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

{"title":"A black tumor in the nasal cavity","authors":"B. Lafargue , K. Cherif , M. Legré","doi":"10.1016/j.anorl.2024.09.004","DOIUrl":"10.1016/j.anorl.2024.09.004","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 53-55"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330501","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":"Closure without epiglottoplasty or tracheotomy after reconstructive frontal anterior laryngectomy","authors":"M.-C. Senol,&nbsp;V. Bastit,&nbsp;M. Humbert,&nbsp;E. Babin,&nbsp;M. Perréard","doi":"10.1016/j.anorl.2024.06.003","DOIUrl":"10.1016/j.anorl.2024.06.003","url":null,"abstract":"<div><div><span>Reconstructive frontal anterior laryngectomy (RFAL) is a partial </span>laryngeal surgery<span><span><span> technique for resecting early-stage (T1–T2) glottic squamous cell carcinoma. Indications comprise a lesion of the anterior commissure of the </span>larynx<span> that cannot be adequately exposed by endoscopy<span>, and cases in which radiotherapy is refused or contraindicated. The initial RFAL technique included epiglottoplasty. Here we propose a technique without epiglottoplasty, with the advantage of avoiding need for tracheotomy in most cases. After the first stage of surgical excision, reconstruction consists in placing a vertical brace transepiglottically and below the cricoid. The </span></span></span>epiglottis<span> is thus left at its original height and secured in place to prevent flapping in the pharyngolaryngeal lumen. Transverse bracing is then performed through the thyroid wings: one of the key points of this surgery is to control tension to avoid risk of stenosis. The subhyoid muscles are sutured together to achieve satisfactory sealing. This technique offers satisfying functional results and oncological control. The most frequent complications are (1) secondary tracheotomy, which can be avoided by selecting patients who require a primary tracheotomy and optimizing the seal, and (2) stenosis, which can be limited by not bringing the cartilaginous structures too close together during bracing.</span></span></div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 46-50"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460104","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 evolution of surgical training","authors":"E. Chabrillac ,&nbsp;S. Vergez ,&nbsp;T. Martin Saint-Léon","doi":"10.1016/j.anorl.2024.03.004","DOIUrl":"10.1016/j.anorl.2024.03.004","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 3-4"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330250","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 very handy spine!","authors":"O. Laccourreye ,&nbsp;P. Tran Ba Huy","doi":"10.1016/j.anorl.2024.09.001","DOIUrl":"10.1016/j.anorl.2024.09.001","url":null,"abstract":"<div><div>Behind the retro auricular groove, hidden by the pinna, on the surface of the mastoid, there is, a bony outgrowth, known by any otorhinolaryngologist worthy of the name, located above and behind the entrance to the external auditory canal in front of the supra meatic fossa: Henle's spine. In this historical note the authors retrace the moment of the dicovery of this primordial relief of otological surgery and the life of its discoverer, the German anatomis Jakob Henle, a true malesrtom which mixes science, art politics, and love.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 51-52"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299190","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 impact of middle meatal steroid-eluting implants on the postoperative outcomes of chronic rhinosinusitis: A systematic review and meta-analysis","authors":"A.M. Zamaili ,&nbsp;Y.C. Kueh ,&nbsp;S. Mohamad ,&nbsp;B. Abdullah","doi":"10.1016/j.anorl.2024.02.014","DOIUrl":"10.1016/j.anorl.2024.02.014","url":null,"abstract":"<div><div><span>Endoscopic sinus surgery<span><span> (ESS) has become an established surgical option in refractory chronic rhinosinusitis (CRS). The goal of this review is to assess the impact of steroid-eluting middle meatal implants after ESS. Cochrane Central Register of Controlled Trials (CENTRAL), SCOPUS, PUBMED, and GOOGLE SCHOLAR were searched from inception to November 2022. All </span>randomised controlled trials<span><span><span> (RCTs) involving adult patients receiving ESS for CRS utilising a steroid-eluting middle meatal implants were eligible. The primary outcome was adhesion or synechiae. The secondary outcomes were mucosal inflammation, polyp reformation, the need for oral steroids and additional surgery, </span>postoperative bleeding, </span>sinus pain<span> and discomfort, postoperative sinus-related infection, and change in intraocular pressure. Fourteen full articles were examined out of 496 potential abstracts. Seven RCTs satisfied the criteria. At 30</span></span></span></span> <!-->days, steroid-eluting implants reduced adhesion (OR: 0.28, 95% CI: 0.14 to 0.56; <em>P</em> <!-->&lt;<!--> <!-->0.001), mucosal inflammation (MD: −13.09, 95% CI: −18.22 to −7.97; <em>P</em> <!-->&lt;<!--> <!-->0.001), polyp reformation (OR: 0.31; 95% CI: 0.22 to 0.44; <em>P</em> <!-->&lt;<!--> <!-->0.001), and requirement of additional oral steroid (OR: 0.44; 95% CI: 0.25 to 0.78; <em>P</em> <!-->=<!--> <!-->0.005) or surgery (OR: 0.25; 95% CI: 0.12 to 0.50; <em>P</em> <!-->&lt;<!--> <!-->0.001). While their use for adhesion (OR: 0.24; 95% CI: 0.11 to 0.54; <em>P</em> <!-->&lt;<!--> <!-->0.001) and polyp reformation (OR: 0.24; 95% CI: 0.12 to 0.51; <em>P</em> <!-->&lt;<!--> <!-->0.001) were favourable, there was no difference in mucosal inflammation (MD: −5.68, 95% CI: −12.39 to 1.03; <em>P</em> <!-->=<!--> <!-->0.100) or the need for surgery (OR: 0.96; 95% CI: 0.07 to 12.37; <em>P</em> <!-->=<!--> <!-->0.980) when evaluated after 30<!--> <span>days. Overall, the findings suggest that steroid-eluting middle meatal implants improve ESS outcomes by lowering rates of adhesion formation, postoperative medical and surgical interventions, recurrent polyposis<span>, and inflammation, while having no significant negative impact in the immediate postoperative period. More research is needed into the long-term impacts.</span></span></div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 26-37"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194871","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 International Francophone ENT Society (SIFORL): A dynamic and ambitious society","authors":"R.P. Adjoua ,&nbsp;E. Truy ,&nbsp;E. Babin ,&nbsp;C.A. Righini","doi":"10.1016/j.anorl.2024.11.009","DOIUrl":"10.1016/j.anorl.2024.11.009","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 1-2"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820002","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":"Optimization of the automated Sunnybrook Facial Grading System – Improving the reliability of a deep learning network with facial landmarks","authors":"T.C. ten Harkel ,&nbsp;F. Bielevelt ,&nbsp;H.A.M. Marres ,&nbsp;K.J.A.O. Ingels ,&nbsp;T.J.J. Maal ,&nbsp;C.M. Speksnijder","doi":"10.1016/j.anorl.2024.07.005","DOIUrl":"10.1016/j.anorl.2024.07.005","url":null,"abstract":"<div><h3>Objective</h3><div>The Sunnybrook Facial Grading System (SFGS) is a well-established grading system to assess the severity and progression of a unilateral facial palsy. The automation of the SFGS makes the SFGS more accessible for researchers, students, clinicians in training, or other untrained co-workers and could be implemented in an eHealth environment. This study investigated the impact on the reliability of the automated SFGS by adding a facial landmark layer in a previously developed convolutional neural network (CNN).</div></div><div><h3>Methods</h3><div>An existing dataset of 116 patients with a unilateral peripheral facial palsy and 9 healthy subjects performing the SFGS poses was used to train a CNN with a newly added facial landmark layer. A separate model was trained for each of the 13 elements of the SFGS and then used to calculate the SFGS subscores and composite score. The intra-class coefficient of the automated grading system was calculated based on three clinicians experienced in the grading of facial palsy.</div></div><div><h3>Results</h3><div>The inter-rater reliability of the CNN with the additional facial landmarks increased in performance for all composite scores compared to the previous model. The intra-class coefficient for the composite SFGS score increased from 0.87 to 0.91, the resting symmetry subscore increased from 0.45 to 0.62, the symmetry of voluntary movement subscore increased from 0.89 to 0.92, and the synkinesis subscore increased from 0.75 to 0.78.</div></div><div><h3>Conclusion</h3><div>The integration of a facial landmark layer into the CNN significantly improved the reliability of the automated SFGS, reaching a performance level comparable to human observers. These results were attained without increasing the dataset underscoring the impact of incorporating facial landmarks into a CNN. These findings indicate that the automated SFGS with facial landmarks is a reliable tool for assessing patients with a unilateral peripheral facial palsy and is applicable in an eHealth environment.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 5-10"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908081","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":"Pleomorphic hyalinizing angiectatic tumor originating in the nasal cavity: A CARE case report","authors":"S. Sun ,&nbsp;D. Que ,&nbsp;B. Pan ,&nbsp;K. Hu","doi":"10.1016/j.anorl.2024.05.003","DOIUrl":"10.1016/j.anorl.2024.05.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Pleomorphic hyalinizing angiectatic tumor (PHAT) is a rare low-grade malignant mesenchymal neoplasm<span>. It commonly occurs in the limbs and trunk, with limited occurrences in the head and neck region. Only five cases of PHAT occurring in the head and neck have been reported in the literature to date. The etiology of PHAT remains unclear. We described a case of nasal cavity PHAT following CARE guidelines.</span></div></div><div><h3>Case summary</h3><div><span>A 32-year-old male with PHAT originating in the nasal cavity recurred after two surgeries. Adjuvant radiotherapy was performed after the third surgery. The patient has been regularly followed up for 36</span> <span>months, and no tumor recurrence or metastasis has been observed.</span></div></div><div><h3>Discussion</h3><div>PHAT is a rare soft tissue tumor known for its local aggressiveness. Because of a high risk of recurrence, extensive resection should be implemented, possibly completed by radiotherapy if resection cannot be complete because of proximity to at-risk structures.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 38-41"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421530","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":"Thanks to reviewers","authors":"","doi":"10.1016/S1879-7296(25)00019-5","DOIUrl":"10.1016/S1879-7296(25)00019-5","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Page 58"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143164004","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":"Sensory room: Naturalistic assessment of auditory and visual perception in developing children","authors":"A. Lasfargues-Delannoy ,&nbsp;A. Berland ,&nbsp;N. Cochard ,&nbsp;H. Husson ,&nbsp;M.-N. Calmels ,&nbsp;J. Tardieu ,&nbsp;P. Gaillard ,&nbsp;P. Barone ,&nbsp;C. Farrer ,&nbsp;O. Deguine","doi":"10.1016/j.anorl.2024.08.002","DOIUrl":"10.1016/j.anorl.2024.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Hearing is essential for language acquisition and understanding the environment. Understanding how children react to auditory and visual information is essential for appropriate management in case of hearing loss. Objective and subjective assessments can diagnose hearing loss, but do not measure natural perception in children. We developed a “sensory room” for complementary assessment of children's perceptions so as to assess behavioral responses to meaningful natural sounds and visual stimuli in an ecologic environment suited to children.</div></div><div><h3>Material and methods</h3><div>Sixteen normal-hearing children and 10 with congenital hearing loss before cochlear implantation, aged 13 to 32<!--> <!-->months, were included in this feasibility study. They perceived 18 environmental sounds and 9 visual stimuli, and their behavioral responses were coded accordingly as: stopping, looking, moving, pointing, language or emotional reactions.</div></div><div><h3>Result</h3><div>All children completed the task, demonstrating its feasibility in children. Percentage responses to auditory versus visual stimuli did not differ in normal-hearing children; those with congenital hearing loss responded like normal-hearing children to visual stimuli, but did not react to auditory stimuli. Progression in normal-hearing children's behavioral responses corresponded to cognitive and linguistic development according to age.</div></div><div><h3>Conclusion</h3><div>The “sensory room” quantified children's responses to various auditory and visual stimuli, providing clinicians with measurable insight into the children's sensory perception and processing.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 11-17"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299194","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}