{"title":"Inflammatory laryngeal reaction after medialization by hyaluronic acid.","authors":"R Haddad, A Mattei, A Giovanni","doi":"10.1016/j.anorl.2026.01.003","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.01.003","url":null,"abstract":"<p><strong>Introduction: </strong>Injection laryngoplasty with hyaluronic acid (HA) is currently the first-line treatment for glottic insufficiency, significantly improving vocal function. Some rare inflammatory laryngeal reactions have been reported, managed conservatively by corticosteroids and antibiotics.</p><p><strong>Case report: </strong>An 83-year-old woman with longstanding dysphonia due to left laryngeal paralysis was treated by medialization with hyaluronic acid injection under local anesthesia. Postoperative course featured onset of dyspnea 42h after injection, with a large laryngeal edema, unimproved by conservative medical treatment. CT showed edematous infiltration of the left hemilarynx, greater than the injected volume. Given the lack of clinical improvement, emergency tracheotomy was performed. Progressive absorption of the edema allowed decannulation 3weeks later.</p><p><strong>Discussion: </strong>We report a rare complication after medialization by HA injection: a severe inflammatory laryngeal reaction significantly impairing airway function and threatening vital prognosis. The case highlights the critical need for close monitoring after medialization and for appropriate management in case of dyspnea onset.</p>","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":"146138006","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":"French campaign for laryngectomees’ quality of life","authors":"M. Perréard, I. Huet, C. Legrais, E. Babin","doi":"10.1016/j.anorl.2025.09.002","DOIUrl":"10.1016/j.anorl.2025.09.002","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 1","pages":"Pages 75-76"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182408","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":"What happened to the capsule?","authors":"K. Al Tabaa , L. Morin , B. Faucon","doi":"10.1016/j.anorl.2025.06.003","DOIUrl":"10.1016/j.anorl.2025.06.003","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 1","pages":"Pages 70-71"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318419","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":"Thanks to reviewers","authors":"","doi":"10.1016/S1879-7296(26)00014-1","DOIUrl":"10.1016/S1879-7296(26)00014-1","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 1","pages":"Page 77"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145982070","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":"Anaphylactic shock induced by HEC® ointment: A CARE case report","authors":"L. de Villars , M. Douet , C. Aussedat","doi":"10.1016/j.anorl.2025.07.003","DOIUrl":"10.1016/j.anorl.2025.07.003","url":null,"abstract":"<div><h3>Introduction</h3><div>HEC® phenazone-tannin-witch hazel ointment is widely used in the treatment of epistaxis, with few adverse effects. Anaphylactic shock after packing with HEC® ointment has, to the authors’ knowledge, never previously been reported.</div></div><div><h3>Case report</h3><div>A 53 year-old male presented with massive epistaxis requiring packing after cauterization. After packing with HEC® ointment, the patient experienced grade 5 anaphylactic shock, requiring admission to intensive care. The outcome was ultimately favorable.</div></div><div><h3>Conclusion</h3><div>Potential allergy to the ingredients of HEC® ointment should be ascertained before application, to avoid serious reactions.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 1","pages":"Pages 56-57"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805077","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}
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":"10.1016/j.anorl.2025.06.008","url":null,"abstract":"<div><h3>Objective</h3><div>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 65<!--> <!-->dB SPL (VRB65) and 45<!--> <!-->dB SPL (VRB45) in normal-hearing subjects.</div></div><div><h3>Materials and methods</h3><div>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 (65<!--> <!-->dB SPL, VRB<sub>65</sub>), followed by a second series of tests with a lower sentence presentation level (45<!--> <!-->dB SPL, VRB<sub>45</sub>).</div></div><div><h3>Results</h3><div>Among the 29 normal-hearing subjects, there was no significant variation in the psychometric function curves or SNR loss values for VRB<sub>65</sub> or VRB<sub>45</sub>.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 1","pages":"Pages 14-18"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","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}
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":"10.1016/j.anorl.2025.08.003","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to assess long-term progression of residual tumor and facial function after primary partial resection of large vestibular schwannoma.</div></div><div><h3>Materials and methods</h3><div>This retrospective study was performed in a tertiary reference center between January 2008 and December 2021. Patients with vestibular schwannoma exceeding 25<!--> <!-->mm 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.</div></div><div><h3>Results</h3><div>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<!--> <!-->±<!--> <!-->7.2<!--> <!-->mm in patients with regrowth and 7.4<!--> <!-->±<!--> <!-->5<!--> <!-->mm in those without (<em>P</em> <!--><<!--> <!-->0.01). On multivariate analysis, only residual tumor size was significantly associated with regrowth (OR<!--> <!-->=<!--> <!-->1.263; 95% CI [1.050–1.677]; <em>P</em> <!-->=<!--> <!-->0.04). ROC analysis identified a 6.5<!--> <!-->mm threshold for residual tumor size, beyond which risk of regrowth increased, with 90% sensitivity, 53% specificity and 0.78 AUC.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 1","pages":"Pages 19-23"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","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}
X. Dubernard , J. Ortega Solis , M.-J. Fraysse , S. Tronche , V. Darrouzet , T. Mom
{"title":"Guidelines of the French Society of ENT (short version) on the role and modalities of vestibular rehabilitation in Menière's disease","authors":"X. Dubernard , J. Ortega Solis , M.-J. Fraysse , S. Tronche , V. Darrouzet , T. Mom","doi":"10.1016/j.anorl.2025.12.001","DOIUrl":"10.1016/j.anorl.2025.12.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Menière's disease is a fluctuating pressure pathology featuring successive hydropic episodes of varying frequency and intensity. The accumulation of these episodes and of the certain treatments can induce vestibular deficit and episodes of chronic instability. Vestibular rehabilitation aims to limit everyday impact by developing compensation and adaptation. How and when should it be introduced?</div></div><div><h3>Material and methods</h3><div>A systematic review of the literature for the period 1963–2022 was conducted by an expert group comprising of ENT physicians and vestibular physiotherapists. For each reference, the level of evidence was recorded as 1, 2, 3, 4 or expert opinion. Recommendations were graded A, B or C according to the methodological quality of the underlying studies; when there was no evidence-based consensus, an “expert opinion” was formulated based on the group members’ clinical practices.</div></div><div><h3>Results</h3><div>Eighteen articles were selected via 4 scientific search engines (PubMed, Google Scholar, PEDro, Science Direct) and 3 keywords “Rehabilitation”, “Vestibular rehabilitation”, and “Menière's disease”.</div></div><div><h3>Conclusion</h3><div>Vestibular rehabilitation is recommended in Menière's disease in case of uncompensated spontaneous progressive vestibular deficit or surgical or medical vestibular suppression (gentamicin injection). Rehabilitation should await a period of 3 months’ stability, and be adapted to the individual complaint. It should be supervised by a rehabilitation professional: self-rehabilitation is not recommended.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 1","pages":"Pages 50-55"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890324","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. 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":"10.1016/j.anorl.2025.07.002","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Aims</h3><div>To assess the feasibility of the first interprofessional cooperation protocol for fiberoptic endoscopic evaluation of swallowing by speech therapists in hospitalized patients.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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; <em>P</em> <!-->><!--> <!-->0.05). After checking the assessment report, the delegating ENT physicians did not alter the speech therapist's recommendations.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 1","pages":"Pages 7-10"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","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}