2nd Edition of Advances in Otolaryngology from Diagnosis to Treatment

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (31 October 2023) | Viewed by 15137

Special Issue Editors


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Guest Editor
Department of Otolaryngology, Permanent Temporal bone Lab, University Hospital of Perugia, 06129 Perugia, Italy
Interests: otology; hearing loss; cochlear implant; hearing aids; bahi; facial nerve; facial plastic surgery; neuroscience; multiple sclerosis; memory; head and neck; microrna; speech disorders
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Guest Editor
Department of Sense Organs, Sapienza University of Rome, 00186 Rome, Italy
Interests: audiology; vestibular disordes; hearing loss; tinnitus; head and neck cancer; laryngology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues, 

In medicine, research is fundamental, and this Special Issue is dedicated to all of the advances and innovations in otorhinolaryngology. New methods of diagnosis and innovation in treatment are fundamental steps for improving the quality of care and the quality of life for patients affected by otolaryngologic disorders. This Special Issue aims to stimulate discussions among clinicians and researchers about innovative treatments. Both clinical and basic research papers will be accepted.

We are interested in medical hypotheses, innovative case reports, case–control studies, and clinical trials. Reviews and meta-analyses should be focused on specific aspects and introduce new innovations. 

Dr. Arianna Di Stadio
Dr. Massimo Ralli
Guest Editors

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Keywords

  • hearing
  • laryngology
  • hearing rehabilitation
  • vestibular disorders
  • neuroscience
  • oncology
  • facial plastic
  • otolaryngology

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Related Special Issue

Published Papers (5 papers)

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Research

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10 pages, 1598 KiB  
Article
Treatment of Far-Advanced Otosclerosis: Stapedotomy Plus Hearing Aids to Maximize the Recovery of Auditory Function—A Retrospective Case Series
by Giampietro Ricci, Salvatore Ferlito, Valeria Gambacorta, Mario Faralli, Pietro De Luca, Alfredo Di Giovanni and Arianna Di Stadio
Healthcare 2023, 11(5), 676; https://doi.org/10.3390/healthcare11050676 - 24 Feb 2023
Cited by 1 | Viewed by 2078
Abstract
Far-advanced otosclerosis (FAO) refers to severe otosclerosis with scarce auditory functions. The identification of the best method to correctly listen to sound and speech has a large impact on patients’ quality of life. We retrospectively analyzed the auditory function of 15 patients affected [...] Read more.
Far-advanced otosclerosis (FAO) refers to severe otosclerosis with scarce auditory functions. The identification of the best method to correctly listen to sound and speech has a large impact on patients’ quality of life. We retrospectively analyzed the auditory function of 15 patients affected by FAO who were treated with stapedectomy plus hearing aids independent of the severity of their auditory deficit before surgery. The combination of surgery and hearing aids allowed excellent recovery of the perception of pure tone sounds and speech. Four patients, because of poor auditory thresholds, needed a cochlear implant after stapedectomy. Despite being based on a small sample of patients, our results suggest that stapedotomy plus hearing aids could improve the auditory capacities of patients with FAO independent of their auditory thresholds at T0. The careful selection of patients is fundamental to obtain the best outcomes. Full article
(This article belongs to the Special Issue 2nd Edition of Advances in Otolaryngology from Diagnosis to Treatment)
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11 pages, 1789 KiB  
Article
Endonasal Septoplasty Using a Septal Cartilaginous Batten Graft for Managing Caudal Septal Deviation
by Jessie Chao-Yun Chi, Shin-Da Lee, Chia-Yi Lee, Stanley Yung Liu, Hua Ting and Yih-Jeng Tsai
Healthcare 2022, 10(9), 1739; https://doi.org/10.3390/healthcare10091739 - 11 Sep 2022
Cited by 1 | Viewed by 5097
Abstract
Caudal nasal septal deviation is an important condition altering nasal obstruction and cosmetic appearance and many surgical techniques have been published on how to correct caudal septal deviation, as successful management of caudal septal deviation is challenging. The goal of our study was [...] Read more.
Caudal nasal septal deviation is an important condition altering nasal obstruction and cosmetic appearance and many surgical techniques have been published on how to correct caudal septal deviation, as successful management of caudal septal deviation is challenging. The goal of our study was to explore the effect of endonasal septoplasty using a septal cartilaginous batten graft for managing caudal septal deviation. We tested 26 participants with caudal septal deviation who received endonasal septoplasty using a septal cartilaginous batten graft from 1 April 2019 to 29 June 2022, and followed up for at least 6 months. Nasal Obstruction Symptom Evaluation (NOSE) Scale and visual analog scale (VAS) were recorded at baseline, 1 month, and 6 months after surgery. Valid samples were analyzed by repeated measures ANOVA and paired sample t-test. Average participant age was 36.15 ± 11.02 years old. The preoperative, 1-month postoperative, and 6-month postoperative NOSE scale decreased significantly (75.38 ± 15.62, 13.85 ± 7.79, and 14.04 ± 9.90; p < 0.001), while preoperative, 1-month postoperative, and 6-month postoperative VAS (convex/concave side) also improved (7.50 ± 0.81/3.38 ± 0.94, 2.27 ± 0.53/1.54 ± 0.58, and 2.31 ± 0.55/1.58 ± 0.58; p < 0.001). Our results showed that endonasal septoplasty using a septal cartilaginous batten graft had good surgical outcomes without an open scar or severe complications. Full article
(This article belongs to the Special Issue 2nd Edition of Advances in Otolaryngology from Diagnosis to Treatment)
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10 pages, 1786 KiB  
Article
Single-Center-Single-Blinded Clinical Trial to Evaluate the Efficacy of a Nutraceutical Containing Boswellia Serrata, Bromelain, Zinc, Magnesium, Honey, Tyndallized Lactobacillus Acidophilus and Casei to Fight Upper Respiratory Tract Infection and Otitis Media
by Antonio Della Volpe, Pietro De Luca, Antonietta De Lucia, Francesco Martines, Piera Piroli, Luca D’Ascanio, Angelo Camaioni, Ignazio La Mantia and Arianna Di Stadio
Healthcare 2022, 10(8), 1526; https://doi.org/10.3390/healthcare10081526 - 13 Aug 2022
Cited by 4 | Viewed by 2305
Abstract
Some nutraceuticals have been studied as supportive treatment for fighting upper respiratory tract infection and middle ear disease. Our study aims at evaluating the effect of a specific oral supplementation in the treatment of pediatric otits media. The subjects were randomly assigned by [...] Read more.
Some nutraceuticals have been studied as supportive treatment for fighting upper respiratory tract infection and middle ear disease. Our study aims at evaluating the effect of a specific oral supplementation in the treatment of pediatric otits media. The subjects were randomly assigned by the physician (single-blinded study) to one of three groups: Control Group (CG), Treatment Group 1 (TG1), or Treatment Group 2 (TG2). Both TG were treated with Flogostop Duo (for 20 days—TG1 or 30 days—TG2) in combination with the standard treatment, while CG underwent standard treatment only. The standard treatment was nasal aerosol with Fluticasone and Mucolytic, and nasal washing with hypertonic solution. All patients were analyzed by otoscopy, impedance, fibroscopy, and pure auditory test at the baseline (T0), after 20 days (T1) and 35 days (T2). 120 children were included in the study, 40 in the CG, 40 in the TG1, and 40 in the TG2. Both TG1 and TG2 presented statistically significant differences with respect to controls in otoscopy, impedance, fibroscopy, and PTA at T2. The otoscopy improved at T2 with statistically significant value only in TG2. The impedance and fibroscopy improved at T1 both in TG1 and TG2 compared to CG. A statistically significant improvement was observed in TG2 at T2 in comparison to both CG and TG1. Statistically significant differences were observed in PTA at T2 only compared with controls. This study confirmed the efficacy of nutraceutical as supporting therapy in the upper respiratory tract infection in children. In particular, the supplement containing Boswellia serrata and Bromelain, which are molecules with strong anti-inflammatory and pain-control capacities, could add the benefit without the adverse effects which are related to NSAID use. Full article
(This article belongs to the Special Issue 2nd Edition of Advances in Otolaryngology from Diagnosis to Treatment)
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Review

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9 pages, 1291 KiB  
Review
3D Printing in Otolaryngology Surgery: Descriptive Review of Literature to Define the State of the Art
by Federica Zoccali, Andrea Colizza, Fabrizio Cialente, Arianna Di Stadio, Ignazio La Mantia, Charlie Hanna, Antonio Minni, Massimo Ralli, Antonio Greco and Marco de Vincentiis
Healthcare 2023, 11(1), 108; https://doi.org/10.3390/healthcare11010108 - 29 Dec 2022
Cited by 11 | Viewed by 2438
Abstract
Background: Three-dimensional (3D) printing has allowed great progression in the medical field. In otolaryngology practice, 3D printing can be used for planning in case of malformation/complex surgery, for surgeon training, and for recreating missing tissues. This systematic review aimed to summarize the current [...] Read more.
Background: Three-dimensional (3D) printing has allowed great progression in the medical field. In otolaryngology practice, 3D printing can be used for planning in case of malformation/complex surgery, for surgeon training, and for recreating missing tissues. This systematic review aimed to summarize the current benefits and the possible future application of 3D technologies in the otolaryngology field. Methods: A systematic review of articles that discuss the use of 3D printing in the otolaryngology field was performed. All publications without the restriction of time and that were published by December 2021 in the English language were included. Searches were performed in the PubMed, MEDLINE, Scopus, and Embase databases. Keywords used were: “3D printing”, “bioprinting”, “three-dimensional printing”, “tissue engineering” in combination with the terms: “head and neck surgery”, “head and neck reconstruction”, “otology”, “rhinology”, “laryngology”, and “otolaryngology”. Results: Ninety-one articles were included in this systematic review. The articles describe the clinical application of 3D printing in different fields of otolaryngology, from otology to pediatric otolaryngology. The main uses of 3D printing technology discussed in the articles included in the review were surgical planning in temporal bone malformation, the reconstruction of missing body parts after oncologic surgery, allowing for medical training, and providing better information to patients. Conclusion: The use of 3D printing in otolaryngology practice is constantly growing. However, available evidence is still limited, and further studies are needed to better evaluate the benefits of this technology. Full article
(This article belongs to the Special Issue 2nd Edition of Advances in Otolaryngology from Diagnosis to Treatment)
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Other

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7 pages, 2325 KiB  
Case Report
Diagnosis and Treatment of Nodular Fasciitis of Ear Region in Children: A Case Report and Review of Literature
by Antonio Della Volpe, Paola Festa, Alfonso Maria Varricchio, Carmela Russo, Eugenio Maria Covelli, Delfina Bifano, Piera Piroli, Antonietta De Lucia, Arianna Di Stadio and Franco Ionna
Healthcare 2022, 10(10), 1962; https://doi.org/10.3390/healthcare10101962 - 7 Oct 2022
Cited by 2 | Viewed by 2359
Abstract
Nodular fasciitis (NF) is a benign fibroblastic and myofibroblastic proliferation of subcutaneous tissues. Rarely, it has been identified in the ear and more rarely in children. We describe a case in a four-year-old girl and the surgical management of it. The patient was [...] Read more.
Nodular fasciitis (NF) is a benign fibroblastic and myofibroblastic proliferation of subcutaneous tissues. Rarely, it has been identified in the ear and more rarely in children. We describe a case in a four-year-old girl and the surgical management of it. The patient was referred to the otolaryngology unit of a tertiary referral center because she was affected by a painless and growing lesion in the left external auditory canal (EAC). The girl was treated by large-spectrum antibiotic therapy for one week without success. For this reason, we requested ultrasonography (US) of the left hemiface, maxillofacial and temporal bone computed tomography (CT) and magnetic resonance imaging (MRI) of the head with and without contrast. The imaging identified an irregular ovoid hypoechoic nodule with distinct margins indissociable from the cartilaginous planes and extending into the parotid loggia with local infiltration of the fascia. The lesion was surgically removed through preauricular access due its extension into the parotid area. The mass was excised in toto and sent to the pathologist for immunohistochemistry. The histopathologist based on the finding diagnosed a nodular fasciitis. In case of suspicion of malignancy, early investigations should be done to evaluate the lesion, then a traditional parotidectomy can be safely and successfully performed even in a very young child. The open technique allows the removal of NF with full control of the surgical area and facial nerve. In this article, we presented the management of a case in a 4-year-old female affected by NF of the external auditory canal (EAC), and we described clinical and surgical management of the case. We also reviewed literature of nodular fasciitis cases of ears in children. Full article
(This article belongs to the Special Issue 2nd Edition of Advances in Otolaryngology from Diagnosis to Treatment)
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