- Head and Neck Surgical Oncology
- Facial Trauma and Fracture Management
- Oral and Maxillofacial Pathology
- Reconstructive Surgery and Microvascular Techniques
- Sinusitis and nasal conditions
- Dental Radiography and Imaging
- Cancer Diagnosis and Treatment
- Head and Neck Cancer Studies
- Bone Tumor Diagnosis and Treatments
- Reconstructive Facial Surgery Techniques
- Dental Implant Techniques and Outcomes
- Facial Nerve Paralysis Treatment and Research
- Traumatic Ocular and Foreign Body Injuries
- COVID-19 and healthcare impacts
- Craniofacial Disorders and Treatments
- Sarcoma Diagnosis and Treatment
- Pituitary Gland Disorders and Treatments
- Nasal Surgery and Airway Studies
- Bone health and treatments
- Salivary Gland Tumors Diagnosis and Treatment
- Facial Rejuvenation and Surgery Techniques
- Dental Anxiety and Anesthesia Techniques
- Orthodontics and Dentofacial Orthopedics
- Meningioma and schwannoma management
- Anatomy and Medical Technology
Sapienza University of Rome
2016-2025
Policlinico Umberto I
2007-2023
National Medical Research Center of Dentistry and Maxillofacial Surgery
2020
May Institute
2015-2020
October 6 University
2019
Avascular osteonecrosis of the jaw (ONJ) may occur as a consequence several conditions, even including chemotherapy treatment in patients affected by tumors or osteoporosis. We report our clinical experience treating bisphosphonate-induced ONJ with therapeutic methodology that includes ozone therapy new and original approach for management maxillary necrotic lesions. Of 58 observed at department, 33 gave their informed consent to be part research were treated according approach, which...
It is certain that oral extractive surgery a remarkable trigger to avascular osteonecrosis of the jaw in patients treated with pyrophosphate analogous. This acquisition limits use endo-oral those patients, even when they have already developed lesions. In this study, we present results obtained group 15 deriving from 33-patient cluster treatment at our department new protocol based on ozone therapy. The object article demonstrate how dental extraction becomes possible patient...
Objective Oral surgery is compounded by safe and well-known techniques presents a low rate of complications. When the superior alveolar ridge approached, may result in oroantral fistula or tooth implant dislocation maxillary sinus. Those conditions lead to development sinusitis that, if underestimated, evolve orbital cellulitis cerebritis cerebral abscess. Our work aimed compare surgical suitable for treatment those complications define better strategy. Methods Between 2005 2010, 55...
Maxillo-mandibular reconstruction in pediatric patients involves particular functional and cosmetic implications. Attention is required for the craniofacial growth over time, involvement of permanent dentition, facial symmetry, donor site morbidity. Our aim to identify best reconstructive options maxilla-mandibular defects children (<18 years) based on our experience with 25 patients. We believe that has be performed at same time as resection Local flaps should reserved cases maxillary...
Fascia lata (FL) is a worldwide adopted source of autologous grafts. In our Department, the endoscopic endonasal transphenoidal surgery (EETS) has been performed regularly for anterior and middle cranial fossa lesions, FL graft commonly practical resource in repairing tissue defects after EETS.Enough, we used routinely harvesting to restore symmetry facial palsy. To known, this biggest case series about repare EET. The purpose study was evaluate experience with FL, particularly donor site...
The authors sought correlations between harvesting of the scapular bone tip free flap used for head-and-neck reconstruction and any shoulder function deficit, particularly at level rotator cuff. permits large diverse regions head neck, but long-term harvest morbidity has not been investigated extensively. analyzed clinical records all patients who underwent reconstructions using flaps in our department over past 5 years. inclusion criteria were complete radiological documentation follow-up...
Maxillary cancers include neoplasms arising in both maxillary sinus and oral cavity (upper alveolar ridge, hard palate) according to the American Joint Committee on Cancer. Although it is universally accepted that combination of surgery radiotherapy seems be treatment choice, there no accordance about clinically negative neck. We retrospectively analyzed 20 patients with cancer 37 an upper ridge or palate cancer, evaluating incidence N-disease recurrence at local site. On basis our findings,...
Removal of impacted third maxillary molar is frequently carried out without difficulties and low rate intraoperative complications. The rare particularly challenger to manage it the dislocation into infratemporal fossa (IF). In this clinical report, authors present their solution resolve particular complication.A 28-year-old woman was referred emergency rescue unit authors' hospital by her dentistry, after attempt extract left molar. During procedure tooth accidentally dislodged lost sight...
In the last decades, introduction of computed tomography has allowed an increase in number diagnosed fractures medial orbital wall. To repair wall fractures, many surgical techniques have been proposed (1), each one with its advantages and disadvantages. this study, we compared endoscopic endonasal transcutaneous reduction approaches terms surgery time clinical outcome. Between 2001 2005, 81 patients were treated at our department. Among these patients, 24 (29.63%) affected by a fracture....
Postoperative cerebrospinal fluid (CSF) leak still represents the main limitation of endonasal endoscopic surgery. The aim study is to classify risk postoperative and propose a decision-making protocol be applied in preoperative phase based on radiological data intraoperative findings obtain best closure.One hundred fifty-two patients were treated our institution; these divided into 2 groups because from January 2013 closure technique was standardized adopting protocol. CSF Risk...
The epidemiology of maxillofacial fractures is variable in different geographic regions. Economic and social conditions, laws types behavior can be considered the most important factors influencing these differences.Mandibular were first cited 1650 BC an Egyptian papyrus. Today, are one prevalent facial skeletal injuries.A 4-year retrospective study was performed trauma - related data collected from medical radiological archives. analysis comprised patients admitted for mandibular fracture...
Background/Objectives: Oral cavity squamous-cell carcinoma is among the most frequent head and neck neoplasms. Early-stage T1/T2N0 accounts for 40/45% of new diagnoses. Of these, about 30% cases hide occult metastases in neck. The management clinically N0 paramount importance still being debated. Methods: medical records patients with a clinical diagnosis early-stage T1-T2N0 oral between 2011 2021 were retrospectively analysed. inclusion criteria complete radiological records, pT1-2...
The purpose of this article is to evaluate endoscopic-assisted technique by lateral approach for sinus floor augmentation, reduce the incidence Schneiderian membrane perforation, and guarantee a sufficient apposition new bone even in posterior maxillary sinus.From January 2017 December 2017, 10 patients affected severe atrophy underwent augmentation using approach.In only 1 patient, little perforation was observed intraoperatively it repaired. No abnormal postoperative bleeding observed....
Introduction Skull base pathologies in the paediatric population are rare and require treatment by multiple qualified specialists. The endoscopic endonasal approach has revolutionized surgical because it is less invasive than existing treatments.The goal of this study was to retrospectively review our experience with reconstruction skull middle defects associated complications.
Since the 1980s, bone free flaps have been used to reconstruct maxilla and mandible. The vascular pedicle, through supply of nutritional substances drugs from bloodstream, ensures vitality flap, rapid integration, reduced risk infection.However, due many surgeons' concerns about orocervical orosinusal fistulas infections, are usually buried protected by mucosal or a second skin flap whenever it is not possible harvest paddle together with flap.The authors, convinced that naked flaps, if well...
To investigate survival outcomes and recurrence patterns using machine learning in patients with salivary gland malignant tumor (SGMT) undergoing adjuvant chemoradiotherapy (CRT).Consecutive SGMT were identified, a data set included nine predictor variables dependent variable [disease-free (DFS) event] was standardized. The open-source R software used. Survival estimated by the Kaplan-Meier method. random forest approach used to select important explanatory variables. A classification tree...
Treatment of orbital floor fracture is a subject great interest in maxillofacial surgery. Many materials have been described for its reconstruction. In this article, the authors report case patient who, 7 years from previous and treatment with silastic sheet, presented herself to their clinic failure material used reconstruction skin fistula. Orbital repair sheet an old method that no one uses anymore, but we still observe cases late complications material. So fine knowledge needed young...