A5058395769- Reconstructive Surgery and Microvascular Techniques
- Reconstructive Facial Surgery Techniques
- Craniofacial Disorders and Treatments
- Cleft Lip and Palate Research
- Facial Rejuvenation and Surgery Techniques
- Facial Trauma and Fracture Management
- Body Contouring and Surgery
- Dental Radiography and Imaging
- Nasal Surgery and Airway Studies
- Tracheal and airway disorders
- Orthodontics and Dentofacial Orthopedics
- Obstructive Sleep Apnea Research
- Facial Nerve Paralysis Treatment and Research
- Breast Implant and Reconstruction
- Mesenchymal stem cell research
- Neuroscience of respiration and sleep
- Temporomandibular Joint Disorders
- dental development and anomalies
- Digital Imaging in Medicine
- Surgical Sutures and Adhesives
- Trauma Management and Diagnosis
- Dental Implant Techniques and Outcomes
- Periodontal Regeneration and Treatments
- Geological Modeling and Analysis
- Oral Health Pathology and Treatment
Agostino Gemelli University Polyclinic
2013-2023
Università Cattolica del Sacro Cuore
2005-2018
University of the Sacred Heart
2005-2018
IS practice
2014
Catholic University of America
2008-2013
Universitat Autònoma de Barcelona
2009-2011
Hospital de Sant Pau
2009-2010
In Brief The objective of this study was to assess the reconstructive options after radical, extensive vulvectomy; relate them tumor characteristics; and select a choice flaps able correct every remaining defect. This is retrospective review 4-year experience with 31 in 20 consecutive vulvar reconstructions. Three presented nonsignificant delayed healing at their tips 3 other developed major breakdown related an infection or error flap planning. According authors, size defect main issue that...
A reliable method for precise identification of the dominant perforator would be extremely valuable in flap surgery. During past 5 years, multidetector-row computed tomography has demonstrated excellent results preoperative planning abdominal free breast reconstruction, significantly reducing operative time and complications. The main drawbacks are unnecessary radiation to patient possible allergic reactions intravenous contrast material. To circumvent these limitations, we performed...
Traumas, malformative or dysplastic pathologies, atrophy, osteoradionecrosis, and benign malignant neoplasm can cause bone deficits in the mandible. Consequent mandibular defects determine aesthetic functional problems; therefore, being able to perform a good reconstruction is of critical importance. Several techniques have been proposed for over years. In this article, we present discuss evolution during time methods mandible as well pros cons each procedure on basis experience 10 years...
Maxillo-mandibular asymmetry has numerous aetiologies: congenital, traumatic, iatrogenic and post-oncologic. Patients with congenital dentofacial malformations are generally submitted to orthognathic surgery and/or additional procedures (genioplasty, alloplastic implants) satisfactory results. However, despite achieving skeletal symmetry, noticeable facial may persist.This study was performed in 45 patients (29 women 16 men) operated between December 2012 June 2014. All were affected by...
Management of patients after total or subtotal glossectomy presents challenging reconstruction complex three-dimensional defects. Such defects can have a dramatic effect on respiration, speech, and nutrition, may significantly impact quality life.We present our experience with 39 submitted to microsurgical flaps. Functional results are reported in term swallowing ability, decannulation, intelligible speech. Oncological outcomes described terms local disease control overall survival rate.We...
The extended deep inferior epigastric perforator (DIEP) artery flap had been described in 1983. For head and neck reconstruction, we have using a variation of this flap, namely free the system with superolateral extension skin paddle.The purpose study was to present our 10-year experience performance 102 soft tissue reconstructions DIEP 100 patients.Depending on reconstructive needs, used 3 ways: as cutaneous (52.9%), chimeric (6.9%), myocutaneous (40.2%). overall survival rate 97.1%. Three...
Loss of autofluorescence as an early phenomenon associated with tissue degeneration seems to be promising for the diagnosis oral cancer. The method make visible structural and biochemical alterations mucosa not always evident under direct inspection cavity. For this reason, margins mucosal lesions usually appear wider compared visualization. Actual extension potentially malignant must precisely perceived avoid any underestimation tumor. In study, 32 patients at risk cancer underwent test. Of...
Background A cooling system based on polyurethane preshaped masks for postoperative cryotherapy, named Hilotherm, has been recently introduced. The purpose of this study was to evaluate the effectiveness equipment in controlling edema and compare results with those obtained a group treated conventional cryotherapy not cryotherapy. Methods Ninety patients were included randomized controlled trial. 90 divided into 3 groups. Group Hilotherm. B C Using tape measure, we measured both sides face...
Adipose tissue harvested through lipoaspiration is widely exploited in plastic and cosmetic surgery, because of its remarkable trophic properties, especially relying on the presence adipose-derived stem cells. The common procedures for cell isolation are mainly based fractionation enzymatic digestion, requiring multiple hours uninterrupted work, unsuitable direct surgical applications. Recent studies demonstrated feasibility isolating adipose stromal cells without need digestion. These...
Pyoderma gangrenosum (PG) is an ulcerating noninfectious disease of the skin seen in 1-2% patients with inflammatory bowel (IBD). The pathogenesis PG has yet to be determined, but may related abnormal T cell responses and production TNF-α, a pathway also involved IBD pathogenesis. Infliximab, chimeric monoclonal antibody used treat moderate severe several case reports studies suggest efficacy infliximab treatment PG. surgical approach reserved few selected cases. We report here patient...
Temporal depression after temporalis muscle flap transposition is characterized by a concavity of the soft tissue and associated with relief orbital rim zygomatic arch. The purpose this study was to describe use autologous fat grafting for treatment postsurgical temporal contour deformities.Between March 2008 April 2011, 45 patients were treated lipofilling. A virtual 3-dimensional preoperative assessment used objectively quantify loss volume affected side. Two different methods evaluate...
Introduction The advent of computed tomography (CT) provided a useful instrument for diagnosis and surgical treatment patients with craniofacial malformations. development software three-dimensional graphic simulation applied to CT scan has made possible the computerized analysis, planning, simulation. This kind analysis is particularly in case complex facial malformations, making reliable 1 step. purpose this report was present planning on patient hemimandibular hyperplasia by cephalometric...
In this article, we describe an alternative procedure to restore the retrobulbar volume in enophthalmic patients. We report case of a patient with late enophthalmos submitted lipofilling correct defect. The preoperative assessment and surgical technique are described detail. fat injected was 3.2 mL, satisfying increase exophthalmometry measurements. well tolerated without complications. Retrobulbar for appears be safe orbital enhancement. It avoids use alloplastic materials allows obtain...
Inferior alveolar nerve transposition (IANT) is a surgical technique used in implantoprosthetic rehabilitation of the atrophic lower jaw which has not been well embraced because high risk damage to inferior (IAN). There are cases this method essential obtain good morphologic and functional rebalancing jaw. In paper, authors present their experience with IANT, analyzing various situations IANT only preprosthetic option.Between 2003 2011, 35 patients underwent at our center. Thermal physical...
Among the reconstructive options after orbital exenteration, temporalis myofascial flap (TMF) has been widely recognized as one of best available solutions. We think that hemicoronal approach to harvest TMF represents a disadvantage so we adopted modified named anterior retrograde TMF.Nine patients with malignant tumors underwent exenteration and primary reconstruction harvested approach. The muscle was exposed through incision used perform exenteration. then rotated insetted fill...
Background Obstructive sleep apnea syndrome (OSAS) is often found in children affected by congenital or acquired craniomaxillomandibular malformations. This disease carries different levels of risk, ranging from attention problems at school to growth and serious disorders, such as cor pulmonale sudden infant death. The examination that most commonly used evaluate the severity OSAS polysomnography, therapeutic course determined state. Considering discrepancy between clinical history...
The gold standard for the diagnosis of Obstructive Sleep Apnea (OSA) is polysomnography, whose access however reduced by costs and limited availability, so that additional diagnostic tests are needed.To analyze accuracy Airway Adult Test (OAAT) compared to polysomnography OSA in adult patients.Ninety patients affected verified with (AHI ≥ 5) ten healthy patients, randomly selected, were included all interviewed one blind examiner OAAT questions.The Spearman rho, evaluated measure correlation...
Bisphosphonate-related osteonecrosis of the jaw (BRONJ) consists an exposure bone that persists for over 8 weeks in patients with positive history bisphosphonates. Symptomatology is characterized by dull and ceaseless pain, advanced stages, necrotic evident, which frequently associated purulent secretions faetor oris. Despite many different studies on BRONJ, there are no general guidelines to treat this disease. In work, authors present their experience BRONJ conservative therapy spiramycin...
Nasal deviation plays an important role in plagiocephaly nosography, and it is frequent objectivable both early treated patients those who did not undergo any surgical correction.The group analyzed consisted of 12 affected by anterior synostotic plagiocephaly. All them had reached the end growth. A morphological analysis was made using anthropometry. were asked to computed tomography, all scans then reconstructed into three-dimensional models a dedicated software. We two-dimensional...
The aim of this study was to validate a new aesthetic analysis and establish the sagittal position maxilla on an ideal group reference. We want demonstrate usefulness these findings in treatment planning patients undergoing orthognathic surgery. took reference 81 Italian women participating national beauty contest 2011 which we performed Arnett's soft tissues cephalometric our "Vertical Planning Line" analysis. used values elaborate surgical second 60 consecutive female affected by skeletal...
Background: In 1992, Pribaz described the facial artery musculomucosal flap (FAMM), an axial based on artery. The FAMM flap, a modification of nasolabial and buccal mucosal flaps, is widely used in reconstruction defects oral cavity. Many modifications this have been literature. Here we aimed to explore use arterialized tunnelized island (a-FAMMIF) for tongue after tumor resection. Method: From January 2015 December 2016, five cases cancer were selected FAMMIF reconstruct Results:...