Impact of the COVID-19 Pandemic on Otolaryngology Residency: A Real-Life Experience

Luca, Pietro De; Colacurcio, Vito; Bonis, Egidio De; Petrosino, Michele; Bisogno, A.; Troisi, Donato; Calvanese, Matteo; Marra, Pasquale

doi:10.1177/0145561320926291

Cited by 27 publications

(23 citation statements)

References 2 publications

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“…OSAHS is defined as a disorder characterized by repeated collapse of the UA during sleep, with periodic apnea of breathing [15]. Depending on the severity of the condition, patients can be managed by nasally applied continuous positive airways pressure (nCPAP), mandibular advancement device (MAD) therapy or a range of surgical techniques [16,17]. Although less efficacious than CPAP, MADs are a simpler and often a more acceptable treatment modality, and it can represent a rescue therapy in patients with mild to severe OSA who are reluctant or non-responding to CPAP, or fail to use CPAP [18].…”

Section: Discussionmentioning

confidence: 99%

Drug-induced Sleep Endoscopy (DISE) with Simulation Bite to Predict the Success of Oral Appliance Therapy in Treating Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS)

Cavaliere

Luca

Santis

et al. 2020

Translational Medicine @ UniSa

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Study objectives Oral appliances have gained their place in the treatment of obstructive sleep apnea (OSA) where custom-made titratable mandibular advancement devices (MAD) have become the oral appliance of choice. This study aimed to asses the value of the drug-induced sleep endoscopy (DISE) using a MAD in the prediction of treatment outcome for OSAHS Methods This is a prospective, single-center cohort study that enrolled sixty-six consecutive patients with diagnosed OSA (5 events/h < apnea-hypopnea index (AHI) < 50 events/h) to be treated with a custom-made titratable MAD. The patients were evaluated polysomnographically with the MAD in situ after the adaptation and titration period of 3 months. The associations between findings during DISE and treatment outcome were assessed Results The subjects showed a wide range of severity of OSAHS pre-treatment: median AHI was 43.10 with a range from 20.13 to 66.07. The simulation bite was associated with a significant increase in cross-sectional area at level of the velopharynx, tongue base and epiglottis. MAD treatment response in the studied population was 91%, with a mean AHI improving from 43.10 to 12.93. Conclusions Drug-induced sleep endoscopy with simulation bite is an acceptably reproducible technique for determining the sites of obstruction in OSAHS subjects; it thus offers possibilities as a prognostic indicator for treatment with MAD

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Section: Discussionmentioning

confidence: 99%

Drug-induced Sleep Endoscopy (DISE) with Simulation Bite to Predict the Success of Oral Appliance Therapy in Treating Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS)

Cavaliere

Luca

Santis

et al. 2020

Translational Medicine @ UniSa

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“…The themes highlighted the specific actions in which residents were involved, as well as their emotional responses and the resources and rewards that they reported for their personal and professional growth. We know that this was not an isolated case and that similar volunteering experiences may have been in place in other countries [28,29].…”

Section: Discussionmentioning

confidence: 65%

Guardians of Care Humanization during the Pandemic: Child Neuropsychiatry Residents’ Experience as Volunteers in Italian COVID-19-Designated Hospitals

Provenzi¹,

Parravicini

Barello

et al. 2020

Preprint

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Objective. During the first months of 2020, the coronavirus disease of 2019 (COVID-19) has rapidly spread as an unprecedented pandemic. With the increasing number of hospitalizations, the resources of medical and nursing personnel needed for the direct and indirect care of patients were soon inadequate. Consistently, medical volunteers became a key human resource and young medical residents in any specialty were hired on a voluntary basis to contribute to take care of patients with COVID-19. This study reports on the lived experience of residents in child neuropsychiatry who volunteered in Italian hotspot COVID-19-designated hospitals during the epidemic outbreak.Methods. A phenomenological, qualitative approach using semi-structured interviews with open-ended questions was used to obtain in-depth narratives of the experience of residents in child neuropsychiatry volunteering in the Italian hotspot COVID-19-designated hospitals. All residents (n=8) participated in the study. Interviews were conducted by an expert researcher trained in qualitative methods. Data analysis was performed by independent coders.Results. Five core themes were identified: Playing as a two-fold mediator, Facing the shock of COVID-19 reality, Capitalizing from the own specialty education, Growing as persons and professionals, and Humanizing medical care.Conclusions. This study is unique in providing an in-depth understanding of the experience of young residents in child neuropsychiatry volunteering in general hospitals during an unprecedented epidemic in Northern Italy. The findings suggest that this experience may be highly beneficial for both the residents and the hospital quality of care. Insights for accurate planning of residents’ engagement in future healthcare emergencies are provided.

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“…Labyrinthectomy or other surgical procedures can be suggested for intractable MD 16 . Despite the recent COVID-19 pandemic [17][18][19][20] , scientific research for MD is a growing area in continuous development. This brief review aims to assess the clinical innovations for the therapy of MD.…”

Section: Introductionmentioning

confidence: 99%

Pharmacological, surgical and diagnostic innovations in Meniere’s disease: a review

Scarpa

Ralli²,

Bonis

et al. 2020

Translational Medicine @ UniSa

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Meniere's disease is an inner ear disorder characterized by the presence of endolymphatic hydrops in the inner ear and symptomatology of recurrent and debilitating vertigo attacks, tinnitus, aural fullness, and fluctuating sensorineural hearing loss. Although many therapeutic options for MD have been proposed during years, no consensus has been reached by the scientific community. In the last decade, many therapeutic options have been proposed, as intratympanic steroid, intratympanic gentamicin, and intravenous glycerol. Recently, the role of the antisecretory factor in the diet of MD patients have been investigated. Surgery is recommended for intractable MD; some authors proposed new approaches including transcanal endoscopic infracochlear vestibular neurectomy, new marsupiliazation technique in sac surgery, and tenotomy of the stapedius and tensor tympani muscles.

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Impact of the COVID-19 Pandemic on Otolaryngology Residency: A Real-Life Experience

Cited by 27 publications

References 2 publications

Drug-induced Sleep Endoscopy (DISE) with Simulation Bite to Predict the Success of Oral Appliance Therapy in Treating Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS)

Drug-induced Sleep Endoscopy (DISE) with Simulation Bite to Predict the Success of Oral Appliance Therapy in Treating Obstructive Sleep Apnea/Hypopnea Syndrome (OSAHS)

Guardians of Care Humanization during the Pandemic: Child Neuropsychiatry Residents’ Experience as Volunteers in Italian COVID-19-Designated Hospitals

Pharmacological, surgical and diagnostic innovations in Meniere’s disease: a review

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