M. Martin , S. Ayraud-Thevenot , X. Dufour , J.-P. Lebreton , J. Guihenneuc , F. Carsuzaa
{"title":"Environmental impact of pediatric ENT surgery: A STROBE analysis","authors":"M. Martin , S. Ayraud-Thevenot , X. Dufour , J.-P. Lebreton , J. Guihenneuc , F. Carsuzaa","doi":"10.1016/j.anorl.2024.11.005","DOIUrl":"10.1016/j.anorl.2024.11.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Increasing emissions of greenhouse gases contribute to climate change. The healthcare sector, and particularly the operating room, is a significant emitter of greenhouse gases. In head-and-neck surgery, pediatric procedures are very common, but few studies have assessed their ecological impact. Our objective was to quantify the carbon footprint of common pediatric head-and-neck surgeries (tonsillectomy, adenoidectomy, and transtympanic tube placement).</div></div><div><h3>Methods</h3><div>An eco-epidemiological study was conducted in December 2022 in a tertiary hospital center. The carbon footprint of 10 pediatric head-and-neck surgeries (tonsillectomies, adenoidectomies, transtympanic tube placements) was calculated, as the sum of carbon dioxide (CO<sub>2</sub>eq) emissions generated by patient and medical staff transport, waste production, energy consumption in operating rooms, manufacturing and transport of disposable and reusable medical devices (MDs), medication production, and sterilization of reusable MDs.</div></div><div><h3>Results</h3><div>The carbon footprint of 1 pediatric head-and-neck surgery was 57.86<!--> <!-->kgCO<sub>2</sub>eq. Disposable MDs were the most polluting item with 30.82<!--> <!-->kgCO<sub>2</sub>eq (53.3%). Patient transport accounted for 27.4%, medication for 12.6% and reusable MDs for 2.9%.</div></div><div><h3>Conclusions</h3><div>Pediatric head-and-neck surgeries generate a significant quantity of CO<sub>2</sub>, mostly due to the production and delivery of disposable MDs. These observations could serve as a starting point for ecological actions consistent with an environmentally sustainable and climate-resilient health system.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 2","pages":"Pages 74-78"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781576","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":"External auditory canal chondroid syringoma with bone erosion: A CARE case report","authors":"J. Connesson, C. Beck, C. Vincent, P. Toulemonde","doi":"10.1016/j.anorl.2024.11.004","DOIUrl":"10.1016/j.anorl.2024.11.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Chondroid syringoma or ceruminous pleomorphic adenoma is a benign mixed cutaneous tumor. It is the second most frequent glandular lesion in the external auditory canal, but no cases associated with bone erosion were found in a PubMed search.</div></div><div><h3>Case report</h3><div>The present CARE case report details a chondroid syringoma in the external auditory canal with associated bone lysis, and its management.</div></div><div><h3>Discussion</h3><div>Chondroid syringoma is a differential diagnosis for other external auditory canal tumors. Forms causing bone erosion are rare, but should not challenge the diagnosis. Current treatment consists in complete and broad surgical resection and prolonged follow-up due to the risk of recurrence and of malignant transformation.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 2","pages":"Pages 93-96"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780968","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":"A century ago, W.E. Sistrunk described a surgical technique still relevant today","authors":"C.A. Righini , C. Fabre","doi":"10.1016/j.anorl.2024.12.002","DOIUrl":"10.1016/j.anorl.2024.12.002","url":null,"abstract":"<div><div>Research and knowledge in human embryology greatly progressed during the second half of the 19th century. This allowed optimization of surgical treatment of branchial deformities and cervical cysts in the light of their embryological development. In 1920, Walter Ellis Sistrunk described an embryologically-based technique for resection of thyroglossal duct fistulae and cysts. A century later, the procedure is still being performed as originally described.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 2","pages":"Pages 102-104"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873281","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":"Evaluation of bone-conducted oVEMPs using frontal medial and mastoid stimulations","authors":"S. Ghavami , M. Kayal , R. Maire","doi":"10.1016/j.anorl.2024.09.010","DOIUrl":"10.1016/j.anorl.2024.09.010","url":null,"abstract":"<div><h3>Aims</h3><div>To determine the optimal stimulation intensity for frontal stimulation with a modified slit lamp holder and to compare the reliability and symmetry of bone-conducted ocular vestibular evoked myogenic potentials (oVEMPs) using two stimulation sites: frontal medial and mastoid.</div></div><div><h3>Methods</h3><div>This observational study included 33 healthy volunteers (15 women, 18 men; mean age 24.5<!--> <!-->years) at the University Hospital of Lausanne. Participants underwent otoneurological assessments, and those with normal results were included. Bone-conducted oVEMPs were recorded using a Brüel and Kjaer mini-shaker type 4810. A modified slit lamp holder was used for frontal stimulation to ensure consistent application pressure, freeing the examiner's hands. Mastoid stimulation was performed manually.</div></div><div><h3>Results</h3><div>The best reproducibility of oVEMP recordings was observed at 70<!--> <!-->dB nHL. Frontal stimulation demonstrated lower dispersion of data and lower asymmetry ratios of latencies (up to 7%) and amplitudes (up to 50%) compared to mastoid stimulation (up to 40% for latencies). Single stimulations at both frontal and mastoid sites were sufficient to obtain reliable measurements of both utricles.</div></div><div><h3>Conclusion</h3><div>Frontal stimulation at 70<!--> <!-->dB nHL using a modified slit lamp holder is recommended for bone-conducted oVEMP recordings due to its superior reproducibility, comfort, and reliability. This study establishes a new standard for optimal stimulation intensity and supports the use of frontal stimulation in clinical practice.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 2","pages":"Pages 61-66"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511060","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}
S. Gargula , E. Babin , M.-P. Tuset , M. Daval , A. Mattei , D. Ayache
{"title":"French-language questionnaires in ENT: Inventory and review","authors":"S. Gargula , E. Babin , M.-P. Tuset , M. Daval , A. Mattei , D. Ayache","doi":"10.1016/j.anorl.2024.07.007","DOIUrl":"10.1016/j.anorl.2024.07.007","url":null,"abstract":"<div><h3>Objective</h3><div>Patient-Reported Outcome Measures (PROMs) are now an integral part of clinical and academic practice in ENT, and it is essential to have tools with a validated French version. However, there are no guidelines on ENT questionnaires available in French or those that could have transcultural adaptation.</div></div><div><h3>Methods</h3><div>The present study, under the auspices of the ENT National Professional Council and the French Society of ENT, inventoried PROMs, for each super-specialty and pathology, meeting one of the following inclusion criteria: validated French version, not translated but used internationally (i.e., translated into other languages and widely cited since 2017), or subjectively deemed useful by experts in the super-specialty in question.</div></div><div><h3>Results</h3><div>In total, 103 questionnaires were identified. To encourage and accompany their intercultural adaptation and statistical validation, this article presents the rationale and methodology of such an undertaking.</div></div><div><h3>Conclusion</h3><div>PROMs either already validated in French or which it would be useful to translate were inventoried. The methodology of translation and validation to guarantee reliability and relevance is presented.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 2","pages":"Pages 79-83"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914338","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}
S. Vergez , O. Malard , F. Jegoux , J. Blanc , J.-P. Marie , F. Faure , B. Baujat , S. Albert , C. Fuchsmann , E. Morelon , V. Soldea , L. Badet , P. Philouze , P. Céruse , ECLAT group
{"title":"Harvesting, revascularization and innervation of a laryngeal transplant","authors":"S. Vergez , O. Malard , F. Jegoux , J. Blanc , J.-P. Marie , F. Faure , B. Baujat , S. Albert , C. Fuchsmann , E. Morelon , V. Soldea , L. Badet , P. Philouze , P. Céruse , ECLAT group","doi":"10.1016/j.anorl.2025.02.002","DOIUrl":"10.1016/j.anorl.2025.02.002","url":null,"abstract":"<div><div>The authors detail the harvesting, revascularization and innervation technique in the first French laryngeal transplant. To our knowledge, the detailed technique for harvesting the graft, probably the most important stage in laryngeal transplantation, has never before been described in the literature.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 2","pages":"Pages 97-101"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472996","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":"The art of persuasion","authors":"O. Laccourreye","doi":"10.1016/j.anorl.2024.11.003","DOIUrl":"10.1016/j.anorl.2024.11.003","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 2","pages":"Page 111"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822879","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 Yanagi, T Takeda, T Akutsu, M Maeda, D Nakashima, K Omura, E Mori, N Otori
{"title":"Impact of residual ethmoidal laminae on dupilumab efficacy following endoscopic sinus surgery in patients with chronic rhinosinusitis: A STROBE analysis.","authors":"N Yanagi, T Takeda, T Akutsu, M Maeda, D Nakashima, K Omura, E Mori, N Otori","doi":"10.1016/j.anorl.2024.11.011","DOIUrl":"https://doi.org/10.1016/j.anorl.2024.11.011","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate the impact of residual ethmoidal laminae after endoscopic sinus surgery (ESS) in patients with chronic rhinosinusitis with nasal polyps (CRSwNP).</p><p><strong>Materials and methods: </strong>This retrospective cohort included 66 patients with CRSwNP who received 300mg of dupilumab every 2weeks for 16weeks between August 2020 and March 2022. Patients were categorized into the no-lamina or residual-lamina groups based on postoperative sinus computed tomography scans. Clinical parameters, including the Lund-Mackay score (primary endpoint), nasal polyp score, T&T olfactometer threshold, and SNOT-22 scores (secondary endpoints), were assessed at baseline and 16weeks posttreatment.</p><p><strong>Results: </strong>Of 66 patients who received dupilumab, 51 met the inclusion criteria. The no-lamina (n=23) and residual-lamina (n=28) groups exhibited similar baseline characteristics. At 16weeks, the Lund-Mackay Score significant improved in the no-lamina group compared with the residual-lamina group (5±4 vs. 9±4; P=0.004). Non-significant differences were observed in nasal polyp score (2.6±1.6 vs. 3.3±2.0; P=0.22), T&T olfactometer threshold test score, (3.2±1.8 vs. 3.3±1.4; P=0.78) SNOT-22 score, (18±11 vs. 24±13; P=0.15).</p><p><strong>Conclusion: </strong>This study suggests an association between the absence of residual ethmoidal laminae and an enhanced dupilumab response in CRSwNP. Residual laminae in the anterior ethmoid affect the effectiveness of dupilumab in targeting inflammatory pathways. Meticulous clearance, particularly in the anterior ethmoidal region, optimizes the efficacy of dupilumab. Understanding the influence of residual ethmoidal laminae on dupilumab outcomes is crucial for refining post-ESS treatment strategies for patients with CRSwNP.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472998","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}