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

{"title":"Assessing the diagnostic capacity of artificial intelligence chatbots for dysphonia types: Model development and validation.","authors":"S Saeedi, M Aghajanzadeh","doi":"10.1016/j.anorl.2025.01.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.01.001","url":null,"abstract":"<p><strong>Purpose: </strong>User-friendly artificial intelligence (AI) chatbots are increasingly being explored to assist healthcare teams in their decision-making processes. As accurate diagnosis in all medical fields is vital in treatment planning, this research seeks to explore the function of two specific AI chatbots, ChatGPT and Perplexity AI, in distinguishing the various types of dysphonia (organic, functional, and neurological).</p><p><strong>Material and methods: </strong>In experiment 1, a script combining voice self-assessments plus the acoustic analysis, and in experiment 2, only the acoustic analysis of 37 dysphonic patients was fed into the ChatGPT and Perplexity AI chatbots specifying the type and asked to develop a complex AI-based model to determine dysphonia type. Then, the same process was redone with data from a sample of 27 other patients as a test.</p><p><strong>Results: </strong>Although ChatGPT could not analyze the data and only provided guidance, the Cohen's Kappa agreement between experts' diagnoses and Perplexity AI diagnoses in experiment 1 (P=0.773) and experiment 2 (P=0.067) lacked statistically significance.</p><p><strong>Conclusion: </strong>Regarding the preliminary poor performance of AI chatbots in differential diagnosis of dysphonia type, it is not currently recommended to use them in clinical settings. However, modifications in AI chatbots in the future might provide more promising results in determining the dysphonia type. Further research is needed to shed light on AI chatbots ability in voice clinics.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460380","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, P Bradley, R de Bree, O Guntinas-Lichius, M Hamoir, L P Kowalski, J P Rodrigo, P Strojan, V Vander Poorten, A Ferlito","doi":"10.1016/j.anorl.2025.02.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.02.001","url":null,"abstract":"<p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-17","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}

{"title":"The effect of radiofrequency therapy for nasal valve collapse in endurance athletes: A STROBE analysis.","authors":"I M C Seuthe, K Van Ackeren, S Dazert, S Eichhorn, T Veleva, J J-H Park","doi":"10.1016/j.anorl.2024.12.004","DOIUrl":"https://doi.org/10.1016/j.anorl.2024.12.004","url":null,"abstract":"<p><strong>Objective: </strong>Conducting a prospective pilot study to investigate the effect of temperature-controlled radiofrequency treatment of the nasal valve in endurance athletes with internal nasal valve collapse.</p><p><strong>Material and methods: </strong>Twenty-five endurance athletes with nasal valve collapse were recruited from 2018 to 2020. Eight of the 25 patients dropped out of the study due to different reasons (injured due to non-nasal causes before postoperative measurement, refusal of surgery in the short term, termination due to corona pandemic), so that 17 study participants completed the study. We investigated NOSE questionnaire and rhinomanometry before and after radiofrequency treatment of the internal nasal valve (Vivaer radiofrequency probe). In addition, an exhaustive treadmill test before and after radiofrequency treatment was performed. The collected measurements were registered and compared with paired t-test. A Cohen's dz was performed for significant results. The normal distribution was confirmed by using the Kolmogorov-Smirnov test and Q-Q plots.</p><p><strong>Results: </strong>There was a significant improvement in the NOSE score (P<0.001, Cohen's dz=1.03) and no serious side effects. No significant differences were seen before and after the treatment in rhinomanometry and spiroergometry.</p><p><strong>Conclusion: </strong>Due to the low side effects and the subjective improvement in nasal breathing according to the NOSE score, the technique could perhaps represent a promising non-invasive therapy for improving nasal breathing in endurance athletes. However, no significant improvement was observed in the objective parameters. Larger study cohorts are required to investigate the effect in more detail.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450003","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 black tumor in the nasal cavity","authors":"B. Lafargue ,&nbsp;K. Cherif ,&nbsp;M. Legré","doi":"10.1016/j.anorl.2024.09.004","DOIUrl":"10.1016/j.anorl.2024.09.004","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 53-55"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330501","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 evolution of surgical training","authors":"E. Chabrillac ,&nbsp;S. Vergez ,&nbsp;T. Martin Saint-Léon","doi":"10.1016/j.anorl.2024.03.004","DOIUrl":"10.1016/j.anorl.2024.03.004","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 3-4"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330250","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":"Closure without epiglottoplasty or tracheotomy after reconstructive frontal anterior laryngectomy","authors":"M.-C. Senol,&nbsp;V. Bastit,&nbsp;M. Humbert,&nbsp;E. Babin,&nbsp;M. Perréard","doi":"10.1016/j.anorl.2024.06.003","DOIUrl":"10.1016/j.anorl.2024.06.003","url":null,"abstract":"<div><div><span>Reconstructive frontal anterior laryngectomy (RFAL) is a partial </span>laryngeal surgery<span><span><span> technique for resecting early-stage (T1–T2) glottic squamous cell carcinoma. Indications comprise a lesion of the anterior commissure of the </span>larynx<span> that cannot be adequately exposed by endoscopy<span>, and cases in which radiotherapy is refused or contraindicated. The initial RFAL technique included epiglottoplasty. Here we propose a technique without epiglottoplasty, with the advantage of avoiding need for tracheotomy in most cases. After the first stage of surgical excision, reconstruction consists in placing a vertical brace transepiglottically and below the cricoid. The </span></span></span>epiglottis<span> is thus left at its original height and secured in place to prevent flapping in the pharyngolaryngeal lumen. Transverse bracing is then performed through the thyroid wings: one of the key points of this surgery is to control tension to avoid risk of stenosis. The subhyoid muscles are sutured together to achieve satisfactory sealing. This technique offers satisfying functional results and oncological control. The most frequent complications are (1) secondary tracheotomy, which can be avoided by selecting patients who require a primary tracheotomy and optimizing the seal, and (2) stenosis, which can be limited by not bringing the cartilaginous structures too close together during bracing.</span></span></div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 46-50"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460104","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 very handy spine!","authors":"O. Laccourreye ,&nbsp;P. Tran Ba Huy","doi":"10.1016/j.anorl.2024.09.001","DOIUrl":"10.1016/j.anorl.2024.09.001","url":null,"abstract":"<div><div>Behind the retro auricular groove, hidden by the pinna, on the surface of the mastoid, there is, a bony outgrowth, known by any otorhinolaryngologist worthy of the name, located above and behind the entrance to the external auditory canal in front of the supra meatic fossa: Henle's spine. In this historical note the authors retrace the moment of the dicovery of this primordial relief of otological surgery and the life of its discoverer, the German anatomis Jakob Henle, a true malesrtom which mixes science, art politics, and love.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 51-52"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299190","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 impact of middle meatal steroid-eluting implants on the postoperative outcomes of chronic rhinosinusitis: A systematic review and meta-analysis","authors":"A.M. Zamaili ,&nbsp;Y.C. Kueh ,&nbsp;S. Mohamad ,&nbsp;B. Abdullah","doi":"10.1016/j.anorl.2024.02.014","DOIUrl":"10.1016/j.anorl.2024.02.014","url":null,"abstract":"<div><div><span>Endoscopic sinus surgery<span><span> (ESS) has become an established surgical option in refractory chronic rhinosinusitis (CRS). The goal of this review is to assess the impact of steroid-eluting middle meatal implants after ESS. Cochrane Central Register of Controlled Trials (CENTRAL), SCOPUS, PUBMED, and GOOGLE SCHOLAR were searched from inception to November 2022. All </span>randomised controlled trials<span><span><span> (RCTs) involving adult patients receiving ESS for CRS utilising a steroid-eluting middle meatal implants were eligible. The primary outcome was adhesion or synechiae. The secondary outcomes were mucosal inflammation, polyp reformation, the need for oral steroids and additional surgery, </span>postoperative bleeding, </span>sinus pain<span> and discomfort, postoperative sinus-related infection, and change in intraocular pressure. Fourteen full articles were examined out of 496 potential abstracts. Seven RCTs satisfied the criteria. At 30</span></span></span></span> <!-->days, steroid-eluting implants reduced adhesion (OR: 0.28, 95% CI: 0.14 to 0.56; <em>P</em> <!-->&lt;<!--> <!-->0.001), mucosal inflammation (MD: −13.09, 95% CI: −18.22 to −7.97; <em>P</em> <!-->&lt;<!--> <!-->0.001), polyp reformation (OR: 0.31; 95% CI: 0.22 to 0.44; <em>P</em> <!-->&lt;<!--> <!-->0.001), and requirement of additional oral steroid (OR: 0.44; 95% CI: 0.25 to 0.78; <em>P</em> <!-->=<!--> <!-->0.005) or surgery (OR: 0.25; 95% CI: 0.12 to 0.50; <em>P</em> <!-->&lt;<!--> <!-->0.001). While their use for adhesion (OR: 0.24; 95% CI: 0.11 to 0.54; <em>P</em> <!-->&lt;<!--> <!-->0.001) and polyp reformation (OR: 0.24; 95% CI: 0.12 to 0.51; <em>P</em> <!-->&lt;<!--> <!-->0.001) were favourable, there was no difference in mucosal inflammation (MD: −5.68, 95% CI: −12.39 to 1.03; <em>P</em> <!-->=<!--> <!-->0.100) or the need for surgery (OR: 0.96; 95% CI: 0.07 to 12.37; <em>P</em> <!-->=<!--> <!-->0.980) when evaluated after 30<!--> <span>days. Overall, the findings suggest that steroid-eluting middle meatal implants improve ESS outcomes by lowering rates of adhesion formation, postoperative medical and surgical interventions, recurrent polyposis<span>, and inflammation, while having no significant negative impact in the immediate postoperative period. More research is needed into the long-term impacts.</span></span></div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 26-37"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194871","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 International Francophone ENT Society (SIFORL): A dynamic and ambitious society","authors":"R.P. Adjoua ,&nbsp;E. Truy ,&nbsp;E. Babin ,&nbsp;C.A. Righini","doi":"10.1016/j.anorl.2024.11.009","DOIUrl":"10.1016/j.anorl.2024.11.009","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 1-2"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820002","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":"Optimization of the automated Sunnybrook Facial Grading System – Improving the reliability of a deep learning network with facial landmarks","authors":"T.C. ten Harkel ,&nbsp;F. Bielevelt ,&nbsp;H.A.M. Marres ,&nbsp;K.J.A.O. Ingels ,&nbsp;T.J.J. Maal ,&nbsp;C.M. Speksnijder","doi":"10.1016/j.anorl.2024.07.005","DOIUrl":"10.1016/j.anorl.2024.07.005","url":null,"abstract":"<div><h3>Objective</h3><div>The Sunnybrook Facial Grading System (SFGS) is a well-established grading system to assess the severity and progression of a unilateral facial palsy. The automation of the SFGS makes the SFGS more accessible for researchers, students, clinicians in training, or other untrained co-workers and could be implemented in an eHealth environment. This study investigated the impact on the reliability of the automated SFGS by adding a facial landmark layer in a previously developed convolutional neural network (CNN).</div></div><div><h3>Methods</h3><div>An existing dataset of 116 patients with a unilateral peripheral facial palsy and 9 healthy subjects performing the SFGS poses was used to train a CNN with a newly added facial landmark layer. A separate model was trained for each of the 13 elements of the SFGS and then used to calculate the SFGS subscores and composite score. The intra-class coefficient of the automated grading system was calculated based on three clinicians experienced in the grading of facial palsy.</div></div><div><h3>Results</h3><div>The inter-rater reliability of the CNN with the additional facial landmarks increased in performance for all composite scores compared to the previous model. The intra-class coefficient for the composite SFGS score increased from 0.87 to 0.91, the resting symmetry subscore increased from 0.45 to 0.62, the symmetry of voluntary movement subscore increased from 0.89 to 0.92, and the synkinesis subscore increased from 0.75 to 0.78.</div></div><div><h3>Conclusion</h3><div>The integration of a facial landmark layer into the CNN significantly improved the reliability of the automated SFGS, reaching a performance level comparable to human observers. These results were attained without increasing the dataset underscoring the impact of incorporating facial landmarks into a CNN. These findings indicate that the automated SFGS with facial landmarks is a reliable tool for assessing patients with a unilateral peripheral facial palsy and is applicable in an eHealth environment.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 5-10"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908081","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}