Specialista in microchirurgia otologica, chirurgia rinologica e cervicofacciale

Chronic otitis media (COM) is a prevalent condition affecting auditory function. Ossiculoplasty is a known treatment strategy, but its effectiveness concerning the presence of cholesteatoma has not been extensively studied.

Cochlear implantation is the therapy used for patients with severe to profound sensorineural hearing loss. For the success of the surgery, it is important that each surgical step is performed with meticulous precision, starting from the correct patient position on the operating table. In elderly or obese patients, this can be difficult to achieve due to cervical rigidity. With this technical note, we want to describe a new position from orthopedic surgery to perform a posterior tympanotomy accurately, ensuring a safe procedure and avoiding unpleasant complications.

Individuals who have suffered a temporal bone fracture, especially transversal fractures, can exhibit deep neuro sensorial hypoacusis. Tis can be due to several causes, including trauma to the otic capsule with damage to the organ of Corti and stria vascularis, damage to the neuroepithelium with a loss of ciliated cells and the spiral ganglion, and bleeding in the cochlear duct leading to profound hearing loss or deafness.

Non-autologous graft materials hold promise for tympanic membrane (TM) perforation closure. In the present manuscript, we aimed to evaluate the influence of clinical and surgical (i.e., graft materials) characteristics on tympanoplasty outcome in chronic otitis media (COM).

There is no consensus regarding the indications for and timing of ventilation tube (VT) insertion in cleft lip and palate (CLP) patients. Our aim was to search for clinical and surgical (i.e., VT insertion) characteristics that influence the hearing status in CLP. 

New Instruments for the Management of Cochlear Implantation in an Individual with a Fracture of the Temporal Bone and Cochlear Ossification

Osteomas of the temporal bone are benign tumours that usually involve the external auditory canal. Middle-ear osteomas are rare, and generally solitary and small. The male-to-female ratio is 2:1, with 70 per cent of affected patients aged under 40 years.

La vertigine parossistica posizionale benigna (VPPB) è il tipo più comune di vertigini e periferica. Frequentemente dopo il primo episodio la VPPB presenta recidive, con un tasso di ricorrenza tra il 15% ed il 50%.

Labyrinthine fistula represents the most common complication in chronic otitis media, especially in cholesteatoma cases.

Thyroid carcinoma (TC) is a relatively rare tumour, but it represents the most frequent form of cancer of the endocrine glands. Epidemiologically ascertained risk factors are ionising radiation, the presence of thyroid adenoma and multinodular goiter (MNG).

The wide availability of gadolinium-enhanced magnetic resonance imaging (MRI-Gd) has led to the discovery of an increasing number of small and less symptomatic acoustic neuromas in elderly patients.

L’otite media secretiva(SOM) è una frequente complicanza nei pazienti affetti da labiopalatoschisi. La patogenesi di tale affezione è dovuta al fatto che i muscoli importanti per I’apertura della tuba (tensore del velo palatino e elevatore del velo palatino) hanno delle inserzioni anomale per cui non sono in grado di dilatare attivamente la tuba.

La semeiotica strumentale vestibolare ha tenuto conto per oltre 50 anni quasi esclusivamente dell’elettronistagmografia (ENG). Tale metodica si basa sulla registrazione del nistagmo (Ny) senza alcuna visualizzazione diretta dei movimenti oculari.

La vertigine parossistica posizionale (VPP) è nel 48% idiopatica, ma nella restante parte dei casi si può individuare la causa della vertigine. ene riportato il caso di una donna di 49 anni che dopo intervento di stapedoplastica destra ha presentato una VPP del canale semicircolare osteriore destro e vengono analizzati i possibili meccanismi eziopatogenetici.

Questo lavoro raccoglie i reperti clinico-funzionali, i risultati e le complicanze chirurgiche osservate una serie consecutiva di 100soggetti affetti da neurinoma dell’acustico (NA). L’analisi dei dati ha consentito alcune importanti conclusioni.