Department of Otorhinolaryngology and Ent Surgery @ Ospedale San Raffaele
The Otorhinolaryngology Department has an established track record in the traditional and minimally invasive treatment of oncological and functional pathology of the head and neck region, in each of its sub-specialties.
The main conditions treated surgically involve cancers of specialty interest including:
- laryngeal, laryngo-pharyngeal and laryngo-tracheal tumors
- tumors of the mouth
- tumors of the pharynx and parapharynx
- tumors of the nose and paranasal sinuses
- tumors of the neck, salivary glands, thyroid and parathyroids
- skin tumors of the face and neck
- tumors of the ear.
The Otorhinolaryngology Department deals electively with the management of patients affected by these neoplasms using a multidisciplinary approach - tumor board - which involves the interaction of different specialists (Medical Oncologists, Radiologists, Radiotherapists, Anatomopathologists, Dentists, Nuclear Physicians, Nutritionists, Psychologists, Speech Therapists) in order to define the best diagnostic and therapeutic procedure for each patien
Surgery can vary according to the characteristics of the pathologies in question, passing from minimally invasive and conservative approaches (endoscopic with laser surgery, video-assisted) to extensive resections with contextual reconstructive plastic surgery using pedicled or microvascular flaps, combining care with the objective of optimal functional and aesthetic preservation.
At all levels of surgery the principles of Enhanced Recovery After Surgery (ERAS) are widely implemented. They allow early post-operative rehabilitation according to the latest scientific evidence demonstrated by major international resolutions and summarized in the guidelines of the ERAS Society.
Our excellence in numbers
Conditions we take care of at this Department
MAIN PATHOLOGIES TREATED:
- Endoscopic nose-sinus surgery
- Head and neck tumours
- Larynx surgery: endoscopic Co2 laser, open surgery
- Nasal polyposis, Sinusitis, Septal deviation, Rhinosinusitis, Inferior turbinate hypertrophy, Lacrimal Pathways disease, dacryocistitis, Epihora, snoring
- Plastic reconstructive surgery with local, pedunculated, free flaps
- Surgical approaches for H&N disorders
- Surgery for Obstructive Sleep Apnea Syndrome
- Surgery of major salivary glands
- Tinnitus and other inner ear disorders: diagnosis and treatment
- Vestibular Disorders: diagnosis and treatment
- Vocal polyps and larynx, Larynx disease, Chronic tonsillitis, Chronic adnoiditis
Top procedures performed
Notable advanced technological equipment
- Audiometry,
- Impedenzometry,
- PEV Microscope,
- Endoscopic optic,
- Videoendoscopy,
- Videoendoscopy with NBI (narrow band imaging),
- 3D endoscopy,
- Co2 laser,
- Diode laser,
- Surgical navigation system,
- Balooning,
- Robot surgery,
- NIM (nerve monitoring system),
- Video HIT,
- Video Frenzel and eye tracking to assess ocular movements,
- Functional Head Impulse test,
- Stabilometric exam
Meet our team
Head physician
Mario Bussi
Featured physicians
The San Raffaele Research Hospital is a highly specialized multi-disciplinary medical center of world importance, which embodies the integrity of the treatment, clinical research and teaching activities. San Raffaele provides treatment in all existing medical fields, which allows this center to take care of the most complex patient cases. The Hospital is recognized as IRCCS (Scientific Institute for Research and Healthcare) for its research in molecular medicine and innovative treatments application, such as the gene therapy.
The hospital is a multi-specialty center with more than 50 clinical specialties available and with over 1600 beds; it is accredited by the Italian National Health System to provide care to both public and private, Italian and international patients. In 2018 the San Raffaele Hospital performed over 51,000 patient admissions, 72,000 emergency room encounters and delivered over 1.5 million outpatient medical services. It is widely regarded as the most celebrated hospital in the country and among the most reputable medical centers in Europe. San Raffaele’s wards and operating theatres are equipped with the most advanced machines, such as PET, PET/CT, Gamma Knife, Cyber Knife, Rapid Arc, Tomotherapy. San Raffaele’s Radiotherapy Unit was the first place in Europe to install Tomotherapy in 2004. Nowadays this Unit confirms to be one of the most experienced worldwide; it has developed numerous protocols for cancer treatment of the prostate, breast, central nervous system, brain, liver, pancreas, gastrointestinal tract, lungs, and others. The Oncological Board of the Hospital consisting of diagnosticians, clinical oncologists, immunologists, surgeons and radiotherapists, hold weekly meetings to discuss oncological patients’ pathways in a multidisciplinary manner.
Beside its Cancer Center, San Raffaele is well-known for its medical know-how in cardiology and cardiac surgery, neurology and neurosurgery, gastroenterology and gastrointestinal tract surgery, liver surgery, pancreas surgery, transplant medicine, gynecology and obstetrics, urology, dermatology, ophthalmology, immunology, rheumatology and pediatrics.
San Raffaele is a pioneer in the field of gene medicine and treatment of rare immunologic and genetic diseases. San Raffaele Scientific Institute is where the first in the world gene therapy with stem cells was created, named Strimvelis, for patients affected by ADA-SCID syndrome.
The Research at the San Raffaele Hospital focuses on integrating basic, translational and clinical research to provide the most advanced care to the patients. It counts on over 1,500 scientists, working in state-of-the-art facilities covering a surface of 130,000 square meters, and have produced over 1,446 scientific publications in 2018. Research at San Raffaele aims at understanding the mechanisms underlying a variety of important human diseases and at identifying new targets and new therapeutic strategies to treat them.
The San Raffaele Hospital hosts the Università Vita-Salute San Raffaele, a fully private university with a complete Medical School (including specialty courses and residencies), Nursing School, a Psychology graduate and post-graduate programs, and Allied Health Professions School. The mission of the Vita-Salute San Raffaele University is to answer the question "Quid est homo?" in the belief that the human being is a biological, psychological and spiritual unicum. Since 2010 the San Raffaele Hospital also hosts the International MD Program, the only graduate program accredited to license Medical Doctors in both Europe and North America.
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