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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

Barbed reposition pharyngoplasty in multilevel robotic surgery for obstructive sleep apnoea.
Authors: Vicini C, Meccariello G, Cammaroto G, Rashwan M, Montevecchi F Abstract The surgical treatment of obstructive sleep apnoea in patients who are non-compliant with continuous positive airway pressure therapy still represents a valid alternative. In recent years, the multilevel approach is becoming more diffuse in routine surgical practice, especially since the introduction of transoral robotic surgery. Barbed reposition pharyngoplasty in multilevel robotic surgery for OSA may represent a valid option to surgically approach the soft palate. Herein, we describe the technique and preliminary results of our expe...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Benefits of active middle ear implants over hearing aids in patients with sloping high tone hearing loss: comparison with hearing aids.
Authors: Lee JM, Jeon JH, Moon IS, Choi JY Abstract In this retrospective chart review we compared the subjective and objective benefits of active middle ear implants (AMEIs) with conventional hearing aids (HAs) in patients with sloping high tone hearing loss. Thirty-four patients with sensorineural hearing loss were treated with AMEIs. Of these, six had sloping high tone hearing loss and had worn an HA for more than 6 months. Objective assessments, a pure-tone audiogram, as well as a word recognition test, and the Korean version of the Hearing in Noise Test (K-HINT), and a subjective assessment, the Abbreviated Pr...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Expanded transcanal transpromontorial approach to the internal auditory canal and cerebellopontine angle: a cadaveric study.
In conclusion, ExpTTA appeared to be successful to access the internal auditory canal and cerebellopontine angle region. Potential extensive and routine application of this type of approach in lateral skull base surgery will depend on the development of technology and surgical refinements and on the diffusion of skull base endoscopic skills among otolaryngologists and neurosurgical community. PMID: 28516966 [PubMed - in process] (Source: Acta Otorhinolaryngologica Italica)
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Body-worn triaxial accelerometer coherence and reliability related to static posturography in unilateral vestibular failure.
In conclusion, we believe the present ACC-based measurement of sway offers a patient-friendly, reliable, inexpensive and efficient alternative recording technique that is useful - together with clinical balance and mobility tests - in various circumstances, as well as in outcome studies involving diagnosis, follow-up and rehabilitation of UVF patients. PMID: 28516967 [PubMed - in process] (Source: Acta Otorhinolaryngologica Italica)
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Preliminary experience with 4K ultra-high definition endoscope: analysis of pros and cons in skull base surgery.
Authors: Rigante M, La Rocca G, Lauretti L, D'Alessandris GQ, Mangiola A, Anile C, Olivi A, Paludetti G Abstract During the last two decades endoscopic skull base surgery observed a continuous technical and technological development 3D endoscopy and ultra High Definition (HD) endoscopy have provided great advances in terms of visualisation and spatial resolution. Ultra-high definition (UHD) 4K systems, recently introduced in the clinical practice, will shape next steps forward especially in skull base surgery field. Patients were operated on through transnasal transsphenoidal endoscopic approaches performed using O...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Voluminous laryngeal schwannoma excision with a mini-invasive external approach: a case report.
We present a case of bulky supraglottic schwannoma with involvement of the preepiglottic and superior paraglottic spaces. Clinical findings, computed tomography and magnetic resonance images are presented. These characteristics are typical, however not specific to schwannomas. For definitive diagnosis, histology and immunohistochemistry are necessary. We present an external mini-invasive approach that allowed us to both obtain diagnosis and provide definitive treatment for this kind of voluminous laryngeal tumour. PMID: 28516969 [PubMed - in process] (Source: Acta Otorhinolaryngologica Italica)
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Diagnostic work-up in obstructive and inflammatory salivary gland disorders.
Authors: Ugga L, Ravanelli M, Pallottino AA, Farina D, Maroldi R Abstract Inflammatory and obstructive disorders of the salivary glands are caused by very different pathological conditions affecting the gland tissue and/or the excretory system. The clinical setting is essential to address the appropriate diagnostic imaging work-up. According to history and physical examination, four main clinical scenarios can be recognised: (1) acute generalised swelling of major salivary glands; (2) acute swelling of a single major salivary gland; (3) chronic generalised swelling of major salivary glands, associated or not with &...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Salivary biomarkers and proteomics: future diagnostic and clinical utilities.
Authors: Castagnola M, Scarano E, Passali GC, Messana I, Cabras T, Iavarone F, Di Cintio G, Fiorita A, De Corso E, Paludetti G Abstract Saliva testing is a non-invasive and inexpensive test that can serve as a source of information useful for diagnosis of disease. As we enter the era of genomic technologies and -omic research, collection of saliva has increased. Recent proteomic platforms have analysed the human salivary proteome and characterised about 3000 differentially expressed proteins and peptides: in saliva, more than 90% of proteins in weight are derived from the secretion of three couples of "major&q...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Sialendoscopy for salivary stones: principles, technical skills and therapeutic experience.
Authors: Carta F, Farneti P, Cantore S, Macrì G, Chuchueva N, Cuffaro L, Pasquini E, Puxeddu R Abstract Obstructive sialadenitis is the most common non-neoplastic disease of the salivary glands, and sialendoscopy is increasingly used in both diagnosis and treatment, associated in selected cases with endoscopic laser lithotripsy. Sialendoscopy is also used for combined minimally invasive external and endoscopic approaches in patients with larger and proximal stones that would require excessively long laser procedures. The present paper reports on the technical experience from the Ear, Nose and Throat Unit of ...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Salivary lithotripsy in the era of sialendoscopy.
We describe the currently most widely used techniques for salivary lithotripsy, including ESWL, and endoscopically guided laser, electrohydraulic, electrokinetic and pneumatic intra-corporeal lithotripsy, and discuss their indications given the widespread use of advanced rehabilitative sialendoscopy and combined therapeutic approaches. PMID: 28516973 [PubMed - in process] (Source: Acta Otorhinolaryngologica Italica)
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Sialendoscope-assisted transoral removal of hilo-parenchymal sub-mandibular stones: surgical results and subjective scores.
Authors: Capaccio P, Gaffuri M, Rossi V, Pignataro L Abstract It has been suggested that a conservative trans-oral approach to proximal and hilo-parenchymal submandibular stones (HPSMS) is a valid alternative to the more frequently used sialadenectomy. The aim of this study was to evaluate the surgical, ultrasonographic and patients' subjective outcomes of results of the trans-oral removal of HPSMS. Between January 2003 and September 2015, sialendoscope-assisted trans-oral surgery was used to remove symptomatic, large (> 7 mm), fixed and palpable HPSMS from 479 patients under general anaesthesia. All patients we...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Sialendoscopy-assisted transfacial removal of parotid calculi.
Authors: Hills AJ, Holden AM, McGurk M Abstract Superficial parotidectomy has significant morbidity, and minimally invasive techniques have therefore been developed, including those involving sialendoscopy, to remove sialoliths and preserve the gland along with its function. The size, mobility and location of the sialolith, alongside the presence of strictures, all dictate management. We outline basic treatment paradigms and describe two sialoendoscopyassisted surgical procedures developed for treating stones, one intraoral and one extraoral. PMID: 28516975 [PubMed - in process] (Source: Acta Otorhinolaryngologica Italica)
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Salivary duct stenosis: diagnosis and treatment.
Authors: Koch M, Iro H Abstract The management of stenoses of the major salivary glands had undergone a significant change during the last 15-20 years. Accurate diagnosis forms the basis of adapted minimal invasive therapy. Conventional sialography and MR-sialography are useful examination tools, and ultrasound seems to be a first-line investigational tool if salivary duct stenosis is suspected as cause of gland obstruction. Sialendoscopy is the best choice to establish final diagnosis and characterise the stenosis in order to plan accurate treatment. In all major salivary glands, inflammatory stenosis can be disti...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Complications of traditional and modern therapeutic salivary approaches.
Authors: Nahlieli O Abstract The morbidity following traditional surgery of the salivary glands is well documented and includes postsurgical complications such as the Frey's syndrome, complete or partial facial nerve damage, facial scarring, greater auricular nerve numbness, sialocoeles and salivary fistula. The avulsion of the salivary duct, secondary strictures, gland swelling, salivary fistulas and perforations (false rout), traumatic ranulas, and the lingual nerve paraesthesia are the main endoscopy-related complications. In general, the rate of postsurgical complications after modern advanced minimally invasiv...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Sialendoscopic management of autoimmune sialadenitis: a review of literature.
Authors: Gallo A, Martellucci S, Fusconi M, Pagliuca G, Greco A, De Virgilio A, De Vincentiis M Abstract Autoimmune diseases of major salivary glands include Sjögren's syndrome and a complex of disorders classified as immunoglobulin G4-related diseases. These pathologies are characterised by an autoimmune reaction mediated by T-helper lymphocytes that targets the ducts of exocrine glands in Sjögren's syndrome and glandular parenchyma in immunoglobulin G4-related diseases. Immunoglobulin G4-related diseases represent recently introduced multi-organ diseases that also involve the salivary glands. However, t...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Interventional sialendoscopy for radioiodine-induced sialadenitis: quo vadis?
The objective of the current review was to assess the impact of this procedure on outcomes in patients suffering from radioiodine sialadenitis. Overall, eight studies were included and 122 patients underwent 264 sialendoscopic procedures. Duct stenosis and mucous plugs were observed in 85.7% of endoscopic findings, supporting the role of ductal obstruction in the pathophysiology of radioiodine sialadenitis. In total, 89.3% of patients experienced complete or partial resolution of sialadenitis recurrences without any major adverse events, and parotidectomy was advocated in only 1 case. However, outcomes mainly concerned sub...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research

Modern management of paediatric obstructive salivary disorders: long-term clinical experience.
Authors: Capaccio P, Canzi P, Gaffuri M, Occhini A, Benazzo M, Ottaviani F, Pignataro L Abstract Recent technological improvements in head and neck field have changed diagnostic and therapeutic strategies for salivary disorders. Diagnosis is now based on colour Doppler ultrasonography (US), magnetic resonance (MR) sialography and cone beam 3D computed tomography (CT), and extra- and intracorporeal lithotripsy, interventional sialendscopy and sialendoscopy-assisted surgery are used as minimally invasive, conservative procedures for functional preservation of the affected gland. We evaluated the results of our long-t...
Source: Acta Otorhinolaryngologica Italica - May 19, 2017 Category: ENT & OMF Tags: Acta Otorhinolaryngol Ital Source Type: research