Publications by authors named "Thierry van den Abbeele"

Article Synopsis
  • The study aimed to evaluate how nap polysomnography (NPSG) can help predict treatment strategies for infants with moderate to severe laryngomalacia and to investigate links between obstructive sleep apnea (OSA) severity and weight gain.
  • A retrospective analysis was conducted on 39 infants with moderate to severe laryngomalacia who underwent NPSG, revealing that 77% had OSA, with 69% experiencing moderate to severe cases.
  • The apnea-hypopnea index (AHI) from NPSG was identified as a significant predictor for treatment decisions and weight gain, suggesting that NPSG should be integrated into the care of these infants.
View Article and Find Full Text PDF
Article Synopsis
  • The study explores the use of a 3D-exoscope in paediatric ENT surgeries, assessing its interest, benefits, and drawbacks compared to traditional tools like microscopes and magnifying loupes.
  • Four experienced surgeons evaluated the exoscope's contribution after performing 151 surgeries across three categories: otology, transoral and cleft palate, and open head and neck surgeries.
  • Results showed the exoscope had a positive impact, particularly in transoral surgeries (mean score 92.9), and offered educational and ergonomic benefits, enhancing communication within the surgical team.
View Article and Find Full Text PDF

To assess the different types of management of pediatric foreign body aspirations in order to help define guidelines, depending on clinical presentation. A national survey in France was emailed to all 30 university-affiliated departments of otolaryngology-head and neck surgery and pediatric pulmonologists in France. Data concerning the center and the experience of each participant were collected in order to define an "senior expert" group with experience of extracting more than 10 foreign bodies and a "junior/non-expert" group.

View Article and Find Full Text PDF

Unlabelled: To evaluate the diagnostic performance of cytomegalovirus (CMV) polymerase chain reaction (PCR) on inner ear fluid collected during cochlear implantation and to assess its interest in current practice. This monocentric prospective study included consecutive children presenting with severe to profound sensorineural hearing loss (SNHL) who were candidates for unilateral and/or bilateral cochlear implantation. The etiology of the SNHL was determined before cochlear implantation when possible.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to understand how congenital cytomegalovirus infection affects cochlear (hearing) and vestibular (balance) functions in children by conducting a retrospective evaluation of 130 children diagnosed with the infection.
  • Results showed that 64% had inner ear impairments, with vestibular dysfunction being more common than cochlear issues (ρ = 0.003), highlighting the critical need to assess both functions.
  • Among the children evaluated, nearly half exhibited hearing impairments, with profound losses often being bilateral; 97% of those with a history of normal hearing screening developed vestibular disorders, stressing the importance of ongoing evaluation beyond initial testing.
View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to identify factors that predict hearing and vestibular impairment in children born with congenital cytomegalovirus (cCMV), analyzing clinical and imaging data from pregnancy and birth for 130 subjects between March 2014 and March 2020.
  • - Results showed that 64% of the children had inner ear impairments, but factors like sex, maternal infection type, and neonatal signs didn't significantly correlate with these impairments.
  • - The key findings highlight that antenatal imaging lesions and CMV infection during the first trimester are strong predictors of inner ear problems, while infections in the second and third trimesters were less likely to lead to such issues.
View Article and Find Full Text PDF

Osteomas of the temporal bone, especially those involving the incus, are rare, unilateral, benign osseous tumors. The clinical presentation is usually isolated conductive hearing loss, and the diagnosis is confirmed by a temporal computed tomography scan. Osteomas of the incus represent a differential diagnosis of congenital middle ear malformations in children, which are the most frequent cause of conductive hearing loss with a normal eardrum in the pediatric population.

View Article and Find Full Text PDF

Congenital cytomegalovirus (CMV) infection leads to olfactory bulb lesions in the fetus, yet little is known about its impact on olfaction after birth. Here, we have assessed in a prospective study conducted on children in two French hospitals from 2016 to 2019, infection severity and olfactory performance after congenital CMV infection. Children with congenital CMV infection aged 3 to 10 years and healthy controls (CTL) matched for age and sex to CMV children symptomatic at birth (sCMV) were enrolled.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates the impact of the Interregional Pediatric Multicentric Tumor Board (IPMTB) on managing pediatric head and neck tumors in the Ile-de-France region of France, focusing on cases discussed from 2013 to 2018.
  • - A total of 679 cases, mostly malignant tumors (71%), were reviewed, with proposals made by the IPMTB being followed in 86% of instances, highlighting a significant change in treatment approaches during discussions.
  • - The IPMTB enhances collaboration among medical specialties, improves adherence to modern treatment protocols, and facilitates knowledge sharing for the management of rare tumors in pediatric patients.
View Article and Find Full Text PDF

Objectives: The aims of this study were first to calculate the Positive Predictive Value (PPV) of DW-MRI to detect cholesteatoma and then to analyze false positives.

Methods: All temporal bone MRI with DWI sequences performed in our pediatric university hospital between 2005 and 2015 were included retrospectively. 46 patients with a cholesteatoma diagnosis on the MRI report and who underwent surgery were studied.

View Article and Find Full Text PDF

Objective: The aim of this study is to present our technique of surgical closure in a series of patients suffering from cerebrospinal fluid (CSF) leak due to inner ear malformations.

Study Design And Setting: We conducted a retrospective study in our tertiary care academic department of pediatric otolaryngology.

Patients: We did include all patients who presented a CSF leak or bacterial meningitis (one episode or recurrent) related to a malformation of the inner ear.

View Article and Find Full Text PDF

: We previously described that adenoid tissue in children with chronic otitis media (COM) contained more mucosal biofilms than adenoid tissue removed for hypertrophy. The aim of the second part was to characterize nasopharyngeal microbiota and explore virulence of the most common middle ear pathogens.: Bacteriological analysis was performed following a culture-based approach on the samples recovered from 30 patients of COM group (15 biofilm-positive and 15 biofilm-negative) and from 30 patients of a control group (15 biofilm-positive and 15 biofilm-negative).

View Article and Find Full Text PDF

Our objective was to assess whether adenotonsillotomy improved pharyngeal compliance, which is a risk factor for sleep-disordered breathing. Otherwise healthy children underwent Obstructive Sleep Apnea (OSA)-18 questionnaire and a pre- and postoperative acoustic pharyngometry in both sitting and supine positions, allowing the measurement of the volume of the palatine tonsil region and pharyngeal compliance. Thirty-five children (median age 5.

View Article and Find Full Text PDF

This study investigated postural performances and vestibular impairment in Usher patients. The three groups studied were: 11 patients with Usher type I (with visual and vestibular impairment), 14 patients with Usher type II (with only visual impairment), and 14 healthy control subjects. Postural stability was measured with a Framiral Multitest Equilibre platform with three visual conditions: eyes open (EO), eyes closed (EC), and vision disturbed by optokinetic stimulation (OPT), and two different postural conditions: stable or unstable platform.

View Article and Find Full Text PDF

Introduction: Desmoid-type fibromatosis (DF) is a rare benign lesion known for its local aggressiveness. The tumor management still remains under debate. Primary head and neck (HN), represents the second most prevalently affected sitein children with DF.

View Article and Find Full Text PDF

Background:: There is a medial bulging of the lateral nasal wall in patients with cystic fibrosis (CF).

Aims:: Uncinate process (UP) angulation measurements in patients and controls to objectify this bulging.

Materials And Methods:: Thirty CF, 17 primary ciliary dyskinesia (PCD), 13 chronic rhinosinusitis with polyps (CRSwp), and 30 controls were included.

View Article and Find Full Text PDF

Background: Biofilms are communities of bacteria embedded in a self-produced glycocalyx matrix. Adenoids have been shown to harbor bacterial biofilms. Aim/objectives: To compare the prevalence of biofilms in adenoid of children with chronic otitis media (COM) (group1) versus a control group without any COM (group 2) having adenoids removed because of hypertrophy.

View Article and Find Full Text PDF

Objectives: Congenital midline cervical cleft (CMCC) is a very uncommon congenital anomaly of the midline anterior neck, and although it has very pathognomonic features (including nipple-like protuberance), it could be mistaken for other congenital neck lesions, such as thyroglossal duct cyst and branchial apparatus anomalies. Thus, it represents a challenging diagnosis. In this 21-patient series, we discuss the clinical features of CMCC, its pathophysiology characteristics, and its modalities management.

View Article and Find Full Text PDF

Background: Sickle cell disease (SCD) is the most common genetic disease in France. In developing countries, it is associated with a high incidence of hearing loss. The aim of this study was to determine the prevalence of hearing loss in French children with SCD in order to determine if they need a close audiological follow-up.

View Article and Find Full Text PDF

ERPs were recorded in response to presentation of static colored patterned stimuli in 25 children (19 to 80months of age at cochlear implantation, CI) with very early prelingual profound deafness (PreLD), 21 postlingual profoundly deaf children (PostLD) (34 to 180months of age at CI) and gender- and age-matched control hearing children. Recording sessions were performed before CI, then 6 and 24months after CI. Results showed that prelingual and, at a lesser degree, postlingual auditory deprivation altered cortical visual neural activity associated to colored shapes from both P1 and N1 cortical processing stages.

View Article and Find Full Text PDF

Importance: Septic arthritis of the temporomandibular joint (SATMJ) is a very rare but potentially severe complication of pediatric middle ear infections because it presents risks of TMJ ankylosis.

Objective: To describe the clinical, radiological, biological, and microbiological characteristics and evolution of SATMJ complicating middle ear infections (otogenic SATMJ) in children.

Design, Setting, And Participants: This multicenter retrospective study included all children younger than 18 years referred between January 1, 2005, and December 31, 2015, for otogenic SATMJ or for TMJ ankylosis that occurred a few months to a few years after an acute mastoiditis.

View Article and Find Full Text PDF

Background: Congenital cytomegalovirus (CMV) infection is the leading infectious cause of neurologic disabilities and sensorineural hearing loss in children. Sensorineural hearing loss prevalence in CMV suggests a viral tropism for the inner ear. Vestibular disorders induced by CMV infection are underestimated.

View Article and Find Full Text PDF