Publications by authors named "Dario Zaccari"

Article Synopsis
  • The study aimed to assess how effective nasal endoscopy is in diagnosing hereditary hemorrhagic telangiectasia (HHT) in children and to explore the symptoms related to nosebleeds and skin lesions in this age group.
  • Conducted from May 2016 to December 2019, the study involved 70 children aged 2-18 with a parent diagnosed with HHT, using a combination of clinical history, mucocutaneous examination, and nasal endoscopy to evaluate their condition.
  • Results showed that nasal endoscopy significantly improved the sensitivity of diagnostic criteria by revealing nasal telangiectases, suggesting it should be included in the diagnostic process for HHT in pediatric patients due to its ease and safety.
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The maxillary sinus is the most common site of sinonasal inverted papilloma. Endoscopic sinus surgery, in particular endoscopic medial maxillectomy, is currently the gold standard for treatment of maxillary sinus papilloma. Although a common technique, complications such as stenosis of the lacrimal pathway and consequent development of epiphora are still possible.

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Background: Hereditary hemorrhagic telangiectasia (HHT) is a rare genetic disease that results in mucocutaneous telangiectasias and arteriovenous visceral malformations. Nasal telangiectasias lead to recurrent epistaxis, which affects up to 96% of patients. Different morphologic classifications and methods of visualization of nasal lesions have been described in the literature.

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Hemostasis is a critical point in endoscopic sinus and skull base surgery. A variety of techniques are presently available for reducing intraoperative bleeding; however, several limitations of the classical instruments should be stated. For example, reaching bleeding points in an anatomically angled site with straightforward bipolar devices could be quite difficult.

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