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Gaffuri M, di Lullo AM, Trecca EMC, Russo G, Molinari G, Russo FY, Albera A, Mannelli G, Ralli M, Turri-Zanoni M. High-Definition 3D Exoscope in Pediatric Otorhinolaryngology: A Systematic Literature Review. J Clin Med 2023; 12:6528. [PMID: 37892666 PMCID: PMC10607561 DOI: 10.3390/jcm12206528] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Revised: 10/03/2023] [Accepted: 10/07/2023] [Indexed: 10/29/2023] Open
Abstract
This PRISMA-compliant systematic review aimed to investigate the use of and the most common procedures performed with the novel 3D 4K exoscope in surgical pediatric head and neck settings. METHODS Search criteria were applied to PubMed, EMBASE and the Cochrane Review databases and included all studies published up to January 2023 reporting 3D 4K exoscope-assisted surgeries in pediatric patients. After the removal of duplicates, selection of abstracts and full-text articles, and quality assessment, we reviewed eligible articles for number of patients treated, age, surgical procedures, and outcomes. RESULTS Among 54 potentially relevant records, 5 studies were considered eligible and included in this systematic review, with reported treatment data for 182 patients. The surgical procedures belong to the otologic field (121 cases), head and neck surgery (25 cases) and transoral surgery (36 cases). Exoscopy allowed high quality visualization of anatomical structures during cochlear implantation and during reconstruction in head and neck surgery; moreover, it improved the surgical view of surgeons, spectators and ENT students. CONCLUSIONS The use of 3D 4K exoscopy has shown promising potential as a valuable tool in pediatric ORL-head and neck surgery; nevertheless, further validation of these encouraging outcomes is necessary through larger-scale studies specifically focused on pediatric patients.
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Affiliation(s)
- Michele Gaffuri
- Research Group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery, Italy
- Department of Otolaryngology—Head and Neck Surgery, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
| | - Antonella Miriam di Lullo
- Research Group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery, Italy
- Division of Otolaryngology-Head and Neck Surgery, Department of Neuroscience, Reproductive and Odontostomatologic Sciences, University of Naples Federico II, Pansini Street n.5, 80131 Naples, Italy
- CEINGE—Advanced Biotechnology, Salvatore G. Street n.486, 80131 Naples, Italy
| | - Eleonora M. C. Trecca
- Research Group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery, Italy
- Department of Maxillofacial Surgery and Otolaryngology, IRCCS Research Hospital Casa Sollievo della Sofferenza, San Giovanni Rotondo, 71013 Foggia, Italy
- Department of Otolaryngology, University Hospital of Foggia, 71100 Foggia, Italy
| | - Gennaro Russo
- Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery, Italy
- Otolaryngology Unit, AORN dei Colli, V. Monaldi Hospital, 80131 Napoli, Italy
| | - Giulia Molinari
- Research Group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery, Italy
- Department of Otolaryngology—Head and Neck Surgery, IRCCS Azienda Ospedaliero—Universitaria di Bologna, 40138 Bologna, Italy
- Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum—Università di Bologna, 40138 Bologna, Italy
| | - Francesca Yoshie Russo
- Research Group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery, Italy
- Department of Sense Organs, ENT Department, Sapienza University of Rome, 00185 Rome, Italy
| | - Andrea Albera
- Research Group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery, Italy
- Department of Surgical Sciences, University of Turin, 10124 Turin, Italy
| | - Giuditta Mannelli
- Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery, Italy
- Department of Experimental and Clinical Medicine, University of Florence, 50121 Firenze, Italy
| | - Massimo Ralli
- Research Group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery, Italy
- Department of Sense Organs, ENT Department, Sapienza University of Rome, 00185 Rome, Italy
| | - Mario Turri-Zanoni
- Research Group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery, Italy
- Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, 21100 Varese, Italy
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Trecca EM, Gaffuri M, Molinari G, Russo FY, Turri-Zanoni M, Albera A, Miriam di Lullo A, Russo G, Mannelli G, Ralli M. Impact of the COVID-19 pandemic on paediatric otolaryngology: a nationwide study. Acta Otorhinolaryngol Ital 2023; 43:352-359. [PMID: 37519138 PMCID: PMC10551727 DOI: 10.14639/0392-100x-n2452] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 04/10/2023] [Indexed: 08/01/2023]
Abstract
Objective The COVID-19 pandemic profoundly modified the work routine in healthcare; however, its impact on the field of paediatric otorhinolaryngology (ORL) has been rarely investigated. The aim of this study was to assess the impact of COVID-19 on paediatric ORL. Methods A questionnaire was developed by the Young Otolaryngologists of the Italian Society of ORL-Head and Neck Surgery (GOS). The questionnaire consisted of 26 questions related to workplace and personal paediatric ORL activities. The link was advertised on the official social media platforms and sent by e-mail to 469 Italian otolaryngologists. Results The questionnaire was completed by 118 responders. During the pandemic, the main reduction was observed for surgical activity (78.8%), followed by outpatient service (16.9%). The conditions that were mostly impacted by a delayed diagnosis were respiratory infections in 45.8% of cases and sensorineural hearing loss in 37.3% of cases. Conclusions Paediatric ORL was highly impacted by the COVID-19 pandemic, with a significant reduction of surgical and outpatient activities and a delay in time-sensitive diagnosis. Therefore, the implementation of new strategies, such as telemedicine, is recommended.
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Affiliation(s)
- Eleonora M.C. Trecca
- Correspondence Eleonora Maria Consiglia Trecca IRCCS Casa Sollievo della Sofferenza, Department of Maxillofacial Surgery and Otolaryngology, viale Cappuccini 1, 71013 San Giovanni Rotondo (FG), Italy E-mail:
| | - Michele Gaffuri
- Research group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery
- Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
- Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - Giulia Molinari
- Research group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery
- Department of Otolaryngology-Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria of Bologna, Bologna, Italy
- Department of Experimental Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Francesca Yoshie Russo
- Research group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery
- Department of Sense Organs, ENT Department, Sapienza University of Rome, Rome, Italy
| | - Mario Turri-Zanoni
- Research group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery
- Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy
| | - Andrea Albera
- Research group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery
- Department of Surgical Sciences, University of Turin, Turin, Italy
| | - Antonella Miriam di Lullo
- Research group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery
- ENT Unit- Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples, Italy
| | - Gennaro Russo
- Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery
- Otolaryngology Unit, AORN dei Colli, V. Monaldi Hospital, Napoli, Italy
| | - Giuditta Mannelli
- Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Massimo Ralli
- Research group of Pediatric Otorhinolaryngology of the Task Force of the Young Otolaryngologists of the Italian Society of Otolaryngology-Head and Neck Surgery
- Department of Sense Organs, ENT Department, Sapienza University of Rome, Rome, Italy
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Mesolella M, di Lorenzo G, Petti A, Allosso S, di Lullo AM, Cavaliere M. Intralabyrinthine Schwannoma of the Intravestibular Subtype: A Difficult Diagnosis. Ear Nose Throat J 2020; 101:301-303. [PMID: 32941084 DOI: 10.1177/0145561320957761] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Massimo Mesolella
- Unit of Otorhinolaryngology, Department of Neuroscience, 9307Federico II University Hospital, Napoli, Italy
| | - Giuseppe di Lorenzo
- Unit of Otorhinolaryngology, Department of Neuroscience, 9307Federico II University Hospital, Napoli, Italy
| | - Alessandra Petti
- Unit of Otorhinolaryngology, Department of Neuroscience, 9307Federico II University Hospital, Napoli, Italy
| | - Salvatore Allosso
- Unit of Otorhinolaryngology, Department of Neuroscience, 9307Federico II University Hospital, Napoli, Italy
| | - Antonella Miriam di Lullo
- Unit of Otorhinolaryngology, Department of Neuroscience, 9307Federico II University Hospital, Napoli, Italy
| | - Michele Cavaliere
- Unit of Otorhinolaryngology, Department of Neuroscience, 9307Federico II University Hospital, Napoli, Italy
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