Acta Otorhinolaryngologica Italica最新文献

{"title":"Hemicricoidectomy with modified rotational thyro-crico-tracheal anastomosis: a newborn in the family of crico-tracheal resection and anastomosis techniques.","authors":"Cesare Piazza, Davide Lancini, Gabriele Zigliani, Francesca Del Bon, Michele Tomasoni, Claudia Montenegro, Vittorio Rampinelli, Davide Mattavelli","doi":"10.14639/0392-100X-N2623","DOIUrl":"10.14639/0392-100X-N2623","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the present study is to describe our novel surgical technique of hemicricoidectomy and reconstruction with modified rotational thyro-crico-tracheal anastomosis for the treatment of non-squamous cell subglottic tumours. The procedure has been defined as Type E crico-tracheal resection and anastomosis (CTRA) following the University of Brescia (C)TRA classification introduced elsewhere.</p><p><strong>Methods: </strong>A detailed anatomical step-by-step dissection was reproduced and illustrated on a cadaveric laryngo-tracheal specimen. Moreover, oncological and functional outcomes of the first 5 patients who underwent Type E CTRA at our Institution between October 2016 and September 2022 are described.</p><p><strong>Results: </strong>Three patients underwent Type E CTRA for cricoid chondrosarcoma (CS) and 2 patients for subglottic adenoid cystic carcinoma (ACC). No post-operative complication was reported. All patients maintained intact oral intake and an intelligible voice at discharge. All but one patient with obstructive sleep apnoea hypopnea syndrome and lung comorbidity were successfully decannulated before discharge. At the last follow-up (April 2023), one patient experienced local recurrence of CS that was still amenable to conservative treatment by transoral debulking, while the remaining patients were free of disease.</p><p><strong>Conclusions: </strong>With the proper indications, Type E CTRA is a feasible and effective conservative surgical technique for selected non-squamous cell subglottic tumours.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"382-389"},"PeriodicalIF":2.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41181734","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":"Impact of the COVID-19 pandemic on paediatric otolaryngology: a nationwide study.","authors":"Eleonora M C Trecca,&nbsp;Michele Gaffuri,&nbsp;Giulia Molinari,&nbsp;Francesca Yoshie Russo,&nbsp;Mario Turri-Zanoni,&nbsp;Andrea Albera,&nbsp;Antonella Miriam di Lullo,&nbsp;Gennaro Russo,&nbsp;Giuditta Mannelli,&nbsp;Massimo Ralli","doi":"10.14639/0392-100X-N2452","DOIUrl":"10.14639/0392-100X-N2452","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic profoundly modified the work routine in healthcare; however, its impact on the field of paediatric otorhinolaryngology (ORL) has been rarely investigated. The aim of this study was to assess the impact of COVID-19 on paediatric ORL.</p><p><strong>Methods: </strong>A questionnaire was developed by the Young Otolaryngologists of the Italian Society of ORL-Head and Neck Surgery (GOS). The questionnaire consisted of 26 questions related to workplace and personal paediatric ORL activities. The link was advertised on the official social media platforms and sent by e-mail to 469 Italian otolaryngologists.</p><p><strong>Results: </strong>The questionnaire was completed by 118 responders. During the pandemic, the main reduction was observed for surgical activity (78.8%), followed by outpatient service (16.9%). The conditions that were mostly impacted by a delayed diagnosis were respiratory infections in 45.8% of cases and sensorineural hearing loss in 37.3% of cases.</p><p><strong>Conclusions: </strong>Paediatric ORL was highly impacted by the COVID-19 pandemic, with a significant reduction of surgical and outpatient activities and a delay in time-sensitive diagnosis. Therefore, the implementation of new strategies, such as telemedicine, is recommended.</p>","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"352-359"},"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/6d/6c/aoi-2023-05-352.PMC10551727.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9897568","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":"Pedicled nasal flaps in transnasal endoscopic surgery: review of indications and surgical techniques.","authors":"Federico Russo,&nbsp;Marco Valentini,&nbsp;Camilla Czaczkes,&nbsp;Giorgio Sileo,&nbsp;Paolo Battaglia,&nbsp;Mario Turri-Zanoni,&nbsp;Apostolos Karligkiotis,&nbsp;Paolo Castelnuovo","doi":"10.14639/0392-100X-N2469","DOIUrl":"10.14639/0392-100X-N2469","url":null,"abstract":"SUMMARY At present an exclusive endoscopic endonasal approach is sufficient in the majority of cases to treat pathologies involving the sinonasal compartment and the surrounding anatomical subsites (e.g. orbit, ventral skull base, upper parapharyngeal space, etc.) with the advantage of minimising surgical invasiveness. In this context, nasal vascularised local flaps are widely employed because they represent a more effective option for reconstruction or preservation of noble/vital structures compared to grafts. On the other hand, the surgical extension and morbidity are minimised compared to regional or free flaps. Several nasal local flaps have been described in the literature: the aim of this review is to examine their applications, characteristics, indications, success rates and morbidities. Different nasal flaps based on single or multiple pedicles have been described; the choice between them is based on different factors such as the flap’s shape and dimension, localisation of the pedicle’s origin, width of rotation angle, previous surgeries which could compromise vascularisation, and surgical experience, in addition to the position and dimension of the area which must be resurfaced.","PeriodicalId":6890,"journal":{"name":"Acta Otorhinolaryngologica Italica","volume":" ","pages":"297-309"},"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/90/48/aoi-2023-05-297.PMC10551732.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9519008","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":"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}