Some observations concerning 200 stapedectomies : fifteen years postoperatively

In this study, a statistical evaluation of the hearing improvement, the incidence of postoperative tinnitus and vertigo, and the permanency of the surgically restored hearing of 120 women and 80 men operated on for otosclerosis between 1970 and 1971 was undertaken. The standardized operating procedure in all of these cases involved the use of a Gelfoam\uaeand wire prosthesis (Schuknecht 3). All patients underwent normal audiological examinations, including determination of bone and air conduction values. Pure tone thresholds were determined by averaging the values for 500,1,000,2,000, and 4,000 Hz. The incidence (10%) of severe sensorineural loss in regard to age, preoperative bone conduction, and oval window pathology was examined. Severe sensorineural losses had occurred immediately postoperatively in 14 of the ears. In the remaining ears, losses were gradual in the course of 15 years. Hearing thresholds in ears not subjected to operation were also determined

Metastatizzazione al colon discendente da carcinoma lobulare della mammella misconosciuto condizionante occlusione intestinale

Distant spread from lobular breast cancer is common, but metastatic bowel involvement is unusual. We report a case of a 83 year old woman admitted with abdominal pain, ascites and fiver. Her history present only a right breast nodule yet biopsied with negative result for malignancy. Blood samples showed leucocitosis and radiological study with abdominal CT revealed only ascites. The paracentesis with cultural and cytological exam were negative. Support and antimicrobal therapy were started. After ten days the patient get worst, so explorative laparoscopy was performed. The retro-peritoneum and the left colon were find involved in a neopalstic mass. Laparotomical resection of involved bowel and definitive colostomy was performed in order to allow canalisation. Intraoperative histological examination revealed retroperitoneal and bowel involvement from lobular breast cancer. Than a surgical biopsy of r the right breast lesion was performed in operating theatre. To our knowledge this is one of few cases reported in literature of colon metastasis from lobular breast cancer. As like as others, metastatic involvement began in parastromal tissue and than infiltration gained sub-mucosal and mucosal tissue. So patient didn’t deveplops signs or symptoms of endoluminal masses or bowel occlusion. No therapy could be started for severe pronstration and the patient died after 39 days from hospital admittance

Localized erosive pustular dermatosis of the scalp at the site of a cochlear implant: successful treatment with topical tacrolimus

Erosive pustular dermatosis of the scalp EPDS) is a rare form of nonmicrobial pustulosis mainly occurring in elderly patients with long-term sun damage to the skin. Clinically, it is characterized by pustular lesions that progressively merge into erosive and crusted areas over the scalp. The histology of EPDS is nonspecific, and its pathophysiology remains undetermined, with various types of local trauma possibly acting as the triggering factor. We describe a 24-year-old woman who developed EPDS after cochlear implant surgery for profound sensorineural hearing loss. We speculate that either the cutaneous surgery during cochlear implantation or the skin inflammation that commonly occurs near the magnet might have triggered the disorder. It is of note that the patient's skin lesions healed completely after treatment with topical tacrolimus, a relatively novel immunosuppressive molecule. Thus, topical tacrolimus may be indicated as a therapeutic alternative to the widely used steroids for this disease, mainly to avoid steroid-related cutaneous atrophy

Caratterizzazione chimica-mineralogica e metallografica di Aes Rude provenienti da siti archeologici preromani di Este (Padova): risultati preliminari

Riassunto presentato al Convegno Nazionale AIAr, " INNOVAZIONI TECNOLOGICHE PER I BENI CULTURALI IN ITALIA", Caserta, 16-18 febbraio 200