Acta Otorhinolaryngologica Italica最新文献

{"title":"Practical recommendations for managing severe chronic rhinosinusitis with nasal polyps in the era of biologics.","authors":"Eugenio De Corso,&nbsp;Carlotta Pipolo,&nbsp;Elena Cantone,&nbsp;Giancarlo Ottaviano,&nbsp;Stefania Gallo,&nbsp;Matteo Trimarchi,&nbsp;Sara Torretta,&nbsp;Carlo Cavaliere,&nbsp;Daniela Lucidi,&nbsp;Veronica Seccia,&nbsp;Stefano Settimi,&nbsp;Frank Rikki Mauritz Canevari,&nbsp;Ernesto Pasquini,&nbsp;Ignazio La Mantia,&nbsp;Massimiliano Garzaro,&nbsp;Gianluca Bellocchi,&nbsp;Michele De Benedetto,&nbsp;Nicola Lombardo,&nbsp;Alberto Macchi,&nbsp;Luca Malvezzi,&nbsp;Gaetano Motta,&nbsp;Claudio Vicini,&nbsp;Alessandro Maselli,&nbsp;Valeria Dell'Era,&nbsp;Alberto Dragonetti,&nbsp;Francesco Asprea,&nbsp;Valentina Lupato,&nbsp;Angelo Ghidini,&nbsp;Simonetta Masieri,&nbsp;Davide Mattavelli,&nbsp;Francesco Antonio Salzano,&nbsp;Desiderio Passali,&nbsp;Jacopo Galli,&nbsp;Fabio Pagella","doi":"10.14639/0392-100X-N2422","DOIUrl":"10.14639/0392-100X-N2422","url":null,"abstract":"<p><strong>Objective: </strong>We conducted a national survey to understand how rhinology practice has changed with the advent of biologics and how this affected patients with uncontrolled, severe chronic rhinosinusitis with nasal polyps (CRSwNP). We aimed to analyse the results of the survey and infer practical recommendations for clinical practice.</p><p><strong>Methods: </strong>A group of ear, nose, and throat specialists (ENTs) experienced in the management of CRSwNP developed a 74-question survey. ENTs from rhinology centres authorised to prescribe biologics in the context of the national health system were invited to answer it between 01/05/2022 and 31/07/2022. The responses underwent descriptive analyses, and the authors discussed the results and derived practical recommendations for clinical practice.</p><p><strong>Results: </strong>ENTs working in rhinology centres changed their practices coinciding with the advent of biologics. CRSwNP evaluations have become more complex because they involve diagnostic confirmation, determining the patients' immunologic profile, and other factors. We observed heterogenous behaviours in practice that may be conditioned by the novelty of the topic. The results of the survey were used to develop practical recommendations for ENTs and are summarised herein.</p><p><strong>Conclusions: </strong>Clinical practice in rhinology outpatient clinics has changed profoundly in the era of biologics. Our practical recommendations for clinicians working in rhinology centres are expected to help standardise practice and improve care.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"324-340"},"PeriodicalIF":2.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a1/db/aoi-2023-05-324.PMC10551726.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9519009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity of Italian adaptation of the Vanderbilt Paediatric Dizziness Handicap Inventory.","authors":"Pasqualina Maria Picciotti,&nbsp;Giorgia Rossi,&nbsp;Stefano Settimi,&nbsp;Anna Rita Fetoni,&nbsp;Maria Coppola,&nbsp;Jacopo Galli","doi":"10.14639/0392-100X-N2552","DOIUrl":"10.14639/0392-100X-N2552","url":null,"abstract":"<p><strong>Objective: </strong>The paediatric caregiver version of the Dizziness Handicap Inventory (DHI-PC) questionnaire is a useful Quality of Life (QoL) evaluation instrument for children experiencing dizziness, vertigo or unsteadiness. Its English version has been validated for use with a paediatric population between 5 and 12 years of age. The aim of this work is to validate the DHI-PC into Italian for both patient assessment and appropriate rehabilitative treatment planning.</p><p><strong>Materials and methods: </strong>Cross-cultural adaptation of the DHI-PC was performed using standard techniques. Items of the original questionnaire were translated into Italian by two bilingual investigators. Two native English speakers carried out a back translation of the new version that was compared with the original to check that they had the same semantic value. A pre-final version was obtained by an expert committee and was applied in a pilot test.</p><p><strong>Results: </strong>A total of 42 patient caregivers completed the final adapted questionnaire twice with an interval of 2 weeks. Internal consistency was excellent, with Cronbach's alpha = 0.95.</p><p><strong>Conclusions: </strong>Our study showed evidence that the Italian version of DHI-PC is a valid and reliable tool to quantify the degree of dizziness handicap and its application is recommended.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"341-347"},"PeriodicalIF":2.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ac/57/aoi-2023-05-341.PMC10551725.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9897572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnetic field, nystagmus and serendipity.","authors":"Vincenzo Marcelli,&nbsp;Edoardo Marcelli","doi":"10.14639/0392-100X-N2485","DOIUrl":"10.14639/0392-100X-N2485","url":null,"abstract":"Campo magnetico, nistagmo e serendipità.","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"360-361"},"PeriodicalIF":2.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/5d/aoi-2023-05-360.PMC10551731.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9888762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adenosquamous cell carcinoma of the head and neck: a retrospective single institution series.","authors":"Gabriele Zigliani,&nbsp;Sara Migliorati,&nbsp;Elisa Marazzi,&nbsp;Mara Arcuri,&nbsp;Michele Tomasoni,&nbsp;Simonetta Battocchio,&nbsp;Alberto Paderno,&nbsp;Davide Lancini,&nbsp;Alberto Deganello,&nbsp;Cesare Piazza","doi":"10.14639/0392-100X-N2466","DOIUrl":"10.14639/0392-100X-N2466","url":null,"abstract":"<p><strong>Objectives: </strong>Head and neck adenosquamous cell carcinoma (HN-ASCC) is a rare, aggressive neoplasm, with limited data reported in the literature. The aim of this study was to assess tumour behaviour and prognostic factors impacting overall survival (OS) in a retrospective, single institution series.</p><p><strong>Methods: </strong>A retrospective study on patients affected by HN-ASCC who were treated surgically between 2002 and 2019 at the Department of Otorhinolaryngology - Head and Neck Surgery of the University of Brescia was conducted. Demographics, clinical data, OS, and relative prognostic factors were analysed.</p><p><strong>Results: </strong>The study included 32 patients, with a median age of 66 years, mostly males (84.4%) and untreated (68.8%). Adjuvant treatments followed surgery in 28.1% of patients. Compared to conventional SCC, ASCC showed a higher proportion of cases arising in the larynx (40.6%); no difference was found in other features. Advanced (pT3-4) local stage at presentation (p = 0.023), perineural invasion (PNI, p = 0.01), and positive margins (p = 0.007) were independent negative prognostic factors for OS.</p><p><strong>Conclusions: </strong>HN-ASCC is a rare, aggressive cancer, most frequently arising in the larynx of elderly males, usually diagnosed in an advanced local stage. OS is generally poor, affected by local advanced stage, PNI, and positive resection margins.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"310-316"},"PeriodicalIF":2.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/66/aoi-2023-05-310.PMC10551728.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9897567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence for the recognition of benign lesions of vocal folds from audio recordings.","authors":"Maria Raffaella Marchese,&nbsp;Federico Sensoli,&nbsp;Silvia Campagnini,&nbsp;Matteo Cianchetti,&nbsp;Andrea Nacci,&nbsp;Francesco Ursino,&nbsp;Lucia D'Alatri,&nbsp;Jacopo Galli,&nbsp;Maria Chiara Carrozza,&nbsp;Gaetano Paludetti,&nbsp;Andrea Mannini","doi":"10.14639/0392-100X-N2309","DOIUrl":"10.14639/0392-100X-N2309","url":null,"abstract":"<p><strong>Objective: </strong>The diagnosis of benign lesions of the vocal fold (BLVF) is still challenging. The analysis of the acoustic signals through the implementation of machine learning models can be a viable solution aimed at offering support for clinical diagnosis.</p><p><strong>Materials and methods: </strong>In this study, a support vector machine was trained and cross-validated (10-fold cross-validation) using 138 features extracted from the acoustic signals of 418 patients with polyps, nodules, oedema, and cysts. The model's performance was presented as accuracy and average F1-score. The results were also analysed in male (M) and female (F) subgroups.</p><p><strong>Results: </strong>The validation accuracy was 55%, 80%, and 54% on the overall cohort, and in M and F, respectively. Better performances were observed in the detection of cysts and nodules (58% and 62%, respectively) vs polyps and oedema (47% and 53%, respectively). The results on each lesion and the different patterns of the model on M and F are in line with clinical observations, obtaining better results on F and detection of sensitive polyps in M.</p><p><strong>Conclusions: </strong>This study showed moderately accurate detection of four types of BLVF using acoustic signals. The analysis of the diagnostic results on gender subgroups highlights different behaviours of the diagnostic model.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"317-323"},"PeriodicalIF":2.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/52/a6/aoi-2023-05-317.PMC10551729.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9897570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dental impression silicone putty in transoral laser laryngeal surgery: prevention of oral complications.","authors":"Niccolò Cerchiai,&nbsp;Valentina Mancini,&nbsp;Miriana Picariello,&nbsp;Giandomenico Maggiore,&nbsp;Luca Muscatello,&nbsp;Paolo Iannicelli,&nbsp;Gianluca Leopardi","doi":"10.14639/0392-100X-N2543","DOIUrl":"10.14639/0392-100X-N2543","url":null,"abstract":"<p><strong>Objective: </strong>To describe a new method to improve the exposure of the surgical field and to protect the oral cavity during transoral laser micro-surgery (TOLMS) of the larynx.</p><p><strong>Methods: </strong>Dental Impression Silicone Putty (DISP) was employed as an alternative to traditional mouthguards.</p><p><strong>Results: </strong>DISP mouthguards perfectly fit to each patient, reduce encumbrance in the mouth, and reduce pressure on the teeth; disadvantages are minimal.</p><p><strong>Conclusions: </strong>Although clinical studies are necessary to demonstrate the efficacy of the method in reducing the incidence of oral complications, DISP mouthguards represent a significant aid for laryngeal exposure.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"348-351"},"PeriodicalIF":2.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/96/f8/aoi-2023-05-348.PMC10551730.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9519010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The social problem of presbystasis and the role of vestibular rehabilitation in elderly patients: a review.","authors":"Roberto Teggi,&nbsp;Marco Familiari,&nbsp;Rosa Alessia Battista,&nbsp;Omar Gatti,&nbsp;Iacopo Cangiano,&nbsp;Mario Bussi,&nbsp;Luciano Bubbico","doi":"10.14639/0392-100X-N1908","DOIUrl":"https://doi.org/10.14639/0392-100X-N1908","url":null,"abstract":"SUMMARY The term “presbystasis” refers to a common clinical condition in the elderly, characterised by a multifactorial and progressive impairment of balance. The pathophysiology may be related to various concomitant factors including central nervous system diseases, peripheral neuropathy, osteoarticular disorders (leading to a reduction of the speed gait), and cardiovascular or visual disorders, but it may also be a consequence of deficits of the peripheral or central vestibular system (which is generally represented by a bilateral and symmetric vestibular dysfunction). Benign paroxysmal positional vertigo (BPPV) is far from being rare in subjects over the age of 70 years. Nowadays, presbystasis represents one of the main causes of accidental falls in the elderly, leading to a reduction in quality of life and life expectancy. The aim of our work was to review the current literature on presbystasis, focusing on the role of the vestibular system in the pathogenesis and on the possibilities offered by vestibular rehabilitation in the management of these subjects. Other clinical conditions related to the disorder are also discussed.","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"43 4","pages":"227-234"},"PeriodicalIF":2.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/28/aoi-2023-04-227.PMC10366565.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10274594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stapedoplasty without sedation in an office-based setting.","authors":"Giuseppe Malafronte,&nbsp;Barbara Filosa,&nbsp;Antonio Trusio,&nbsp;Generoso De Cristofaro,&nbsp;Vito Colacurcio,&nbsp;Pasquale Marra","doi":"10.14639/0392-100X-N2549","DOIUrl":"https://doi.org/10.14639/0392-100X-N2549","url":null,"abstract":"Stapedoplastica senza sedazione effettuata in regime ambulatoriale.","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"43 4","pages":"294-296"},"PeriodicalIF":2.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/ff/aoi-2023-04-294.PMC10366559.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9918892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Italian validation of the Hearing Handicap Inventory for Elderly - Screening version (HHIE-S-It).","authors":"Enrico Apa,&nbsp;Luca Sacchetto,&nbsp;Silvia Palma,&nbsp;Chiara Cocchi,&nbsp;Chiara Gherpelli,&nbsp;Elisabetta Genovese,&nbsp;Daniele Monzani,&nbsp;Riccardo Nocini","doi":"10.14639/0392-100X-N2297","DOIUrl":"https://doi.org/10.14639/0392-100X-N2297","url":null,"abstract":"<p><strong>Objective: </strong>Validate the Italian version of the Hearing Handicap Inventory for Elderly - Screening version (HHIE-S-It).</p><p><strong>Methods: </strong>After translation, psychometric properties and attributes were analysed by administering the HHIE-S-It to 167 elderly outpatients together with the Psychological General Well-Being Index (PGWBI).</p><p><strong>Results: </strong>The Cronbach's α coefficient was 0.908 for the total score, and 0.832 and 0.816 for its two subscales. Significant test-retest reliability was observed (p < 0.001). Moderate to high correlations were found between HHIE-S-It and pure tone average in the better ear (p < 0.001). The ANOVA test confirmed the significant difference in HHIE-S-It scores across groups according to the degree of hearing loss (p < 0.001). Only very low and low significant correlations were observed between HHIE-S-It and PGWBI. The criterion HHIE-S-It > 11 was observed as the best cut-off with highest sensitivity (86.4%), specificity (72.4%), positive predictive value (52.8%), negative predictive value (93.7%) and likelihood ratios (3.12 and 0.19).</p><p><strong>Conclusions: </strong>Since the HHIE-S-It presented acceptable psychometric properties, its adoption is justified for both clinical and research purposes. Acceptable diagnostic attributes allow its use as a screening tool for age-related hearing loss.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"43 4","pages":"262-272"},"PeriodicalIF":2.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/23/a4/aoi-2023-04-262.PMC10366563.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9973079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The usefulness of the O-MAR algorithm in MRI skull base assessment to manage cochlear implant-related artifacts.","authors":"Pietro Canzi,&nbsp;Elena Carlotto,&nbsp;Anna Simoncelli,&nbsp;Elvis Lafe,&nbsp;Andrea Scribante,&nbsp;Domenico Minervini,&nbsp;Matteo Nardo,&nbsp;Stefano Malpede,&nbsp;Luisa Chiapparini,&nbsp;Marco Benazzo","doi":"10.14639/0392-100X-N2434","DOIUrl":"https://doi.org/10.14639/0392-100X-N2434","url":null,"abstract":"<p><strong>Objective: </strong>To assess artifact size and MRI visibility when applying the \"Orthopedic-Metal Artifact Reduction\" (O-MAR) algorithm for cochlear implant (CI) scanning.</p><p><strong>Methods: </strong>Two volunteers were submitted to 1.5 T MRI with an Ultra 3D CI receiver stimulator placed on their head. Four angular CI orientations were adopted: 90, 120, 135 and 160 degrees. Volunteers were scanned in each condition using T1w and T2w TSE sequences, as well as O-MAR sequences, in both axial and coronal planes. Quantitative comparisons were made of signal void and penumbra extent. Additionally, qualitative evaluations of global image quality, MRI readability with respect to 12 anatomical structures and visibility through the penumbra were undertaken.</p><p><strong>Results: </strong>After application of the O-MAR protocol, the radius of the signal void reduced from 50.76 mm to 45.43 mm and from 49.22 mm to 40.15 mm on T1w and T2w TSE axial sequences, respectively (p < 0.05). Qualitatively, sequences acquired with O-MAR produced better outcomes in terms of image quality and anatomical depiction. Despite the area of the penumbra being increased for the O-MAR protocol, visibility through penumbra was improved.</p><p><strong>Conclusions: </strong>Application of O-MAR may provide a complementary strategy to those already in use to obtain diagnostically useful MRI examinations in the presence of a CI, especially in case of skull base diseases requiring MRI monitoring.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"43 4","pages":"273-282"},"PeriodicalIF":2.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5b/9d/aoi-2023-04-273.PMC10366562.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9918891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}