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In subjects affected by nasal polyposis with chronic rhinosinusitis, an intranasal cortisone treatment is adopted, and there are not many studies dealing with the problem of the possible use of oral cortisones. In a study performed in Scotland, 60 patients with chronic rhinosinusitis and nasal [...]
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Should acute childhood otitis media be treated with antibiotics or not? To answer this question is not easy, so two new double-blinded, randomized, placebo-controlled studies have been performed, which could state a definite word on the matter. In both cases, otitis media has been defined by an [...]
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Through some trials, a relation between the presence of Staphylococci in nasal cavities and an increase in post-operative local infections, representing a severe risk above all in orthopedic interventions with the insertion of prosthesis and orthesis, has been hypothesized. In order to avoid this [...]
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It has been affirmed since a long time that the best therapeutical choice in case of acute otitis media (AOM) in children is represented by watchful waiting, but now someone has wondered whether this choice can imply an increase in the number of mastoidites. Some researchers have then used an [...]
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Acute rhinosinusitis represents about 30% of upper airways respiratory affections for which patients go to their general practitioner, and, with this diagnosis, antibiotics are generally prescribed, even if there are no criteria to distinguish viral origin from bacterial one. Some researchers have [...]
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In children affected by obstructive sleep apnea syndrome (OSAS), adenotonsillectomy is capable to solve the obstruction, but it does not seem to have any effect on behavioural problems linked to the syndrome. Some researchers have presented a questionnaire to the parents of 138 children (between 2 [...]
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It was already greatly recommended not to use antibiotics in acute otitis media (AOM) in children, both for the risk to trigger bacterial resistances, and for the not justified cost: in children over 2, guidelines recommend a selective use of antibiotics. Under 2, recommendations are not univocal, [...]
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Patients with laryngeal symptoms apparently without any known aetiology are empirically treated with protonic pump inhibitors (PPI) according to a presupposed laryngopharyngeal reflux, even if in many studies this therapeutical formulation has been judged ineffective. A new study sponsored by [...]
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It was already shown that the delay of 2-3 days in the administration of antibiotics in case of children with otitis media implies a high percentage of spontaneous recovery, with the evident advantage of not using antibiotics. Studies in this sense were realized in medical offices and not in the [...]