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

英文中文

Experience of French patients with olfactory disorders 法国嗅觉障碍患者的经验。

IF 2.5 4区医学 Q2 Medicine

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2024.02.009

L. Tholin , C. Rumeau , R. Jankowski , P. Gallet , J. Wen Hsieh , D.T. Nguyen

Objectives

To assess the experience of subjects with olfactory disorders in their daily life and medical management, and their expectations and proposals for improvement.

Material and methods

A cross-sectional observational study was conducted over the period January 2020 to December 2021, with 300 subjects with olfactory disorders: 222 female, 78 male; mean age 46 ± 15 years. In total, 126 were patients consulting in ENT, and 174 were members of the Anosmie.org patients’ association. Participants filled out a questionnaire; free texts were analyzed thematically and coded for various qualitative variables.

Results

Olfactory disorders considerably impacted health, safety and quality of life. Non-COVID-19 acute etiologies (non-COVID-19 viral infection, cranial trauma) showed particularly high risk of psychological, social, safety-related and nutritional consequences. Almost all patients (94%) were dissatisfied with their medical management: 28% had received little explanation, and 23% felt their dysosmia was completely neglected, with no exploration and no etiology suggested. Patients wished above all to have follow-up and accompaniment.

Conclusion

Despite significant impact on health and quality of life, olfactory disorders are neglected by the medical community. Patients should be given an ENT assessment with olfactometry, to establish diagnosis and prognosis. Global multidisciplinary management is necessary, including therapeutic education, and psychological, social and nutritional follow-up.

目的评估嗅觉障碍患者在日常生活和医疗管理方面的经验，以及他们的期望和改进建议：2020年1月至2021年12月期间，对300名嗅觉障碍患者进行了横断面观察研究，其中女性222人，男性78人；平均年龄（46±15）岁。其中126人为耳鼻喉科就诊患者，174人为Anosmie.org患者协会会员。参与者填写了一份调查问卷；对自由文本进行了主题分析，并对各种定性变量进行了编码：结果：嗅觉障碍严重影响了健康、安全和生活质量。非 COVID-19 急性病因（非 COVID-19 病毒感染、颅脑外伤）造成的心理、社会、安全和营养后果的风险尤其高。几乎所有患者（94%）都对他们的医疗管理感到不满：28%的患者几乎没有得到任何解释，23%的患者认为他们的泌尿系统功能障碍完全被忽视，没有进行任何检查，也没有提出任何病因。患者最希望的是得到随访和陪伴：结论：尽管嗅觉障碍对健康和生活质量有重大影响，但仍被医疗界忽视。患者应接受耳鼻喉科的嗅觉评估，以确定诊断和预后。有必要进行全面的多学科管理，包括治疗教育、心理、社会和营养方面的随访。

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引用次数: 0

Two hundred years ago, the birth of the Ode to Joy, by a world-famous deaf German 200 年前，世界闻名的德国聋人诞生了《欢乐颂》。

IF 2.5 4区医学 Q2 Medicine

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2024.03.001

O. Laccourreye , L. Laccourreye

引用次数: 0

Laryngeal tuberculosis in the early 21st century. Literature review of clinical, diagnostic and therapeutic data, according to SWiM guidelines 21 世纪初的喉结核。根据 SWiM 指南对临床、诊断和治疗数据进行文献综述

IF 2.5 4区医学 Q2 Medicine

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2024.01.001

F. Rubin , E. Jameleddine , S. Guiquerro , O. Laccourreye

Objectives

Review of the scientific medical literature dedicated to clinical data, diagnosis and treatment for laryngeal tuberculosis published since the turn of the 21st century.

Material and methods

Search of the Medline, Cochrane and Embase databases for the period 2000–2022. Selection of cohorts and case reports documenting clinical data, diagnosis and treatment for laryngeal tuberculosis.

Results

In total, 119 articles were analyzed. Immunodepression, HIV infection, history of lung tuberculosis, general symptoms suggesting tuberculosis, smoking and associated laryngeal cancer were noted in 18%, 3%, 20% and 41% of cases, respectively. No pathognomonic symptoms or signs emerged. Voice impairment, of various types and severity, isolated and/or associated with other signs, was the most frequent laryngeal symptom, in 86% of cases. All laryngeal sites were involved, with numerous and various associations. Impaired laryngeal motion and tracheotomy were noted in 6% and 1% of cases, respectively. Time to diagnosis varied from less than 1 month to 36 months, for a median 3 months, in case reports. Laryngeal tuberculosis was diagnosed bacteriologically with certainty in 28% of cases while diagnosis was based on indirect criteria and/or involvement of another site in the other 72%, with lung involvement in 54%. Treatment duration ranged from 6 to 24 months (median, 6 months), using 3 to 5 (median: 4) antitubercular antibiotics, with 4 used in 80% of cohorts and 77% of case reports. Overall rates of cure, death, treatment resistance, adverse events, and laryngeal sequelae were 99%, 0.5%, 0.5%, 6% and 5%, respectively.

Conclusion

The clinical presentation and diagnostic difficulty in laryngeal tuberculosis did not change since the end of the 20th century. Quadritherapy is highly effective, with a low resistance rate and few adverse effects or laryngeal sequelae.

材料与方法检索 2000-2022 年间的 Medline、Cochrane 和 Embase 数据库。结果共分析了 119 篇文章。免疫抑制、艾滋病病毒感染、肺结核病史、提示肺结核的一般症状、吸烟和伴发喉癌的病例分别占 18%、3%、20% 和 41%。没有出现致病症状或体征。嗓音受损是最常见的喉部症状，有各种类型和严重程度，单独存在和/或与其他体征伴发，占病例总数的86%。所有喉部部位均受累，并伴有多种不同的症状。喉运动受损和气管切开的病例分别占 6% 和 1%。在病例报告中，确诊时间从不到 1 个月到 36 个月不等，中位数为 3 个月。28%的病例经细菌学确诊为喉结核，72%的病例根据间接标准和/或其他部位受累确诊，54%的病例肺部受累。治疗时间为 6 至 24 个月（中位数为 6 个月），使用 3 至 5 种（中位数为 4 种）抗结核抗生素，其中 80% 的队列和 77% 的病例报告中使用了 4 种抗生素。治愈率、死亡率、耐药性、不良反应和喉部后遗症的总发生率分别为99%、0.5%、0.5%、6%和5%。四联疗法疗效显著，耐药率低，不良反应或喉部后遗症少。

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引用次数: 0

Functional assessment of septo(rhino)plasty revision surgery 鼻中隔成形术翻修手术的功能评估

IF 2.5 4区医学 Q2 Medicine

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2024.01.002

J. Maubras , S. Bonigen , M. Kerimian , A. Alharbi , L. de Gabory

Introduction

Functional septo(rhino)plasty incurs a 17–25% rate of revision for persistent symptoms.

Objectives

The main study objective was to assess functional results before and after surgical revision. The secondary objective was to describe the shortcomings or excesses of the prior surgeries, with a-posteriori comparison of efficacy for the surgical techniques requiring revision.

Material and methods

A single-center retrospective study included functional salvage septo(rhino)plasties. Data comprised epidemiology, intraoperative anatomic abnormalities indicative of prior surgery, operative correction maneuvers, and pre- and post-intervention NOSE and RhinoQoL scores and satisfaction on VAS.

Results

Eighty-two patients were included. Anatomic abnormalities comprised deviated posterior septum (81.7%) and chondroethmoidal junction (58.5%), valve stenosis (54.9%), and obstructive boney spur or crest (46.3%). Prior surgeries comprised 33 submucosal resections, 29 septorhinoplasties, 14 Cottle septoplasties and 5 Killian procedures. Complete septoplasty was performed in 80% of cases, with associated maneuvers in 15%. All scores showed improvement taking the whole population together (P < 10⁻⁵), but on subgroup analysis improvement concerned only revision of septorhinoplasty (P < 10⁻⁴) and of submucosal resection (P < 10⁻³), while 17% of patients showed no change in scores.

Conclusion

Functional nasoseptal salvage surgery enables most patients to recover respiratory comfort, with the exception of a few cases despite a perfectly straight nasal septum.

导言功能性鼻中隔（鼻窦）成形术因症状持续存在而导致的翻修率为17%-25%。研究的主要目的是评估手术翻修前后的功能效果。次要目的是描述之前手术的不足或过度，并对需要翻修的手术技术的疗效进行事后比较。材料和方法一项单中心回顾性研究包括功能性挽救性鼻中隔（鼻窦）成形术。数据包括流行病学、术中显示先前手术的解剖异常、手术矫正操作、干预前后的 NOSE 和 RhinoQoL 评分以及 VAS 满意度。解剖学异常包括后鼻中隔偏曲（81.7%）和软骨-齿状突交界处（58.5%）、瓣膜狭窄（54.9%）和阻塞性骨刺或骨嵴（46.3%）。之前的手术包括 33 例黏膜下切除术、29 例鼻中隔成形术、14 例 Cottle 鼻中隔成形术和 5 例 Killian 手术。80%的病例进行了完整的鼻中隔成形术，15%的病例进行了相关操作。所有患者的评分都有所改善（P <10-5），但在分组分析中，只有鼻中隔成形术（P <10-4）和粘膜下切除术（P <10-3）的患者评分有所改善，而 17% 的患者评分没有变化。

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引用次数: 0

Can ChatGPT be a valuable study tool for ENT residents? ChatGPT能成为耳鼻喉科住院医生的一个有价值的学习工具吗?

IF 2.5 4区医学 Q2 Medicine

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2023.10.018

V. Dallari , C. Liberale , F. De Cecco , D. Monzani

引用次数: 0

Comment on: “Endoscopic “retrograde” dacryocystorhinostomy: A fast route to the lacrimal sac” by Alicandri-Ciufelli et al. Eur Ann Otorhinolaryngol Head Neck Dis 2023;140:85–88 对alicandri - ciuelli等人的“内窥镜逆行泪囊造口术:通往泪囊的快速途径”的评论。[j] .中华耳鼻咽喉杂志[j]; 2009; 31(4): 559 - 561。

IF 2.5 4区医学 Q2 Medicine

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2023.09.007

H.A. Tawfik

引用次数: 0

The research integrity ordinance: Major progress or more French administrative overkill? 研究诚信法令：是重大进步还是法国式的矫枉过正？

IF 2.5 4区医学 Q2 Medicine

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2023.02.004

H. Maisonneuve , O. Laccourreye

引用次数: 0

Digastric and sternocleidomastoid muscle flaps after conservative total parotidectomy for cancer: A CARE case report 癌症保守性腮腺全切除术后的地胃和胸锁乳突肌肌皮瓣：CARE病例报告。

IF 2.5 4区医学 Q2 Medicine

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-05-01 DOI: 10.1016/j.anorl.2024.01.003

F. Haroun, Q. Lisan, H. Mirghani, O. Laccourreye

Objective

To describe, according to the CARE guidelines, an easily reproducible technique using two local muscle flaps to reduce the unsightly retromandibular hollow left by total parotidectomy for cancer.

Case description

A 40-year-old Caucasian male with T3N1M0 temporal skin melanoma was managed by skin resection, conservative total parotidectomy and ipsilateral level II–IV selective lymph-node dissection. Two rotational muscle flaps were taken from the ipsilateral posterior belly of the digastric and sternocleidomastoid muscles. Postoperative course was uneventful, with 3 days’ hospital stay, without facial or spinal palsy. At 3 days, 3 months and 9 months postoperatively, the appearance of the parotid region was similar to the non-operated contralateral region.

Conclusion

Easy to perform and without associated scars, the approach described here should be included in the armamentarium available to the head and neck surgeon to avoid an unsightly hollow after total parotidectomy for cancer, in an effort to improve quality of life.

目的：根据 CARE 指南，描述一种使用两块局部肌肉瓣的易于重复的技术：根据 CARE 指南，描述一种易于重复的技术，使用两个局部肌肉瓣减少因癌症进行腮腺全切除术后留下的难看的下颌后凹陷：一名 40 岁的白种男性患有 T3N1M0 颞部皮肤黑色素瘤，患者接受了皮肤切除术、保守性全腮腺切除术和同侧 II-IV 级选择性淋巴结清扫术。从同侧掘腹肌和胸锁乳突肌的后腹部提取了两块旋转肌皮瓣。术后过程顺利，住院 3 天，无面部或脊柱麻痹。术后3天、3个月和9个月，腮腺区域的外观与未手术的对侧区域相似：本文描述的方法易于操作且不会留下疤痕，应纳入头颈部外科医生的手术方案中，以避免癌症腮腺全切除术后出现难看的凹陷，从而提高生活质量。

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引用次数: 0

Improving post-treatment follow-up of HPV-driven oropharyngeal cancers. 改善由 HPV 引起的口咽癌的治疗后随访。

IF 2.5 4区医学 Q2 Medicine

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-04-23 DOI: 10.1016/j.anorl.2024.04.003

H Mirghani, P Blanchard

引用次数: 0

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

IF 2.5 4区医学 Q2 Medicine

European Annals of Otorhinolaryngology-Head and Neck Diseases

Pub Date : 2024-03-29 DOI: 10.1016/j.anorl.2024.03.004

E Chabrillac, S Vergez, T Martin Saint-Léon

引用次数: 0

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European Annals of Otorhinolaryngology-Head and Neck Diseases

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