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M Falcioni

Publications and source records attributed to M Falcioni.

46 records · Page 3Linked to original sources
PubMed1995

Meningoencephalic herniation into the middle ear: a report of 27 cases.

Meningoencephalic herniation into the middle ear is a rare and potentially life-threatening condition that may require prompt surgical intervention. Preoperative diagnosis is based on a high index of suspicion. Sometimes, however, meningoencephalic herniation is discovered during surgery. High-resolution computed tomography and magnetic resonance imaging should be performed to confirm the diagnosis and to evaluate the extension of the herniated tissue. This article discusses the diagnostic approach, management strategy, and surgical technique used in 27 patients with meningoencephalic herniation. In an attempt to avoid infective complications, the authors used the middle cranial approach in patients with large herniations.

Adult↗
PubMed1995

Technique and results in total reconstruction of the posterior canal wall using costal cartilage.

Middle ear reconstruction using the closed technique for the purpose of rehabilitating radical cavities includes all the surgical steps necessary to perform a combined approach tympanoplasty, both with respect to eradication of the disease and to reconstruction. The only point of difference is the total reconstruction of the posterior wall, which moreover constitutes the essential step. At present we perform posterior wall reconstruction by means of a coastal cartilage allograft, inserted into two grooves in the bone and firmly stabilized by fibrin glue. The operation, in 90% of cases, is performed in more than one stage.

Adolescent↗
PubMed1995

[Congenital cholesteatoma of the middle ear: a case series different from cases in the literature].

We present 44 cases of congenital cholesteatoma of the middle ear. Twenty-one patients had a cholesteatoma located in the posterosuperior mesotympanum. This finding was in complete contrast to the commonly reported anterosuperior location, seen in only 2 cases in our study. The remaining 21 patients had a cholesteatoma involving either the entire mesotympanum and/or epitympanum. The posteriorly located congenital cholesteatoma might represent a completely different entity and originate from epithelial cell debris trapped in the posterior mesotympanum during development of the temporal bone. All but one patient were treated with a closed tympanoplasty. Eight patients underwent single stage surgery. A preplanned second stage procedure was performed in 33 patients, while 3 are presently awaiting the second stage. Residual disease was seen in 19 patients (57%) who had undergone second stage surgery. No patient has had recurrent disease this far. Thirty-eight patients (85%) had a preoperative air bone gap of 30 dB or more. Of the 33 patients evaluated for hearing results, 16 (48%) had a postoperative gap within 10 dB.

Adolescent↗
PubMed1995

[Meningoencephalic herniation into the middle ear].

Herniation of meningeal and/or encephalic tissue into the middle ear is a pathology which, even if rarely found by the otologist, can be life-threatening for the patient because of eventual infective intracranial complications. Four different etiological types are possible, infective, post-surgical, traumatic and spontaneous. From a pathogenic point of view, all types are characterized by a bony and dural defect localized in the tegmen through which meningeal and encephalic tissue can herniate. Symptomatology is often non-specific so that some cases are diagnosed during surgery. When there is strong suspicion of herniation neuroradiological assessment procedures must be carried out in order to make a correct pre-operative diagnosis, High Resolution Computed Tomography (HRCT) of the temporal bone in particular, can show the exact limits and location of the bone defect, while Magnetic Resonance Imaging (MRI) allows the nature of the tissue in the middle ear to be determined. Surgery is the only appropriate therapy. Different approaches have been described amongst which the transmastoid with or without temporal minicraniotomy and the middle cranial fossa (MCF) are the most frequently reported literature. From June 1982 to March 1994, 27 consecutive cases underwent surgery at the Gruppo Otologico, Piacenza. As a result of the occurrence of postoperative meningitis in one case, a new surgical technique through the MCF was standardized. The main step of this procedure consist in leaving the herniated tissue in situ so as to make a barrier between the middle ear and subdural space. The technique is indicated either in the case of large, multiple or very anteriorly located bony defects or when there is an infection in the middle ear.

Adolescent↗
PubMed1990

[Granular cell tumor of the larynx: apropos of a case].

Granular cell tumor of the larynx is a rare benign lesion. The Authors present a literature survey and report a case observed in the E.N.T. Institute of Parma University. The patient was a 22 year-old woman, smoker, whose right vocal cord was affected. Hoarseness represented the only symptom. The tumor was removed by the microsurgical method and histologically examined.

Adult↗