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    Why Does General QoL Tend to Worsen Over Time Following Septoplasty Even in the Absence of Worsening Nasal Symptoms?

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    Septoplasty is one of the most frequent surgical procedures performed by head and neck surgeons. Despite surgical correction, some patients are not satisfied with their postoperative outcomes. Only a few papers report data on the long-term quality of life of patients after septoplasty, and none over 36 months. This follow up study on 68 surgical procedures aims to evaluate the differences between short term and long-term quality of life after septoplasty using a disease specific quality of life questionnaire, the NOSE, and a general health status questionnaire, the SF-36. We found a statistically significant decrease of the total long-term SF-36 scores, but we did not find changes of the NOSE scores compared with the short-term scores. These results indicated that patients perceived a worsening of their quality of life after more than 36 months following septoplasty, even in the absence of specific nasal symptoms. We could speculate that the preoperative general health performance was erroneously attributed to specific nasal symptoms, probably incorrectly emphasized or that patients did not correctly remember the preoperative clinical status. This research pointed out the importance of patients’ selection and of a thorough evaluation of their preoperative expectations before surgical planning

    Effect of sodium hyluronate added to topical corticosteroids in chronic rhinosinusitis with nasal polyposis

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    Available medical treatments for chronic rhinosinusitis (CRS) with nasal polyposis (CRSwNP) comprise systemic and topical therapies. Although topical corticosteroids are effective in the treatment of CRS, they are not completely devoid of adverse effects. Thus, care has to be taken when long-term treatments are prescribed. There is recent evidence that sodium hyaluronate (SH), the major component of many extracellular matrices, promotes tissue healing, including activation and moderation of the inflammatory responses, cell proliferation, migration, and angiogenesis

    New macroscopic classification of stapedio-ovalar otosclerosis: a simplified rating for training in stapedotomy

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    To have a new macroscopic classification of otosclerosis based on appearance variations of the stapes footplate due to the disease and to determine if the color variations are correlated to a minor or major incidence of footplate complications

    Nose and Sinus Air Flow Model

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    Air flow in nose and sinuses is studied by means of a simple model based on the steady-state ideal fluid flow assumption and repeated use of Bernoulli’s equation. In particular, by describing flow of air drawn in through the vestibulumnasi during inspiration, we investigate how ventilation of the maxillary sinus is affected by surgical removal of part of the lateral walls of the nasal cavity close to the ostiummeatal complex. We find that, according to the model proposed, removal of tissues from this inner part of the nasal cavity may cause a decrease of the flux rate from the maxillary sinus
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