Integrated therapies in Otolaryngology

Unit

Clinical activity

The Integrated therapies in Otolaryngology Unit, part of the Otolaryngology Unit, is characterised by a multidisciplinary approach to the diagnosis and treatment of disorders affecting the nose and paranasal sinuses, ear, pharynx, larynx, salivary glands and the neck. Thanks to the collaboration of several specialists, the aim of the team is to identify the most suitable and least invasive integrated treatments for each patient.

For breathing-related sleep disorders (snoring and sleep apnoea), an integrated sleep surgery team composed of maxillofacial-oral surgeon, pulmonologist, neurologist, dentist, dietician, phoniatrist, internist, will identify a tailored diagnostic-therapeutical  pathway. In particular, obstructive sleep apnoea is treated with conservative non surgical therapy such as  CPAP, oral devices, positional therapy, strengthening therapies for the palatal and pharyngeal muscles). In selected cases, surgery can be proposed according the latest national and international guidelines and using the minimally invasive techniques such as  ,  barbed reposition pharyngoplasty, nasal surgery, epiglottoplasty and  tongue base volume reduction.

The Unit is also specialized for the acute and chronic odontogenic sinusitis treatment  and in the assessment of candidate for sinus lift or dental implants, using the minimally invasive technique associated with less morbidity and stable long term results.

The Unit treats the most common chronic inflammatory diseases of the nose and paranasal cavities (rhinosinusitis, polyposis, mucocele, etc.) using latest medical therapies and endoscopic  techniques, nasal and paranasal sinuses benign tumours, middle ear diseases (eardrum perforation, chronic otitis media, cholesteatoma, otosclerosis, etc.).

Moreover, a multidisciplinary team is devoted to diagnosis and treatment of head and neck oncologic diseases.

Research fields

  • Design and implementation of new biomedical devices for the diagnosis and treatment of otorhinolaryngological diseases in collaboration with bio-engineers
  • New integrated treatments against snoring and sleep apnoea
  • Design and development of new supporting software and mobile computer applications for the diagnosis and treatment of otorhinolaryngological diseases in collaboration with bio-engineers
  • Design and implementation of customised hearing aid amplifiers
  • Integrated regenerative treatments of oroantral fistulas and the problems of the upper jaw

Clinical and research collaboration

  • Department of Morphology, Surgery and Experimental Medicine, University of Ferrara
  • Otolaryngology Department, University of Navarra, Pamplona (Spain)
  • Otolaryngology, University of Toronto (Canada)
  • Otolaryngology and Cervical-Facial Surgery, Fondazione I.R.C.C.S. Ca’ Granda, Ospedale Maggiore Policlinico, Università degli Studi di Milano

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