Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Nov · PMID 40514299
·
Publisher ↗
INTRODUCTION: Chronic sinus atelectasis is a rare but classical etiology in maxillary sinusitis. Advanced forms induce orbital deformities. Here we report a case of chronic maxillary-ethmoidal-frontal sinus atelectasis,...INTRODUCTION: Chronic sinus atelectasis is a rare but classical etiology in maxillary sinusitis. Advanced forms induce orbital deformities. Here we report a case of chronic maxillary-ethmoidal-frontal sinus atelectasis, and detail treatment. CASE REPORT: 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 turbinate lateralization and ipsilateral enophthalmos. 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. DISCUSSION: 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.
Boubaker F, Puel U, Imbs S
… +3 more, Blum A, Parietti-Winkler C, Gillet R
Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Sep · PMID 40514298
·
Publisher ↗
AIM: To determine which anatomical parameters of the round window (RW) influence the surgical approach for cochlear implantation and in which plane they should be measured. MATERIAL AND METHODS: Sixty-six patients (40 fe...AIM: To determine which anatomical parameters of the round window (RW) influence the surgical approach for cochlear implantation and in which plane they should be measured. MATERIAL AND METHODS: Sixty-six patients (40 females and 26 males; mean age: 60.4±17.7 [26-84] years) who underwent preoperative ultra-high resolution CT underwent cochlear implantation between February 2020 and March 2024. Two radiologists reviewed the anatomical parameters of the RW niche (type, minimal width), membrane (size, inclination) and bony overhang (size, inclination) in the axial, parasagittal and Stenvers planes. RESULTS: The RW membrane size in the Stenvers plane was the most reproducible and the only difference between patients requiring a promontory cochleostomy approach and those with an easy RW approach, with an optimal cut-off value of 1.55mm for the need for a cochleostomy. The RW membrane size in the parasagittal and Stenvers planes were highly correlated. The minimum width and type of the RW niche and the size and inclination of the RW bony overhang did not influence the surgical approach and had variable interobserver agreement. CONCLUSION: The size of the RW membrane should be measured in the Stenvers plane. Other anatomical parameters of the RW do not influence the surgical approach.
Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Jul · PMID 40447538
·
Publisher ↗
Treatment for symptomatic Zenker's diverticulum is surgical. This has greatly progressed in recent years and two surgical approaches are possible: the external or cervical approach, and the other, more recent, endoscopic...Treatment for symptomatic Zenker's diverticulum is surgical. This has greatly progressed in recent years and two surgical approaches are possible: the external or cervical approach, and the other, more recent, endoscopic approach. Both are based on sectioning the cricopharyngeal muscle. The majority of authors recommend an endoscopic approach in first line, reserving open surgery for cases in which exposure of the diverticular collar is impossible or endoscopic surgery has failed. There are therefore still indications for open surgery, and this technique must be perfectly mastered.
Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Nov · PMID 40382283
·
Publisher ↗
OBJECTIVES: To determine whether intensive olfactory training provides better chances of recovery than classic protocols in persistent dysosmia after Covid-19. INTRODUCTION: In the literature, olfactory training holds pr...OBJECTIVES: To determine whether intensive olfactory training provides better chances of recovery than classic protocols in persistent dysosmia after Covid-19. INTRODUCTION: In the literature, olfactory training holds pride of place in the management of post-infection olfactory disorder, with a classic 4-odor protocol. On the other hand, few studies have assessed the benefit of more intensive training. MATERIALS AND METHODS: This prospective randomized clinical trial (No. 2020-A01397-32) assessed olfactory training for persistent dysosmia due to COVID-19, with 5 weeks' to 12 months' progression. Patients were divided between 2 groups, receiving a classical 4-odor protocol (n=49) or an intensive 8-odor protocol (n=30). Olfaction was assessed in consultation on the Sniffin' Sticks test, the DyNaChron self-reported olfaction questionnaire and a visual analogue scale (VAS), at inclusion (V1) and at 4 and 8 months (V2 and V3, respectively). RESULTS: Both protocols significantly improved subjective olfactory assessment on VAS, with non-significant trends for improvement on psychophysical tests. There was no significant difference in olfactory recovery between the classic and intensive protocols. Adhesion to the training program decreased markedly beyond 4 months. CONCLUSION: Intensive olfactory training did not increase the chances of olfactory recovery compared to the classic protocol in a population with persistent dysosmia following COVID-19 infection.
Boghossian A, Cervinia MM, Nguyen DH
… +3 more, Garcia D, Mirghani H, Laccourreye O
Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Jul · PMID 40280806
·
Publisher ↗
OBJECTIVE: To compare 10-year oncologic results of supracricoid partial laryngectomy and cricohyoidoepiglottopexy (SCPL-CHEP) versus CO laser cordectomy (LC) for cT2N0M0 glottic squamous cell carcinoma (SCC). MATERIAL AN...OBJECTIVE: To compare 10-year oncologic results of supracricoid partial laryngectomy and cricohyoidoepiglottopexy (SCPL-CHEP) versus CO laser cordectomy (LC) for cT2N0M0 glottic squamous cell carcinoma (SCC). MATERIAL AND METHOD: Retrospective observational analysis of an inception cohort of 57 patients with isolated cT2N0M0 glottic SCC consecutively managed at a French university teaching otorhinolaryngology department during the years 1993-2013: 33 with SCPL-CHEP and 24 with LC. In all, 93% and 81% of patients were followed for respectively at least 5 years, or 10 years or until death. The main endpoint was 10-year actuarial overall and disease-free survival. Secondary endpoints comprised cause of death, 10-year actuarial local control, and 10-year laryngeal preservation estimates. RESULTS: Ten-year survival was 58% whichever the surgical technique. Ten-year disease-free survival was 87% after SCPL-CHEP and 71% after LC (P=0.15). Death related to SCC occurred in 3 patients after LC but was not encountered after SCPL-CHEP. Ten-year local control differed: 100% after SCPL-CHEP versus 65% after LC, with 96% overall local control after salvage treatment. Ten-year laryngeal preservation differed: 97% after SCPL-CHEP versus 74% after LC (P=0.03). CONCLUSIONS: In patients with cT2N0M0 glottic SCC considered amenable to partial laryngeal surgery, the present long-term data should lead head and neck surgeons to discuss the benefits and pitfalls of both LC and SCPL-CHEP.
Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Nov · PMID 40280805
·
Publisher ↗
The endoscopic prelacrimal approach to the maxillary sinus is a safe and effective technique. However, it needs to be tailored to the anatomy of the prelacrimal region. This can be evaluated using preoperative computed t...The endoscopic prelacrimal approach to the maxillary sinus is a safe and effective technique. However, it needs to be tailored to the anatomy of the prelacrimal region. This can be evaluated using preoperative computed tomography (CT). In this work, we propose a preoperative CT-scan checklist for the endoscopic prelacrimal approach to assist surgeons during patient selection and surgery planning.
Lathuilliere M, Prang I, Picot MC
… +3 more, Macioce V, Mondain M, Loundon N
Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Nov · PMID 40268576
·
Publisher ↗
OBJECTIVES: To assess the contribution of family counseling based on Language and Environment Analysis (LENA) recording data to improving the language environment of children with cochlear implants. MATERIAL AND METHODS:...OBJECTIVES: To assess the contribution of family counseling based on Language and Environment Analysis (LENA) recording data to improving the language environment of children with cochlear implants. MATERIAL AND METHODS: Cochlear implanted children with prelingual deafness were included from 2 French cochlear implant centers and randomized between 2 age-matched groups: intervention and control. LENA recording and lexical assessment (PPVT-R or GAEL-P) were performed at T1 and, 5 months later, T2. Between the two, intervention group families received feedback from the LENA recording and parental counseling. ENDPOINTS: The main endpoint was improvement in language environment after LENA-based family counseling: adult word count (AWC), child vocalizations (CV), conversational turns (CT), and TV/media exposure (TV). Secondary endpoints comprised feasibility of LENA and the impact of the language environment on language reception (PPVT-R and GAEL-P scores). RESULTS: Eighty-three of the 90 included children were analyzed. Mean age was 39±14.2 months, with 43 boys. Between T1 and T2, CT increased by 15 percentiles in the intervention group, in contrast to a median 0 change in controls (P=0.03). For the other 3 LENA parameters (CV, AWC, TV), median change was zero, in both groups. Mean implant acceptability rating was 83%. Lexical reception scores correlated positively with CV (r=0.37, P<0.01), AWC (r=0.31, P<0.01) and CT (r=0.41, P<0.01) but not with TV (r=0.11, P=0.33). CONCLUSION: The LENA system can help parents optimize the child's language environment, and thus oral language development, particularly in young children.
Malgorn V, Dupont L, Poncelet M
… +2 more, Lieffrig L, Lagier A
Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Sep · PMID 40253235
·
Publisher ↗
BACKGROUND: The Deglutition Handicap Index-Informal Caregiver (DHI-IC) questionnaire is a dysphagia assessment tool derived from the psychometrically validated Deglutition Handicap Index (DHI) self-reported dysphagia que...BACKGROUND: The Deglutition Handicap Index-Informal Caregiver (DHI-IC) questionnaire is a dysphagia assessment tool derived from the psychometrically validated Deglutition Handicap Index (DHI) self-reported dysphagia questionnaire in French. Like the DHI, the DHI-IC comprises 30 items, in 3 equal domains: Physical, Functional and Emotional. MATERIALS AND METHODS: A prospective study included 61 patients and 61 caregivers recruited from an ENT clinic dedicated to dysphagia. OBJECTIVES: To validate the DHI-IC as an assessment tool and to compare results with the DHI and swallowing endoscopy. CONCLUSIONS: The DHI-IC, like the DHI, showed good internal consistency. The results indicate that it is an appropriate tool for assessing functional status, health and quality of life related to dysphagia in patients via caregiver reporting.
Derieppe A, Bourget-Aguilar K, Bordure P
… +1 more, Michel G
Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Nov · PMID 40246598
·
Publisher ↗
OBJECTIVE: To evaluate improvement in quality of life (QoL) 2years after endolymphatic sac surgery (ESS) in patients with Ménière's disease (MD), and preoperative factors for QoL. MATERIALS AND METHODS: A retrospective s...OBJECTIVE: To evaluate improvement in quality of life (QoL) 2years after endolymphatic sac surgery (ESS) in patients with Ménière's disease (MD), and preoperative factors for QoL. MATERIALS AND METHODS: 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 quality of life, measured on the MDOQ-R questionnaire. RESULTS: Thirty-eight patients were included. Mean improvement in MDOQ-R score was 31.1±24.6 points [range: -29 to 79], and was significant (P<0.001). No predictive factors were identified. CONCLUSION: ESS provided significant and lasting improvement in quality of life. However, it was not possible to identify preoperative predictive factors for a "typical" patient profile with the highest likelihood of favorable outcome.
Derieppe A, Bourget-Aguilar K, Bordure P
… +1 more, Michel G
Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Nov · PMID 40246597
·
Publisher ↗
OBJECTIVE: To evaluate preoperative predictive factors 2years after endolymphatic sac surgery (ESS) in patients with Ménière's disease (MD). MATERIALS AND METHODS: A retrospective single-center study included patients wh...OBJECTIVE: To evaluate preoperative predictive factors 2years after endolymphatic sac surgery (ESS) in patients with Ménière's disease (MD). MATERIALS AND METHODS: 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 2years and surgical efficacy. RESULTS: Thirty-eight patients were included. Significant vertigo control was achieved in 63% (n=24). No predictive factors were identified for vertigo control or improvement in quality of life. Pure-tone and speech audiometric results were preserved at 2years. Whether the endolymphatic sac was sectioned or not did not significantly impact surgical outcome. CONCLUSION: 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.
Caillaud E, Pellé-Boudeau L, Férrandière M
… +3 more, Bakhos D, Lescanne E, Micaletti F
Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Jul · PMID 40246596
·
Publisher ↗
OBJECTIVE: To evaluate the efficacy and safety of awake stapedectomy under hypnoanalgesia (HA) compared to general anesthesia (GA) and local anesthesia (LA) in patients with otosclerosis. METHODS: A single-center retrosp...OBJECTIVE: To evaluate the efficacy and safety of awake stapedectomy under hypnoanalgesia (HA) compared to general anesthesia (GA) and local anesthesia (LA) in patients with otosclerosis. METHODS: A single-center retrospective study included 131 adult patients (mean age: 49 years; 78% female) who underwent laser stapedectomy between 2020 and 2022: 58 GA, 23 LA, 50 HA. Primary outcome measures comprised operative room occupancy time, anesthetic consumption, and postoperative audiometric results. RESULTS: HA significantly reduced operative room occupancy time (73.5±18.6min vs 103.7±24.6min in GA, P<0.001; vs 81.8±20.5min in LA, P=0.092), stapedectomy duration (39.9±12.4min vs 48.9±21.5min in GA, P=0.0252; vs 38.9±13.2min in LA, P=0.4601), preoperative time (30.2±9.5min vs 45.7±9.5min in GA, P<0.001; vs 38.6±12.2min in LA, P=0.0022), and recovery room time (26±15.1min vs 67.5±20.7min in GA, P<0.001; vs 47.4±20.7min in LA, P<0.001). HA also significantly reduced remifentanil consumption (169.8±101.6μg vs 848.6±308.8μg in GA, P<0.001; vs 323.9±94.4μg in LA, P<0.001). Postoperative audiometric outcomes showed no significant differences between groups. CONCLUSION: Hypnoanalgesia for awake stapedectomy provided significantly greater efficacy compared to general anesthesia, reducing operative time and anesthetic consumption, with comparable audiometric outcomes.
Lelonge Y, Havasi A, Williet N
… +1 more, Le Roy B
Eur Ann Otorhinolaryngol Head Neck Dis
· 2025 Jul · PMID 40087074
·
Publisher ↗
OBJECTIVE: To report a case of duodenal metastasis of laryngeal squamous cell carcinoma revealed by acute intestinal obstruction. CASE REPORT: A 55-year-old male was initially treated for cT4N1M0 laryngeal squamous cell...OBJECTIVE: To report a case of duodenal metastasis of laryngeal squamous cell carcinoma revealed by acute intestinal obstruction. CASE REPORT: A 55-year-old male was initially treated for cT4N1M0 laryngeal squamous cell carcinoma, with total laryngectomy, bilateral neck dissection, total thyroidectomy and pectoralis major flap. Subsequently, he received radiotherapy and chemotherapy. Then, he was periodically monitored, with clinical examination and cervicothoracic CT, according to guidelines. Three years later, he presented acute intestinal obstruction. Abdominal CT revealed a 35mm obstructive duodenal tumor involving the head of the pancreas. Gastroscopy enabled biopsies, which confirmed metastasis of the laryngeal carcinoma. After gastro-entero-anastomosis, a first line treatment with cisplatin, 5-fluorouracile and pembrozilumab was started. It was complicated by abdominal bleeding, which required inferior duodenopancreatic artery embolization and colic perforation requiring colectomy. Due to deterioration in general health, 2 injections of pembrozilumab alone were made. Then, because of progression, the patient received 1 second-line injection of docetaxel. He finally died of acute pancreatitis, 7 months after diagnosis. CONCLUSION: Duodenal metastasis of squamous cell carcinoma of the larynx is rare but possible. This case report highlights the importance of clinical and radiological monitoring, particularly in locally advanced tumor.