Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale最新文献_第4页

Risk of SARS-CoV-2 contagion in otolaryngology specialists. 耳鼻喉科专家感染SARS-CoV-2的风险

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Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2022-04-01 DOI: 10.14639/0392-100X-suppl.1-42-2022-06

Massimo Ralli, Andrea Colizza, Vittorio D'Aguanno, Alfonso Scarpa, Gennaro Russo, Paolo Petrone, Rosa Grassia, Pierre Guarino, Pasquale Capasso

{"title":"Risk of SARS-CoV-2 contagion in otolaryngology specialists.","authors":"Massimo Ralli, Andrea Colizza, Vittorio D'Aguanno, Alfonso Scarpa, Gennaro Russo, Paolo Petrone, Rosa Grassia, Pierre Guarino, Pasquale Capasso","doi":"10.14639/0392-100X-suppl.1-42-2022-06","DOIUrl":"https://doi.org/10.14639/0392-100X-suppl.1-42-2022-06","url":null,"abstract":"SUMMARY COVID-19 has rapidly spread in the past two years with a profound impact on otolaryngological activities, which has undergone radical transformation to guarantee diagnostic and therapeutic procedures mainly in oncology and urgent patients, while ensuring protection for healthcare personnel and patients. During the initial phases of the pandemic, scheduled visits and elective surgeries were postponed leading to a delay in the diagnosis and treatment of several diseases, including head and neck cancer, with a shift toward more advanced cancer stages and more aggressive treatments. Aerosol and droplets are the main routes of transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), thus leading to a high risk of contagion during otolaryngology visits and surgery. Therefore, the correct use of personal protective equipment (PPE) and attention to procedure-specific risks and measures to avoid contagion are of utmost importance for healthcare professionals, and especially for those dealing with otolaryngology diseases. This narrative review highlights that otolaryngological activity implies a high risk of contagion during outpatient visit, surgery, or urgent conditions. The correct use of PPE, evaluation of procedure-specific risks and reduction of non-urgent procedures are considered the main strategies to limit contagion.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":" ","pages":"S58-S67"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/7e/aoi-2022-02-S58.PMC9137374.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40403598","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}

引用次数: 0

Sclerotherapy with polidocanol microfoam in head and neck venous and lymphatic malformations. 聚多坎醇微泡沫硬化治疗头颈部静脉和淋巴畸形。

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Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2022-04-01 Epub Date: 2021-07-23 DOI: 10.14639/0392-100X-N1310

Eugenio De Corso, Alessandro Cina, Giampiero Salonna, Giovanni Di Cintio, Simona Gaudino, Marco Panfili, Cesare Colosimo, Gaetano Paludetti

{"title":"Sclerotherapy with polidocanol microfoam in head and neck venous and lymphatic malformations.","authors":"Eugenio De Corso, Alessandro Cina, Giampiero Salonna, Giovanni Di Cintio, Simona Gaudino, Marco Panfili, Cesare Colosimo, Gaetano Paludetti","doi":"10.14639/0392-100X-N1310","DOIUrl":"https://doi.org/10.14639/0392-100X-N1310","url":null,"abstract":"Objective: Polidocanol sclerotherapy of head and neck venous malformations (VMs) and lymphatic malformations (LMs) has been reported only in limited series. In this manuscript we evaluated the efficacy and safety of polidocanol sclerotherapy in a series of head and neck venous and lymphatic malformations.Methods: This retrospective observational study analysed data on 20 head and neck VMs and LMs that underwent to percutaneous or endoscopic intra-lesional 3% polidocanol microfoam sclerotherapy at our institution. Clinical response was ranked as excellent, moderate and poor based on volume reduction by MRI and resolution of symptoms.Results: The median volume decreased from 19.3 mL to 5.8 mL after sclerotherapy (mean volume reduction: 72.98 ± 16.1%). An excellent-moderate response was observed in 94.4% of cases. We observed a mean volume reduction of 79.5 ± 16.1 in macrocystic LMs, of 76.1 ± 13.0% in VMs, of 60.5 ± 10.9% in mixed lymphatic ones and 42.5% in microcystic lymphatic ones.Conclusions: Polidocanol sclerotherapy appears to be an effective and safe treatment for venous and lymphatic head and neck malformations. We observed the best responses in macrocystic LMs and VMs, whereas mixed lymphatic ones showed a moderate response and microcystic lymphatic ones a poor response.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":" ","pages":"116-125"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8b/d1/aoi-2022-02-116.PMC9131995.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39212171","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}

引用次数: 1

New endemic and pandemic pathologies with interhuman airborne transmission through ear, nose and throat anatomical sites. 通过耳、鼻、喉解剖部位进行人际空气传播的新型地方性和大流行病状。

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Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2022-04-01 DOI: 10.14639/0392-100X-suppl.1-42-2022-01

Francesco Di Gennaro, Nicola Petrosillo

{"title":"New endemic and pandemic pathologies with interhuman airborne transmission through ear, nose and throat anatomical sites.","authors":"Francesco Di Gennaro, Nicola Petrosillo","doi":"10.14639/0392-100X-suppl.1-42-2022-01","DOIUrl":"https://doi.org/10.14639/0392-100X-suppl.1-42-2022-01","url":null,"abstract":"SUMMARY The current severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has once again stigmatised the importance of airborne pathogens and their clinical, social and public health impact. Respiratory viruses are transmitted between individuals when the pathogen is released from the upper airways or from the lower respiratory tract of an infected individual. Airborne transmission is defined as the inhalation of the infectious aerosol, named droplet nuclei which size is smaller than 5 mm and that can be inhaled at a distance up to 2 metres. This route of transmission is relevant for viral respiratory pathogens, including severe acute respiratory syndrome coronavirus (SARS-CoV), Middle East respiratory syndrome (MERS)-CoV, influenza virus, human rhinovirus, respiratory syncytial virus (RSV) and other respiratory virus families that differ in viral and genomic structures, susceptibility of a population to the infection, severity, transmissibility, ways of transmission and seasonal recurrence. Human respiratory viruses generally infect cells of the upper respiratory tract, eliciting respiratory signs and symptoms, sometimes without the possibility to differentiate them clinically. As seen by the current Coronavirus Disease 2019 (COVID-19) pandemic, human respiratory viruses can substantially contribute to increased morbidity and mortality, economic losses and, eventually, social disruption. In this article, we describe the structural, clinical and transmission aspects of the main respiratory viruses responsible for endemic, epidemic and pandemic infections.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":" ","pages":"S5-S13"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/73/6a/aoi-2022-02-S5.PMC9137375.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40403594","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}

引用次数: 6

Results from psychophysical tests of smell and taste during the course of SARS-CoV-2 infection: a review. SARS-CoV-2感染过程中嗅觉和味觉心理物理测试结果综述

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Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2022-04-01 DOI: 10.14639/0392-100X-suppl.1-42-2022-03

Eleonora M C Trecca, Michele Cassano, Francesco Longo, Paolo Petrone, Cesare Miani, Thomas Hummel, Matteo Gelardi

{"title":"Results from psychophysical tests of smell and taste during the course of SARS-CoV-2 infection: a review.","authors":"Eleonora M C Trecca, Michele Cassano, Francesco Longo, Paolo Petrone, Cesare Miani, Thomas Hummel, Matteo Gelardi","doi":"10.14639/0392-100X-suppl.1-42-2022-03","DOIUrl":"https://doi.org/10.14639/0392-100X-suppl.1-42-2022-03","url":null,"abstract":"SUMMARY Only a few studies have assessed smell and taste in Coronavirus Disease 2019 (COVID-19) patients with psychophysical tests, while the majority performed self-rating evaluations. Given the heterogeneity of the published literature, the aim of this review was to systematically analyse the articles on this topic with a focus on psychophysical testing. A search on PubMed and Web of Science from December 2019, to November 2021, with cross-references, was executed. The main eligibility criteria were English-language articles, investigating the clinical features of olfaction and gustation in COVID-19 patients using self-rating assessment, psychophysical testing and imaging techniques. A total of 638 articles were identified and 66 were included. Self-rating assessment was performed in 31 studies, while psychophysical testing in 30 and imaging techniques in 5. The prevalence of chemosensory dysfunction was the most investigated topic, followed by the recovery time. About the psychophysical assessment, the extended version of the Sniffin’ Sticks was used in 11 articles and the Connecticut Chemosensory Clinical Research Center test in another 11. The olfactory threshold performance was the most impacted compared to the discrimination and identification capacities in accordance with the hypothesis of a tropism of SARS-CoV-2 for the olfactory mucosa. The timing significantly influenced the results of the psychophysical testing with 20% of patients presenting olfactory dysfunction at one month after infection.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":" ","pages":"S20-S35"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ac/f0/aoi-2022-02-S20.PMC9137382.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40403597","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}

引用次数: 6

Clinical signs, telemedicine and online consultations in head and neck diseases during the SARS CoV-2 pandemic: an Italian experience. SARS - CoV-2大流行期间头颈部疾病的临床症状、远程医疗和在线咨询:意大利经验

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Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2022-04-01 DOI: 10.14639/0392-100X-suppl.1-42-2022-04

Massimo Robiony, Salvatore Sembronio, Alessandro Tel, Elisabetta Ocello, Jamile Karina Antonio, Marilena Graziadio, Cesare Miani

{"title":"Clinical signs, telemedicine and online consultations in head and neck diseases during the SARS CoV-2 pandemic: an Italian experience.","authors":"Massimo Robiony, Salvatore Sembronio, Alessandro Tel, Elisabetta Ocello, Jamile Karina Antonio, Marilena Graziadio, Cesare Miani","doi":"10.14639/0392-100X-suppl.1-42-2022-04","DOIUrl":"https://doi.org/10.14639/0392-100X-suppl.1-42-2022-04","url":null,"abstract":"Objective: The aim of this paper is to describe the application of a telemedicine (TM) synchronous model designed to deliver care during the Coronavirus Disease 2019 (COVID-19) pandemic to patients with head and neck disease.Methods: The first step was to identify the classes of patients eligible for tele-examination. Mild, flu-like symptomatology represents the characteristics of the typical patient who is a candidate for tele-examination. The standard requirements for TM include a computer associated with a digital camera, alternatively a smartphone or tablet. The TM platform is based on the Lifesize™ software, which can be freely downloaded.Results: The overall number of teleconsultations was 178, of which 163 (91.5%) were managed at home, while 15 (8.5%) were invited for in-presence examination. The number of patients coming from general practitioners was 98 (55.1%), from spoke units 52 (29.2%), patients needing prompt stabilisation and transfer to the hub centre were 20 (11.2%,) while 8 (4.5%) were immediately fast-tracked in the spoke unit after multi-professional tele-consultation.Conclusions: Telemedicine improves organisational models, and provides a scalable solution to overcome problems of overcrowding, resources and time. Should these developments continue, we could face to a gradual transition to a more digital and efficient healthcare system.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":" ","pages":"S36-S45"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/ba/aoi-2022-02-S36.PMC9137386.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40403596","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}

引用次数: 0

ENT symptoms in acute COVID-19: a narrative review. 急性COVID-19耳鼻喉科症状:叙述性回顾

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Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2022-04-01 DOI: 10.14639/0392-100X-suppl.1-42-2022-02

Giancarlo Tirelli, Paolo Boscolo-Rizzo

{"title":"ENT symptoms in acute COVID-19: a narrative review.","authors":"Giancarlo Tirelli, Paolo Boscolo-Rizzo","doi":"10.14639/0392-100X-suppl.1-42-2022-02","DOIUrl":"https://doi.org/10.14639/0392-100X-suppl.1-42-2022-02","url":null,"abstract":"SUMMARY Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is characterised by a wide spectrum of disease severity ranging from asymptomatic or oligosymptomatic cases to severe and life-threatening forms. As this new coronavirus is a respiratory virus, it is not surprising that many symptoms caused by SARS-CoV-2 infection are related to the involvement of the upper respiratory tract. In addition the most pathognomonic of symptoms, i.e. the alteration of smell, nasal obstruction, sore throat and cough have been consistently described as early symptoms of the disease. However, for other ENT symptoms, such as oral lesions and audio-vestibular changes, a causal relation is far from proven. The rapid and extensive spread of COVID-19 makes it difficult to demonstrate a causative link between several ENT symptoms and SARS-CoV-2 infection and it is reasonable to assume that at least in some cases this link is actually coincidental in some cases. Moreover, following the phenomenon of the race to publish, there has been an uncontrolled release of poor-quality articles showing the most disparate associations mainly based on a temporal association between SARS-CoV-2 infection and symptoms of various types including those of the ENT area. In this narrative review of the literature, we will critically describe the ENT symptoms of COVID-19.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":" ","pages":"S14-S19"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3d/f8/aoi-2022-02-S14.PMC9137377.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40403595","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}

引用次数: 0

The role of tracheotomy in patients with moderate to severe impairment of the lower airways. 气管切开术在中重度下气道损伤患者中的作用。

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Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2022-04-01 DOI: 10.14639/0392-100X-suppl.1-42-2022-08

Cecilia Botti, Marcella Menichetti, Caterina Marchese, Carmine Pernice, Davide Giordano, Daniele Perano, Paolo Russo, Angelo Ghidini

{"title":"The role of tracheotomy in patients with moderate to severe impairment of the lower airways.","authors":"Cecilia Botti, Marcella Menichetti, Caterina Marchese, Carmine Pernice, Davide Giordano, Daniele Perano, Paolo Russo, Angelo Ghidini","doi":"10.14639/0392-100X-suppl.1-42-2022-08","DOIUrl":"https://doi.org/10.14639/0392-100X-suppl.1-42-2022-08","url":null,"abstract":"SUMMARY Patients affected by severe acute respiratory distress syndrome due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have a high likelihood of needing prolonged intubation. As observed worldwide during the Coronavirus Disease 2019 (COVID-19) pandemic, the need for tracheotomy in patients with prolonged respiratory failure has dramatically increased. Tracheotomy in these patients offers several advantages over prolonged translaryngeal intubation: improved patient comfort may allow a reduction in intravenous administration of analgesics, sedatives and muscle relaxant drugs, enhance mobility with particular regard to respiratory muscles, and patients may achieve autonomy earlier. However, there is still debate about the optimal timing and surgical technique of tracheotomy. Similarly, debate is still open regarding the relative merits of open surgical tracheotomy (ST) versus percutaneous dilatational techniques (PDT). In general, PDT is commonly used in elective tracheotomy in adult patients in intensive care units; ST may be preferred depending upon the practitioner’s experience and patient’s characteristics. Correct timing of tracheotomy should be individualised and the indication for tracheotomy should balance the problems related to prolonged intubation and the risk of early or late complications related to the surgical procedure.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":" ","pages":"S73-S78"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1a/29/aoi-2022-02-S73.PMC9137380.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40403600","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}

引用次数: 0

Long COVID, audiovestibular symptoms and persistent chemosensory dysfunction: a systematic review of the current evidence. 长冠状病毒、听庭症状和持续化学感觉功能障碍:对现有证据的系统回顾

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Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2022-04-01 DOI: 10.14639/0392-100X-suppl.1-42-2022-10

Pietro De Luca, Arianna Di Stadio, Vito Colacurcio, Pasquale Marra, Alfonso Scarpa, Filippo Ricciardiello, Claudia Cassandro, Angelo Camaioni, Ettore Cassandro

{"title":"Long COVID, audiovestibular symptoms and persistent chemosensory dysfunction: a systematic review of the current evidence.","authors":"Pietro De Luca, Arianna Di Stadio, Vito Colacurcio, Pasquale Marra, Alfonso Scarpa, Filippo Ricciardiello, Claudia Cassandro, Angelo Camaioni, Ettore Cassandro","doi":"10.14639/0392-100X-suppl.1-42-2022-10","DOIUrl":"https://doi.org/10.14639/0392-100X-suppl.1-42-2022-10","url":null,"abstract":"Objective: The persistence of auditory, vestibular, olfactory, and gustatory dysfunction for an extended time after COVID-19 has been documented, which represents an emerging challenge of which ENT specialists must be aware. This systematic review aims to evaluate the prevalence of persistent audiovestibolar and olfactory/gustatory symptoms in patients with \"long-COVID\".Methods: The literature was systematically reviewed according to PRISMA guidelines; PubMed, Scopus and Google Scholar were screened by searching articles on audiovestibular symptoms and olfactory/gustatory dysfunction after SARS-CoV-2 infection. The keywords used were hearing loss, tinnitus, vertigo, smell disorders, parosmia, anosmia, hyposmia, dysgeusia combined with COVID-19 or SARS-CoV-2.Results: 1100 articles were identified. After removal of duplicates (382), 702 articles were excluded, and 16 were included in the systematic review. All articles included identified an association between SARS-CoV-2 infection and persistent hearing or chemosensory impairment. The studies were published over a period of 2 years, between 2019 and 2021.Conclusions: The likelihood of patients with persistent audiovestibular symptoms related to COVID-19 was different among the articles; however, olfactory and gustatory disturbances were more consistently reported. Studies with longer follow-up are required to fully evaluate the long-term impact of these conditions.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":" ","pages":"S87-S93"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e0/95/aoi-2022-02-S87.PMC9137376.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40402271","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}

引用次数: 10

Fragility and contagiousness of the total laryngectomy patient in the COVID-19 pandemic. COVID-19大流行中全喉切除术患者的脆弱性和传染性

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Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2022-04-01 DOI: 10.14639/0392-100X-suppl.1-42-2022-07

Andy Bertolin, Marco Lionello, Valentina de Robertis, Francesco Barbara, Francesco Cariti, Michele Barbara

{"title":"Fragility and contagiousness of the total laryngectomy patient in the COVID-19 pandemic.","authors":"Andy Bertolin, Marco Lionello, Valentina de Robertis, Francesco Barbara, Francesco Cariti, Michele Barbara","doi":"10.14639/0392-100X-suppl.1-42-2022-07","DOIUrl":"https://doi.org/10.14639/0392-100X-suppl.1-42-2022-07","url":null,"abstract":"Objective: The Coronavirus disease 2019 (COVID-19) pandemic has posed significant problems for patients who have undergone total laryngectomy (TL). The lack of specific guidelines and paucity of information available to the public on this topic has clearly emerged during the ongoing pandemic. The aim of the present study is to investigate our personal experience in managing the stoma in TL patients during the COVID-19 pandemic.Methods: A questionnaire was administered by phone to laryngectomised patients who had previously been seen at the outpatient otolaryngology clinics of Vittorio Veneto and Barletta Hospitals from January to December 2020.Results: A total of 92 patients were included. Twenty-five patients (27%) had been tested for SARS-CoV-2. Among these, 19 (76%) had been investigated with a nasal swab, 5 (20%) with a tracheal swab and 1 with a serological assay. Five patients were positive for SARS-CoV-2 (in 4 cases as a result of the nasal swab, in one case with the bronchial aspirate). Eighty-four patients (91%) used a heat moisture exchanger over the stoma every day, but 6 patients (6.5%) were unaware of the importance of protecting the stoma.Conclusions: We conclude that TL patients should always be adequately informed by healthcare staff about how to manage their stoma. Specific guidelines are needed for testing TL patients for SARS-CoV-2.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":" ","pages":"S68-S72"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/7b/aoi-2022-02-S68.PMC9137379.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40403599","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}

引用次数: 1

Sphenoidotomy kinetics in patients with chronic rhinosinusitis without nasal polyps. 无鼻息肉的慢性鼻窦炎患者的蝶窦切开术动力学。

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Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2022-02-01 Epub Date: 2022-02-07 DOI: 10.14639/0392-100X-N1545

Panagiotis D Pyriochos, Konstantinos Markou, Jannis Constantinidis, Iordanis Konstantinidis

{"title":"Sphenoidotomy kinetics in patients with chronic rhinosinusitis without nasal polyps.","authors":"Panagiotis D Pyriochos, Konstantinos Markou, Jannis Constantinidis, Iordanis Konstantinidis","doi":"10.14639/0392-100X-N1545","DOIUrl":"https://doi.org/10.14639/0392-100X-N1545","url":null,"abstract":"Objective: Stenosed sphenoid sinus ostia are among the most common findings in revision endoscopic sinus surgery. This study sought to identify the optimal intraoperative sphenoidotomy size for prevention of postoperative stenosis.Methods: 32 patients affected by chronic rhinosinusitis not associated with nasal polyps (CRSsNP) underwent 52 sphenoidotomies. Sphenoidotomy size was assessed using a ruler intraoperatively and at the first, third and sixth months postoperatively. Ostia sizes, SNOT-22 questionnaire findings, episodes of recurrent sinusitis and need for revision surgery were recorded.Results: All sphenoidotomies exhibited a significant size reduction (mean 43.4 ± 6.8%) at the first month postoperatively, with a tendency to enlarge at 3 months and stabilise at 6 months. Ostia larger than 61.3 mm2 did not exhibit stenoses postoperatively. Stenosis was observed in 11 sphenoidotomies (21.2%); however, only five presented with recurrent symptoms (9.6%), while three required revision sphenoid surgery (5.8%).Conclusions: Sphenoidotomy size significantly reduced during the first postoperative month and then stabilised. A baseline sphenoidotomy size of 61.3 mm2 at the time of the operation seemed sufficient to prevent ostium stenosis. Half of stenosed ostia presented with recurrent symptoms.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":" ","pages":"55-62"},"PeriodicalIF":2.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/79/aoi-2022-01-55.PMC9058937.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39599560","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}

引用次数: 1