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  1. Book ; Online ; E-Book: Exoscope-assisted surgery in otorhinolaryngology

    Spriano, Giuseppe

    2022  

    Author's details edited by Giuseppe Spriano
    Keywords Nose/Surgery ; Ear/Surgery ; Throat/Surgery
    Subject code 617.51
    Language English
    Size 1 online resource :, illustrations (chiefly color)
    Publisher Elsevier
    Publishing place St. Louis, Missouri
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 0-323-83169-9 ; 0-323-83168-0 ; 978-0-323-83168-0 ; 978-0-323-83169-7
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Book: Exoscope-Assisted Surgery in Otorhinolaryngology

    de Virgilio, Armando / Spriano, Giuseppe

    2021  

    Language English
    Size 154 p.
    Publisher Elsevier Science
    Document type Book
    Note PDA Manuell_11
    Format 192 x 233 x 10
    ISBN 9780323831680 ; 0323831680
    Database PDA

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  3. Article ; Online: The Use of Machine Learning for Predicting Complications of Free Flap Head and Neck Reconstruction: Caution Needed.

    Costantino, Andrea / Festa, Bianca Maria / Spriano, Giuseppe / De Virgilio, Armando

    Annals of surgical oncology

    2023  Volume 30, Issue 7, Page(s) 4232–4233

    MeSH term(s) Humans ; Free Tissue Flaps/adverse effects ; Free Tissue Flaps/surgery ; Plastic Surgery Procedures/adverse effects ; Neck/surgery ; Machine Learning ; Head and Neck Neoplasms/surgery ; Retrospective Studies ; Postoperative Complications/etiology ; Postoperative Complications/surgery
    Language English
    Publishing date 2023-03-30
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-023-13428-0
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  4. Article ; Online: Caution Regarding Assessment of Toxic Effects and Survival in Treatment De-escalation With Radiotherapy vs Transoral Surgery for Human Papillomavirus-Associated Oropharyngeal Cancer.

    De Virgilio, Armando / Costantino, Andrea / Spriano, Giuseppe

    JAMA oncology

    2022  Volume 8, Issue 10, Page(s) 1511–1512

    MeSH term(s) Humans ; Papillomaviridae ; Alphapapillomavirus ; Oropharyngeal Neoplasms/radiotherapy ; Oropharyngeal Neoplasms/surgery ; Papillomavirus Infections/surgery
    Language English
    Publishing date 2022-08-18
    Publishing country United States
    Document type Journal Article ; Comment
    ISSN 2374-2445
    ISSN (online) 2374-2445
    DOI 10.1001/jamaoncol.2022.3458
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  5. Article ; Online: Development of machine learning models to predict lymph node metastases in major salivary gland cancers.

    Costantino, Andrea / Canali, Luca / Festa, Bianca Maria / Kim, Se-Heon / Spriano, Giuseppe / De Virgilio, Armando

    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

    2023  Volume 49, Issue 9, Page(s) 106965

    MeSH term(s) Male ; Humans ; Adult ; Middle Aged ; Aged ; Lymphatic Metastasis ; Retrospective Studies ; Machine Learning ; Algorithms ; Salivary Gland Neoplasms
    Language English
    Publishing date 2023-06-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 632519-1
    ISSN 1532-2157 ; 0748-7983
    ISSN (online) 1532-2157
    ISSN 0748-7983
    DOI 10.1016/j.ejso.2023.06.017
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  6. Article ; Online: Compartmental Transoral Robotic Lateral Oropharyngectomy with the da Vinci Single-Port System: Surgical Technique.

    De Virgilio, Armando / Costantino, Andrea / Festa, Bianca Maria / Sampieri, Claudio / Spriano, Giuseppe / Kim, Se-Heon

    Annals of surgical oncology

    2023  Volume 30, Issue 9, Page(s) 5728–5732

    Abstract: Background: Transoral robotic surgery (TORS) has renovated the surgical management of oropharyngeal squamous cell carcinoma (OPSCC), allowing a minimally invasive surgical approach with optimal oncological outcomes. The recent introduction of the da ... ...

    Abstract Background: Transoral robotic surgery (TORS) has renovated the surgical management of oropharyngeal squamous cell carcinoma (OPSCC), allowing a minimally invasive surgical approach with optimal oncological outcomes. The recent introduction of the da Vinci Single Port (SP) system resulted in a considerable improvement of TORS technique.
    Methods: In this video, we illustrate the transoral robotic lateral oropharyngectomy performed with the da Vinci SP system in a 50-year-old male patient suffering from a p16+ oropharyngeal squamous cell carcinoma cT4N1M0.
    Results: The transoral robotic lateral oropharyngectomy is illustrated step by step. The structures encountered during the resection are described, and the surgical margins are defined based on anatomical landmarks. The most critical regions encountered during resection are pointed out, and the tip and tricks of this surgery are reported.
    Conclusions: A step-by-step transoral lateral oropharyngectomy is described to increase its reproducibility. The da Vinci SP system owns various benefits for performing transoral lateral oropharyngectomy due to the increased maneuverability in the narrower oral cavity working spaces.
    MeSH term(s) Male ; Humans ; Middle Aged ; Squamous Cell Carcinoma of Head and Neck ; Robotic Surgical Procedures/methods ; Reproducibility of Results ; Mouth/surgery ; Mouth/pathology ; Head and Neck Neoplasms ; Oropharyngeal Neoplasms/surgery ; Oropharyngeal Neoplasms/pathology
    Language English
    Publishing date 2023-07-06
    Publishing country United States
    Document type Video-Audio Media ; Case Reports ; Journal Article
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-023-13735-6
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  7. Article ; Online: Is the current oropharyngeal cancer T classification adequate in the era of HPV and transoral robotic surgery?

    Costantino, Andrea / De Virgilio, Armando / Spriano, Giuseppe

    Oral oncology

    2021  Volume 118, Page(s) 105359

    MeSH term(s) Carcinoma, Squamous Cell/classification ; Carcinoma, Squamous Cell/surgery ; Humans ; Oropharyngeal Neoplasms/classification ; Oropharyngeal Neoplasms/surgery ; Papillomavirus Infections ; Robotic Surgical Procedures
    Language English
    Publishing date 2021-05-25
    Publishing country England
    Document type Letter
    ZDB-ID 1120465-5
    ISSN 1879-0593 ; 0964-1955 ; 1368-8375
    ISSN (online) 1879-0593
    ISSN 0964-1955 ; 1368-8375
    DOI 10.1016/j.oraloncology.2021.105359
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    Zs.A 4869: Show issues Location:
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  8. Article ; Online: Near-Infrared Spectroscopy for Continuous Noninvasive Monitoring of Free Flap in Head and Neck Reconstruction: Systematic Review of the Literature and Personal Experience.

    Festa, Bianca Maria / Costantino, Andrea / Pace, Gian Marco / Spriano, Giuseppe / De Virgilio, Armando

    Surgical innovation

    2023  Volume 30, Issue 6, Page(s) 711–719

    Abstract: Background: Buried free flaps represent a reconstructive challenge concerning monitoring of vitality, which is fundamental for an early detection of flap failure and prompt surgical salvage. Many flap monitoring techniques have been developed over time, ...

    Abstract Background: Buried free flaps represent a reconstructive challenge concerning monitoring of vitality, which is fundamental for an early detection of flap failure and prompt surgical salvage. Many flap monitoring techniques have been developed over time, and there is still no consensus concerning the best monitoring technique for buried reconstructions.
    Methods: We performed a systematic review of the literature on NIRS monitoring for head and neck free flaps. Moreover, we presented a case of orbital reconstruction through a buried free myo-fascial anterolateral tight flap (ALTF) in which postoperative monitoring was performed by means of NIRS.
    Results: Four studies were included with a total of 200 monitored head and neck free flap reconstructions. Flap survival was reported in 96.5% of studies (n = 193/200) with a 3.5% of total flap failure rate (n = 7/200). We monitored the buried myo-fascial ALTF for 7 post-operative days measuring a regional oxygen saturation (rSO
    Conclusions: This device appeared to be an efficient choice for monitoring buried flaps, thanks to its ability to measure tissue perfusion deep under the skin, to the continuous availability of recorded data on the monitor, and to its low impact on the patient. Further prospective studies are advised in order to standardize this monitoring technique and define warning values.
    MeSH term(s) Humans ; Free Tissue Flaps ; Prospective Studies ; Spectroscopy, Near-Infrared/methods ; Plastic Surgery Procedures ; Neck ; Retrospective Studies
    Language English
    Publishing date 2023-10-25
    Publishing country United States
    Document type Systematic Review ; Case Reports ; Journal Article
    ZDB-ID 2182571-3
    ISSN 1553-3514 ; 1553-3506
    ISSN (online) 1553-3514
    ISSN 1553-3506
    DOI 10.1177/15533506231209128
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  9. Article ; Online: Postoperative Morbidity of Different Tonsillectomy Techniques: A Systematic Review and Network Meta-Analysis.

    Russo, Elena / Festa, Bianca Maria / Costantino, Andrea / Bernardocchi, Alice / Spriano, Giuseppe / De Virgilio, Armando

    The Laryngoscope

    2023  Volume 134, Issue 4, Page(s) 1696–1704

    Abstract: Objective: To compare different tonsillectomy techniques in terms of postoperative bleeding incidence and postoperative pain.: Methods: An arm-based network analysis was conducted using a Bayesian hierarchical model. The primary and secondary ... ...

    Abstract Objective: To compare different tonsillectomy techniques in terms of postoperative bleeding incidence and postoperative pain.
    Methods: An arm-based network analysis was conducted using a Bayesian hierarchical model. The primary and secondary outcomes were postoperative bleeding incidence and mean postoperative pain score.
    Results: A total of 6464 patients were included for five different interventions (cold dissection tonsillectomy; extracapsular coblation tonsillectomy; intracapsular coblation tonsillectomy [ICT]; bipolar diathermy tonsillectomy [BDT]; monopolar diathermy tonsillectomy). ICT showed the lowest absolute risk (4.44%) of postoperative bleeding incidence (73.31% chance of ranking first) and the lowest mean postoperative pain score (1.74 ± 0.68) with a 94.0% chance of ranking first, whereas BDT showed both the highest absolute risk of bleeding incidence (10.75%) and the highest mean postoperative pain score (5.67 ± 1.43).
    Conclusions: ICT seems to offer better postoperative outcomes, in terms of reduced risk of bleeding and reduced pain. Further prospective studies are advised to confirm these findings.
    Level of evidence: NA Laryngoscope, 134:1696-1704, 2024.
    MeSH term(s) Humans ; Tonsillectomy/adverse effects ; Tonsillectomy/methods ; Prospective Studies ; Network Meta-Analysis ; Bayes Theorem ; Postoperative Hemorrhage/epidemiology ; Postoperative Hemorrhage/etiology ; Morbidity ; Pain, Postoperative/epidemiology ; Pain, Postoperative/etiology
    Language English
    Publishing date 2023-10-16
    Publishing country United States
    Document type Meta-Analysis ; Systematic Review ; Journal Article
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.31116
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  10. Article ; Online: Preliminary experience with exoscope in lacrimal surgery.

    Pirola, Francesca / Spriano, Giuseppe / Malvezzi, Luca

    European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

    2020  Volume 278, Issue 1, Page(s) 285–288

    Abstract: Background: Endoscopic dacryocystorhinostomy (e-DCR) is the mainstay for lacrimal sac/duct conditions. The purpose is to investigate the role of the exoscope as assisting tool in e-DCR.: Methods: Primary endpoint were symptoms resolution (epiphora/ ... ...

    Abstract Background: Endoscopic dacryocystorhinostomy (e-DCR) is the mainstay for lacrimal sac/duct conditions. The purpose is to investigate the role of the exoscope as assisting tool in e-DCR.
    Methods: Primary endpoint were symptoms resolution (epiphora/dacryocystitis) and time for surgery. Qualitative features of the exoscope were analyzed: a questionnaire administered to the surgical team allowed to evaluate the perceived quality of this technology.
    Conclusions: The exoscope is a new tool that may support e-DCR. It has comparable results on symptoms outcomes and time for surgery than classic e-DCR. This new technology was accepted by all team members and showed great teaching potential.
    MeSH term(s) Dacryocystitis/surgery ; Dacryocystorhinostomy ; Endoscopy ; Humans ; Lacrimal Apparatus ; Lacrimal Apparatus Diseases/surgery ; Nasolacrimal Duct ; Treatment Outcome
    Language English
    Publishing date 2020-09-28
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1017359-6
    ISSN 1434-4726 ; 0937-4477
    ISSN (online) 1434-4726
    ISSN 0937-4477
    DOI 10.1007/s00405-020-06379-9
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