European Annals of Otorhinolaryngology-Head and Neck Diseases最新文献_第4页

Destombes-Rosai-Dorfman (DRD) disease with nasal and lymph-node involvement 伴有鼻腔和淋巴结受累的destomes - rosai - dorfman （DRD）病。

IF 1.6 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-09-01 Epub Date: 2026-08-18 DOI: 10.1016/j.anorl.2026.08.004

C.-A. Righini, H. Gil, A. Spinelli

{"title":"Destombes-Rosai-Dorfman (DRD) disease with nasal and lymph-node involvement","authors":"C.-A. Righini, H. Gil, A. Spinelli","doi":"10.1016/j.anorl.2026.08.004","DOIUrl":"10.1016/j.anorl.2026.08.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Destombes-Rosai-Dorfman (DRD) disease was first described in 1965 by the pathologist Paul Destombes. Almost 90% of patients show lymph-node involvement, which is usually cervical, although all organs can be affected.</div></div><div><h3>Case report</h3><div>A 74-year-old woman consulted for left nasal obstruction and bilateral axillary lymphadenopathies. Clinical examination found a mass in the anterior left nasal cavity and several bilateral axillary lymphadenopathies, which were neither painful nor inflammatory. General health status was normal. Nasal and nodal samples showed large histiocytes with clear cytoplasm and emperipolesis. Within the histiocytes, immunohistochemistry found intense diffuse PS100 and CD68 expression and absence of CD1a marking. Progression was spontaneously favorable, without treatment.</div></div><div><h3>Discussion</h3><div>DRD disease is a benign non-Langerhans histiocytosis, with many and varied clinical presentations. The pathophysiology is not known. Evolution is usually spontaneously favorable, but treatment is required in case of compression, obstruction or lysis, especially in bone, ENT or neurologic involvement.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 5","pages":"Pages 417-420"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800210","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

Feasibility and impact of a cooperation and task-sharing protocol in voice prosthesis replacement in laryngectomized patients 合作和任务共享方案在喉切除患者假体置换中的可行性和影响。

IF 1.6 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-09-01 Epub Date: 2026-04-27 DOI: 10.1016/j.anorl.2026.04.005

A. Villarmé, D. Culié, G. Poissonnet, C. Poudenx, C. Grazzi, A. Bozec

{"title":"Feasibility and impact of a cooperation and task-sharing protocol in voice prosthesis replacement in laryngectomized patients","authors":"A. Villarmé, D. Culié, G. Poissonnet, C. Poudenx, C. Grazzi, A. Bozec","doi":"10.1016/j.anorl.2026.04.005","DOIUrl":"10.1016/j.anorl.2026.04.005","url":null,"abstract":"<div><h3>Aim</h3><div>Voice prostheses are one of the main vocal rehabilitation techniques following total laryngectomy. However, leakage requires frequent replacement and availability of physicians. This study explores a task delegation protocol between physicians and nurses for voice prosthesis exchange. The objective was to evaluate feasibility and impact on patient care.</div></div><div><h3>Methods</h3><div>After validating and implementing the protocol, we conducted a prospective study from March to October 2024 to assess its impact for nurses, physicians and patients, on a satisfaction questionnaire.</div></div><div><h3>Results</h3><div>Fifty-six of the first 60 voice prosthesis replacements were successfully performed by delegated nurses. Physicians were consulted for 4 unsuccessful procedures, mainly due to difficult access to the tracheoesophageal fistula. Three patients expressed concerns about the protocol, but overall, 93% reported high satisfaction with the care received.</div></div><div><h3>Conclusion</h3><div>The success of this collaborative protocol helped reduce physician workload and highlighted the valuable role of nurses, while ensuring high-quality care for laryngectomized patients with voice prostheses.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 5","pages":"Pages 357-360"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786460","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

From operating room to radiotherapy planning: A technical innovation in sinonasal oncology 从手术室到放疗计划：鼻窦肿瘤学的技术创新。

IF 1.6 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-09-01 Epub Date: 2026-06-17 DOI: 10.1016/j.anorl.2026.05.005

J. Thariat, C. Loiseau, V. Patron, F. Carsuzaa

引用次数: 0

When the wall pulses: Submucosal retropharyngeal internal carotid artery as an unexpected driver of chronic cough 粘膜下咽后颈内动脉作为慢性咳嗽的意外驱动因素。

IF 1.6 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-09-01 Epub Date: 2026-04-20 DOI: 10.1016/j.anorl.2026.03.004

A.D. Asimakopoulos, Y. Lelonge, A. Karkas

{"title":"When the wall pulses: Submucosal retropharyngeal internal carotid artery as an unexpected driver of chronic cough","authors":"A.D. Asimakopoulos, Y. Lelonge, A. Karkas","doi":"10.1016/j.anorl.2026.03.004","DOIUrl":"10.1016/j.anorl.2026.03.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Anatomical variations of the cervical internal carotid artery (ICA), including a retropharyngeal submucosal trajectory, may mimic submucosal pharyngeal lesions and produce atypical upper aerodigestive symptoms. Failure to recognize these variants carries significant risk, as inadvertent injury during pharyngeal surgery, endoscopy, or intubation can result in catastrophic hemorrhage.</div></div><div><h3>Case summary</h3><div>We report the case of a 73-year-old woman with several years of persistent cough and progressive dysphagia. Flexible fiber-optic nasopharyngolaryngoscopy revealed a smooth, pulsatile submucosal bulge of the posterior pharyngeal wall with associated salivary stasis. Contrast-enhanced CT confirmed a retropharyngeal course of the right cervical ICA of normal caliber. Given the absence of alarming features, conservative management with annual endoscopic follow-up was recommended.</div></div><div><h3>Discussion</h3><div>This case represents a rare presentation in which a submucosal retropharyngeal ICA manifested predominantly as chronic cough, likely due to repetitive mechanical stimulation of supraglottic sensory pathways. Only two similar cases have been reported. The case expands the recognized symptomatic spectrum of ICA medialization and highlights the importance of targeted endoscopic examination and selective imaging when encountering unexplained chronic cough or atypical pharyngeal anatomy. Awareness of this vascular variant is essential to avoid misdiagnosis and prevent life-threatening iatrogenic injury.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 5","pages":"Pages 409-412"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786493","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}

引用次数: 0

Canaloplasty for acquired external auditory canal stenosis: Technical note and educational video. 获得性外耳道狭窄的管道成形术：技术说明和教育视频。

IF 1.6 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-08-25 DOI: 10.1016/j.anorl.2026.08.002

S Gargula, M Daval, D Ebode, M-P Tuset

引用次数: 0

On the relation between subglottal pressure and vocal intensity in singing voice disorders. 歌唱嗓音障碍患者声门下压力与声音强度的关系。

IF 1.6 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-08-19 DOI: 10.1016/j.anorl.2026.06.006

M Beaud, B Amy de la Bretèque, S Gerber, C Pillot-Loiseau, N Henrich Bernardoni

{"title":"On the relation between subglottal pressure and vocal intensity in singing voice disorders.","authors":"M Beaud, B Amy de la Bretèque, S Gerber, C Pillot-Loiseau, N Henrich Bernardoni","doi":"10.1016/j.anorl.2026.06.006","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.06.006","url":null,"abstract":"<p><strong>Aims: </strong>This study, conducted on singers consulting at a phoniatric outpatient clinic, aims to investigate whether the relationship between subglottal pressure and vocal intensity varies depending on the type of vocal pathology.</p><p><strong>Material and methods: </strong>A retrospective study was conducted using the medical files, acoustic, and aerodynamic assessments of 134 singing patients at a University Hospital in France. The assessments included measurements of vocal intensity and estimated subglottal pressure during singing at different pitches and loudness.</p><p><strong>Results: </strong>A significant difference was observed in the relationship between intensity and estimated subglottal pressure between singers with organic voice disorders, functional voice disorders and without voice disorder. Vocal efficiency was reduced in singers with organic laryngeal lesions: for the same estimated subglottal pressure, they produced lower intensities regardless of the pitches sung. Using an ascending hierarchical clustering, we identified two groups of pathologies. The first group included Reinke's edema, laryngocele, and polyps. Consistent with existing data, we found that these singer patients produced sounds of lower intensity at higher subglottal pressure values compared to singers without a disorder. The second group included singers with nodules, their relationship between intensity and estimated subglottal pressure tended to differ from that of singers without a disorder.</p><p><strong>Conclusion: </strong>Our exploratory study on singer patients demonstrates that laryngeal pathologies influence the relationship between estimated subglottal pressure and vocal intensity. These preliminary findings confirm the value of estimated subglottal pressure during singing voice assessment. Future research should focus on larger groups of singer patients with more homogeneous laryngeal lesions.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800316","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

Nasal trigeminal sensitivity after total laryngectomy: A psychophysical study. 全喉切除术后鼻三叉神经敏感性：一项心理物理学研究。

IF 1.6 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-08-18 DOI: 10.1016/j.anorl.2026.06.007

M Saro-Buendía, M Mata, A García-Piñero, L Milián, P Suárez-Urquiza, M Armengot-Carceller

{"title":"Nasal trigeminal sensitivity after total laryngectomy: A psychophysical study.","authors":"M Saro-Buendía, M Mata, A García-Piñero, L Milián, P Suárez-Urquiza, M Armengot-Carceller","doi":"10.1016/j.anorl.2026.06.007","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.06.007","url":null,"abstract":"<p><strong>Objectives: </strong>Total laryngectomy permanently diverts respiratory airflow through a tracheostoma, abolishing nasal breathing. Although olfactory loss is well described, it remains unclear whether nasal trigeminal chemosensation is perceptually accessible under natural airflow-deprived conditions. We aimed to assess trigeminal performance after total laryngectomy under both airflow-assisted (menthol lateralization detection threshold [LDT]) and non-assisted conditions.</p><p><strong>Material and methods: </strong>A prospective cross-sectional study assessed trigeminal function in patients undergoing total laryngectomy (n=1 preoperative; n=3 postoperative) and matched healthy volunteers (n=10). Trigeminal sensitivity was evaluated using a menthol LDT protocol and the trigeminal subscale of the Barcelona Smell Test-24 (BAST-24), alongside several patient-reported outcome measures.</p><p><strong>Results: </strong>Controls and the preoperative reference showed preserved trigeminal function (mean LDT 16.1±1.9; BAST-24 trigeminal 92.5±8.0%). Postoperative patients exhibited markedly elevated menthol thresholds (mean LDT 3.3±1.1), and trigeminal identification on BAST-24 was 0% in all three cases. Gustatory scores were preserved (100%) in all participants.</p><p><strong>Conclusion: </strong>One month after total laryngectomy, nasal trigeminal chemosensation appears poorly accessible under naturalistic airflow-deprived conditions, with a pronounced elevation of menthol lateralization thresholds and abolition of sniffing-dependent trigeminal identification. Notably, this deficit persists even when airflow is mechanically assisted, suggesting a sensory down-regulation beyond mere physical transport failure. These preliminary findings support further longitudinal studies assessing whether airflow-inducing rehabilitation may restore trigeminal perceptual availability.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800306","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

Drug-induced sleep endoscopy in the identification of obstruction sites causing obstructive sleep apnea-hypopnea syndrome in children. 药物性睡眠内镜在儿童阻塞性睡眠呼吸暂停低通气综合征梗阻部位的鉴别中的应用。

IF 1.6 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-08-18 DOI: 10.1016/j.anorl.2026.08.001

M Demoures-Patris de Breuil, F Chatelet, N Leboulanger, B Fauroux, F Simon, V Couloigner, B Thierry, R Luscan

{"title":"Drug-induced sleep endoscopy in the identification of obstruction sites causing obstructive sleep apnea-hypopnea syndrome in children.","authors":"M Demoures-Patris de Breuil, F Chatelet, N Leboulanger, B Fauroux, F Simon, V Couloigner, B Thierry, R Luscan","doi":"10.1016/j.anorl.2026.08.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.08.001","url":null,"abstract":"<p><strong>Background: </strong>Evidence for drug-induced sleep endoscopy (DISE) versus multilevel surgery guided by clinical examination is sparse in pediatrics.</p><p><strong>Methods: </strong>A retrospective cohort study included all children undergoing DISE for obstructive sleep apnea (OSA) between September 2021 and April 2025 in a tertiary pediatric center. Clinical examination of obstruction sites was performed in consultation, and treatment was proposed. The data were compared against the intraoperative anatomic data collected during DISE and associated procedures.</p><p><strong>Objective: </strong>To assess the surgical contribution of DISE compared to clinical examination in consultation.</p><p><strong>Results: </strong>Files were analyzed for 240 patients, with a mean age of 6.4±4.6 years. 137 (57%) had type 3 OSA, 7 (3%) type 2, and 96 (40%) type 1. DISE led to changes in surgical strategy in 75% of cases, with 803 procedures performed, compared to 597 planned in consultation (P<0.001). Agreement was satisfactory for partial tonsillectomy, but moderate to weak for surgery in other sites, and especially the tongue base and the laryngeal vestibule. Total anatomic score was significantly higher on DISE than in consultation. Median apnea-hypopnea index (AHI) improved significantly after surgery (P<0.001).</p><p><strong>Conclusion: </strong>DISE identified more obstruction sites than clinical examination in consultation, in children with OSA.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800273","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

Olfactory bulb hypoplasia and congenital anosmia in PTCH1-related Gorlin-Goltz syndrome: An emerging association. ptch1相关Gorlin-Goltz综合征的嗅球发育不全和先天性嗅觉缺失：一种新兴的关联。

IF 1.6 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-08-12 DOI: 10.1016/j.anorl.2026.07.010

S Costa, F Sousa, T Feliciano, J Lino

{"title":"Olfactory bulb hypoplasia and congenital anosmia in PTCH1-related Gorlin-Goltz syndrome: An emerging association.","authors":"S Costa, F Sousa, T Feliciano, J Lino","doi":"10.1016/j.anorl.2026.07.010","DOIUrl":"10.1016/j.anorl.2026.07.010","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital anosmia (CA) is a rare developmental condition that may occur in isolation or as part of a syndromic disorder. Gorlin-Goltz syndrome (GGS), an autosomal dominant condition most commonly caused by pathogenic variants in PTCH1, is classically characterized by cutaneous, odontogenic and skeletal abnormalities, while neurological manifestations remain incompletely defined.</p><p><strong>Case summary: </strong>We report the case of a 10-year-old girl with genetically confirmed PTCH1-related GGS who presented with lifelong anosmia. Otolaryngological evaluation confirmed absent olfactory function by psychophysical testing and electrophysiological assessment. Neuroimaging revealed bilateral olfactory bulb hypoplasia. Endocrinological evaluation excluded hypogonadotropic hypogonadism, distinguishing this phenotype from classical Kallmann syndrome.</p><p><strong>Discussion: </strong>This case adds to the limited, but growing evidence supporting an association between CA and PTCH1-related GGS, highlighting the role of disrupted Sonic Hedgehog signaling in olfactory system development. Recognition of olfactory dysfunction in these patients may contribute to a broader understanding of the neurodevelopmental spectrum associated with PTCH1 mutations.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722829","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

Impact of public health measures during the Covid-19 pandemic on the epidemiology of pharyngeal abscess. 新冠肺炎大流行期间公共卫生措施对咽脓肿流行病学的影响

IF 1.6 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-08-10 DOI: 10.1016/j.anorl.2026.07.009

F Bonnafous, M Thouin, A Alghamdi, K Aubry

{"title":"Impact of public health measures during the Covid-19 pandemic on the epidemiology of pharyngeal abscess.","authors":"F Bonnafous, M Thouin, A Alghamdi, K Aubry","doi":"10.1016/j.anorl.2026.07.009","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.009","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic and the associated public health measures (shielding) altered the circulation of respiratory infections. However, their impact on pharyngeal abscess remains poorly documented.</p><p><strong>Objective: </strong>The primary objective was to assess the progression in the number of pharyngeal abscess cases between March 2018 and February 2024.</p><p><strong>Materials and methods: </strong>A retrospective single-center study compared the periods before, during and after the implementation of shielding measures. Demographic, clinical, therapeutic, and bacteriological data were analyzed.</p><p><strong>Results: </strong>Two hundred twenty patients with pharyngeal abscess were included. A significant increase in cases was observed after the lifting of shielding. We also identified a higher rate of surgical management and a predominance of Streptococcus pyogenes after the measures were lifted.</p><p><strong>Conclusion: </strong>Shielding measures implemented during the COVID-19 pandemic affected not only the number of pharyngeal abscess cases but also their management and bacteriological profile.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708267","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