I.M.C. Seuthe , K. Van Ackeren , S. Dazert , S. Eichhorn , T. Veleva , J.J.-H. Park
{"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":"10.1016/j.anorl.2024.12.004","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Material and methods</h3><div>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 <em>t</em>-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.</div></div><div><h3>Results</h3><div>There was a significant improvement in the NOSE score (<em>P</em> <!--><<!--> <!-->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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 3","pages":"Pages 129-134"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","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}
D Cunha-Cabral, P M Gomes, A A Carção, D Duarte, J F Penêda
{"title":"Preoperative computed tomography imaging checklist for maxillary endoscopic prelacrimal approach.","authors":"D Cunha-Cabral, P M Gomes, A A Carção, D Duarte, J F Penêda","doi":"10.1016/j.anorl.2025.03.004","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.03.004","url":null,"abstract":"<p><p>The endoscopic prelacrimal approach to the maxillary sinus is a safe and effective technique. However, it needs to be tailored to the anatomy of the prelacrimal region. This can be evaluated using preoperative computed tomography (CT). In this work, we propose a preoperative CT-scan checklist for the endoscopic prelacrimal approach to assist surgeons during patient selection and surgery planning.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057928","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}
A Boghossian, M M Cervinia, D H Nguyen, D Garcia, H Mirghani, O Laccourreye
{"title":"A comparative STROBE analysis of 10-year oncologic results of SCPL-CHEP and endoscopic CO<sub>2</sub> laser cordectomy for cT2N0M0 glottic squamous cell carcinoma.","authors":"A Boghossian, M M Cervinia, D H Nguyen, D Garcia, H Mirghani, O Laccourreye","doi":"10.1016/j.anorl.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.04.006","url":null,"abstract":"<p><strong>Objective: </strong>To compare 10-year oncologic results of supracricoid partial laryngectomy and cricohyoidoepiglottopexy (SCPL-CHEP) versus CO<sub>2</sub> laser cordectomy (LC) for cT2N0M0 glottic squamous cell carcinoma (SCC).</p><p><strong>Material and method: </strong>Retrospective observational analysis of an inception cohort of 57 patients with isolated cT2N0M0 glottic SCC consecutively managed at a French university teaching otorhinolaryngology department during the years 1993-2013: 33 with SCPL-CHEP and 24 with LC. In all, 93% and 81% of patients were followed for respectively at least 5 years, or 10 years or until death. The main endpoint was 10-year actuarial overall and disease-free survival. Secondary endpoints comprised cause of death, 10-year actuarial local control, and 10-year laryngeal preservation estimates.</p><p><strong>Results: </strong>Ten-year survival was 58% whichever the surgical technique. Ten-year disease-free survival was 87% after SCPL-CHEP and 71% after LC (P=0.15). Death related to SCC occurred in 3 patients after LC but was not encountered after SCPL-CHEP. Ten-year local control differed: 100% after SCPL-CHEP versus 65% after LC, with 96% overall local control after salvage treatment. Ten-year laryngeal preservation differed: 97% after SCPL-CHEP versus 74% after LC (P=0.03).</p><p><strong>Conclusions: </strong>In patients with cT2N0M0 glottic SCC considered amenable to partial laryngeal surgery, the present long-term data should lead head and neck surgeons to discuss the benefits and pitfalls of both LC and SCPL-CHEP.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017997","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":"Acute airway compromise in a patient with long-lasting dyspnea.","authors":"A D Asimakopoulos, S Yerly, S Bouayed","doi":"10.1016/j.anorl.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.03.005","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991434","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}
M Lathuilliere, I Prang, M-C Picot, V Macioce, M Mondain, N Loundon
{"title":"Improving the language environment for children with cochlear implants, using the LENA language and environment analysis system - A CONSORT analysis.","authors":"M Lathuilliere, I Prang, M-C Picot, V Macioce, M Mondain, N Loundon","doi":"10.1016/j.anorl.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.04.004","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the contribution of family counseling based on Language and Environment Analysis (LENA) recording data to improving the language environment of children with cochlear implants.</p><p><strong>Material and methods: </strong>Cochlear implanted children with prelingual deafness were included from 2 French cochlear implant centers and randomized between 2 age-matched groups: intervention and control. LENA recording and lexical assessment (PPVT-R or GAEL-P) were performed at T1 and, 5 months later, T2. Between the two, intervention group families received feedback from the LENA recording and parental counseling.</p><p><strong>Endpoints: </strong>The main endpoint was improvement in language environment after LENA-based family counseling: adult word count (AWC), child vocalizations (CV), conversational turns (CT), and TV/media exposure (TV). Secondary endpoints comprised feasibility of LENA and the impact of the language environment on language reception (PPVT-R and GAEL-P scores).</p><p><strong>Results: </strong>Eighty-three of the 90 included children were analyzed. Mean age was 39±14.2 months, with 43 boys. Between T1 and T2, CT increased by 15 percentiles in the intervention group, in contrast to a median 0 change in controls (P=0.03). For the other 3 LENA parameters (CV, AWC, TV), median change was zero, in both groups. Mean implant acceptability rating was 83%. Lexical reception scores correlated positively with CV (r=0.37, P<0.01), AWC (r=0.31, P<0.01) and CT (r=0.41, P<0.01) but not with TV (r=0.11, P=0.33).</p><p><strong>Conclusion: </strong>The LENA system can help parents optimize the child's language environment, and thus oral language development, particularly in young children.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021830","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}
V Malgorn, L Dupont, M Poncelet, L Lieffrig, A Lagier
{"title":"Validation of the Deglutition Handicap Index-Informal Caregiver questionnaire.","authors":"V Malgorn, L Dupont, M Poncelet, L Lieffrig, A Lagier","doi":"10.1016/j.anorl.2025.04.005","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.04.005","url":null,"abstract":"<p><strong>Background: </strong>The Deglutition Handicap Index-Informal Caregiver (DHI-IC) questionnaire is a dysphagia assessment tool derived from the psychometrically validated Deglutition Handicap Index (DHI) self-reported dysphagia questionnaire in French. Like the DHI, the DHI-IC comprises 30 items, in 3 equal domains: Physical, Functional and Emotional.</p><p><strong>Materials and methods: </strong>A prospective study included 61 patients and 61 caregivers recruited from an ENT clinic dedicated to dysphagia.</p><p><strong>Objectives: </strong>To validate the DHI-IC as an assessment tool and to compare results with the DHI and swallowing endoscopy.</p><p><strong>Conclusions: </strong>The DHI-IC, like the DHI, showed good internal consistency. The results indicate that it is an appropriate tool for assessing functional status, health and quality of life related to dysphagia in patients via caregiver reporting.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008146","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}
A Derieppe, K Bourget-Aguilar, P Bordure, G Michel
{"title":"Predictive factors for postoperative outcome after endolymphatic sac surgery. Part 2: Quality of life.","authors":"A Derieppe, K Bourget-Aguilar, P Bordure, G Michel","doi":"10.1016/j.anorl.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.04.003","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate improvement in quality of life (QoL) 2years after endolymphatic sac surgery (ESS) in patients with Ménière's disease (MD), and preoperative factors for QoL.</p><p><strong>Materials and methods: </strong>A retrospective single-center study included patients who underwent ESS between 2015 and 2022, with unilateral MD according to the criteria of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) as revised in 2015, and resistant to first-line medical treatment. The main study endpoint was quality of life, measured on the MDOQ-R questionnaire.</p><p><strong>Results: </strong>Thirty-eight patients were included. Mean improvement in MDOQ-R score was 31.1±24.6 points [range: -29 to 79], and was significant (P<0.001). No predictive factors were identified.</p><p><strong>Conclusion: </strong>ESS provided significant and lasting improvement in quality of life. However, it was not possible to identify preoperative predictive factors for a \"typical\" patient profile with the highest likelihood of favorable outcome.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043181","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}
A Derieppe, K Bourget-Aguilar, P Bordure, G Michel
{"title":"Predictive factors for postoperative outcome after endolymphatic sac surgery. Part 1: Clinical and prognostic STROBE report.","authors":"A Derieppe, K Bourget-Aguilar, P Bordure, G Michel","doi":"10.1016/j.anorl.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.04.002","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate preoperative predictive factors 2years after endolymphatic sac surgery (ESS) in patients with Ménière's disease (MD).</p><p><strong>Materials and methods: </strong>A retrospective single-center study included patients who underwent ESS between 2015 and 2022, with unilateral MD according to the criteria of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) as revised in 2015, and resistant to first-line medical treatment. The main study endpoint was the incidence of postoperative vertigo episodes. Secondary endpoints comprised hearing preservation at 2years and surgical efficacy.</p><p><strong>Results: </strong>Thirty-eight patients were included. Significant vertigo control was achieved in 63% (n=24). No predictive factors were identified for vertigo control or improvement in quality of life. Pure-tone and speech audiometric results were preserved at 2years. Whether the endolymphatic sac was sectioned or not did not significantly impact surgical outcome.</p><p><strong>Conclusion: </strong>No predictive factors for successful ESS emerged. ESS is a conservative second-line surgical treatment, with key indications for bilateral MD or MD in patients with preserved hearing.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017552","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}
E Caillaud, L Pellé-Boudeau, M Férrandière, D Bakhos, E Lescanne, F Micaletti
{"title":"Awake stapedectomy under hypnoanalgesia: Efficacy and safety in the treatment of otosclerosis.","authors":"E Caillaud, L Pellé-Boudeau, M Férrandière, D Bakhos, E Lescanne, F Micaletti","doi":"10.1016/j.anorl.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.04.001","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy and safety of awake stapedectomy under hypnoanalgesia (HA) compared to general anesthesia (GA) and local anesthesia (LA) in patients with otosclerosis.</p><p><strong>Methods: </strong>A single-center retrospective study included 131 adult patients (mean age: 49 years; 78% female) who underwent laser stapedectomy between 2020 and 2022: 58 GA, 23 LA, 50 HA. Primary outcome measures comprised operative room occupancy time, anesthetic consumption, and postoperative audiometric results.</p><p><strong>Results: </strong>HA significantly reduced operative room occupancy time (73.5±18.6min vs 103.7±24.6min in GA, P<0.001; vs 81.8±20.5min in LA, P=0.092), stapedectomy duration (39.9±12.4min vs 48.9±21.5min in GA, P=0.0252; vs 38.9±13.2min in LA, P=0.4601), preoperative time (30.2±9.5min vs 45.7±9.5min in GA, P<0.001; vs 38.6±12.2min in LA, P=0.0022), and recovery room time (26±15.1min vs 67.5±20.7min in GA, P<0.001; vs 47.4±20.7min in LA, P<0.001). HA also significantly reduced remifentanil consumption (169.8±101.6μg vs 848.6±308.8μg in GA, P<0.001; vs 323.9±94.4μg in LA, P<0.001). Postoperative audiometric outcomes showed no significant differences between groups.</p><p><strong>Conclusion: </strong>Hypnoanalgesia for awake stapedectomy provided significantly greater efficacy compared to general anesthesia, reducing operative time and anesthetic consumption, with comparable audiometric outcomes.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035359","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 case of recalcitrant epistaxis.","authors":"E Al Hakim, P Beyssen, X Dufour, F Carsuzaa","doi":"10.1016/j.anorl.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.03.003","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812740","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}