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Acta Otorhinolaryngol Ital 2019 Feb;39(1):61-64

Department of Otolaryngology, Head & Neck Surgery.

Acta Otorhinolaryngol Ital 2019 Feb;39(1):53-60

Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.

Acta Otorhinolaryngol Ital 2019 Feb;39(1):46-52

Department of Neurology, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, Postgraduate Medical School.

Acta Otorhinolaryngol Ital 2019 Feb;39(1):40-45

Audiology, Department of Diagnostic, Clinical and Public Health University of Modena and Reggio Emilia, Italy.

Acta Otorhinolaryngol Ital 2019 Feb;39(1):28-39

Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, ASST Sette Laghi, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.

Acta Otorhinolaryngol Ital 2019 Feb;39(1):22-27

Ear, Nose and Throat Department, San Giovanni Addolorata Hospital, Rome, Italy.

Acta Otorhinolaryngol Ital 2019 Feb;39(1):9-17

Department of Otolaryngology, University of Pavia and Foundation IRCCS Policlinico S. Matteo, Italy.

Acta Otorhinolaryngol Ital 2019 Feb;39(1):2-8

Medical Oncology Dept, S. Croce & Carle Teaching Hospital, Cuneo, Itally.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Department of Otorhinolaryngology, Abant Izzet BaysalUniversity, Faculty of Medicine, Bolu, Turkey.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Ospedale "Guglielmo da Saliceto", UO Otorinolaringoiatria, Piacenza, Italy.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Fondazione Ospedale San Camillo IRCCS, Venice, Italy.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Otolaryngology Service, Head and Neck Department, "San Raffaele" Hospital, "Vita-Salute" University, Milan, Italy.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Department of Head and Neck Surgery and Otolaryngology, AC Camargo Cancer Center, São Paulo, Brazil.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Otorhinolaryngology Division, Santa Croce Hospital, Moncalieri, Italy.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Experimental Medicine Department, Perugia University, Perugia, Italy.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Section of Radiology Di.Bi.Med., University Hospital "Paolo Giaccone", Palermo, Italy.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Audiology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy - Department of Clinical Sciences and Community Health, University of Milan, Italy.

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Department of Aerospace Sciences and Technologies, Politecnico di Milano, Italy.

Thermal water therapies have a role in treating various inflammatory disorders dating back to ancient Greece. Several studies have demonstrated beneficial effects of thermal water inhalations for upper respiratory disorders, such as improvement of mucociliary function and reduction of inflammatory cell infiltration. This experimental study describes the numerical investigation and clinical implications of thermal water droplet deposition in the nasal cavity of a single patient. Read More

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Oral and Maxillofacial Surgery, Hospital Maggiore Policlinico of Milano; Milano, Italy.

Morphofunctional reconstruction is a pivotal aspect in the surgery of head and neck neoplasms: nowadays, microvascular free flap surgery represents the gold standard. In choosing the surgical technique, the effects on residual quality of life, especially in elderly people, usually considered more fragile and so often excluded from microsurgical procedures, must be taken into account. This multicentre study evaluated the quality of life index in patients more than 75 years of age and who underwent to head and neck microsurgical reconstruction. Read More

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Head and Neck Oncology Service, Oncology Deparment University of Turin, Candiolo Cancer Institute - FPO, IRCCS, Candiolo (To), Italy.

The purpose of this study is to evaluate the efficacy and safety of unidirectional barbed suture (V-Loc) compared to a standard monofilament stitch (Vicryl) in suturing of a free flap to local tissue after head and neck surgery for squamous cell carcinoma of the oral cavity. Complication rates, operative closure time, length of hospitalisation and costs were evaluated. The study cohort (group A) of 20 consecutive patients reconstructed using barbed stitches for suturing was prospectively compared to a control cohort (group B) of 20 consecutive patients reconstructed using conventional vicryl stitches. Read More

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Department of Otorhinolaryngology, Head and Neck Surgery, Universität Regensburg, University Hospital, Regensburg, Germany.

Probe-based confocal laser endomicroscopy (CLE) is an innovative technique for real-time, non-invasive analysis of the surface epithelium. While being successfully used for diagnosis by experts, this method has not yet been established in clinical routine, partly due to the lack of standards and criteria for classifying various lesions. Our aim was to determine the diagnostic value and inter-rater reliability of CLE in detecting malignant lesions of the vocal cords. Read More

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

ENT, Audiology and Phoniatrics Unit, University Hospital of Pisa, Italy.

In a recent study we introduced a new approach for analysis of the electroglottographic (ECG) signal. This method is based on the evaluation of variation of the EGG signal and its first derivative, through new software developed by the Pisan phoniatric school. This software is designed to extract quantitative indices related to the contacting and decontacting phases of the vocal folds during phonation. Read More

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Faculty of Medicine, Department of Pathology, Cairo University, Egypt.

Tonsillotomy (tonsillar ablation) using diode laser and radiofrequency has been introduced for management of tonsillar hypertrophy as it is associated with fewer hazards to deep structures. We compared tissue volume and histological changes in the tonsils following radiofrequency tonsillotomy versus diode laser tonsillotomy in tonsillar hypertrophy. 40 tonsils excised from 20 patients were included in this study. Read More

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Leipzig, Leipzig, Germany.

Zenker's diverticulum can be treated with a carbon dioxide laser or linear stapling device. A retrospective study on patients undergoing elective surgery for Zenker`s diverticulum with carbon dioxide laser or stapler was performed to analyse possible differences in inflammatory responses during the postoperative period. Leucocyte counts and C-reactive protein levels in peripheral blood were measured before and on days 1, 2, 3 and 5 after the operation. Read More

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Otorhinolaryngology and Otoneurosurgery Department, University Hospital of Parma, Italy.

The association between external auditory canal osteoma and external auditory canal cholesteatoma is rare, with only a few reports in the current literature. Intracranial complications are very rare in the external auditory canal cholesteatoma, especially with direct propagation through the internal auditory canal. A case of 27-year-old male presenting with external auditory canal osteoma with secondary external auditory canal cholesteatoma is described. Read More

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Department of Otorhinolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiaotong University, Shanghai, China.

Retropharyngeal lymphatic malformations (LMs) are exceedingly rare and have rarely been reported in the literature. This condition can be life threatening, and its management is particularly challenging. Over a two-year period, two patients who presented with symptomatic (dyspnoea, snoring) retropharyngeal LMs were treated in our hospital. Read More

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Neurology Unit, Department of Medicine, UKMMC, Kuala Lumpur, Malaysia.

Iatrogenic internal carotid artery injury is a catastrophic but uncommon complication of endonasal sinus surgery. We present our experience in managing this emergency situation. A 52-year-old man underwent revision endoscopic repair of recurrent cerebrospinal fluid leak that was complicated with profuse haemorrhage during removal of the anterior wall of sphenoid sinus using a Hajek sphenoid punch forceps. Read More

Acta Otorhinolaryngol Ital 2018 Dec 29. Epub 2018 Dec 29.

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì and degli Infermi Hospital, Faenza, Azienda USL della Romagna, Italy.

The use of perioperative prophylactic antibiotics in uncontaminated head and neck surgery is still controversial. The aim of this study was to assess the efficacy of an institutional antibiotic prophylactic protocol in preventing surgical site infection after parotidectomy. The medical charts of 448 patients who underwent parotidectomy were reviewed. Read More

Acta Otorhinolaryngol Ital 2018 Dec;38(6):569-574

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy.

Transoral robotic surgery (TORS) is a fascinating new technique that has been shown to be a safe and feasible treatment for selected oropharyngeal cancers. Furthermore, TORS might offer some advantages in selected locoregionally advanced cancers. Thus, the patient selection is the keypoint for the useful application of TORS. Read More

Acta Otorhinolaryngol Ital 2018 Dec;38(6):554-562

Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.

Acellular human dermal allografts have been shown to be effective for soft-tissue implantation. We compared treatment outcomes of tympanoplasty using tragal perichondrium and acellular human dermal allograft (MegaDerm). In a prospective randomised controlled study, 60 patients scheduled to undergo tympanoplasty were randomly assigned to the autologous tragal perichondrium group (n = 33) or acellular human dermal allograft group (n = 27). Read More

Acta Otorhinolaryngol Ital 2018 Dec;38(6):544-553

Department of Surgery, Division of Otolaryngology - Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.

Susac syndrome, a rare autoimmune disorder first described as a classic triad (encephalopathy, branch retinal artery occlusion, and sensorineural hearing loss) in 1979 by renowned physician John O. Susac, has been an advancing area of clinical interest and scientific research over the last several decades. This comprehensive review aims to succinctly highlight the breadth and detail of this enigmatic disease, with a primary focus on otologic manifestations. Read More

Acta Otorhinolaryngol Ital 2018 Dec;38(6):536-543

ENT surgery, Department of Neurosciences, University of Padua, Italy.

The objective of this study was to ascertain the effects of competitive noise on second language perception skills of sequentially bilingual children and to compare the results with those relating to matched monolingual peers. Fifteen bilingual immigrant children (aged 6-10 years) (BL) learning through their second language (L2), which was Italian, were matched with 15 peers who only spoke Italian (IO). All immigrant children had arrived in Italy and were exposed to L2 after their 4 year of life. Read More

Acta Otorhinolaryngol Ital 2018 Dec;38(6):528-535

Department of Neuroscience, ENT Section, "Federico II" University, Naples, Italy.

Septoplasty is one of the most frequent surgical procedures performed by otolaryngologists. Despite successful surgical correction, many patients are not satisfied with their outcomes. So far, in clinical practice there is no consensus of opinion about the reliability of objective measurements of nasal patency and the correlation between objective measurements and subjective nasal patency symptoms. Read More

Acta Otorhinolaryngol Ital 2018 Dec;38(6):517-527

Department and Clinic of Otolaryngology, Head and Neck Surgery, Wrocław Medical University Hospital, Borowska, Poland.

ENT manifestations are commonly observed in patients with small vessel vasculitis (SVV). The main aim of this study was to analyse and present the clinicopathological characteristics of individuals with SVV emphasising otorhinolaryngological symptoms. This study evaluated 64 patients, 41 with granulomatosis with polyangiitis (GPA) and 23 with microscopic polyangiitis (MPA). Read More

Acta Otorhinolaryngol Ital 2018 Dec;38(6):511-516

Audiology Service, Policlinico Modena, Italy.

The aim of this study was to identify which characteristics, collected by bedside swallowing evaluation (BSE) and fiberoptic endoscopic evaluation of swallowing (FEES), are a risk or a protective factor for aspiration. This retrospective study included data on 1577 consecutive patients, collected by BSE and FEES. Bivariate analysis was performed to verify the association of each variable with aspiration (Chi-Square test). Read More

Acta Otorhinolaryngol Ital 2018 Dec;38(6):497-503

Otolaryngology Service, Head and Neck Department, San Raffaele Hospital, Vita-Salute University, Milan, Italy.

The supraclavicular artery island flap (SCAIF) is a thin and pliable pedicled flap that is easy and quick to harvest. Thanks to its particular features and high reliability, it is best indicated for the elderly or most fragile patients. SCAIF is very versatile, as it can be used for reconstruction of oral cavity, oropharynx, hypopharynx, facial and cervical skin and tracheostomal defects. Read More

Acta Otorhinolaryngol Ital 2018 Dec;38(6):485-496

Eskisehir Osmangazi University, Medical Faculty, Department of Otorhinolaryngology, Eskisehir, Turkey.

Facial pain remains a diagnostic and therapeutic challenge for both clinicians and patients. In clinical practice, patients suffering from facial pain generally undergo multiple repeated consultations with different specialists and receive various treatments, including surgery. Many patients, as well as their primary care physicians, mistakenly attribute their pain as being due to rhinosinusitis when this is not the case. Read More

Acta Otorhinolaryngol Ital 2018 Dec 9;38(6):504-510. Epub 2018 Nov 9.

Department of Medicine and Surgery, University of Salerno, Italy.

The aim of this study was to systematically review publications that investigated the prognostic role of E-cadherin immunostaining in patients affected by laryngeal squamous cell carcinoma. An appropriate string was run on PubMed to retrieve articles dealing with this topic. A double cross-check was performed on citations and full-text articles by two authors independently to analyse all manuscripts and perform a comprehensive quality assessment. Read More

Acta Otorhinolaryngol Ital 2018 Oct;38(5):476-479

UOC di Otorinolaringoiatria, Dipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa Collo, Fondazione Policlinico Universitario A. Gemelli IRCCS, Istituto di Otorinolaringoiatria, Università Cattolica del Sacro Cuore, Roma, Italia.

Central sleep apnoea (CSA) is a lack of drive to breathe during sleep, which can occur in physiologic as well as in pathologic conditions. A particular type of CSA, defined treatment-emergent CSA (TECSA), may occur after the treatment of obstructive sleep apnoea syndrome (OSAS), either with CPAP or surgery. TECSA is transitory and seems to be related to the severity of OSAS. Read More

Acta Otorhinolaryngol Ital 2018 Oct;38(5):468-475

Institute of Physiology and Pathology of Hearing, Mochnackiego, Warsaw, Poland.

Hearing preservation surgery constitutes a considerable branch of cochlear implantation surgery and is being steadily developed and perfected. The aim of the study was to verify if insertion of a cochlear implant electrode according to individually calculated linear insertion depth improves hearing preservation. We evaluated the relations between the size of a cochlea, insertion depth angle, linear insertion depth and hearing preservation rate (HP) according to Hearing Preservation Classification in a retrospective case review of 54 patients implanted with a slim straight electrode Nucleus CI422 in 2008-2011. Read More

Acta Otorhinolaryngol Ital 2018 Oct;38(5):460-467

Neurologist, Bolzano, Italy.

Ménière's disease is a disorder of the inner ear that causes vertigo, tinnitus, fullness and hearing loss. Although several treatments are available, the success rate is reported to be around 70%, similar to placebo. Betahistine, a weak H1 receptor agonist and an effective H3 receptor antagonist, is frequently prescribed for Ménière's disease, especially to reduce recurrent vertigo attacks. Read More

Acta Otorhinolaryngol Ital 2018 Oct;38(5):453-459

Department of Sensory Organs, Sapienza University of Rome, Italy.

The present study aims to obtain a probability model allowing prediction of auditory recovery in patients affected by sudden sensorineural hearing loss treated exclusively with intratympanic steroids. A monocentric retrospective chart review of 381 patients has been performed. A Probit model was used to investigate the correlation between the success of treatment (marked or total recovery according to Furuashi's criteria) and the delay between onset of disease and beginning of therapy. Read More

Acta Otorhinolaryngol Ital 2018 Oct;38(5):445-452

Department of Otorhinolaryngology and Skull Base Surgery, Pellegrin University Hospital F-33000, University of Bordeaux, France.

Severe forms of otosclerosis known as far-advanced otosclerosis (FAO) can lead to severe to profound sensorineural hearing loss and can justify cochlear implantation. Because of the pathophysiology of otosclerosis, patients implanted for FAO may experience an increased rate of complications, such as facial nerve stimulation or electrode dislocation, and may have poorer hearing outcomes than expected. This retrospective study aimed to compare cochlear implantation hearing outcomes, surgical difficulties and complications in FAO patients versus non-FAO patients. Read More

Acta Otorhinolaryngol Ital 2018 Oct;38(5):439-444

Section of Dentistry and Maxillo-facial Surgery, Department of Surgical Sciences, Paediatrics and Gynaecology, University of Verona, Italy.

Maxillary cysts are a common finding in maxillofacial surgery, dentistry and otolaryngology. Treatment is surgical; a traditional approach includes Caldwell-Luc and other intra-oral approaches. In this article, we analyse the outcomes of 9 patients operated on using a combined intra-oral and trans-nasal approach to the aforementioned disease. Read More

Acta Otorhinolaryngol Ital 2018 Oct;38(5):431-438

Department of Paediatrics, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, University Hospital, Martin, Slovakia.

Exposure to tobacco smoke is associated with a higher risk of respiratory tract diseases. The aim of this study was to determine the influence of passive smoking on selected characteristics of children with adenoid hypertrophy. Sixty-one children with adenoid hypertrophy were enrolled in the prospective study. Read More

Acta Otorhinolaryngol Ital 2018 Oct;38(5):424-430

Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Serbia.

The aim of our study was to compare socio-demographic characteristics of vocal fold nodules, polyps and oedema. The study included patients diagnosed for the first time with vocal fold nodules, polyps and oedema at the Communication Disorders Care Center of Clinic for Otorhinolaryngology and Maxillofacial Surgery in Clinical Center of Serbia, Belgrade. Diagnosis was made on the basis of symptoms, clinical otorhinolaryngological and phoniatric examination and endovideolaryngostroboscopic findings. Read More

Acta Otorhinolaryngol Ital 2018 Oct;38(5):417-423

Department of Otorhinolaryngology Head and Neck Surgery, Klinikum Stuttgart, Germany.

Idiopathic progressive subglottic stenosis is a rare cause of tracheal narrowing. Partial cricotracheal resection and anastomosis can cure idiopathic stenosis, even if some patients may require multiple interventions and experience voice and swallowing deterioration. We investigated risk factors for retreatment and assessed the impact of crico-tracheal resection on functional parameters. Read More