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Otolaryngology-Head and Neck Surgery: From Diagnosis to Treatment

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Biosciences and Bioengineering".

Deadline for manuscript submissions: 20 December 2025 | Viewed by 523

Special Issue Editors


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Guest Editor
Head and Neck Department, Azienda Ospedaliera Universitaria Integrata di Verona, Piazzale Aristide Stefani, 1, 37126 Verona, Italy
Interests: microsurgery; head and neck surgery; maxilla-facial surgery

E-Mail Website
Guest Editor
Head and Neck Department, Azienda Ospedaliera Universitaria Integrata di Verona, Piazzale Aristide Stefani, 1, 37126 Verona, Italy
Interests: orthognatic surgery; oral surgery; maxilla facial surgery
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Head and Neck Department, Azienda Ospedaliera Universitaria Integrata di Verona, Piazzale Aristide Stefani, 1, 37126 Verona, Italy
Interests: oncological; cervical-cephalic; rhinosinus surgery; functional and rehabilitative ear surgery; endoscopic diagnosis of the rhinosinus and laryngeal regions

Special Issue Information

Dear Colleagues,

Over the past decade, the field of otolaryngology and head and neck surgery has witnessed remarkable advancements and transformations. This period has been characterized by significant innovations in diagnostic techniques, surgical procedures, and treatment modalities, which have collectively enhanced patient outcomes and expanded the scope of practice. One of the most notable developments has been the integration of robotic surgery into otolaryngology. This technology has allowed for greater precision and minimally invasive procedures, reducing recovery times and improving surgical accuracy . Additionally, microsurgery has seen substantial progress, enabling surgeons to perform intricate operations with enhanced dexterity and control.

The field has also embraced advancements in oncology, particularly in the management of head and neck cancers. Improved imaging techniques and targeted therapies have revolutionized cancer treatment, offering patients more effective and personalized care. Furthermore, the evolution of orthognatic surgery has provided new solutions for correcting jaw and facial deformities, significantly improving patients' quality of life.

In the field of skull base and ear surgery, endoscopic assisted procedures have introduced new methods for treating conditions involving the ear and adjacent structures.

Overall, the last decade has been a period of dynamic growth and transformation for otolaryngology and head and neck surgery, driven by technological advancements and a commitment to improving patient care. These developments have not only enhanced the capabilities of surgeons but also paved the way for future innovations in the field. This special issue aims to highlight recent developments, providing current insights and perspectives on these advancements.

Dr. Giorgio Barbera
Prof. Dr. Massimo Albanese
Dr. Luca Sacchetto
Guest Editors

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Keywords

  • head and neck surgery
  • oncology
  • microsurgery
  • robotic surgery
  • orthognatic surgery
  • skull base
  • ontology
  • ear surgery
  • rhinoplasty

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Published Papers (1 paper)

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Research

10 pages, 584 KB  
Article
The Anterolateral Thigh Flap as a Solution for Extensive Lateral Skull Base Defects: A Case Series
by Riccardo Nocini, Athena E. Arsie, Valerio Arietti, Marco Mazzola, Maria Sofia Salvetta and Luca Sacchetto
Appl. Sci. 2025, 15(19), 10543; https://doi.org/10.3390/app151910543 - 29 Sep 2025
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Abstract
Introduction: Tumors of the lateral skull base, particularly those arising from the external auditory canal and peri-retroauricular regions, present considerable surgical and reconstructive difficulties due to their intricate anatomy and aggressive nature. The anterolateral thigh (ALT) free flap offers a viable reconstruction [...] Read more.
Introduction: Tumors of the lateral skull base, particularly those arising from the external auditory canal and peri-retroauricular regions, present considerable surgical and reconstructive difficulties due to their intricate anatomy and aggressive nature. The anterolateral thigh (ALT) free flap offers a viable reconstruction option, enhancing oncological radicality while minimizing morbidity. Materials and Methods: A retrospective analysis was conducted on five cases of malignant tumors involving the external auditory canal and adjacent soft tissues, treated at a tertiary center from March 2023 to March 2025. All patients underwent radical resection, which included lateral or subtotal temporal bone resection, along with parotidectomy and neck dissection when necessary. Reconstruction was performed using myocutaneous anterolateral thigh free flaps. The study evaluated clinical outcomes, complications, and esthetic results. Results: The ALT flap was used in all cases without major postoperative complications. Two patients received adjuvant radiotherapy; one did not start treatment due to early recurrence. At follow-up, three patients were disease-free, while two had died from unrelated causes. Esthetic and functional outcomes were satisfactory in all patients. Conclusions: The ALT free flap is a universal and reliable option for the reconstruction of complex lateral skull base defects, especially in patients following the radical removal of tumors of the external auditory canal and peri-retroauricular areas. It offers excellent tissue coverage, facilitates adjuvant treatment, and has a low complication rate. While our experience supports its use in aggressive oncological resection, larger studies are needed to confirm these findings. Level of evidence: 4. Full article
(This article belongs to the Special Issue Otolaryngology-Head and Neck Surgery: From Diagnosis to Treatment)
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