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

{"title":"Chronic dysphonia and a cystic laryngeal mass in a young male","authors":"K. Al Tabaa, M. Claire, E. Bequignon, L. Brugel-Ribère","doi":"10.1016/j.anorl.2026.02.005","DOIUrl":"10.1016/j.anorl.2026.02.005","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 4","pages":"Pages 345-347"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370187","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":"Effect of parathyroidectomy versus conservative management on bone mineral density in patients with primary hyperparathyroidism","authors":"A. Green,&nbsp;K. Hardy,&nbsp;O. Al-Dadah","doi":"10.1016/j.anorl.2025.12.004","DOIUrl":"10.1016/j.anorl.2025.12.004","url":null,"abstract":"<div><h3>Background</h3><div>Hyperparathyroidism stimulates osteoclasts to increase bone resorption, release skeletal calcium, and cause a reduction of bone mass. Parathyroidectomy remains the only curative treatment however medical therapies can also control symptoms and limit osteoporosis. The aim of this study was to compare the impact of parathyroidectomy with medical management on bone mineral density (BMD) in patients with primary hyperparathyroidism.</div></div><div><h3>Methods</h3><div>An observational study including a total of 82 patients with hyperparathyroidism, comprising the Surgical Group (<em>n</em> <!-->=<!--> <!-->49) and Medical Group (<em>n</em> <!-->=<!--> <!-->33). Patients had BMD assessed at the lumbar spine, hip and forearm using dual-energy X-ray absorptiometry before and after intervention.</div></div><div><h3>Results</h3><div>At a mean follow-up of 4.3 years, BMD increased in the lumbar spine by +6.8% (<em>P</em> <!-->=<!--> <!-->0.004) in the Surgical Group and +3.1% (<em>P</em> <!-->=<!--> <!-->0.016) in the Medical Group. BMD was recovered or maintained in all regions in the Surgical Group, whereas a decrease of −7.1% (<em>P</em> <!-->=<!--> <!-->0.043) was noted in the forearms of the Medical Group. Significant between-group differences in BMD change favouring the Surgical Group in the total hip (+1.6% vs −1.7%, <em>P</em> <!-->=<!--> <!-->0.019), distal one-third radius (+0.3% vs −7.1%, <em>P</em> <!-->=<!--> <!-->0.045) and ultra-distal radius (+2.0% vs −9.1%, <em>P</em> <!-->=<!--> <!-->0.003). A greater proportion of patients in the Medical Group developed osteopenia or osteoporosis (<em>P</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusions</h3><div>This study has demonstrated that BMD improved or was preserved more greatly in patients with primary hyperparathyroidism who underwent parathyroidectomy rather than non-surgical management at 4 years follow-up. Greater BMD preservation in both groups, compared to previous studies, may be explained by greater utilisation of available medical therapies.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 4","pages":"Pages 247-255"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370147","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":"A not-so-spontaneous CSF leak","authors":"J.-B. Levoy,&nbsp;X. Dufour,&nbsp;F. Carsuzaa","doi":"10.1016/j.anorl.2026.01.010","DOIUrl":"10.1016/j.anorl.2026.01.010","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 4","pages":"Pages 343-344"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214642","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":"Intralesional embolization for a hypervascular lesion of the nasal vestibule","authors":"B. Erkal,&nbsp;M. Bozacı Kılıçoğlu,&nbsp;O.M. Topçuoğlu,&nbsp;Z. Alkan","doi":"10.1016/j.anorl.2026.02.010","DOIUrl":"10.1016/j.anorl.2026.02.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Lobular capillary hemangioma is benign vascular lesion commonly encountered in the head and neck region. Although surgical excision remains the standard treatment, management may be challenging in postoperative settings or cosmetically sensitive areas such as the nasal vestibule. We present a case of a hypervascular nasal vestibular lesion with clinical and radiological features consistent with lobular capillary hemangioma, managed with intralesional foam embolization.</div></div><div><h3>Case summary</h3><div>A 40-year-old woman presented with unilateral nasal obstruction and left alar swelling. MRI showed a hypervascular polypoid lesion filling the left nasal vestibule. Therapeutic angiography revealed vascular blush with venous drainage into the angular and internal jugular veins, without ophthalmic or intracranial involvement. Intralesional polidocanol foam was injected. Mild post-procedural erythema and edema resolved within one week. The lesion progressively regressed, with approximately 50% reduction at one week and nearly two-thirds reduction at one month. At two months, MRI confirmed marked regression and restored nasal patency. At one-year follow-up, serial endoscopic examinations demonstrated stable lesion size without evidence of regrowth.</div></div><div><h3>Discussion</h3><div>While surgical excision remains the gold standard, intralesional embolization may represent an alternative treatment option in carefully selected superficial vestibular vascular lesions when surgical risks, cosmetic concerns, or patient preference limit operative management.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 4","pages":"Pages 330-333"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628915","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":"Sinonasal squamous cell carcinoma: REFCOR guidelines for diagnosis, treatment and follow-up","authors":"B. Vérillaud,&nbsp;F. Chatelet,&nbsp;A.-C. Baglin,&nbsp;B. Baujat,&nbsp;V. Costes-Martineau,&nbsp;L. de Gabory,&nbsp;L. Digue,&nbsp;C. Dupin,&nbsp;C. Even,&nbsp;F.-R. Ferrand,&nbsp;J. Michel,&nbsp;A. Moya-Plana,&nbsp;C. Righini,&nbsp;C. Rumeau,&nbsp;J. Thariat,&nbsp;S. Vergez,&nbsp;P. Herman","doi":"10.1016/j.anorl.2026.06.001","DOIUrl":"10.1016/j.anorl.2026.06.001","url":null,"abstract":"<div><h3>Objective</h3><div>The authors present the guidelines of the REFCOR French expert network for rare head-and-neck cancers for the management of sinonasal squamous cell carcinoma (SNSCC).</div></div><div><h3>Methods</h3><div>A multidisciplinary working group conducted a literature review on the topic. The formalized expert consensus methodology was used to draw up the guidelines. Guidelines were classified according to the degree of agreement among the members of the working group.</div></div><div><h3>Results</h3><div>Strong agreement: due to the risk of malignant transformation, resection is recommended for sinonasal inverted papilloma; facial CT and MRI are recommended for local extension assessment. Relative agreement: for poorly differentiated or undifferentiated SNSCC, expert pathological review is recommended; for lymph node and distant metastasis assessment, cervical and thoraco-abdominal-pelvic CT or 18-FDG PET scan is recommended; for the primary tumor, surgical resection with clear margins followed by adjuvant radiotherapy is recommended; prophylactic radiotherapy is recommended for N0 patients for at least levels 1b and 2 and retropharyngeal lymph nodes; in T1 lesion operated on with clear margins, surgery alone should be discussed in a tumor board; radiotherapy or chemotherapy alone are not recommended for curative treatment of operable SNSCC; after treatment, it is recommended that patients be monitored for at least 5 years: 4 times a year for the first 2 years, 3 times a year for the 3rd year, then 2 times a year until the 5th year. Disagreement: systematic induction chemotherapy before surgery is not recommended; in case of orbital extension, induction chemotherapy followed by concomitant chemoradiotherapy should be discussed.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 4","pages":"Pages 319-324"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399701","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":"Bibliometric analysis of global research trends in pediatric hearing impairment","authors":"R. Ravi,&nbsp;K. Kumar,&nbsp;D.R. Gunjawate","doi":"10.1016/j.anorl.2026.03.006","DOIUrl":"10.1016/j.anorl.2026.03.006","url":null,"abstract":"<div><h3>Objectives</h3><div>Bibliometric analysis provides a detailed analysis of the research trends and identify the preferred journals, patterns in collaborations, research topics. Till date, no such bibliometric analysis has been carried out in pediatric hearing impairment. The aim of the present study was to conduct a bibliometric analysis to determine the evolution of research in the area of pediatric hearing impairment including key institutions, journals and authors, collaborative links, and top research priorities areas based on author keywords.</div></div><div><h3>Methods</h3><div>A bibliometric analysis was conducted to identify publications on pediatric hearing impairment in Scopus database. The identified studies were exported from Scopus into Microsoft Excel and VOSviewer for further analysis. Visualization and bibliometric analyses were performed using VOSviewer.</div></div><div><h3>Results</h3><div>A total of 5996 studies were identified for detailed analysis. The results revealed a growing trend in publications over the years. In all, 118 countries being involved in research on pediatric hearing impairment with maximum papers published in the United States (33.89%) with Harvard Medical School, USA being the leading contributor. The <em>International Journal of Pediatric Otorhinolaryngology</em> emerged as the most common choice. The keyword co-occurrences revealed five clusters with interconnections.</div></div><div><h3>Conclusion</h3><div>The study provides an overview of the evolution and research trends in pediatric hearing impairment. These findings provide valuable insights to plan future research in this area.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 4","pages":"Pages 291-296"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ChatGPT and patient education in benign paroxysmal positional vertigo, in French and in English","authors":"A. Magri,&nbsp;A. Moise,&nbsp;E. Ajit-Roger,&nbsp;O. Orishchak,&nbsp;F. Alosamey,&nbsp;S.J. Daniel","doi":"10.1016/j.anorl.2026.03.001","DOIUrl":"10.1016/j.anorl.2026.03.001","url":null,"abstract":"<div><h3>Objective</h3><div>ChatGPT has gained popularity for its user-friendly applications in medicine, including otolaryngology. However, concerns have surfaced about accuracy of information, especially in languages other than English. This study assessed ChatGPT's proficiency in answering questions in English and French about benign paroxysmal positional vertigo (BPPV), a common ENT presentation. We aim to address concerns regarding its performance with medical queries in a language beyond its primary training set.</div></div><div><h3>Methods</h3><div>ChatGPT 3.5 was tested with questions taken from the guidelines of the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO- HNSF), in English and French. Three users submitted 14 questions twice across distinct sessions, with different user-names and IP addresses. A two-stage translation process was used to ensure linguistic accuracy. A total of 14 questions related to BPPV were presented to ChatGPT. Two independent otolaryngologists, proficient in both English and French, reviewed and graded the responses on a 4-point Likert scale.</div></div><div><h3>Results</h3><div>Responses to all 14 questions were uniform in both English and French, demonstrating high consistency and native language level. Twelve of the 14 questions were comprehensively aligned with established guidelines (grade 4/4). The 2 other responses, although accurate, lacked detail on the risk of falls in older persons with BPPV (grade 3/4).</div></div><div><h3>Conclusion</h3><div>ChatGPT can provide patients with detailed guideline-compliant responses to their medical queries in French or English. Using ChatGPT in both official Canadian languages could enhance patients’ access to medical information, as a complement to professional otolaryngologic expertise.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 4","pages":"Pages 262-266"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rebuilding the airway: Integrated surgical management of severe subglottic stenosis","authors":"C.J. Hartnick ,&nbsp;M.A. Henao Rincón ,&nbsp;S. Osorio Anaya","doi":"10.1016/j.anorl.2025.08.005","DOIUrl":"10.1016/j.anorl.2025.08.005","url":null,"abstract":"<div><div>Subglottic stenosis is a rare but potentially life-threatening condition in pediatric patients. We report the case of a 13-year-old male with a history of neonatal hypoxia, prolonged intubation, and multiple failed airway surgeries, presenting with a Myer-Cotton grade IV subglottic stenosis. Imaging and endoscopic evaluation revealed complete subglottic obstruction, absence of the anterolateral cricoid arch, and preoperative apparent absence of either vocal folds. A complex laryngotracheal reconstruction was performed, involving complete laryngofissure, placement of a posterior costal graft, and a horizontally oriented anterior costal graft to address the extensive anterolateral cricoid defect. Additionally, absorbable pediatric osteosynthesis plates were used in a novel fashion to stabilize the lateral laryngeal walls, providing structural support without permanent materials. Postoperative evolution was favorable, with airway patency and spontaneous ventilation achieved through a Montgomery T-tube. This case illustrates the importance of individualized surgical strategies in managing severe airway stenosis and proposes a novel combination of reconstructive techniques for complex pediatric cases with extensive laryngeal deformities.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 226-229"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151455","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":"Monitoring free flaps with Cook-Swartz implantable Doppler probe in head-and-neck reconstruction","authors":"M.M. Cervini ,&nbsp;D.H. Nguyen ,&nbsp;F. Haroun ,&nbsp;S. Deneuve ,&nbsp;H. Mirghani","doi":"10.1016/j.anorl.2025.10.009","DOIUrl":"10.1016/j.anorl.2025.10.009","url":null,"abstract":"<div><div>Postoperative monitoring of free flaps has traditionally been based on clinical assessment, interpretation of which may be subjective. The Cook-Swartz implantable Doppler probe enables continuous objective real-time monitoring of blood flow at microvascular anastomoses. We report our experience with a cohort of 181 consecutive patients operated on between 2019 and 2025. Arterial placement of the probe was preferred after an initial experience of venous monitoring, and provided a clear and easily interpretable signal. The device demonstrated excellent diagnostic accuracy, with a positive predictive value of 100% for the detection of vascular anomalies. However, early detection does not always guarantee flap salvage. Clinical examination remains indispensable, particularly for detecting venous thromboses that may be overlooked on arterial monitoring alone. The Cook-Swartz implantable Doppler system is a reliable easy-to-use adjunct to clinical monitoring of free flaps in head and neck reconstruction.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 230-233"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145422971","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":"Sinonasal mucosal melanoma: REFCOR guidelines for diagnosis, treatment and follow-up","authors":"A. Moya-Plana ,&nbsp;M. Khalaf ,&nbsp;O. Casiraghi ,&nbsp;B. Baujat ,&nbsp;V. Costes-Martineau ,&nbsp;L. de Gabory ,&nbsp;L. Digue ,&nbsp;C. Even ,&nbsp;C. Dupin ,&nbsp;C. Righini ,&nbsp;C. Rumeau ,&nbsp;J. Michel ,&nbsp;T. Radulesco ,&nbsp;J. Thariat ,&nbsp;S. Vergez ,&nbsp;B. Vérillaud ,&nbsp;F. NGuyen ,&nbsp;H. de Kermadec ,&nbsp;C. Robert","doi":"10.1016/j.anorl.2026.04.004","DOIUrl":"10.1016/j.anorl.2026.04.004","url":null,"abstract":"<div><h3>Aims</h3><div>The authors present the guidelines of the REFCOR (French Rare Head-and-Neck Cancer Expert Network) for sinonasal mucosal melanoma.</div></div><div><h3>Methods</h3><div>A multidisciplinary working group made a systematic review of the literature. The formalized expert consensus methodology was followed in drawing up recommendations, which were presented according to the degree of agreement between members of the review group.</div></div><div><h3>Results</h3><div>Strong agreement: it is recommended to perform systematic regional and remote extension assessment at diagnosis; PET-CT is the gold standard for remote assessment; isolated radiotherapy is not recommended for curative treatment; given the major risk of metastasis and the poor prognosis, alternatives to heavy destructive surgery should be considered in the rare cancer multidisciplinary tumor board; it is recommended to screen for NRAS, BRAF and KIT mutations, to identify possible treatment targets; reference imaging should be performed 3 months after end of treatment, using sinonasal and brain MRI and PET-CT; due to the risk of early recurrence, close follow-up is recommended during the first 2 years, then at least every 6 months up to 5 years postoperatively. Relative agreement: operable sinonasal mucosal melanoma should be treated by total macroscopic resection with negative margins followed by radiotherapy on the tumor bed; postoperative radiotherapy is recommended, to improve local control; neoadjuvant or adjuvant chemotherapy, other than immunotherapy or targeted therapy, is not recommended; for non-resectable and/or metastatic sinonasal mucosal melanoma, immunotherapy is the systematic first-line treatment; prophylactic lymph-node treatment is not recommended in N0 sinonasal mucosal melanoma; lymph-node surgery is recommended in N+ cases without remote metastasis, including cases of regional recurrence.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 207-211"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864652","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}