COLLEGIO DI DIREZIONE - Azienda Ospedaliera di Parma

adiographic imaging and/or computed tomography scans to detect malformations and to confirm that the obstruction
was caused by posterior tongue displacement. All patients were evaluated by a multidisciplinary team. Indications for
surgery included frequent apneic episodes with severe desaturation (70%). Gavage therapy was employed in all patients
since oral feeding was not possible. The two tracheotomy patients were 5 months and 2 years old respectively, and the
distraction procedure was performed to remove the tracheotomy tube. All patients were treated with bilateral
mandibular distraction: two cases with an external multivector distraction device, six cases with an internal nonresorbable
device and two cases with an internal resorbable device. In one case, the patient with Goldenhar's Syndrome,
the procedure was repeated. Results: The resolution of symptoms was obtained in all patients, and, when present,
tracheotomy was removed without complications. Of the two patients with pre-existing tracheotomies, in the younger
patient (5 months old) the tracheotomy was removed 7 days postoperatively. In the Goldenhar's syndrome case (2 years
old) a Montgomery device was necessary for 6 months due to the presence of tracheotomy-inducted tracheomalacia.
Patients were discharged when the endpoint was obtained: symptoms and signs of airway obstruction were resolved,
PAS and maxillomandibular relationship improved, and tracheotomy, when present, removed. During the follow-up, no
injury to the inferior alveolar nerve was noted and scarring was significant in only the two cases treated with external
devices. Conclusion: Mandibular Distraction Osteogenesis is a good solution in solving respiratory distress when other
procedures are failed in paediatric patients with severe micrognatia.
76) Shin, SH; Sivalingam, S; De Donato, G; Falcioni, M; Piazza, P; Sanna, M (2012) Vertebral Artery
Involvement by Tympanojugular Paragangliomas: Management and Outcomes with a Proposed Addition to
the Fisch Classification AUDIOLOGY AND NEURO-OTOLOGY 17(2):92-104 IF=2.228 [Article]
77) Siboni, SM; Zanon, E; Sottilotta, G; Consonni, D; Castaman, G; Mikovic, D; Biondo, F; Tagliaferri, A;
Iorio, A; Mannucci, PM; Peyvandi, F (2012) Central nervous system bleeding in patients with rare bleeding
disorders HAEMOPHILIA 18(1):34-38 IF=2.364 [Article]
78) Sverzellati, N; Cademartiri, F; Bravi, F; Martini, C; Gira, FA; Maffei, E; Marchiano, A; La Vecchia, C;
De Filippo, M; Kuhnigk, JM; Rossi, C; Pastorino, U (2012) Relationship and Prognostic Value of Modified
Coronary Artery Calcium Score, FEV1, and Emphysema in Lung Cancer Screening Population: The MILD
Trial RADIOLOGY 262(2):460-467 IF=6.066 [Article]
Purpose: To assess the relationship between a modified coronary artery calcium (mCAC) score and both forced
expiratory volume in 1 second (FEV1) and pulmonary emphysema and the associations of such factors with all-cause
mortality and cardiovascular events (CVEs) in a lung cancer computed tomographic (CT) screening trial. Materials and
Methods: In this institutional review board-approved study, both clinical and low-dose CT data were evaluated in a
cohort of heavy smokers consecutively recruited by the Multicentric Italian Lung Detection, or MILD, trial. Low-dose
CT images were analyzed by using software that allowed quantification of mCAC, mean lung attenuation (MLA), and
total extent of emphysema. The correlations between mCAC, percentage predicted FEV1, MLA, and emphysema extent