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A Rare Case of Synchronous Bilateral Pleomorphic Adenoma of the Parotid Gland

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Case Reports in Clinical Medicine 2014年第7期3卷 387-391页

作者： Ricciardiello Filippo Papa Angelo oliva flavia Pianese Annalisa Abate Teresa Mesolella Massimo Department of Otolaryngology-Head and Neck Surgery University of Naples “Federico II” Naples Italy

Multiple parotid gland tumors are unusual. Warthin’s tumor is the most represented neoplasm in this condition. We present a case of bilateral synchronous pleomorphic adenoma affecting the parotid glands in a 28-year-old woman. Clinically, the lesions were similar to solitary pleomorphic adenoma. Both lesions were diagnosed by fine-needle aspiration cytology. A total parotidectomy for left tumor and surgical enucleation for the right tumor, respectively, were performed with no facial nerves injury. A review of the pertinent literature is included.

关键词： Multiple Parotid Gland Tumors Pleomorphic Adenoma Synchronous Total Parotidectomy

Parotid Lipoma: A Case Report

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Case Reports in Clinical Medicine 2014年第7期3卷 437-442页

作者： Massimo Mesolella Filippo Ricciardiello flavia oliva Teresa Abate Antonella Miriam Di Lullo Anna Marino ENT Department University “Federico II” Naples Italy

Lipoma is a common benign tumor affecting the soft tissues arising in every location where fat is normally present. About 15% of lipomas occur in head and neck region. The lipoma of parotid gland is a rare entity, comprising 0.6% - 4.4% of all parotid tumors. The etiology remains unclear. The case described a lipoma of the superficial lobe of the parotid gland in a 46-year-old male.

关键词： Lipoma Parotid Gland Parotidectomy

Monitoring of Respiratory Infections in the Intensive Area of Respiratory System Disease

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Advances in Microbiology 2014年第9期4卷 560-566页

作者： Filippo Ricciardiello Maria Cardone Giuseppe Fiorentino Massimo Mesolella flavia oliva Annalisa Pianese Carlo Antonio Leone UOC of Otorhinolaryngology “Federico II” University Naples Italy UOC of Otorhinolaryngology “Monaldi” Hospital Naples Italy UOC Respiratory Diseases Physiopathology and Rehabilitation Second University of Naples “Monaldi” Hospital Naples Italy UOC Subintensive Respiratory Therapy Unit “Monaldi” Hospital Naples Italy

Respiratory infections are the most frequent nosocomial infections after those urinaries and surgicals. We analysed respiratory infection incidences in patients treated with different kinds of respiratory assistance (non-invasive ventilation and invasive mechanical ventilation trough tracheostomy), studying 640 patients recovering in the intensive area of respiratory disease from 2010 to 2013. We had 113 cases of respiratory infections: 42.5% in patients of non-invasive ventilation group and 57.5% of patients treated with invasive ventilation with a statistically significant difference between the two groups. The patients treated with non-invasive ventilation showed a lower incidence of nosocomial respiratory infections. Prevention guidelines are important to reduce nosocomial infections frequency.

关键词： Intensive Respiratory Area Multi-Resistant Pathogens Nosocomial Infections Pneumonias Tracheostomy

Solitary Intraparotid Facial Nerve Plexiform Neurofibroma

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International Journal of Clinical Medicine 2014年第18期5卷 1125-1129页

作者： Massimo Mesolella Antonella Miriam Di Lullo Filippo Ricciardiello flavia oliva Annalisa Pianese Gabriella Misso Maurizio Iengo Department of Head and Neck Otolaryngology Unit “Federico II” University Naples Italy Department of Biochemistry Biophysics and General Pathology Second University of Naples Naples Italy

Solitary intraparotid facial nerve plexiform neurofibromas are extremely rare. These tumors arise from Schwann cells. The plexiform variant is recognized by tortuous and multinodular gross and microscopic lesions. It has a high risk of malignant transformation. We report a case of a solitary plexiform neurofibroma in a 5-year-old Italian male, who initially presented a right parotid mass of four-month duration. He had not pain, trismus, facial weakness or previous trauma. There was not familiar history of Von Recklinghausen’s disease. TC and MRI scans revealed a mass in the superficial lobe of the parotid gland. A partial parotidectomy was performed. Histopatological examination indicated plexiform neurofibroma. The incidence, presentation, diagnosis and surgical treatment of this lesion are discussed. In our case, the tumor could be readily separated from the main trunk, and facial movement was completely preserved owing to the rich neural network around the mass.

关键词： Intraparotid Facial Nerve Plexiform Neurofibroma Parapharyngeal Space