European Annals of Otorhinolaryngology-Head and Neck Diseases最新文献_第2页

Extended high-frequency audiometry for detecting early hearing effects of personal listening devices: A narrative review. 用于检测个人听力设备早期听力效果的扩展高频测听术：叙述性回顾。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-04-06 DOI: 10.1016/j.anorl.2026.01.011

M Škerková, E Mrázková, M Kovalová, L Kocurková, N Gottfriedová

{"title":"Extended high-frequency audiometry for detecting early hearing effects of personal listening devices: A narrative review.","authors":"M Škerková, E Mrázková, M Kovalová, L Kocurková, N Gottfriedová","doi":"10.1016/j.anorl.2026.01.011","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.01.011","url":null,"abstract":"Personal listening devices (PLDs) are widely used among young adults, raising concern about early noise-induced hearing loss (NIHL). Conventional audiometry (≤8kHz) may not detect the earliest signs of cochlear damage. Extended high-frequency audiometry (EHFA, ≥9kHz) has been suggested as a more sensitive approach for identifying early auditory changes. This narrative review examined the potential role of EHFA in detecting PLD-related hearing effects. A structured search of PubMed and Academic Search Ultimate through 30 September 2024 identified nine eligible studies (sample sizes 20-282; ages 13-31 years). Most studies reported significantly elevated thresholds in the 9-16kHz range, particularly at 12-14kHz, among participants with prolonged PLD use (>4-5 years) or higher listening levels (≥75 dBA). These threshold shifts often occurred despite normal conventional audiograms, suggesting that EHFA may capture early changes not identified by standard testing. Two studies, however, found no significant group differences, likely due to small control samples, short exposure duration, or limited statistical power. Considerable heterogeneity in exposure definitions, calibration, and reliance on self-reported listening habits further limits comparability. Current evidence indicates that EHFA may hold promise as an early indicator of NIHL in young adult PLD users, but further methodological refinements, objective exposure monitoring, and longitudinal research are required to establish normative data and clarify its prognostic and clinical utility.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628978","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}

引用次数: 0

Intralesional embolization for a hypervascular lesion of the nasal vestibule. 鼻前庭高血管病变的病灶内栓塞治疗。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-04-06 DOI: 10.1016/j.anorl.2026.02.010

B Erkal, M Bozacı Kılıçoğlu, O M Topçuoğlu, Z Alkan

{"title":"Intralesional embolization for a hypervascular lesion of the nasal vestibule.","authors":"B Erkal, M Bozacı Kılıçoğlu, O M Topçuoğlu, Z Alkan","doi":"10.1016/j.anorl.2026.02.010","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.02.010","url":null,"abstract":"Introduction: Lobular capillary hemangioma is benign vascular lesion commonly encountered in the head and neck region. Although surgical excision remains the standard treatment, management may be challenging in postoperative settings or cosmetically sensitive areas such as the nasal vestibule. We present a case of a hypervascular nasal vestibular lesion with clinical and radiological features consistent with lobular capillary hemangioma, managed with intralesional foam embolization.Case summary: A 40-year-old woman presented with unilateral nasal obstruction and left alar swelling. MRI showed a hypervascular polypoid lesion filling the left nasal vestibule. Therapeutic angiography revealed vascular blush with venous drainage into the angular and internal jugular veins, without ophthalmic or intracranial involvement. Intralesional polidocanol foam was injected. Mild post-procedural erythema and edema resolved within one week. The lesion progressively regressed, with approximately 50% reduction at one week and nearly two-thirds reduction at one month. At two months, MRI confirmed marked regression and restored nasal patency. At one-year follow-up, serial endoscopic examinations demonstrated stable lesion size without evidence of regrowth.Discussion: While surgical excision remains the gold standard, intralesional embolization may represent an alternative treatment option in carefully selected superficial vestibular vascular lesions when surgical risks, cosmetic concerns, or patient preference limit operative management.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628915","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}

引用次数: 0

ChatGPT and patient education in benign paroxysmal positional vertigo, in French and in English. 良性阵发性位置性眩晕的ChatGPT和患者教育，法文和英文。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-04-06 DOI: 10.1016/j.anorl.2026.03.001

A Magri, A Moise, E Ajit-Roger, O Orishchak, F Alosamey, S J Daniel

{"title":"ChatGPT and patient education in benign paroxysmal positional vertigo, in French and in English.","authors":"A Magri, A Moise, E Ajit-Roger, O Orishchak, F Alosamey, S J Daniel","doi":"10.1016/j.anorl.2026.03.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.03.001","url":null,"abstract":"Objective: ChatGPT has gained popularity for its user-friendly applications in medicine, including otolaryngology. However, concerns have surfaced about accuracy of information, especially in languages other than English. This study assessed ChatGPT's proficiency in answering questions in English and French about benign paroxysmal positional vertigo (BPPV), a common ENT presentation. We aim to address concerns regarding its performance with medical queries in a language beyond its primary training set.Methods: ChatGPT 3.5 was tested with questions taken from the guidelines of the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO- HNSF), in English and French. Three users submitted 14 questions twice across distinct sessions, with different user-names and IP addresses. A two-stage translation process was used to ensure linguistic accuracy. A total of 14 questions related to BPPV were presented to ChatGPT. Two independent otolaryngologists, proficient in both English and French, reviewed and graded the responses on a 4-point Likert scale.Results: Responses to all 14 questions were uniform in both English and French, demonstrating high consistency and native language level. Twelve of the 14 questions were comprehensively aligned with established guidelines (grade 4/4). The 2 other responses, although accurate, lacked detail on the risk of falls in older persons with BPPV (grade 3/4).Conclusion: ChatGPT can provide patients with detailed guideline-compliant responses to their medical queries in French or English. Using ChatGPT in both official Canadian languages could enhance patients' access to medical information, as a complement to professional otolaryngologic expertise.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628924","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}

引用次数: 0

Predictors of anatomical and functional success in pediatric type I tympanoplasty. 儿童I型鼓室成形术解剖和功能成功的预测因素。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-04-03 DOI: 10.1016/j.anorl.2026.02.011

D Cunha-Cabral, P Marques Gomes, A I Gonçalves, A Alves Carção, J Ferreira Penêda, G Lopes

{"title":"Predictors of anatomical and functional success in pediatric type I tympanoplasty.","authors":"D Cunha-Cabral, P Marques Gomes, A I Gonçalves, A Alves Carção, J Ferreira Penêda, G Lopes","doi":"10.1016/j.anorl.2026.02.011","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.02.011","url":null,"abstract":"Aims: Identification of predictors of anatomical and functional success in pediatric type I tympanoplasty.Material and methods: In this case control study, we reviewed the medical records of children undergoing type I tympanoplasty between January 2012 and December 2022 in our hospital. Anatomical success was evaluated at 6 (T1), 12 (T2) months and at the end of follow up (T3). Functional success was defined as a mean postoperative ABG<10dB in ears with sustained tympanic membrane integrity.Results: A total of 79 ears (67 patients) were included. The median age of our sample was 12 years (range, 8-17), and the median follow-up period was 27 months (range, 12-86). The anatomical success rates at T1, T2, and T3 were 88.6%, 83.5%, and 77.2%, respectively. The etiology of the perforation was an independent predictor of anatomical success at T2 and T3. Patients with traumatic or post-ventilation tube perforations were less likely to experience reperforation compared with those with chronic otitis media (P=0.023 and P=0.009, respectively). The presence of tympanosclerosis was an independent predictor of reperforation at T1, T2, and T3. The mean postoperative ABG was 6.45±0.91dB HL. Larger tympanic membrane perforations (>50% of the total TM area) had significant worse functional outcomes (P=0.021).Conclusion: Type I tympanoplasty has good anatomical and functional outcomes in the pediatric age. The etiology of the perforation and the presence of tympanosclerosis may be used as predictors of anatomical success. Larger perforations may predict worse postoperative audiometric outcomes.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619176","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}

引用次数: 0

Chronic glabellar lesion in an elderly patient. 老年慢性眉间膜病变1例。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-04-02 DOI: 10.1016/j.anorl.2026.02.009

A D Asimakopoulos, Y Lelonge, A Karkas

引用次数: 0

Assessment of Micro-TRAIN simulation in otologic microsurgery. 微训练模拟在耳科显微外科中的应用评价。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-03-11 DOI: 10.1016/j.anorl.2026.02.008

T Julian, D Bonnard, T Gimenez, V Franco-Vidal

{"title":"Assessment of Micro-TRAIN simulation in otologic microsurgery.","authors":"T Julian, D Bonnard, T Gimenez, V Franco-Vidal","doi":"10.1016/j.anorl.2026.02.008","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.02.008","url":null,"abstract":"Objectives: Temporal bone drilling simulators are valuable tools for developing anatomical knowledge and drill handling motor skills. However, there are currently no simulators focusing on learning fine microsurgical gestures using micro-instruments. The aim of this study was to validate a training kit and simulation program dedicated to otologic microsurgery.Materials and methods: A prospective single-center comparative study was conducted. The Micro-TRAIN kit comprised a mannequin and six interchangeable exercise modules. Two simulation sessions were conducted two months apart, with debriefing for two selected subgroups after the first session. Progression in performance, assessed by task completion time, execution time and technical skills, was evaluated in three groups: 10 novices, 10 intermediate level and 5 experts. Content validity, face validity and participant satisfaction were also assessed.Results: In session 1, there were significant differences in performance between the three groups (P<0.005). Both the novice and intermediate groups showed improvement between sessions. Improvement in total score in the intermediate group was statistically significant (P=0.0019) and suggestive in the novice group (P=0.0059). Participants who received debriefing tended to improve more (novices: P=0.012; intermediate: P=0.036). Experts rated the simulator's realism and relevance as above 8/10.Conclusion: This study confirmed the content, face and construct validity of the Micro-TRAIN simulator. It is an effective tool for acquiring microsurgical skills in otologic surgery.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445699","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}

引用次数: 0

Recurrent otorrhea and anterior auditory canal tumefaction: What is your diagnosis? 复发性耳漏和前耳道肿大：你的诊断是什么？

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-03-05 DOI: 10.1016/j.anorl.2026.02.007

S Gargula, R Haddad, M Daval, M-P Tuset

引用次数: 0

Patient perception and awareness of psychophysical olfactory tests: A cross-sectional observational survey. 患者对心理物理嗅觉测试的感知和意识：一项横断面观察性调查。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-03-05 DOI: 10.1016/j.anorl.2025.09.009

J R Lechien, A Maniaci, G Salzano, C M Chiesa-Estomba, M Mayo-Yanez, A Saibene, G Iannella, S Saussez, L A Vaira

{"title":"Patient perception and awareness of psychophysical olfactory tests: A cross-sectional observational survey.","authors":"J R Lechien, A Maniaci, G Salzano, C M Chiesa-Estomba, M Mayo-Yanez, A Saibene, G Iannella, S Saussez, L A Vaira","doi":"10.1016/j.anorl.2025.09.009","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.09.009","url":null,"abstract":"Objectives: To evaluate the patient perception and awareness of psychophysical olfactory testing (PT).Methods: A survey was distributed to 119 consecutive patients consulting in the Dour Medical Center for olfactory dysfunction (OD) lasting for more than 6months. The survey assessed the patient opinion regarding the usefulness, advantages, and impact of PT on the olfactory check-up and follow-up. Smell sense was evaluated with threshold, discrimination and identification (TDI) test, and the Olfactory Disorder Questionnaire (ODQ).Results: Survey was completed by 118 patients (99%). There were 72 females (61%). The mean age was 55.1±15.1years. There were 53 (45.0%) patients with complete smell loss, 43 (36.4%) with partial smell loss, and 22 (18.6%) with disturbed smell (parosmia). The mean TDI was 18.0±10.9. The mean ODQ was 35.8±13.9. PT are considered a supportive test for the evaluation of the OD by 66% of patients. The primary PT limitations were considered as the presence of uncommon (65.3%) or unknown odors (42.7%), and the lack of consistency with their OD (55.9%), which was associated with the wish to improve PT with daily life odors (64.4%; rs=-0.386; P=0.001). In 53.4% of cases, patients realized that they were able to smell some odors thanks to PT. Patients with parosmia reported less positive opinion of PT compared to those with anosmia/hyposmia.Conclusion: Two thirds of patients with OD have good opinion of PT. Patients with anosmia or hyposmia reported better opinion than those with parosmia, strengthening the importance to consider specific PT dedicated to parosmia for this population. The inclusion of patients' daily life odors in PT is a potential point of improvement for future studies.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370159","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}

引用次数: 0

Chronic dysphonia and a cystic laryngeal mass in a young male. 年轻男性慢性发音障碍及喉囊性肿块。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-03-05 DOI: 10.1016/j.anorl.2026.02.005

K Al Tabaa, M Claire, E Bequignon, L Brugel-Ribère

引用次数: 0

Effect of parathyroidectomy versus conservative management on bone mineral density in patients with primary hyperparathyroidism. 甲状旁腺切除术与保守治疗对原发性甲状旁腺功能亢进患者骨密度的影响。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-03-05 DOI: 10.1016/j.anorl.2025.12.004

A Green, K Hardy, O Al-Dadah

{"title":"Effect of parathyroidectomy versus conservative management on bone mineral density in patients with primary hyperparathyroidism.","authors":"A Green, K Hardy, O Al-Dadah","doi":"10.1016/j.anorl.2025.12.004","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.12.004","url":null,"abstract":"Background: Hyperparathyroidism stimulates osteoclasts to increase bone resorption, release skeletal calcium, and cause a reduction of bone mass. Parathyroidectomy remains the only curative treatment however medical therapies can also control symptoms and limit osteoporosis. The aim of this study was to compare the impact of parathyroidectomy with medical management on bone mineral density (BMD) in patients with primary hyperparathyroidism.Methods: An observational study including a total of 82 patients with hyperparathyroidism, comprising the Surgical Group (n=49) and Medical Group (n=33). Patients had BMD assessed at the lumbar spine, hip and forearm using dual-energy X-ray absorptiometry before and after intervention.Results: At a mean follow-up of 4.3 years, BMD increased in the lumbar spine by +6.8% (P=0.004) in the Surgical Group and +3.1% (P=0.016) in the Medical Group. BMD was recovered or maintained in all regions in the Surgical Group, whereas a decrease of -7.1% (P=0.043) was noted in the forearms of the Medical Group. Significant between-group differences in BMD change favouring the Surgical Group in the total hip (+1.6% vs -1.7%, P=0.019), distal one-third radius (+0.3% vs -7.1%, P=0.045) and ultra-distal radius (+2.0% vs -9.1%, P=0.003). A greater proportion of patients in the Medical Group developed osteopenia or osteoporosis (P<0.001).Conclusions: This study has demonstrated that BMD improved or was preserved more greatly in patients with primary hyperparathyroidism who underwent parathyroidectomy rather than non-surgical management at 4 years follow-up. Greater BMD preservation in both groups, compared to previous studies, may be explained by greater utilisation of available medical therapies.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370147","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}

引用次数: 0