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  1. Article ; Online: Oral and oropharyngeal malignant minor salivary gland tumors: a retrospective study.

    Valletti, Paolo Aluffi / Campagnoli, Massimo / Dell'Era, Valeria / Garzaro, Massimiliano / Boffano, Paolo / Neirotti, Francesca / Mazzer, Anna Maria / Brucoli, Matteo

    Journal of stomatology, oral and maxillofacial surgery

    2024  , Page(s) 101893

    Abstract: Introduction: Tumors of minor salivary gland origin are uncommon lesions, representing 2-3% of all malignant neoplasms of the upper aerodigestive tract and 9-23% of all salivary gland tumors. The aim of this study is to report the demographic features, ... ...

    Abstract Introduction: Tumors of minor salivary gland origin are uncommon lesions, representing 2-3% of all malignant neoplasms of the upper aerodigestive tract and 9-23% of all salivary gland tumors. The aim of this study is to report the demographic features, sites, histological types and the management and outcomes of oral and oropharyngeal minor salivary gland tumors diagnosed and treated in a University Hospital with a multidisciplinary head and neck team.
    Materials and methods: A single-center retrospective observational study was conducted in a cohort of patients who received diagnosis of minor salivary gland carcinoma of oropharynx and oral cavity between July 30th 2000 and 30th September 2021. The following data of the included patients were collected: age, gender, smoke history, alcohol consumption, past medical history, comorbidities, anatomic location of the tumor, histopathology, staging, management, and outcomes.
    Results: A total of 30 cases (16 females, 14 males) of oral and oropharyngeal minor salivary gland tumors were reviewed. The most frequent histotype was polymorphous adenocarcinoma (12 patients). The majority of patients presented with low stage at diagnosis, with 66,66% of the population classified as stage I or II at diagnosis. On the whole, 29 patients out of 30 benefitted from a surgical approach as first treatment. In 11 patients, adjuvant radiotherapy was performed and in 6 cases it was associated with chemotherapy. Brachytherapy with different timing was performed in 5 cases. The recurrence rate was 26.66%. Overall disease specific survival at five and ten years was found to be approximately 81% and 33% respectively.
    Conclusions: Surgery is still considered to be the gold standard of the treatment of minor salivary gland tumors. Radiation therapy, in spite of not being considered as a curative primary treatment for salivary malignancies, is extensively used as an adjuvant treatment.
    Language English
    Publishing date 2024-04-24
    Publishing country France
    Document type Journal Article
    ZDB-ID 2916276-2
    ISSN 2468-7855 ; 2468-8509
    ISSN (online) 2468-7855
    ISSN 2468-8509
    DOI 10.1016/j.jormas.2024.101893
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Nasal Pressure Injuries During the COVID-19 Epidemic.

    Dell'Era, Valeria / Aluffi Valletti, Paolo / Garzaro, Massimiliano

    Ear, nose, & throat journal

    2020  Volume 99, Issue 9, Page(s) 567–568

    MeSH term(s) Adult ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/prevention & control ; Facial Injuries/etiology ; Humans ; Male ; Nose/injuries ; Occupational Injuries/etiology ; Pandemics/prevention & control ; Physicians ; Pneumonia, Viral/prevention & control ; Pressure Ulcer/etiology ; Respiratory Protective Devices/adverse effects ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-30
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 750153-5
    ISSN 1942-7522 ; 0145-5613
    ISSN (online) 1942-7522
    ISSN 0145-5613
    DOI 10.1177/0145561320922705
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Does Prolonged FFP2 Mask Use Cause Changes in Nasal Cytology? A Pilot Observational Study on Healthcare Workers.

    Campagnoli, Massimo / Dell'Era, Valeria / Rosa, Maria Silvia / Aluffi Valletti, Paolo / Garzaro, Massimiliano

    Healthcare (Basel, Switzerland)

    2022  Volume 10, Issue 12

    Abstract: TheCOVID-19 pandemic has rapidly spread worldwide. Individual prevention approaches include FFP2/N95 mask use. Healthcare (HC) workers wear face masks for a long time during their work shifts and often complain of nasal symptoms. Current data on mask- ... ...

    Abstract TheCOVID-19 pandemic has rapidly spread worldwide. Individual prevention approaches include FFP2/N95 mask use. Healthcare (HC) workers wear face masks for a long time during their work shifts and often complain of nasal symptoms. Current data on mask-associated symptoms or upper airway epithelium transformations are limited. Nasal cytology (NC) is a useful, non-invasive diagnostic method to assess cellular alterations. The aim of this study is to compare NC in HC workers before and after the continuous wearing of FFP2 face masks. We conducted a pilot observational study on 10 volunteer HC workers, who continuously used FFP2 masks during the work shift. All subjects underwent NC at the beginning (T0) and at the end of their workshift (T1) and the cytological findings were compared. Moreover, nasal symptoms were collected. Rare inflammatory cells were detected at T0 and, comparing cytological data about T0 and T1, no significant differences were observed. The most reported nasal symptoms were itching (70%) and a dry nose (60%). Difficulty of breathing and nasal blockage were not relevant. These preliminary data seem to suggest that wearing an FFP2 mask does not determine observable alterations in NC in daily work. However, further studies on a larger population for a longer period are needed.
    Language English
    Publishing date 2022-11-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare10122365
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Machine Learning Model as a Useful Tool for Prediction of Thyroid Nodules Histology, Aggressiveness and Treatment-Related Complications.

    Dell'Era, Valeria / Perotti, Alan / Starnini, Michele / Campagnoli, Massimo / Rosa, Maria Silvia / Saino, Irene / Aluffi Valletti, Paolo / Garzaro, Massimiliano

    Journal of personalized medicine

    2023  Volume 13, Issue 11

    Abstract: Thyroid nodules are very common, 5-15% of which are malignant. Despite the low mortality rate of well-differentiated thyroid cancer, some variants may behave aggressively, making nodule differentiation mandatory. Ultrasound and fine-needle aspiration ... ...

    Abstract Thyroid nodules are very common, 5-15% of which are malignant. Despite the low mortality rate of well-differentiated thyroid cancer, some variants may behave aggressively, making nodule differentiation mandatory. Ultrasound and fine-needle aspiration biopsy are simple, safe, cost-effective and accurate diagnostic tools, but have some potential limits. Recently, machine learning (ML) approaches have been successfully applied to healthcare datasets to predict the outcomes of surgical procedures. The aim of this work is the application of ML to predict tumor histology (HIS), aggressiveness and post-surgical complications in thyroid patients. This retrospective study was conducted at the ENT Division of Eastern Piedmont University, Novara (Italy), and reported data about 1218 patients who underwent surgery between January 2006 and December 2018. For each patient, general information, HIS and outcomes are reported. For each prediction task, we trained ML models on pre-surgery features alone as well as on both pre- and post-surgery data. The ML pipeline included data cleaning, oversampling to deal with unbalanced datasets and exploration of hyper-parameter space for random forest models, testing their stability and ranking feature importance. The main results are (i) the construction of a rich, hand-curated, open dataset including pre- and post-surgery features (ii) the development of accurate yet explainable ML models. Results highlight pre-screening as the most important feature to predict HIS and aggressiveness, and that, in our population, having an out-of-range (Low) fT3 dosage at pre-operative examination is strongly associated with a higher aggressiveness of the disease. Our work shows how ML models can find patterns in thyroid patient data and could support clinicians to refine diagnostic tools and improve their accuracy.
    Language English
    Publishing date 2023-11-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm13111615
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Patient's Scar Satisfaction after Conventional Thyroidectomy for Differentiated Thyroid Cancer.

    Campagnoli, Massimo / Dell'Era, Valeria / Rosa, Maria Silvia / Negri, Fabiola / Malgrati, Eric / Garzaro, Massimiliano / Valletti, Paolo Aluffi

    Journal of personalized medicine

    2023  Volume 13, Issue 7

    Abstract: Differentiated thyroid carcinoma (DTC) is the most frequent endocrine neoplasm. Its treatment is based on surgery with consequent impact on patients' quality of life (QoL) and aesthetic implication. The aim of the present study is to assess scar ... ...

    Abstract Differentiated thyroid carcinoma (DTC) is the most frequent endocrine neoplasm. Its treatment is based on surgery with consequent impact on patients' quality of life (QoL) and aesthetic implication. The aim of the present study is to assess scar satisfaction in patients affected by DTC who underwent total or partial thyroidectomy. A comparison was also made between scar satisfaction with different subcuticular suture. Validated questionnaires have been employed during a 3-month follow-up: Patient and Observer Scar Assessment Scale (POSAS) and the Patient Scar Assessment Questionnaire (PSAQ). Eventually, the impact of thyroid cancer on QoL of patients was performed in the studied population employing the Thyroid-related patient-reported outcome questionnaire (ThyPRO) and European Organisation for Research Additionally, Treatment of Cancer-Quality of Life questionnaire-C30 (EORTC QLQ-C30). It was conducted in a single center observational study considering 74 patients respecting inclusion criteria. Overall scar satisfaction was found to improve during follow-up, reaching the best scores at 3 months from surgery. Subcuticular suture does not seem to influence the scar satisfaction. In our study male patients seem to be more satisfied, on the other hand age does not seem to influence satisfaction. Overall, the ThyPRO questionnaire and EORTC QLQ-C30 scores did not statistically differ between preoperative and postoperative suggesting a small impact of DTC in QoL.
    Language English
    Publishing date 2023-06-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm13071066
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Nasal Pressure Injuries During the COVID-19 Epidemic

    Valeria Dell'Era / Paolo Aluffi Valletti / Massimiliano Garzaro

    2020  

    Abstract: ... n/ ... ...

    Abstract n/a
    Keywords COVID-19 ; Otorhinolaryngology ; covid19
    Language English
    Publishing date 2020-04-30
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: An innovative and safe way to train novice ear nose and throat residents through simulation: the SimORL experience.

    Dell'Era, Valeria / Garzaro, Massimiliano / Carenzo, Luca / Ingrassia, Pier Luigi / Aluffi Valletti, Paolo

    Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale

    2021  Volume 40, Issue 1, Page(s) 19–25

    MeSH term(s) Clinical Competence ; Computer Simulation ; Curriculum ; Diagnostic Techniques and Procedures ; Ear ; Endoscopy/education ; Endoscopy/methods ; Female ; Humans ; Italy ; Male ; Nose ; Otolaryngology/education ; Otolaryngology/methods ; Otoscopy ; Personal Satisfaction ; Pharynx ; Program Evaluation ; Robotic Surgical Procedures/education ; Robotics ; Surveys and Questionnaires
    Language English
    Publishing date 2021-01-04
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 604898-5
    ISSN 1827-675X ; 0392-100X
    ISSN (online) 1827-675X
    ISSN 0392-100X
    DOI 10.14639/0392-100X-N0128
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Epistaxis in hospitalized patients with COVID-19.

    Dell'Era, Valeria / Dosdegani, Riccardo / Valletti, Paolo Aluffi / Garzaro, Massimiliano

    The Journal of international medical research

    2020  Volume 48, Issue 8, Page(s) 300060520951040

    Abstract: Spontaneous epistaxis in patients with COVID-19 can represent a clinical challenge with respect to both the risk of contamination and the treatment options. We herein present the data of 30 patients with COVID-19 who developed spontaneous epistaxis while ...

    Abstract Spontaneous epistaxis in patients with COVID-19 can represent a clinical challenge with respect to both the risk of contamination and the treatment options. We herein present the data of 30 patients with COVID-19 who developed spontaneous epistaxis while hospitalized at Eastern Piedmont Hospital during March and April 2020. All patients received low-molecular-weight heparin during their hospital stay and required supplementary oxygen therapy either by a nasal cannula or continuous positive airway pressure. Both conditions can represent risk factors for developing epistaxis. Prevention of crust formation in patients with rhinitis using a nasal lubricant should be recommended. If any treatment is required, appropriate self-protection is mandatory.
    MeSH term(s) Aged ; Betacoronavirus ; COVID-19 ; Cannula ; Continuous Positive Airway Pressure ; Coronavirus Infections/pathology ; Epistaxis/pathology ; Epistaxis/virology ; Female ; Heparin/adverse effects ; Humans ; Male ; Middle Aged ; Nasal Mucosa/injuries ; Oxygen Inhalation Therapy/methods ; Pandemics ; Pneumonia, Viral/pathology ; SARS-CoV-2
    Chemical Substances Heparin (9005-49-6)
    Keywords covid19
    Language English
    Publishing date 2020-08-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 184023-x
    ISSN 1473-2300 ; 0300-0605 ; 0142-2596
    ISSN (online) 1473-2300
    ISSN 0300-0605 ; 0142-2596
    DOI 10.1177/0300060520951040
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A solitary sinonasal angiomatous polyp presenting with obstructive sleep apnea in an adult.

    Dell'Era, Valeria / Aluffi Valletti, Paolo / Raia, Melissa / Garzaro, Massimiliano

    Cranio : the journal of craniomandibular practice

    2020  Volume 41, Issue 1, Page(s) 22–25

    Abstract: Background: Obstructive sleep apnea (OSA) is frequently encountered in adult sleep disorders and needs careful differential diagnosis.Ear, nose, throat examination, including naso-laryngeal endoscopy, is mandatory in all cases to rule out potential ... ...

    Abstract Background: Obstructive sleep apnea (OSA) is frequently encountered in adult sleep disorders and needs careful differential diagnosis.Ear, nose, throat examination, including naso-laryngeal endoscopy, is mandatory in all cases to rule out potential obstructing lesions causing OSA.
    Clinical presentation: This report presents a 64-year-old male with snoring, nasal blockage (especially during night-time), and mild OSA. Physical-examination and CT revealed a unilateral vascularized left sinonasal mass extending to the nasopharynx and protruding into the oropharynx during inhalation. Due to suspicions of malignancy or vascular tumor, the patient also underwent contrast MRI. Endoscopic surgery was performed, and the final diagnosis was a sinonasal angiomatous polyp (SAP). SAPs are rare, and this is the first reported case of an adult solitary unilateral angiomatous polyp referral for OSA.
    Conclusion: Nasal masses need to be considered in the differential diagnosis of patients with obstructive sleep disorders in order to avoid wrong or ineffective treatment.
    MeSH term(s) Male ; Humans ; Adult ; Middle Aged ; Sleep Apnea, Obstructive/diagnosis ; Sleep Apnea, Obstructive/etiology ; Sleep Apnea, Obstructive/surgery ; Snoring/complications ; Physical Examination
    Language English
    Publishing date 2020-07-11
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 632570-1
    ISSN 2151-0903 ; 0886-9634
    ISSN (online) 2151-0903
    ISSN 0886-9634
    DOI 10.1080/08869634.2020.1792222
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Nasal Pressure Injuries During the COVID-19 Epidemic

    Dell’Era, Valeria / Aluffi Valletti, Paolo / Garzaro, Massimiliano

    Ear, Nose & Throat Journal

    2020  Volume 99, Issue 9, Page(s) 567–568

    Keywords Otorhinolaryngology ; covid19
    Language English
    Publisher SAGE Publications
    Publishing country us
    Document type Article ; Online
    ZDB-ID 750153-5
    ISSN 1942-7522 ; 0145-5613
    ISSN (online) 1942-7522
    ISSN 0145-5613
    DOI 10.1177/0145561320922705
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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