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":"Voice rest after vocal fold surgery: a systematic review of efficacy, duration, and compliance.","authors":"A Aldaihani, V Kuta, U Alamodi, A AlAfif, A AlSayed","doi":"10.1007/s00405-025-09470-1","DOIUrl":"https://doi.org/10.1007/s00405-025-09470-1","url":null,"abstract":"<p><strong>Background: </strong>Vocal rest (VR) is frequently recommended to promote healing and prevent further trauma following vocal cord surgery, despite limited empirical evidence supporting this practice. This systematic review aimed to evaluate the efficacy of VR in facilitating recovery and improving outcomes after vocal cord surgery.</p><p><strong>Methods: </strong>A systematic review of randomized controlled trials (RCTs) comparing VR versus no VR after vocal cord surgery was conducted. Two independent reviewers screened studies from PubMed, Medline, Web of Science, Embase, Cochrane, and Google Scholar using predefined search terms, including \"vocal rest after vocal cord surgery,\" \"vocal rest versus no rest after vocal cord surgery,\" and \"voice rest after laryngeal surgery.\" Inter-reviewer agreement was assessed using the kappa statistic. Studies meeting inclusion criteria were analyzed for key outcomes, including the Visual Analog Scale (VAS) for voice quality and the Voice Handicap Index (VHI).</p><p><strong>Results: </strong>Of the 275 articles identified, only 5 met the inclusion criteria. The duration of VR varied from 3 to 7 days, depending on surgeons' preferences and clinical experience. Results demonstrated significant improvements in both VAS and VHI scores after surgery with VR compared to no VR. However, heterogeneity in study designs and sample sizes limited the generalizability of these findings.</p><p><strong>Conclusion: </strong>While VR appears to enhance postoperative recovery and subjective voice quality following vocal cord surgery, the current evidence base remains insufficient to establish VR as a definitive component of postoperative care. Larger, multicenter RCTs are needed to elucidate the role of VR in vocal wound healing and to develop evidence-based guidelines.</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":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188778","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":"Endoscopic ossiculoplasty: audiological and surgical outcomes from a multicenter experience with 292 cases.","authors":"Raffael Fink, Giulia Molinari, Arianna Burato, Daniel Stricker, Nicola Bisi, Daniele Marchioni, Livio Presutti, Ignacio Javier Fernandez, Lukas Anschuetz","doi":"10.1007/s00405-025-09473-y","DOIUrl":"https://doi.org/10.1007/s00405-025-09473-y","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate surgical and audiological outcomes of different endoscopic ossiculoplasty (endo-OPL) techniques and prosthesis materials.</p><p><strong>Methods: </strong>In this multicenter retrospective study, 292 patients underwent endo-OPL for various ossicular chain pathologies at three university hospitals between 2017 and 2023. We analyzed pre- and postoperative hearing metrics, perforation characteristics, surgical procedures, prosthesis types, and complication rates.</p><p><strong>Results: </strong>The cohort showed significant audiological improvement, with the mean preoperative air-bone gap (ABG) reducing from 26.88 dB (SD ± 12.73) to 19.94 dB (SD ± 10.90) at the last follow-up (FU; mean 20.7 months ± 15.53) (p = 0.001), and a graft success rate of 94.2%. Significant postoperative ABG improvements were observed with bony partial ossicular replacement prostheses (PORP) (p < 0.001), titanium total ossicular replacement prostheses (TORP) (p = 0.008), and semi-synthetic TORP (p = 0.016). Both cement PORP and bony PORP groups showed consistent ABG improvements over two FU visits. Conversely, titanium based PORP and TORP demonstrated initial improvements but later showed deterioration. Prosthesis extrusion and dislocation rates were 8.4% and 4.2% for titanium PORP, and 0% and 5.2% for titanium TORP, respectively, at the last FU. Endo-OPL combined with additional mastoidectomy (n = 59) did not yield significant ABG improvements.</p><p><strong>Conclusion: </strong>This multicenter study supports the efficacy of endo-OPL as a valuable technique to improve hearing outcomes in patients with conductive or mixed hearing loss. It highlights the superior performance of specific prosthesis materials and demonstrates that endo-OPL without additional mastoidectomy provides better hearing results, emphasizing the benefits of mastoid preservation in exclusive endoscopic procedures.</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":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176422","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":"Squamous Cell Carcinoma of the Mastoid Cavity in a Patient with Lynch Syndrome - A New Lynch Syndrome-Associated Cancer and Its Clinical Implications.","authors":"Jacklyn Liu, Liam Sutton, Umar Rehman, Manuel Rodriguez-Justo, Amrita Jay, Martin Forster, Tim Beale, Shakeel Saeed, Taran Tatla, Matt Lechner","doi":"10.1007/s00405-025-09429-2","DOIUrl":"https://doi.org/10.1007/s00405-025-09429-2","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":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175691","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":"Short-term audiological outcomes of the mCLIP ARC ball joint prosthesis- a retrospective multicenter study.","authors":"Dirk Beutner, N Bevis, S Arndt, C Offergeld, T Lenarz, S Busch, W Wolfram, L Niederwanger, B Loader, F Windisch, C Arnoldner, D Riss, E Schimanski, P M Zwittag, N Rubicz, P H Skarżyński, Ł Plichta, G Sprinzl, A Magele, L Taha, J Hornung","doi":"10.1007/s00405-025-09475-w","DOIUrl":"https://doi.org/10.1007/s00405-025-09475-w","url":null,"abstract":"<p><strong>Purpose: </strong>This European multicentric, retrospective study aimed to analyze the short-term safety and effectiveness of the mCLIP ARC Ball Joint Prosthesis.</p><p><strong>Methods: </strong>Type III Tympanoplasty with implantation of a mCLIP-ARC Partial Prosthesis was performed. During patients' follow-up, ear microscopic evaluation and pure-tone audiometry were used for analysis. The post-operative pure-tone average of the frequencies 0.5, 1, 2 and 3 kHz (PTA4) were used for calculation of the air bone gap (ABG). Adverse events (AE) were evaluated during follow-up.</p><p><strong>Results: </strong>62 patients underwent implantation of the mCLIP-ARC Partial Prosthesis. 55 complete data sets were available for audiological examination. The mean follow-up time was 58 days. In two cases adverse events were recorded. The post-operative bone conduction (BC) PTA4 thresholds were stable in 96.4% of cases. The mean postoperative PTA-4 air-bone gap (ABG) was 16.5 ± 9.2 dB.</p><p><strong>Conclusion: </strong>Implantation of the mCLIP ARC partial prosthesis proves to be safe and reliable. Clinical data show satisfactory audiological results and demonstrate the effectiveness of the new middle ear prosthesis with a balanced ball joint.</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":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176339","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":"Normal horizontal VOR gain and catch-up saccades: still a diagnostic dilemma.","authors":"Pietro Salvago, Davide Vaccaro, Fulvio Plescia, Giuseppe Alberti, Antonino Bianco, Luigi Cirrincione, Lucrezia Evola, Francesco Martines","doi":"10.1007/s00405-025-09490-x","DOIUrl":"https://doi.org/10.1007/s00405-025-09490-x","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the relationship between normal horizontal vestibular-ocular reflex (VOR) gain with catch-up saccades (CS) in patients reporting recurrent or chronic vestibular symptoms of unknown causes.</p><p><strong>Methods: </strong>A prospective study involving 34 patients suffering from vestibular symptoms of unknown origin; all subjects presented bilateral normal horizontal VOR gain and CS on at least one side. Data collection regarded onset and duration of vestibular symptoms. vHIT parameters were analyzed.</p><p><strong>Results: </strong>Patients complained of episodic spontaneous vertigo in 54.54% of cases, dizziness in 12.12%, and unsteadiness in 33.33% respectively. The study of VOR gain evidenced a mean gain of 0.92 ± 0.08 for the right and of 0.89 ± 0.07 for the left horizontal semicircular canal (HSC) (p = 0.11). A weak inverse correlation between age and VOR gain (r=-0.007232, p = 0.954) was found. CS were observed bilaterally in 66.66% of subjects, with overt saccades in 78.78% of HSC. All detected CS presented a peak velocity between 100 and 200 °/s with a scattered pattern of saccade distribution in 75.86% of cases. HSC with a VOR gain between 0.8 and 0.89 exhibited the highest prevalence (84.37%) of overt saccades (p = 0.01). No relationship was found between CS laterality, the clusterization of saccades, and different vertigo symptoms.</p><p><strong>Conclusion: </strong>Patients suffering from vertigo of unknown origin with a normal VOR gain and CS displayed a CS pattern that was mainly represented by overt saccades with a scattered pattern that may be an indirect sign of an underlying vestibular dysfunction; clinicians should include a careful analysis of CS patterns and metrics to better explore vestibular function.</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":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176424","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":"Suspected pediatric sleep disordered breathing - when do we perform polysomnography?","authors":"Ella Ruikka, Lotta Ukonaho, Ilkka Kivekäs, Maija Katila, Heini Huhtala, Saara Markkanen","doi":"10.1007/s00405-025-09480-z","DOIUrl":"https://doi.org/10.1007/s00405-025-09480-z","url":null,"abstract":"<p><strong>Objective: </strong>Snoring is common in children and diagnosing sleep disordered breathing (SDB) and assessing its severity is unreliable without polysomnography (PSG), a costly procedure that is not always readily available. Our objective was to identify those factors that influence the decision to refer children for PSG.</p><p><strong>Methods: </strong>A retrospective cohort study of 1267 children aged 0-16 years with suspected SDB and/or adenotonsillar hypertrophy.</p><p><strong>Results: </strong>A total of 212 children (16.5%) underwent PSG. The likelihood of PSG being performed increased with age (OR 1.14, p <.001, 95% CI 1.08-1.20), male sex (OR 1.72, p 0.008, 95% CI 1.15-2.58), and certain OSA symptoms. Children with a moderate (OR 3.82, p <.001, 95% CI 2.66-5.57) or severe comorbidity (OR 9.84, p <.001, 95% CI 6.48-14.92) were more likely to undergo PSG than healthy individuals. Children referred from pediatric specialties were also more likely to undergo PSG (OR 15.00, p <.001, 95% CI 9.76-23.05) than children from primary health care, whereas children referred from a dentist were less likely to do so (OR 0.12, p 0.034, 95% CI 0.02-0.85). Children who underwent PSG were more likely to be treated conservatively than those diagnosed clinically.</p><p><strong>Conclusions: </strong>The decision to refer children for PSG is susceptible to subjectivity and the factors influencing it are likely broadly generalizable. Therefore, a guideline for referring a child with suspected SDB for PSG is needed. This would not only standardize the SDB diagnostic pathway, but also potentially reduce the need for further follow-up or surgeries.</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":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176176","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 \"Radiological evaluation of facial nerve and facial canal in patients with Bell's palsy\".","authors":"Huafeng Cai, Lihua Xuan","doi":"10.1007/s00405-025-09478-7","DOIUrl":"10.1007/s00405-025-09478-7","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":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176420","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":"Global burden and prevalence of otitis media-induced hearing loss in children: 32-year study.","authors":"Yuchen Jin, Lingkang Dong, Yumeng Jiang, Wenqi Dong, Zhuangzhuang Li, Wen Lu, Qiang Ma, Dongzhen Yu","doi":"10.1007/s00405-025-09461-2","DOIUrl":"https://doi.org/10.1007/s00405-025-09461-2","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss in children has become a pressing public health issue, with otitis media (OM) being a leading cause. This study aims to comprehensively assess the prevalence and burden of OM-induced hearing loss in children.</p><p><strong>Methods: </strong>Data from the Global Burden of Disease (GBD) database were used. We evaluated the Age-standardized Prevalence Rates (ASPR), Age-standardized Years Lived with Disability rates (ASYR), and Estimated Annual Percentage Changes (EAPC) over the past 32 years. The analysis included stratification, correlation analysis, and projections.</p><p><strong>Results: </strong>From 1990 to 2021, the global prevalence of OM-induced hearing loss in children under 15 years increased from 31.18 million cases to 34.71 million cases, representing an 11.32% increase. The ASPR slightly decreased from 1793.38 to 1725.39 per 100,000 children, with an EAPC of -0.13. Boys had a higher prevalence and burden compared to girls, and the highest ASPR and ASYR were observed in children aged 5-9 years. Regions with higher Socio-Demographic Index (SDI) showed significant reductions in both prevalence and burden, while low-middle SDI regions bore a heavier burden, with ASPR 1.81 times higher and cases number 6.08 times higher than high SDI regions. Additionally, East Asia showed the largest decrease, while South Asia had the highest ASPR.</p><p><strong>Conclusion: </strong>Although the global burden of OM-induced hearing loss has improved, South Asia and low-middle SDI regions continue to face a significant burden, with insufficient healthcare resources likely being a major issue. Additionally, continuing to advance pneumococcal vaccination and other preventive measures is equally crucial for alleviating this burden.</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":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153218","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":"A novel instrument for assessing health-related quality of life in French patients: translation and multi-centre validation of the Zurich chronic middle ear inventory (ZCMEI-21-Fr).","authors":"Thibault De Maesschalck, Raphaele Quatre, Mihaela Horoi, Alexandra Rodriguez, Pierre Sagnet, Christof Röösli, Alexander Huber, François Voruz, Pascal Senn, Sebastian Schmerber, David Bächinger","doi":"10.1007/s00405-025-09447-0","DOIUrl":"https://doi.org/10.1007/s00405-025-09447-0","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic otitis media (COM) significantly impacts the quality of life of patients, yet existing assessment tools may not fully capture its multidimensional effects. The Zurich Chronic Middle Ear Inventory (ZCMEI-21) has emerged as a comprehensive and internationally recognized measure for evaluating health-related quality of life (HRQoL) in COM patients. However, a validated French version of the ZCMEI-21 is lacking, necessitating translation and validation to facilitate its use in French-speaking populations.</p><p><strong>Methods: </strong>A prospective multicentre study was conducted to translate and validate the ZCMEI-21 into French (ZCMEI-21-Fr). The translation process followed established guidelines, including professional translation, cognitive debriefing, and back-translation. The validation process involved administering the ZCMEI-21-Fr together with the generic EQ-5D questionnaire to French-speaking COM patients across multiple centers. Internal consistency, reliability, and validity were assessed using psychometric statistical methods.</p><p><strong>Results: </strong>A total of 102 French-speaking COM patients were included in the study. The ZCMEI-21-Fr demonstrated excellent internal consistency (Cronbach's α = 0.89) and reliability across all subscales. Total ZCMEI-21-Fr scores correlated strongly with a question directly assessing HRQoL (r = 0.59, p < 0.0001). Moderate correlations were observed with the EQ-5D (r = 0.41, p < 0.0001).</p><p><strong>Discussion: </strong>The ZCMEI-21-Fr offers a valuable tool for assessing the psychosocial impact of COM in French-speaking patients. Its comprehensive coverage of HRQoL dimensions, including psychological effects, distinguishes it from existing instruments. The availability of a validated French version enhances the standardization of HRQoL assessment in COM patients on an international scale.</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":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145283","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":"Antibiotic stewardship in acute rhinosinusitis: addressing resistance through phytotherapeutic alternatives.","authors":"Manuel Bernal-Sprekelsen, Claire Hopkins","doi":"10.1007/s00405-025-09459-w","DOIUrl":"https://doi.org/10.1007/s00405-025-09459-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":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145306","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}