European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery最新文献

{"title":"Reply to the letter concerning: \"Radiological Evaluation of Facial Nerve and Facial Canal in Patients With Bell's Palsy\".","authors":"Fırat Onur","doi":"10.1007/s00405-025-09556-w","DOIUrl":"https://doi.org/10.1007/s00405-025-09556-w","url":null,"abstract":"","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dual-target corticosteroid therapy for refractory Ménière's disease: influence of vestibular aqueduct patency and endotypes.","authors":"Jing Zou, Hongbin Li, Minhui Zhu, Guoping Zhang, Yingna Gao, Tianhao Lu, Antti Arnisalo, Ilmari Pyykkö","doi":"10.1007/s00405-025-09542-2","DOIUrl":"https://doi.org/10.1007/s00405-025-09542-2","url":null,"abstract":"","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When details matter: clarifying study design and outcomes in facial nerve trauma research.","authors":"Sanjeev Yadav","doi":"10.1007/s00405-025-09555-x","DOIUrl":"https://doi.org/10.1007/s00405-025-09555-x","url":null,"abstract":"","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Even microscopic extranodal extension has significant recurrent and metastatic potential in oral squamous cell carcinoma.","authors":"Takuma Morita, Toru Sasaki, Yukiko Sato, Hirofumi Fukushima, Wataru Shimbashi, Akira Seto, Yu Koizumi, Ryosuke Kamiyama, Kazunori Ichikawa, Takashi Toshiyasu, Syunji Takahashi, Hiroki Mitani","doi":"10.1007/s00405-025-09546-y","DOIUrl":"https://doi.org/10.1007/s00405-025-09546-y","url":null,"abstract":"<p><strong>Purpose: </strong>Extranodal extension (ENE) in the metastatic lymph nodes of head and neck cancer is widely recognised as a high-risk factor for postoperative recurrence and metastasis. Major ENE (ENEma) cases have a poor prognosis; however, the potential for recurrence and metastasis in microscopic ENE (ENEmi) cases is unclear. Therefore, we aimed to analyse the characteristics of ENEma and ENEmi to verify the clinical and histopathological significance of ENEmi.</p><p><strong>Methods: </strong>We included 170 patients with oral squamous cell carcinoma who underwent initial surgery at our institution between 2012 and 2020. Using a cut-off value of 2 mm, ENE cases were divided into the ENEma group (63 cases), ENEmi group (39 cases), and ENEn (ENE none; 68 cases). Prognosis and recurrence were compared between the three groups.</p><p><strong>Results: </strong>There was a statistically significant decrease in the survival curve of patients with ENEma with respect to overall survival (OS) (p = 0.03). However, both ENEma and ENEmi groups showed similar curves for locoregional control (LRC) and distant control (DC). When comparing the ENEmi and ENEn groups, a statistically significant decrease in survival was observed for both LRC and DC (LRC, p = 0.02; DC, p = 0.01).</p><p><strong>Conclusion: </strong>ENEmi tumours have significant recurrent and metastatic potential; therefore, histopathological detection of micrometastatic lesions is of great importance. The validity of postoperative treatment for ENEmi cases needs to be verified in further prospective studies.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skin sensory loss at the chin and lower lip in transoral robotic thyroidectomy: Follow-up of up to two years.","authors":"Ping He, Van Cuong Nguyen, Jin Won Lee, Chang Myeon Song, Yong Bae Ji, Kyung Tae","doi":"10.1007/s00405-025-09536-0","DOIUrl":"https://doi.org/10.1007/s00405-025-09536-0","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the long-term follow-up results of skin sensation alterations at the chin and lower lip in transoral robotic thyroidectomy (TORT).</p><p><strong>Methods: </strong>We prospectively assessed the cutaneous sensation of the face and neck in 128 patients who underwent TORT using the Semmes-Weinstein monofilament test, preoperatively and postoperatively at one week, one month, three months, one year, and two years serially. Using a numerical rating scale, we also evaluated the patient's subjective symptom score of skin sensory disturbance at the chin and lower lip.</p><p><strong>Results: </strong>The mean pressure threshold did not differ pre- and postoperatively in the chin and lower lip innervated by the mental nerve, except in the left side of those one week postoperatively. Seventeen (15.3%) patients at the chin and 8 (7.2%) patients at the lower lip presented with an increased pressure threshold one week after surgery. The mean subjective sensory loss scores at the chin and lower lip increased significantly after surgery and remained until two years after surgery. However, there were no correlations between subjective sensory loss and pressure threshold scores.</p><p><strong>Conclusion: </strong>TORT can be performed without permanent sensory loss at the lower lip and chin if the procedure is performed correctly with proper vestibular incisions.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal changes in electrical stapedius reflex thresholds (eSRT) in children with cochlear implants.","authors":"Franz Muigg, Simone Graf, Maria Magdalena Mair, Josef Seebacher, Hazem Salloum, Viktor Weichbold, Joachim Schmutzhard, Philipp Zelger","doi":"10.1007/s00405-025-09532-4","DOIUrl":"https://doi.org/10.1007/s00405-025-09532-4","url":null,"abstract":"<p><strong>Study goal: </strong>The electrically evoked stapedius reflex threshold (eSRT) is widely used as an estimate of the maximum comfort level (MCL) in the fitting of cochlear implants (CI). This study investigated the long-term evolution of the eSRT during a ten-year observation period.</p><p><strong>Methods: </strong>Retrospective analysis of fitting map data (charge units [QU] required to evoke the stapedius reflex) obtained from 50 cochlear-implanted ears of 26 children. Time-series statistical methods were employed to examine trends in charge unit (QU) values and their variance, normalized to individual baselines.</p><p><strong>Results: </strong>The QU time series mean increased significantly within the first six months post-implantation and reached a plateau thereafter. Variance in eSRT decreased significantly over the first five years, with three key turning points identified at six months, 18 months, and 4.25 years, indicating significantly diminishing variation with time.</p><p><strong>Discussion: </strong>CI fitting schedules should be coordinated with temporal changes in eSRT variance. Frequent fittings in the first 18 months, followed by annual fittings until four years after implantation, seem advisable. After this period, less frequent fittings may be sufficient.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Retrospective analysis of different application methods in intratympanic glucocorticoid therapy for treatment of idiopathic SSNHL: A comparative outcome study\".","authors":"Tejaswi Gupta, Jyoti Kumar Verma","doi":"10.1007/s00405-025-09554-y","DOIUrl":"https://doi.org/10.1007/s00405-025-09554-y","url":null,"abstract":"","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative management of pediatric tympanostomy tubes: a Yo-IFOS consensus.","authors":"Nicolien van der Poel, Alberto Maria Saibene, François Simon, Jerome R Lechien, Randa Al-Barazi, Ahmed Alkhateeb, Joana Ximenes Araújo, Maria R Barillari, Ricardo Bartel, Maryana B Cherkes, Sharon Cushing, Stéphane Gargula, Giannicola Iannella, Carolyn M Jenks, Tal Marom, Quentin Mat, Erika Mercier, Eric Moreddu, Federica Parisi, Shazia Peer, Jeyasakthy Saniasiaya, Natacha Teissier, Vincent Van Rompaey, Antonio Maniaci","doi":"10.1007/s00405-025-09485-8","DOIUrl":"https://doi.org/10.1007/s00405-025-09485-8","url":null,"abstract":"<p><strong>Purpose: </strong>Ventilation tube (VT) insertion is the most common surgical procedure in children, but there is known significant variation in post-operative management regimens. This Clinical Consensus Statement (CCS) aimed to establish an evidence-based framework for the follow-up management of children with VT.</p><p><strong>Methods: </strong>Consensus was sought using a modified Delphi protocol among 23 international otolaryngologists (16 otologists and 7 pediatric otolaryngology specialists) of the IFOS (World ENT Federation). Forty statements were assessed by a 9-point Likert scale through a systematic literature review and three rounds of survey. The consensus level was rated as strong (mean ≥ 8.00, no outliers), consensus (mean ≥ 7.00, ≤ 1 outlier), near consensus (mean ≥ 6.50, ≤ 2 outliers), or no consensus.</p><p><strong>Results: </strong>Nineteen out of 23 panelists scored the two Delphi rounds. From the 34 original statements, 4 reached strong consensus, 19 reached consensus, 4 reached near consensus, and 7 failed to reach consensus. The highest level of agreement was achieved regarding chronic otorrhea management, patient education protocols, and surveillance of retraction pockets. Different follow-up approach for short, intermediate and long tubes was proposed by the panel.</p><p><strong>Conclusions: </strong>This CCS provides novel, evidence-based, comprehensive guidance for post-operative management of VT. The recommendations underscore individualized care with special emphasis on patient education and surveillance for complications.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Platelet-rich plasma (PRP) therapy to decrease postoperative tonsillectomy pain and bleeding.","authors":"Pannipa Wiriyaamornchai, Alena Santeerapharp","doi":"10.1007/s00405-025-09530-6","DOIUrl":"https://doi.org/10.1007/s00405-025-09530-6","url":null,"abstract":"<p><strong>Purpose: </strong>This prospective double-blind randomized controlled trial aimed to assess the benefits of PRP therapy in enhancing wound healing, reducing post-operative bleeding, and alleviating pain in patients undergoing tonsillectomy. By comparing the outcomes of tonsillectomy wounds treated with PRP versus saline.</p><p><strong>Methods: </strong>The study included 30 patients undergoing tonsillectomy, who were randomly assigned to receive PRP injections on one side and saline injections on the other side at the wound base. Pain levels, wound healing characteristics, and surgical complications such as bleeding were assessed for 28 days post-surgery.</p><p><strong>Results: </strong>In this study, there were no cases of post-operative bleeding in the surgical wounds on both sides of all patients. The pain level of the side injected with PRP is statistically significantly lower than the control side from the first day to the 5th day after surgery, there is no statistically significant difference in the pain level between both groups after the 6th day after surgery. The side injected with PRP had significantly faster re-epithelialization on days 7 and 14 post-surgery.</p><p><strong>Conclusion: </strong>This study demonstrates the potential benefits of using PRP in promoting wound healing and reducing pain after tonsillectomy. The findings indicate that PRP injections can be a safe and effective treatment option for patients undergoing tonsillectomy.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and risk factors correlated with otitis media with effusion in pediatric patients with obstructive sleep apnea: a retrospective nationwide inpatient sample database study.","authors":"Yan Gao, Jin Wang, Meihua Sun, Xiuli Ma, Fan Lou, Cheng Ming, Jing Ma","doi":"10.1007/s00405-025-09457-y","DOIUrl":"https://doi.org/10.1007/s00405-025-09457-y","url":null,"abstract":"<p><strong>Objective: </strong>To examine incidence and risk factors of Otitis Media with Effusion (OME) in pediatric patients with obstructive sleep apnea (OSA) using a large-scale national database.</p><p><strong>Materials and methods: </strong>A retrospective database analysis was conducted utilizing the Nationwide Inpatient Sample (NIS) dataset spanning from 2010 to 2019. Patients diagnosed with OSA were included in the study. Patient demographics, hospital characteristics, length of stay (LOS), total hospital charges, in-hospital mortality, pre-operative comorbidities, and perioperative complications were evaluated. Multivariate logistic regression was employed to identify independent risk factors associated with OME in the OSA patient population.</p><p><strong>Results: </strong>The overall incidence of OME among pediatric OSA patients was 1.8%, demonstrating fluctuations annually. Patients with OME tended to be younger, predominantly male, with fewer comorbidities, shorter LOS, and lower total charges. Independent risk factors for OME included younger age (1-2 years), male sex, Native American ethnicity, pre-operative comorbidities of drug abuse and obesity, and pre-operative diagnoses of Down syndrome, Hypertrophy of tonsils alone, Hypertrophy of adenoids alone, and Hypertrophy of tonsils with adenoid complications.</p><p><strong>Conclusion: </strong>Investigating risk factors associated with OME in children with OSA is essential for implementing preventive measures and optimizing patient outcomes.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}