European Annals of Otorhinolaryngology-Head and Neck Diseases最新文献_第9页

The challenge of de-escalating adjuvant therapy in HPV-positive patients. HPV 阳性患者辅助治疗降级的挑战。

IF 2.5 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-05-07 DOI: 10.1016/j.anorl.2024.04.007

H Mirghani, A Boghossian

引用次数: 0

Surgery of major salivary gland cancers: REFCOR recommendations by the formal consensus method 主要唾液腺癌的手术:REFCOR通过正式共识方法推荐。

IF 2.5 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2023.11.005

B. Barry , B. Verillaud , F. Jegoux , N. Pham Dang , B. Baujat , E. Chabrillac , S. Vergez , N. Fakhry

{"title":"Surgery of major salivary gland cancers: REFCOR recommendations by the formal consensus method","authors":"B. Barry , B. Verillaud , F. Jegoux , N. Pham Dang , B. Baujat , E. Chabrillac , S. Vergez , N. Fakhry","doi":"10.1016/j.anorl.2023.11.005","DOIUrl":"10.1016/j.anorl.2023.11.005","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the role of surgery of the primary tumor site in the management of primary major salivary gland cancer.</p></div><div><h3>Material and methods</h3><p>The French Network of Rare Head and Neck Tumors (REFCOR) formed a steering group, which drafted a non-systematic narrative review of the literature published on Medline, and proposed recommendations. The level of adherence to the recommendations was then assessed by a rating group, according to the formal consensus method.</p></div><div><h3>Results</h3><p>Treatment of salivary gland tumor is mainly surgical. The gold standard for parotid cancer is a total parotidectomy, to obtain clear margins and remove all intraparotid lymph nodes. For low-grade tumors, partial parotidectomy with wide excision of the tumor is acceptable in the case of postoperative diagnosis on definitive histology. In the event of positive margins on definitive analysis, revision surgery should be assessed for feasibility, and performed if possible.</p></div><div><h3>Conclusion</h3><p>Treatment of primary major salivary gland cancer is based on surgery with clear resection margins, as far away as possible from the tumor. The type of surgery depends on tumor location, pathologic type and extension.</p></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"141 3","pages":"Pages 153-160"},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471080","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}

引用次数: 0

Sternohyoid or sternocleidomastoid muscle flap for tracheoesophageal puncture closure in irradiated patients: A CARE case series 胸骨舌骨或胸锁乳突肌瓣用于辐照患者气管食管穿刺闭合：一个CARE病例系列。

IF 2.5 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2023.09.006

P.L. Alexandre , H. Silveira , P. Marques , C. Pinto Moura

{"title":"Sternohyoid or sternocleidomastoid muscle flap for tracheoesophageal puncture closure in irradiated patients: A CARE case series","authors":"P.L. Alexandre , H. Silveira , P. Marques , C. Pinto Moura","doi":"10.1016/j.anorl.2023.09.006","DOIUrl":"10.1016/j.anorl.2023.09.006","url":null,"abstract":"<div><h3>Introduction</h3><p>A novel technique for tracheoesophageal puncture (TEP) closure is described in which the sternohyoid muscles are rotated and interposed between the tracheal and esophageal walls. The results of this technique are reported, following CARE guidelines, and compared with those obtained using the sternocleidomastoid flap. A literature review on the techniques previously described for TEP closure in irradiated patients is presented.</p></div><div><h3>Case series</h3><p><span>The novel technique was performed in six patients in whom the infrahyoid muscles were preserved during total laryngectomy. All received </span>adjuvant radiotherapy<span>. Successful closure was achieved in three cases; in one case a small leak was noted after initial closure and was successfully managed with simple sutures; and the other two failures occurred in patients with diabetes. The sternocleidomastoid flap was performed in five patients (only one with previous radiation) and success was achieved in two patients. In another patient a micro-fistular orifice appeared six months after the operation.</span></p></div><div><h3>Discussion</h3><p>The sternohyoid muscles pose a low morbidity alternative to be considered in surgical TEP closure. Patient selection is a key factor to surgical success, and this technique should be reserved for small to moderate size fistulas<span> and in the absence of multiple impaired wound healing conditions.</span></p></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"141 3","pages":"Pages 161-165"},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428070","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}

引用次数: 0

Interest of histological reclassification of poorly differentiated sinonasal carcinoma: Single-center retrospective study 低分化鼻窦癌组织学再分类的意义：单中心回顾性研究。

IF 2.5 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2023.09.002

J. Hershkovitch , A. Boyez , A. Coste , S. Bartier

引用次数: 0

Esophageal foreign body: A “coin” cell battery? 食道异物：“硬币”电池？

IF 2.5 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2023.09.004

M. Agunaoun, F. Blanc, V. Favier

引用次数: 0

Announcing cancer diagnosis: Psychological consequences for the patient 宣布癌症诊断：对患者的心理影响

IF 2.5 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2023.08.005

C.-A. Righini , B. Barry , E. Babin

引用次数: 0

Inferior turbinate lateralization 下鼻甲偏侧化。

IF 2.5 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2023.10.016

F. Le Normand , I. Djennaoui , C. Debry , L. Fath

引用次数: 0

Atypical cochleovestibular syndrome in a child 儿童不典型的耳蜗前庭综合征。

IF 2.5 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2023.08.001

E. Caillaud , S. Kerneis , D. Bakhos

引用次数: 0

Varying ENT practices in adult post-intubation laryngotracheal stenosis after the COVID epidemic in France: A CHERRIES analysis 法国 COVID 流行后，耳鼻喉科在成人插管后喉气管狭窄方面的不同做法：CHERRIES分析。

IF 2.5 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2024.02.008

A. Tendron, S. Atallah, I. Wagner, B. Baujat, E. Dauzier, Expert panel

{"title":"Varying ENT practices in adult post-intubation laryngotracheal stenosis after the COVID epidemic in France: A CHERRIES analysis","authors":"A. Tendron, S. Atallah, I. Wagner, B. Baujat, E. Dauzier, Expert panel","doi":"10.1016/j.anorl.2024.02.008","DOIUrl":"10.1016/j.anorl.2024.02.008","url":null,"abstract":"<div><h3>Aim</h3><p>The SARS-CoV-2 pandemic may increase the incidence of iatrogenic laryngotracheal stenosis (LTS), whereas management is not well defined. The aim of this study was to survey a panel of French otorhinolaryngologists about their practices and to evaluate their needs.</p></div><div><h3>Method</h3><p>A national-level survey of the management of iatrogenic LTS was conducted using a 41-item questionnaire, in 4 sections, sent to a panel of French otorhinolaryngologists between July and December 2022. The main endpoint was heterogeneity in responses between 55 proposals on LTS management.</p></div><div><h3>Results</h3><p>The response rate was 20% (52/263). The response heterogeneity rate was 69% (38/55). Heterogeneity concerned general questions on diagnosis (7/12, 58%) and management (7/10, 70%), LTS case management (22/27, 81%), and otorhinolaryngologists’ expectations (33%, 2/6). Quality of training was considered good or excellent by only 21% of respondents. More than 80% were strongly in favor of creating national guidelines, expert centers and a national database.</p></div><div><h3>Discussion</h3><p>This study demonstrated the heterogeneity of adult post-intubation LTS management between otorhinolaryngologists in France. Training quality was deemed poor or mediocre by a majority of respondents. They were in favor of creating national guidelines and expert centers in LTS.</p></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"141 3","pages":"Pages 133-137"},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997994","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}

引用次数: 0

Experience of French patients with olfactory disorders 法国嗅觉障碍患者的经验。

IF 2.5 4区医学

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2024.02.009

L. Tholin , C. Rumeau , R. Jankowski , P. Gallet , J. Wen Hsieh , D.T. Nguyen

{"title":"Experience of French patients with olfactory disorders","authors":"L. Tholin , C. Rumeau , R. Jankowski , P. Gallet , J. Wen Hsieh , D.T. Nguyen","doi":"10.1016/j.anorl.2024.02.009","DOIUrl":"10.1016/j.anorl.2024.02.009","url":null,"abstract":"<div><h3>Objectives</h3><p>To assess the experience of subjects with olfactory disorders in their daily life and medical management, and their expectations and proposals for improvement.</p></div><div><h3>Material and methods</h3><p>A cross-sectional observational study was conducted over the period January 2020 to December 2021, with 300 subjects with olfactory disorders: 222 female, 78 male; mean age 46±15 years. In total, 126 were patients consulting in ENT, and 174 were members of the Anosmie.org patients’ association. Participants filled out a questionnaire; free texts were analyzed thematically and coded for various qualitative variables.</p></div><div><h3>Results</h3><p>Olfactory disorders considerably impacted health, safety and quality of life. Non-COVID-19 acute etiologies (non-COVID-19 viral infection, cranial trauma) showed particularly high risk of psychological, social, safety-related and nutritional consequences. Almost all patients (94%) were dissatisfied with their medical management: 28% had received little explanation, and 23% felt their dysosmia was completely neglected, with no exploration and no etiology suggested. Patients wished above all to have follow-up and accompaniment.</p></div><div><h3>Conclusion</h3><p>Despite significant impact on health and quality of life, olfactory disorders are neglected by the medical community. Patients should be given an ENT assessment with olfactometry, to establish diagnosis and prognosis. Global multidisciplinary management is necessary, including therapeutic education, and psychological, social and nutritional follow-up.</p></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"141 3","pages":"Pages 139-145"},"PeriodicalIF":2.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879729624000267/pdfft?md5=11ceaf9eb81344ac166dd5443f62e438&pid=1-s2.0-S1879729624000267-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023035","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}

引用次数: 0