A5072060878- Reconstructive Surgery and Microvascular Techniques
- Breast Implant and Reconstruction
- Reconstructive Facial Surgery Techniques
- Breast Cancer Treatment Studies
- Organ and Tissue Transplantation Research
- Facial Nerve Paralysis Treatment and Research
- Nerve Injury and Rehabilitation
- Mesenchymal stem cell research
- Body Contouring and Surgery
- Breast Lesions and Carcinomas
- Cancer and Skin Lesions
- Lymphatic System and Diseases
- Sarcoma Diagnosis and Treatment
- Oral and Maxillofacial Pathology
- Body Image and Dysmorphia Studies
- Facial Rejuvenation and Surgery Techniques
- Bone fractures and treatments
- Tracheal and airway disorders
- Cancer Risks and Factors
- Trauma Management and Diagnosis
- Facial Trauma and Fracture Management
- Venous Thromboembolism Diagnosis and Management
- Cleft Lip and Palate Research
- Orthopedic Surgery and Rehabilitation
- Vascular Procedures and Complications
University of Rome Tor Vergata
2020-2025
Policlinico Tor Vergata
2024
Sapienza University of Rome
2011-2020
Azienda Ospedaliera Sant'Andrea
2010-2017
Aesthetic Surgery Center
2016
Akdeniz University Hospital
2016
Akdeniz University
2016
Ministero della Salute
2015
CTO Andrea Alesini
2013
University of Trieste
2003
The deep inferior epigastric perforator (DIEP) flap is universally considered the gold standard technique for breast reconstruction (BR), though it cannot always be proposed to patients with insufficient donor-site volume. We explore efficacy of autologous fat transfer (AFT) Holm abdomen zone IV in retropectoral plane during DIEP (lipo-DIEP flap), enhance volume provided by abdominal donor site low body mass index (BMI). prospectively enrolled BMI less than 25 kg/m2 and candidates lipo-DIEP...
BackgroundThe Fat-Augmented Latissimus Dorsi (FALD) flap is an evolution of the traditional LD flap, which allows to obtain a total autologous breast reconstruction (BR) avoiding use implants. The aim this study was develop predictive preoperative formula in order estimate and optimize amount fat be transferred during FALD BR, using only anthropometric measurements.MethodsWe conducted prospective clinical between September 2020 April 2023. All patients underwent back pre-operative ultrasound...
The latissimus dorsi flap provides suitable recipient tissue for fat transfer, with a good blood supply and reasonable volume of host to inject into. authors present their experience use the pedicled grafting in total autologous immediate breast reconstruction without implants.From 2010 2013, 23 patients underwent primary augmented flaps (21 unilateral procedures two bilateral procedures). Mean patient age was 52.3 years (range, 39 68 years); mean body mass index 24.77 kg/m2 21.5 28.7...
Secondary breast reconstruction (BR) is recognized as a challenging procedure, particularly when radiotherapy (RT) has previously been performed. The aim of this study was to compare operative data and aesthetic outcomes between secondary irradiated immediate BR using the fat-augmented latissimus dorsi (FALD) flap.The authors conducted prospective clinical September 2020 2021. Patients were divided into two groups: group A included FALD flap in breasts, B with flap. Demographics surgical...
Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) and Squamous Carcinoma (BIA-SCC) are emerging neoplastic complications related to breast implants. While BIA-ALCL is often linked macrotextured implants, current evidence does not suggest an implant-type association for BIA-SCC. Chronic inflammation genetics have been hypothesized as key pathogenetic players, although both conditions, the exact mechanisms specific risks implants yet be established. genetic alterations in...
Despite advancements in breast cancer surgery, the decision-making process for axillary treatment remains complex, necessitating new predictors like tumor size to Ki67 proliferation index ratio. Intraoperative examination of sentinel lymph node is performed reduce risk a secondary surgery. Several studies have demonstrated that even presence moderate nodal involvement, local disease control can be achieved by omitting dissection (ALND). The aim our retrospective study compare patients...
Breast volume assessment enhances preoperative planning of both aesthetic and reconstructive procedures, helping the surgeon in decision-making process shaping breast. Numerous methods breast size determination are currently reported but limited by methodologic flaws variable estimations. The authors aimed to develop a unifying predictive formula for small large breasts based on anthropomorphic values.Ten measurements direct volumes 108 mastectomy specimens from 88 women were collected...
Background: The deep inferior epigastric perforator (DIEP) flap is considered the definitive standard for autologous breast reconstruction because of its ability to restore shape, consistency, and static dynamic symmetry, but degree spontaneous sensory recovery still widely discussed. To clarify real need sensitive nerve coaptation, return sensibility in DIEP flaps was investigated using a pressure-specifying device. Methods: Thirty consecutive patients with cancer scheduled modified radical...
Reconstruction of a functional tongue with proper motility and sensation after subtotal resection is demanding procedure. The authors describe the reinnervated mushroom-shaped anterolateral thigh perforator flap for reconstruction.Thirteen patients (mean age, 54.8 years; range, 49 to 71 years) diagnosed T3 T4 squamous cell carcinomas were allocated prospectively anterior total mobile (n = 7) or 6). All received flap. A Likert scale ranging from 1 4 was used assess speech intelligibility,...
Background: The authors report four cases of breast implant–associated anaplastic large cell lymphoma (ALCL) from a single institution and propose multidisciplinary protocol. Methods: From 2012 to 2014, ALCL were diagnosed. performed the original operation, no patients referred their practice. Cases 1, 2, 4 CD4+/CD30+/ALK− with previous textured-implant reconstruction, whereas case 3 was CD8+/CD30+/ALK− polyurethane-implant augmentation. A retrospective study all who underwent implant...
Dermatofibrosarcoma protuberans (DFSP) is a soft tissue tumor with high propensity for local recurrence. We present case of 53-year-old woman recurrent DFSP the clavicular region. The patient underwent extensive excision including external cortical bone left clavicle. resulting large defect was reconstructed using pedicled Latissimus Dorsi myocutaneous flap. histopathological examination confirmed dermatofibrosarcoma clear surgical margins and satisfied final aesthetic result.
Background: Implant-based breast reconstruction (BR) is to date the most popular reconstructive modality. The aim of study was evaluate immediate hybrid one-stage BR technique, with a dual-plane approach, using prepectoral implants and retro-pectoral autologous fat transfer (AFT). Methods: We prospectively enrolled patients scheduled for which included AFT (Group-A). This cohort compared retrospective control group who underwent direct-to-implant without (Group-B). Complications,...
Introduction Up to one-fifth of breast cancer survivors will develop chronic cancer-related lymphoedema (BCRL). To date, complex physical decongestion therapy (CDT) is the gold standard treatment. However, it mainly symptomatic and often ineffective in preventing BCRL progression. Lymphovenous anastomosis (LVA) vascularised lymph node transfer (VLNT) are microsurgical techniques that aim restore lymphatic drainage. This international randomised trial aims evaluate advantages interventions...
Although success rate of deep inferior epigastric perforator (DIEP) flap breast reconstruction has greatly improved, complications still occasionally occur. Perfusion-related (PRCs) (ie, fat necrosis and partial necrosis) are the most frequent concern, affecting aesthetic final result reconstructed breast. The aim our study was to retrospectively investigate 287 consecutive DIEP reconstructions predictive protective factors for PRCs.From May 2004 February 2012, were performed on 270...
Background: The thoracodorsal artery perforator flap was described mainly for partial breast reconstruction by Hamdi. purpose of this article is to describe the use pedicled total autologous without using an implant. Methods: Between January 2009 and December 2011, seven patients underwent with a flap. mean age 53 years (range, 43 62 years), body mass index 27 kg/m2 24 32 kg/m2). Results: size harvested skin paddle 23.7 × 8.8 cm2 15 7 39 14 cm2). flaps were based on one three perforators...
Face transplantation is a viable reconstructive approach for severe craniofacial defects. Despite the evolution witnessed in field, ethical aspects, clinical and psychosocial implications, public perception, economic sustainability remain subject of debate unanswered questions. Furthermore, poor data reporting sharing, absence standardized metrics outcome evaluation, lack consensus definitions success failure have hampered development "transplantation culture" on global scale. We completed...