). Dysphonia improved in 31% of patients who received exclusive speech therapy (5/16), remained stable in 6% (1/16), and worsened for 6% (1/16); 56% of these patients (9/16) were lost to follow-up.</p><p><strong>Conclusions: </strong>This series confirms the main data in the literature. It highlights the interest of screening for an underlying autoimmune condition.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076325","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":"Pharyngoseal® adjustable prosthesis for salivary fistula treatment, a STROBE study.","authors":"C Fabre, T Doutrebente, C-A Righini","doi":"10.1016/j.anorl.2026.09.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.09.001","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the effectiveness and reliability of the adjustable double-flanged Pharyngoseal® prosthesis (Blom-Singer®, Collin Medical) as a temporary solution or alternative to surgery for post-laryngectomy salivary fistula or enlarged tracheoesophageal fistula after voice prosthesis implantation.</p><p><strong>Materials and methods: </strong>A single-center retrospective observational study (2021-2025) included all patients who underwent Pharyngoseal® implantation under local or general anesthesia. The primary objective was to compare quality-of-life scores on a Visual Analogue Scale (VAS) before and after implantation. Secondary endpoints comprised reduction in salivary leakage (VAS), implant-related complications and resumption of solid or liquid oral feeding.</p><p><strong>Results: </strong>Ten patients were included: 5 with postoperative fistula after total pharyngolaryngectomy, and 5 with enlarged tracheoesophageal fistula exceeding the maximum dimensions of available voice prostheses. Seven patients were awaiting or deemed unsuitable for surgical closure, and 3 were in palliative care. Thirteen prostheses were implanted, including 11 (85%) under local anesthesia, mostly via a retrograde approach (55%). Median implant use was 45 days [range, 31-153.5]. There was significant improvement in quality of life, with VAS decreasing from 8/10 to 4/10 (P=0.01), and salivary leakage from 7/10 to 2.5/10 (P<0.01). Two prostheses had to be removed (20%). Fistula closure was complete for 3 patients (30%). Six patients resumed solid oral feeding and 4 resumed liquid feeding.</p><p><strong>Conclusion: </strong>The Pharyngoseal® implant appeared to be a reliable option for salivary fistula management while awaiting surgery or in palliative situations.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026377","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":"Trans-septal interfrontal septectomy for chronic unilateral frontal sinusitis.","authors":"G Dupuch, C Rumeau, P Gallet, V Favier","doi":"10.1016/j.anorl.2026.09.005","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.09.005","url":null,"abstract":"<p><p>Recurrent or treatment-resistant chronic unilateral frontal sinusitis resulting from drainage pathway obstruction presents a major surgical challenge. Several techniques have been proposed, including frontal endoscopic sinusotomy (Draf), or inter-frontal septectomy using an external approach. This article presents a novel trans-septal approach for interfrontal septectomy, ensuring contralateral drainage in chronic or recurrent unilateral frontal sinusitis, preserving the frontal sinus drainage pathway.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148653","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":"Sliding windows technique for the approach to the orbit and lateral sphenoid recess","authors":"V. Favier,&nbsp;M. Fieux,&nbsp;M. Veyrat,&nbsp;F. Carsuzaa","doi":"10.1016/j.anorl.2026.08.003","DOIUrl":"10.1016/j.anorl.2026.08.003","url":null,"abstract":"<div><div>The endoscopic endonasal approach to the orbit or the lateral recess of the sphenoid may require passing instruments through a transfixing trans-septal corridor to obtain an adequate working angle. However, this maneuver incurs non-negligible morbidity, with septal perforation, synechia and olfactory disorder. The “sliding windows” technique aims to reconcile optimal exposure with mucosal preservation. It is a safe alternative to wide septectomy, while preserving septal trophicity and olfactory function. It is based on asymmetric mucoperichondrial flaps and a central osteocartilaginous window, providing trans-septal access, without direct mucosal incision. By reducing denuded areas and ensuring double mucosal coverage, it can decrease the incidence of perforation and of the functional sequelae reported after conventional transfixing approaches. Three variants are described, depending on the needs for reconstruction and the extent of the approach: (1) unilateral septal flap; (2) asymmetric bilateral septal flaps; (3) asymmetric bilateral flaps, using the ipsilateral flap for reconstruction of the operative site at the end of the procedure. The “sliding windows” technique thus meets the aims of endoscopic endonasal surgery, in which functional preservation is a priority.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 5","pages":"Pages 421-424"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800258","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":"Palatine tonsil metastasis from small cell lung cancer","authors":"M. Davila,&nbsp;N. Barba,&nbsp;M.E. Guerrero,&nbsp;P.P. Villarroel","doi":"10.1016/j.anorl.2026.05.010","DOIUrl":"10.1016/j.anorl.2026.05.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Palatine tonsil metastasis is an uncommon manifestation of disseminated malignancy and is exceptionally rare in small-cell lung cancer (SCLC). Because it may mimic benign tonsillar disease or a primary oropharyngeal tumor, diagnosis can be delayed.</div></div><div><h3>Case summary</h3><div>A 71-year-old man was admitted after pertrochanteric hip fracture. Preoperative evaluation revealed a left tonsillar mass and a left hilar pulmonary lesion. Computed tomography showed a 3–4<!--> <!-->cm lesion involving the left palatine tonsil, a 7.5<!--> <!-->cm left hilar mass with mediastinal lymphadenopathy and multiple brain metastases. Bronchial biopsy confirmed SCLC. Tonsillar biopsy showed metastatic SCLC with a matching neuroendocrine immunophenotype, including TTF-1, chromogranin, synaptophysin, and CD56 positivity and a high Ki-67 index. Palliative carboplatin-etoposide was started, but the patient died after two cycles.</div></div><div><h3>Discussion</h3><div>This case highlights that unilateral tonsillar enlargement may rarely represent metastatic lung cancer, particularly in the appropriate clinical context and advanced disease. Histopathology with immunohistochemistry is essential to distinguish metastatic SCLC from primary tonsillar malignancy. Early otolaryngologic assessment and biopsy remain the key diagnostic steps in this rare presentation.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 5","pages":"Pages 413-416"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320088","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":"Diagnostic errors in peripheral facial palsy: A systematic review and meta-analysis","authors":"P. Gatignol,&nbsp;C. Fauvet,&nbsp;L. Baverel,&nbsp;E. Lannadere,&nbsp;D. Picard","doi":"10.1016/j.anorl.2026.05.009","DOIUrl":"10.1016/j.anorl.2026.05.009","url":null,"abstract":"<div><div>This systematic review and meta-analysis was conducted in accordance with PRISMA guidelines to explore diagnostic errors in peripheral facial palsy in adults and their impact on medical and paramedical care. Four databases were used to collect 303 articles, 23 of which, published between 2015 and 2024, were analyzed using the CARE grid for case studies and the JBI grid for case series. Fifty cases of diagnostic error were identified. A tumor was found to be the cause in 56% of cases that were initially identified as Bell's palsy. The results of this meta-analysis show that symptoms that come on gradually are linked to longer time to diagnosis (<em>P</em> <!-->=<!--> <!-->0.04). Furthermore, time to diagnosis was significantly longer (<em>P</em> <!-->=<!--> <!-->0.04) when the final diagnosis was a tumor. The results also highlight the importance of detailed clinical and medical assessment, particularly for women, who are consistently diagnosed later than men despite presenting the same symptoms. The challenge of diagnosis by exclusion is highlighted by the diversity of etiologies, but is essential before a diagnosis of Bell's palsy can be established. Healthcare professionals must be vigilant in case of atypical developments in peripheral facial palsy, as such cases can be complex and require careful monitoring. Paramedical professionals also play a key role in alerting the medical profession when the progression of the disorder does not correspond to the typical clinical picture.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 5","pages":"Pages 393-402"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057634","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":"Laryngeal mask in patients undergoing adenotonsillectomies","authors":"B. Friedrichsen Marques,&nbsp;A. Mendes Figueiredo,&nbsp;S. Catherine Quispe Rohling Gómez,&nbsp;G. Vaz Teixeira","doi":"10.1016/j.anorl.2026.03.007","DOIUrl":"10.1016/j.anorl.2026.03.007","url":null,"abstract":"<div><h3>Background</h3><div>Adenotonsillectomy is the treatment of choice for pediatric obstructive sleep apnea. Although tracheal intubation remains the standard method of airway management, the laryngeal mask (LM) has been proposed as an effective alternative for reducing operative time, despite longstanding controversy. We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to evaluate the efficacy and safety of LM use compared to tracheal intubation in adenotonsillectomies.</div></div><div><h3>Methods</h3><div>The search was performed in PubMed, Embase, and Cochrane up until January 14, 2025, for RCTs comparing LM with tracheal tube (TT) in patients undergoing adenotonsillectomies. Adverse events (bronchospasm, laryngospasm, desaturation, and coughing), conversion, blood aspiration and surgical time were the researched outcomes. The analysis included risk of bias assessment, publication bias, and Harbord regression test.</div></div><div><h3>Results</h3><div>Six studies totaling 765 participants undergoing adenotonsillectomies were included. The LM was associated with a longer surgical time (MD 3.35<!--> <!-->minutes; <em>P</em> <!-->&lt;<!--> <!-->0.01), a smaller blood aspiration rate (LM 3.6% vs. TT 17.1%) and a conversion from LM to intubation of 4.7%. There was no difference between the two ventilation types regarding total adverse events (RR 0.98; <em>P</em> <!-->=<!--> <!-->0.96). Results of the individual outcomes, related to adverse events for the use of the LM, were bronchospasm (RR 0.89; <em>P</em> <!-->=<!--> <!-->0.80), laryngospasm (RR 0.68; <em>P</em> <!-->=<!--> <!-->0.40), desaturation (RR 1.40; <em>P</em> <!-->=<!--> <!-->0.35), and coughing (RR 1.08; <em>P</em> <!-->=<!--> <!-->0.92).</div></div><div><h3>Conclusion</h3><div>For adenotonsillectomies, the LM is an alternative to the TT, without differences concerning adverse events associated to both methods, although it is associated with a prolonged operation time.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 5","pages":"Pages 387-392"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786487","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}