M Rey, S Adelou, N Pham Dang, J Biau, M Bernadach, M Puechmaille, N Saroul
{"title":"Assessment of morbidity and mortality in emergency tracheotomy in head-and-neck cancer patients under palliative care.","authors":"M Rey, S Adelou, N Pham Dang, J Biau, M Bernadach, M Puechmaille, N Saroul","doi":"10.1016/j.anorl.2026.06.003","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.06.003","url":null,"abstract":"<p><strong>Introduction: </strong>Progression of advanced-stage head-and-neck cancer (HNC) can lead to respiratory distress requiring emergency tracheotomy. In the context of palliative care, this raises major prognostic and ethical issues. The present study sought to assess survival and morbidity after emergency tracheotomy in HNC patients under palliative care.</p><p><strong>Material and methods: </strong>A 2-center retrospective study included all HNC patients in palliative care who underwent emergency tracheotomy between 2000 and 2023 in our institution. Demographic, clinical/pathologic and survival data were analyzed.</p><p><strong>Results: </strong>Thirty-eight of the 1243 tracheotomies performed during the study period were for patients in palliative care. Mean age was 64.5±11.9years. Ninety-five percent of cancers were stage IV and 40% were metastatic. Forty-two percent of patients experienced postoperative complications. No deaths directly implicated surgery. Median overall post-tracheotomy survival was 2months (IQR: 1-4months), for a mean 4.3±6.6months. Discharge home was the only significant protective factor (HR: 0.27; P=0.006).</p><p><strong>Conclusion: </strong>Emergency tracheotomy is rare in the context of palliative care, with fewer than 2 cases per year in our center. It prolongs survival by a few weeks, but at the cost of elevated morbidity. Indications should be anticipated and discussed in a tumor board including palliative care professionals.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354403","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 D Asimakopoulos, N Dulguerov, L Ciucchi, A Avagnina
{"title":"Necrotizing toxic laryngitis following combined polysubstance smoking of crack cocaine and heroin.","authors":"A D Asimakopoulos, N Dulguerov, L Ciucchi, A Avagnina","doi":"10.1016/j.anorl.2026.04.010","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.04.010","url":null,"abstract":"<p><strong>Introduction: </strong>Thermal injury of the upper aerodigestive tract related to inhalational drug abuse is uncommon but increasingly recognized. While airway injury associated with crack cocaine inhalation has been reported, the otolaryngologic manifestations of inhaled heroin vapor (\"chasing the dragon\") remain poorly described.</p><p><strong>Case summary: </strong>We report the case of a 39-year-old woman presenting with progressive dysphonia and dyspnea. She had a history of polysubstance smoking including tobacco, cannabis, crack cocaine, and heroin vapor inhalation. Flexible fiber-optic nasopharyngolaryngoscopy demonstrated extensive bilateral necrosis of the vocal fold mucosa with preserved vocal fold mobility and abundant carbonaceous debris within the laryngeal lumen. Histopathological analysis of expectorated fragments confirmed ischemic necrosis of squamous mucosa. The patient was managed conservatively with corticosteroids, antibiotics, and close outpatient follow-up, with partial clinical improvement.</p><p><strong>Discussion: </strong>Thermal injury from crack cocaine inhalation has been associated with supraglottic and laryngeal mucosal damage. In contrast, the effects of inhaled heroin vapor on the upper airway remain poorly documented. Combined inhalation of multiple substances may result in additive thermal and chemical mucosal injury, potentially explaining the extensive laryngeal necrosis observed in this case. This report highlights the need to consider polysubstance inhalational abuse in patients presenting with unexplained necrotizing laryngeal lesions.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333929","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":"Prognostic impact of invasion patterns and circumferential spread of internal carotid artery on survival in patients with nasopharyngeal carcinoma.","authors":"C-F Lien, S-A Yeh, T-Z Hwang, F-Y Chiang, C-C Wang, B-H Cai, C-C Yang, C-C Chen, C-S Cheng, M-C Hsieh","doi":"10.1016/j.anorl.2026.04.008","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.04.008","url":null,"abstract":"<p><strong>Objective: </strong>Prognostic influence of invasion pattern and circumferential spread of internal carotid artery (ICA) on survival in patients with nasopharyngeal cancer (NPC) was not well established. Thus, we conducted a retrospective study to investigate the association with survival.</p><p><strong>Material and methods: </strong>This was a retrospective study and included pathologically proved NPC patients from November 2015 to Dec 2022 at our Hospital. The invasion pattern and circumferential spread of ICA were carefully reviewed from computed tomogram or magnetic resonance image. Survival were estimated by the Kaplan-Meier method with five-year overall survival (OS) rate and five-year disease specific survival (DSS) rate.</p><p><strong>Results: </strong>A total of 200 NPC patients were included in this study for outcome analysis. Of the included patients, ICAI by NPC was observed in 55 (27.5%) patients. After stratifying by ICA invasion (ICAI) or not, the OS and DSS were 41% and 44% in patients with ICAI, while 81% and 85% in those without ICA invasion, respectively (P<0.001 in both OS and DSS). Subgroup analysis found that patients with C4 segment invasion had worst outcomes. The OS and DSS were 14% and 14% in patients with C4 segment invasion of ICA, while 72% and 77% in those without C4 segment invasion of ICA, respectively. As for extent of circumferential spread, the 5-year survival rate and 5-year disease specific survival rate were 80% versus 40% and 85% versus 45% for patients with spread less than 180 degree and more than 180 degree, respectively.</p><p><strong>Conclusions: </strong>Locally advanced NPC patients with ICAI has miserable outcomes, especially those with ICAI more than 180 degree and C4 segment involvement. More aggressive interventions were needed to extend their survival.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320065","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":"Impact of great auricular nerve preservation status post parotidectomy on quality of life.","authors":"M Shdaifat, N H Van Den Berg, P Sheahan","doi":"10.1016/j.anorl.2026.04.009","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.04.009","url":null,"abstract":"<p><strong>Aims: </strong>Parotidectomy is a common surgery to treat parotid neoplasms. While much discussion has been invested in complications such as facial nerve injury and Frey syndrome, outcomes arising from great auricular nerve (GAN) sacrifice are not well studied. The present study aims to investigate quality of life outcomes post-parotidectomy according to GAN preservation status.</p><p><strong>Materials and methods: </strong>A cross-sectional study of parotidectomy patients between 2011-2020 for benign tumours was performed. Data on quality of life (QoL) was collected through a composite questionnaire (Douleur Neuropathique 4 [DN4] and Leeds Assessment of Neuropathic Symptoms and Signs [LANSS]).</p><p><strong>Objectives: </strong>To assess patient quality of life post-parotidectomy according to GAN preservation status.</p><p><strong>Results: </strong>Among the contacted patients, 76/205 (37.1%) responded. Of these, 38/76 were categorised as GAN-preserved, 34/76 as GAN-sacrificed and 4/76 were excluded as GAN status could not be ascertained. All patients were >6months post-operation. On a scale of 0-10, for pain, the mean values were 2.21/10 (GAN-sacrificed) and 1.32/10 (GAN-preserved) (P=0.645), and for numbness 4.47/10 (GAN-sacrificed), and 4.34/10 (GAN-preserved) (P=0.645). The angle of mandible was the most reported area for neuropathic sensations (42.1% (16/38) of GAN-preserved; 50.0% (17/34) of GAN-sacrificed). Tingling sensation was the most frequent sensation described. On a scale of 0-10 for effect on general QoL, the mean was 1.08/10 for GAN-preserved, and 1.62/10 GAN-sacrificed cohort (P=0.29). No statistical differences for specific QoL measures were found.</p><p><strong>Conclusion: </strong>Our results suggest that GAN sacrifice is not associated with increased sensory defects and does not negatively impact on quality of life.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320103","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 Mhatli, D Ebode, R Haddad, J Michel, C Vandersteen, S Gargula
{"title":"French-language adaptation and linguistic validation of the ETDQ-7 Eustachian tube dysfunction assessment questionnaire following COSMIN guidelines.","authors":"M Mhatli, D Ebode, R Haddad, J Michel, C Vandersteen, S Gargula","doi":"10.1016/j.anorl.2026.06.005","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.06.005","url":null,"abstract":"<p><strong>Background: </strong>Eustachian tube dysfunction (patulous Eustachian tube or obstructive impermeability) can significantly impair quality of life, but no French-language questionnaire was previously available. The present study sought to adapt and validate a French version of the ETDQ-7 questionnaire.</p><p><strong>Materials and methods: </strong>A prospective controlled study was conducted between February 2024 and March 2025. Translation used the forward-backward technique and statistical validation was performed in adult patients treated for Eustachian tube dysfunction and a control group.</p><p><strong>Objectives: </strong>Internal consistency, discriminant validity and test-retest reliability were assessed for global score, subtotals and items.</p><p><strong>Results: </strong>In all, 32 patients (cases) and 32 controls filled out the questionnaire. Twenty-three of the 32 cases also filled out the retest. Internal consistency on Cronbach alpha was 0.84 for cases. Mean total ETDQ-7 score was 27±10.2 for cases versus 8.9±2.6 for controls (P<0.0001). Test-retest reliability on Pearson correlation coefficient was satisfactory, at r=0.77. All items showed satisfactory individual performance.</p><p><strong>Conclusion: </strong>The French-language ETDQ-7 is a short, simple and reliable instrument for assessing quality of life in patients with Eustachian tube dysfunction.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320083","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":"Lambeauclic.fr, creation and evaluation of an online choice aid for reconstruction techniques in facial skin surgery.","authors":"A Danic, C Dissaux, P Schultz, L Fath","doi":"10.1016/j.anorl.2026.04.006","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.04.006","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284490","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":"Temporal bone analysis alone cannot prove that Neanderthals took care of the disabled.","authors":"R Baudouin, R Levy, P Charlier","doi":"10.1016/j.anorl.2026.05.006","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.05.006","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279403","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}
N Saroul, J E Petersen, C Lambert, J Massoubre, R Marianowski, M Puechmaille, M Mondain, L Gilain, T Mom, M Akkari
{"title":"Pediatric obstructive sleep apnea diagnosis using a smartphone home sleep video score.","authors":"N Saroul, J E Petersen, C Lambert, J Massoubre, R Marianowski, M Puechmaille, M Mondain, L Gilain, T Mom, M Akkari","doi":"10.1016/j.anorl.2026.03.009","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.03.009","url":null,"abstract":"<p><strong>Objective: </strong>A video score applied to polysomnography recordings for diagnosing pediatric obstructive sleep apnea-hypopnea syndrome (OSAHS) was previously described. Given the accessibility of smartphone home sleep video recordings (HSVR), this study aimed to assess the reliability of an HSVR-based scoring system for pediatric OSAHS diagnosis.</p><p><strong>Methods: </strong>We conducted a prospective multicenter clinical trial. Children suspected of OSAHS without comorbidities underwent respiratory polygraphy (RP). Within four days before or after RP, parents recorded a 10-minute HSVR, marking the minute they perceived as worst for obstructive sleep-disordered breathing symptoms. A 10-minute (VS10) and 1-minute (VS1) video score were established using seven parameters and compared to clinical examination, a sleep questionnaire, and the obstructive-apnea-hypopnea index (OAHI) from RP. The STROBE guidelines were followed.</p><p><strong>Results: </strong>Fifty-six children (mean age: 5.1±1.6 years) were included. The VS10 (n=53) diagnosed OSAHS with an Area Under the Curve (AUC) of 0.76 (95% CI: 0.61-0.90) and moderate-to-severe OSAHS with an AUC of 0.85 (95% CI: 0.74-0.97). The VS1 (n=26) diagnosed OSAHS with an AUC of 0.71 (95% CI: 0.46-0.96) and moderate-to-severe OSAHS with an AUC of 0.81 (95% CI: 0.64-0.99).</p><p><strong>Conclusion: </strong>A smartphone HSVR-based video score shows promise for detecting OSAHS in children. Further studies with pre- and post-intervention comparisons could enhance its clinical utility.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254132","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-P Tuset, M Daval, D Levy, C Nekrouf, D Ayache, S Gargula
{"title":"French translation and psychometric validation of the Client-Oriented Scale of Improvement (COSI) questionnaire.","authors":"M-P Tuset, M Daval, D Levy, C Nekrouf, D Ayache, S Gargula","doi":"10.1016/j.anorl.2026.05.008","DOIUrl":"https://doi.org/10.1016/j.anorl.2026.05.008","url":null,"abstract":"<p><strong>Objective: </strong>Linguistic and psychometric validation of the French version of the COSI questionnaire (Client-Oriented Scale of Improvement) assessing perceived improvement with hearing aids.</p><p><strong>Methods: </strong>A single-center prospective study was conducted in 100 patients with hearing aids (NCT06108609). They filled out the COSI and IOI-HA questionnaires (International Outcome Inventory for Hearing Aids). COSI is a free-choice questionnaire in which the respondent chooses 5 out of 16 items corresponding to the main auditory problems. Psychometric analysis followed the COSMIN guidelines. Test-retest reliability was assessed on intra-class correlation coefficient (ICC) in 36 patients. Correlations between COSI subscores and between COSI and global IOI-HA score were assessed.</p><p><strong>Results: </strong>Median COSI subscores were 3.8 [IQR: 3.2-4.2] for \"degree of change\" and 3.6 [IQR: 3.0-4.2] for \"final ability\". Internal consistency was good, with Cronbach alpha 0.76 and 0.79 respectively. ICC was 0.68 (95% CI: 0.45-0.82) for \"degree of change\" and 0.81 (95% CI: 0.66-0.90) for \"final ability\". There was a strong correlation between the 2 subscores: r=0.73 (95% CI: 0.62-0.81); P<0.001 There were moderate positive correlations between COSI and IOI-HA scores: r=0.59 and r=0.63; P<0.001.</p><p><strong>Conclusion: </strong>The French version of the COSI questionnaire showed satisfactory psychometric properties. Its reliability, internal consistency and clinical relevance are sufficient for inclusion in everyday practice for personalized evaluation of hearing aids.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148195050","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. Marques Gomes, A.I. Gonçalves, A. Alves Carção, J. Ferreira Penêda, G. Lopes
{"title":"Predictors of anatomical and functional success in pediatric type I tympanoplasty","authors":"D. Cunha-Cabral, P. Marques Gomes, A.I. Gonçalves, A. Alves Carção, J. Ferreira Penêda, G. Lopes","doi":"10.1016/j.anorl.2026.02.011","DOIUrl":"10.1016/j.anorl.2026.02.011","url":null,"abstract":"<div><h3>Aims</h3><div>Identification of predictors of anatomical and functional success in pediatric type I tympanoplasty.</div></div><div><h3>Material and methods</h3><div>In this case control study, we reviewed the medical records of children undergoing type I tympanoplasty between January 2012 and December 2022 in our hospital. Anatomical success was evaluated at 6 (T1), 12 (T2) months and at the end of follow up (T3). Functional success was defined as a mean postoperative ABG<!--> <!--><<!--> <!-->10<!--> <!-->dB in ears with sustained tympanic membrane integrity.</div></div><div><h3>Results</h3><div>A total of 79 ears (67 patients) were included. The median age of our sample was 12 years (range, 8–17), and the median follow-up period was 27 months (range, 12–86). The anatomical success rates at T1, T2, and T3 were 88.6%, 83.5%, and 77.2%, respectively. The etiology of the perforation was an independent predictor of anatomical success at T2 and T3. Patients with traumatic or post-ventilation tube perforations were less likely to experience reperforation compared with those with chronic otitis media (<em>P</em> <!-->=<!--> <!-->0.023 and <em>P</em> <!-->=<!--> <!-->0.009, respectively). The presence of tympanosclerosis was an independent predictor of reperforation at T1, T2, and T3. The mean postoperative ABG was 6.45<!--> <!-->±<!--> <!-->0.91<!--> <!-->dB HL. Larger tympanic membrane perforations (><!--> <!-->50% of the total TM area) had significant worse functional outcomes (<em>P</em> <!-->=<!--> <!-->0.021).</div></div><div><h3>Conclusion</h3><div>Type I tympanoplasty has good anatomical and functional outcomes in the pediatric age. The etiology of the perforation and the presence of tympanosclerosis may be used as predictors of anatomical success. Larger perforations may predict worse postoperative audiometric outcomes.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 4","pages":"Pages 274-280"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619176","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}