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  1. Article ; Online: The Biometeorology of COVID-19: A Novel Therapeutic Strategy?

    Cantone, Elena / Gamerra, Mario

    Acta medica (Hradec Kralove)

    2020  Volume 63, Issue 4, Page(s) 202–204

    MeSH term(s) COVID-19/epidemiology ; COVID-19/therapy ; Disease Management ; Humans ; Meteorology/methods ; Pandemics ; Practice Guidelines as Topic ; SARS-CoV-2
    Language English
    Publishing date 2020-12-22
    Publishing country Czech Republic
    Document type Journal Article ; Review
    ZDB-ID 1360995-6
    ISSN 1805-9694 ; 1211-4286
    ISSN (online) 1805-9694
    ISSN 1211-4286
    DOI 10.14712/18059694.2020.65
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  2. Article ; Online: COVID-19: the crucial role of the nose.

    Gamerra, Mario / de Corso, Eugenio / Cantone, Elena

    Brazilian journal of otorhinolaryngology

    2020  Volume 87, Issue 1, Page(s) 118–119

    MeSH term(s) Brazil ; COVID-19 ; Humans ; Infectious Disease Transmission, Patient-to-Professional ; Nose ; Otolaryngology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-09-16
    Publishing country Brazil
    Document type Letter ; Comment
    ZDB-ID 2428110-4
    ISSN 1808-8686 ; 1808-8694
    ISSN (online) 1808-8686
    ISSN 1808-8694
    DOI 10.1016/j.bjorl.2020.08.001
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  3. Article ; Online: Nose sinus manometry in evaluating functional outcomes of anterior and posterior endoscopic dacryocystorhinostomy.

    Bruno, Ernesto / Roselli, Lucrezia / Porozaj, Dea / De Berardinis, Rita / Gamerra, Mario

    Acta otorrinolaringologica espanola

    2021  Volume 72, Issue 4, Page(s) 212–217

    Abstract: Objective: The aim of this study is to evaluate the effectiveness of anterior and posterior dacryorhinocystostomy (En-Dcr) by assessing the surgical outcome with a new objective technique, nose sinus manometry.: Materials and methods: Thirty adult ... ...

    Abstract Objective: The aim of this study is to evaluate the effectiveness of anterior and posterior dacryorhinocystostomy (En-Dcr) by assessing the surgical outcome with a new objective technique, nose sinus manometry.
    Materials and methods: Thirty adult patients presenting nasolacrimal duct obstruction were enrolled in this study and randomly divided in two groups. In group A patients underwent anterior endonasal dacryorhinocystostomy, group B underwent the posterior approach. All patients were evaluated through Nose Sinus Manometry, endoscopic dye disappearance functional test (EDFT) and subjective assessment three months post-op. Pearson test and T-student Test were used for evaluations.
    Results: The mean differences in the pressure values were significantly different in the two groups of treatment, therefore, the patients of group B had strong improvement in pressure values compared with patients of group A.
    Conclusion: This study confirms a relevant physical distinction between posterior En-Dcr outcomes compared to anterior En-Dcr and reveals a significant success rate difference between the two groups of patients. The posterior surgical technique shows better results than the anterior one, by providing an almost physiological post- operative endonasal outcome. These results also showed the effectiveness of Nose Sinus Manometry in assessing the post- operative outcomes after En-Dcr.
    MeSH term(s) Adult ; Dacryocystorhinostomy ; Endoscopy ; Humans ; Lacrimal Duct Obstruction ; Manometry ; Nasolacrimal Duct
    Language English
    Publishing date 2021-07-22
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5735
    ISSN (online) 2173-5735
    DOI 10.1016/j.otoeng.2021.06.001
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  5. Article ; Online: COVID-19

    Gamerra, Mario / de Corso, Eugenio / Cantone, Elena

    Brazilian Journal of Otorhinolaryngology ; ISSN 1808-8694

    The crucial role of the nose

    2020  

    Keywords Otorhinolaryngology ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.1016/j.bjorl.2020.08.001
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  6. Article ; Online: Magnetic resonance imaging in the pre-operative evaluation of obstructive epiphora: true-FISP and VIBE vs gadolinium.

    Somma, Francesco / d'Agostino, Vincenzo / Tortora, Fabio / Serra, Nicola / Sorrentino, Gerardo / Piscitelli, Valeria / Somma, Andrea / Gamerra, Mario

    La Radiologia medica

    2017  Volume 122, Issue 2, Page(s) 123–130

    Abstract: Purpose: To assess unenhanced magnetic resonance imaging (MRI) in the preoperative evaluation of obstructive epiphora in patients undergoing dacryocystorhinostomy (DCR) and in particular, to evaluate the efficacy of this technique in the detection of ... ...

    Abstract Purpose: To assess unenhanced magnetic resonance imaging (MRI) in the preoperative evaluation of obstructive epiphora in patients undergoing dacryocystorhinostomy (DCR) and in particular, to evaluate the efficacy of this technique in the detection of the exact level of obstruction occurring in the naso-lachrymal duct (NLD). The correct identification and characterization of the NLD and its obstructions lead to a more effective surgery, preventing recurrent dacryocystitis after the surgical treatment.
    Methods: From January 2009 to December 2014, 127 obstructive epiphoras were diagnosed and treated in 127 patients (35 M, 92 F; mean age 60.7 ± 7.48 years, range 42-75 years) with endoscopic DCR, in a IRB-approved protocol. To precisely define the morphology of the NLD and the site of obstruction, some of these patients (67/127) underwent unenhanced 1.5-T MR with TrueFISP and VIBE sequences, while the remaining (60/127) underwent Gadolinium-enhanced 1.5-T MR. Afterwards, surgery checked the real site of obstruction in both groups of patients (enhanced and unenhanced MR), with surgical outcomes matched with previous MR reports.
    Results: In all cases, unenhanced MRI was able to detect the exact site of obstruction along the NLD, allowing a correct planning of surgical endoscopic procedures. On the contrary, enhanced MRI wrongly diagnosed six patients with proximal stenosis (6/60, 10.0%) as intermediate NLD obstruction. Unenhanced MRI was found to be more accurate than enhanced MRI with a statistical significant difference (p value = 0.0256) and obviously cheaper and easier to perform. All imaging reports were verified with surgery. The correct identification of the level of obstruction allowed successful surgery in around 73% (93/127) of patients, who had no recurrence during 6-month follow-up.
    Conclusion: In patients with epiphora, unenhanced MR showed to be highly reliable and even more effective than enhanced MR in the preoperative characterization of NLD stenosis, with no need of performing complex, time-wasting and expensive procedures for the administration of topical contrast media.
    MeSH term(s) Adult ; Aged ; Contrast Media/pharmacology ; Dacryocystorhinostomy/methods ; Female ; Gadolinium/pharmacology ; Humans ; Lacrimal Duct Obstruction/diagnosis ; Lacrimal Duct Obstruction/diagnostic imaging ; Lacrimal Duct Obstruction/therapy ; Magnetic Resonance Imaging/methods ; Male ; Middle Aged ; Predictive Value of Tests ; Preoperative Care/methods ; Retrospective Studies ; Sensitivity and Specificity
    Chemical Substances Contrast Media ; Gadolinium (AU0V1LM3JT)
    Language English
    Publishing date 2017-02
    Publishing country Italy
    Document type Comparative Study ; Journal Article
    ZDB-ID 205751-7
    ISSN 1826-6983 ; 0033-8362
    ISSN (online) 1826-6983
    ISSN 0033-8362
    DOI 10.1007/s11547-016-0696-4
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  7. Article ; Online: Endoscopic sinus surgery in individuals with facial pain due to chronic maxillary sinusitis - a functional controlled study.

    Sanges, Giuseppe / Gamerra, Mario / Sorrentino, Gerardo / De Luca, Roberto / Merone, Maddalena / Feleppa, Michele / Bigal, Marcelo Eduardo

    Arquivos de neuro-psiquiatria

    2014  Volume 72, Issue 8, Page(s) 609–612

    Abstract: Objective: To measure the intra-sinus pressure and the maxillary sinus functional efficiency (MSFE) in individuals with chronic facial pain after conservative or conventional endoscopic maxillary surgery, as well as in controls.: Method: Sinus ... ...

    Abstract Objective: To measure the intra-sinus pressure and the maxillary sinus functional efficiency (MSFE) in individuals with chronic facial pain after conservative or conventional endoscopic maxillary surgery, as well as in controls.
    Method: Sinus manometry was performed 5 times during inhalation.
    Results: The resemblance of pressure values comparing those treated with minimally invasive surgery and controls was remarkable, while traditional surgery significantly decreased intrasinusal pressures. The MSFE was 100% in the three tested times for controls, close to that in those submitted to minimally invasive surgery (98.3%, 98.8%, and 98.0%) and significantly impaired after conventional surgery (48.8%, 52.1%, 48.5 %, p<0.01). All patients submitted to minimally invasive surgery remained pain-free after three months of surgery, relative to 46.7% of the submitted to conventional surgery (p<0.05).
    Conclusion: Minimally invasive sinus surgery is associated with functionality of the chambers that resemble what is found in normal individuals.
    MeSH term(s) Adult ; Chronic Disease ; Endoscopy/methods ; Facial Pain/etiology ; Facial Pain/physiopathology ; Facial Pain/surgery ; Female ; Humans ; Male ; Manometry ; Maxillary Sinus/physiopathology ; Maxillary Sinus/surgery ; Maxillary Sinusitis/complications ; Maxillary Sinusitis/physiopathology ; Maxillary Sinusitis/surgery ; Otorhinolaryngologic Surgical Procedures/methods ; Treatment Outcome
    Language English
    Publishing date 2014-07-04
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1590/0004-282x20140092
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  8. Article ; Online: Fronto-turbinalis sinus expansion and headache.

    Sanges, Giuseppe / Feleppa, Michele / Gamerra, Mario / Sorrentino, Gerardo / De Luca, Roberto / Merone, Maddalena / Cacace, Luigi / Bigal, Marcelo Eduardo

    Current pain and headache reports

    2011  Volume 15, Issue 4, Page(s) 308–313

    Abstract: Headaches of rhinogenic origin illustrate an interesting paradox. Little is known about their pathophysiology, mechanisms, and prevalence; yet, the concept that these headaches are of importance is widely accepted. This article discusses the relationship ...

    Abstract Headaches of rhinogenic origin illustrate an interesting paradox. Little is known about their pathophysiology, mechanisms, and prevalence; yet, the concept that these headaches are of importance is widely accepted. This article discusses the relationship between fronto-turbinalis sinus expansion and headaches, as well as headache outcomes after surgical approach.
    MeSH term(s) Adolescent ; Adult ; Aged ; Female ; Headache Disorders/pathology ; Headache Disorders/surgery ; Headache Disorders/therapy ; Headache Disorders, Secondary/pathology ; Headache Disorders, Secondary/surgery ; Headache Disorders, Secondary/therapy ; Humans ; Male ; Middle Aged ; Paranasal Sinuses/pathology ; Paranasal Sinuses/physiopathology ; Paranasal Sinuses/surgery ; Pressure ; Young Adult
    Language English
    Publishing date 2011-04-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055062-5
    ISSN 1534-3081 ; 1531-3433
    ISSN (online) 1534-3081
    ISSN 1531-3433
    DOI 10.1007/s11916-011-0194-2
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