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Thierry B, Lesnik M, Luscan R, Leboulanger N. Total laryngectomy in children: Madness or method? Eur Ann Otorhinolaryngol Head Neck Dis 2024:S1879-7296(23)00165-5. [PMID: 38233299 DOI: 10.1016/j.anorl.2023.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Affiliation(s)
- B Thierry
- Service d'ORL et de chirurgie cervico-faciale, hôpital universitaire Necker enfants malades, 149, rue de Sèvres, 75015 Paris, France
| | - M Lesnik
- Institut Curie, 75005 Paris, France
| | - R Luscan
- Service d'ORL et de chirurgie cervico-faciale, hôpital universitaire Necker enfants malades, 149, rue de Sèvres, 75015 Paris, France
| | - N Leboulanger
- Service d'ORL et de chirurgie cervico-faciale, hôpital universitaire Necker enfants malades, 149, rue de Sèvres, 75015 Paris, France; Université Paris Cité, Paris, France.
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Righini C, Laccourreye O, Fakhry N, Franco-Vidal V, Leboulanger N, Lisan Q, Radulesco T, Rumeau C, Schmerber S, Simon F, Thaï Van H, Vergez S, Vincent C, Jankowski R. Writing in the European Annals of Otorhinolaryngology Head & Neck Diseases. Dos and Don'ts! Eur Ann Otorhinolaryngol Head Neck Dis 2024; 141:21-26. [PMID: 37778943 DOI: 10.1016/j.anorl.2023.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/03/2023]
Abstract
Too many articles are still rejected by scientific medical journals due to lack of preparation of the manuscript and of knowledge of the modern editorial rules that govern scientific medical writing. Therefore, the editorial board of the European Annals of Otorhinolaryngology Heads & Neck Diseases summarized studies published by its members since 2020 in the columns of the scientific journal of the French Society of Otorhinolaryngology and the International Francophone Society of Otorhinolaryngology and data from the PubMed indexed literature dedicated to scientific medical writing in otolaryngology in the 21st century. The authors hope that this review, in the form of a list of "Dos and Don'ts", will provide authors with a practical guide facilitating publication of rigorous, reproducible and transparent scientific studies, in accordance with the movement toward better science that society as a whole has been fighting for since the beginning of this century.
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Affiliation(s)
- C Righini
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, centre hospitalier universitaire, université Grenoble-Alpes, CS 10217, 38043, Grenoble cedex 9, France.
| | - O Laccourreye
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, HEGP, AP-HP, université Paris Cité, 20, rue Leblanc, 75015 Paris, France
| | - N Fakhry
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpital de La Conception, université Aix-Marseille, 147, boulevard Baille, 13005 Marseille, France
| | - V Franco-Vidal
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpital Pellegrin, université de Bordeaux, place Amélie-Raba-Leon, 33000 Bordeaux, France
| | - N Leboulanger
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpital Necker enfants-malades, AP-HP, université Paris Cité, 149, rue de Sèvres, 75015 Paris, France
| | - Q Lisan
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpital Foch, 40, rue Worth, 92150 Suresnes, France
| | - T Radulesco
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpital de La Conception, université Aix-Marseille, 147, boulevard Baille, 13005 Marseille, France
| | - C Rumeau
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpitaux de Brabois, université de Lorraine, rue du Morvan, 54511 Vandoeuvre-les-Nancy, France
| | - S Schmerber
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, centre hospitalier universitaire, université Grenoble-Alpes, CS 10217, 38043, Grenoble cedex 9, France
| | - F Simon
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpital Necker enfants-malades, AP-HP, université Paris Cité, 149, rue de Sèvres, 75015 Paris, France
| | - H Thaï Van
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'audiologie et d'explorations otoneurologiques, hôpital Edouard-Herriot, hospices civils de Lyon, 69003 Lyon, France; Université Claude-Bernard Lyon 1, 69100 Villeurbanne, France
| | - S Vergez
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpital Larrey, université de Toulouse, 24, chemin de Pouvourville, 31400 Toulouse, France
| | - C Vincent
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpital Roger-Salengro, université de Lille, avenue du Professeur Emile-Laine, 59037 Lille, France
| | - R Jankowski
- Editorial board, European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpitaux de Brabois, université de Lorraine, rue du Morvan, 54511 Vandoeuvre-les-Nancy, France
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Leboulanger N, Camhi Y, Le Clerc N, Lesnik M, Mazzaschi O, Veyrat M, Gardini B. French otorhinolaryngologists, actors for sustainable development. Eur Ann Otorhinolaryngol Head Neck Dis 2023; 140:207-208. [PMID: 37336715 DOI: 10.1016/j.anorl.2023.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2023]
Affiliation(s)
- N Leboulanger
- Service d'oto-rhino-laryngologie, hôpital Necker-Enfants malades, AP-HP, université Paris Cité, 75015 Paris, France.
| | - Y Camhi
- Service d'oto-rhino-laryngologie, Fondation ophtalmologique de Rothschild, 75019 Paris, France
| | - N Le Clerc
- Service d'oto-rhino-laryngologie, hôpital Lariboisière, AP-HP, 75010 Paris, France
| | - M Lesnik
- Service d'oto-rhino-laryngologie, Institut Curie, 75005 Paris, France
| | - O Mazzaschi
- Service d'oto-rhino-laryngologie, hôpital St-Joseph, 75014 Paris, France
| | - M Veyrat
- Service d'oto-rhino-laryngologie, Fondation ophtalmologique de Rothschild, 75019 Paris, France
| | - B Gardini
- ORL, Clinique Sarrus Teinturier, 31300 Toulouse, France
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Laccourreye O, Lisan Q, Vincent C, Righini C, Leboulanger N, Franco-Vidal V, Radulesco T, Rumeau C, Schmerber S, Simon F, Van HT, Vergez S, Fakhry N, Jankowski R. Keys for successful publication in Eur Ann Otorhinolaryngol Head Neck Dis: A STROBE analysis of peer reviews of articles submitted in 2020-2021. Eur Ann Otorhinolaryngol Head Neck Dis 2023; 140:19-24. [PMID: 35637090 DOI: 10.1016/j.anorl.2022.05.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE To evaluate reviewing and editorial decision for articles submitted to the European Annals of Otorhinolaryngology Head & Neck Diseases. MATERIALS AND METHODS A retrospective analysis was made of reviewers' comments on 1,133 scientific articles (700 original articles, 96 literature reviews, and 337 case reports), originating from 69 countries, consecutively submitted on-line between January 1st, 2020 and December 31st, 2021. The main objective was to document the acceptance rate and decision time. Accessory objectives were to synthesize the main comments and to screen for correlations between acceptance and the main characteristics of first authors, articles and reviewers' comments. RESULTS In total, 4.1% of submitted articles were accepted. Median decision time differed significantly (P<0.0001), at 1 month in case of refusal and 4 months in case of acceptance. Reviewers mentioned failure to adhere to the journal's authors' guide, to use the appropriate EQUATOR guidelines and to adopt the recommended P<0.005 significance threshold in 94.8%, 54.2%, and 39.9% of cases, respectively. On multivariate analysis, 3 variables significantly impacted acceptance, which increased from 1.3% to 44.6% (P<0.0001) when an appropriate EQUATOR guideline was used and from 0.3% to 57.4% (P<0.0001) when the significance threshold was set at P<0.005, and decreased from 10.5% to 1.1% (P=0.0001) when the article did not originate from a French-speaking country (member of the Francophonie organization). CONCLUSION Adhesion to modern scientific medical writing rules increased acceptance rates for articles in the European Annals of Otorhinolaryngology Head & Neck Diseases. Teaching modern scientific medical writing needs to be enhanced in otorhinolaryngology.
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Affiliation(s)
- O Laccourreye
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, HEGP, université Paris Cité, AP-HP, 20, rue Leblanc, 75015 Paris, France.
| | - Q Lisan
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, hôpital Foch, 32, rue Worth, 92150 Suresnes, France
| | - C Vincent
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, université de Lille, hôpital Roger-Salengro, avenue du Professeur Emile-Laine, 59037 Lille, France
| | - C Righini
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, université Grenoble-Alpes, 1, avenue des Maquis-du-Gresivaudan, 38043 Grenoble, France
| | - N Leboulanger
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, université de Paris, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75007 Paris, France
| | - V Franco-Vidal
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, université de Bordeaux, hôpital Pellegrin, place Amélie-Raba-Leon, 33000 Bordeaux, France
| | - T Radulesco
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, université Aix-Marseille, hôpital de La Conception, 147, boulevard Baille, 13005 Marseille, France
| | - C Rumeau
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, université de Lorraine, hôpitaux de Brabois, rue du Morvan, 54511 Vandœuvre-les-Nancy, France
| | - S Schmerber
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, CHU de Grenoble-Alpes, université Auvergne Rhône Alpes, boulevard de la Chantourne, 38700 La Tronche, France
| | - F Simon
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, université de Paris, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75007 Paris, France
| | - H T Van
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'audiologie et d'explorations otoneurologiques. université Auvergne Rhône Alpes, hospices civils de Lyon, 3, quai des Célestins, 69002 Lyon, France
| | - S Vergez
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, université de Toulouse, hôpital Larrey, 24, chemin de Pouvourville, 31400 Toulouse, France
| | - N Fakhry
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, université Aix-Marseille, hôpital de La Conception, 147, boulevard Baille, 13005 Marseille, France
| | - R Jankowski
- European Annals of Otohinolaryngology Head & Neck Diseases, Elsevier, 65, rue Camille-Desmoulins, 92130 Issy-les-Moulineaux, France; Service d'otorhinolaryngologie et de chirurgie cervico-faciale, université de Lorraine, hôpitaux de Brabois, rue du Morvan, 54511 Vandœuvre-les-Nancy, France
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Simon F, Plisson L, Heutte N, Leboulanger N, Barry B, Babin E, Parietti-Winkler C. [Ethical considerations in ENT during the COVID-19 pandemic: Qualitative analysis of open-ended questions]. ACTA ACUST UNITED AC 2021; 18:134-141. [PMID: 33897855 PMCID: PMC8057734 DOI: 10.1016/j.etiqe.2021.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Introduction La pandémie au coronavirus SARS-CoV-2 a profondément impacté la pratique des soignants. L’objectif est d’analyser les questionnements éthiques soulevés par la communauté ORL française pendant la première vague d’infections au COVID-19. Méthodes Un appel à témoignage a été lancé à propos des questionnements éthiques en ORL au mois d’avril 2020, avec quatre questions ouvertes standardisées : (i) les difficultés de prise en charge pour les patients COVID-19 positifs ; (ii) le retentissement de la crise sanitaire sur les patients COVID-19 négatifs ; (iii) la communication avec les équipes soignantes et/ou le personnel de consultation et de bloc ; et (iv) le traitement des informations par la presse et les instances nationales de l’ORL. Une analyse thématique de contenu a été effectuée en croisant avec les données épidémiologiques de chaque répondant. Résultats Trente et un réponses provenant de 13 départements français différents, dont 21 hospitaliers et 10 libéraux, âge médian de 45 ans et 17 hommes pour 14 femmes, ont été analysées. Les questionnements éthiques concernaient la prise en charge par les ORL des patients COVID-19 positifs, la modification des pratiques en consultation et au bloc opératoire, la crainte de perte de chance pour les patients COVID-19 négatifs, l’usage approprié des téléconsultations et du télétravail et les conséquences délétères des fausses informations pour le grand public. Conclusion En préparation de possibles futures pandémies, les aspects éthiques clés sont d’adapter la prise en charge des patients aux ressources et à la prévalence locale, et de diffuser des recommandations institutionnelles claires.
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Affiliation(s)
- F Simon
- Service d'otorhinolaryngologie pédiatrique et chirurgie cervico-faciale, hôpital Necker-Enfants Malades, centre - université de Paris, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - L Plisson
- Service d'otorhinolaryngologie et chirurgie cervico-faciale, CHU de Côte-de-Nacre, Caen, France
| | - N Heutte
- CETAPS EA 3832, université de Rouen, Rouen, France
| | - N Leboulanger
- Service d'otorhinolaryngologie pédiatrique et chirurgie cervico-faciale, hôpital Necker-Enfants Malades, centre - université de Paris, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - B Barry
- Service d'otorhinolaryngologie et chirurgie cervico-faciale, hôpital Bichat-Claude-Bernard, Nord - université de Paris, AP-HP, Paris, France
| | - E Babin
- Service d'otorhinolaryngologie et chirurgie cervico-faciale, CHU de Côte-de-Nacre, Caen, France
| | - C Parietti-Winkler
- Service d'otorhinolaryngologie et chirurgie cervico-faciale, CHU d'hôpital Central, université de Lorraine, Nancy, France
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Laccourreye O, Fakhry N, Franco-Vidal V, Jankowski R, Karkas A, Leboulanger N, Makeief M, Malard O, Michel J, Righini C, Rumeau C, Vincent C, Lisan Q. Statistics in scientific articles published in the European Annals of Otorhinolaryngology Head & Neck Diseases. Eur Ann Otorhinolaryngol Head Neck Dis 2021; 138:89-92. [DOI: 10.1016/j.anorl.2020.06.015] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Chatelet F, Leboulanger N, Achard S, Couloigner V, Denoyelle F, Simon F. Myringoplasty without tympanomeatal flap elevation in children: A systematic review. Eur Ann Otorhinolaryngol Head Neck Dis 2020; 138:93-99. [PMID: 32888888 DOI: 10.1016/j.anorl.2020.08.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES Systematic review of the literature on myringoplasty techniques without tympanomeatal flap elevation in children. MATERIAL AND METHODS A systematic review following PRISMA guidelines reported papers on patients under 18years of age undergoing myringoplasty for chronic tympanic perforation on a transcanal approach without tympanomeatal flap elevation. Tympanic closure rates and audiometric results were analyzed. RESULTS Twenty studies were included. Nine reported the butterfly technique, using a microscope or endoscope, with closure rate of 82.3% (246/299), for perforations of various sizes. Ten reported the fat-plug technique, with closure rate of 86.8% (869/1001), mostly for perforations of less than one-third of the tympanum. Both techniques improved audiometric results. Morbidity was very low. The absence of chronic otitis or co-morbidities (contralateral otitis media with effusion, craniofacial malformations, Down's syndrome) implies that patient selection technique may be necessary to obtain the best results. CONCLUSION Fat-plug myringoplasty, for small perforations, and butterfly cartilage myringoplasty seem to be reliable procedures in selected patients, with low morbidity in children.
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Affiliation(s)
- F Chatelet
- Service d'Oto-Rhino-Laryngologie Pédiatrique, Hôpital Necker-Enfants Malades, AP-HP, 149, rue de Sèvres, Paris, France.
| | - N Leboulanger
- Service d'Oto-Rhino-Laryngologie Pédiatrique, Hôpital Necker-Enfants Malades, AP-HP, 149, rue de Sèvres, Paris, France; Faculté de Médecine Paris Descartes, Université de Paris, Paris, France
| | - S Achard
- Service d'Oto-Rhino-Laryngologie Pédiatrique, Hôpital Necker-Enfants Malades, AP-HP, 149, rue de Sèvres, Paris, France
| | - V Couloigner
- Service d'Oto-Rhino-Laryngologie Pédiatrique, Hôpital Necker-Enfants Malades, AP-HP, 149, rue de Sèvres, Paris, France; Faculté de Médecine Paris Descartes, Université de Paris, Paris, France
| | - F Denoyelle
- Service d'Oto-Rhino-Laryngologie Pédiatrique, Hôpital Necker-Enfants Malades, AP-HP, 149, rue de Sèvres, Paris, France; Faculté de Médecine Paris Descartes, Université de Paris, Paris, France
| | - F Simon
- Service d'Oto-Rhino-Laryngologie Pédiatrique, Hôpital Necker-Enfants Malades, AP-HP, 149, rue de Sèvres, Paris, France; Faculté de Médecine Paris Descartes, Université de Paris, Paris, France
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Leboulanger N, Sagardoy T, Akkari M, Ayari-Khalfallah S, Celerier C, Fayoux P, Luscan R, Mansbach AL, Moreddu E, Pondaven S, Simon F, Teissier N, Thierry B, Fanoux A, Lescanne E, Nicollas R, Couloigner V. SARS-CoV-2 et ORL pédiatrique en contexte de pandémie à SARS-CoV-2 (COVID-19). Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale 2020. [PMCID: PMC7164908 DOI: 10.1016/j.aforl.2020.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Objectif: rédiger des conseils de bonnes pratiques de prise en charge des pathologies ORL pédiatriques en contexte d'épidémie de SARS-CoV-2. Méthodes: ces conseils ont été rédigés sur la base de l'expérience clinique des experts sollicités pour la rédaction de manuscrit, ainsi que sur les recommandations de pratique clinique et publications disponibles sur le sujet dans la littérature. Les propositions feront l'objet de mises à jour en fonction de l'évolution des connaissances sur cette épidémie. Résultats: l’incidence des formes symptomatiques d’infection à SARS-CoV-2 chez l’enfant est faible (1–5%) et le pronostic est bon. Les indications de fibroscopies en consultation doivent être réduites aux seuls cas indispensables et ne pouvant être différés. Leur réalisation doit être entourée de précautions maximales, avec notamment port d’un masque FFP2 (Filtering FacePiece type 2). Les mêmes précautions s’appliquent aux lavages de nez au sérum salé lorsqu’ils sont pratiqués en milieu hospitalier, ainsi qu’aux soins de trachéotomie. Concernant les suspicions de corps étrangers inhalés et en dehors des cas cliniquement évidents, il est recommandé de prescrire un scanner thoracique avant de programmer une éventuelle endoscopie sous anesthésie générale. Les indications chirurgicales doivent se limiter aux urgences et aux cas ne pouvant être différés de plus de deux mois, particulièrement si ces chirurgies concernent les voies aériennes et notamment les fosses nasales et le cavum. Les décisions doivent idéalement être prises collégialement et notées par écrit. Les techniques chirurgicales doivent être adaptées aux risques de dissémination virale. Dans les cas confirmés ou suspects, ou systématiquement pour certains centres, les conditions maximales de protection individuelle avec notamment port d’un masque FFP2 et de lunettes protectrice sont recommandées pour les soignants présents en salle d’opération.
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Affiliation(s)
- N Leboulanger
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris, Université de Paris, Paris, France
- Auteur correspondant: Service d’ORL et chirurgie cervico-faciale pédiatrique, Hôpital Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France
| | - T Sagardoy
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Pellegrin, Université de Bordeaux, Bordeaux, France
| | - M Akkari
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Gui de Chauliac, CHU de Montpellier, Université de Montpellier, France
| | - S Ayari-Khalfallah
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Femme, Mère, Enfant, Hospices Civils de Lyon, Université Claude Bernard Lyon 1, Lyon, France
| | - C Celerier
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris, Université de Paris, Paris, France
| | - P Fayoux
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Jeanne de Flandre, CHRU Lille, France
| | - R Luscan
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris, Université de Paris, Paris, France
| | - A L Mansbach
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Universitaire des Enfants Reine Fabiola (HUDERF), Bruxelles, Belgique
| | - E Moreddu
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital La Timone, Assistance Publique–Hôpitaux de Marseille, Aix-Marseille Université, Marseille, France
| | - S Pondaven
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, CHU Tours, Université de Tours, Tours, France
| | - F Simon
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris, Université de Paris, Paris, France
| | - N Teissier
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Robert Debré, Assistance Publique–Hôpitaux de Paris, Université de Paris, NeuroDiderot, Inserm, F-75019, Paris, France
| | - B Thierry
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris, Université de Paris, Paris, France
| | - A Fanoux
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Université McGill, Montréal, Québec, Canada
| | - E Lescanne
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, CHU Tours, Université de Tours, Tours, France
| | - R Nicollas
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital La Timone, Assistance Publique–Hôpitaux de Marseille, Aix-Marseille Université, Marseille, France
| | - V Couloigner
- Service d’ORL Pédiatrique et de Chirurgie Cervico-Faciale, Hôpital Necker-Enfants Malades, Assistance Publique–Hôpitaux de Paris, Université de Paris, Paris, France
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Fanous A, Couloigner V, Gorphe P, Galmiche L, Alexandru M, Garabedian EN, Coffinet L, Blanc T, Leboulanger N, Denoyelle F. Unusual presentation of a first Branchial cleft cyst associated with an abnormal bony canal -a case report. J Otolaryngol Head Neck Surg 2020; 49:32. [PMID: 32471510 PMCID: PMC7260795 DOI: 10.1186/s40463-020-00426-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Accepted: 05/08/2020] [Indexed: 12/13/2022] Open
Abstract
Background First branchial cleft anomalies are rare, accounting for only 10% of all branchial cleft anomalies. We report an even more rare and unique case of a branchial cleft cyst with features of both first and second arch derivatives. Case presentation A 6-year-old boy presented to us with a left conductive hearing loss associated with pre-tympanic keratin debris and an ipsilateral painful cervical mass. He had a past medical history of left ear surgery for presumed cholesteatoma 2 years prior and left neck abscess drainage 6 months prior. CT and MRI revealed a lesion originating in the external auditory canal and extending cervically through a bony canal located medial to the facial nerve and terminating as a parapharyngeal cyst. The complete removal was accomplished in one surgical stage consisting of three distinct steps: robotic assisted transoral resection of the pharyngeal cyst, an endaural approach and a parotidectomy approach. Conclusion We believe that our detailed description of this rare first branchial cleft cyst with pharyngeal extension, possibly a hybrid case between a first and second branchial cyst, can serve as a valuable tool to Otolaryngologists – Head and Neck Surgeons who come across a similar unusual presentations.
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Affiliation(s)
- A Fanous
- Department of Otolaryngology - Head and Neck Surgery, McGill University, Quebec, Canada.
| | - V Couloigner
- Department of Pediatric Otolaryngology - Head and Neck Surgery, Hôpital Necker - Enfants Malades - Paris V University, Paris, France
| | - P Gorphe
- Department of Otolaryngology - Head and Neck Surgery, Institut Gustave Roussy, Villejuif, France
| | - L Galmiche
- Pathology Department, Hôpital Necker - Enfants Malades - Paris V University, Paris, France
| | - M Alexandru
- Department of Pediatric Otolaryngology - Head and Neck Surgery, Hôpital Necker - Enfants Malades - Paris V University, Paris, France
| | - E-N Garabedian
- Department of Pediatric Otolaryngology - Head and Neck Surgery, Hôpital Necker - Enfants Malades - Paris V University, Paris, France
| | - L Coffinet
- Department of Otolaryngology - Head and Neck Surgery, Centre Hospitalier Régional et Universitaire de Nancy, Hôpital Central, Nancy, France
| | - T Blanc
- Department of Pediatric Surgery, Hôpital Necker - Enfants Malades - Paris V University, Paris, France
| | - N Leboulanger
- Department of Pediatric Otolaryngology - Head and Neck Surgery, Hôpital Necker - Enfants Malades - Paris V University, Paris, France
| | - F Denoyelle
- Department of Pediatric Otolaryngology - Head and Neck Surgery, Hôpital Necker - Enfants Malades - Paris V University, Paris, France
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10
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Ferrier S, Hennocq Q, Leboulanger N, Couloigner V, Denoyelle F, Heuzé Y, Khonsari RH. Nasal cavity shape in unilateral choanal atresia and the role of fetal ventilation in facial growth. J Stomatol Oral Maxillofac Surg 2020; 122:135-140. [PMID: 32480047 DOI: 10.1016/j.jormas.2020.05.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Accepted: 05/19/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE The respiratory movements of fetal amniotic fluid areconsidered by certains cleft surgery teams to contribute to the growth of the nasal cavities (NC). To assess this functional hypothesis, we considered a group of patients with unilateral choanal atresia (CA) as a model of unilateral absence of amniotic fluid flux in the NC, and compared their NCs shape to age-matched controls. MATERIAL AND METHODS Three-dimensional reconstructions of NC were performed using Avizo 9.7 (Thermo Fisher Scientific, MA, USA), based on CT-scans of 32 patients with unilateral CA and 96 age- and gender-matched controls. Landmarks were placed on anatomical structures of NC. Procrustes superimpositions and principal component analysis were performed. Anatomically relevant Euclidean distances were computed using the coordinates of selected landmarks - maxillary length, piriform orifice width, choanal width - and tested using multivariate analysis. Growth rates between patients and controls for these distances were screened for correlations. RESULTS The atretic NC was significantly deformed when compared to the control cases: Procrustes distance was 0.28 (P<0.0001). The maxillary length and width of the atretic choana were significantly decreased compared to controls (-2.95mm and -1.35mm respectively, P<0.001). There were no differences in growth rates between CA and controls, except for the choanal width on the atretic side. CONCLUSION NCs in CA were significantly different from controls. More precisely, the maxillary length was significantly reduced in the CA group. There was no other major shape difference between the NC in CA and controls. NC seems to develop despite abnormal fetal ventilation.
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Affiliation(s)
- S Ferrier
- Service d'otorhinolaryngologie et chirurgie cervico-faciale, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Centre de Référence des Malformations ORL rares MALO, Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, 149, rue de Sèvres, 75015 Paris, France.
| | - Q Hennocq
- Service de chirurgie maxillo-faciale et chirurgie plastique, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Centre de Référence des Fentes et malformations faciales MAFACE, Filière Maladies Rares TeteCou, Université de Paris, Paris, France
| | - N Leboulanger
- Service d'otorhinolaryngologie et chirurgie cervico-faciale, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Centre de Référence des Malformations ORL rares MALO, Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, 149, rue de Sèvres, 75015 Paris, France
| | - V Couloigner
- Service d'otorhinolaryngologie et chirurgie cervico-faciale, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Centre de Référence des Malformations ORL rares MALO, Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, 149, rue de Sèvres, 75015 Paris, France
| | - F Denoyelle
- Service d'otorhinolaryngologie et chirurgie cervico-faciale, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Centre de Référence des Malformations ORL rares MALO, Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, 149, rue de Sèvres, 75015 Paris, France
| | - Y Heuzé
- CNRS, University Bordeaux, MC, PACEA - De la Préhistoire à l'Actuel : Culture, Environnement et Anthropologie, UMR5199, Pessac, France
| | - R H Khonsari
- Service de chirurgie maxillo-faciale et chirurgie plastique, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Centre de Référence des Fentes et malformations faciales MAFACE, Filière Maladies Rares TeteCou, Université de Paris, Paris, France
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11
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Leboulanger N, Sagardoy T, Akkari M, Ayari-Khalfallah S, Celerier C, Fayoux P, Luscan R, Mansbach AL, Moreddu E, Pondaven S, Simon F, Teissier N, Thierry B, Fanous A, Lescanne E, Nicollas R, Couloigner V. COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic. Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL). Eur Ann Otorhinolaryngol Head Neck Dis 2020; 137:177-181. [PMID: 32312676 PMCID: PMC7165275 DOI: 10.1016/j.anorl.2020.04.010] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
OBJECTIVE Joint guidelines of the French Pediatric Otolaryngology Society (AFOP) and of the French Society of otorhinolaryngology-head and neck surgery (SFORL) on the management of paediatric otolaryngology patients in the context of the COVID-19 pandemic. METHODS A nation-wide workgroup drew guidelines based on clinical experience, national and local recommendations and scientific literature. Proposals may have to be updated on a day-to-day basis. RESULTS In children, incidence of symptomatic COVID-19 (1-5%) is low and of good prognosis. The indications for nasal flexible endoscopy should be drastically limited. If undertaken, full Personal Protective Equipment (PPE) including FFP2 masks are required, as well as use of a sheath. Saline nose wash done by caregivers other than parents at home should require PPE. Unless foreign body tracheobronchial aspiration is clinically obvious, CT-scan should be performed to confirm indication of endoscopy. Surgical indications should be limited to emergencies and to cases that cannot be delayed beyond 2 months (especially endonasal, endopharyngeal laryngo-tracheobronchial procedures). Postponement should ideally be a group decision and recorded as such in the medical file. Surgical techniques should be adapted to limit the risk of viral dissemination in the air, avoiding the use of drills, microdebriders, monopolar cautery or lasers. Continuous suction should be placed near the operating field. In case of confirmed Covid-19 cases, or suspected cases (or in some centres systematically), PPE with FFP2 mask should be worn by all staff members present in the operating room.
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Affiliation(s)
- N Leboulanger
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France.
| | - T Sagardoy
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Pellegrin, université de Bordeaux, Bordeaux, France
| | - M Akkari
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Gui-de-Chauliac, CHU de Montpellier, université de Montpellier, Montpellier, France
| | - S Ayari-Khalfallah
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital femme, mère, enfant, hospices civils de Lyon, université Claude-Bernard-Lyon 1, Lyon, France
| | - C Celerier
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France
| | - P Fayoux
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Jeanne-de-Flandre, CHRU de Lille, Lille, France
| | - R Luscan
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France
| | - A-L Mansbach
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital universitaire des enfants Reine-Fabiola (HUDERF), Bruxelles, Belgium
| | - E Moreddu
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, Marseille, France
| | - S Pondaven
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours, France
| | - F Simon
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France
| | - N Teissier
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, université de Paris, NeuroDiderot, Inserm, 75019, Paris, France
| | - B Thierry
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France
| | - A Fanous
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, université McGill, Montréal, Québec, Canada
| | - E Lescanne
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, CHU de Tours, université de Tours, Tours, France
| | - R Nicollas
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, Marseille, France
| | - V Couloigner
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, hôpital Necker-enfants malades, Assistance publique-Hôpitaux de Paris, université de Paris, Paris, France
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12
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Akkari M, Yildiz S, Marianowski R, Monteyrol PJ, Chalumeau F, Fayoux P, Leboulanger N, Franco P, Couloigner V, Mondain M. Role of the ENT specialist in the diagnosis of pediatric obstructive sleep apnea-hypopnea syndrome (POSAHS). Part 3: sleep recordings. Eur Ann Otorhinolaryngol Head Neck Dis 2020; 137:405-410. [PMID: 32107171 DOI: 10.1016/j.anorl.2020.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVES The authors present the clinical practice guidelines of the French Society of Oto-Rhino-Laryngology and Head and Neck Surgery (SFORL) concerning the role of the ENT specialist in the management of pediatric obstructive sleep apnea hypopnea syndrome (POSAHS). Part 3 is dedicated to the place of sleep recordings in the diagnosis of POSAHS. METHODS A multidisciplinary work group was commissioned to carry out a review of the scientific literature on the above topic. Based on the articles retrieved and the group members' individual experience, guidelines were drafted and graded as A, B or C or Expert Opinion by decreasing level of evidence, then reviewed by an editorial group independent of the work group. RESULTS Sleep recordings are presented according to the American Sleep Disorders Association's classification as type 1, 2, 3 or 4. Their modalities, interpretation, indications, advantages and limitations are detailed.
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Affiliation(s)
- M Akkari
- UAM d'ORL pédiatrique, département d'ORL et chirurgie cervico-faciale, hôpital Gui-de-Chauliac, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
| | - S Yildiz
- Département d'ORL et chirurgie cervico-faciale pédiatrique, hôpital Necker-Enfants-Malades, Assistance publique des Hôpitaux de Paris, Paris, France
| | - R Marianowski
- Département d'ORL et chirurgie cervico-faciale, hôpital Morvan, CHU de Brest, Brest, France
| | - P J Monteyrol
- Département d'ORL et chirurgie cervico-faciale, polyclinique du tondu et clinique du sommeil, hôpital Pellegrin, Bordeaux, France
| | | | - P Fayoux
- Département d'ORL et chirurgie cervico-faciale pédiatrique, hôpital Jeanne-de-Flandre, CHU de Lille, Lille, France
| | - N Leboulanger
- Département d'ORL et chirurgie cervico-faciale pédiatrique, hôpital Necker-Enfants-Malades, Assistance publique des Hôpitaux de Paris, Paris, France
| | - P Franco
- Unité de sommeil pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, Lyon, France
| | - V Couloigner
- Département d'ORL et chirurgie cervico-faciale pédiatrique, hôpital Necker-Enfants-Malades, Assistance publique des Hôpitaux de Paris, Paris, France
| | - M Mondain
- UAM d'ORL pédiatrique, département d'ORL et chirurgie cervico-faciale, hôpital Gui-de-Chauliac, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France
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13
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Laccourreye O, Lisan Q, Bonfils P, Garrel R, Jankowski R, Karkas A, Leboulanger N, Makeieff M, Righini C, Vincent C, Martin C. Use of P-values and the terms "significant", "non-significant" and "suggestive" in Abstracts in the European Annals of Otorhinolaryngology, Head & Neck Diseases. Eur Ann Otorhinolaryngol Head Neck Dis 2019; 136:469-473. [PMID: 31699624 DOI: 10.1016/j.anorl.2019.10.008] [Citation(s) in RCA: 82] [Impact Index Per Article: 16.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVES To evaluate the use of P-values and the terms "significant", "non-significant" and "suggestive" in Abstracts in the European Annals of Otorhinolaryngology, Head & Neck Diseases. MATERIALS AND METHODS Consecutive articles accepted for publication during the period January 2016 - February 2019 were systematically reviewed. Main goal: descriptive analysis of the citation of P-values and use of the terms "significant", "non-significant" and "suggestive" in Abstracts. Secondary goal: analytic study of: (i) correlations between citation of a P-value and the main characteristics of authors and topics; and (ii) misuse of the terms "significant", "non-significant" and "suggestive" with respect to cited P-values, and correlations with author and topic characteristics. RESULTS In all, 91 articles were included. P-values and the terms "significant", "non-significant" and "suggestive" were cited in 35.1%, 41.7%, 10.9% and 0% of Abstracts, respectively. Citing a P-value did not significantly correlate with author or topic characteristics. There were discrepancies between the terms "non-significant", "significant" and "suggestive" and P-values given in the body of the article in 57.1% of Abstracts, with 30.7% overestimation and 25.2% underestimation of results, without significant correlation with author or topic characteristics. CONCLUSION Authors, editors and reviewers must pay particular attention to the spin resulting from inappropriate use of the terms "significant", "non-significant" and "suggestive" in Abstracts of articles submitted to the European Annals of Otorhinolaryngology, Head & Neck Diseases, to improve the rigor, quality and value of the scientific message delivered to the reader.
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Affiliation(s)
- O Laccourreye
- Comité de rédaction, annales d'otorhinolaryngologie et de pathologie cervico-faciale, Elsevier ed., 92130 Issy-les-Moulineaux, France; Université Paris Descartes Sorbonne Paris Cité, 75006 Paris, France.
| | - Q Lisan
- Comité de rédaction, annales d'otorhinolaryngologie et de pathologie cervico-faciale, Elsevier ed., 92130 Issy-les-Moulineaux, France; Université Paris Descartes Sorbonne Paris Cité, 75006 Paris, France
| | - P Bonfils
- Comité de rédaction, annales d'otorhinolaryngologie et de pathologie cervico-faciale, Elsevier ed., 92130 Issy-les-Moulineaux, France; Université Paris Descartes Sorbonne Paris Cité, 75006 Paris, France
| | - R Garrel
- Comité de rédaction, annales d'otorhinolaryngologie et de pathologie cervico-faciale, Elsevier ed., 92130 Issy-les-Moulineaux, France; Université de Montpellier, 34090 Montpellier, France
| | - R Jankowski
- Comité de rédaction, annales d'otorhinolaryngologie et de pathologie cervico-faciale, Elsevier ed., 92130 Issy-les-Moulineaux, France; Université de Lorraine, 54505 Nancy, France
| | - A Karkas
- Comité de rédaction, annales d'otorhinolaryngologie et de pathologie cervico-faciale, Elsevier ed., 92130 Issy-les-Moulineaux, France; Université de Saint-Étienne, 42270 Saint-Étienne, France
| | - N Leboulanger
- Comité de rédaction, annales d'otorhinolaryngologie et de pathologie cervico-faciale, Elsevier ed., 92130 Issy-les-Moulineaux, France; Université Paris Descartes Sorbonne Paris Cité, 75006 Paris, France
| | - M Makeieff
- Comité de rédaction, annales d'otorhinolaryngologie et de pathologie cervico-faciale, Elsevier ed., 92130 Issy-les-Moulineaux, France; Université de Reims, 51100 Reims, France
| | - C Righini
- Comité de rédaction, annales d'otorhinolaryngologie et de pathologie cervico-faciale, Elsevier ed., 92130 Issy-les-Moulineaux, France; Université de Grenoble, 38700 Grenoble, France
| | - C Vincent
- Comité de rédaction, annales d'otorhinolaryngologie et de pathologie cervico-faciale, Elsevier ed., 92130 Issy-les-Moulineaux, France; Université de Lille, 59120 Lille, France
| | - C Martin
- Comité de rédaction, annales d'otorhinolaryngologie et de pathologie cervico-faciale, Elsevier ed., 92130 Issy-les-Moulineaux, France
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14
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Luscan R, Truffert E, Simon F, Belhous K, Verillaud B, Garabedian N, Leboulanger N, Couloigner V. Premaxillary abscess without bony erosion: An unusual complication of pediatric acute maxillary sinusitis. Eur Ann Otorhinolaryngol Head Neck Dis 2019; 136:349-353. [PMID: 31427214 DOI: 10.1016/j.anorl.2019.04.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To report an unusual complication of pediatric acute maxillary sinusitis: premaxillary abscess. To describe clinical, radiological and biological presentation, treatment strategy and progression. MATERIAL AND METHODS A retrospective study included all pediatric patients treated for premaxillary abscess complicating acute maxillary sinusitis in two ENT reference centers between 1999 and 2017. Disease history, clinical presentation, biological and radiological findings, treatment modalities and progression were studied. RESULTS Ten patients were included, with a mean age of 10±4.2 years. All presented with fever, rhinorrhea and premaxillary edema. Contrast-enhanced CT scan systematically found complete opacity of the maxillary sinus, without bone lysis, and extensive effusion along the intersinonasal wall up to the premaxillary region, extending in 3 cases back toward the parapharyngeal space. Bacteriology isolated Streptococcus anginosus most frequently (n=4; 40%). Treatment comprised intravenous wide-spectrum antibiotics, with surgical drainage of the abscess if>10mm (n=9; 90%). Seven of these 9 patients (78%) had recurrent abscess requiring surgical revision and 3 (33%) required a third drainage. All patients were cured without sequelae at 1 month. CONCLUSION In case of acute maxillary sinusitis with premaxillary edema, premaxillary abscess should be suspected. The high recurrence rate argues for maximalist surgery associated to close clinical monitoring with radiological examination.
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Affiliation(s)
- R Luscan
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - E Truffert
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - F Simon
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - K Belhous
- Service de radiologie pédiatrique hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - B Verillaud
- Service d'oto-rhino-laryngologie, hôpital Lariboisière, assistance publique-hôpitaux de Paris, université Paris Diderot, 75010 Paris, France
| | - N Garabedian
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - N Leboulanger
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - V Couloigner
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France.
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Blanc F, Ayache D, Calmels MN, Deguine O, François M, Leboulanger N, Lescanne E, Marianowski R, Nevoux J, Nicollas R, Tringali S, Tessier N, Franco-Vidal V, Bordure P, Mondain M. Management of otitis media with effusion in children. Société française d'ORL et de chirurgie cervico-faciale clinical practice guidelines. Eur Ann Otorhinolaryngol Head Neck Dis 2019; 135:269-273. [PMID: 29759911 DOI: 10.1016/j.anorl.2018.04.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
The Société française d'ORL et de chirurgie cervico-faciale clinical practice guidelines concern the management of otitis media with effusion (OME) in children under the age of 12 years. They are based on extensive review of MEDLINE and Cochrane Library publications in English or French from 1996 to 2016 concerning the methods of diagnosis and assessment of otitis media with effusion, as well as the efficacy of tympanostomy tubes and medical and surgical treatments of OME.
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Affiliation(s)
- F Blanc
- Service d'ORL, hôpital Gui-de-Chauliac, CHU de Montpellier, 34000 Montpellier, France.
| | - D Ayache
- Service d'ORL, fondation Rothschild, 75019 Paris, France
| | - M N Calmels
- Service d'ORL, hôpital Purpan, CHU de Toulouse, 31059 Toulouse, France
| | - O Deguine
- Service d'ORL, hôpital Purpan, CHU de Toulouse, 31059 Toulouse, France
| | - M François
- Service d'ORL, hôpital Robert-Debré, AP-HP, 75019 Paris, France
| | - N Leboulanger
- Service d'ORL, hôpital Necker, AP-HP, 75015 Paris, France
| | - E Lescanne
- Service d'ORL, CHU de Tours, 37000 Tours, France
| | | | - J Nevoux
- Service d'ORL, hôpital Kremlin-Bicêtre, AP-HP, 94270 Le Kremlin-Bicêtre, France
| | - R Nicollas
- Service d'ORL pédiatrique, AP-HM La Timone, 13005 Marseille, France
| | - S Tringali
- Service d'ORL, CHU de Lyon, 69003 Lyon, France
| | - N Tessier
- Service d'ORL, hôpital Robert-Debré, AP-HP, 75019 Paris, France
| | | | - P Bordure
- Service d'ORL, CHU de Nantes, 44093 Nantes, France
| | - M Mondain
- Service d'ORL, hôpital Gui-de-Chauliac, CHU de Montpellier, 34000 Montpellier, France
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Akkari M, Marianowski R, Chalumeau F, Fayoux P, Leboulanger N, Monteyrol PJ, Mondain M. French Society of Otorhinolaryngology and Head and Neck Surgery (SFORL) guidelines concerning the role of otorhinolaryngologists in the management of paediatric obstructive sleep apnoea syndrome: Follow-up protocol for treated children. Eur Ann Otorhinolaryngol Head Neck Dis 2018; 135:427-431. [PMID: 30318322 DOI: 10.1016/j.anorl.2018.09.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
OBJECTIVES The authors present the French Society of Oto-Rhino-Laryngology and Head and Neck Surgery (SFORL) clinical practice guidelines concerning the role of otorhinolaryngologists in the management of paediatric obstructive sleep apnoea syndrome (OSAS). This chapter is devoted to the follow-up protocol for children treated for OSAS. METHODS A multidisciplinary task force was commissioned to carry out a review of the scientific literature on this topic. On the basis of the articles selected and the personal experience of each member of the task force, guidelines were drafted and graded as A, B or C or expert opinion according to a decreasing level of scientific evidence, and were then reviewed by a reading committee, independently of the task force. The final guidelines were established at a consensus meeting. RESULTS Short-term, medium-term and long-term clinical follow-up and complementary investigations are necessary in view of the risk of residual OSAS, and the risk of recurrence of OSAS related to adenoid and tonsillar regrowth following adenotonsillectomy, the treatment most commonly performed. The modalities of follow-up after surgery, continuous positive airway pressure (CPAP) ventilation, orthodontic treatment, myofascial rehabilitation, and drug therapy are described. The indications for nasal endoscopy and sleep studies as part of follow-up are specified.
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Affiliation(s)
- M Akkari
- Département d'ORL et chirurgie cervico faciale, UAM d'ORL pédiatrique, hôpital Gui de Chauliac, CHU de Montpellier, 80, avenue Augustin Fliche, 34295 Montpellier cedex 5, France.
| | - R Marianowski
- Département d'ORL et chirurgie cervico faciale, hôpital Morvan, CHU de Brest, 29000 Brest, France
| | - F Chalumeau
- Centre d'étude du sommeil, Antony, 94260 Fresnes, France
| | - P Fayoux
- Département d'ORL et chirurgie cervico faciale pédiatrique, hôpital Jeanne de Flandre, CHU de Lille, 59037 Lille, France
| | - N Leboulanger
- Département d'ORL et chirurgie cervico faciale pédiatrique, hôpital Necker-Enfants-Malades, Assistance Publique des Hôpitaux de Paris, 75015 Paris, France
| | - P J Monteyrol
- Département d'ORL et chirurgie cervico faciale, polyclinique du Tondu et clinique du sommeil, hôpital Pellegrin, 33000 Bordeaux, France
| | - M Mondain
- Département d'ORL et chirurgie cervico faciale, UAM d'ORL pédiatrique, hôpital Gui de Chauliac, CHU de Montpellier, 80, avenue Augustin Fliche, 34295 Montpellier cedex 5, France
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Pateron B, Marianowski R, Monteyrol PJ, Couloigner V, Akkari M, Chalumeau F, Fayoux P, Leboulanger N, Franco P, Mondain M. French Society of ENT (SFORL) guidelines (short version) on the roles of the various treatment options in childhood obstructive sleep apnea-hypopnea syndrome. Eur Ann Otorhinolaryngol Head Neck Dis 2018; 135:265-268. [PMID: 29731297 DOI: 10.1016/j.anorl.2018.04.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
OBJECTIVE The authors present the guidelines of the French Society of ENT and Head & Neck Surgery (SFORL) on the role of the ENT physician in childhood obstructive sleep apnea-hypopnea syndrome (OSAHS). This section of the guidelines concerns the roles of the various medical and surgical treatment options. METHOD A multidisciplinary work-group was entrusted with a review of the scientific literature on the topic. Based on the retrieved articles and the group members' own experience, guidelines were drawn up, then read over by a reading group independent of the work-group. An editorial meeting then produced the final text. RESULTS Adenotonsillectomy is the reference treatment for childhood OSAHS with adenotonsillar hypertrophy. Respiratory assistance is recommended in children with severe OSAHS without nasal and/or oropharyngeal obstacle, after surgery in case of persistent OSAHS, in case of contraindications to surgery, in complex obstruction related to pharyngolaryngeal or laryngeal pathology or comorbidity, or as an alternative to tracheotomy. Nasal route corticosteroids may be used in childhood OSAHS in with associated nasal obstruction.
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Affiliation(s)
- B Pateron
- Service de chirurgie ORL et cervico-faciale, hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France.
| | - R Marianowski
- Service de chirurgie ORL et cervico-faciale, CHU de Brest, 29000 Brest, France
| | | | - V Couloigner
- Service de chirurgie ORL et cervico-faciale, hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France
| | - M Akkari
- Service de chirurgie ORL et cervico-faciale, 34000 Montpellier, France
| | | | - P Fayoux
- Service de chirurgie ORL et cervico-faciale, CHRU de Lille, 59037 Lille cedex, France
| | - N Leboulanger
- Service de chirurgie ORL et cervico-faciale, hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France
| | - P Franco
- Cabinet de pédiatrie, 69500 Lyon, France
| | - M Mondain
- Service de chirurgie ORL et cervico-faciale, 34000 Montpellier, France
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Laccourreye O, Bonfils P, Garrel R, Jankowski R, Karkas A, Leboulanger N, Makeieff M, Righini C, Vincent C, Martin C. Data sharing to serve ethics, transparency and reproducibility of medical science. Eur Ann Otorhinolaryngol Head Neck Dis 2017; 134:297-298. [PMID: 28919279 DOI: 10.1016/j.anorl.2017.08.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Leboulanger N, Celerier C, Thierry B, Garabedian N. How to perform endoscopy in paediatric otorhinolaryngology? Eur Ann Otorhinolaryngol Head Neck Dis 2016; 133:269-72. [PMID: 27067699 DOI: 10.1016/j.anorl.2016.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Upper airway endoscopy in children is a high-risk procedure, which should only be performed by a well trained and fully equipped team. The sequence of procedures, at least at the beginning of the procedure, is always the same and must be performed very rigorously. Communication between the various operators, especially the surgeon, the anaesthetist and the operating room nurse, is essential before starting the procedure, as anticipation of sudden difficulties is the key to effective management. The authors report their experience and endoscopy practices.
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Affiliation(s)
- N Leboulanger
- Service d'ORL et de chirurgie cervico-faciale pédiatrique, Hôpital Universitaire Necker Enfants Malades, 149, rue de Sèvres, 75015 Paris, France; Faculté Paris V René Descartes, 12, Rue de l'École de Médecine, 75006 Paris, France; IMRB - Inserm U955, Faculté de Médecine de Créteil, 8, rue du Général Sarrail, 94010 Créteil cedex, France.
| | - C Celerier
- Service d'ORL et de chirurgie cervico-faciale pédiatrique, Hôpital Universitaire Necker Enfants Malades, 149, rue de Sèvres, 75015 Paris, France; Faculté Paris V René Descartes, 12, Rue de l'École de Médecine, 75006 Paris, France
| | - B Thierry
- Service d'ORL et de chirurgie cervico-faciale pédiatrique, Hôpital Universitaire Necker Enfants Malades, 149, rue de Sèvres, 75015 Paris, France; Faculté Paris V René Descartes, 12, Rue de l'École de Médecine, 75006 Paris, France
| | - N Garabedian
- Service d'ORL et de chirurgie cervico-faciale pédiatrique, Hôpital Universitaire Necker Enfants Malades, 149, rue de Sèvres, 75015 Paris, France; Faculté Paris V René Descartes, 12, Rue de l'École de Médecine, 75006 Paris, France
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Manfredi L, Marlin S, Fauroux B, Garabedian N, Couloigner V, Leboulanger N. Pycnodysostosis presenting as atypical stridor. Eur Ann Otorhinolaryngol Head Neck Dis 2016; 133:87-90. [PMID: 26856677 DOI: 10.1016/j.anorl.2015.06.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES Pycnodysostosis is a rare genetic disorder caused by a mutation of the cathepsin K gene involved in bone turnover. It is responsible, in particular, for a combination of dwarfism and bone fragility. Upper airway obstruction may be observed, but associated stridor has never been previously described. MATERIALS AND METHODS Single-centre retrospective study over a period of 15 years with review of the literature. RESULTS Three children (aged 2-18 months) were managed for stridor and obstructive sleep apnoea syndrome confirmed by polysomnography. Physical examination of these children revealed stridor with laryngomalacia, characteristic dysmorphic features and failure to thrive. Patient 1 presented typical laryngomalacia treated by surgical section of the aryepiglottic folds. Patient 2 presented upper airway obstruction with a narrow nasopharynx and long soft palate, treated by surgery and noninvasive ventilation. Patient 3 presented moderate laryngomalacia and nasal obstruction, treated by surgery and noninvasive ventilation. CONCLUSION The diagnosis of pycnodysostosis must be considered in the presence of atypical laryngomalacia associated with multifactorial upper airway obstruction, failure to thrive and dysmorphic syndrome. A genetics consultation is essential in these patients.
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Affiliation(s)
- L Manfredi
- Service d'ORL et chirurgie cervico-faciale, CHU de Bicêtre, 78, rue du Général-Leclerc, 94276 Le Kremlin Bicêtre, France.
| | - S Marlin
- Service de génétique, hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France
| | - B Fauroux
- Service de pneumopédiatrie, hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France
| | - N Garabedian
- Service d'ORL et chirurgie cervico-faciale, hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France
| | - V Couloigner
- Service d'ORL et chirurgie cervico-faciale, hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France
| | - N Leboulanger
- Service d'ORL et chirurgie cervico-faciale, hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France
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Abstract
Nasal obstruction is a very frequent symptom in children, with numerous etiologies. Clinical diagnosis is straightforward, but general impact and rare etiologies should be explored for. Complementary examinations are guided by diagnostic orientation. Although not usually a severe condition, nasal obstruction may be life-threatening in neonates and infants. An exhaustive list of etiologies is impossible and would not be useful, but it is worth distinguishing infantile nasal obstruction and nasal obstruction in older children, as causes differ greatly. This is the topic of the present update.
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Affiliation(s)
- N Leboulanger
- Service d'ORL et de chirurgie cervico-faciale, hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France.
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Garin A, Thierry B, Leboulanger N, Blauwblomme T, Grevent D, Blanot S, Garabedian N, Couloigner V. Pediatric sinogenic epidural and subdural empyema: The role of endoscopic sinus surgery. Int J Pediatr Otorhinolaryngol 2015; 79:1752-60. [PMID: 26304070 DOI: 10.1016/j.ijporl.2015.08.007] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2015] [Revised: 08/02/2015] [Accepted: 08/03/2015] [Indexed: 11/28/2022]
Abstract
AIM To analyze the indications and outcomes of open neurosurgical approaches (ONA) and endoscopic transnasal approaches (ETA) in the surgical management of pediatric sinogenic subdural and epidural empyema. MATERIAL AND METHODS Retrospective single-center study design within a tertiary care referral center setting. Children less than 18 years of age consecutively operated on between January 2012 and February 2014 for drainage of a sinogenic subdural empyema (SE) or epidural (EE) empyema were included. MAIN OUTCOME MEASURES success of first surgical procedure, persistent symptoms and sequelae at the end of the follow-up period. RESULTS Nine SE (53%) and 8 EE (47%) were observed. Neurological symptoms, especially seizures, were more frequent in the SE group. Perioperative pus samples were positive in 67% of the SE group and in 75% of the EE group. The most frequently isolated bacteria belonged to the Streptococcus anginosus group. CT or MR imaging showed that most empyema probably originated from the frontal sinus. However, two cases resulted from an ethmoiditis and one case from a Pott's puffy tumor, without any direct contact with the paranasal sinus. In cases of SE, the most effective surgical technique was ONA with craniotomy. Associated endoscopic sinus drainage was useful for the purpose of bacteriological diagnosis. In cases of EE, effectiveness was noted in both ONA and ETA techniques. In two cases of EE, the ETA procedure encompassed direct drainage of the empyema through the posterior wall of the frontal sinus (Draf III approach). The number of patients successfully treated after a single surgical procedure was higher in the EE group (p=0.05). Regarding outcomes, no mortalities were observed. Persistent disorders at the end of the follow-up period, especially headaches, cognitive, concentration or schooling problems, tended to be more frequent in the SE group than in the EE group (67% vs 29%), and were more commonly observed in cases requiring several surgical procedures (75% vs 12.5%) (p=0.05). DISCUSSION Endoscopic sinus surgery plays a critical role in the surgical management of pediatric sinogenic SE and EE. In cases of small volume EE, the endoscopic approach associated with antibiotherapy may be sufficient to treat the infectious process.
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Affiliation(s)
- A Garin
- Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - B Thierry
- Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - N Leboulanger
- Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - T Blauwblomme
- Pediatric Neurosurgery Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - D Grevent
- Pediatric Radiology Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - S Blanot
- Department of Anesthesiology, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - N Garabedian
- Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - V Couloigner
- Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France.
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Khirani S, Pierrot S, Leboulanger N, Ramirez A, Breton D, Couloigner V, Fauroux B. Work of breathing as a tool to diagnose severe fixed upper airway obstruction. Pediatr Pulmonol 2014; 49:E35-9. [PMID: 23401484 DOI: 10.1002/ppul.22772] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2012] [Accepted: 12/13/2012] [Indexed: 11/06/2022]
Abstract
A 4-year-old girl with bilateral vocal fold palsy was successfully decannulated from tracheotomy after seven laryngeal procedures. But an important stridor and dyspnea recurred 13 months after decannulation. Nocturnal gas exchange was normal but her daytime work of breathing was increased by fourfold, without any beneficial effect of nasal noninvasive continuous positive airway pressure ventilation (CPAP), reflecting a severe fixed airway obstruction. Endoscopic examination confirmed the work of breathing findings showing glottic and supraglottic stenosis. This upper airway obstruction was successfully treated with a recannulation. In conclusion, the major message of this case report is that measurement of the work of breathing was able to document the "fixed" nature of the airway obstruction, by showing no improvement even with highest tolerated levels of nasal CPAP. As such, the work of breathing may be proposed as a screening tool to quantify and assess the reversibility of severe upper airway obstruction in children.
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Affiliation(s)
- S Khirani
- S2A Santé, Ivry-sur-Seine, France; AP-HP, Hôpital Armand Trousseau, Pediatric Pulmonary Department, Paris, France
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Leboulanger N, Louvet N, Rigouzzo A, de Mesmay M, Louis B, Farrugia M, Girault L, Ramirez A, Constant I, Jouannic JM, Fauroux B. Pregnancy is associated with a decrease in pharyngeal but not tracheal or laryngeal cross-sectional area: a pilot study using the acoustic reflection method. Int J Obstet Anesth 2013; 23:35-9. [PMID: 24333051 DOI: 10.1016/j.ijoa.2013.08.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2013] [Revised: 07/06/2013] [Accepted: 08/11/2013] [Indexed: 10/26/2022]
Abstract
BACKGROUND The risk of difficult upper airway access is increased during pregnancy, especially in labor. Changes in upper airway calibre have been poorly studied during pregnancy. The acoustic reflection method is a non-invasive technique that allows a longitudinal assessment of the cross-sectional area of the upper airway from the mouth to carina. We used this technique to evaluate upper airway calibre during normal pregnancy. METHODS We conducted a prospective, single centre, observational study with a clinical and upper airway acoustic reflection method evaluation of healthy women during the first, second and third trimesters of pregnancy, and up to two days and one month after delivery. RESULTS Fifty women participated to the study. The mean pharyngeal cross-sectional area decreased between the first and third trimesters (P < 0.001) with no significant change of the minimal and mean tracheal cross-sectional areas. The Mallampati score increased during pregnancy between the first and third trimesters (P< 0.001). CONCLUSION Using measurements with the acoustic reflection method, normal pregnancy is associated with a significant reduction in the cross-sectional area of the pharynx and a concomitant increase in the Mallampati score. No change was observed in the minimal and mean tracheal cross-sectional areas.
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Affiliation(s)
- N Leboulanger
- Department of Head and Neck Surgery, Armand-Trousseau Hospital, Université Paris, Paris, France.
| | - N Louvet
- Department of Anesthesiology, Armand-Trousseau Hospital, Université Paris, Paris, France
| | - A Rigouzzo
- Department of Anesthesiology, Armand-Trousseau Hospital, Université Paris, Paris, France
| | - M de Mesmay
- Department of Anesthesiology, Armand-Trousseau Hospital, Université Paris, Paris, France
| | - B Louis
- INSERM, Unité U955, and CNRS, ERL 7240, Paris, France
| | - M Farrugia
- Department of Anesthesiology, Armand-Trousseau Hospital, Université Paris, Paris, France
| | - L Girault
- Department of Anesthesiology, Armand-Trousseau Hospital, Université Paris, Paris, France
| | - A Ramirez
- Department of Pulmonology, Armand-Trousseau Hospital, Université Paris, Paris, France
| | - I Constant
- Department of Anesthesiology, Armand-Trousseau Hospital, Université Paris, Paris, France
| | - J-M Jouannic
- Department of Obstetrics and Gynecology, Armand-Trousseau Hospital, Université Paris, Paris, France
| | - B Fauroux
- Department of Pulmonology, Armand-Trousseau Hospital, Université Paris, Paris, France
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Denoyelle F, Leboulanger N, Philippon D, Loundon N, Garabédian EN. Canalplasty for congenital atresia of the external auditory canal. Eur Ann Otorhinolaryngol Head Neck Dis 2013; 130:349-51. [PMID: 23755961 DOI: 10.1016/j.anorl.2012.12.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2012] [Revised: 11/30/2012] [Accepted: 12/10/2012] [Indexed: 11/15/2022]
Abstract
Canalplasty for congenital atresia of the external auditory canal is associated with a high postoperative stenosis rate in the literature. The authors describe an original surgical and stenting technique that has been used systematically since 2000 in the paediatric otolaryngology department of Trousseau hospital in Paris. After minimal endaural canalplasty, possibly combined with lining of the external auditory canal by skin graft, a stent is sutured to the opening of the ear canal and left in place for 4 weeks. This stenting technique can be used for a shorter duration after tympanoplasty in children with behavioural disorders.
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Affiliation(s)
- F Denoyelle
- Service d'ORL pédiatrique et de chirurgie cervico-faciale, centre de référence des malformations ORL rares, hôpital Trousseau, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France.
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Leboulanger N, Fauroux B. Non-invasive positive-pressure ventilation in children in otolaryngology. Eur Ann Otorhinolaryngol Head Neck Dis 2013; 130:73-7. [DOI: 10.1016/j.anorl.2012.06.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2012] [Accepted: 06/01/2012] [Indexed: 10/27/2022]
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Christol R, Buhl C, Loulizi H, Leboulanger N, Piketty M, Soupre V, Sroussi J, Vialle R, Serfaty A. Démarche de rattrapage des actes de blocs en 2010 : un retour d’expérience sur le site de Trousseau (AP–HP, Paris XII) – Perspectives pour un contrôle systématique. Rev Epidemiol Sante Publique 2013. [DOI: 10.1016/j.respe.2013.01.074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Leboulanger N, Cox A, Garabedian EN, Denoyelle F. Infantile haemangioma and β-blockers in otolaryngology. Eur Ann Otorhinolaryngol Head Neck Dis 2011; 128:236-40. [DOI: 10.1016/j.anorl.2010.11.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2010] [Revised: 11/28/2010] [Accepted: 11/29/2010] [Indexed: 10/18/2022]
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Leboulanger N. First cadaver dissection: Stress, preparation, and emotional experience. Eur Ann Otorhinolaryngol Head Neck Dis 2011; 128:175-83. [DOI: 10.1016/j.anorl.2011.01.007] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2010] [Revised: 01/05/2011] [Accepted: 01/09/2011] [Indexed: 11/25/2022]
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Marlin S, Jonard L, Loundon N, Bonnet C, Leboulanger N, Van Maldergem L, Gherbi S, Louha M, Deltenre P, Collette J, Couderc R, Garabedian E, Denoyelle F. Genetic Update on Auditory Neuropathy. Audiol Neurotol Extra 2011. [DOI: 10.1159/000329545] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Leboulanger N, Coulomb L'hermine A, Teissier N, Rouillon I, Zribi S, Roger G, Garabedian EN. [Cervical Castleman disease in childhood: a report of two cases and a review of the literature]. Arch Pediatr 2010; 17:1178-82. [PMID: 20627489 DOI: 10.1016/j.arcped.2010.04.023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2009] [Revised: 01/11/2010] [Accepted: 04/25/2010] [Indexed: 10/19/2022]
Abstract
Castleman disease (CD) is a benign lymphoproliferative disorder, rare in children. Head and neck localizations are found only in 14 % of the cases. Two forms have been described: a hyaline vascular type and a plasma cell type. It can also be monocentric or multicentric. Both young patients were affected with an isolated neck localization of Castleman disease. Preoperative diagnosis can be difficult with a thymoma or a lymphoma. CT and MRI can help in the diagnosis, which is confirmed by histopathological assessment. The pathological features and the therapeutic management of CD are discussed. While surgery is the treatment for localized lesions, steroids and chemotherapy are indicated in the multicentric type. Because of the risk of relapse and malignant transformation, long-term follow-up is mandatory.
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Affiliation(s)
- N Leboulanger
- UMPC Univ Paris 6, Inserm U-587, Service d'oto-rhino-laryngologie et de chirurgie cervicofaciale, hôpital d'Enfants-Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
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Nevoux J, Loundon N, Leboulanger N, Roger G, Ducou Le Pointe H, Garabédian EN. Cochlear implant in the carotid canal. Case report and literature review. Int J Pediatr Otorhinolaryngol 2010; 74:701-3. [PMID: 20338644 DOI: 10.1016/j.ijporl.2010.03.005] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2009] [Revised: 02/25/2010] [Accepted: 03/01/2010] [Indexed: 10/19/2022]
Abstract
BACKGROUND Numerous complications have been described following cochlear implantation. Most of them are post-operative and benign, but some are intra-operative and can be more difficult to manage. METHODS Case report of a pediatric case of misplaced cochlear electrode in the carotid canal and literature review. RESULTS AND CONCLUSIONS Post-operative CT-scan allowed the diagnosis. The misplaced cochlear implant in the carotid canal was successfully removed and a successful re-implantation followed immediately. Anatomy of the interval between the cochlea and the carotid canal is reviewed, together with information regarding the neural telemetry response. In each case, specific anatomical landmarks must be identified to perform the cochleostomy in the right position. If not, or if surgery proves itself difficult, the surgeon should intra-operatively control the position of the electrode.
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Leboulanger N, Picard A, Roger G, Garabedian E. Fetal rhabdomyoma of the infratemporal fossa in children. Eur Ann Otorhinolaryngol Head Neck Dis 2010; 127:30-2. [DOI: 10.1016/j.anorl.2010.02.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Oker N, Loundon N, Marlin S, Rouillon I, Leboulanger N, Garabédian EN. Bilateral implantation in children with cochleovestibular nerve hypoplasia. Int J Pediatr Otorhinolaryngol 2009; 73:1470-3. [PMID: 19665238 DOI: 10.1016/j.ijporl.2009.06.017] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2009] [Revised: 06/20/2009] [Accepted: 06/25/2009] [Indexed: 11/15/2022]
Abstract
To report on the outcomes of sequential bilateral cochlear implantation (CI) in children with inner ear malformation. The study design is a retrospective case study. The setting is a tertiary reference center. Two children presenting a profound bilateral congenital hearing loss with bilateral hypoplasia of the cochleovestibular nerves and hypoplasic external semicircular canal had a cochlear implant at respectively 16 months and 33 months. A second implant was proposed at respectively 17 and 20 months after the first implant. The main outcome measures are audiometry, perceptive results in closed and open set words (CSW and OSW) and oral production at follow-up. The first cochlear implant gave respectively mean thresholds at 60 dB and 70 dB. Bilateral CI showed mean threshold at respectively 40 dB and 55 dB. In case 1, perceptive assessment was 83% and 70% in respectively CSW and OSW with oral production and comprehension of sentences after 1 year follow-up. In case 2, the perceptive assessment showed no perceptive or linguistic evolution at 6 months follow-up. In cochleovestibular nerve hypoplasia, bilateral implantation could be discussed in cases of limited result after unilateral implant.
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Affiliation(s)
- N Oker
- ENT Department, Armand Trousseau Children's Hospital, 75012 Paris, France.
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Leboulanger N, Rouillon I, Papon JF, Josset P, Roger G, Garabédian EN. Childhood granular cell tumors: two case reports. Int J Pediatr Otorhinolaryngol 2008; 72:279-83. [PMID: 18082899 DOI: 10.1016/j.ijporl.2007.10.021] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2007] [Accepted: 10/23/2007] [Indexed: 11/28/2022]
Abstract
Granular cell tumors (GCT), also known as Abrikossoff tumors, are rare tumors found largely in children, with few reports of laryngo-tracheal involvement. Two childhood cases of laryngo-tracheal GCT are reported here, of which one case had multifocal lesions. The histopathological features and the therapeutic management of GCT are also discussed.
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Affiliation(s)
- N Leboulanger
- ENT and Cervico-Facial Department, Armand-Trousseau Children's Hospital, faculté Paris VI, Paris, France.
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Abstract
INTRODUCTION Nasal gliomas or heterotopia are nonhereditary congenital malformations composed of heterotopic neuroglial tissue. They usually present in infancy. Evaluation should include preoperative imaging with CT scan and/or MRI to rule out intracranial extension. There have been several cases reported in which nasal gliomas were misdiagnosed as capillary hemangiomas. The differential diagnosis includes prenasal space developmental impairment, which are nasoethmoidal meningoencephaloceles, nasal dermoid and epidermoid cysts. CASE REPORT We describe the case of a newborn male infant presenting at birth with a paramedial nasal glioma. An embryological and clinical analysis of nasal gliomas is proposed. DISCUSSION Nasal glioma is an uncommon congenital lesion presenting as a large panel of midline craniofacial anomalies. The embryological and anatomical origins of nasal gliomas are reviewed. The most known embryological theory was described by Grünwald in 1910 and is called the "prenasal space" theory. This theory is very attractive because of the embryopathogenic continuum proposed among dermoids, gliomas, and encephaloceles. In this article, we discuss major embryological theories on nasal gliomas pathogenesis and propose that while the prenasal space theory can explain the occurrence and the continuum between basal anterior or prenasal encephaloceles and gliomas, it cannot explain the occurrence of craniofacial demoids of the same topography. Better knowledge of embryological mechanisms implicated in the pathogenesis of nasal gliomas can help clinical management of this kind of malformations.
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Affiliation(s)
- J-B Charrier
- Service d'ORL Pédiatrique et de Chirurgie Cervico-faciale, Hôpital d'enfants Armand-Trousseau, Paris.
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