Log in to search using one of your social media accounts:

 

Pilot study on microvascular anastomosis: performance and future educational prospects.
Authors: Berretti G, Colletti G, Parrinello G, Iavarone A, Vannucchi P, Deganello A Abstract The introduction of microvascular free flaps has revolutionised modern reconstructive surgery. Unfortunately, access to training opportunities at standardised training courses is limited and expensive. We designed a pilot study on microvascular anastomoses with the aim of verifying if a short course, easily reproducible, could transmit microvascular skills to participants; if the chosen pre-test was predictive of final performance; and if age could influence the outcome. A total of 30 participants (10 students, 10 residents...
Source: Acta Otorhinolaryngologica Italica - December 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

The role of laryngectomy in locally advanced thyroid carcinoma. Review of 16 cases.
Authors: Chala AI, Vélez S, Sanabria A Abstract Locally advanced disease with larynx invasion is a challenge to the surgeon, but laryngectomy is almost never necessary in thyroid carcinoma. The aim of this study was to review the clinical outcomes of patients with locally advanced thyroid carcinoma invading the larynx who underwent laryngectomy. A case series of patients treated in a tertiary care hospital was reviewed. Data about the type of operation, method of reconstruction, complications and overall survival of 16 patients operated on between 2002 and 2015 with larynx invasion is presented. There were 1...
Source: Acta Otorhinolaryngologica Italica - December 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Cochlear obliteration following a translabyrinthine approach and its implications in cochlear implantation.
Authors: Delgado-Vargas B, Medina M, Polo R, Lloris A, Vaca M, Pérez C, Cordero A, Cobeta I Abstract The most frequent sequelae following a translabyrinthine approach for vestibular schwannoma resection is complete hearing loss on the affected side. Such patients could benefit from a cochlear implant, provided that two essential requisites are met before surgery: a preserved cochlear nerve and a patent cochlea to accommodate the electrode array. The goal of our study is to determine the prevalence and extent of cochlear ossification following a translabyrinthine approach. Postoperative MRI of 41 patients wer...
Source: Acta Otorhinolaryngologica Italica - December 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Binocular cyclotorsion in superior vestibular neuritis.
Authors: Lapenna R, Pellegrino A, Ricci G, Cagini C, Faralli M Abstract Conjugated cyclotorsion of the eyes toward the affected side can commonly be observed in vestibular neuritis. The aim of this study was to assess the differences in cyclotorsion between the ipsi- and contralesional eye during selective involvement of the superior branch of the vestibular nerve. We studied binocular cyclotorsion through ocular fundus photographs in 10 patients affected by acute superior vestibular neuritis (SVN). Cyclotorsion was also studied in 20 normal subjects. All SVN patients showed an ipsilesional cycloversion of the eyes...
Source: Acta Otorhinolaryngologica Italica - December 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

The EXIT (ex-utero intrapartum treatment) procedure - from the paediatric ENT perspective.
Authors: Pucher B, Szydlowski J, Jonczyk-Potoczna K, Sroczynski J Abstract The main principle of the EXIT procedure is to maintain uteroplacental circulation with neonatal anaesthesia by controlled uterine hypotonia. This enables securing the foetal airways and decompress or resect large neck and mediastinal foetal masses. The authors present their experience with use of the EXIT procedure in 7 foetuses in whom evaluation and management of the airways were performed. In 4 patients, the neck mass was surgically removed in the neonatal period, in 1 the propranolol treatment was introduced. Two newborns died shortly a...
Source: Acta Otorhinolaryngologica Italica - December 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Spinal accessory nerve preservation in modified neck dissections: surgical and functional outcomes.
Authors: Popovski V, Benedetti A, Popovic-Monevska D, Grcev A, Stamatoski A, Zhivadinovik J Abstract The spinal accessory nerve (SAN) or XI cranial nerve is frequently encountered during neck surgery, and as such is at risk of iatrogenic injury, resulting in "shoulder syndrome". Modified neck dissection (MND) with preservation of the SAN is based on desire to minimise the functional deformity associated with section of the eleventh nerve. The aim of this study was to analyse the intra-operative variations of the spinal accessory nerve pathway and to evaluate shoulder dysfunction postoperatively. The cross...
Source: Acta Otorhinolaryngologica Italica - November 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Parotid tumours: clinical and oncologic outcomes after microscope-assisted parotidectomy with intraoperative nerve monitoring.
Authors: Carta F, Chuchueva N, Gerosa C, Sionis S, Caria RA, Puxeddu R Abstract Temporary and permanent facial nerve dysfunctions can be observed after parotidectomy for benign and malignant lesions. Intraoperative nerve monitoring is a recognised tool for the preservation of the nerve, while the efficacy of the operative microscope has been rarely stated. The authors report their experience on 198 consecutive parotidectomies performed on 196 patients with the aid of the operative microscope and intraoperative nerve monitoring. 145 parotidectomies were performed for benign lesions and 53 for malignancies. Thirteen ...
Source: Acta Otorhinolaryngologica Italica - November 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Management of free flap failure in head and neck surgery.
Authors: Copelli C, Tewfik K, Cassano L, Pederneschi N, Catanzaro S, Manfuso A, Cocchi R Abstract Free flap surgery is overall considered the gold standard in head and neck reconstruction, with a success rate of 95%. The management of a total flap necrosis and which solution, between a pedicled or a second free flap, is safer for a salvage procedure is still controversial. Object of this study is to describe the authors' management of total free flap loss in head and neck reconstruction and compare the choices and results to those reported in the literature. From January 2012 to January 2016, 149 consecutive free f...
Source: Acta Otorhinolaryngologica Italica - November 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Clinical analysis of Hashimoto thyroiditis coexistent with papillary thyroid cancer in 1392 patients.
Authors: Liang J, Zeng W, Fang F, Yu T, Zhao Y, Fan X, Guo N, Gao X Abstract Papillary thyroid carcinoma (PTC) is the most common malignant tumour of the thyroid. The effect of the concurrent presence of Hashimoto's thyroiditis (HT) and PTC is still under debate. The aim of this study is to investigate the influence of coexistent HT on prognostic outcomes and the association of coexistent HT with clinicopathological features. The demographic and clinicopathological data of 1,392 patients who underwent surgery in our hospital from 2007 to 2016 was collected and analysed. Among 1,392 PTC patients, the rate of HT was ...
Source: Acta Otorhinolaryngologica Italica - November 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

There is no correlation between signs of reflux laryngitis and reflux oesophagitis in patients with gastro-oesophageal reflux disease symptoms.
The objective of the present study was to determine if there is correlation between signs of reflux laryngitis (RL) and reflux oesophagitis (RE) in patients with gastro-oesophageal reflux disease (GORD) symptoms. Laryngeal photography obtained from patients during oesophagogastroduodenoscopy were examined by two otolaryngologists experienced in the field of extra-oesophageal reflux regarding the presence and severity of RL. The presence of RE was evaluated by gastroenterologist. Smokers, heavy drinkers and patients with bronchial asthma were excluded from the statistical analysis. A total of 681 patients were analysed. RL ...
Source: Acta Otorhinolaryngologica Italica - November 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Cochlear implant in prelingually deafened oralist adults: speech perception outcomes, subjective benefits and quality of life improvement.
Authors: Forli F, Turchetti G, Giuntini G, Bellelli S, Fortunato S, Bruschini L, Barillari MR, Berrettini S Abstract The aim of this study is to report our results in a group of prelingually deafened adults, who followed an oralist rehabilitation programme, and submitted to cochlear implant at our institution. We evaluated 30 prelingually deafened adult patients, 18 males and 12 females, median age 35 years, of a group of 36 prelingually deafened adult patients consecutively submitted to unilateral cochlear implantation at the ENT Unit of the University of Pisa. After implantation, patients achieved significant ben...
Source: Acta Otorhinolaryngologica Italica - November 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Endolymphatic sac tumour in von Hippel-Lindau disease: management strategies.
Authors: Zanoletti E, Girasoli L, Borsetto D, Opocher G, Mazzoni A, Martini A Abstract Endolymphatic sac tumour (ELST) is infrequent, as emerges from small series reported in the literature. It is a slow-growing malignancy with local aggressiveness and a low risk of distant metastases. It is often misdiagnosed because of the late onset of symptoms and difficulty in obtaining a biopsy. Its frequency is higher in von Hippel-Lindau (VHL) disease (a genetic systemic syndrome involving multiple tumours), with a prevalence of around 25%. The diagnosis is based on radiology, with specific patterns on contrast-enhanced MRI...
Source: Acta Otorhinolaryngologica Italica - November 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Our experience in the surgical management of craniofacial fibrous dysplasia: what has changed in the last 10 years?
Authors: Valentini V, Cassoni A, Terenzi V, Della Monaca M, Fadda MT, Rajabtork Zadeh O, Raponi I, Anelli A, Iannetti G Abstract The mainstay of treatment of craniofacial dysplasia (CFD) remains surgery once clinical observation has been excluded. Nevertheless, disagreement remains about the type of surgical intervention (remodelling versus radical resection). The aim of this paper is to present our experience until 2013 comparing CFD management between 1980 and 2002 and between 2003 and 2013 and to propose our surgical algorithm. From January 2003 to December 2013, 41 new patients (18 males and 23 females) with hi...
Source: Acta Otorhinolaryngologica Italica - November 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

From CT scanning to 3D printing technology: a new method for the preoperative planning of a transcutaneous bone-conduction hearing device.
Authors: Canzi P, Marconi S, Manfrin M, Magnetto M, Carelli C, Simoncelli AM, Fresa D, Beltrame M, Auricchio F, Benazzo M Abstract The aim of the present study was to assess the feasibility and utility of 3D printing technology in surgical planning of a transcutaneous boneconduction hearing device (Bonebridge®) (BB), focusing on the identification of the proper location and placement of the transducer. 3D printed (3DP) models of three human cadaveric temporal bones, previously submitted to CT scan, were created with the representation of a topographic bone thickness map and the sinus pathway on the outer surfac...
Source: Acta Otorhinolaryngologica Italica - November 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Modification of growth, immunologic and feeding parameters in children with OSAS after adenotonsillectomy.
In conclusion, children affected by adenotonsillar hypertrophy and OSAS do not show significant growth delay, but they do experience a slowdown in growth rate. After adeno-tonsillectomy, the speed of growth soon increases, as weight and growth increase notwithstanding an unchanged food intake. Moreover, surgery does not cause reduction in the efficiency of the immune system. PMID: 29087402 [PubMed - as supplied by publisher] (Source: Acta Otorhinolaryngologica Italica)
Source: Acta Otorhinolaryngologica Italica - November 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Nerve and vein preserving neck dissections for oral cancers: a prospective evaluation of spinal accessory nerve function and internal jugular vein patency following treatment.
In conclusion, even though nerve dysfunction compromised shoulder abduction, vein dysfunction rarely resulted in any significant clinical impact. PMID: 29087403 [PubMed - as supplied by publisher] (Source: Acta Otorhinolaryngologica Italica)
Source: Acta Otorhinolaryngologica Italica - November 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Anterior palatoplasty in the treatment of obstructive sleep apnoea - a systemic review.
This study seeks to determine the objective and subjective success rates of anterior palatoplasty and its variants for the treatment of obstructive sleep apnoea (OSA). A systematic review with two independent searches of Medline, PubMed, Cochrane Library and Evidence Based Medicine Reviews was performed to identify publications relevant to OSA and anterior palatoplasty. All relevant studies published before 30 June 2015 were included. Six studies were included in the systematic review. The numbers of patients in each paper ranged from 13 to 77 (total=240), and mean age ranged from 21 to 51 years. Substantial and consistent...
Source: Acta Otorhinolaryngologica Italica - November 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

The rising incidence of parotid metastases: our experience from four decades of parotid gland surgery.
We examined outcomes from 40 years of parotid surgery to analyse patterns for metastasis, review the staging procedure and discuss management. We retrospectively examined 772 consecutive cases of parotid surgery in a university hospital between 1975 and 2015 and assessed changes in incidence and management over four decades. In all, 71% percent of patients were male and 29% were female, with a mean age of 68 years, aged between 23 and 93 years. We diagnosed 683 parotid tumours of which 15.8% (n = 108) were malignant; 44% (n = 48) of all malignant lesions were metastases. The incidence of malignant tumours rose from 8% in t...
Source: Acta Otorhinolaryngologica Italica - September 7, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Indications of cone beam CT in head and neck imaging in children.
Authors: Walliczek-Dworschak U, Diogo I, Strack L, Mandapathil M, Teymoortash A, Werner JA, Güldner C Abstract For imaging of bony structures, especially for the anterior and lateral skull base in ORL medicine, cone beam computed tomography (CBCT) is an increasingly used alternative to CT, with a lower exposition to plain radiography that makes its use for imaging, particularly in children, very interesting. The aim of this study was to analyse possible indications and settings for CBCT in children and compare them to those of adults. A total of 554 patients (age range 0-18 years, mean age 10.36 years), who un...
Source: Acta Otorhinolaryngologica Italica - September 7, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Laryngectomy: what is the impact of the type of surgery on life quality and sexual function?
Authors: Akil F, Yollu U, Toprak SF, Ayral M Abstract The purpose of this study is to compare total and partial larygectomy on private life functions and sexuality in patients with laryngeal cancer. The study included 31 partial laryngectomy patients (Group 1) and 51 total laryngectomy patients (Group 2) who were operated for laryngeal cancer. European Organization for Research and Treatment of Cancer (EORTC) head and neck cancer module (QLQ-H&N35) and Arizona Sexual Experiences Scale (ASEX) forms were filled in by interviewing face to face with patients. HNSW (swallowing), HNSE (senses), HNSP (speech), HNSO (s...
Source: Acta Otorhinolaryngologica Italica - September 7, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Stabilometric findings in patients affected by organic dysphonia before and after phonomicrosurgery.
Authors: Nacci A, Romeo SO, Berrettini S, Matteucci J, Cavaliere MD, Mancini V, Panicucci E, Ursino F, Fattori B Abstract The purpose of this study is to understand if there is any alteration in the posture of patients affected by organic dysphonia and describe possible postural modifications after phonomicrosurgery on the vocal folds. Forty subjects (22 males, 18 females; mean age 32.6 ± 7.5 years) suffering from organic dysphonia (15 cases of polyps, 11 submucosal retention cysts, 10 bilateral fibrous vocal fold nodules and 4 bilateral Reinke's oedema) were examined by open-eye and closed-eye posturography...
Source: Acta Otorhinolaryngologica Italica - September 7, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Cerebrospinal fluid rhinorrhoea following transsphenoidal surgery for pituitary adenoma: experience in a Chinese centre.
In conclusion, procedures using gelatine foam, fibrin glue and autologous fat graft are common and effective techniques for the management of CSF rhinorrhoea after transsphenoidal surgery. When a CSF leak is detected during transsphenoidal surgery, thorough sellar reconstruction and long-term follow-up are necessary. PMID: 28872159 [PubMed - in process] (Source: Acta Otorhinolaryngologica Italica)
Source: Acta Otorhinolaryngologica Italica - September 7, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

A mild phenotype of sensorineural hearing loss and palmoplantar keratoderma caused by a novel GJB2 dominant mutation.
We present the genotype/phenotype correlations of a new GJB2 mutation identified in three generations of an Italian family (proband, mother and grandfather) whose members are affected by sensorineural hearing impairment associated with adult-onset palmoplantar keratoderma. In all affected members we identified a new heterozygous GJB2 mutation (c.66G> T, p.Lys22Asn) whose segregation, population frequency and in silico prediction analysis have suggested a pathogenic role. The p.Lys22Asn GJB2 mutation causes a dominant form of hearing loss associated with variable expression of palmoplantar keratoderma, representing a mod...
Source: Acta Otorhinolaryngologica Italica - September 7, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Temporal changes in impedance of implanted adults for various cochlear segments.
Authors: Leone CA, Mosca F, Grassia R Abstract Electrode impedance (EI) is the first objective assessment carried out during the surgical procedure and follow-up of cochlear implanted patients. This measure provides information on the integrity of electrodes and on the surrounding environment. It is one of the main factors responsible for energy consumption of the cochlear implant (CI). The aim of our study is to investigate changes over time in EI in adult recipients implanted with the perimodiolar array by comparing differences in various cochlear segments. In addition, we explore the relationship between these o...
Source: Acta Otorhinolaryngologica Italica - September 7, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Conservative treatment of vestibular schwannoma: growth and Penn Acoustic Neuroma Quality of Life scale in French language.
Authors: Oddon PA, Montava M, Salburgo F, Collin M, Vercasson C, Lavieille JP Abstract The aim of this study was to determine the natural history of growth and quality of life (QoL) outcomes for vestibular schwannoma (VS) managed conservatively, and to validate the disease-specific Penn Acoustic Neuroma Quality-of-Life (PANQOL) scale in French language. We retrospectively studied 26 patients with VS managed conservatively. Patient characteristics and radiological findings were collected. Two scales were used to measure QoL: the Short Form-36 Health Survey (SF-36) and the PANQOL scale translated into French. Interna...
Source: Acta Otorhinolaryngologica Italica - September 7, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Italian survey on benign paroxysmal positional vertigo.
Authors: Messina A, Casani AP, Manfrin M, Guidetti G Abstract Benign paroxysmal positional vertigo (BPPV) is the most common type of peripheral vertigo. BPPV often relapses after the first episode, with a recurrence rate between 15% and 50%. To date both the aetiopathogenetic processes that lead to otoconia detachment and the factors that make BPPV a relapsing disease are still unclear, but recent epidemiological studies have shown a possible association with cardiovascular risk factors. The aim of the present study (Sesto Senso Survey) was to evaluate in the Italian population through an observational survey, the ...
Source: Acta Otorhinolaryngologica Italica - September 7, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Prognostic factors in head and neck cancer: a 10-year retrospective analysis in a single-institution in Italy.
This study was undertaken to evaluate the association between demographics, lifestyle habits, and clinical data and overall survival (OS), recurrence and second primary cancer (SPC) in patients with first primary head and neck cancer (HNC). We retrospectively reviewed data from 482 patients treated at the "Agostino Gemelli" Teaching Hospital, Rome, between 2002-2012 for primary HNC. Individual parameters were evaluated for association with specific outcomes such as OS, cancer recurrence and second primary cancer (SPC) appearance using hazard ratios (HR) and 95% confidence intervals (CIs). Five-year OS was 60.6% f...
Source: Acta Otorhinolaryngologica Italica - July 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Cost-effectiveness strategies in OSAS management: a short review.
Authors: Toraldo DM, Passali D, Sanna A, De Nuccio F, Conte L, De Benedetto M Abstract Obstructive sleep apnoea (OSAS) is an underdiagnosed chronic disease with a high prevalence in adults. It is becoming a significant social problem, since it is associated with a worsening in quality of life and increase in mortality. The cost-effectiveness ratio of diagnostic and therapeutic management of OSAS is a strategic issue to counteract the expected increasing demand of objective testing. OSAS patients with any clinical evidence of comorbidities must be studied using simplified and less expensive systems such as Home Slee...
Source: Acta Otorhinolaryngologica Italica - July 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Palate perforation differentiates cocaine-induced midline destructive lesions from granulomatosis with polyangiitis.
Authors: Trimarchi M, Bondi S, Della Torre E, Terreni MR, Bussi M Abstract Cocaine abuse occasionally causes extensive destruction of the osteocartilaginous structures of the nose, sinuses and palate, which mimics the clinical picture of other diseases associated with necrotising midfacial lesions. The differentiation of cocaine-induced midline destructive lesions (CIMDL) and limited granulomatosis with polyangiitis (GPA) may be difficult, particularly if patients do not readily admit substance abuse. We studied 10 patients with CIMDL and palate perforation referred to our Unit between 2002 and 2015. All cases unde...
Source: Acta Otorhinolaryngologica Italica - July 1, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

The hump columellar strut: a reliable technique for correction of nasal tip underprojection.
Authors: Giacomini PG, Mocella S, Di Girolamo S, De Berardinis R, Boccieri A Abstract Nasal tip under projection is often found in rhinoplasty cases both for congenital or post-traumatic deformity. Nasal trauma may result in alteration of the external and internal nasal structures with following aesthetic impairment and difficulties in breathing. Post-traumatic surgery is frequent, but restoration of pre-traumatic form and function remains a challenge. The present paper describes a new method to increase tip projection by a columellar strut harvested from the autologous nasal bone and cartilage of the resected hump...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Impact of resection margin status on oncological outcomes after CO2 laser cordectomy.
This study aims to assess the impact of margin status after transoral laser surgery on local control, survival and organ preservation rates; the decision- making process and treatment options in cases with positive margins are also discussed. We retrospectively reviewed the clinical and histological records of 308 consecutive patients with primary early glottic carcinoma (T1a, T1b, selected T2) and treated with endoscopic laser cordectomy. Recurrence rates and survival related to margin status were analysed using the Kaplan-Meier method. Local relapses and disease-free-survival rates were significantly related to excision margin status (p
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

New trends in rehabilitation of children with ENT disorders.
Authors: Bovo R, Trevisi P, Zanoletti E, Cazzador D, Volo T, Emanuelli E, Martini A Abstract In the last 20 years, neonatal survival has progressively increased due to the constant amelioration of neonatal medical treatment and surgical techniques. Thus, the number of children with congenital malformations and severe chronic pathologies who need rehabilitative care has progressively increased. Rehabilitation programs for paediatric patients with disorders of voice, speech and language, communication and hearing, deglutition and breathing are not widely available in hospital settings or in long-term care facilities....
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Sensitivity and specificity of vestibular bedside examination in detecting VIII cranial nerve schwannoma with sensorineural sudden unilateral hearing loss as presenting symptom.
The objectives of this study were to identify signs of vestibular nerve suffering through a bedside vestibular examination protocol in case of sudden sensorineural unilateral hearing loss without spontaneous signs of vestibular impairment and to propose a bed-side vestibular examination based protocol for the focused execution of gadolinium-enhanced magnetic resonance imaging (MRI) only if a vestibular schwannoma is suspected. 96 patients, 52 men, 44 women, mean age 57.73 +/- 12.85 years, suffering from sudden sensorineural unilateral hearing loss, which presented neither vertigo nor spontaneous nystagmus, were enrolled. P...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Palatal surgery in a transoral robotic setting (TORS): preliminary results of a retrospective comparison between uvulopalatopharyngoplasty (UPPP), expansion sphincter pharyngoplasty (ESP) and barbed repositioning pharyngoplasty (BRP).
Authors: Cammaroto G, Montevecchi F, D'Agostino G, Zeccardo E, Bellini C, Meccariello G, Vicini C Abstract It has become increasingly clear in the past decade that surgical management of obstructive sleep apnoea hypopnoea syndrome (OSAHS) is most successfully managed with multilevel surgery. We evaluated the outcomes of multilevel interventions comparing three different palatal techniques added to TORS: uvulopalatopharyngoplasty (UPPP), a modified expansion sphincter pharyngoplasty (ESP), inspired by the Pang expansion sphincter pharyngoplasty technique and the latest barbed repositioning pharyngoplasty (BRP). Thir...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Endoscopic repair of nasal septal perforation.
Authors: Cassano M Abstract Surgical closure of nasal septal perforation is one of the most challenging procedures in nasal surgery. During the last decade, many endoscopic repair techniques have been described with a success of post-operative repair between 76.4% and 100%. The advantages of this approach are its minimal invasiveness (with no external scars), optimal exposure of the operative field (with better visibility of structures) and good control of perforation margins. The drawbacks are that it is time-consuming and can be difficult to perform, requiring years of endoscopic experience. In this review, all t...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Can the onset of orbital cancer be the result of a prosthetic eye?
We report the case of a 54-year-old man who had left eye enucleation due to recurring events of retinal detachment and who developed an invasive fast growing epidermoid carcinoma 30 years later. We review the literature to evaluate the rarity of the occurrence, time of onset after enucleation, treatments and outcomes. Our case illustrates the management of the pathology and emphasises the necessity of careful examination of the anophthalmic socket and the ocular prosthesis to identify any irregularities or damage on its surface even after exenteration that is not performed for malignant disease. Long-term follow up is nece...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Mathematical model for preoperative identification of obstructed nasal subsites.
Authors: Gamerra M, Cantone E, Sorrentino G, De Luca R, Russo MB, De Corso E, Bossa F, De Vivo A, Iengo M Abstract The planning of experimental studies for evaluation of nasal airflow is particularly challenging given the difficulty in obtaining objective measurements in vivo. Although standard rhinomanometry and acoustic rhinometry are the most widely used diagnostic tools for evaluation of nasal airflow, they provide only a global measurement of nasal dynamics, without temporal or spatial details. Furthermore, the numerical simulation of nasal airflow as computational fluid dynamics technology is not validated. U...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Enhanced recovery program (ERP) in major laryngeal surgery: building a protocol and testing its feasibility.
Authors: Gemma M, Toma S, Lira Luce F, Beretta L, Braga M, Bussi M Abstract Enhanced recovery programs (ERP) represent a multimodal approach to perioperative patient care. The benefits of ERP are well demonstrated in colorectal surgery and Enhanced Recovery After Surgery (ERAS®) programs, that epitomise the ERP concept, have being introduced in different specialties, including vascular, gastric, pancreatic, urogynecologic and orthopaedic surgery. However, no ERP has been proposed for head and neck surgery. We developed an expert-opinion-based ERP for laryngeal surgery based on the key principles of colorectal s...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Approach to the correction of drooping tip: common problems and solutions.
Authors: Giacomini PG, Rubino S, Mocella S, Pascali M, Di Girolamo S Abstract The drooping tip deformity is both a bothersome aesthetic feature and functional impairment of the nose. Both static and dynamic factors may affect tip appearance and it seems logical to take into account these factors when planning correction of drooping tip. Many studies have examined this topic, but its treatment remains controversial. In order to make nasal tip surgery successful, it is useful to identify the keystone anatomical characteristics of the tip itself. Naso-labial angle, nostril axis, tip rotation angle according to Frankfo...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Injection laryngoplasty through a transoral approach using the Guedel oral airway.
Authors: Hamdan AL, Rizk M, Ayoub C, Ziade G Abstract Injection laryngoplasty has gained popularity as a treatment modality for glottal insufficiency. Several approaches have been described, specifically transcutaneous, transoral and transnasal. The authors describe a novel technique performed successfully on three subjects, namely endoscopic injection laryngoplasty using the modified Guedel oral airway. There was marked improvement in dysphonia, maximum phonation time and closed quotient in all three subjects with a decrease in the Voice Handicap Index-10 score. This new approach is a viable approach for the treat...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

A rare case of embryonal rhabdomyosarcoma of the parapharyngeal space.
Authors: Iannella G, De Vincentiis M, Corsi A, Greco A, Magliulo G Abstract A 24-year-old man was admitted to our Otolaryngology Department following a head and neck CT scan performed for cranial trauma that showed a bulky neoformation in the right parapharyngeal space. Magnetic resonance imaging confirmed the presence of an oval formation with sharp margins and colliquative areas of necrosis involving the right parapharyngeal space. The mass was completely excised by a latero-cervical approach. Based on histological features and immunohistochemical analysis, a diagnosis of embryonal rhabdomyosarcoma of the parapha...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Transtracheal endoscopic-assisted resection of a rare inflammatory myofibroblastic tumour in adult trachea, a case report.
We describe an 18-year-old woman who presented with respiratory difficulty to the emergency department. On clinical examination, the patient had complete absence of breath sounds on the right side of the chest. CT of the chest and virtual bronchoscopy revealed a polypoidal soft tissue mass lesion involving the carina with occlusion of right main bronchus. Endoscopic-assisted resection was performed under general anaesthesia and the final pathological diagnosis was tracheal IMT. PMID: 28530262 [PubMed - as supplied by publisher] (Source: Acta Otorhinolaryngologica Italica)
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Utricular hypofunction in patients with type 2 diabetes mellitus.
Authors: Jáuregui-Renaud K, Aranda-Moreno C, Herrera-Rangel A Abstract The aim of this study was to assess the function of the utricle and horizontal semicircular canals in patients with type 2 diabetes mellitus receiving primary health care, with/without a history of falls. 101 patients with type 2 diabetes mellitus, 34 to 84 years old (26 with and 75 without a history of falls) and 51 healthy volunteers (40-83 years old) accepted to participate. They denied having a history of dizziness, vertigo, unsteadiness, hearing loss or neurological disorders. None of them were seeking care due to sensory or balance ...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Cyclamen europaeum improves the effect of oral antibiotics on exacerbations and recurrences of chronic rhinosinusitis: a real-life observational study (CHRONOS).
Authors: Lopatin AS, Ivanchenko OA, Soshnikov SS, Mullol J Abstract Chronic rhinosinusitis (CRS) is an inflammatory disease of the nose and paranasal sinuses affecting 11% of the European population. Cyclamen europaeum plant extract (CE) has demonstrated efficacy in treating acute rhinosinusitis, but its role in CRS exacerbations remains unknown. In this real-life, prospective, epidemiological, observational study, a total of 317 patients with exacerbations of CRS without nasal polyps (CRSsNP) of moderate severity were treated using three different options: oral antibiotics, CE extract nasal spray, or the combinati...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Papillary squamous cell carcinoma of the palatine tonsil: a rare cancer of the head and neck.
Authors: Serra A, Caltabiano R, Scalia G, Palmucci S, Di Mauro P, Cocuzza S Abstract Papillary squamous neoplasms of the upper respiratory tract are rare variants of squamous cell carcinomas. They are characterised by an exophytic, papillary growth and generally have favourable prognosis. The tumour has been described in the upper aerodigestive tract. In this context, most common sites of involvement are the larynx and hypopharynx, and rarely the oral cavity and oropharynx. The limited studies and small number of published cases of papillary squamous cell carcinoma of the palatine tonsil led us to make a complete a...
Source: Acta Otorhinolaryngologica Italica - May 24, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Adaptive psychological structure in childhood hearing impairment: audiological correlations.
Authors: Serra A, Spinato G, Cocuzza S, Licciardello L, Pavone P, Maiolino L Abstract The present research deals with the clinical and social problems present during linguistic and cognitive development of deaf children. Currently, the development of Theory of Mind represents an important research field in deafness studies. These international studies highlighted a significant alteration in the development of Theory of Mind in deaf children compared to normal hearing children, especially in cases of congenital or preverbal hearing loss. In particular, the research focuses on the skills of deaf children in recognisi...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Clinicopathologic idiosyncrasies of nasopharyngeal cancer in a moderate-risk Mediterranean region.
This study describes the patterns of the disease affecting the population of Western Greece. The records of 70 patients with nasopharyngeal cancer diagnosed in a single institution between 1994-2014 were retrospectively reviewed. Primary treatment involved irradiation with or without concurrent chemotherapy. Demographic data, patient risk factors, tumour parameters, clinical presentation and treatment outcomes were assessed for potential intercorrelations. Overall (OS) and disease-specific (DSS) 5-year survival rates were determined. Possible predictors of survival were tested on univariate and multivariate analysis. WHO-t...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Supracricoid partial laryngectomy with crico-hyoido-epiglottopexy for glottic carcinoma with anterior commissure involvement.
Authors: Atallah I, Berta E, Coffre A, Villa J, Reyt E, Righini CA Abstract Glottic cancers discovered at an early stage (T1-T2) can be treated with either radiotherapy or surgery. The aim of our study is to analyse survival and functional results of supra-cricoid partial laryngectomy (SCPL) with crico-hyoido-epiglottopexy (CHEP) as surgical treatment for glottic carcinoma with anterior commissure involvement. We performed a retrospective study (1996-2013) which included patients who underwent SCPL-CHEP for glottic squamous cell carcinoma with involvement of the anterior commissure. Before surgery, all patients und...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Design of a customised bridging mandibular prosthesis for complex reconstruction: a pilot study.
Authors: Tarsitano A, Battaglia S, Sandi A, Marchetti C Abstract The gold standard for mandibular reconstruction is universally recognised and consists of the replacement of the bony part of the mandible with a bony microvascular free flap supported by a reconstructive plate. Although this procedure is feasible and reproducible in most patients, at times poor oncological prognosis or poor performance status force surgeons to consider other reconstructive solutions. In these cases, the main alternative in reconstructing a mandibular defect is represented by bridging plates combined with soft tissue flaps. However, r...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

The endoscopic evaluation of the oral phase of swallowing (Oral-FEES, O-FEES): a pilot study of the clinical use of a new procedure.
Authors: Farneti D, Fattori B, Bastiani L Abstract Oral FEES (O-FEES) is an endoscopic procedure conceived to directly visualise the oral phase of swallowing. In the perspective of clinical use, the feasibility, safety and acceptability of O-FEES has been evaluated. Subsequently, the procedure was compared with the radiological gold standard. The acceptability of O-FEES was compared to that of FEES using a 10 point questionnaire submitted to a sample of 52 outpatients complaining of swallowing disorders. Repeated measure analysis of variance (rm-ANOVA) models were used to test the mean difference of acceptability i...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research