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Otolaryngology—Head and Neck Surgery: Current Trends and Challenges
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Otolaryngology—Head and Neck Surgery: Current Trends and Challenges

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Otolaryngology".

Deadline for manuscript submissions: 15 August 2025 | Viewed by 970

Special Issue Editors

Dr. Michele Gaffuri

E-Mail Website
Guest Editor
1. Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
2. Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
Interests: pediatric laryngology; otology; endoscopy; pediatric surgery; airway surgery; head and neck surgery
Special Issues, Collections and Topics in MDPI journals
Dr. Lorenzo Maria Gaini

E-Mail Website
Guest Editor
Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
Interests: pediatric laryngology; otology; endoscopy; pediatric surgery; airway surgery; head and neck surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The treatment of head and neck disorders is increasingly shifting toward minimally invasive surgery across various specialties, including airway surgery, ear surgery, and salivary gland surgery. This evolving approach emphasizes collaborative, multidisciplinary efforts involving both anesthesiologists and surgeons, who work together to ensure a thorough diagnostic evaluation for patients.

Technological advancements, particularly in visualization tools such as 4K endoscopy, 3D 4K exoscopy, and novel image-guided surgery, have enabled the transition from traditional invasive techniques to less invasive methods for managing otorhinolaryngological conditions in both children and adults.

To deepen our understanding of these advancements, we invite authors to contribute to a Special Issue of the PubMed-indexed Journal of Clinical Medicine focusing on the pathogenesis, diagnosis, and treatment of head and neck disorders. By gathering research and insights on these topics, we will continue improving the care provided to patients with otorhinolaryngological conditions.

Dr. Michele Gaffuri
Dr. Lorenzo Maria Gaini
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • minimally invasive surgery
  • endoscopy
  • exoscopy
  • airway surgery
  • salivary glands diseases
  • otitis media
  • pediatric otolaryngology
  • head and neck surgery

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Published Papers (2 papers)

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Research

8 pages, 596 KiB  
Article
Clinical and Radiological Analysis of Odontogenic Sinusitis: A Retrospective Study
by Shin Hyuk Yoo, Hahn Jin Jung, Soo Kyoung Park and Ji-Hun Mo
J. Clin. Med. 2025, 14(8), 2821; https://doi.org/10.3390/jcm14082821 - 19 Apr 2025
Viewed by 412
Abstract
Background/Objectives: Odontogenic sinusitis (ODS) is a distinct subtype of chronic rhinosinusitis that arises from dental pathology, with unique etiologies and treatment strategies. This study aimed to evaluate the clinical features, radiological findings, and surgical outcomes of ODS patients treated with endoscopic sinus [...] Read more.
Background/Objectives: Odontogenic sinusitis (ODS) is a distinct subtype of chronic rhinosinusitis that arises from dental pathology, with unique etiologies and treatment strategies. This study aimed to evaluate the clinical features, radiological findings, and surgical outcomes of ODS patients treated with endoscopic sinus surgery (ESS). Methods: This retrospective study included 139 patients diagnosed with ODS who underwent ESS. Demographic characteristics, clinical symptoms, radiological findings, and treatment outcomes were analyzed. Outcomes were assessed using pre- and postoperative LundKennedy (L-K) scores, with additional evaluation of the impact of concurrent dental treatment. Results: The most common etiology was periodontal disease (60.4%), followed by dental implants (20.1%) and dental extractions (19.4%). Radiological findings revealed sinus involvement beyond the maxillary sinus in 78.4% of patients, with common abnormalities including periapical abscesses (60.4%), oroantral fistulas (19.4%), and implant-related complications (20.1%). Patients who received concurrent dental treatment with ESS demonstrated significantly better outcomes, with success rates of 96.4% compared to 73.9% for those without dental treatment (p = 0.003). Conclusions: ODS is frequently underdiagnosed due to overlapping symptoms with chronic rhinosinusitis of other origins. Radiological imaging is crucial for identifying dental pathologies contributing to ODS. Combining ESS with dental treatment significantly improves outcomes and is recommended as the optimal management strategy for ODS. Full article
(This article belongs to the Special Issue Otolaryngology—Head and Neck Surgery: Current Trends and Challenges)
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11 pages, 2053 KiB  
Article
CT Navigation-Assisted Transfacial Removal of Parotid Stones: Does It Work?
by Michele Gaffuri, Ludovica Battilocchi, Matteo Lazzeroni, Lorenzo Pignataro and Pasquale Capaccio
J. Clin. Med. 2025, 14(7), 2338; https://doi.org/10.3390/jcm14072338 - 28 Mar 2025
Viewed by 272
Abstract
Background/Objectives: The failure rate of minimally invasive surgical approaches to parotid stones is about 10%, primarily due to the presence of large, impacted, or unpalpable deep stones. When stones are palpable and exceed 7 mm in size, a combined transfacial and sialendoscopic approach [...] Read more.
Background/Objectives: The failure rate of minimally invasive surgical approaches to parotid stones is about 10%, primarily due to the presence of large, impacted, or unpalpable deep stones. When stones are palpable and exceed 7 mm in size, a combined transfacial and sialendoscopic approach offers a safe and effective surgical option, while unpalpable and impacted stones located in the parenchyma, not visible or accessible through sialendoscopy, can be treated with a CT-guided transfacial approach. Methods: Twenty-two patients (three females, mean age 53 years, range 32–73 years) underwent CT navigation-assisted transfacial removal of unpalpable and impacted parotid stones at the Department of Otolaryngology and Head and Neck Surgery of Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico of Milan between 2017 and 2024. Results: The mean size of the stones was 7.4 mm (range 4–14 mm), while the mean depth of stones, calculated as the distance from the skin surface, was 8.7 mm (range 4–14 mm). Stones were removed successfully in all but five patients (77% success rate). Failure of the procedure was significantly associated (p < 0.05) with the depth of the stone (>12 mm); in all these cases, patients were treated immediately by means of traditional parotidectomy. Conclusions: The CT-navigation-assisted transfacial approach can be considered a safe, reliable, and efficacious option for the treatment of difficult unpalpable parotid stones, impacted and deeply located in the gland parenchyma. Stones deeper than 10 mm can be more effectively treated by means of traditional parotidectomy if extracorporeal lithotripsy is not available. Full article
(This article belongs to the Special Issue Otolaryngology—Head and Neck Surgery: Current Trends and Challenges)
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