European Annals of Otorhinolaryngology-Head and Neck Diseases最新文献

{"title":"Cochlear implantation in the very elderly: Longitudinal assessment of device use and outcomes.","authors":"T Bocquillon, I Mosnier, M Marx, G Petit, E Truy, G Lina-Granade, P Reynard, R Hermann","doi":"10.1016/j.anorl.2025.10.012","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.10.012","url":null,"abstract":"<p><strong>Introduction: </strong>Cochlear implantation (CI) is an option for severe to profound hearing loss when hearing aids are ineffective. This study aimed to evaluate its relevance in individuals over 80 by assessing long-term CI use and audiological outcomes.</p><p><strong>Methods: </strong>We conducted a retrospective, single-center study including 29 patients over 80years old who received their first CI between January 2012 and December 2021 with data recorded until December 2024. Annual rates of users and non-users, audiometric test results, and pre- and postoperative complications were recorded.</p><p><strong>Results: </strong>The mean age at implantation was 82.8, and the mean duration of CI usage was 4.9years. The percentage of patients still using their implant was 100%, 93%, 83%%, 76% and 75% at 1, 2, 3, 4 and 5years respectively. This number dropped to 33% 8years after the surgery. The main reasons for discontinuation were loss of autonomy and lack of benefit. Audiometric results showed improvement in mean pure-tone audiometry thresholds and free-field speech audiometry. Minor complications occurred in 24% of cases, while severe complications occurred in 13%.</p><p><strong>Conclusion: </strong>CI is a viable option for patients over 80years old with severe to profound hearing loss. However, given the progressive decline of usage after implantation in this age group, a detailed cost-benefit analysis could provide valuable insight into its indication for this population.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795159","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":"Association of nasal mucus cystatin SN levels with disease severity in patients with uncontrolled chronic rhinosinusitis.","authors":"X Pan, Y Li, Z Liu, S Xu, D Wu","doi":"10.1016/j.anorl.2025.11.006","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.11.006","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to measure and compare nasal mucus cystatin SN levels in patients with controlled and uncontrolled chronic rhinosinusitis, and to evaluate its diagnostic performance in distinguishing between these disease states.</p><p><strong>Material and methods: </strong>A total of 98 CRS patients were prospectively enrolled and evaluated for disease control based on the EPOS criteria. Specimens of nasal mucus and tissue from patients with CRS and 15 healthy controls undergoing surgery for the deviated septum were obtained to measure cystatin SN levels. Disease severity was evaluated using the 22-item Sinonasal Outcome Test (SNOT-22), Questionnaire of Olfactory Disorders Negative Statements (QOD-NS) score, Lund-Kennedy score, Lund-Mackay score, olfactory cleft endoscopy scale (OCES), and olfactory cleft computed tomography (CT) score. Multivariable logistic regression analysis was used to determine the risk factors associated with uncontrolled CRS.</p><p><strong>Results: </strong>Among the patients with CRS, 42.86% were uncontrolled. Cystatin SN expression in the nasal epithelium was significantly increased among patients with uncontrolled CRS compared to those with controlled CRS and healthy controls (both P<0.001). Furthermore, the uncontrolled CRS exhibited significantly higher blood eosinophil counts (BEC) (P=0.001), SNOT-22 score (P=0.001), QOD-NS score (P=0.004), Lund-Mackay score (P=0.022), OCES (P=0.004), and olfactory cleft CT score (P=0.012) than controlled CRS. Additionally, mucus cystatin SN levels showed a positive correlation with BEC (R=0.126, P=0.012) in patients with CRS. Multivariable logistic regression analysis showed that nasal mucus cystatin SN was identified as an independent predictor of uncontrolled CRS (OR=1.011, P=0.028). Mucus cystatin SN levels with a cutoff point greater than 106.050pg/mL had a superior predictive value for uncontrolled CRS compared to BEC (area under the curve, 0.886 vs. 0.782, P<0.001).</p><p><strong>Conclusion: </strong>Mucus cystatin SN levels were highly associated with disease severity in patients with uncontrolled CRS.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145744369","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":"Letter on the article \"Efficacy of partial tonsillectomy in periodic fever, aphthous stomatitis, pharyngitis and adenitis syndrome: A STROBE retrospective observational study\" by Banh Chong T, et al. Eur Ann Otorhinolaryngol Head Neck Dis 2025;142:115-20.","authors":"Y Wang, X Tang","doi":"10.1016/j.anorl.2025.11.004","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.11.004","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716301","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":"Factors for pain in office-based voice implant replacement. A multicenter prospective GETTEC study.","authors":"M André, D Culié, O Malard, A Marhic, C Fabre, J Martin, E Babin, S Vergez, S Morinière","doi":"10.1016/j.anorl.2025.11.002","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.11.002","url":null,"abstract":"<p><strong>Aim: </strong>To determine factors affecting pain on a numeric rating scale (NRS) during office-based voice prothesis exchange. And, secondarily, to review voice prothesis replacement techniques in France.</p><p><strong>Material and method: </strong>A multicenter prospective observational study was conducted by the Head and Neck Tumor Study Group (GETTEC) between November 2022 and November 2024. A survey questionnaire was filled out by the practitioner after informed consent was obtained from the patient. All laryngectomized patients presenting in consultation for voice prothesis exchange were included. Pain was assessed on a unidimensional 0-10 numeric rating scale.</p><p><strong>Results: </strong>Three hundred and nine questionnaires were collected. Mean pain rating was 2±2.8. Three factors were associated with significantly lower pain intensity: procedure duration <5minutes (P<0.001), a single attempt (P<0.001), and the status of the practitioner performing the replacement (P=0.002); 2 factors were associated with suggestively lower pain intensity: male gender (P=0.030), and use of a capsule (P=0.011). Pain intensity was not significantly associated with local anesthesia (P=0.4) or the extraction technique (P=0.2). Sixty seven percent of replacements were in emergency contexts, particularly for intra-prosthetic leakage (68%). Local anesthesia was used in 87% of cases. Extraction was by pushing the implant into the esophagus in 52% of cases, and by pulling it out in 48%. Most replacements (75%) required only 1 attempt, and 77% required less than 5minutes (77%). Capsules were used in 23% of cases.</p><p><strong>Conclusion: </strong>We found a wide range of techniques for replacing a voice prothesis. The procedure is quick and relatively painless. For replacement that is as painless as possible, it is advisable for it to be carried out quickly, using a capsule.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702678","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":"Isolated outpatient ossiculoplasty under potentialized local anesthesia and general anesthesia: Comparative STROBE analysis of early results.","authors":"E Dauzier, D Lazard, C Sain Oulhen, E Genty, J-B Lecanu","doi":"10.1016/j.anorl.2025.10.008","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.10.008","url":null,"abstract":"<p><strong>Objectives: </strong>To compare early results in isolated ossiculoplasty under potentialized local anesthesia and general anesthesia.</p><p><strong>Material and method: </strong>A single-center retrospective observational study included 123 consecutive patients treated by isolated ossiculoplasty between September 1, 2019 and March 1, 2021 in a French private hospital. The main aim was to compare the management pathway (operating room time, hospital stay, outpatient management rate, \"by-pass\" rate of direct return to the outpatient department without passing through the recovery room) according to potentialized local anesthesia versus general anesthesia. Secondary endpoints comprised audiometric results and post- and intraoperative complications (nausea and vomiting, pain, dizziness, crossover). The significance threshold was set at P<0.005. The STROBE guideline was followed.</p><p><strong>Results: </strong>In total, 123 patients were included: 41 with local and 82 with general anesthesia. The two groups were comparable except for type of surgeon. The rate of outpatient treatment was significantly greater with local anesthesia (93% vs. 55%). Operating time and operating room, recovery room and outpatient room occupancy times were shorter with local anesthesia. Postoperative dizziness was significantly more frequent with general anesthesia. Audiometric results did not differ.</p><p><strong>Conclusion: </strong>Potentialized local anesthesia can improve organizational management and outpatient rates in ossicular surgery, without impairing the quality of results.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453841","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":"Assessment of two olfactory training methods for post-COVID-19 loss of olfaction: Classical and intensive","authors":"V. Masson ,&nbsp;P.L. Nguyen-Thi ,&nbsp;P. Gallet ,&nbsp;R. Jankowski ,&nbsp;C. Rumeau ,&nbsp;D.T. Nguyen","doi":"10.1016/j.anorl.2025.04.007","DOIUrl":"10.1016/j.anorl.2025.04.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine whether intensive olfactory training provides better chances of recovery than classic protocols in persistent dysosmia after Covid-19.</div></div><div><h3>Introduction</h3><div>In the literature, olfactory training holds pride of place in the management of post-infection olfactory disorder, with a classic 4-odor protocol. On the other hand, few studies have assessed the benefit of more intensive training.</div></div><div><h3>Materials and methods</h3><div><span>This prospective randomized clinical trial<span> (No. 2020-A01397-32) assessed olfactory training for persistent dysosmia due to COVID-19, with 5 weeks’ to 12 months’ progression. Patients were divided between 2 groups, receiving a classical 4-odor protocol (</span></span><em>n</em> <!-->=<!--> <!-->49) or an intensive 8-odor protocol (<em>n</em> <!-->=<!--> <span>30). Olfaction<span> was assessed in consultation on the Sniffin’ Sticks test, the DyNaChron self-reported olfaction questionnaire and a visual analogue scale (VAS), at inclusion (V1) and at 4 and 8 months (V2 and V3, respectively).</span></span></div></div><div><h3>Results</h3><div>Both protocols significantly improved subjective olfactory assessment on VAS, with non-significant trends for improvement on psychophysical tests. There was no significant difference in olfactory recovery between the classic and intensive protocols. Adhesion to the training program decreased markedly beyond 4 months.</div></div><div><h3>Conclusion</h3><div>Intensive olfactory training did not increase the chances of olfactory recovery compared to the classic protocol in a population with persistent dysosmia following COVID-19 infection.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 294-300"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095397","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":"Predictive factors for postoperative outcome after endolymphatic sac surgery. Part 2: Quality of life","authors":"A. Derieppe,&nbsp;K. Bourget-Aguilar,&nbsp;P. Bordure,&nbsp;G. Michel","doi":"10.1016/j.anorl.2025.04.003","DOIUrl":"10.1016/j.anorl.2025.04.003","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate improvement in quality of life (QoL) 2<!--> <!-->years after endolymphatic sac surgery (ESS) in patients with Ménière's disease (MD), and preoperative factors for QoL.</div></div><div><h3>Materials and methods</h3><div>A retrospective single-center study included patients who underwent ESS between 2015 and 2022, with unilateral MD according to the criteria of the American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS) as revised in 2015, and resistant to first-line medical treatment. The main study endpoint was quality of life, measured on the MDOQ-R questionnaire.</div></div><div><h3>Results</h3><div>Thirty-eight patients were included. Mean improvement in MDOQ-R score was 31.1<!--> <!-->±<!--> <!-->24.6 points [range: −29 to 79], and was significant (<em>P</em> <!-->&lt;<!--> <!-->0.001). No predictive factors were identified.</div></div><div><h3>Conclusion</h3><div>ESS provided significant and lasting improvement in quality of life. However, it was not possible to identify preoperative predictive factors for a “typical” patient profile with the highest likelihood of favorable outcome.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 285-287"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043181","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":"Preoperative computed tomography imaging checklist for maxillary endoscopic prelacrimal approach","authors":"D. Cunha-Cabral ,&nbsp;P.M. Gomes ,&nbsp;A.A. Carção ,&nbsp;D. Duarte ,&nbsp;J.F. Penêda","doi":"10.1016/j.anorl.2025.03.004","DOIUrl":"10.1016/j.anorl.2025.03.004","url":null,"abstract":"<div><div><span>The endoscopic prelacrimal approach to the maxillary sinus<span> is a safe and effective technique. However, it needs to be tailored to the anatomy of the prelacrimal region. This can be evaluated using preoperative </span></span>computed tomography (CT). In this work, we propose a preoperative CT-scan checklist for the endoscopic prelacrimal approach to assist surgeons during patient selection and surgery planning.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 309-314"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057928","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":"Improving the language environment for children with cochlear implants, using the LENA language and environment analysis system – A CONSORT analysis","authors":"M. Lathuilliere ,&nbsp;I. Prang ,&nbsp;M.-C. Picot ,&nbsp;V. Macioce ,&nbsp;M. Mondain ,&nbsp;N. Loundon","doi":"10.1016/j.anorl.2025.04.004","DOIUrl":"10.1016/j.anorl.2025.04.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the contribution of family counseling based on Language and Environment Analysis (LENA) recording data to improving the language environment of children with cochlear implants.</div></div><div><h3>Material and methods</h3><div>Cochlear implanted children with prelingual deafness were included from 2 French cochlear implant centers and randomized between 2 age-matched groups: intervention and control. LENA recording and lexical assessment (PPVT–R or GAEL-P) were performed at T1 and, 5 months later, T2. Between the two, intervention group families received feedback from the LENA recording and parental counseling.</div></div><div><h3>Endpoints</h3><div>The main endpoint was improvement in language environment after LENA-based family counseling: adult word count (AWC), child vocalizations (CV), conversational turns (CT), and TV/media exposure (TV). Secondary endpoints comprised feasibility of LENA and the impact of the language environment on language reception (PPVT–R and GAEL-P scores).</div></div><div><h3>Results</h3><div>Eighty-three of the 90 included children were analyzed. Mean age was 39<!--> <!-->±<!--> <!-->14.2 months, with 43 boys. Between T1 and T2, CT increased by 15 percentiles in the intervention group, in contrast to a median 0 change in controls (<em>P</em> <!-->=<!--> <!-->0.03). For the other 3 LENA parameters (CV, AWC, TV), median change was zero, in both groups. Mean implant acceptability rating was 83%. Lexical reception scores correlated positively with CV (r<!--> <!-->=<!--> <!-->0.37, <em>P</em> <!-->&lt;<!--> <!-->0.01), AWC (r<!--> <!-->=<!--> <!-->0.31, <em>P</em> <!-->&lt;<!--> <!-->0.01) and CT (r<!--> <!-->=<!--> <!-->0.41, <em>P</em> <!-->&lt;<!--> <!-->0.01) but not with TV (r<!--> <!-->=<!--> <!-->0.11, <em>P</em> <!-->=<!--> <!-->0.33).</div></div><div><h3>Conclusion</h3><div>The LENA system can help parents optimize the child's language environment, and thus oral language development, particularly in young children.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 288-293"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021830","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":"Experimental procedure on a royal skull base","authors":"R. Baudouin ,&nbsp;F. Simon","doi":"10.1016/j.anorl.2025.09.001","DOIUrl":"10.1016/j.anorl.2025.09.001","url":null,"abstract":"<div><div>In 1403, in the battle of Shrewsbury, young Prince Henry, the future Henry V of England (1387–1422), was seriously wounded by an arrow that struck him under his left eye and reached the base of his skull. That he survived was thanks to John Bradmore (date of birth unknown; died 1412), a surgeon and also a metalworker, who designed an original instrument enabling progressive extraction of the arrowhead. He then applied irrigation with wine, honey dressings and a resinous ointment, which achieved healing in 20 days. This story is an illustration of the creativity and experimental attitude at the heart of medical intervention: faced with a desperate situation, Bradmore proved able to invent and apply an adapted solution. The Prince's recovery had major historic consequences: Henry V went on the lead the victorious battle of Agincourt, impose the treaty of Troyes on France and turn relations between the two countries upside down. Little known in France but renowned in Britain, this achievement stands as a reminder that surgical ingenuity can change the destiny not only of a patient but also of nations.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 322-324"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214241","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}