Otorhinolaryngology, Head and Neck Diseases

Postradiotherapy facial palsy: What is your diagnosis? Publication date: Available online 5 February 2020 Source: European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): A.A. Sbai, A. Lachkar, F. El Ayoubi, M.R. Ghailan

Vocal-fold leukoplakia and dysplasia. Mini-review by the French Society of Phoniatrics and Laryngology (SFPL) Publication date: Available online 27 January 2020 Source: European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): R. Garrel, E. Uro Coste, V. Costes-Martineau, V. Woisard, I. Atallah, M. Remacle Abstract Vocal-fold leukoplakia and dysplasia are together designated “epithelial hyperplastic laryngeal lesions” (EHLL). Work-up and follow-up are founded on optical examination with high-definition imaging, stroboscopy and narrow-band imaging. Diagnosis is based on pathology, using the new 2017 WHO classification, dichotomizing “low grade” and “high grade”. Statistically, the risk of cancerous progression is 20% within 5 to 10 years of diagnosis, or more in over-65 year-old males; risk for any given patient, however, is unpredictable. Research focuses on the genetic criteria of the lesion and characterization of the tumoral microenvironment. Treatment is exclusively microsurgical. Resection depth is adjusted according to infiltration. EHLL is a chronic disease, necessitating long-term follow-up, which may be hampered by residual dysphonia and surgical sequelae in the vocal folds. Sequelae need to be minimized by good mastery of microsurgical technique and indications. When they occur, biomaterials such as autologous fat and hyaluronic acid can be useful. Tissue bio-engineering is a promising field.

Unusual tumor of the mastoid region Publication date: Available online 25 January 2020 Source: European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): L. Distinguin, G. Lahlou, G. Herve, F. Tankéré

Congenital cervical choristoma of the neck mimicking cystic lymphangioma Publication date: Available online 23 January 2020 Source: European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): R. Tahri, M. Barkiyou, O. Chokairi, N. Lamalmi, L. Rouas, N. Cherradi Abstract Introduction Choristoma is a mass presenting normal histology, but in an abnormal location. Cystic choristoma is rarely reported in the head and neck region. Neonatal cystic masses in the neck suggest usually correspond to a diagnosis of cystic lymphangioma. Case report We report a case of a congenital cystic choristoma of the neck clinically and radiologically mimicking cystic lymphangioma. Discussion Congenital cystic choristoma is an extremely rare lesion, essentially described in neonates, composed of various types of tissues. The diagnosis of congenital cystic choristoma may be suggested on imaging and must be confirmed by histopathological examination. Treatment consists of complete surgical resection.

Necrotizing sinusitis Publication date: Available online 22 January 2020 Source: European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): P. Mattei, G. De Bonnecaze, E. Chabrillac

Attempted suicide with a crossbow Publication date: Available online 22 January 2020 Source: European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): X. Dubernard, C. Dutheil, V. Legros Abstract Introduction Airway management and control of bleeding are essential aspects of the management of attempted suicide involving the head and neck. Attempted suicide using a crossbow is exceptional. The patient's respiratory status, the position of the crossbow bolt in the head and neck, the type of bolt and its exit wound required airway management that has not been previously reported in the literature. Case report This conscious patient had attempted suicide by shooting a crossbow bolt to the head. The radiological assessment (contrast-enhanced CT scan) did not reveal any vascular, ophthalmological or neurological lesions. The submental entry wound of the bolt avoided any damage to the lingual and ethmoidal arteries, lamina papyracea, or frontal lobe. The bolt induced mechanical trismus and its position limited access to the base of the neck, preventing orotracheal intubation. Nasotracheal intubation and primary tracheotomy were also difficult in this situation. It was therefore decided to remove the bolt while the patient was still conscious, rapidly followed by intubation, with no complications. Conclusion In attempted suicide by crossbow involving the head and neck, airway management depends on the possibility of exposure of the glottis, the bolt exit wound and safe access to the anterior neck.

The Laryngectomee Guide Publication date: Available online 22 January 2020 Source: European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): I. Brook

Unusual penetrating neck wound Publication date: Available online 21 January 2020 Source: European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): M. Ndiaye, M.S. Diouf, M.C. Sarr, N. Faysal

A rare parotid tumor Publication date: Available online 21 January 2020 Source: European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): C.A. Righini, C. Colombe, H. Gil

HPV vaccination: Strong messages from a meta-analysis, a report and a press-release Publication date: Available online 20 January 2020 Source: European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): O. Laccourreye