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

英文中文

Scientific and skeptical medical writing. 科学和怀疑的医学写作。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-12-03 DOI: 10.1016/j.anorl.2024.11.002

F Simon

引用次数: 0

Impact of facial palsy impact on make-up habits: An observational cohort study 面瘫对化妆习惯的影响：一项观察性队列研究。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-11-01 DOI: 10.1016/j.anorl.2024.05.002

P. Gatignol , R. Hervochon , E. Lannadère , M. Calvo , F. Tankéré , D. Picard

Objective

The esthetic problems inherent to peripheral (PFP) are frequent causes of complaint. Make-up is advocated as a form of therapy and can alleviate symptoms of depression. The aim of the present study was to collect data on make-up habits in female PFP patients and assess links with esthetic and/or functional complaints.

Material and methods

Two questionnaires were drawn up to compare make-up habits in female PFP patients and women in the general population. The first was sent out between September and December 2019, to 39 House-Brackmann grade III PFP patients (group A), and the second on-line questionnaire was sent to a control population of 1385 women (group B).

Results

PFP patients used make-up more often than controls at weekends (χ² = 16.38; P = 0.0009) and while at home (χ² = 8.21; P = 0.042), and more often with foundation (χ² = 17.21; P = 0.0006) and lip make-up (χ² = 59.31; P < 0.0001). The greater their functional complaint, the less they made up their eyes. The greater their self-confidence and the more they felt attractive, the less they made up their lips.

Conclusion

The differences in make-up use found in the present study aimed to mask facial palsy and were related to the esthetic complaint, impacting social life.

目的：外周血管疾病（PFP）所固有的美观问题经常引起人们的抱怨。化妆被认为是一种治疗方式，可以缓解抑郁症状。本研究旨在收集 PFP 女性患者的化妆习惯数据，并评估其与美学和/或功能性投诉之间的联系：为了比较 PFP 女性患者和普通女性的化妆习惯，我们制作了两份问卷。第一份问卷于2019年9月至12月间发给39名House-Brackmann III级PFP患者（A组），第二份在线问卷发给1385名对照组女性（B组）：结果：PFP患者在周末（χ2=16.38；P=0.0009）和在家时（χ2=8.21；P=0.042）比对照组更常使用化妆品，更常使用粉底（χ2=17.21；P=0.0006）和唇部化妆品（χ2=59.31；P=0.042）：本研究中发现的化妆品使用差异旨在掩盖面部麻痹，与美学投诉有关，影响了社交生活。

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引用次数: 0

Internal mammary pedicle for head-and-neck reconstruction 用于头颈部重建的乳腺内蒂。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-11-01 DOI: 10.1016/j.anorl.2024.03.002

C. Zugun-Eloae, C.-M. Trandafir, O. Laccourreye, H. Mirghani

Free-flap reconstruction for recurrence of head-and-neck cancer with vessel depletion is a technical challenge, and the literature is sparse. The present technical note describes the key-points of an approach harvesting the internal mammary pedicle. Results are reported in 3 patients, and pros and cons are discussed.

针对头颈部癌症复发且血管耗竭的游离瓣重建是一项技术挑战，相关文献也很少。本技术说明介绍了采集乳腺内蒂的方法的要点。报告了 3 例患者的结果，并讨论了利弊。

引用次数: 0

Burnout in ENT France: Update and risk factors; a STROBE analysis 法国耳鼻喉科医生的职业倦怠：最新情况和风险因素；STROBE 分析。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-11-01 DOI: 10.1016/j.anorl.2024.04.006

S. Gargula , M. Daval , M.-P. Tuset , V. Darrouzet , D. Ayache

Background

Burnout can significantly impact practitioners and their co-workers, and hence patients. There are no data for the prevalence of burnout in French ENT specialists, or for associated risk factors.

Material and methods

A French national cross-sectional online survey was performed on the initiative of the ENT National Professional Council (CNPORL), contacting all ENT specialists whose e-mail address was known to the French Society of ENT, the National Professional Council or the National ENT Union. The 22-question Maslach Burnout Inventory (MBI) was sent out, along with 16 extra questions on possible risk factors.

Objectives

The study sought to assess the prevalence and severity of burnout, using the MBI, and to analyze risk factors.

Results

Among the 1936 physicians, 406 contacted responded to the questionnaire (21%). Mean age was 47 ± 14 years (range, 25–77 years); 53% male, 47% female. 196 (48%) reported burnout, including 20 (5%) severe burnout. Independent risk factors for burnout of whatever severity, comprised social interaction issues, history of identified burnout, and medicolegal pressures. Social interaction issues were independently associated with specifically severe burnout.

Conclusions

Burnout affected almost half of respondents. There are identifiable risk factors, for which improvements could be implemented.

背景：职业倦怠会严重影响从业人员及其同事，进而影响患者。目前还没有关于法国耳鼻喉科专家职业倦怠发生率或相关风险因素的数据：在法国全国耳鼻喉科专业委员会（CNPORL）的倡议下，我们对法国全国耳鼻喉科专家进行了一次横断面在线调查，并联系了法国耳鼻喉科学会、全国耳鼻喉科专业委员会或全国耳鼻喉科联盟知道其电子邮件地址的所有耳鼻喉科专家。调查问卷包括22个问题的马斯拉赫倦怠量表（MBI），以及16个关于可能存在的风险因素的额外问题：研究旨在使用 MBI 评估职业倦怠的发生率和严重程度，并分析风险因素：在 1936 名医生中，有 406 人（21%）回复了问卷。平均年龄为 47±14 岁（25-77 岁不等）；男性占 53%，女性占 47%。196人（48%）报告了职业倦怠，其中20人（5%）为严重职业倦怠。无论严重程度如何，职业倦怠的独立风险因素都包括社会交往问题、已确认的职业倦怠史和医疗法律压力。结论：职业倦怠影响了近一半的受访者：结论：职业倦怠影响了近一半的受访者。有一些可识别的风险因素，可以加以改进。

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引用次数: 0

Persistent headache in granulomatosis with polyangiitis 肉芽肿伴多血管炎的持续性头痛。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-11-01 DOI: 10.1016/j.anorl.2024.06.006

M. Fieux , P. Kiessling , M.T. Chang

引用次数: 0

Goodbye, Hasta-luego, Ciao, Auf Wiedersehen, Zài jiàn, Au revoir! 再见、Hasta-luego、Ciao、Auf Wiedersehen、Zài jiàn、Au revoir！

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-11-01 DOI: 10.1016/j.anorl.2024.07.008

O. Laccourreye

引用次数: 0

Post-treatment monitoring of salivary gland cancer: REFCOR recommendations by the formal consensus method 唾液腺癌治疗后监测:REFCOR推荐的正式共识方法。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-11-01 DOI: 10.1016/j.anorl.2023.11.003

E. Chabrillac , S. Vergez , B. Barry , F. Jegoux , B. Verillaud , N. Pham Dang , B. Baujat , N. Fakhry

Objective

To determine the frequency and modality of post-treatment monitoring of primary salivary gland cancer.

Material and methods

The French Network of Rare Head and Neck Tumors (REFCOR) formed a steering group who drafted a narrative review of the literature published on Medline and proposed recommendations. The level of adherence to the recommendations was then assessed by a rating group, according to the formal consensus method.

Results

Clinical monitoring should be adapted to the risk of recurrence: initially every 3 months and progressively spaced out, becoming annual after 5 years. Post-treatment head and neck and chest imaging is recommended at 3 months. Local and regional monitoring can then be carried out yearly or twice yearly with contrast-enhanced head and neck imaging. An annual chest CT scan is recommended for high-grade tumors. For lesions at high risk of late recurrence, very prolonged annual surveillance (up to 15 years) is recommended, including screening for pulmonary metastases.

Conclusion

Given the wide range of malignant salivary gland tumors, the modalities and frequency of post-treatment monitoring must be adapted to the expected course of the disease.

目的:探讨原发性唾液腺癌术后监测的频率和方式。材料和方法:法国罕见头颈部肿瘤网络(REFCOR)成立了一个指导小组，起草了Medline上发表的文献的叙述性综述，并提出了建议。然后，根据正式的共识方法，由一个评级小组评估对建议的遵守程度。结果:临床监测应适应复发风险:最初每3个月一次，逐渐间隔，5年后改为每年一次。治疗后建议在3个月时进行头颈部和胸部影像学检查。然后可以每年或每年两次使用对比度增强的头颈部成像进行局部和区域监测。对于恶性肿瘤，建议每年做一次胸部CT扫描。对于晚期复发风险高的病变，建议延长年度监测时间(长达15年)，包括肺转移筛查。结论:恶性唾液腺肿瘤的范围广泛，治疗后监测的方式和频率必须与疾病的预期病程相适应。

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引用次数: 0

Surgery of sublingual and minor salivary gland cancer: REFCOR recommendations by the formal consensus method 舌下腺和小唾液腺癌手术：REFCOR 通过正式共识法提出的建议。

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-11-01 DOI: 10.1016/j.anorl.2023.11.011

N. Pham Dang , F. Jegoux , B. Barry , B. Verillaud , B. Baujat , N. Fakhry , E. Chabrillac , S. Vergez

Objective

To determine the indications and modalities for resection in the management of primary sublingual and minor salivary gland cancer, and the specific features of each primary location.

Material and methods

Results

Histological evidence (submucosal biopsy) is recommended before surgical treatment of minor salivary gland carcinoma. Surgical treatment is recommended, with optimal oncologic margins, adapted to anatomical factors, histologic type and grade and functional consequences, with reconstruction if necessary.

Conclusion

Treatment of primary minor salivary and sublingual gland cancer is surgical, with wide resection margins. The modalities of resection and reconstruction are highly dependent on tumor location, extension and histologic type.

摘要确定治疗原发性舌下腺和小唾液腺癌的适应症和切除方式，以及每个原发部位的具体特征：法国罕见头颈部肿瘤网络（REFCOR）成立了一个指导小组，该小组对Medline上发表的文献进行了叙述性综述，并提出了建议。然后由一个评级小组根据正式的共识方法对建议的遵守程度进行评估：结果：建议在对轻微唾液腺癌进行手术治疗前进行组织学检查（粘膜下活检）。建议根据解剖学因素、组织学类型和分级以及功能性后果进行最佳肿瘤边缘的手术治疗，必要时进行重建：结论：原发性小唾液腺和舌下腺癌的治疗以手术为主，切除边缘要宽。切除和重建的方式在很大程度上取决于肿瘤的位置、范围和组织学类型。

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引用次数: 0

A bone in a tube 管子里的骨头

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-11-01 DOI: 10.1016/j.anorl.2024.04.008

K. Al Tabaa , C. Leroy , B. Verillaud

引用次数: 0

A letter to the editor: Okay, but what for? 给编辑的一封信好吧，但为什么呢？

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-11-01 DOI: 10.1016/j.anorl.2024.07.001

O. Laccourreye , C. Righini

引用次数: 0

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