117,809 research outputs found
In Vitro Activity (MIC and MFC) of Voriconazole, Amphotericin B, and Itraconazole Against 192 Filamentous Fungi: The GISIA-2 Study
No full textAntonella Mencacci è uno degli autori partecipanti al GISIA GROU
Transoral robotic tongue base reduction and supraglottoplasty combined with maxillomandibular advancement: a new option for selected sleep apnea patients? Preliminary report
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When multidisciplinary surgical trans-orbital approaches should be considered to reach the skull base
No full textSUMMARY The transorbital approaches are a group of surgical procedures performed passing through the orbital spaces and aimed to reach deeper areas. This kind of surgery has been proved to be safe and effective in the management of selected lesions of the anterior, middle and infratemporal fossa. The aim of the present study is to perform a review of the literature, in order to draw the reader’s attention on the main features of this kind of surgery, focusing on the anatomical background and the surgical setting; we will also summary the current indications and contraindications to this approach and find out the related complications and the possible alternatives. Even if we consider the transorbital approach as a promising route to the skull base, we underline that there is no better approach over another and the choice must always consider several elements. Furthermore, as for every skull base procedure, a multidisciplinary management is strongly advisable
Chirurgia orbitaria e trans-orbitaria endoscopico-assistita. Evoluzione e possibili applicazioni
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Effectiveness of superior eyelid endoscopic-assisted approach in the management of selected orbital abscess: Considerations on 4 cases
No full textOrbital abscess is one of the most serious complications of acute rhinosinusitis and requires surgical management to avoid further complications such as visual loss and intracranial extension of the infectious process. Endoscopic sinus surgery is the most frequently used procedure in such cases, even if its use may be insufficient in some cases. The aim of the present study is to present our experience on the management of selected orbital abscesses through a superior eyelid endoscopic approach in combination with endonasal surgery. Personal considerations on four cases and lessons learned are described
Primo piano: Luca Mencacci. The Best Man. Le campagne elettorali viste da Hollywood
No full textIl cinema americano può essere letto attraverso le lenti della scienza politica. Lo mette in mostra il libro di L. Mencacci "The Best Man" sulle elezioni americane viste dal cinema hollywoodiano. Emerge la sua capacità di illustrare le categorie politiche volte ad illustrare i processi mediatico-culturali che determinano fatti ed eventi legati alle elezioni presidenziali. Connettendo cinema e politologia l'autore ci dà così un ampio quadro della scienza politica americana del XX secolo.American cinema can be read through the lenses of political science. The book by L. Mencacci "The Best Man" on the American elections seen by Hollywood cinema shows it. It emerges its ability to illustrate the political categories aimed at illustrating the media-cultural processes that determine events and events related to the presidential elections. By connecting cinema and political science, the author gives us a broad picture of 20th century American political science
Text as interaction: Ut mihi (quidem) videtur as a hedging device in latin literary texts
No full textThe essay focuses on the pragmatic valence of the parenthetical clause ut mihi (quidem) uidetur, a formulation which, by underscoring the subjective value of a statement, often conveys important interactional functions. A close survey of the use of this expression in Latin authors from Cicero to Augustinus highlights the essentially redressive value of the formula, which mainly acts as a mitigating hedge in stance-taking, aimed at avoiding the negative effects of potential face-threatening acts and at managing self-presentation. Special attention is paid to Cicero’s usage of the formula as a refined conversational marker, through which the speaker showing modesty and awareness of others’ value reveals his superior moral and social standing. Hence, the essay explores the role of speaker-oriented strategies of politeness in Rome, as part of an interactional style aimed at indexing a precise social identity
Endoscopic-assisted transoral-transpharyngeal approach to parapharyngeal space and infratemporal fossa: focus on feasibility and lessons learned
No full textThe parapharyngeal space (PPS) is a challenging anatomical region, rich in vascular and nervous vital structures. Surgery is considered the treatment of choice for the majority of PPS lesions. Herein, we present a retrospective evaluation on ten patients with various types of lesions of the parapharyngeal and infratemporal fossa (ITF) regions operated on via an endoscopic-assisted transoral-transpharyngeal approach (EATTA), focusing on feasibility and safety. A retrospective evaluation of patients treated by means of EATTA to PPS and/or ITF lesions was carried out. The clinical records of patients who were operated on with EATTA for PPS and/or ITF lesions between March 2009 and October 2015 at two referral centres were reviewed and the intra-operative and post-operative complications were analysed. Ten patients who underwent EATTA on the PPS and ITF were included in this series. The procedure was performed in six patients for tumour removal, in three patients for diagnostic purposes and in one patient for pain control. No major complications occurred. No conversion to external approach was required. We observed only two minor complications which were promptly solved. No dysphagia or other problems during the food intake were observed in our series. One day after surgery all patients, except one, referred a value of VAS minor than 4. To date, no evidence of disease recurrence has been assessed in all six oncological cases. Although preliminary, our experience seems to demonstrate the feasibility and safety of EATTA when properly planned and performed
Eosinophilic granulomatosis with polyangiitis and laryngeal involvement: Review of the literature and a cross-sectional prospective experience
No full textBackground Eosinophilic granulomatosis with polyangiitis and granulomatosis with polyangiitis show variable otorhinolaryngological involvement. Up to 14 per cent of granulomatosis with polyangiitis patients have subglottis involvement; little is known about the laryngeal involvement in eosinophilic granulomatosis with polyangiitis. Method A literature review was conducted, together with a prospective cross-sectional analysis of 43 eosinophilic granulomatosis with polyangiitis patients. All patients underwent fibre-optic laryngoscopy with narrow-band imaging, and completed health-related questionnaires. Results The literature review showed only two cases of laryngeal involvement in eosinophilic granulomatosis with polyangiitis; in our cohort, no cases of subglottis stenosis were found, but local signs of laryngeal inflammation were present in 72 per cent of cases. Of the patients, 16.2 per cent had a pathological Reflux Finding Score (of 7 or higher). Conclusion Laryngeal inflammation in eosinophilic granulomatosis with polyangiitis is frequent. It is possibly due more to local factors than to eosinophilic granulomatosis with polyangiitis itself. However, ENT evaluation is needed to rule out possible subglottis inflammation. These findings are in line with current literature and worthy of confirmation in larger cohorts
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