European Annals of Otorhinolaryngology-Head and Neck Diseases最新文献_第3页

Spontaneous mediastinal hematoma associated with parathyroid adenoma 与甲状旁腺腺瘤相关的自发性纵隔血肿。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-09-01 DOI: 10.1016/j.anorl.2024.07.009

Y. Ohno , T. Takahashi , R. Kai , A. Horii

引用次数: 0

Stimulator of interferon genes-associated vasculopathy with onset in infancy (SAVI syndrome) 干扰素基因相关的血管病变与发作在婴儿期（SAVI综合征）的刺激物。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-09-01 DOI: 10.1016/j.anorl.2024.11.008

M. Saro-Buendía , M. Mansilla-Polo , A. García-Piñero , M. Armengot-Carceller

引用次数: 0

Validation of the Deglutition Handicap Index-Informal Caregiver questionnaire 吞咽障碍指数-非正式照顾者问卷的验证。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-09-01 DOI: 10.1016/j.anorl.2025.04.005

V. Malgorn , L. Dupont , M. Poncelet , L. Lieffrig , A. Lagier

引用次数: 0

Long-term follow-up of residual tumor and facial function after partial resection of vestibular schwannoma. 前庭神经鞘瘤部分切除后残留肿瘤及面部功能的长期随访。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-08-25 DOI: 10.1016/j.anorl.2025.08.003

A Ferney, T Ferney, A Lazard, S Schmerber, E Gay, R Quatre

{"title":"Long-term follow-up of residual tumor and facial function after partial resection of vestibular schwannoma.","authors":"A Ferney, T Ferney, A Lazard, S Schmerber, E Gay, R Quatre","doi":"10.1016/j.anorl.2025.08.003","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.08.003","url":null,"abstract":"Aim: This study aimed to assess long-term progression of residual tumor and facial function after primary partial resection of large vestibular schwannoma.Materials and methods: This retrospective study was performed in a tertiary reference center between January 2008 and December 2021. Patients with vestibular schwannoma exceeding 25mm on the long axis underwent partial tumor resection, leaving a residual fragment, and were followed up for at least 3 years. The residue was confirmed on MRI at 6 months. Facial grade was assessed on the House-Brackmann classification at the immediate postoperative time-point and at 1 year.Results: Fifty-seven patients were included: 10 (17%) showed tumor regrowth, at a mean 53±25.5 months. Forty (70%) showed facial grades≤III at the immediate postoperative time, and 51 (89%) at 1 year. Mean residual tumor size was 13.6±7.2mm in patients with regrowth and 7.4±5mm in those without (P<0.01). On multivariate analysis, only residual tumor size was significantly associated with regrowth (OR=1.263; 95% CI [1.050-1.677]; P=0.04). ROC analysis identified a 6.5mm threshold for residual tumor size, beyond which risk of regrowth increased, with 90% sensitivity, 53% specificity and 0.78 AUC.Conclusion: Partial resection of large vestibular schwannoma provided satisfactory control and only mild postoperative facial palsy. Small residual tumor size was the main factor for success.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975392","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

Effect of 10 and 20 degrees reverse Trendelenburg position on surgical field quality during ear surgery. A randomized-controlled trial. 耳科手术中10度和20度逆位对手术视野质量的影响。一项随机对照试验。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-08-25 DOI: 10.1016/j.anorl.2025.07.004

H S El-Ozairy, M R Naguib, A M Abd-Elmaksoud, O M Mady

{"title":"Effect of 10 and 20 degrees reverse Trendelenburg position on surgical field quality during ear surgery. A randomized-controlled trial.","authors":"H S El-Ozairy, M R Naguib, A M Abd-Elmaksoud, O M Mady","doi":"10.1016/j.anorl.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.07.004","url":null,"abstract":"Purpose: Middle ear surgeries are better executed under controlled hypotension. Reverse-Trendelenburg (RTP) position has been used in endoscopic sinus surgeries as a safe and cost-free method to reduce intraoperative bleeding. However, it has not been tried in ear surgery due to surgical field accessibility concerns. The primary aim of this study was to evaluate the effect of two RTP angles (10 and 20 degrees) on quality of surgical field and surgical position accessibility.Methods: In total, 225 adult patients of both sexes, aged between 18 and 50years, ASA I-II, scheduled for elective middle ear surgery were enrolled in this randomized, prospective, controlled study. All patients were anesthetized using the same protocol. Patients were randomly and evenly allocated to one of three groups, 75 patients each; group I (control) patients were positioned supine, group II patients were positioned 10̊ RTP position and group III patients were positioned 20̊ RTP position. The surgeons were asked to assess the surgical field using a 5-point scale. The surgeon satisfaction concerning surgical position accessibility was evaluated using a 5-point scale. Total dexmedetomidine consumption, recovery time, surgical time and analgesia time were recorded.Results: The quality of surgical field was significantly different among the three groups (P-value<0.001), being best in group III. Surgeon's satisfaction score was found to be statistically insignificant among the three study groups (P-value=0.251).Conclusion: This study showed that 10 and 20-degree RTP provided a significantly better surgical field quality without considerably affecting accessibility and decreased intraoperative dexmedetomidine consumption shortening the recovery time.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975389","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

Transoral robotic cricopharyngeal myectomy for cricopharyngeal muscle spasm. 经口机器人环咽肌切除术治疗环咽肌痉挛。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-08-25 DOI: 10.1016/j.anorl.2025.08.004

M Y Lin, C C Wang

引用次数: 0

Speech audiometry in noise: Signal noise ratio loss values according speech signal level presentation in normal hearing subjects. 噪声下的语音测听：根据正常听力受试者的语音信号水平呈现的信噪比损失值。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-08-20 DOI: 10.1016/j.anorl.2025.06.008

P Toulemonde, F Giraudet, J Macario, V Krause, C Vincent

{"title":"Speech audiometry in noise: Signal noise ratio loss values according speech signal level presentation in normal hearing subjects.","authors":"P Toulemonde, F Giraudet, J Macario, V Krause, C Vincent","doi":"10.1016/j.anorl.2025.06.008","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.06.008","url":null,"abstract":"Objective: This study aimed to evaluate the psychometric function curve and signal-to-noise ratio (SNR) loss values during the \"Vocale Rapide dans le Bruit\" (VRB) speech-in-noise test with speech level presentations at 65dB SPL (VRB65) and 45dB SPL (VRB45) in normal-hearing subjects.Materials and methods: Adult normal-hearing subjects underwent an audiological evaluation including tympanometry, pure-tone audiometry, speech recognition threshold in silence and speech-in-noise audiometry following the recommended protocol (65dB SPL, VRB65), followed by a second series of tests with a lower sentence presentation level (45dB SPL, VRB45).Results: Among the 29 normal-hearing subjects, there was no significant variation in the psychometric function curves or SNR loss values for VRB65 or VRB45.Conclusion: The \"Vocale Rapide dans le Bruit\" speech-in-noise test is a relevant tool for assessing auditory difficulties in noisy environments. In normal-hearing subjects, presenting sentences at different intensity levels did not show a significant difference. This was an essential prerequisite for its use at various signal presentation levels, which could enable the evaluation of the functional state of high- and low-threshold auditory nerve fibers. This, in turn, would refine clinical diagnosis and improve the management of hearing disorders associated with hidden hearing loss.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975012","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 rhinitis associated with Mycobacterium avium infection: A CARE case report. 慢性鼻炎与鸟分枝杆菌感染相关：一例CARE病例报告。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-08-19 DOI: 10.1016/j.anorl.2025.08.002

J-P Martellosio, L Deroche, M Garcia, F Carsuzaa

{"title":"Chronic rhinitis associated with Mycobacterium avium infection: A CARE case report.","authors":"J-P Martellosio, L Deroche, M Garcia, F Carsuzaa","doi":"10.1016/j.anorl.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.08.002","url":null,"abstract":"Introduction: Nasal infection caused by Mycobacterium avium is rare and is a diagnostic challenge due to the non-specific symptoms and absence of pathognomonic signs.Case report: We report the case of a 72-year-old patient with chronic rhinitis persisting for 4years and refractory to conventional treatments. ENT examination revealed irregular nasal mucosa with an inflammatory nasopharyngeal polyp. Histological analysis showed epithelioid granuloma, and Ziehl-Neelsen staining highlighted acid-fast bacilli. Mycobacterial culture confirmed M. avium infection. Treatment with rifampin, azithromycin and ethambutol led to significant clinical improvement, with resolution of local inflammation.Discussion: Nasal infection by M. avium is exceptional, with only a few cases reported in the literature. Diagnosis relies on histological examination and mycobacterial culture. Treatment combines surgical resection of the polypoid tumor and prolonged antibiotic therapy.Conclusion: M. avium infection should be considered in cases of atypical chronic rhinitis resistant to treatment. Thorough microbiological evaluation is essential for accurate diagnosis and appropriate management.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975406","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

Vestibulectomy prior cordectomy in tomes: Advantages and dysplasia findings. 前庭切除术优先于脑皮质切除术：优势和发育不良的结果。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-08-18 DOI: 10.1016/j.anorl.2025.06.007

N Oishi, C Rodríguez-Prado, R Reboll, J R Alba, E Zapater

{"title":"Vestibulectomy prior cordectomy in tomes: Advantages and dysplasia findings.","authors":"N Oishi, C Rodríguez-Prado, R Reboll, J R Alba, E Zapater","doi":"10.1016/j.anorl.2025.06.007","DOIUrl":"10.1016/j.anorl.2025.06.007","url":null,"abstract":"Introduction: Vestibulectomy prior to Transoral microelectrodes surgery (TOMES) cordectomies improves the tumor exposure, enables precise oncological surgery ensuring minimal invasiveness. The finding of dysplasia in non-oncologic ventricular fold (VF) resections led us to analyze the histopathological results in all the samples.Material and methods: We present a retrospective study analyzing 64 T1/T2 glottic carcinoma patients treated with TOMES cordectomy and uni/bilateral vestibulectomy. The bleeding rate and presence of dysplasia were evaluated. The procedure using microelectrodes is explained in the video (supplementary material).Results: Among 64 patients (97% male, mean age 65), 83 non-oncological VF resection were analyzed. Vestibulectomy does not increase the risk of hemorrhage in our series. Total of 37% of dysplasia was found, low-grade dysplasia in 19% and high-grade dysplasia in 18% (high-grade in 6% and carcinoma in situ in 12%).Conclusion: The vestibulectomy in TOMES cordectomy enhances surgical exposure without increasing bleeding risk or surgery. Dysplastic lesions of the ventricular bands seem to occur quite frequently even when the assessment is normal.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884139","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

Delegating fiberoptic endoscopic evaluation of swallowing to speech therapists: Feedback from 20 months' experience. 将纤维内窥镜吞咽评估委托给语言治疗师：来自20个月经验的反馈。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-08-08 DOI: 10.1016/j.anorl.2025.07.002

M Cachi-Pouyenne, R Haddad, D Robert, J Michel, A Giovanni, A Mattei

{"title":"Delegating fiberoptic endoscopic evaluation of swallowing to speech therapists: Feedback from 20 months' experience.","authors":"M Cachi-Pouyenne, R Haddad, D Robert, J Michel, A Giovanni, A Mattei","doi":"10.1016/j.anorl.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.07.002","url":null,"abstract":"Background: In France, speech therapists are not authorized to perform fiberoptic endoscopic or other instrumental evaluations of swallowing to detect silent penetration or aspiration and to guide rehabilitation. Even so, regulations allow local cooperation protocols to be set up.Aims: To assess the feasibility of the first interprofessional cooperation protocol for fiberoptic endoscopic evaluation of swallowing by speech therapists in hospitalized patients.Method: Between April 2023 and November 2024, 100 patients from various departments in our hospital underwent bedside evaluation of swallowing by a speech therapist, including functional fiberoptic endoscopy.Results: There were no severe adverse effects and no additional discomfort associated with fiberoptic endoscopic evaluation of swallowing performed by a speech therapist as compared to head-and-neck surgery residents (95% CI, 0.114-2.922; P>0.05). After checking the assessment report, the delegating ENT physicians did not alter the speech therapist's recommendations.Conclusion: This first interprofessional cooperation protocol between ENT specialists and speech therapists for fiberoptic endoscopic evaluation of swallowing in France contributed to management of hospital patients with swallowing disorder, without adverse effects.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812606","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