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

{"title":"Factors for pain in office-based voice implant replacement. A multicenter prospective GETTEC study","authors":"M. André ,&nbsp;D. Culié ,&nbsp;O. Malard ,&nbsp;A. Marhic ,&nbsp;C. Fabre ,&nbsp;J. Martin ,&nbsp;E. Babin ,&nbsp;S. Vergez ,&nbsp;S. Morinière","doi":"10.1016/j.anorl.2025.11.002","DOIUrl":"10.1016/j.anorl.2025.11.002","url":null,"abstract":"<div><h3>Aim</h3><div>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.</div></div><div><h3>Material and method</h3><div>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.</div></div><div><h3>Results</h3><div>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 &lt;<!--> <!-->5<!--> <!-->minutes (<em>P</em> <!-->&lt;<!--> <!-->0.001), a single attempt (<em>P</em> <!-->&lt;<!--> <!-->0.001), and the status of the practitioner performing the replacement (<em>P</em> <!-->=<!--> <!-->0.002); 2 factors were associated with suggestively lower pain intensity: male gender (<em>P</em> <!-->=<!--> <!-->0.030), and use of a capsule (<em>P</em> <!-->=<!--> <!-->0.011). Pain intensity was not significantly associated with local anesthesia (<em>P</em> <!-->=<!--> <!-->0.4) or the extraction technique (<em>P</em> <!-->=<!--> <!-->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 5<!--> <!-->minutes (77%). Capsules were used in 23% of cases.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 161-166"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","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":"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 ,&nbsp;X. Tang","doi":"10.1016/j.anorl.2025.11.004","DOIUrl":"10.1016/j.anorl.2025.11.004","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Page 243"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","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":"Pediatric obstructive sleep apnea hypopnea diagnosis using a video recording score: A pilot study","authors":"N. Saroul ,&nbsp;J.-E. Petersen ,&nbsp;C. Lambert ,&nbsp;M. Puechmaille ,&nbsp;L. Gilain ,&nbsp;T. Mom ,&nbsp;Y. Dauvilliers ,&nbsp;M.-L. Fantini ,&nbsp;P. Beudin ,&nbsp;M. Akkari","doi":"10.1016/j.anorl.2025.09.008","DOIUrl":"10.1016/j.anorl.2025.09.008","url":null,"abstract":"<div><h3>Objectives</h3><div>Because access to sleep recordings is limited, there is a need for new reliable tools for pediatric obstructive sleep apnea-hypopnea syndrome (OSAHS) diagnosis. A score calculated from a 30 minutes-home sleep video recording (VR) has already been proposed in 1996 with interesting results. The main objective of this pilot study was to assess the reliability of a similar score applied to reference PSG VR and calculated on two different time windows (30 and 10<!--> <!-->minutes).</div></div><div><h3>Methods</h3><div>A retrospective monocenter study was made on 16 children suspected of OSAHS, that underwent VR during overnight PSG. Video analysis was made during the second complete sleep cycle. A 30-minute risk score (RS30) and a 10-minute risk score (RS10) were established by analyzing seven parameters. The RS30 and RS10 were correlated with clinical examination data, a sleep questionnaire, the obstructive-apnea-hypopnea index (OAHI) and the oxygen desaturation index (ODI) from synchronized PSG results.</div></div><div><h3>Results</h3><div>There was a significant correlation between both the RS30 and RS10, the OAHI and ODI. A RS30 ≥6.09 was predictive of an OAHI ≥5 per hour with a sensitivity of 83% and a specificity of 90%. A RS10 ≥6.50 was predictive of an OAHI ≥5 per hour with a sensitivity of 67% and a specificity of 100%.</div></div><div><h3>Conclusion</h3><div>A risk score based on PSG VR shows a good correlation with PSG results, confirming previous reports. Further work should focus on applying this risk score to home sleep VR for the diagnosis of pediatric OSAHS.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 181-186"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137999","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":"When routine turns rare: Massive hematemesis unveiling hypopharyngeal perforation caused by a redon suction drain","authors":"A.D. Asimakopoulos ,&nbsp;C. Arquero Dominguez ,&nbsp;A. Avagnina ,&nbsp;S. Bouayed","doi":"10.1016/j.anorl.2026.02.004","DOIUrl":"10.1016/j.anorl.2026.02.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypopharyngeal perforation is a rare but potentially life-threatening complication that can follow cervical or aerodigestive procedures. Its deep anatomical location and often subtle symptoms make early recognition difficult, increasing the risk of mediastinitis and sepsis. Massive hematemesis as the initial manifestation is exceptionally uncommon and diagnostically challenging.</div></div><div><h3>Case summary</h3><div>A 49-year-old man underwent elective C4–C5 anterior cervical discectomy for degenerative canal stenosis. Shortly after extubation, he developed massive hematemesis. Endoscopy revealed a perforation of the right pyriform sinus, with a Redon suction drain traversing the hypopharyngeal wall into the laryngeal lumen. Emergency direct pharyngolaryngoscopy was performed; the drain was carefully removed and the defect closed endoscopically with interrupted sutures reinforced by biological fibrin sealant. The postoperative course was uneventful, and at three-month follow-up the patient showed complete recovery without stenosis or fistula.</div></div><div><h3>Discussion</h3><div>This case describes an exceptionally rare iatrogenic hypopharyngeal perforation caused by a Redon suction drain after anterior cervical discectomy, presenting atypically with massive hematemesis. It highlights the diagnostic challenge and potentially dramatic presentation of hypopharyngeal perforation following anterior cervical spine surgery. The report underscores the importance of meticulous drain placement, intraoperative vigilance, and postoperative airway and swallowing surveillance in preventing aerodigestive complications after cervical or transoral procedures.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 223-225"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776859","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":"Cochlear implantation in the very elderly: Longitudinal assessment of device use and outcomes","authors":"T. Bocquillon ,&nbsp;I. Mosnier ,&nbsp;M. Marx ,&nbsp;G. Petit ,&nbsp;E. Truy ,&nbsp;G. Lina-Granade ,&nbsp;P. Reynard ,&nbsp;R. Hermann","doi":"10.1016/j.anorl.2025.10.012","DOIUrl":"10.1016/j.anorl.2025.10.012","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>We conducted a retrospective, single-center study including 29 patients over 80<!--> <!-->years 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.</div></div><div><h3>Results</h3><div>The mean age at implantation was 82.8, and the mean duration of CI usage was 4.9<!--> <!-->years. The percentage of patients still using their implant was 100%, 93%, 83%%, 76% and 75% at 1, 2, 3, 4 and 5<!--> <!-->years respectively. This number dropped to 33% 8<!--> <!-->years 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%.</div></div><div><h3>Conclusion</h3><div>CI is a viable option for patients over 80<!--> <!-->years 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.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 175-180"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","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":"An atypical maxillary sinusitis","authors":"L. Benoit ,&nbsp;C.-A. Righini","doi":"10.1016/j.anorl.2026.01.007","DOIUrl":"10.1016/j.anorl.2026.01.007","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 240-242"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137930","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":"Human factors in ENT: A critical challenge for training","authors":"F. Carsuzaa ,&nbsp;F. Simon ,&nbsp;B. Cadre ,&nbsp;R. Nicollas ,&nbsp;C. Parietti-Winkler ,&nbsp;J.-B. Morvan","doi":"10.1016/j.anorl.2026.01.009","DOIUrl":"10.1016/j.anorl.2026.01.009","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 151-152"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214702","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":"Pediatric speech-in-noise audiometry tests with standardized background noise: Systematic review of the literature","authors":"M. Mazet ,&nbsp;F. Enzler ,&nbsp;K. Strelnikov ,&nbsp;N. Vannson","doi":"10.1016/j.anorl.2025.07.005","DOIUrl":"10.1016/j.anorl.2025.07.005","url":null,"abstract":"<div><h3>Purpose</h3><div>To facilitate the implementation of France's 2018 ‘100% santé’ reform, requiring speech-in-noise (SPIN) audiometry for all ages, and building upon existing adult test reviews, this study surveyed pediatric tests for potential French adaptation.</div></div><div><h3>Method</h3><div>A systematic literature review of PubMed, Acoustical Society of America, and ScienceDirect databases used keywords related to speech, audiometry, children, and noise. Articles were screened, and data extracted via a reading grid, detailing test criteria: age, materials, conditions, SNR, administration, scoring, duration, translations, references, and evidence level. Tests were then scored for clinical use.</div></div><div><h3>Results</h3><div>From 4605 articles, 27 tests were identified, with 6 available in French for a pediatric population (FRA-SIMAT, VRB, DTT, HINT-C, SSI-ICM, and TMB). For screening, VRB, FRA-SIMAT, DTT, TMB and SSI-ICM offer accessible options for children aged five and above. For hearing aid applications, VRB and HINT-C were deemed most comprehensive.</div></div><div><h3>Conclusion</h3><div>Developing French pediatric speech-in-noise audiometry standards, considering age-related effects, is crucial. Out of the 6 pediatric SPIN tests (available in French) found in this review, the DTT (headphones) is optimal for screening, and HINT-C (free field) for hearing aid use. In France, the VRB could be a promising solution for both screening and for auditory rehabilitation.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 187-194"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311467","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 is the primary for this cellulitis?","authors":"K. Al Tabaa ,&nbsp;A. Russo ,&nbsp;E. Ngom Minka ,&nbsp;L. Morin","doi":"10.1016/j.anorl.2026.01.005","DOIUrl":"10.1016/j.anorl.2026.01.005","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 244-245"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138093","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,&nbsp;D. Lazard,&nbsp;C. Sain Oulhen,&nbsp;E. Genty,&nbsp;J.-B. Lecanu","doi":"10.1016/j.anorl.2025.10.008","DOIUrl":"10.1016/j.anorl.2025.10.008","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare early results in isolated ossiculoplasty under potentialized local anesthesia and general anesthesia.</div></div><div><h3>Material and method</h3><div>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 <em>P</em> <!-->&lt;<!--> <!-->0.005. The STROBE guideline was followed.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>Potentialized local anesthesia can improve organizational management and outpatient rates in ossicular surgery, without impairing the quality of results.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"143 3","pages":"Pages 153-160"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","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}