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

{"title":"Skull Vibration Induced afternystagmus: A new clinical indicator of superior canal dehiscence","authors":"G. Dumas ,&nbsp;I.S. Curthoys ,&nbsp;A. Baguant ,&nbsp;P. Perrin ,&nbsp;S. Schmerber","doi":"10.1016/j.anorl.2025.06.009","DOIUrl":"10.1016/j.anorl.2025.06.009","url":null,"abstract":"<div><div>Vibrations applied to the cranium induce, in 55%–92% of patients with CT-verified superior canal dehiscence (SCD), a perstimulatory nystagmus most often ipsilaterally beating when the vertex location is stimulated at 100<!--> <!-->Hz. The skull vibration-induced nystagmus (SVIN) test is a bone-conducted (BC) Tullio phenomenon in patients with a 3rd mobile window syndrome (TMWS). Here, we describe the technical cues and procedures to obtain an afternystagmus regularly observed in 55% of a series of 43 patients with SCD chosen as examples and stimulated at 100<!--> <!-->Hz and higher frequencies by bone-conducted vibrations (BCV). Only 6% of 32 patients with total unilateral vestibular loss (TUVL) show this afternystagmus with a very small slow phase velocity. The SVIN afternystagmus is characterized by a persistent nystagmus with a slow decay after stimulation withdrawal and is associated with dizziness. This distinctive sign in SCD is usually not observed in TUVL patients but only in some other TMWS. Its production likely relies on a cupula deflection secondary to endolymph flow and stimulation of regular discharging neurons by the BCV in SCD but not TUVL patients. It is a simple, specific, robust sign of SCD and TMWS, and its sensitivity is comparable to air-conducted Tullio phenomenon and other compressional tests.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 315-321"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228651","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 1: Clinical and prognostic STROBE report","authors":"A. Derieppe,&nbsp;K. Bourget-Aguilar,&nbsp;P. Bordure,&nbsp;G. Michel","doi":"10.1016/j.anorl.2025.04.002","DOIUrl":"10.1016/j.anorl.2025.04.002","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate preoperative predictive factors 2<!--> <!-->years after endolymphatic sac surgery (ESS) in patients with Ménière's disease (MD).</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 the incidence of postoperative vertigo episodes. Secondary endpoints comprised hearing preservation at 2<!--> <!-->years and surgical efficacy.</div></div><div><h3>Results</h3><div>Thirty-eight patients were included. Significant vertigo control was achieved in 63% (<em>n</em> <!-->=<!--> <!-->24). No predictive factors were identified for vertigo control or improvement in quality of life. Pure-tone and speech audiometric results were preserved at 2<!--> <!-->years. Whether the endolymphatic sac was sectioned or not did not significantly impact surgical outcome.</div></div><div><h3>Conclusion</h3><div>No predictive factors for successful ESS emerged. ESS is a conservative second-line surgical treatment, with key indications for bilateral MD or MD in patients with preserved hearing.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 281-284"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017552","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":"Chronic anterior sinus atelectasis due to middle meatus retraction","authors":"M. Veyrat ,&nbsp;M.P. Tuset ,&nbsp;A. Tran ,&nbsp;M. Callet","doi":"10.1016/j.anorl.2025.06.001","DOIUrl":"10.1016/j.anorl.2025.06.001","url":null,"abstract":"<div><h3>Introduction</h3><div><span>Chronic sinus atelectasis is a rare but classical etiology in </span>maxillary sinusitis. Advanced forms induce orbital deformities. Here we report a case of chronic maxillary-ethmoidal-frontal sinus atelectasis, and detail treatment.</div></div><div><h3>Case report</h3><div><span>A 59 year-old man was referred for recurrent right periorbital pain with 2 years’ progression, resistant to local corticosteroid treatment. Clinically, there was right middle </span>turbinate<span> lateralization and ipsilateral enophthalmos<span>. CT showed filling of the right maxillary, anterior ethmoidal and frontal sinuses, with characteristic anterior chronic sinus atelectasis features: retraction of the thinned sinus walls, and decreased sinus volume, confirmed on 3D MRI. Functional ethmoidectomy resolved the obstruction caused by the atelectasis and relieved the patient's pain.</span></span></div></div><div><h3>Discussion</h3><div>This was an original case of chronic sinus atelectasis implicating the middle meatus, with equal involvement of all three anterior sinuses. It highlights the importance of surgical treatment of all the involved sinuses, to stop progression and prevent recurrence.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 306-308"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295162","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":"Impact of residual ethmoidal laminae on dupilumab efficacy following endoscopic sinus surgery in patients with chronic rhinosinusitis: A STROBE analysis","authors":"N. Yanagi ,&nbsp;T. Takeda ,&nbsp;T. Akutsu,&nbsp;M. Maeda,&nbsp;D. Nakashima,&nbsp;K. Omura,&nbsp;E. Mori,&nbsp;N. Otori","doi":"10.1016/j.anorl.2024.11.011","DOIUrl":"10.1016/j.anorl.2024.11.011","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to investigate the impact of residual ethmoidal laminae after endoscopic sinus surgery<span> (ESS) in patients with chronic rhinosinusitis<span> with nasal polyps (CRSwNP).</span></span></div></div><div><h3>Materials and methods</h3><div>This retrospective cohort included 66 patients with CRSwNP who received 300<!--> <span>mg of dupilumab every 2</span> <!-->weeks for 16<!--> <span>weeks between August 2020 and March 2022. Patients were categorized into the no-lamina or residual-lamina groups based on postoperative sinus computed tomography scans<span>. Clinical parameters, including the Lund-Mackay score (primary endpoint), nasal polyp score, T&amp;T olfactometer threshold, and SNOT-22 scores (secondary endpoints), were assessed at baseline and 16</span></span> <!-->weeks posttreatment.</div></div><div><h3>Results</h3><div>Of 66 patients who received dupilumab, 51 met the inclusion criteria. The no-lamina (<em>n</em> <!-->=<!--> <!-->23) and residual-lamina (<em>n</em> <!-->=<!--> <!-->28) groups exhibited similar baseline characteristics. At 16<!--> <!-->weeks, the Lund-Mackay Score significant improved in the no-lamina group compared with the residual-lamina group (5<!--> <!-->±<!--> <!-->4 vs. 9<!--> <!-->±<!--> <!-->4; <em>P</em> <!-->=<!--> <!-->0.004). Non-significant differences were observed in nasal polyp score (2.6<!--> <!-->±<!--> <!-->1.6 vs. 3.3<!--> <!-->±<!--> <!-->2.0; <em>P</em> <!-->=<!--> <!-->0.22), T&amp;T olfactometer threshold test score, (3.2<!--> <!-->±<!--> <!-->1.8 vs. 3.3<!--> <!-->±<!--> <!-->1.4; <em>P</em> <!-->=<!--> <!-->0.78) SNOT-22 score, (18<!--> <!-->±<!--> <!-->11 vs. 24<!--> <!-->±<!--> <!-->13; <em>P</em> <!-->=<!--> <!-->0.15).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 275-280"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","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}

{"title":"Suicide attempts in patients treated by total laryngectomy or total pharyngolaryngectomy in France","authors":"T. Vermeulin ,&nbsp;A. Zago ,&nbsp;V. Merle ,&nbsp;A. Augustynen","doi":"10.1016/j.anorl.2025.03.006","DOIUrl":"10.1016/j.anorl.2025.03.006","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 330-331"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044140","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 price of success in surgery","authors":"E. Babin ,&nbsp;E. Lescanne","doi":"10.1016/j.anorl.2025.09.003","DOIUrl":"10.1016/j.anorl.2025.09.003","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 273-274"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208184","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":"High-intensity conflict: Military and civilian head-and-neck specialists, getting ready to meet the challenge","authors":"J.-B. Morvan ,&nbsp;J.-B. Caruhel ,&nbsp;C. Parietti-Winkler ,&nbsp;A. Crambert","doi":"10.1016/j.anorl.2025.06.002","DOIUrl":"10.1016/j.anorl.2025.06.002","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 6","pages":"Pages 271-272"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286925","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, D H Nguyen, F Haroun, S Deneuve, H Mirghani","doi":"10.1016/j.anorl.2025.10.009","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.10.009","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-30","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":"Rebuilding the airway: Integrated surgical management of severe subglottic stenosis.","authors":"C J Hartnick, M A Henao Rincón, S Osorio Anaya","doi":"10.1016/j.anorl.2025.08.005","DOIUrl":"https://doi.org/10.1016/j.anorl.2025.08.005","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-24","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":"IgG4-related disease with primary otologic manifestations","authors":"S. Lu ,&nbsp;J. Peng ,&nbsp;L. Cui MD ,&nbsp;Y. Li","doi":"10.1016/j.anorl.2024.07.004","DOIUrl":"10.1016/j.anorl.2024.07.004","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 5","pages":"Pages 266-267"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141526","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}