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3 results on '"Karligkiotis, Apostolo"'

1. An Italian multicentre experience in endoscopic endonasal treatment of congenital choanal atresia: Proposal for a novel classification system of surgical outcomes

Author

Apostolos Karligkiotis, Paolo Castelnuovo, Stefania Gallo, Alessandro Pusateri, Paolo Farneti, Vittorio Sciarretta, Fabio Pagella, Ernesto Pasquini, Francesco Zappoli-Thyrion, Karligkiotis, Apostolo, Farneti, Paolo, Gallo, Stefania, Pusateri, Alessandro, Zappoli-Thyrion, Francesco, Sciarretta, Vittorio, Pagella, Fabio, Castelnuovo, Paolo, and Pasquini, Ernesto

Subjects
Male, Mucosal flaps, Endoscopic endonasal surgery, Choanal atresia, Mucosal flap, CHARGE syndrome, 0302 clinical medicine, Mitomycin C, Child, 030223 otorhinolaryngology, Congenital malformations, medicine.diagnostic_test, Otorhinolaryngology2734 Pathology and Forensic Medicine, Middle Aged, Treatment Outcome, Italy, Child, Preschool, Female, Nasal Cavity, Oral Surgery, Adult, Reoperation, medicine.medical_specialty, Adolescent, Choanal Atresia, 03 medical and health sciences, medicine, Humans, Risk factor, Aged, Retrospective Studies, Nasal stents, Surgery, business.industry, Infant, Newborn, Infant, Endoscopy, Retrospective cohort study, medicine.disease, Stenosis, Otorhinolaryngology, Atresia, Congenital malformation, business, 030217 neurology & neurosurgery
Abstract

Objective The purposes of this study were to report our experience with endoscopic treatment of choanal atresia (CA), to illustrate our surgical technique and analyse the different factors that may affect outcomes. Material and methods A retrospective review was performed of patients affected by congenital CA and treated between June 1996 and November 2013 at three referral centres which follow a uniform policy. Results Eighty-four patients with CA (55 unilateral and 29 bilateral), aged between one day and 76 years (mean, 13 years) were included. Associated malformations were present in 28 patients. The overall success rate was 93%, with 96.3% and 86.2% success rates for unilateral and bilateral CA respectively. Six patients (7%) required revision surgery for early symptomatic restenosis. Statistical analysis revealed that outcomes were not influenced by sex, previous surgeries, unilateral versus bilateral atresia or associated anomalies. However, age seemed to be a prognostic risk factor for patients under one year-old. Conclusion The endoscopic endonasal approach is safe and effective, with a very high success rate and low morbidity. The removal of the vomer and the use of mucoperiosteal flaps are the main keys to avoiding postoperative stenosis. The use of stents or Mitomycin C is therefore not mandatory.

Published
2017

2. Infraorbital nerve transposition to expand the endoscopic transnasal maxillectomy

Author

SALZANO, GIOVANNI, DELL'AVERSANA ORABONA, GIOVANNI, CALIFANO, LUIGI, Turri Zanoni, Mario, Karligkiotis, Apostolos, Zocchi, Jacopo, Battaglia, Paolo, Castelnuovo, Paolo, Salzano, Giovanni, Turri Zanoni, Mario, Karligkiotis, Apostolo, Zocchi, Jacopo, DELL'AVERSANA ORABONA, Giovanni, Califano, Luigi, Battaglia, Paolo, and Castelnuovo, Paolo

Subjects
Sinonasal cancer, Maxillary sinu, Otorhinolaryngology2734 Pathology and Forensic Medicine, Endoscopic endonasal approach, Immunology and Allergy, Maxillectomy, Infraorbital nerve
Published
2016

3. Palatovaginal (pharyngeal) artery: clinical implication and surgical experience

Author

Karligkiotis, Apostolos, Volpi, L, Abbate, V, Battaglia, Paolo, Meloni, F, Turri Zanoni, M, Bignami, M, Castelnuovo, PAOLO GIOCONDO MARIA, TURRI ZANONI, Mario, Karligkiotis, Apostolo, Volpi, Luca, Abbate, Vincenzo, Battaglia, Paolo, Meloni, Francesco, Turri Zanoni, Mario, Bignami, Maurizio, and Castelnuovo, Paolo

Subjects
Male, medicine.medical_specialty, Dissection (medical), Maxillary Artery, Epistaxi, medicine.artery, Nasopharynx, otorhinolaryngologic diseases, Medicine, Humans, Pterygopalatine fossa, Aged, business.industry, Endoscopy, General Medicine, medicine.disease, Hemostasis, Surgical, Surgery, Radiography, medicine.anatomical_structure, Epistaxis, Otorhinolaryngology, Pharyngeal artery, Neurosurgery, business, Sphenopalatine artery, Internal maxillary artery, Artery, Human
Abstract

The palatovaginal or pharyngeal artery is a small branch of the internal maxillary artery supplying the nasopharynx. Bleeding from this artery is exceptional and only one case of traumatic epistaxis from this artery has been reported previously. We report a case of a 66-year-old male presenting with right recurrent posterior epistaxis. Endoscopic dissection of the pterygopalatine fossa and direct visualization of the palatosphenoidal canal permitted to identify the origin of bleeding, and coagulation of the pharyngeal artery solved the epistaxis. Although rare, intractable posterior epistaxis may arise from the pharyngeal artery. The anatomical knowledge of this artery and of the palatosphenoidal canal is of outmost importance in endoscopic transpterygoid and nasopharyngeal procedures, to identify the vidian canal, evaluate nasopharyngeal cancer spread in the pterygopalatine fossa, reduce bleeding during surgery of the nasopharynx, and harvest adequately the pedicle of the nasoseptal flap.

Published
2014

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