European Annals of Otorhinolaryngology-Head and Neck Diseases最新文献_第5页

When routine turns rare: Massive hematemesis unveiling hypopharyngeal perforation caused by a redon suction drain. 当常规变为罕见：大量呕血揭示下咽穿孔引起的重新吸引引流。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-02-20 DOI: 10.1016/j.anorl.2026.02.004

A D Asimakopoulos, C Arquero Dominguez, A Avagnina, S Bouayed

{"title":"When routine turns rare: Massive hematemesis unveiling hypopharyngeal perforation caused by a redon suction drain.","authors":"A D Asimakopoulos, C Arquero Dominguez, A Avagnina, S Bouayed","doi":"10.1016/j.anorl.2026.02.004","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.02.004","url":null,"abstract":"Introduction: Hypopharyngeal perforation is a rare but potentially life-threatening complication that can follow cervical or aerodigestive procedures. Its deep anatomical location and often subtle symptoms make early recognition difficult, increasing the risk of mediastinitis and sepsis. Massive hematemesis as the initial manifestation is exceptionally uncommon and diagnostically challenging.Case summary: A 49-year-old man underwent elective C4-C5 anterior cervical discectomy for degenerative canal stenosis. Shortly after extubation, he developed massive hematemesis. Endoscopy revealed a perforation of the right pyriform sinus, with a Redon suction drain traversing the hypopharyngeal wall into the laryngeal lumen. Emergency direct pharyngolaryngoscopy was performed; the drain was carefully removed and the defect closed endoscopically with interrupted sutures reinforced by biological fibrin sealant. The postoperative course was uneventful, and at three-month follow-up the patient showed complete recovery without stenosis or fistula.Discussion: This case describes an exceptionally rare iatrogenic hypopharyngeal perforation caused by a Redon suction drain after anterior cervical discectomy, presenting atypically with massive hematemesis. It highlights the diagnostic challenge and potentially dramatic presentation of hypopharyngeal perforation following anterior cervical spine surgery. The report underscores the importance of meticulous drain placement, intraoperative vigilance, and postoperative airway and swallowing surveillance in preventing aerodigestive complications after cervical or transoral procedures.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776859","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

Human factors in ENT: A critical challenge for training. 耳鼻喉科的人为因素：培训的关键挑战。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-02-16 DOI: 10.1016/j.anorl.2026.01.009

F Carsuzaa, F Simon, B Cadre, R Nicollas, C Parietti-Winkler, J-B Morvan

引用次数: 0

A not-so-spontaneous CSF leak. 不是自发性的脑脊液泄漏。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-02-16 DOI: 10.1016/j.anorl.2026.01.010

J-B Levoy, X Dufour, F Carsuzaa

引用次数: 0

Otoendoscopy: Tricks and tips for dealing with bleeding. 耳内窥镜检查：处理出血的技巧和提示。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-02-09 DOI: 10.1016/j.anorl.2026.01.001

E Chebib, G Orofino, V Couloigner, F Simon

引用次数: 0

Pediatric obstructive sleep apnea hypopnea diagnosis using a video recording score: A pilot study. 使用录像评分诊断小儿阻塞性睡眠呼吸暂停低通气：一项初步研究。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-02-06 DOI: 10.1016/j.anorl.2025.09.008

N Saroul, J-E Petersen, C Lambert, M Puechmaille, L Gilain, T Mom, Y Dauvilliers, M-L Fantini, P Beudin, M Akkari

{"title":"Pediatric obstructive sleep apnea hypopnea diagnosis using a video recording score: A pilot study.","authors":"N Saroul, J-E Petersen, C Lambert, M Puechmaille, L Gilain, T Mom, Y Dauvilliers, M-L Fantini, P Beudin, M Akkari","doi":"10.1016/j.anorl.2025.09.008","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.09.008","url":null,"abstract":"Objectives: Because access to sleep recordings is limited, there is a need for new reliable tools for pediatric obstructive sleep apnea-hypopnea syndrome (OSAHS) diagnosis. A score calculated from a 30 minutes-home sleep video recording (VR) has already been proposed in 1996 with interesting results. The main objective of this pilot study was to assess the reliability of a similar score applied to reference PSG VR and calculated on two different time windows (30 and 10minutes).Methods: A retrospective monocenter study was made on 16 children suspected of OSAHS, that underwent VR during overnight PSG. Video analysis was made during the second complete sleep cycle. A 30-minute risk score (RS30) and a 10-minute risk score (RS10) were established by analyzing seven parameters. The RS30 and RS10 were correlated with clinical examination data, a sleep questionnaire, the obstructive-apnea-hypopnea index (OAHI) and the oxygen desaturation index (ODI) from synchronized PSG results.Results: There was a significant correlation between both the RS30 and RS10, the OAHI and ODI. A RS30 ≥6.09 was predictive of an OAHI ≥5 per hour with a sensitivity of 83% and a specificity of 90%. A RS10 ≥6.50 was predictive of an OAHI ≥5 per hour with a sensitivity of 67% and a specificity of 100%.Conclusion: A risk score based on PSG VR shows a good correlation with PSG results, confirming previous reports. Further work should focus on applying this risk score to home sleep VR for the diagnosis of pediatric OSAHS.","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137999","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

An atypical maxillary sinusitis. 非典型上颌窦炎。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-02-06 DOI: 10.1016/j.anorl.2026.01.007

L Benoit, C-A Righini

引用次数: 0

Temporal bone osteolytic lesion with skull base extension. 颞骨溶解性病变伴颅底延伸。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-02-06 DOI: 10.1016/j.anorl.2025.12.003

A D Asimakopoulos, J-M Dumollard, A Karkas

引用次数: 0

Quality of life questionnaires in ENT: New tools, and update of the inventory. 耳鼻喉科生活质量调查问卷：新工具和更新的清单。

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-02-06 DOI: 10.1016/j.anorl.2026.01.006

A Coudert, S Gargula

引用次数: 0

What is the primary for this cellulitis? 蜂窝组织炎的主要病因是什么？

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-02-06 DOI: 10.1016/j.anorl.2026.01.005

K Al Tabaa, A Russo, E Ngom Minka, L Morin

引用次数: 0

An unusual velar ulceration? 不寻常的溃疡？

IF 2.4 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-02-06 DOI: 10.1016/j.anorl.2026.01.004

A Dubray-Vautrin, N Badois, O Choussy, M Lesnik

引用次数: 0