Cesare Piazza, Francesca Gennarini, Claudia Montenegro, Davide Lancini, Francesca Del Bon, Gabriele Zigliani, Giuseppe De Palma, Nicola Francesco Lopomo, Emma Sala
{"title":"Transoral laser exoscopic surgery of the larynx: state of the art and comparison with traditional transoral laser microsurgery.","authors":"Cesare Piazza, Francesca Gennarini, Claudia Montenegro, Davide Lancini, Francesca Del Bon, Gabriele Zigliani, Giuseppe De Palma, Nicola Francesco Lopomo, Emma Sala","doi":"10.14639/0392-100X-suppl.1-44-2024-N2850","DOIUrl":"10.14639/0392-100X-suppl.1-44-2024-N2850","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of transoral laser exoscopic surgery (TOLES) in a unicentric series of patients affected by benign and malignant glottic and supraglottic lesions, and compare outcomes with those of transoral laser microsurgery (TOLMS).</p><p><strong>Methods: </strong>To demonstrate the non-inferiority of TOLES in terms of operative time, margin status and complication rates, we compared outcomes of 93 patients treated by TOLES between July 2021 and July 2023 with those of a match-paired group of 107 historical patients treated by TOLMS. To perform a multiparametric ergonomic evaluation of TOLES <i>vs</i> TOLMS, we used observational methods for biomechanical overload risk assessment and wearable technologies comparing 15 procedures with TOLES <i>vs</i> a paired match of 13 surgeries performed with TOLMS by the same surgeon.</p><p><strong>Results: </strong>No significant differences were found in terms of surgical duration, positive margins, or complications between TOLES and TOLMS. Ergonomics assessment by inertial measurement units and electromyographic surface electrodes demonstrated a reduced biomechanical overload with TOLES compared to TOLMS.</p><p><strong>Conclusions: </strong>The many advantages of TOLES, such as its superior didactic value, better digital control of light even through small-bored laryngoscopes, improved binocular vision, and increase in surgical performance by 3 or 4-hand techniques, are difficult to be quantified. In contrast, its non-inferiority in terms of oncological results and better ergonomics compared to TOLMS are demonstrated herein.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"44 Suppl. 1","pages":"S3-S11"},"PeriodicalIF":2.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11098537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920730","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}
Claudio Donadio Caporale, Francesco Chiari, Pasquale D'Alessio, Francesco Barbara, Pierre Guarino
{"title":"Transoral robotic surgery for supraglottic cancer. A review of oncological and functional outcomes compared to open surgery.","authors":"Claudio Donadio Caporale, Francesco Chiari, Pasquale D'Alessio, Francesco Barbara, Pierre Guarino","doi":"10.14639/0392-100X-suppl.1-44-2024-N2919","DOIUrl":"10.14639/0392-100X-suppl.1-44-2024-N2919","url":null,"abstract":"<p><strong>Objective: </strong>Supraglottic squamous cell carcinoma (SCC) represents a major surgical challenge in organ-preserving treatment. Type I open partial horizontal laryngectomy (OPHL I) is considered the most popular. To date, minimally-invasive approaches such as laser microsurgery and transoral robotic surgery (TORS) have gained increasing relevance. The aim of this narrative review is to obtain a descriptive comparison of functional and oncological outcomes from studies on patients with supraglottic SCC treated with OPHL I and TORS, respectively.</p><p><strong>Material and methods: </strong>A computerised search was performed using the Pubmed database for articles published from 2000 to 2023. A comparative analysis on functional and oncological outcomes of patients treated by TORS and OPHL I was performed.</p><p><strong>Results: </strong>The present narrative review shows a superiority of TORS compared to open surgery for supraglottic SCC in terms of functional outcomes, while maintaining comparable oncological outcomes.</p><p><strong>Conclusions: </strong>Although recently introduced in the treatment of laryngeal pathology, TORS has been shown to be a reliable technique not only for functional but also for oncological outcomes, ensuring good overall survival, disease-free survival, and disease control rates comparable to OPHL I.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"44 Suppl. 1","pages":"S20-S27"},"PeriodicalIF":2.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11098539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920738","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":"Integrated minimally-invasive treatments in head and neck oncology: Indications, perspectives and functional outcomes.","authors":"Michele Barbara","doi":"10.14639/0392-100X-suppl.1-44-2024","DOIUrl":"10.14639/0392-100X-suppl.1-44-2024","url":null,"abstract":"","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"44 Suppl. 1","pages":"S1-S93"},"PeriodicalIF":2.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11098541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920721","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}
Chiara Copelli, Federica Cacciatore, Stefan Cocis, Fabio Maglitto, Francesco Barbara, Oreste Iocca, Alfonso Manfuso
{"title":"Bone reconstruction using CAD/CAM technology in head and neck surgical oncology. A narrative review of state of the art and aesthetic-functional outcomes.","authors":"Chiara Copelli, Federica Cacciatore, Stefan Cocis, Fabio Maglitto, Francesco Barbara, Oreste Iocca, Alfonso Manfuso","doi":"10.14639/0392-100X-suppl.1-44-2024-N2819","DOIUrl":"10.14639/0392-100X-suppl.1-44-2024-N2819","url":null,"abstract":"","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"44 Suppl. 1","pages":"S58-S66"},"PeriodicalIF":2.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11098535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920689","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}
Giuseppe Campobasso, Maria Sterpeta Ragno, Alessandro Monda, Silvana Ciccarone, Alessandro Maselli Del Giudice, Francesco Barbara, Giacomo Gravante, Paolo Lucchinelli, Alberto Daniele Arosio, Luca Volpi, Maurizio Bignami
{"title":"Exclusive or combined endoscopic approach to tumours of the lower lacrimal pathway: review of the literature.","authors":"Giuseppe Campobasso, Maria Sterpeta Ragno, Alessandro Monda, Silvana Ciccarone, Alessandro Maselli Del Giudice, Francesco Barbara, Giacomo Gravante, Paolo Lucchinelli, Alberto Daniele Arosio, Luca Volpi, Maurizio Bignami","doi":"10.14639/0392-100X-suppl.1-44-2024-N2966","DOIUrl":"10.14639/0392-100X-suppl.1-44-2024-N2966","url":null,"abstract":"","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"44 Suppl. 1","pages":"S67-S81"},"PeriodicalIF":2.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11098540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920697","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}
Francesco Cariti, Francesca Caivano, Valentina de Robertis, Salvatore Dadduzio, Pierre Guarino, Francesco Barbara, Vito Pontillo, Cosimo Russo, Francesca Plantone, Michele Barbara
{"title":"Electrochemotherapy as palliative care in patients with local or metastatic recurrence of head and neck cancer: review of state of the art.","authors":"Francesco Cariti, Francesca Caivano, Valentina de Robertis, Salvatore Dadduzio, Pierre Guarino, Francesco Barbara, Vito Pontillo, Cosimo Russo, Francesca Plantone, Michele Barbara","doi":"10.14639/0392-100X-suppl.1-44-2024-N2920","DOIUrl":"10.14639/0392-100X-suppl.1-44-2024-N2920","url":null,"abstract":"","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"44 Suppl. 1","pages":"S37-S41"},"PeriodicalIF":2.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11098543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920693","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}
Vito Pontillo, Valentina Foscolo, Francesco Salonna, Francesco Barbara, Maria Teresa Bozzi, Raffaella Messina, Francesco Signorelli, Nicola Antonio Adolfo Quaranta
{"title":"Hearing preservation surgery for vestibular schwannoma: a systematic review and meta-analysis.","authors":"Vito Pontillo, Valentina Foscolo, Francesco Salonna, Francesco Barbara, Maria Teresa Bozzi, Raffaella Messina, Francesco Signorelli, Nicola Antonio Adolfo Quaranta","doi":"10.14639/0392-100X-suppl.1-44-2024-N2900","DOIUrl":"10.14639/0392-100X-suppl.1-44-2024-N2900","url":null,"abstract":"","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":"44 Suppl. 1","pages":"S86-S93"},"PeriodicalIF":2.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11098544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920644","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}
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}
{"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}