Acta Otorhinolaryngologica Italica最新文献

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Comment to the article "Mandibular reconstruction using a new design for a patient-specific plate to support a fibular free flap and avoid the double-barrel technique" by Tarsitano et al., 2021. 对 Tarsitano 等人撰写的文章 "使用新设计的患者专用板支持腓骨游离瓣并避免双管技术的下颌骨重建 "发表评论,2021 年。
IF 2 4区 医学
Acta Otorhinolaryngologica Italica Pub Date : 2024-04-01 Epub Date: 2024-02-29 DOI: 10.14639/0392-100X-N2638
James Pallot, Alex Goodson, Peter Evans, Madhav Kittur
{"title":"Comment to the article \"Mandibular reconstruction using a new design for a patient-specific plate to support a fibular free flap and avoid the double-barrel technique\" by Tarsitano et al., 2021.","authors":"James Pallot, Alex Goodson, Peter Evans, Madhav Kittur","doi":"10.14639/0392-100X-N2638","DOIUrl":"10.14639/0392-100X-N2638","url":null,"abstract":"","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"138-139"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989030","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}
引用次数: 0
Global research on sinonasal inverted papilloma over the past two decades: a bibliometric analysis. 过去二十年全球对鼻窦倒置乳头状瘤的研究:文献计量分析。
IF 2 4区 医学
Acta Otorhinolaryngologica Italica Pub Date : 2024-04-01 Epub Date: 2023-12-29 DOI: 10.14639/0392-100X-N2522
Dachuan Fan, Yongjun Zhu, Jianming Yang, Jinxiao Hou
{"title":"Global research on sinonasal inverted papilloma over the past two decades: a bibliometric analysis.","authors":"Dachuan Fan, Yongjun Zhu, Jianming Yang, Jinxiao Hou","doi":"10.14639/0392-100X-N2522","DOIUrl":"10.14639/0392-100X-N2522","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the global research status, hot topics, and prospects in the field of sinonasal inverted papilloma (SNIP) through bibliometric analysis.</p><p><strong>Methods: </strong>The literature on SNIP was retrieved and downloaded from the Web of Science Core Collection from 2002 to 2021. The bibliometric and visualisation networks of SNIP were constructed using VOSviewer 1.6.18, CiteSpace 6.1. R2, and a bibliometric online analysis platform.</p><p><strong>Results: </strong>A total of 560 original articles about SNIP research were included, involving 2,457 authors from 610 institutions in 45 countries. The number of SNIP publications showed an overall rising trend, with an average annual output of 28 articles and almost 3 times as many articles published in 2020 as in 2002. The analysis of keyword burst detection indicated that EGFR mutation, malignant transformation and infection are emerging research hotspots. Moreover, EGFR mutation, KRAS mutation, malignant tumour, metallothionein 2a gene, pre-operative diagnosis, HPV-negative tumour, and expression were among the 11 key clusters of co-cited references.</p><p><strong>Conclusions: </strong>This study provided a comprehensive, systematic, and objective analysis and visualised knowledge map of SNIP over the past 2 decades. In particular, current hotspots and prospective trends in the field of SNIP have been identified. These results highlight the future direction of SNIP research for rhinologists.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"83-90"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073039","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}
引用次数: 0
Effect of stapes demineralisation on the development of cochlear otosclerosis. 镫骨脱矿对耳蜗耳硬化症发展的影响
IF 2 4区 医学
Acta Otorhinolaryngologica Italica Pub Date : 2024-04-01 Epub Date: 2024-02-29 DOI: 10.14639/0392-100X-N2389
Maciej Wiatr, Robert Bartoszewicz, Kazimierz Niemczyk, Agnieszka Wiatr
{"title":"Effect of stapes demineralisation on the development of cochlear otosclerosis.","authors":"Maciej Wiatr, Robert Bartoszewicz, Kazimierz Niemczyk, Agnieszka Wiatr","doi":"10.14639/0392-100X-N2389","DOIUrl":"10.14639/0392-100X-N2389","url":null,"abstract":"<p><strong>Objective: </strong>The involvement of the inner ear in otosclerosis may lead to the development of cochlear otosclerosis. The aim of this study was to analyse changes in the chemical composition and microstructure of the stapes in the course of otosclerosis compared to healthy stapes.</p><p><strong>Materials and methods: </strong>This analysis included 31 patients with otosclerosis and 9 patients without otosclerosis. Microanalytical and diffraction techniques were used to assess the elemental distribution and orientation topography of the stapes.</p><p><strong>Results: </strong>The concentration of Ca<sup>2+</sup> in the study group was significantly lower in the area of the anterior crus of the stapes than in the posterior crus. A reduction in the Ca<sup>2+</sup>/P<sup>3+</sup> ratio in the anterior crus was associated with deteriorated bone conduction and tinnitus. Degradation of the stapes microstructure in the area of otosclerotic lesions was observed with scanning electron microscopy.</p><p><strong>Conclusions: </strong>Bone remodelling is most significant at the closest location to typical otosclerotic lesions with hydroxyapatite porosity and scale-like bone formation according to scanning electron microscopy. There is a relationship between the disturbance of calcium metabolism and the development of clinical symptoms of cochlear otosclerosis.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"120-127"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989031","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}
引用次数: 0
Retrospective comparison of first-line treatments for odontogenic sinusitis based on duration of symptoms. 基于症状持续时间的牙源性鼻窦炎一线治疗方法的回顾性比较。
IF 2 4区 医学
Acta Otorhinolaryngologica Italica Pub Date : 2024-04-01 Epub Date: 2024-02-29 DOI: 10.14639/0392-100X-N2648
Kyung Won Kwon, Jang Wook Gwak, Yoo-Sam Chung
{"title":"Retrospective comparison of first-line treatments for odontogenic sinusitis based on duration of symptoms.","authors":"Kyung Won Kwon, Jang Wook Gwak, Yoo-Sam Chung","doi":"10.14639/0392-100X-N2648","DOIUrl":"10.14639/0392-100X-N2648","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the clinical efficacy of dental treatment and endoscopic sinus surgery (ESS), each primary/combined treatment modality, in patients with odontogenic sinusitis (ODS), according to its phase, acute or chronic.</p><p><strong>Materials and methods: </strong>We retrospectively reviewed clinical data on 172 patients diagnosed with ODS. They were divided into two groups: acute (≤ 3 months; 90 patients) and chronic (> 3 months; 82 patients) ODS. The success rate and time to resolution of each primary/combined treatment modality were compared between the two groups.</p><p><strong>Results: </strong>In both ODS groups, the success rate was highest with combined ESS and dental therapy, followed by ESS alone and dental therapy alone. ESS outperformed dental therapy (96.6% <i>vs</i> 65.5% for acute ODS, p = 0.011; 80.6% <i>vs</i> 56.5% for chronic ODS, p = 0.046) and led to quicker resolution of symptoms for acute ODS than dental therapy (0.9 <i>vs</i> 1.7 months, p = 0.012). In the comparison between ESS alone and combined therapy, no significant difference was observed for acute ODS, whereas combined therapy demonstrated a superior success rate for chronic ODS (100% <i>vs</i> 80.6%, p = 0.046).</p><p><strong>Conclusions: </strong>In our study, the clinical utility of dental treatment and/or ESS depended on the morbidity period of ODS. For chronic ODS, combined ESS and dental treatment seems to be an effective first-line treatment.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"91-99"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989032","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}
引用次数: 0
Measuring financial toxicity in head and neck cancer: a systematic review. 衡量头颈部癌症的经济毒性:系统综述。
IF 2 4区 医学
Acta Otorhinolaryngologica Italica Pub Date : 2024-02-01 DOI: 10.14639/0392-100X-N2762
Elisa Raggini, Davide Mattavelli, Gabriele Zigliani, Paolo Bossi, Cesare Piazza
{"title":"Measuring financial toxicity in head and neck cancer: a systematic review.","authors":"Elisa Raggini, Davide Mattavelli, Gabriele Zigliani, Paolo Bossi, Cesare Piazza","doi":"10.14639/0392-100X-N2762","DOIUrl":"10.14639/0392-100X-N2762","url":null,"abstract":"<p><strong>Objective: </strong>The current study systematically reviews the literature about financial toxicity (FT) in head and neck cancer patients. Three databases were reviewed: PubMed, Scopus and Web of Science.</p><p><strong>Methods: </strong>Full text English papers published from 2000 to 2022 reporting on quantitative results about FT in head and neck cancer survivors collected through structured questionnaires or interviews were included.</p><p><strong>Results: </strong>Twenty-seven articles were included. Most of the articles were published after 2015 and from United States. There was a slight prevalence of papers dealing with oropharyngeal cancer, squamous-cell carcinoma and locally advanced head and neck cancer. Measures of FT were obtained through validated questionnaires like COST, FIT and FDQ. Collected data were mostly referrable to financial spending, financial resources, psychosocial aspect, support seeking, coping care and coping lifestyle subdomain. FT scores by COST were found to be worse in the COVID era. Financial counseling and adequate information about the costs of treatment were two effective strategies to mitigate FT.</p><p><strong>Conclusions: </strong>FT is a relatively new challenge in head and neck cancer treatment, whose expenses are higher than therapies for other cancers. A universal method to assess FT and a unified guideline for the administration of questionnaires are needed to mitigate FT and to improve patient outcomes.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"44 1","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989036","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}
引用次数: 0
Is there a role for voice therapy in the treatment of laryngopharyngeal reflux? A pilot study. 嗓音疗法在治疗喉咽反流中发挥作用吗?一项试点研究。
IF 2 4区 医学
Acta Otorhinolaryngologica Italica Pub Date : 2024-02-01 DOI: 10.14639/0392-100X-N2742
Maria Rosaria Barillari, Andrea Nacci, Luca Bastiani, Giuseppina Mirra, Giuseppe Costa, Antonino Maniaci, Ludovico Docimo, Salvatore Tolone, Federica Giumello, Fabrizio Minichilli, Carlos M Chiesa Estomba, Jerome R Lechien, Thomas L Carroll
{"title":"Is there a role for voice therapy in the treatment of laryngopharyngeal reflux? A pilot study.","authors":"Maria Rosaria Barillari, Andrea Nacci, Luca Bastiani, Giuseppina Mirra, Giuseppe Costa, Antonino Maniaci, Ludovico Docimo, Salvatore Tolone, Federica Giumello, Fabrizio Minichilli, Carlos M Chiesa Estomba, Jerome R Lechien, Thomas L Carroll","doi":"10.14639/0392-100X-N2742","DOIUrl":"10.14639/0392-100X-N2742","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to compare the efficacy of voice therapy combined with standard anti-reflux therapy in reducing symptoms and signs of laryngopharyngeal reflux (LPR).</p><p><strong>Methods: </strong>A randomised clinical trial was conducted. Fifty-two patients with LPR diagnosed by 24 h multichannel intraluminal impedance-pH monitoring were randomly allocated in two groups: medical treatment (MT) and medical plus voice therapy (VT). Clinical symptoms and laryngeal signs were assessed at baseline and after 3 months of treatment with the Reflux Symptom Index (RSI), Reflux Finding Score (RFS), Voice Handicap Index (VHI) and GRBAS scales.</p><p><strong>Results: </strong>Groups had similar scores at baseline. At 3-month follow-up, a significant decrease in RSI and RFS total scores were found in both groups although it appeared to be more robust in the VT group. G and R scores of the GRBAS scale significantly improved after treatment in both groups, with better results in the VT group. The VHI total score at 3 months improved more in the VT group (VHI delta 9.54) than in the MT group (VHI delta 5.38) (p < 0.001).</p><p><strong>Conclusions: </strong>The addition of voice therapy to medications and diet appears to be more effective in improving treatment outcomes in subjects with LPR. Voice therapy warrants consideration in addition to medication and diet when treating patients with LPR.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"44 1","pages":"27-35"},"PeriodicalIF":2.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989034","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}
引用次数: 0
Extended cervical approach for retrosternal multinodular goiter. 胸骨后多结节性甲状腺肿的颈部延伸入路。
IF 2 4区 医学
Acta Otorhinolaryngologica Italica Pub Date : 2024-02-01 DOI: 10.14639/0392-100X-N2746
Nir Tsur, Lirit Levi, Omry Frig, Noam Koch, Yossi Eshel, Gideon Bachar, Thomas Shpitzer, Moshe Yehuda, Yuri Pescovitz, Ory Wiesel, Dean Dudkiewicz, Aviram Mizrachi
{"title":"Extended cervical approach for retrosternal multinodular goiter.","authors":"Nir Tsur, Lirit Levi, Omry Frig, Noam Koch, Yossi Eshel, Gideon Bachar, Thomas Shpitzer, Moshe Yehuda, Yuri Pescovitz, Ory Wiesel, Dean Dudkiewicz, Aviram Mizrachi","doi":"10.14639/0392-100X-N2746","DOIUrl":"10.14639/0392-100X-N2746","url":null,"abstract":"<p><strong>Objective: </strong>Partial or total sternotomy is required for 10% of retrosternal goiter. This study reviewed our experience with an extended cervicotomic approach as an alternative surgical solution for retrosternal goiter.</p><p><strong>Methods: </strong>A retrospective study was performed on patients who underwent partial or total thyroidectomy for retrosternal goiter between 2014 and 2019 at a tertiary medical centre. Data on clinical, radiologic, and pathologic factors were analysed. Peri- and postoperative outcomes were compared between extended and standard cervical approaches to predict the need for an extended cervical approach.</p><p><strong>Results: </strong>The cohort included 265 patients, of whom 245 (92.4%) were treated by standard thyroidectomy. In 17 (6.4%), the standard approach proved insufficient, and the horizontal incision was extended to a T-shape to improve access. The remaining 3 patients required a sternotomy. Use of the extended cervical approach was significantly associated with clinical features such as male gender, diabetes, high body mass index and postoperative hypocalcaemia.</p><p><strong>Conclusions: </strong>The extended cervicotomic approach is an alternative surgical solution for retrosternal goiter, with no increased risk of significant post-operative complications.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"44 1","pages":"21-26"},"PeriodicalIF":2.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989033","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}
引用次数: 0
Implantable hearing devices in clinical practice. Systematic review and consensus statements. 临床实践中的植入式听力设备。系统综述和共识声明。
IF 2.1 4区 医学
Acta Otorhinolaryngologica Italica Pub Date : 2024-02-01 Epub Date: 2023-12-29 DOI: 10.14639/0392-100X-N2651
Luca Bruschini, Pietro Canzi, Andrea Canale, Edoardo Covelli, Andrea Laborai, Marta Monteforte, Michela Cinquini, Maurizio Barbara, Millo Achille Beltrame, Roberto Bovo, Bruno Castigliano, Cosimo De Filippis, Antonio Della Volpe, Francesco Dispenza, Pasquale Marsella, Anna Mainardi, Eva Orzan, Enrico Piccirillo, Giampietro Ricci, Nicola Quaranta, Domenico Cuda
{"title":"Implantable hearing devices in clinical practice. Systematic review and consensus statements.","authors":"Luca Bruschini, Pietro Canzi, Andrea Canale, Edoardo Covelli, Andrea Laborai, Marta Monteforte, Michela Cinquini, Maurizio Barbara, Millo Achille Beltrame, Roberto Bovo, Bruno Castigliano, Cosimo De Filippis, Antonio Della Volpe, Francesco Dispenza, Pasquale Marsella, Anna Mainardi, Eva Orzan, Enrico Piccirillo, Giampietro Ricci, Nicola Quaranta, Domenico Cuda","doi":"10.14639/0392-100X-N2651","DOIUrl":"10.14639/0392-100X-N2651","url":null,"abstract":"<p><strong>Objective: </strong>Implantable hearing devices represent a modern and innovative solution for hearing restoration. Over the years, these high-tech devices have increasingly evolved but their use in clinical practice is not universally agreed in the scientific literature. Congresses, meetings, conferences, and consensus statements to achieve international agreement have been made. This work follows this line and aims to answer unsolved questions regarding examinations, selection criteria and surgery for implantable hearing devices.</p><p><strong>Materials and methods: </strong>A Consensus Working Group was established by the Italian Society of Otorhinolaryngology. A method group performed a systematic review for each single question to identify the current best evidence on the topic and to guide a multidisciplinary panel in developing the statements.</p><p><strong>Results: </strong>Twenty-nine consensus statements were approved by the Italian Society of Otorhinolaryngology. These were associated with 4 key area subtopics regarding pre-operative tests, otological, audiological and surgical indications.</p><p><strong>Conclusions: </strong>This consensus can be considered a further step forward to establish realistic guidelines on the debated topic of implantable hearing devices.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"52-67"},"PeriodicalIF":2.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073040","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}
引用次数: 0
Type IV optic nerve and Onodi cell: is there a risk of injury during sphenoid sinus surgery? IV 型视神经和奥诺迪细胞:蝶窦手术中是否存在损伤风险?
IF 2 4区 医学
Acta Otorhinolaryngologica Italica Pub Date : 2024-02-01 Epub Date: 2023-12-29 DOI: 10.14639/0392-100X-N2462
Gian Luca Fadda, Anastasia Urbanelli, Alessio Petrelli, Marta Trossarello, Letizia Nitro, Alberto Maria Saibene, Eugenio De Corso, Dario Gned, Marco Panfili, Giovanni Cavallo
{"title":"Type IV optic nerve and Onodi cell: is there a risk of injury during sphenoid sinus surgery?","authors":"Gian Luca Fadda, Anastasia Urbanelli, Alessio Petrelli, Marta Trossarello, Letizia Nitro, Alberto Maria Saibene, Eugenio De Corso, Dario Gned, Marco Panfili, Giovanni Cavallo","doi":"10.14639/0392-100X-N2462","DOIUrl":"10.14639/0392-100X-N2462","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to determine the prevalence and types of Onodi cells through computed tomography and investigate the relationship between Onodi cell and the surrounding structures, paying particular attention to the risky proximity to the optic nerve canal.</p><p><strong>Methods: </strong>In this study, 430 computed tomography scans of paranasal sinuses were analysed to establish the prevalence and different types of Onodi cells. Furthermore, the relationship between Onodi cell and different patterns of sphenoid sinus pneumatisation and surrounding structures were investigated. Special attention was paid to the relationship between Onodi cell and the optic nerve canal, particularly in cases when the optic nerve canal was bulging by more than 50% into the Onodi cell (Type IV).</p><p><strong>Results: </strong>The Onodi cell was detected in 21.6% of cases, with the most common being Type I (48.5% right, 54.3% left). Type IV bulging of the optic nerve canal into the Onodi cell was observed in 47.1% of cases on the right side, 41.2% on the left side and bilateral in 11.7% of cases.</p><p><strong>Conclusions: </strong>In our series, we observed a high prevalence of Type IV optic nerve bulging into the Onodi cell. For this reason, we suggest that clinicians should always try to identify it in a pre-operative setting with computed tomography to avoid catastrophic consequences during endoscopic sinus surgery approaching the sphenoid area.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"36-41"},"PeriodicalIF":2.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073042","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}
引用次数: 0
Management of nasal vestibule carcinomas: recommendations by the Oncological Committee of the Italian Society of Otorhinolaryngology - Head and Neck Surgery. 鼻前庭癌的治疗:意大利耳鼻咽喉-头颈外科协会肿瘤委员会的建议。
IF 2 4区 医学
Acta Otorhinolaryngologica Italica Pub Date : 2024-02-01 DOI: 10.14639/0392-100X-N2786
Francesco Bussu, Luca Tagliaferri, Michaele Francesco Corbisiero, Cecilia Lotto, Raul Pellini, Pierre Guarino, Giuseppe Mercante, Andrea Galuppi, Francesco Cariti, Giovanni Almadori, Francesco Longo, Luca Calabrese, Jacopo Galli, Livio Presutti, Piero Nicolai, Gabriele Molteni
{"title":"Management of nasal vestibule carcinomas: recommendations by the Oncological Committee of the Italian Society of Otorhinolaryngology - Head and Neck Surgery.","authors":"Francesco Bussu, Luca Tagliaferri, Michaele Francesco Corbisiero, Cecilia Lotto, Raul Pellini, Pierre Guarino, Giuseppe Mercante, Andrea Galuppi, Francesco Cariti, Giovanni Almadori, Francesco Longo, Luca Calabrese, Jacopo Galli, Livio Presutti, Piero Nicolai, Gabriele Molteni","doi":"10.14639/0392-100X-N2786","DOIUrl":"10.14639/0392-100X-N2786","url":null,"abstract":"<p><strong>Objective: </strong>Squamous cell carcinoma of the nasal vestibule (NV SCC) is a head and neck malignancy for which there is no established consensus on most aspects of clinical management. The purpose of this document is to give updated recommendations that incorporate recent evidence on its clinical characteristics and the high efficacy of brachytherapy as primary treatment modality.</p><p><strong>Methods: </strong>A working group consisting of the members of the Scientific Committee for Oncology and Reconstructive Surgery of the Italian Society of Otorhinolaryngology Head and Neck Surgery and radiation oncologists expert in brachytherapy was formed to achieve a consensus.</p><p><strong>Results: </strong>Consensus was reached on a set of recommendations, proposing a refined anatomical definition of the nasal vestibule, a novel T staging system of the NV SCC, and brachytherapy as standard of care, with a new method for catheter implantation.</p><p><strong>Conclusions: </strong>The Committee emphasises the critical role of an accurate classification in clinical practice and encourages further research to validate the novel staging system and further improve treatment strategies. Where appropriate, it is recommended that patients be referred to centres with specific experience in brachytherapy for NV SCC.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"44 1","pages":"13-20"},"PeriodicalIF":2.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989035","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}
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