Publications by authors named "Lavalle S"

Rhinogenic contact point headache (RCPH) is a controversial secondary headache disorder involving mucosal contact points in the nasal sinuses. The efficacy of surgical versus medical management has been debated, with some studies showing excellent long-term outcomes but others citing placebo effects. This study aimed to clarify the correlation with nasal anatomical variation detected by CT and RCPH treatment outcomes.

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Refractive errors, particularly myopia, are among the most prevalent visual impairments globally, with rising incidence in children and adolescents. This review explores the epidemiology and risk factors associated with the development of refractive errors, focusing on the environmental and lifestyle factors contributing to the current surge in myopia. We provide an overview of key genetic factors and molecular pathways driving the pathogenesis of myopia and other refractive errors, emphasizing the complex interplay between genetic predisposition and environmental triggers.

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Background An accurate method of assessing the response of muscle-invasive bladder cancer (MIBC) to neoadjuvant treatment is needed for selecting candidates for bladder-sparing strategies. Purpose To evaluate the diagnostic accuracy and reproducibility of neoadjuvant chemotherapy Vesical Imaging Reporting and Data System (nacVI-RADS) scores and posttreatment Vesical Imaging Reporting and Data System (VI-RADS) scores when assessing MIBC response to neoadjuvant immunotherapy with multiparametric MRI (mpMRI). Materials and Methods A retrospective analysis of MRI scans was conducted in patients enrolled in the PURE-01 study (NCT02736266) from February 2017 to December 2019 who underwent pre- and postimmunotherapy mpMRI before radical cystectomy.

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  • * Traditional treatments for GvHD-related eye issues often fail, prompting the exploration of umbilical cord blood platelet lysate eyedrops as a potential new therapy.
  • * A study involving 22 patients with severe ocular surface disorders tested the safety and effectiveness of these eyedrops, using various evaluation methods to compare results before and after treatment.
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With profound effects on patient care, the role of artificial intelligence (AI) in radiomics has become a disruptive force in contemporary medicine. Radiomics, the quantitative feature extraction and analysis from medical images, offers useful imaging biomarkers that can reveal important information about the nature of diseases, how well patients respond to treatment and patient outcomes. The use of AI techniques in radiomics, such as machine learning and deep learning, has made it possible to create sophisticated computer-aided diagnostic systems, predictive models, and decision support tools.

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Rhinosinusitis is a common childhood illness that may result in a number of ocular problems. The goal of this thorough analysis is to compile the available data regarding the kinds, prevalence, and treatment of ocular problems related to juvenile rhinosinusitis. A comprehensive analysis of electronic databases, such as PubMed, Embase, and Cochrane Library, was carried out to pinpoint pertinent research articles written in English and published between the beginning and August of 2023.

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The most difficult diagnostic challenge in neck imaging is the differentiation between benign and malignant neoplasms. The purpose of this work was to study the role of the ADC (apparent diffusion coefficient) value in discriminating benign from malignant neck neoplastic lesions. The study was conducted on 53 patients with different neck pathologies (35 malignant and 18 benign/inflammatory).

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Sarcopenia is a prevalent condition with significant clinical implications, and it is expected to escalate globally, demanding for effective diagnostic strategies, possibly at an early stage of the disease. Imaging techniques play a pivotal role in comprehensively evaluating sarcopenia, offering insights into both muscle quantity and quality. Among all the imaging techniques currently used for the diagnosis and follow up of sarcopenia, it is possible to distinguish two classes: Rx based techniques, using ionizing radiations, and non-invasive techniques, which are based on the use of safe and low risk diagnostic procedures.

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  • Intestinal volvulus is a serious condition that can cause bowel obstruction and reduced blood flow to the intestines, potentially leading to death if not treated.
  • Symptoms of volvulus are often unclear but usually include sudden abdominal pain, distension, nausea, and vomiting.
  • A highlighted case in the article involves a patient who showed respiratory symptoms rather than typical gastrointestinal signs, making diagnosis challenging, with contrast-enhanced CT scans being the preferred diagnostic tool.
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  • Patients with severe aortic stenosis often have coronary artery disease (CAD), and how to manage this condition during transcatheter aortic valve implantation (TAVI) is still debated.
  • This review discusses the timing of coronary revascularization strategies—whether to perform percutaneous coronary intervention (PCI) before, during, or after TAVI—and the expected increase in PCI procedures as more low-risk patients are referred for TAVI.
  • Expert opinions suggest that there may be a shift towards performing PCI after TAVI, supported by studies on TAVI's safety in patients with untreated CAD and advancements in implantation techniques that enhance access to coronary arteries post-procedure.
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Vitamin D3 is a crucial fat-soluble pro-hormone essential for bolstering bone health and fortifying immune responses within the human body. Orodispersible films (ODFs) serve as a noteworthy formulation strategically designed to enhance the rapid dissolution of vitamin D, thereby facilitating efficient absorption in patients. This innovative approach not only streamlines the assimilation process but also plays a pivotal role in optimizing patient compliance and therapeutic outcomes.

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  • The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has impacted not only the respiratory system but also various eye-related conditions, demonstrating a range of ocular symptoms.
  • Important eye manifestations of COVID-19 include conjunctivitis, scleritis, uveitis, and retinopathy, making it crucial for eye care practitioners to monitor these signs as potential early indicators of the disease.
  • The review also discusses how the virus interacts with ocular tissues and examines vaccine-related ocular side effects, highlighting the necessity for continued research on vaccine safety and effective eye examinations for COVID-19 patients.
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  • Sepsis and septic shock are serious, life-threatening conditions caused by an unregulated response to infection, contributing to significant global health issues despite medical advancements.
  • A literature review was conducted using various databases to summarize the prevalence, incidence, and mortality rates of these conditions worldwide, revealing stark differences between high-income and low- to middle-income countries.
  • The study emphasizes the importance of understanding risk factors, improving clinical management, and increasing awareness to tackle the growing burden of sepsis and septic shock effectively.
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  • Congenital tongue tumors in children are uncommon but consist of various types, each requiring specific diagnostic and treatment approaches due to differing clinical behaviors.
  • Advanced imaging techniques, like diffusion-weighted imaging and perfusion studies, are crucial for distinguishing between benign and malignant tumors.
  • The literature review identifies congenital tongue tumors, categorizes them based on hereditary patterns and type, and highlights that surgical excision is the main treatment, with prognosis varying by tumor type.
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Immune checkpoint inhibitor (ICI) therapy has revolutionized cancer treatment by enhancing the immune response against tumor cells. However, their influence on immune pathways can lead to immune-related adverse events such as pneumonitis, necessitating rapid diagnosis and management to prevent severe complications. These adverse events arise from the activation of the immune system by immunotherapeutic drugs, leading to immune-mediated inflammation and tissue damage in various organs and tissues throughout the body.

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  • More people around the world are having serious eye problems that affect their vision due to conditions like diabetes and other health issues.
  • Scientists and doctors are exploring new technology and AI to help find and diagnose these eye diseases faster and more accurately.
  • Using AI can make it easier for doctors to help patients, especially those who live far away, by quickly spotting problems and suggesting the right treatments.*
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Background: Obstructive sleep apnea (OSA) is a prevalent sleep disorder characterized by repeated episodes of partial or complete obstruction of the upper airway during sleep. While the systemic implications of OSA are well documented, the dental consequences are less frequently discussed yet equally significant. This review aims to elucidate the oral health impacts of OSA, emphasizing the importance of interdisciplinary care.

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  • Hearing loss is commonly linked to oxidative stress, suggesting that reactive oxygen species (ROS) damage the cochlea and contribute to various types of hearing loss, including age-related and noise-induced impairment.
  • Antioxidant therapies have shown promise in reducing hearing loss in studies, while new treatment methods like gene therapy and targeted drug delivery may offer innovative solutions for managing oxidative stress in the auditory system.
  • This review aims to deepen understanding of the relationship between oxidative stress and hearing loss, highlighting the need for more personalized treatment strategies and setting a foundation for future research.
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A prevalent condition linked to an elevated risk of cardiovascular disease is sleep apnea. This review examines the connections between cardiac risk, the sympathetic nervous system, and sleep apnea. The increased risk of hypertension, arrhythmias, myocardial infarction, and heart failure was highlighted in the pathophysiology of sleep apnea and its effect on sympathetic activation.

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Objective: Knowledge about voice prosthesis microbial colonization is vital in laryngectomized patients' quality of life (QoL). Herein, we aimed to explore the relationship between oral microbial patterns, demographic variables and voice prosthesis performance.

Methods: Thirty laryngectomy patients were assessed for microbial colonization in their voice prostheses and oral cavities.

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Sarcopenia is a prevalent and clinically significant condition, particularly among older age groups and those with chronic disease. Patients with cancer frequently suffer from sarcopenia and progressive loss of muscle mass, strength, and function. The complex interplay between cancer and its treatment, including medical therapy, radiotherapy, and surgery, significantly contributes to the onset and worsening of sarcopenia.

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The Spigelian hernia is a abdominal wall hernia that originates from a discontinuity of the Spigelian fascia located lateral to the rectus abdominis muscle. It can be acquired in adults or congenital in newborns. In very rare cases in male it can be associated with cryptorchidism, in which case it is known as "Spigellian-Cryptorchidism Syndrome".

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Obstructive sleep apnea (OSA) is a prevalent yet underdiagnosed condition in pregnancy, associated with various maternal and fetal complications. This review synthesizes the current evidence on the epidemiology, pathophysiology, and neurological consequences of OSA in pregnancy, along with the potential management strategies. Articles were sourced from the PubMed, EMBASE, and Cochrane databases until 2023.

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  • The systematic review aimed to assess the safety and effectiveness of percutaneous Transarterial Embolization (TAE) in treating spontaneous retroperitoneal hematomas, analyzing data from 141 patients across six studies.
  • Results showed a 100% technical success rate but clinical success rates varied, with complications occurring in 10 out of 116 procedures analyzed.
  • The study concluded that TAE is a safe and effective treatment option for life-threatening hematomas, with low complication rates and no significant difference in rebleeding between targeted and empirical embolization.
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