Pub Date : 2025-01-01DOI: 10.1016/j.anorl.2024.07.003
G. Lahlou , H. Daoudi , C. Djian , I. Mosnier
Purpose
We report the second case of bilateral sudden sensorineural hearing loss with intracochlear fibrosis due to chronic myeloid leukemia.
Case report
A 44-year-old man presented to the emergency department with rapidly progressive bilateral hearing loss, tinnitus and vertigo, associated with dyspnea. Chronic myeloid leukemia complicated by pulmonary and cochleovestibular leukostasis was diagnosed, and cytoreductive treatment was started. Despite this treatment, bilateral total hearing loss and complete vestibular deficit persisted. MRI showed bilateral labyrinthitis, and emergency cochlear implantation was indicated. During surgery, inflammatory intracochlear tissue made electrode array insertion possible only against resistance. One year after implantation, there was significant improvement in speech recognition and communication scores.
Conclusion
In case of sudden sensorineural hearing loss induced by chronic myeloid leukemia, treatment should be as fast as possible, with prompt cochlear implantation in case of definitive profound hearing loss, because of the risk of cochlear fibrosis and ossification.
{"title":"Bilateral cochlear fibrosis complicating chronic myeloid leukemia: A CARE case report","authors":"G. Lahlou , H. Daoudi , C. Djian , I. Mosnier","doi":"10.1016/j.anorl.2024.07.003","DOIUrl":"10.1016/j.anorl.2024.07.003","url":null,"abstract":"<div><h3>Purpose</h3><div>We report the second case of bilateral sudden sensorineural hearing loss with intracochlear fibrosis due to chronic myeloid leukemia.</div></div><div><h3>Case report</h3><div>A 44-year-old man presented to the emergency department with rapidly progressive bilateral hearing loss, tinnitus and vertigo, associated with dyspnea. Chronic myeloid leukemia complicated by pulmonary and cochleovestibular leukostasis was diagnosed, and cytoreductive treatment was started. Despite this treatment, bilateral total hearing loss and complete vestibular deficit persisted. MRI showed bilateral labyrinthitis, and emergency cochlear implantation was indicated. During surgery, inflammatory intracochlear tissue made electrode array insertion possible only against resistance. One year after implantation, there was significant improvement in speech recognition and communication scores.</div></div><div><h3>Conclusion</h3><div>In case of sudden sensorineural hearing loss induced by chronic myeloid leukemia, treatment should be as fast as possible, with prompt cochlear implantation in case of definitive profound hearing loss, because of the risk of cochlear fibrosis and ossification.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 42-45"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.anorl.2024.06.004
K. Al Tabaa , A. Walter , M. Batttistella , C. Mauppin
{"title":"A rare cause of vegetating lesion at a reconstructive surgery site","authors":"K. Al Tabaa , A. Walter , M. Batttistella , C. Mauppin","doi":"10.1016/j.anorl.2024.06.004","DOIUrl":"10.1016/j.anorl.2024.06.004","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 56-57"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.anorl.2024.09.003
Y. Camhi , S. Cerceau , M. Didier , J. Hernandez , N. Leboulanger
Objectives
The aim of the present study was to assess greenhouse gas emissions for the main current subtotal tonsillectomy techniques.
Materials and methods
A retrospective study was conducted in 2 French university hospital pediatric ENT departments in 2022. The target techniques were radiofrequency with single-use or reusable needle, coblation, and dissection by cold instruments or by bipolar forceps. The medical devices required by each technique were listed and respective greenhouse gas emissions (carbon footprint, in kg eCO2) were calculated, according to weight, energy consumption and place of production.
Results
Coblation generated a carbon footprint of 8.6 kg eCO2, versus 0.1–0.2 kg eCO2 for the other techniques.
Conclusion
Greenhouse gas emissions in subtotal tonsillectomy differ greatly according to technique. Bipolar dissection and radiofrequency have a smaller footprint than coblation. This type of data, which needs to be weighed over time according to medical benefit, should be systematically taken into account in choosing hardware for surgery.
{"title":"Carbon footprints of various subtotal tonsillectomy techniques","authors":"Y. Camhi , S. Cerceau , M. Didier , J. Hernandez , N. Leboulanger","doi":"10.1016/j.anorl.2024.09.003","DOIUrl":"10.1016/j.anorl.2024.09.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of the present study was to assess greenhouse gas emissions for the main current subtotal tonsillectomy techniques.</div></div><div><h3>Materials and methods</h3><div>A retrospective study was conducted in 2 French university hospital pediatric ENT departments in 2022. The target techniques were radiofrequency with single-use or reusable needle, coblation, and dissection by cold instruments or by bipolar forceps. The medical devices required by each technique were listed and respective greenhouse gas emissions (carbon footprint, in kg eCO<sub>2</sub>) were calculated, according to weight, energy consumption and place of production.</div></div><div><h3>Results</h3><div>Coblation generated a carbon footprint of 8.6<!--> <!-->kg eCO<sub>2</sub>, versus 0.1–0.2<!--> <!-->kg eCO<sub>2</sub> for the other techniques.</div></div><div><h3>Conclusion</h3><div>Greenhouse gas emissions in subtotal tonsillectomy differ greatly according to technique. Bipolar dissection and radiofrequency have a smaller footprint than coblation. This type of data, which needs to be weighed over time according to medical benefit, should be systematically taken into account in choosing hardware for surgery.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 18-20"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.anorl.2024.10.004
D.H. Nguyen , D. Garcia , H. Mirghani , P. Giraud , O. Laccourreye
Objectives
To document conservative laryngeal treatment for cT12N0M0 glottic squamous cell carcinoma (SCC) in octogenarians in France in the 21st century.
Material and methods
Retrospective observational study comparing a cohort of 38 octogenarians (Group A) to a control cohort of 107 septuagenarians (Group B), with isolated cT12N0M0 glottic SCC, consecutively managed between 2000 and 2018 at a single French university hospital center. The main endpoints were 5-year actuarial overall and disease-free survival and causes of death, compared between groups. Accessory endpoints were 5-year actuarial local control and laryngeal preservation. 93% of patients were followed until death or for a minimum 5 years. The STROBE guideline was used. The significance threshold was set at P < 0.005.
Results
The only significant difference in demographic, oncologic and treatment variables between groups was a higher mean Charlson index in Group A (P = 0.004). Five-year actuarial survival, at 79% overall, did not significantly differ between groups A and B (80% and 79%, respectively; P = 0.30). Five-year actuarial disease-free survival, at 74% overall, did not significantly differ between groups (77% and 73%; P = 0.42). Intercurrent disease accounted for 44% of causes of death, with cardiovascular etiology in 71% of cases. Five-year actuarial local control, at 76% overall, did not significantly differ between groups (80% and 75%; P = 0.41). Salvage treatment for local recurrence yielded a 94% overall local control rate: 98% in Group A and 93% in Group B. Five-year actuarial laryngeal preservation rate, at 92%, did not significantly differ between groups (90% and 98%; P = 0.20).
Conclusion
Conservative laryngeal treatment for cT12N0M0 SCC in octogenarians yielded the same results as in septuagenarians. Improvement in survival will depend on management and monitoring of comorbidity, and particularly cardiovascular comorbidity.
摘要记录21世纪法国八旬老人喉部保守治疗cT12N0M0声门鳞状细胞癌（SCC）的情况：回顾性观察研究比较了38名八旬老人（A组）和107名七旬老人（B组），他们都患有孤立的cT12N0M0声门鳞状细胞癌，2000年至2018年期间在一家法国大学医院中心连续接受治疗。主要终点是5年精算总生存期、无病生存期和死亡原因，并在组间进行比较。辅助终点为5年精算局部控制率和喉保留率。93%的患者接受随访直至死亡或至少5年。采用的是 STROBE 指南。显著性阈值设定为 PResults：各组在人口统计学、肿瘤学和治疗变量方面的唯一显著差异是 A 组的平均 Charlson 指数更高（P=0.004）。A 组和 B 组的五年精算存活率（总存活率为 79%）无显著差异（分别为 80% 和 79%；P=0.30）。A组和B组的五年精算无病生存率为74%，无明显差异（分别为77%和73%；P=0.42）。并发症占死亡原因的44%，心血管病因占71%。五年的精算局部控制率为76%，两组间无显著差异（80%和75%；P=0.41）。对局部复发进行挽救治疗的总体局部控制率为 94%：A组为98%，B组为93%。5年精算喉保留率为92%，组间无显著差异（90%和98%；P=0.20）：结论：八旬老人的 cT12N0M0 SCC 喉部保守治疗与七旬老人的效果相同。生存率的提高将取决于对合并症，尤其是心血管合并症的管理和监测。
{"title":"A STROBE analysis of conservative laryngeal treatment in France for cT1-2N0M0 glottic squamous cell carcinoma in octogenarians","authors":"D.H. Nguyen , D. Garcia , H. Mirghani , P. Giraud , O. Laccourreye","doi":"10.1016/j.anorl.2024.10.004","DOIUrl":"10.1016/j.anorl.2024.10.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To document conservative laryngeal treatment for cT12N0M0 glottic squamous cell carcinoma (SCC) in octogenarians in France in the 21st century.</div></div><div><h3>Material and methods</h3><div>Retrospective observational study comparing a cohort of 38 octogenarians (Group A) to a control cohort of 107 septuagenarians (Group B), with isolated cT12N0M0 glottic SCC, consecutively managed between 2000 and 2018 at a single French university hospital center. The main endpoints were 5-year actuarial overall and disease-free survival and causes of death, compared between groups. Accessory endpoints were 5-year actuarial local control and laryngeal preservation. 93% of patients were followed until death or for a minimum 5<!--> <!-->years. The STROBE guideline was used. The significance threshold was set at <em>P</em> <!--><<!--> <!-->0.005.</div></div><div><h3>Results</h3><div>The only significant difference in demographic, oncologic and treatment variables between groups was a higher mean Charlson index in Group A (<em>P</em> <!-->=<!--> <!-->0.004). Five-year actuarial survival, at 79% overall, did not significantly differ between groups A and B (80% and 79%, respectively; <em>P</em> <!-->=<!--> <!-->0.30). Five-year actuarial disease-free survival, at 74% overall, did not significantly differ between groups (77% and 73%; <em>P</em> <!-->=<!--> <!-->0.42). Intercurrent disease accounted for 44% of causes of death, with cardiovascular etiology in 71% of cases. Five-year actuarial local control, at 76% overall, did not significantly differ between groups (80% and 75%; <em>P</em> <!-->=<!--> <!-->0.41). Salvage treatment for local recurrence yielded a 94% overall local control rate: 98% in Group A and 93% in Group B. Five-year actuarial laryngeal preservation rate, at 92%, did not significantly differ between groups (90% and 98%; <em>P</em> <!-->=<!--> <!-->0.20).</div></div><div><h3>Conclusion</h3><div>Conservative laryngeal treatment for cT12N0M0 SCC in octogenarians yielded the same results as in septuagenarians. Improvement in survival will depend on management and monitoring of comorbidity, and particularly cardiovascular comorbidity.</div></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"142 1","pages":"Pages 21-25"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-19DOI: 10.1016/j.anorl.2024.12.002
C A Righini, C Fabre
Research and knowledge in human embryology greatly progressed during the second half of the 19th century. This allowed optimization of surgical treatment of branchial deformities and cervical cysts in the light of their embryological development. In 1920, Walter Ellis Sistrunk described an embryologically-based technique for resection of thyroglossal duct fistulae and cysts. A century later, the procedure is still being performed as originally described.
{"title":"A century ago, W.E. Sistrunk described a surgical technique still relevant today.","authors":"C A Righini, C Fabre","doi":"10.1016/j.anorl.2024.12.002","DOIUrl":"https://doi.org/10.1016/j.anorl.2024.12.002","url":null,"abstract":"<p><p>Research and knowledge in human embryology greatly progressed during the second half of the 19th century. This allowed optimization of surgical treatment of branchial deformities and cervical cysts in the light of their embryological development. In 1920, Walter Ellis Sistrunk described an embryologically-based technique for resection of thyroglossal duct fistulae and cysts. A century later, the procedure is still being performed as originally described.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-18DOI: 10.1016/j.anorl.2024.12.003
K Goudsmit, A Tran, A Tauziède-Espariat, M Veyrat
Introduction: Progressive anosmia, unlike sudden-onset viral or traumatic anosmia, requires endoscopic screening for nasal polyps. In the absence of polyposis, radiological work-up should diagnose and treat any curable pathology. Here, we report the case of a patient treated for olfactory cleft actinomycosis.
Results: A 72 year-old man, without relevant medical history, was referred for progressive hyposmia and unilateral greenish rhinorrhea resistant to well-conducted medical treatment. Nasal endoscopy and imaging suggested a fungus ball in the left olfactory cleft. Endoscopic surgery fully restored olfaction, with histologic confirmation of actinomycetes.
Discussion: The present case highlights the importance of prompt diagnosis in progressive anosmia, and demonstrates the efficacy of exclusively surgical management.
{"title":"Progressive anosmia revealing olfactory cleft actinomycosis: A CARE case report.","authors":"K Goudsmit, A Tran, A Tauziède-Espariat, M Veyrat","doi":"10.1016/j.anorl.2024.12.003","DOIUrl":"https://doi.org/10.1016/j.anorl.2024.12.003","url":null,"abstract":"<p><strong>Introduction: </strong>Progressive anosmia, unlike sudden-onset viral or traumatic anosmia, requires endoscopic screening for nasal polyps. In the absence of polyposis, radiological work-up should diagnose and treat any curable pathology. Here, we report the case of a patient treated for olfactory cleft actinomycosis.</p><p><strong>Results: </strong>A 72 year-old man, without relevant medical history, was referred for progressive hyposmia and unilateral greenish rhinorrhea resistant to well-conducted medical treatment. Nasal endoscopy and imaging suggested a fungus ball in the left olfactory cleft. Endoscopic surgery fully restored olfaction, with histologic confirmation of actinomycetes.</p><p><strong>Discussion: </strong>The present case highlights the importance of prompt diagnosis in progressive anosmia, and demonstrates the efficacy of exclusively surgical management.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-18DOI: 10.1016/j.anorl.2024.11.010
C Thibault, M Mailly, C Debry, P Schultz, L Fath
Retrograde cricopharyngeal dysfunction (RCPD) syndrome renders patients unable to belch, causing disabling symptoms that impact quality of life. Injection of botulinum toxin into the cricopharyngeal muscle has been reported as a trial treatment for both therapeutic and diagnostic purposes. We describe the injection technique, under general anesthesia using endoscopy or by transcutaneous injection with electromyographic control.
{"title":"Botulinum toxin injection for retrograde cricopharyngeal muscle dysfunction syndrome.","authors":"C Thibault, M Mailly, C Debry, P Schultz, L Fath","doi":"10.1016/j.anorl.2024.11.010","DOIUrl":"https://doi.org/10.1016/j.anorl.2024.11.010","url":null,"abstract":"<p><p>Retrograde cricopharyngeal dysfunction (RCPD) syndrome renders patients unable to belch, causing disabling symptoms that impact quality of life. Injection of botulinum toxin into the cricopharyngeal muscle has been reported as a trial treatment for both therapeutic and diagnostic purposes. We describe the injection technique, under general anesthesia using endoscopy or by transcutaneous injection with electromyographic control.</p>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-16DOI: 10.1016/j.anorl.2024.12.001
S Salma, S A Khan, D T Ginat
{"title":"Postoperative-alveolar bone graft assessment for cleft palate repair using CT.","authors":"S Salma, S A Khan, D T Ginat","doi":"10.1016/j.anorl.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2024.12.001","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-12DOI: 10.1016/j.anorl.2024.11.003
O Laccourreye
{"title":"The art of persuasion.","authors":"O Laccourreye","doi":"10.1016/j.anorl.2024.11.003","DOIUrl":"https://doi.org/10.1016/j.anorl.2024.11.003","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-11DOI: 10.1016/j.anorl.2024.11.001
O Laccourreye
{"title":"Sexual harassment of physicians by patients.","authors":"O Laccourreye","doi":"10.1016/j.anorl.2024.11.001","DOIUrl":"https://doi.org/10.1016/j.anorl.2024.11.001","url":null,"abstract":"","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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