European Annals of Otorhinolaryngology-Head and Neck Diseases最新文献

英文中文

A black tumor in the nasal cavity 鼻腔内的黑色肿瘤。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2025-01-01 DOI: 10.1016/j.anorl.2024.09.004

B. Lafargue , K. Cherif , M. Legré

引用次数: 0

The evolution of surgical training 外科培训的演变。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2025-01-01 DOI: 10.1016/j.anorl.2024.03.004

E. Chabrillac , S. Vergez , T. Martin Saint-Léon

引用次数: 0

Closure without epiglottoplasty or tracheotomy after reconstructive frontal anterior laryngectomy 重建额前喉切除术后无需会厌成形术或气管切开术即可闭合。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2025-01-01 DOI: 10.1016/j.anorl.2024.06.003

M.-C. Senol, V. Bastit, M. Humbert, E. Babin, M. Perréard

Reconstructive frontal anterior laryngectomy (RFAL) is a partial laryngeal surgery technique for resecting early-stage (T1–T2) glottic squamous cell carcinoma. Indications comprise a lesion of the anterior commissure of the larynx that cannot be adequately exposed by endoscopy, and cases in which radiotherapy is refused or contraindicated. The initial RFAL technique included epiglottoplasty. Here we propose a technique without epiglottoplasty, with the advantage of avoiding need for tracheotomy in most cases. After the first stage of surgical excision, reconstruction consists in placing a vertical brace transepiglottically and below the cricoid. The epiglottis is thus left at its original height and secured in place to prevent flapping in the pharyngolaryngeal lumen. Transverse bracing is then performed through the thyroid wings: one of the key points of this surgery is to control tension to avoid risk of stenosis. The subhyoid muscles are sutured together to achieve satisfactory sealing. This technique offers satisfying functional results and oncological control. The most frequent complications are (1) secondary tracheotomy, which can be avoided by selecting patients who require a primary tracheotomy and optimizing the seal, and (2) stenosis, which can be limited by not bringing the cartilaginous structures too close together during bracing.

重建额前喉切除术（RFAL）是一种喉部分手术技术，用于切除早期（T1-T2）声门鳞状细胞癌。适应症包括无法通过内窥镜充分暴露的喉前会厌病变，以及拒绝或禁忌放疗的病例。最初的 RFAL 技术包括会厌成形术。在这里，我们提出了一种无需会厌成形术的技术，其优点是在大多数病例中无需进行气管切开术。在第一阶段手术切除后，重建工作包括在会厌和环状舌骨下方放置一个垂直支架。这样会厌就保持在原来的高度，并固定在适当的位置，以防止在咽喉腔内拍打。然后通过甲状腺翼进行横向支撑：该手术的要点之一是控制张力以避免狭窄风险。将胸骨下肌肉缝合在一起，以达到满意的密封效果。这种技术可提供令人满意的功能效果和肿瘤控制。最常见的并发症是：(1) 二次气管切开，这可以通过选择需要一次气管切开的患者和优化密封来避免；(2) 狭窄，这可以通过在支撑时不将软骨结构靠得太近来限制。

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引用次数: 0

A very handy spine! 非常方便的书脊！

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2025-01-01 DOI: 10.1016/j.anorl.2024.09.001

O. Laccourreye , P. Tran Ba Huy

Behind the retro auricular groove, hidden by the pinna, on the surface of the mastoid, there is, a bony outgrowth, known by any otorhinolaryngologist worthy of the name, located above and behind the entrance to the external auditory canal in front of the supra meatic fossa: Henle's spine. In this historical note the authors retrace the moment of the dicovery of this primordial relief of otological surgery and the life of its discoverer, the German anatomis Jakob Henle, a true malesrtom which mixes science, art politics, and love.

在耳后沟的后方，被耳廓隐藏的乳突表面上，有一个耳鼻喉科医生都知道的骨质突起，位于外耳道入口的上方和后方，在耳上窝的前面：亨勒脊柱。在这篇历史报道中，作者追溯了耳科手术中这一原始浮雕的发现时刻以及发现者--德国解剖学家雅各布-亨勒--的一生，他是一位集科学、艺术、政治和爱情于一身的真正的传奇人物。

引用次数: 0

The impact of middle meatal steroid-eluting implants on the postoperative outcomes of chronic rhinosinusitis: A systematic review and meta-analysis 肉中膜类固醇洗脱植入物对慢性鼻炎术后疗效的影响：系统回顾与荟萃分析。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2025-01-01 DOI: 10.1016/j.anorl.2024.02.014

A.M. Zamaili , Y.C. Kueh , S. Mohamad , B. Abdullah

Endoscopic sinus surgery (ESS) has become an established surgical option in refractory chronic rhinosinusitis (CRS). The goal of this review is to assess the impact of steroid-eluting middle meatal implants after ESS. Cochrane Central Register of Controlled Trials (CENTRAL), SCOPUS, PUBMED, and GOOGLE SCHOLAR were searched from inception to November 2022. All randomised controlled trials (RCTs) involving adult patients receiving ESS for CRS utilising a steroid-eluting middle meatal implants were eligible. The primary outcome was adhesion or synechiae. The secondary outcomes were mucosal inflammation, polyp reformation, the need for oral steroids and additional surgery, postoperative bleeding, sinus pain and discomfort, postoperative sinus-related infection, and change in intraocular pressure. Fourteen full articles were examined out of 496 potential abstracts. Seven RCTs satisfied the criteria. At 30 days, steroid-eluting implants reduced adhesion (OR: 0.28, 95% CI: 0.14 to 0.56; P < 0.001), mucosal inflammation (MD: −13.09, 95% CI: −18.22 to −7.97; P < 0.001), polyp reformation (OR: 0.31; 95% CI: 0.22 to 0.44; P < 0.001), and requirement of additional oral steroid (OR: 0.44; 95% CI: 0.25 to 0.78; P = 0.005) or surgery (OR: 0.25; 95% CI: 0.12 to 0.50; P < 0.001). While their use for adhesion (OR: 0.24; 95% CI: 0.11 to 0.54; P < 0.001) and polyp reformation (OR: 0.24; 95% CI: 0.12 to 0.51; P < 0.001) were favourable, there was no difference in mucosal inflammation (MD: −5.68, 95% CI: −12.39 to 1.03; P = 0.100) or the need for surgery (OR: 0.96; 95% CI: 0.07 to 12.37; P = 0.980) when evaluated after 30 days. Overall, the findings suggest that steroid-eluting middle meatal implants improve ESS outcomes by lowering rates of adhesion formation, postoperative medical and surgical interventions, recurrent polyposis, and inflammation, while having no significant negative impact in the immediate postoperative period. More research is needed into the long-term impacts.

内窥镜鼻窦手术（ESS）已成为治疗难治性慢性鼻窦炎（CRS）的成熟手术方案。本综述旨在评估ESS术后类固醇洗脱中缝植入物的影响。从开始到 2022 年 11 月，我们检索了 Cochrane Central Register of Controlled Trials (CENTRAL)、SCOPUS、PUBMED 和 GOOGLE SCHOLAR。符合条件的随机对照试验（RCT）均涉及使用类固醇洗脱中段肉腔植入物接受ESS治疗CRS的成年患者。主要结果是粘连或缝合。次要结果是粘膜炎症、息肉复发、是否需要口服类固醇和进行额外手术、术后出血、鼻窦疼痛和不适、术后鼻窦相关感染以及眼压变化。在 496 篇潜在摘要中，有 14 篇完整文章接受了研究。其中七项研究符合标准。30天后，类固醇洗脱植入物可减少粘连（OR：0.28，95% CI：0.14 至 0.56；P

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引用次数: 0

The International Francophone ENT Society (SIFORL): A dynamic and ambitious society 国际法语耳鼻喉学会（SIFORL）：一个充满活力和雄心勃勃的社会。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2025-01-01 DOI: 10.1016/j.anorl.2024.11.009

R.P. Adjoua , E. Truy , E. Babin , C.A. Righini

引用次数: 0

Optimization of the automated Sunnybrook Facial Grading System – Improving the reliability of a deep learning network with facial landmarks 优化桑尼布鲁克面部自动分级系统--利用面部地标提高深度学习网络的可靠性。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2025-01-01 DOI: 10.1016/j.anorl.2024.07.005

T.C. ten Harkel , F. Bielevelt , H.A.M. Marres , K.J.A.O. Ingels , T.J.J. Maal , C.M. Speksnijder

Objective

The Sunnybrook Facial Grading System (SFGS) is a well-established grading system to assess the severity and progression of a unilateral facial palsy. The automation of the SFGS makes the SFGS more accessible for researchers, students, clinicians in training, or other untrained co-workers and could be implemented in an eHealth environment. This study investigated the impact on the reliability of the automated SFGS by adding a facial landmark layer in a previously developed convolutional neural network (CNN).

Methods

An existing dataset of 116 patients with a unilateral peripheral facial palsy and 9 healthy subjects performing the SFGS poses was used to train a CNN with a newly added facial landmark layer. A separate model was trained for each of the 13 elements of the SFGS and then used to calculate the SFGS subscores and composite score. The intra-class coefficient of the automated grading system was calculated based on three clinicians experienced in the grading of facial palsy.

Results

The inter-rater reliability of the CNN with the additional facial landmarks increased in performance for all composite scores compared to the previous model. The intra-class coefficient for the composite SFGS score increased from 0.87 to 0.91, the resting symmetry subscore increased from 0.45 to 0.62, the symmetry of voluntary movement subscore increased from 0.89 to 0.92, and the synkinesis subscore increased from 0.75 to 0.78.

Conclusion

The integration of a facial landmark layer into the CNN significantly improved the reliability of the automated SFGS, reaching a performance level comparable to human observers. These results were attained without increasing the dataset underscoring the impact of incorporating facial landmarks into a CNN. These findings indicate that the automated SFGS with facial landmarks is a reliable tool for assessing patients with a unilateral peripheral facial palsy and is applicable in an eHealth environment.

目的：桑尼布鲁克面瘫分级系统（SFGS）是一套成熟的分级系统，用于评估单侧面瘫的严重程度和进展情况。SFGS 的自动化使研究人员、学生、接受培训的临床医生或其他未经培训的同事更容易使用 SFGS，并可在电子健康环境中实施。本研究调查了在先前开发的卷积神经网络（CNN）中添加面部地标层对自动 SFGS 可靠性的影响：方法：使用一个包含 116 名单侧周围性面瘫患者和 9 名健康受试者的现有数据集来训练带有新添加的面部地标层的 CNN。针对 SFGS 的 13 个元素分别训练了一个单独的模型，然后用于计算 SFGS 的子分数和综合分数。根据三位在面瘫分级方面经验丰富的临床医生计算出了自动分级系统的类内系数：结果：与之前的模型相比，增加了面部地标的 CNN 在所有综合评分方面的评分者间可靠性都有所提高。SFGS 综合评分的类内系数从 0.87 增加到 0.91，静息对称性子评分从 0.45 增加到 0.62，自主运动对称性子评分从 0.89 增加到 0.92，同步运动子评分从 0.75 增加到 0.78：将面部地标层整合到 CNN 中可显著提高自动 SFGS 的可靠性，达到与人类观察者相当的性能水平。这些结果是在不增加数据集的情况下取得的，凸显了将面部地标纳入 CNN 的影响。这些研究结果表明，带有面部地标的自动 SFGS 是评估单侧周围性面瘫患者的可靠工具，适用于电子健康环境。

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引用次数: 0

Pleomorphic hyalinizing angiectatic tumor originating in the nasal cavity: A CARE case report 起源于鼻腔的多形性透明血管瘤：CARE病例报告。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2025-01-01 DOI: 10.1016/j.anorl.2024.05.003

S. Sun , D. Que , B. Pan , K. Hu

Introduction

Pleomorphic hyalinizing angiectatic tumor (PHAT) is a rare low-grade malignant mesenchymal neoplasm. It commonly occurs in the limbs and trunk, with limited occurrences in the head and neck region. Only five cases of PHAT occurring in the head and neck have been reported in the literature to date. The etiology of PHAT remains unclear. We described a case of nasal cavity PHAT following CARE guidelines.

Case summary

A 32-year-old male with PHAT originating in the nasal cavity recurred after two surgeries. Adjuvant radiotherapy was performed after the third surgery. The patient has been regularly followed up for 36 months, and no tumor recurrence or metastasis has been observed.

Discussion

PHAT is a rare soft tissue tumor known for its local aggressiveness. Because of a high risk of recurrence, extensive resection should be implemented, possibly completed by radiotherapy if resection cannot be complete because of proximity to at-risk structures.

导言：多形透明血管瘤（PHAT）是一种罕见的低度恶性间质肿瘤。它通常发生在四肢和躯干，头颈部的发病率有限。迄今为止，文献中仅报道了五例发生在头颈部的 PHAT 病例。PHAT 的病因仍不清楚。我们按照 CARE 指南描述了一例鼻腔 PHAT 病例。病例摘要：一名 32 岁男性患者的 PHAT 起源于鼻腔，两次手术后复发。第三次手术后进行了辅助放疗。讨论：PHAT 是一种罕见的软组织肿瘤：讨论：PHAT 是一种罕见的软组织肿瘤，具有局部侵袭性。讨论：PHAT 是一种罕见的软组织肿瘤，具有局部侵袭性。由于复发风险较高，因此应进行广泛切除，如果因邻近高危结构而无法完全切除，则可能通过放疗来完成。

引用次数: 0

Thanks to reviewers

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2025-01-01 DOI: 10.1016/S1879-7296(25)00019-5

引用次数: 0

Sensory room: Naturalistic assessment of auditory and visual perception in developing children 感官室：对发育中儿童的听觉和视觉感知进行自然评估。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2025-01-01 DOI: 10.1016/j.anorl.2024.08.002

A. Lasfargues-Delannoy , A. Berland , N. Cochard , H. Husson , M.-N. Calmels , J. Tardieu , P. Gaillard , P. Barone , C. Farrer , O. Deguine

Introduction

Hearing is essential for language acquisition and understanding the environment. Understanding how children react to auditory and visual information is essential for appropriate management in case of hearing loss. Objective and subjective assessments can diagnose hearing loss, but do not measure natural perception in children. We developed a “sensory room” for complementary assessment of children's perceptions so as to assess behavioral responses to meaningful natural sounds and visual stimuli in an ecologic environment suited to children.

Material and methods

Sixteen normal-hearing children and 10 with congenital hearing loss before cochlear implantation, aged 13 to 32 months, were included in this feasibility study. They perceived 18 environmental sounds and 9 visual stimuli, and their behavioral responses were coded accordingly as: stopping, looking, moving, pointing, language or emotional reactions.

Result

All children completed the task, demonstrating its feasibility in children. Percentage responses to auditory versus visual stimuli did not differ in normal-hearing children; those with congenital hearing loss responded like normal-hearing children to visual stimuli, but did not react to auditory stimuli. Progression in normal-hearing children's behavioral responses corresponded to cognitive and linguistic development according to age.

Conclusion

The “sensory room” quantified children's responses to various auditory and visual stimuli, providing clinicians with measurable insight into the children's sensory perception and processing.

导言听觉对于语言学习和理解环境至关重要。了解儿童对听觉和视觉信息的反应对于听力损失的适当管理至关重要。客观和主观评估可以诊断听力损失，但无法测量儿童的自然感知能力。我们开发了一个 "感官室"，用于对儿童的感知进行补充评估，以便在适合儿童的生态环境中评估他们对有意义的自然声音和视觉刺激的行为反应：16名听力正常的儿童和10名植入人工耳蜗前患有先天性听力损失的儿童参加了这项可行性研究，他们的年龄在13至32个月之间。他们感知了 18 种环境声音和 9 种视觉刺激，其行为反应被编码为：停止、看、移动、指向、语言或情绪反应：结果：所有儿童都完成了任务，证明了这项任务在儿童中的可行性。听力正常儿童对听觉刺激和视觉刺激的反应百分比没有差异；先天性听力损失儿童对视觉刺激的反应与听力正常儿童相同，但对听觉刺激没有反应。正常听力儿童行为反应的进展与认知和语言发展的年龄相符：感官室 "可以量化儿童对各种听觉和视觉刺激的反应，让临床医生对儿童的感知和处理过程有了可测量的了解。

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