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":"Development and validation of a multiple-choice test for head and neck ultrasound certification.","authors":"August Krogh Mikkelsen, Julian Kuenzel, Lisa A Orloff, Merry E Sebelik, Andrew McQueen, Gitta Madani, Lars Konge, Tsung-Lin Yang, Jacob Melchiors, Johannes Weimer, Tobias Todsen","doi":"10.1007/s00405-025-09533-3","DOIUrl":"10.1007/s00405-025-09533-3","url":null,"abstract":"<p><strong>Purpose: </strong>This prospective trial aimed to develop and gather validity evidence for a theoretical test in head and neck ultrasound (HNUS).</p><p><strong>Methods: </strong>Seven HNUS experts from Europe, North America, and Asia participated in a Delphi study to reach consensus on multiple choice test (MCT) items. Novices (n=56) and experienced HNUS operators (n=22) were then invited to take the full MCT. Based on their answers, an item-response analysis selected the MCT items with the best performance. Generalizability theory determined the number of MCT items sufficient for certification. An ANOVA test examined the MCT's ability to distinguish novices from experts and contrasting groups' standard setting was used to establish a cut-off test score. A group of physicians (n=23) was tested at a formal ultrasound course, and pass-fail consequences for the final test were evaluated.</p><p><strong>Results: </strong>Over three Delphi rounds, 64 items were revised and 21 were excluded, yielding 106 items. The item-response analysis found nine items with low discrimination that were excluded based on the MCQ answers from 78 novices and experienced physicians who had taken the test. The final 97 test items had a high internal consistency reliability of 0.97, and an MCT with 15 items was found sufficient for certification purposes. The MCT could significantly discriminate between novices (mean 51.1, SD 13.8) and experienced participants (mean 92.0, SD 3.1), p < 0.001. A pass-fail score of 83 was established. At a formal introduction ultrasound course, 57% of the participants passed the MCT at the established pass-fail score.</p><p><strong>Conclusion: </strong>The developed MCT for HNUS, based on international expert consensus, has multiple sources of validity evidence to support its use as part of a thorough certification process.</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":"4825-4833"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Feasibility of improving vocal fold pathology image classification with synthetic images generated by DDPM-based GenAI: a pilot study\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1007/s00405-025-09496-5","DOIUrl":"10.1007/s00405-025-09496-5","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":"4923-4924"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192594","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":"IgG4-related disease involving distinctive areas of skull base: our experience.","authors":"Sharmistha Chakravarty, Kritika Bhardwaj","doi":"10.1007/s00405-025-09479-6","DOIUrl":"10.1007/s00405-025-09479-6","url":null,"abstract":"<p><strong>Background: </strong>Immunoglobulin G4-related disease (IgG4-RD) is a rare, systemic fibro-inflammatory condition characterized by lymphoplasmacytic infiltration with IgG4-positive plasma cells, storiform fibrosis, and elevated serum IgG4 levels. It can affect multiple organ systems, often mimicking malignancies or infections. Skull base involvement in IgG4-RD is uncommon and presents diagnostic and therapeutic challenges. We present three topographically distinct areas of skull base involvement patterns in IgG4-RD.</p><p><strong>Case presentation: </strong>This case series describes three patients with IgG4-RD affecting distinct skull base regions. The first case involves a 57-year-old female presenting with chief complaint of headache, sudden deterioration of vision in the right eye over the past two months, with ptosis and saddle nose deformity. Imaging revealed a heterogeneous multiloculated cystic lesion in intraconal compartment of right orbital apex with polypoidal mucosal thickening in ethmoid and sphenoid sinus. Biopsy done from posterior ethmoid and sphenoid mass confirmed IgG4-RD. The patient improved with corticosteroid therapy. The second case is a 50-year-old male with right-sided ear pain, decreased hearing, hoarseness of voice and facial nerve palsy for 3 months. Imaging showed a heterogeneous, enhancing soft tissue lesion involving right parotid, carotid, masticator, parapharyngeal and pharyngeal mucosal space with few lytic lesions involving petrous part of right temporal bone with adjacent sclerosis. Biopsy from nasopharynx confirmed IgG4-RD and corticosteroid therapy led to clinical improvement. Our third case is a 60-year-old male with IgG4-RD Oof nasopharynx, nasal obstruction and discharge for 3 months. Imaging revealed an ill defined soft tissue thickening in nasopharynx, bilateral Fossa of Rosenmuller and disease spreading to clivus. Biopsy from nasopharynx confirmed the diagnosis and patient started on oral corticosteroids, initially improved but the disease progressed, leading to multiorgan failure and death.</p><p><strong>Conclusion: </strong>These cases highlight the diverse clinical presentations and outcomes of IgG4-RD involving the skull base. Early diagnosis through histopathology and initiation of corticosteroid therapy is critical for improving outcomes. However, refractory cases may require immunosupressive therapies.</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":"4755-4763"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181569","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":"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":"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":"4919-4920"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","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":"Localized laryngeal amyloidosis: an unusual diagnosis in pediatric patients. Case report.","authors":"Javiera Pardo Jadue, Camila Ramírez Pelayo, Andrés Lanas Volz","doi":"10.1007/s00405-025-09444-3","DOIUrl":"10.1007/s00405-025-09444-3","url":null,"abstract":"<p><strong>Purpose: </strong>The primary objective of this study was to present a rare case of localized laryngeal amyloidosis in a pediatric patient, a condition with only 18 documented cases worldwide in individuals under eighteen years of age. Furthermore, it compares the diagnostic approach and management of this case with those outlined in the limited existing literature.</p><p><strong>Methods: </strong>A 10-year-old male patient presented with progressively worsening dysphonia. Clinical evaluation included nasofibroscopy, contrast-enhanced CT imaging, and histopathological examination of resected tissue. The histological diagnosis was confirmed using Congo red staining. Additional tests were conducted to rule out systemic amyloidosis, including serum biochemistry and echocardiogram. The patient was followed for three years postoperatively.</p><p><strong>Results: </strong>The patient was diagnosed with localized laryngeal amyloidosis, confirmed through histopathological analysis. Surgical management included a partial excision using cold dissection, followed by complete macroscopic resection with CO2 laser. Postoperative recovery showed minimal dysphonia with no dyspnea. Follow-up evaluations, including nasofibroscopy, revealed no significant recurrence of disease after three years, with only a small right posterior leukoplakia, interpreted as an impact-related lesion.</p><p><strong>Conclusion: </strong>Localized laryngeal amyloidosis is an rare condition in pediatric patients. Early diagnosis is critical, and surgical management via transoral endoscopic resection is effective in improving symptoms. Regular follow-up is necessary due to the high likelihood of recurrence, especially within the first five years.</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":"4903-4910"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113117","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":"Modification of supraglottic partial laryngectomy to preserve hyoid bone: a cadaveric study.","authors":"Masakazu Ikeda, Mitsuyoshi Imaizumi, Shigeyuki Murono","doi":"10.1007/s00405-025-09452-3","DOIUrl":"10.1007/s00405-025-09452-3","url":null,"abstract":"<p><strong>Background: </strong>Supraglottic partial laryngectomy (SGPL) preserving the hyoid bone is expected to maintain laryngeal elevation by the suprahyoid muscles. However, the surgical technique has not been adequately validated. We describe the procedure, which preserves the hyoid body and suprahyoid muscle complex to maintain laryngeal elevation and provides access to the pharynx.</p><p><strong>Method: </strong>Using cadaveric studies, we modified the SGPL procedure with a goal of preserving the hyoid bone, and performed the procedure in a 67-year-old man with large cell neuroendocrine carcinoma.</p><p><strong>Conclusion: </strong>This modified SGPL technique aims to preserve the hyoid body while maintaining safety margins and supporting long-term swallowing 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":"4911-4916"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113200","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":"The efficacy of transoral laser microsurgery for locally advanced glottic cancer.","authors":"Wei-Zhe Hong, Guan-Jiang Huang","doi":"10.1007/s00405-025-09486-7","DOIUrl":"10.1007/s00405-025-09486-7","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":"4921-4922"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328394","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":"Long-term clinical control in chronic rhinosinusitis: Outcomes more than five years after surgery.","authors":"Gonneke E Joustra, Marc C den Heijer, Rahma Q H Al Yousef, Karin M Vermeulen, György B Halmos, Astrid G W Korsten-Meijer, Robert A Feijen","doi":"10.1007/s00405-025-09529-z","DOIUrl":"10.1007/s00405-025-09529-z","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic rhinosinusitis (CRS) is a common chronic and disabling disease with a high socioeconomic burden. The primary goal of treatment is improving health-related quality of life (HRQoL) and maintaining clinical control. The aim of this study was to assess clinical control in CRS patients more than 5 years after endoscopic endonasal surgery (EES).</p><p><strong>Methods: </strong>In this observational cohort study, 123 patients with CRS were included and they completed the Endoscopic Endonasal Sinus and Skull Base Surgery Questionnaire and updated European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) criteria. Three clinical control groups were obtained according to the EPOS criteria and corresponding EES-Q and domain scores were analyzed. Univariate analyses were performed to identify variables significantly associated with outcome.</p><p><strong>Results: </strong>Symptoms of 25.2% of CRS patients were 'controlled', 26.8% were 'partly controlled' and 48.0% were 'uncontrolled' according to the EPOS criteria. Nonsteroidal anti-inflammatory drug - exacerbated respiratory disease, allergic rhinitis, revision surgery, smoking, asthma, and nasal polyps were all significantly associated with partly controlled or uncontrolled CRS. The physical domain played the most significant role in disease control, followed by the social and psychological domain.</p><p><strong>Conclusion: </strong>According to the updated EPOS criteria, only 25% of patients had controlled CRS more than five years following EES. This emphasizes the importance of unravelling the factors that contribute to disease control to improve treatment. The multidimensional aspect should be taken into account as well as the patients' perspective.</p><p><strong>Level of evidence: </strong>IIB.</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":"4661-4668"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to the letter to editor.","authors":"Zeynel Öztürk, Nuray Bayar Muluk, Rahime Koca, Necdet Özçelik, Elvin Alaskarov, İbrahim Çukurova, Erdem Atalay Çetinkaya, Özgür Yörük, Cengiz Bal, Arzu Tatar, Nihat Susaman, Nagehan Dilşad Erdoğmuş Küçükcan, Ayten Güner Atayoğlu, Enes Güngör, Burak Mustafa Taş, Cemal Cingi","doi":"10.1007/s00405-025-09518-2","DOIUrl":"10.1007/s00405-025-09518-2","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":"4929-4930"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144319180","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":"Postural and cervical proprioceptive implications in adult humans with ankyloglossia: an observational study.","authors":"Alessandro Micarelli, Martina Arena, Adriano Di Benedetto, Fabio Scarpa, Riccardo Xavier Micarelli, Marco Alessandrini","doi":"10.1007/s00405-025-09534-2","DOIUrl":"10.1007/s00405-025-09534-2","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate how tongue tie could impact on neck performance and posturographic testing as well as on subjective consequences on dizziness and jaw functionality, when comparing adult participants with different degrees of ankyloglossia (ANK) according to Kotlow classification with a group of healthy subjects, serving as control group (CG).</p><p><strong>Methods: </strong>ANK and CG participants have been studied by means of quantitative tongue evaluations (including Mouth Opening with Tongue Tip to incisive papilla, MOTTIP, and Maximal Intercisal Mouth Opening, MIO), posturography testing, cervical range of motion (CROM), cervical relocation tests (CRT) and subjective testing (Dizziness Handicap Inventory, DHI, and Jaw Functional Limitations Scale 20, JFLS-20).</p><p><strong>Results: </strong>96 ANK participants demontrated to have significant (p < 0.01) higher values in length and in area parameters when compared with 98 CG participants. A significant increase in power spectra values was found within the middle-/high-frequency interval ANK when compared to CG. ANK participants demonstrated significant reduced cervical spine mobility and higher values in all CRT positions as well as significant higher values along DHI and JFLS-20 sub-item and total score. Multiple significant (p < 0.05) correlations were found in ANK participants between tongue measures, cervical mobility, postural parameters and subjective testing.</p><p><strong>Conclusion: </strong>The present study for the first time demonstrated that the tongue tie may actively partecipate in postural derangement possibly mediated by a wide span of anatomical and functional sequelae in the cervical spine, with consequences not only at jaw functional limitations but also at perceived dizziness level.</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":"4867-4875"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568309","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}