Alberto Caranti

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• M.D.
• Fellow at University of Ferrara

Necrotizing otitis externa (NOE) is a severe and progressive infection of the external auditory canal that poses significant diagnostic and therapeutic challenges, particularly when caused by rare pathogens such as Scedosporium apiospermum . This case report details an 84-year-old diabetic male with NOE treated with a combination of oral and topica...

Purpose The article provides an intriguing overview with tangible historical references, accompanied by photographic material, delving into the historical context of Eagle syndrome.. It ambitiously aims to shed light on the origins of the surgeon's reflections regarding the anatomy of the styloid process. Indeed, ever since the first original artic...

Obstructive Sleep Apnea is a prevalent sleep disorder characterized by repeated episodes of partial or complete upper airway obstruction during sleep, leading to disrupted sleep and associated comorbidities. Effective, traditional diagnostic methods, such as polysomnography, have limitations in providing comprehensive anatomical detail. Recent adva...

Barbed reposition pharyngoplasty (BRP) is a new technique to manage velo‐pharyngeal obstruction and collapse in OSA patients. Tonsillectomy is a preliminary step of BRP surgery. Dissection of the PPM with monopolar or hot instruments is an essential step of the BRP technique. Tonsillectomy and muscle manipulation should be managed with careful atte...

Background The increasing popularity of cosmetic procedures has led to a rise in both surgical and nonsurgical interventions. Rhinoplasty, particularly nonsurgical rhinoplasty using injectable fillers such as hyaluronic acid (HA), has become highly sought after due to its minimally invasive nature. Despite its benefits, complications can occur, ran...

The increasing popularity of cosmetic procedures has led to a rise in both surgical and nonsurgical interventions. Rhinoplasty, particularly nonsurgical rhinoplasty using injectable fillers such as hyaluronic acid (HA), has become highly sought after due to its minimally invasive nature. Despite its benefits, complications can occur, ranging from m...

The objective of this paper is an initial assessment on the reported post-vaccination adverse effects, involving the auditory and vestibular system. Published on-line data were consulted from two databases: (i) The Italian Drug Agency (Agenzia Italiana del Farmaco—AIFA) 1 and (ii) the Medicines and Healthcare Products Regulatory Agency (MHRA) of th...

Background: Obstructive sleep apnea syndrome (OSAS), affecting approximately 1 billion adults globally, is characterized by recurrent airway obstruction during sleep, leading to oxygen desaturation, elevated carbon dioxide levels, and disrupted sleep architecture. OSAS significantly impacts quality of life and is associated with increased morbidity...

Background Cystadenoma of the salivary glands is a rare benign clinical condition affecting both major and minor salivary glands equally. It constitutes approximately 2% of total neoplasms and 4.2–4.7% of benign formations in minor salivary glands. Typically presenting as a slow-growing, painless neoplasm, it can be distinguished from Cystadenolymp...

The aim of this review is to investigate the state of the art among the association between Obstructive sleep apnea (OSA) and laryngomalacia, analyzing the epidemiology, the diagnostic tools, and the possible treatments available to affected patients. Laryngomalacia, characterized by the malacic consistency of the epiglottis with a tendency to coll...

Objectives The aim of the study is to conduct a systematic review of the existing literature on styloidectomy performed through transoral robotic surgery (TORS) in Eagle syndrome (ES). Design and Setting Two independent reviewers (RC and AC) conducted a systematic review of PubMed and Embase databases, seeking articles on TORS performed for ES tre...

Background: Laryngeal cancer (LC) is among of the most frequent head and neck cancers, associated to a high social impact and mortality. Unfortunately, the current treatment outcomes of LC are often scant, with different factors affecting patient's prognosis (i.e., advanced age, advanced disease stage, lymph node involvement, tumor pathological fe...

Free flap surgery is a largely diffuse technique that allow to reconstruct various complex tissue defects. In head and neck surgery, they allowed reconstruction of an important variety of defects such extensive resection in treatment of malignant and benign tumors, defects as trauma consequence, congenital defects, and others. We present the case o...

Dai dati pubblicati dalla Cosmetic Surgery National Data Bank Statistics, rapporto redatto ogni anno dall'American Society for Aesthetic Plastic Surgery, si evince chiaramente come di anno in anno, vi sia un aumento progressivo delle prestazioni eseguite in materia di chirurgia e medicina estetica. Mentre tuttavia le prestazioni di chirurgia aument...

Rationale The aim of this study is to describe a rare case of clear-cell renal cell carcinoma (ccRCC) metastasis to the pterygomaxillary fossa. Patient Concerns A 54-year-old woman was referred to the Department of Otolaryngology due to right facial pain for the past six weeks. Diagnosis ccRCC metastasis to the pterygomaxillary fossa. Treatment...

Introduction: Subcutaneous emphysema (SE) represents, after bleeding and infections, a common complication in ENT surgery, given the intimate relationship between upper airways and anatomical area pertaining head and neck surgeon. Aim of this review is to analyze its characteristics, method of diagnosis and treatment to provide the specialist a us...

The term microbiome was proposed to identify the microorganisms colonizing the human body. Since 2005, several programs, such as the Human Intestinal Metagenome Initiative, have improved our knowledge among the pathogenic mechanisms leading to cancer from chronic inflammation, particularly examining the possible role of viruses and bacteria. This c...

Pneumomediastinum and pneumoneck occur at times in combination; moreover, in the present case, it is likely that they also occurred spontaneously, possibly due to a Macklin effect, configuring a more infrequent event. A rare case of concomitant spontaneous pneumomediastinum and pneumoneck, occurred after self-induced vomiting as self-medication is...

Introduction: The aim of this study was to revise the etiologic features about Tapia's Syndrome (TS), a condition to particularly consider in the era of the COVID-19 pandemic. Evidence acquisition: A systematic review was performed according to the PRISMA criteria. The Medline and Embase databases were searched from January 1, 1990, to December...

Purpose Positional obstructive sleep apnea (POSA) has been defined as a difference of 50% or more in Apnea–Hypopnea Index (AHI) between supine and non-supine position. Sleep position is fundamental in the evaluation of obstructive sleep apnea syndrome (OSAS) severity but most tools used in the diagnosis of OSAS are not free from potential bias in t...

Objective: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can cause smell and taste dysfunction. We aimed to investigate the general community's interest in smell dysfunction (SD) and taste dysfunction (TD) using Google Trends to compare results with more common symptoms associated with SARS-CoV-2 infection, such as fever a...

We present a case of a 42 years-old man admitted to emergency department due to right ankle trauma, which was initially diagnosed as an ankle distortion without fracture. But nearly a month later, because of persistence of ankle pain, more investigations were required and a diagnosis of deep vein thrombosis on a posterior tibial vein aneurysm was m...

The main aim of this work was to provide an exhaustive and clear description about minor salivary glands. Starting from a short description of anatomy, embryology and physiology, we focus then on their pathologies, especially the benign and malignant tumors, trying to provide the reader a clear information about the actual knowledge state. Most of...

Introduction: Primary signet ring cell carcinoma of the pancreas (PSRCCP) is an extremely rare histologic variant of pancreatic carcinoma, which cells are characterized by large mucin vacuoles and peripheric nucleus that producing a signet ring aspect. Case report: We present a case about 66 years old man, with history of chronic pancreatitis an...

Oncocytic lipoadenoma is an extremely rare benign tumor of the salivary glands; less than 20 cases have been reported in literature, since the first report in 1998. We are presenting a case of a 73-year-old man with a slowly growing painless parotid mass; ultrasound and magnetic resonance imaging enhanced with gadolinium showed a lesion with benign...

Solitary fibrous tumor (SFT) is a rare spindle cell neoplasm, which appears to originate from mesenchymal tissue. This tumor, first described in pleura, has been found in many sites, but it rarely affects the oral cavity. SFT has usually a favorable prognosis; however, a long-term follow-up is recommended in order to detect early signs of malignanc...

We propose a case of a 84 years old male patient who underwent to our department for worsening dysphagia since 3 month. Clinical examination and rhino-larynx endoscopy didn’t show any abnormalities and the patient didn’t refer history of neurological disease. So, in order to complete our exams, we decided to perform a barium esophagogram to explore...

We present a case of Giant Cell Granuloma (GCG) of maxilla in a 56 years-old woman followed by our dialysis unit for chronic kidney failure due to membranous glomerulonephritis. She came under our attention for a swelling located in the left part of hard palate and growing since few months. The biopsy reveal that it was a GCG, so we decide to remov...

Presentazione tesi di Master di II livello “Medicina Estetica” Anno Accademico 2019-2020, Università degli Studi di Parma.

We present a case about a 62 years old healthy male admitted to our department with an history of chronic rhinitis, inflammatory nasal polyp and septal deviation. His intent was to remove the inflammatory polyp affected the nasal cavity and that was refractory to medical treatment. Moreover, he wants to correct his septal deviation. During pre-oper...

We present a case of a 56 years-old woman followed by our dialysis unit for chronic kidney failure due to membranous glomerulonephritis. The patient referred to the ENT department with a swelling located in the left part of hard palate existing for some months. Intraoral examination revealed a swelling approximately 3 cm in diameter in the left par...

Eagle syndrome is a rare and poorly understood clinical condition caused by an elongated or disfigured styloid process. The possible managements of Eagle syndrome include conservative medical treatment or surgical intervention. The surgical removal of the elongated styloid process may be efficiently achieved either by an intraoral or a transcervica...

Primary squamous cell carcinoma (PSCC) of parotid gland, as well as for other salivary glands, is a rare and aggressive malignancy that accounting for less than 1% of salivary glands neoplasms. PSCC is an aggressive neoformation of the elderly with a mean age of 64 years and a male-female ratio about 2:1. It is a rapidly advancing lesion which, if...

Clinical presentations of pyriform sinus fistulas vary, and this sometimes leads to a delay in diagnosis and treatment. Recently, we experienced a case of recurrent cervical abscesses occurring after thyroidectomy in an adult affected by a bifidus pyriform sinus fistula. The diagnostic dilemma was related to the timing of events, with a single epis...

Tesi di laurea in Otorinolaringoiatria, corso di laurea in Medicina e Chirurgia Università degli Studi di Ferrara

La sindrome di Lemierre (LS) è una rara condizione clinica caratterizzata da infezioni orofaringee, trombosi delle vene giugulari interne ed embolizzazione settica sistemica [1]. Sito primitivo dell'infezione sono le tonsille e la faringe, mentre il germe più frequentemente responsabile è il Fusobacterium species (Fs), bacillo gran negativo commens...

Lo Pseudotumor Infiammatorio della ghiandola parotide è un reperto clinico benigno di origine sconosciuta, raramente riportato in letteratura con appena 12 casi riportati. Il profilo clinico e radiografico è simile, e spesso confuso, con quello di altri tumori maligni, e solo una indagine istologica può permettere di discriminarlo. Nel nostro repor...

Neurofibromatosis type 1 (NF1) also know as von Recklinghausen disease, It’s a relatively common inherited disorder. Individuals with NF 1 are prone to develop benign and malignant tumours of the central nervous system (CNS) and peripheral nervous system, in addition to malignant diseases affecting other parts of the body. [1] Even if Neurofibroma...

L'iponatriemia è definita da una riduzione della concentrazione plasmatica del sodio (NaS) associata ad un aumento della morbilità, della mortalità e della durata della degenza [1]. L'iponatriemia severa (NaS ≤ 129 mEq/L) rappresenta un'emergenza medica particolarmente nei casi associati ad un'alterazione del sensorio e necessita della somministraz...

La sindrome nefritica (SN) è una condizione clinica caratterizzata da un quadro di ipoalbuminemia con pretinuria superiore a 3.5 g/die/1.73m2, associata ad edema generalizzato, iperlipidemia con lipidiuria e ipercoagulabilità [1]. Tale condizione ha un'incidenza 3 casi ogni 100.000 adulti/anno e nel 70-75% dei casi è conseguente ad una glomerulonef...

Ears calcifications are unfrequent clinical conditions due to inflammation, trauma, congelation, metabolic diseases and endocrinopathies. We report a case of bilateral auricular calcifications probably secondary to adrenal insufficiency and then we performed a medical review on this medical conditions. A 80-year-old male was admitted due to myocard...

Rituximab is a genetically-engineered chimeric mono- clonal antibody that recognizes CD-20+ B-cells. It depletes subpopulations of peripheral B cells through complement-dependent cytotoxicity, and promotes apoptosis (1). Rituximab is indicated in adults with he- matologic malignancy, such as Non-Hodgkin’s lymphoma (NHL) and autoimmune diseases. Rit...

Hyponatraemia, de nes a condition of low serum sodium concentration (SSC), and it is associated with increased mortality, morbidity and length of hospital stay [1]. Hyponatraemia could be classi ed in mild (SSC 130135 mEq/L), occurring in about 30% of hospitalized patients, and moderatesevere (SSC129 mEq/L), occuring in up to 7% of hospitalized pat...

Chronic kidney disease (CKD) is a frequent clinical condition in older adults with multi-morbidity. Renal complications are frequent in patients with chronic obstructive pulmonary disease (COPD), Mapel et al. [1] showed that in COPD patients risk of acute kidney injury (AKI) and CKD is high, independently from age and sex. It has been hypothesized...