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Colletti G, Pipolo C, Lozza P, Felisati G, Allevi F, Biglioli F, Deganello A, Saibene A. Orbital medial wall fractures: purely endoscopic endonasal repair with polyethylene implants. Clin Otolaryngol 2016; 43:396-398. [DOI: 10.1111/coa.12675] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/11/2016] [Indexed: 11/28/2022]
Affiliation(s)
- G. Colletti
- Maxillofacial surgery department; San Paolo Hospital; Università degli Studi di Milano; Milan Italy
| | - C. Pipolo
- Otolaryngology department; San Paolo Hospital; Università degli Studi di Milano; Milan Italy
| | - P. Lozza
- Otolaryngology department; San Paolo Hospital; Università degli Studi di Milano; Milan Italy
| | - G. Felisati
- Otolaryngology department; San Paolo Hospital; Università degli Studi di Milano; Milan Italy
| | - F. Allevi
- Otolaryngology department; San Paolo Hospital; Università degli Studi di Milano; Milan Italy
| | - F. Biglioli
- Otolaryngology department; San Paolo Hospital; Università degli Studi di Milano; Milan Italy
| | - A. Deganello
- Otolaryngology department; Careggi Hospital; University of Florence; Florence Italy
| | - A.M. Saibene
- Otolaryngology department; San Paolo Hospital; Università degli Studi di Milano; Milan Italy
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Chiapasco M, Felisati G, Zaniboni M, Pipolo C, Borloni R, Lozza P. The treatment of sinusitis following maxillary sinus grafting with the association of functional endoscopic sinus surgery (FESS) and an intra-oral approach. Clin Oral Implants Res 2012; 24:623-9. [PMID: 22404380 DOI: 10.1111/j.1600-0501.2012.02440.x] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/26/2012] [Indexed: 11/27/2022]
Abstract
AIM OF THE STUDY To present the results of a prospective study on the management of infectious complications following maxillary sinus floor elevation procedures with a combined endoscopic (FESS) and intra-oral approach. MATERIALS AND METHODS From 2005 to 2009, twenty consecutive patients were diagnosed for sinusal chronic infectious complications refractory to medical treatment following maxillary sinus floor elevation and grafting procedures. All patients were treated with a combination of functional endoscopic sinus surgery (FESS) through a transnasal approach and an intra-oral approach, performed by an ear, nose, and throat team and an oral and maxillofacial team, respectively, in the same surgical session under general anesthesia. RESULTS In 16 of 20 patients, the 4-week endoscopic control demonstrated a complete clinical healing and recovery of the normal sinus ventilation and drainage. In two patients, the persisting sinusitis at the 4-week control was successfully treated (8th week) with an antibiotic therapy based on the antibiogram carried out on the bacterial culture obtained by the aspiration of the sinusal content. In one patient, the persisting sinusitis (3 months after surgery) was successfully treated with the aspiration of the infectious material from the maxillary sinus. In one patient, finally, it was necessary to perform a second combined surgical treatment to treat the persisting sinusitis. DISCUSSION AND CONCLUSIONS In this study, a relevant number of cases of chronic infectious complications following sinus floor elevation procedures are presented. To the authors' knowledge, it is the first time that well-defined treatment protocols based on a combined endoscopic (FESS) and intra-oral surgical approach are proposed. The positive, albeit preliminary, results obtained in this study seem to validate this treatment modality.
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Affiliation(s)
- M Chiapasco
- Unit of Oral Surgery, Department of Medicine, Surgery, and Dentistry, S. Paolo Hospital, University of Milan, Milan, Italy.
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Morelli N, Mancuso M, Felisati G, Lozza P, Maccari A, Cafforio G, Gori S, Murri L, Guidetti D. Does sphenopalatine endoscopic ganglion block have an effect in paroxysmal hemicrania? A case report. Cephalalgia 2009; 30:365-7. [DOI: 10.1111/j.1468-2982.2009.01882.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The authors report the case of a 69-year-old woman suffering from paroxysmal hemicrania (PH), intolerant to indomethacin and resistant to multiple therapies, in which sphenopalatine endoscopic ganglion block (SPG) dramatically modified the clinical outcome. SPG blockade could be considered a reasonable alternative in drug-resistant PH cases where indomethacin is contraindicated.
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Affiliation(s)
- N Morelli
- Guglielmo da Saliceto Hospital, Neurology Unit – Piacenza, Italy
- Department of Neuroscience – Institute of Neurology, Pisa University, Pisa, Italy
| | - M Mancuso
- Department of Neuroscience – Institute of Neurology, Pisa University, Pisa, Italy
| | - G Felisati
- San Paolo Hospital, Otorhinolaryngology Unit – Milano University, Milano, Italy
| | - P Lozza
- San Paolo Hospital, Otorhinolaryngology Unit – Milano University, Milano, Italy
| | - A Maccari
- San Paolo Hospital, Otorhinolaryngology Unit – Milano University, Milano, Italy
| | - G Cafforio
- Department of Neuroscience – Institute of Neurology, Pisa University, Pisa, Italy
| | - S Gori
- Department of Neuroscience – Institute of Neurology, Pisa University, Pisa, Italy
| | - L Murri
- Department of Neuroscience – Institute of Neurology, Pisa University, Pisa, Italy
| | - D Guidetti
- Guglielmo da Saliceto Hospital, Neurology Unit – Piacenza, Italy
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Portaleone S, Arnone F, Lozza P, Leone M, Bussone G, Felisati G. 343. Endoscopic Peripheral Sphenopalatine Ganglion Block through Injection via the Lateral Nasal Wall for the Treatment of Chronic Cluster Headache. Reg Anesth Pain Med 2008. [DOI: 10.1136/rapm-00115550-200809001-00175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Felisati G, Bianchi A, Lozza P, Portaleone S. Italian multicentre study on intrathecal fluorescein for craniosinusal fistulae. Acta Otorhinolaryngol Ital 2008; 28:159-163. [PMID: 18939706 PMCID: PMC2644991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 02/14/2008] [Accepted: 06/14/2008] [Indexed: 05/26/2023]
Abstract
Cerebrospinal fluid leak (CSF), clinical sign of a dural lesion of the skull base, is a relatively rare event that can present with a variety of symptoms. Every craniosinus fistula should be considered a serious, potentially life-threatening situation (even those cases with hidden CSF leak). Reports of experience concerning diagnosis and treatment of craniosinus fistulae have appeared in the Literature. In the last few years, the endoscopic nasal approach is proving effective as it makes diagnosis much easier and is the least invasive surgical approach, with the greatest percentage of success. Various classifications are being proposed to improve clinical evaluation of CSF leaks and to simplify the diagnostic and therapeutic approach. The most common parameters of classification are: aetiology (traumatic, iatrogenic, non-traumatic, etc.) site, type of flow (high or low pressure) and, as far as concerns treatment, the type of graft used, all of which have contributed to various diagnostic and therapeutic algorithms being proposed. Therefore, the subject seems to be widely schematized and the therapeutic attitude widely agreed. However, one of the diagnostic and therapeutic approaches is now being questioned. For some, it is the heart of the clinical approach, while for others, it is a useful tool yet too dangerous to be used on account of potential side effects: namely, the fluorescein test. This procedure, consisting of intrathecal injection of a colorant (fluorescein), is well known by the Food and Drug Administration (FDA) which neither explicitly prohibits it, nor allows it, intrathecal administration is, therefore, an off label use. As far as the Authors know, authorization of this procedure has not been forthcoming anywhere in the world although the procedure itself is widely employed. As far as concerns the use of intrathecal fluorescein, many scientific papers have been written, clearly supporting its clinical usefulness. One limit to the use of fluorescein derives from frequent reports of complications, often related to the intrathecal administration; such complications are, however, always due to an incorrect dosage. In order to perform correct monitoring of any complication related to the use of intrathecal fluorescein and to investigate in a strictly scientific fashion, the legal problem related to the off label use (intrathecal administration) of an authorised substance, the Authors coordinated an Italian multicentre study aimed at establishig the tolerability of the lumbar intrathecal administration of fluorescein. Aim of the study was to review the literature focusing on CSF leaks, to set up to date diagnostic and therapeutic indications of fluorescein and to report the preliminary results of the Italian multicentre study.
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Affiliation(s)
- G Felisati
- ENT Clinic, San Paolo Hospital, University of Milan, Italy.
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Abstract
The revised International Headache Society classification (2004) represents a very good reference also for ear, nose and throat (ENT) specialists and can be largely shared. The authors follow the classification outline and comment on the chapters of ENT interest. The classification leaves unsolved problems and most of them are of ENT competence, such as mucosal contact point headache. It will be a task for ENT specialists to clarify the real role of very hypothetical primary forms frequently assigned to diagnosis without a correct rationale.
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Affiliation(s)
- G Felisati
- Clinic of Otorhinolaryngology, ENT Department, San Paolo Hospital, University of Milan, Via di Rudinì 8, I-20080, Milan, Italy.
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De Marino E, Biaggi G, Bellan L, Caprioli AM, Forti G, Manachino D, Camurati P, Lozza P, Basunti P, Alabiso O. Impact of hemoglobin levels in psychiatric patients with cancer. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.8233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- E. De Marino
- S. Andrea Hospital, Vercelli, VC, Italy; Medical Oncology Institute-East Piedmont University, Novara, NO, Italy
| | - G. Biaggi
- S. Andrea Hospital, Vercelli, VC, Italy; Medical Oncology Institute-East Piedmont University, Novara, NO, Italy
| | - L. Bellan
- S. Andrea Hospital, Vercelli, VC, Italy; Medical Oncology Institute-East Piedmont University, Novara, NO, Italy
| | - A. M. Caprioli
- S. Andrea Hospital, Vercelli, VC, Italy; Medical Oncology Institute-East Piedmont University, Novara, NO, Italy
| | - G. Forti
- S. Andrea Hospital, Vercelli, VC, Italy; Medical Oncology Institute-East Piedmont University, Novara, NO, Italy
| | - D. Manachino
- S. Andrea Hospital, Vercelli, VC, Italy; Medical Oncology Institute-East Piedmont University, Novara, NO, Italy
| | - P. Camurati
- S. Andrea Hospital, Vercelli, VC, Italy; Medical Oncology Institute-East Piedmont University, Novara, NO, Italy
| | - P. Lozza
- S. Andrea Hospital, Vercelli, VC, Italy; Medical Oncology Institute-East Piedmont University, Novara, NO, Italy
| | - P. Basunti
- S. Andrea Hospital, Vercelli, VC, Italy; Medical Oncology Institute-East Piedmont University, Novara, NO, Italy
| | - O. Alabiso
- S. Andrea Hospital, Vercelli, VC, Italy; Medical Oncology Institute-East Piedmont University, Novara, NO, Italy
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Abstract
BACKGROUND Non-transferrin-bound iron, a low-molecular-weight iron complex capable of initiating free radical formation and lipid peroxidation, has been detected in the serum of animals experimentally fed with alcohol, but no data have been reported in alcohol abusers. The purpose of this study was to evaluate whether non-transferrin-bound iron is present in chronic alcohol abusers with liver involvement and whether alcohol plays any part in its appearance. METHODS We measured non-transferrin-bound iron in a cohort of chronic alcohol abusers with and without liver cirrhosis at presentation, when 43 were active abusers and 33 were abstainers, and in a smaller group during a follow-up period. RESULTS At presentation, non-transferrin-bound iron was detectable in 83.7% of active abusers but only in 21.2% of abstainers, and within the group of abusers, patients with cirrhosis had significantly higher non-transferrin-bound iron than patients without. Non-transferrin-bound iron was present not only in patients with transferrin saturation >45% but also in those with transferrin saturation < or =45%. Multiple regression analyses revealed that only alcohol intake and total bilirubin were associated independently with non-transferrin-bound iron values. Longitudinal study confirmed the data of the cross-sectional study. CONCLUSIONS Non-transferrin-bound iron could have a role in initiating or promoting alcohol-induced liver damage.
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Affiliation(s)
- T M De Feo
- Dipartimento di Medicina Interna, Università di Milano, Milano, Italy
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De Feo TM, Fargion S, Duca L, Cesana BM, Boncinelli L, Lozza P, Cappellini MD, Fiorelli G. Non-transferrin-bound iron in alcohol abusers. Alcohol Clin Exp Res 2001; 25:1494-9. [PMID: 11696670 DOI: 10.1097/00000374-200110000-00013] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Non-transferrin-bound iron, a low-molecular-weight iron complex capable of initiating free radical formation and lipid peroxidation, has been detected in the serum of animals experimentally fed with alcohol, but no data have been reported in alcohol abusers. The purpose of this study was to evaluate whether non-transferrin-bound iron is present in chronic alcohol abusers with liver involvement and whether alcohol plays any part in its appearance. METHODS We measured non-transferrin-bound iron in a cohort of chronic alcohol abusers with and without liver cirrhosis at presentation, when 43 were active abusers and 33 were abstainers, and in a smaller group during a follow-up period. RESULTS At presentation, non-transferrin-bound iron was detectable in 83.7% of active abusers but only in 21.2% of abstainers, and within the group of abusers, patients with cirrhosis had significantly higher non-transferrin-bound iron than patients without. Non-transferrin-bound iron was present not only in patients with transferrin saturation >45% but also in those with transferrin saturation < or =45%. Multiple regression analyses revealed that only alcohol intake and total bilirubin were associated independently with non-transferrin-bound iron values. Longitudinal study confirmed the data of the cross-sectional study. CONCLUSIONS Non-transferrin-bound iron could have a role in initiating or promoting alcohol-induced liver damage.
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Affiliation(s)
- T M De Feo
- Dipartimento di Medicina Interna, Università di Milano, Milano, Italy
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