Current trends on subtotal petrosectomy with cochlear implantation in recalcitrant chronic middle ear disorders Attualità in tema di petrosectomia subtotale con impianto cocleare nelle patologie croniche dellorecchio medio recalcitranti

Obiettivo. Stabilire la sicurezza ed efficacia dell’intervento di petrosectomia subtotale con posizionamento di impianto cocleare nei pazienti affetti da patologia cronica dell’orecchio medio refrattaria a precedenti trattamenti chirurgici. Metodi. È stato svolto uno studio retrospettivo multicentrico riguardante quei pazienti af- fetti da patologie croniche dell’orecchio medio recalcitranti, sottoposti a petrosectomia subtotale con posizionamento di impianto cocleare. Le informazioni sono state raccolte dai database di 11 centri di riferimento di III livello in Italia. A complemento, è stata svolta una revisione della più recente letteratura. Risultati. Nello studio sono stati inclusi 55 pazienti con un follow-up medio di 44 mesi. Il colesteatoma ha rappresentato la più comune pato- logia ricorrente dell’orecchio medio e il 50,9% dei pazienti aveva una cavità aperta. L’80% dei pazienti è stato sottoposto ad una chirurgia a singolo stadio. Sette pazienti hanno mostrato complicanze post-operatorie, di cui un caso di espianto. Conclusioni. L’intervento di petrosectomia subtotale con posizionamento di impianto cocleare rappresenta una tecnica chirurgica di riferimento per la gestione dei pazienti affetti da otite media cronica recalcitrante. L’intervento chirurgico a singolo stadio è la strategia più frequentemente raccomandata. Il follow-up ottimale è ancora ad oggi oggetto di dibattito. Sono richiesti ulteriori studi per stabilire il ruolo di questo intervento nei pazienti pediatrici.Objective. To establish the safety and effectiveness of subtotal petrosectomy with cochlear implantation in patients affected by chronic middle ear disorders to refractory to previous surgical treatments. Methods. A multicentre, retrospective study was conducted on patients affected by recalcitrant chronic middle ear disorders who underwent cochlear implantation in combination with subtotal petrosectomy. Patients’ details were collected from databases of 11 Italian tertiary referral centres. Additionally, a review of the most updated literature was carried out. Results. 55 patients were included with a mean follow-up time of 44 months. Cholesteatoma was the most common middle ear recurrent pathology and 50.9% of patients had an open cavity. 80% of patients underwent a single stage surgery. One case of explantation for device failure was reported among the 7 patients with post-operative complications. Conclusions. Subtotal petrosectomy with cochlear implantation is a benchmark for management of patients with recalcitrant chronic middle ear disorders. A single stage procedure is the most recommended strategy. Optimal follow-up is still debated. Further studies are required to investigate the role of this surgery in paediatric patients

Current trends on subtotal petrosectomy with cochlear implantation in recalcitrant chronic middle ear disorders

Objective. To establish the safety and effectiveness of subtotal petrosectomy with cochlear implantation in patients affected by chronic middle ear disorders to refractory to previous surgical treatments. Methods. A multicentre, retrospective study was conducted on patients affected by recalcitrant chronic middle ear disorders who underwent cochlear implantation in combi-nation with subtotal petrosectomy. Patients’ details were collected from databases of 11 Italian tertiary referral centres. Additionally, a review of the most updated literature was carried out. Results. 55 patients were included with a mean follow-up time of 44 months. Cholestea-toma was the most common middle ear recurrent pathology and 50.9% of patients had an open cavity. 80% of patients underwent a single stage surgery. One case of explantation for device failure was reported among the 7 patients with post-operative complications. Conclusions. Subtotal petrosectomy with cochlear implantation is a benchmark for management of patients with recalcitrant chronic middle ear disorders. A single stage procedure is the most recommended strategy. Optimal follow-up is still debated. Further studies are required to investigate the role of this surgery in paediatric patients

Peso o risorsa? I saperi della/sulla religione nella scuola e nella societ\ue0, introduzione al numero monografico della rivista di Pedagogia e Didattica, dal titolo: "I saperi della/sulla religione",

L\u2019articolo presenta il Convegno di Sociologia della Religione, organizzato a Bologna dall'omonima sezione dell'AIS e dal Dipartimento di Scienze dell'Educazione il 28-29 novembre 2008, e svoltosi presso la Facolt\ue0 di Scienze della Formazione dell'Alma Mater, sul tema \uabLa religione come fattore di dis/integrazione sociale\ubb. Si \ue8 trattato di un avvenimento che ha visto, come protagonisti, studiosi di differenti discipline (psicologia, pedagogia, antropologia culturale, sociologia), invitati a riflettere e a proporre nuovi percorsi sperimentali riguardo ad un tema, rilevante oggi come cinque decenni fa. Nel 1959, infatti, Bologna ospit\uf2 la 6a conferenza internazionale di Sociologia della Religione (ISSR/SISR), e il tema fu proprio l'integrazione degli immigrati --allora venivano dal Sud e dalle zone rurali per inserirsi nelle citt\ue0 in via di industrializzazione e di modernizzazione. Oggi come allora nel processo di integrazione/inclusione sono centrali i saperi della/sulla societ\ue0 e sulla religione. In particolare l\u2019articolo presenta le relazioni dei sei noti studiosi (Flavio Pajer, Alessandro Castegnaro, Cristiana Ottaviano, Mariachiara Giorda, Renzo Guolo, Daniela Conte), che hanno presentato le relazioni svoltesi nella seduta plenaria ovvero presentato contributi al 1\ub0 workshop, dal titolo: "Peso o risorsa? I saperi pubblici della/sulla religione"

CONGENITAL MELANOCYTIC NEVI: A CASE SERIES

Nevi represent benign melanocytic neoplasms that have importance as facultative precursors and predictors of cutaneous melanoma. In daily clinical practice high nevus counts help to identify person at risk. In the period between January 2008 and December 2010, 141 patients underwent to nevi excision at the Pediatric Surgery Unit, S Anna Hospital, Ferrara, Italy. Patients included 64 (45.4%) females and 77 (54,6%) males. Age ranged from 1.5 to 18 years with a mean value of 12.4 years at the time of admission. 29, 46, 75 and 19 nevi where located in arms, legs, trunk and head and neck, respectively. 19, 121 and 29 nevi were junctional, compound and dermal nevi, respectively. Nevi were treated with surgical excision: 35 under general anesthesia, 4 under sedation and the remaining under local anesthesia. Melanocytic nevi during the past have been treated with several techniques such as cauterization with carbon dioxide, snow, a heated platinum loop and even by x-ray. Most of these treatments result unsatisfactory because these cause scars whereas leaving few intact melanocytes in the derma. Surgical excision is the method of choice. If the lesion has been injured or infected antibiotic treatment could facilitate healing

CONGENITAL MELANOCYTIC NEVI: A CASE SERIES

Nevi represent benign melanocytic neoplasms that have importance as facultative precursors and predictors of cutaneous melanoma. In daily clinical practice high nevus counts help to identify person at risk. In the period between January 2008 and December 2010, 141 patients underwent to nevi excision at the Pediatric Surgery Unit, S Anna Hospital, Ferrara, Italy. Patients included 64 (45.4%) females and 77 (54,6%) males. Age ranged from 1.5 to 18 years with a mean value of 12.4 years at the time of admission. 29, 46, 75 and 19 nevi where located in arms, legs, trunk and head and neck, respectively. 19, 121 and 29 nevi were junctional, compound and dermal nevi, respectively. Nevi were treated with surgical excision: 35 under general anesthesia, 4 under sedation and the remaining under local anesthesia. Melanocytic nevi during the past have been treated with several techniques such as cauterization with carbon dioxide, snow, a heated platinum loop and even by x-ray. Most of these treatments result unsatisfactory because these cause scars whereas leaving few intact melanocytes in the derma. Surgical excision is the method of choice. If the lesion has been injured or infected antibiotic treatment could facilitate healing

Lop ears: a retrospective study

Congenital “lop ears” are a deformity include varying degrees of turning down (lidding) of the helix, reduction in the fossa triangularis, scapha compression, reduction of the superior crus of the antihelix and an associated reduction in vertical height of the external ear. Aim of this retrospective study is to assess the clinical outcome in a series of patients affected lop ears and discuss the pertinent literature. In the period between January 2003 and December 2009, 32 patients underwent to lop ears correction at the Pediatric Surgery Unit, S Anna Hospital, Ferrara, Italy. Patients included 4 (33.3%) females and 8 (66.6%) males. Age ranged from 5.6 to 18 years with a mean value of 11 at the time of admission. Lop ears were treated with Mustarde’ surgical technique under general anesthesia. No complications were detected in the follow-up period. The goal standard of surgery treatment for prominent ears is to obtain symmetrical and natural ears with not sign of being operated. More than 200 surgical techniques have been described for its correction indicating the lack of an ideal technique. These techniques can be classiied into two categories: with conservation of cartilage and with cartilage section. Section methods attend to eliminate the inherent memory of the cartilage so that the shape of the ear can be modiied. These techniques may leave signiicant asymmetries. In contrast, methods which shape the cartilage are based on the Mustardé technique, which consists of placing 3 or 4 horizontal mattress sutures with permanent suture material along the ridge of the helix, to create an antihelix fold. Our clinical results are similar to those reported in the English literature