Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale最新文献

{"title":"Current trends in imaging for otosclerosis and the potential role of photon-counting computed tomography.","authors":"Francesco Lazzerini, Francesca Forli, Silvia Capobianco, Francesco Lombardo, Sara De Cori, Filippo Cademartiri, Stefano Berrettini","doi":"10.14639/0392-100X-suppl.1_3-45-2025-A1335","DOIUrl":"10.14639/0392-100X-suppl.1_3-45-2025-A1335","url":null,"abstract":"","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 Suppl. 1","pages":"S18-S28"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issues in the audiological assessment of otosclerosis.","authors":"Francesca Forli, Silvia Capobianco, Andrea De Vito, Luca Bruschini, Francesco Lazzerini","doi":"10.14639/0392-100X-supp1_3-45-2025-A1337","DOIUrl":"10.14639/0392-100X-supp1_3-45-2025-A1337","url":null,"abstract":"","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 Suppl. 1","pages":"S40-S48"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the use of submental flap for parotid region reconstruction: a multicentric experience.","authors":"Luca Gazzini, Sara Bassani, Erica Zampieri, Andrea Ferri, Marta Tagliabue, Rita De Berardinis, Giulia Salti, Andrea Galli, Alberto Tettamanti, Lara Valentina Comini, Leone Giordano, Luca Sacchetto, Silvano Ferrari, Mohssen Ansarin, Stefano Bondi, Gabriele Molteni, Luca Calabrese, Davide Di Santo","doi":"10.14639/0392-100X-A745","DOIUrl":"10.14639/0392-100X-A745","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to evaluate the effectiveness and reproducibility of the submental island flap (SIF) for reconstructing defects in the parotid region after oncological surgery. The primary goals are to assess the flap's impact on patient morbidity, its overall feasibility in complex head and neck reconstructions, and its potential for consistent outcomes across different cases.</p><p><strong>Methods: </strong>A retrospective multicentric study was conducted across 6 tertiary centres in Northern Italy, reviewing cases from 2015 to 2023. Inclusion criteria encompassed adult patients undergoing parotid region reconstruction using the SIF, specifically for defects arising from parotid or associated skin tumours. Data on patient demographics, comorbidities, tumour characteristics, surgical details, flap characteristics, complications, and long-term oncological outcomes were collected and analysed.</p><p><strong>Results: </strong>The study included 30 patients with a mean age of 75.4 years, most of whom had significant comorbidities. The flap success rate was 93.3%, with minimal donor site morbidity. The aesthetic outcomes were favourable, with the flap providing a good match of colour and texture. Oncological safety was affirmed, with no nodal transfers observed.</p><p><strong>Conclusions: </strong>The SIF is a reliable and aesthetically favourable option for parotid region reconstruction, particularly in elderly patients with multiple comorbidities. Its use minimises donor site morbidity and does not require microsurgical expertise. Careful patient selection is critical to avoid complications, particularly in those with a history of submental trauma, and to not risk metastatic lymph node transfer in advanced nodal disease. The SIF allows for effective reconstruction without compromising oncological outcomes, supporting its use as a standard approach in appropriate cases.</p>","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 3","pages":"182-191"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12201924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Granulomatosis with polyangiitis presenting as isolated ear involvement: a case series and literature review.","authors":"Silvia Zorzi, Gabriele Testa, Michele Tomasoni, Stefano Taboni, Nader Nassif, Gina Alessandra Gregorini, Tommaso Sorrentino, Cesare Piazza, Luca Oscar Redaelli de Zinis","doi":"10.14639/0392-100X-N3008","DOIUrl":"10.14639/0392-100X-N3008","url":null,"abstract":"<p><strong>Objective: </strong>To describe the clinical characteristics and outcomes of patients affected by granulomatosis with polyangiitis (GPA) presenting with isolated ear involvement.</p><p><strong>Methods: </strong>A retrospective review of patients affected by GPA and treated at the University of Brescia, Italy, from 2002 to 2023 was conducted. Only patients with exclusive otologic manifestation as first presentation were included.</p><p><strong>Results: </strong>Among 610 patients with antineutrophil cytoplasmic antibody-associated vasculitis (AAV) diagnosed and followed at our Institution, 6 (0.8%) presented with exclusive ear involvement as first presentation, all affected by GPA. Most frequently patients presented with otitis media with effusion, sensorineural or mixed hearing loss, and dizziness. Two patients developed systemic symptoms. All patients experienced at least a partial recovery of middle ear function after starting immunosuppressive therapy.</p><p><strong>Conclusions: </strong>AAVs rarely show initial presentation as isolated ear involvement, and more commonly present as otitis media with hearing loss that is unresponsive to conventional therapy. Once an AAV is suspected, surgery should be avoided since further damage can be caused by local iatrogenic inflammation sustained by the underlying condition. Local improvement is generally seen after the start of immunosuppressive therapy.</p>","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 3","pages":"217-230"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12201922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advances in otosclerosis Introduction.","authors":"Stefano Berrettini","doi":"10.14639/0392-100X-suppl.1_3-45-2025-A1333","DOIUrl":"10.14639/0392-100X-suppl.1_3-45-2025-A1333","url":null,"abstract":"","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 Suppl. 1","pages":"S1"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advances in otosclerosis.","authors":"Stefano Berrettini","doi":"10.14639/0392-100X-suppl.1_3-45-2025","DOIUrl":"10.14639/0392-100X-suppl.1_3-45-2025","url":null,"abstract":"","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 Suppl. 1","pages":"S1-S70"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the genetic landscape of otosclerosis: current understanding and future perspectives.","authors":"Silvia Capobianco, Francesco Lazzerini, Luca Bruschini, Giacomo Fiacchini, Francesca Forli","doi":"10.14639/0392-100X-suppl.1_3-45-2025-A1334","DOIUrl":"10.14639/0392-100X-suppl.1_3-45-2025-A1334","url":null,"abstract":"","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 Suppl. 1","pages":"S2-S17"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anatomical basis of the elongated nasoseptal flap.","authors":"Tor Chiu","doi":"10.14639/0392-100X-N2159","DOIUrl":"10.14639/0392-100X-N2159","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to elucidate the anatomical factors influencing elongation of the pedicle of the nasoseptal flap (NSF).</p><p><strong>Methods: </strong>Dissections were conducted on tissue blocks taken from 61 embalmed half-heads. In the first group, 36 were microdissected to delineate the configuration of the third part of the maxillary artery (MA). In the second group, 25 other specimens were dissected using endoscopic instruments to determine the tethering points limiting the mobility of the NSF and to document the surgical manoeuvres required for release.</p><p><strong>Results: </strong>The MA is coiled in the pterygopalatine fossa (PPF) into a variety of configurations that can be classified into single-looped (SL) or double-looped (DL) forms depending on the number of vessel loops. Up to 4.7 ± 0.5 cm of NSF pedicle elongation is possible in the more common (80.8%) DL forms. Elongation is limited to 2.6 ± 0.5 cm in the SL form; greater palatine artery transection is more important to pedicle elongation in the SL form. Posterior branches such as the pharyngeal and vidian arteries may hinder pedicle elongation.</p><p><strong>Conclusions: </strong>The pedicle of the NSF may be elongated by up to 5 cm, greatly increasing its potential utility. The vessel length available for elongation is determined by the extent of MA looping, while the branch configuration, and particularly the origins of the posterior branches, determine how difficult the process will be.</p>","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 3","pages":"192-199"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12201921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical approaches to the management of the intrathoracic goiter - A systematic review.","authors":"Cesare Miani, Luca Giovanni Locatello, Nicole Caiazza, Anna Maria Bergamin-Bracale, Stefania Rigo, Maria Gabriella Rugiu, Andrea Zuin, Ricard Simo","doi":"10.14639/0392-100X-A743","DOIUrl":"10.14639/0392-100X-A743","url":null,"abstract":"<p><strong>Objective: </strong>Intrathoracic goiters (ITGs) pose numerous challenges to head and neck surgeons due to the intricate relationships with major vessels and other mediastinal structures. Surgical excision remains the mainstay of treatment and we herein present an update on this topic.</p><p><strong>Methods: </strong>A systematic review from 2017 to date was performed in the PubMed database and a total of 93 articles were identified and discussed, along with methodological issues and future directions in the research on ITGs.</p><p><strong>Results: </strong>Transcervical excision is the commonest approach for treating ITGs, yet the potential need for a transthoracic approach must be always kept in mind. An acceptable rate of postoperative complications is expected if surgeries are carried out by experienced and dedicated surgical teams.</p><p><strong>Conclusions: </strong>Surgical excision remains the principal treatment for ITGs and new less invasive techniques are being developed. Surgery for ITGs should be always carried out in specialist centres with experienced multidisciplinary teams.</p>","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 3","pages":"145-160"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12201918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implantable hearing aids in otosclerosis: indications, surgical applications, and cost-effectiveness.","authors":"Andrea De Vito, Luca Bruschini, Francesca Forli, Stefano Berrettini","doi":"10.14639/0392-100X-suppl.1_3-45-2025-A1340","DOIUrl":"10.14639/0392-100X-suppl.1_3-45-2025-A1340","url":null,"abstract":"","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 Suppl. 1","pages":"S49-S52"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}