{"title":"An outstanding ear.","authors":"M Ouazzani Touhami, M Bertrand, E Moreddu","doi":"10.1016/j.anorl.2026.07.005","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.005","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690160","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":"Cavernous sinus syndrome with cerebral infarction in a neutropenic patient: Beyond the infarct.","authors":"A D Asimakopoulos, A Zikou, G Psychogios","doi":"10.1016/j.anorl.2026.07.007","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.007","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686489","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 clicking palate: Congenital choristoma with an audible swallowing click.","authors":"A D Asimakopoulos, V Salati, F Gorostidi, K Sandu","doi":"10.1016/j.anorl.2026.07.008","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.008","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686450","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}
S Tahan Shoushtari, G D'Andréa, N Guevara, C Vandersteen
{"title":"Necrosing cervical fasciitis secondary to cocaine injection in the external jugular vein.","authors":"S Tahan Shoushtari, G D'Andréa, N Guevara, C Vandersteen","doi":"10.1016/j.anorl.2026.07.004","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.004","url":null,"abstract":"<p><strong>Introduction: </strong>Local complications secondary to intravascular cocaine injection are various, with cellulitis, abscess and tissue necrosis. Cervical involvement after direct injection incurs a risk of major hemorrhage, due to the proximity of vascular structures.</p><p><strong>Case report: </strong>A female patient presented necrosing cervical fasciitis secondary to cocaine injection in the external jugular vein. She consulted 3 weeks later with a large ulcer at the base of the sternocleidomastoid muscle. Biological and radiological assessment confirmed the absence of any deep vascular complications but revealed necrosis associated with deep cervical abscesses. She underwent emergency surgery to resect the necrotic tissue, drain the collections and ligate the vein. Viable muscle above the vascular fascia made flap coverage unnecessary. Directed healing provided favorable progression. Postoperative course was straightforward, and addictologic follow-up was initiated.</p><p><strong>Conclusion: </strong>Intravascular cocaine injection can lead to deep cervical necrosis, which could be serious due to the vascular risk. Urgent specialized treatment is essential to prevent complications.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686528","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 Zuccarelli, C Leclerc, C Sain Oulhen, L Broder, J-B Lecanu
{"title":"Neuroborreliosis complicated by severe bilateral sensorineural hearing loss.","authors":"E Zuccarelli, C Leclerc, C Sain Oulhen, L Broder, J-B Lecanu","doi":"10.1016/j.anorl.2026.07.003","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.003","url":null,"abstract":"<p><strong>Introduction: </strong>Neuroborreliosis (NB) is a neurologic complication of Lyme disease that can cause sudden hearing loss, which can in some cases be bilateral.</p><p><strong>Case report: </strong>A 61-year-old woman consulted for bilateral sudden hearing loss with headache and earache, following an episode of fever. Interview found a skin lesion suggestive of migratory erythema, which had developed 3months previously after a walk in a German forest and had not initially been treated. Examination revealed severe sensorineural hearing loss and lymphocytic meningitis. Blood tests found long-standing IgM and IgG positive Borrelia burgdorferi infection with intrathecal synthesis of IgM and IgG antibodies. Corticosteroid treatment and ceftriaxone was initiated, and normalized hearing within 3weeks.</p><p><strong>Discussion: </strong>Hearing impairment in NB may involve inflammatory, immunologic or cytotoxic mechanisms affecting hair cells. Early treatment with corticosteroids and targeted antibiotics should be prescribed when NB is suspected, to optimize the chances of recovery. In endemic geographic areas, signs of Lyme disease should be screened for in case of sudden hearing loss.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632348","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":"Post-cholesteatoma Lemierre syndrome: An emergency not to be overlooked.","authors":"F Micaletti, E Caillaud, D Bakhos","doi":"10.1016/j.anorl.2026.02.006","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.02.006","url":null,"abstract":"<p><strong>Introduction: </strong>Lemierre syndrome is a bacterial complication causing septic thrombosis of the head-and-neck venous network, usually with an oropharyngeal origin. Onset after otologic surgery is exceptional.</p><p><strong>Case report: </strong>A 33-year-old woman underwent tympanoplasty for cholesteatoma; 13 days later, she developed sepsis with retroauricular scar disunion. Progression showed septic shock secondary to hemorrhagic rupture of the thrombotic lateral sinus, associated with acute respiratory distress and septic pulmonary emboli. Management required intensive care, revision surgery, antibiotic therapy and anticoagulation.</p><p><strong>Discussion: </strong>This was a rare and serious form of Lemierre syndrome of otologic origin. It highlights the importance of considering this diagnosis in all cases of postoperative ENT sepsis with associated venous thrombosis. Treatment is based on adapted antibiotic therapy. The role of anticoagulation is debatable in the absence of solid evidence of benefit in terms of repermeabilization or survival.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609067","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":"Pseudohypacusis: Audiometric progression, psychological and speech therapy assessment. Toward multidisciplinary management? A cohort study.","authors":"P Petolat, P Reynard, R Hermann, G Lina-Granade","doi":"10.1016/j.anorl.2026.07.002","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.002","url":null,"abstract":"<p><strong>Objectives: </strong>Pseudohypacusis (PHA), or non-organic hearing loss, is still poorly understood and often underdiagnosed. The primary objective of this study was to determine its audiometric characteristics and evolution. The secondary objective was to gather evidence for possible associated auditory processing disorders, learning difficulties or psychiatric conditions, with the aim of establishing a diagnostic and management algorithm.</p><p><strong>Materials and methods: </strong>A single-center retrospective cohort study included all patients presenting PHA. Clinical, medical, psychological and speech therapy data were collected, along with subjective audiometric assessments (pure-tone and speech audiometry in quiet and in noise, central auditory processing assessment), objective audiometric tests, and radiological examinations.</p><p><strong>Results: </strong>Thirty patients (57 ears) were included: 11 males and 19 females. Hearing loss was sensorineural in 61% of cases. Speech audiometry was consistent in 52% of cases. Speech therapy and/or psychological assessment was performed in 28 patients (93%). Audiometric follow-up showed normalization in 45% of cases, with a mean recovery time of 7.2months. Speech-in-noise audiometry alone was performed in 7 patients, and was impaired in 5 of these. Two patients underwent central auditory processing assessment, which revealed auditory processing disorders.</p><p><strong>Conclusion: </strong>PHA is an auditory symptom that usually reflects an underlying disorder, which needs to be managed. It requires multidisciplinary evaluation and treatment.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563331","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":"Vocal rehabilitation by voice prosthesis after total (pharyngo)laryngectomy: A STROBE study.","authors":"A Pelissier, S Aho-Ludwig, M Folia, C Guigou","doi":"10.1016/j.anorl.2026.07.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.07.001","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the criteria used by surgeons to select tracheoesophageal voice (TEV) rehabilitation by voice prosthesis (VP) after total laryngectomy (TL) or pharyngolaryngectomy (TPL).</p><p><strong>Material and methods: </strong>This was a retrospective study conducted in a tertiary referral center between January 2014 and December 2023. The primary objective was to assess the selection criteria for TEV rehabilitation with VP after TL or TPL. Secondary objectives were to analyze VP longevity, related complications, and factors influencing their occurrence. The STROBE reporting guidelines were followed, and the significance threshold was set at P<0.005.</p><p><strong>Results: </strong>A total of 114 patients who underwent TL, TPL or circular TPL were included, 53 of whom received a VP. On binomial logistic regression, patients who underwent TEV rehabilitation with VP were younger (P=0.020), had better general health status (ASA>2, P<0.001), and underwent surgery with direct closure (P=0.026). Median VP lifespan was 188days [IQR: 124-305]. Periprosthetic leakage was the most frequent complication (75% of all complications).</p><p><strong>Conclusion: </strong>TEV rehabilitation tended to be proposed to younger patients in good general health and in cases other than salvage surgery. Patients should be assessed preoperatively before determining the method of voice rehabilitation.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473642","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":"Post-extubation dysphagia in intensive care: The role of the otorhinolaryngologist.","authors":"A-L Potier, T Vanderhaegen, F Mouawad","doi":"10.1016/j.anorl.2026.06.002","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.06.002","url":null,"abstract":"<p><strong>Introduction: </strong>Post-extubation dysphagia (PED) is a frequent and underestimated complication in intensive care, with increased risk of morbidity and mortality. The role of the otorhinolaryngologist in management is not well defined.</p><p><strong>Methods: </strong>A systematic literature review was conducted following the 2020 PRISMA guidelines. It focused on studies of adult patients assessed in intensive care for swallowing disorder after extubation. Study data comprised population, means and timing of assessment and criteria for ENT involvement. Risk of bias was assessed qualitatively using the STROBE, MINORS and AMSTAR guidelines.</p><p><strong>Results: </strong>Forty-one studies published between 2001 and 2024 were selected. Prevalence of PED ranged from 7% to 80%, exceeding 30% in two-thirds of the studies. Risk factors comprised advanced age, >5-7days' intubation, high severity score, endotracheal tube≥8mm, nasogastric catheter, laryngeal lesion, acquired muscle weakness, and no oral intake at 72hours. Methods varied: 34% of studies used instrumental assessment (FEES, VFSS) and the others used clinical tests (FOIS, FILS). ENT involvement was reported in only 27% of studies, on the following criteria: persistent voice abnormality, ineffective coughing, no oral feeding by day 3, failure on clinical tests, and radiologic suspicion of inhalation.</p><p><strong>Conclusion: </strong>PED has significant prognostic impact, but is variably assessed. The ENT physician can play a key role, but intervention needs to be targeted. Based on the present findings, we propose a decision support algorithm combining simple clinical criteria and tests. Multicenter prospective studies are needed to validate the algorithm and assess its clinical and organizational contribution.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438694","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":"White-list and university hospital careers in France: A complementary user guide.","authors":"E Lescanne","doi":"10.1016/j.anorl.2026.05.002","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.05.002","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413344","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}