From the Department of ENT University of Medicine, Perugia, Perugia, Italy
2.Department of Otolaryngology - Head & Neck Surgery, Città di Castello Civil Hospital, Città di Castello
3.Department of Otolaryngology, University of Perugia, Perugia (Italy
4.From the Department of Medical- Surgical Specialization, Division of Otolaryngology and Cervico-Facial Surgery, University of Perugia