Enucleation of a multilocular odontogenic keratocyst using sagittal osteotomy: A case report

Odontogenic keratocysts are significant cysts of the jaw that are characterized by aggressive behavior and a high tendency to recur. The treatments of choice may be radical or conservative, and in the literature a debate is still open about the gold standard in the treatment of OKCs.This report describes a wide multilocular OKC extended in the right mandibular ramus and illustrates atypical behavior of a cystic lobe after marsupialization, not found to our knowledge in the previous literature. Moreover, an orthognathic procedure, consisting of sagittal osteotomy was chosen for the excision of the cyst to preserve as much bone as possible and the integrity of the inferior alveolar nerve

Reconstruction of nasal skin cancer defects with local flaps.

Reconstruction of nasal defects must preserve the integrity of complex facial functions and expressions, as well as facial symmetry and a pleasing aesthetic outcome. The reconstructive modality of choice will depend largely on the location, size, and depth of the surgical defect. Individualized therapy is the best course, and numerous flaps have been designed to provide coverage of a variety of nasal-specific defects. We describe our experience in the aesthetic reconstruction of nasal skin defects following oncological surgery. The use of different local flaps for nasal skin cancer defects is reported in 286 patients. Complications in this series were one partial flap dehiscence that healed by secondary intention, two forehead flaps, and one bilobed flap with minimal rim necrosis that resulted in an irregular scar requiring revision. Aesthetic results were deemed satisfactory by all patients and the operating surgeons. The color and texture matches were aesthetically good, and the nasal contour was distinct in all patients. All scars were inconspicuous and symmetrical. No patient had tenting or a flat nose

Correlation between Density and Resorption of Fresh-Frozen and Autogenous Bone Grafts

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Cementoblastoma: presentazione di un caso clinico

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Correction of prominent ears: our experiences

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The importance of 3D solid modeling in maxillary reconstruction

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Survey on Italian impantologists’ approach to atrophic mandible therapy

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temporal myofascial flap in reconstructive surgery of thr oral cavity

AIM: The temporal myofascial flap is a simple, rapid and reliable surgical method for immediate reconstruction of facial defects: indications in the light of modern anatomical knowledge and personal experience, with the accent on achieving an appropriate access route without damaging the facial nerve. METHODS: Our series covers the period from January 1999 to December 2004, during which time myofascial flaps of temporal muscle were used for immediate reconstruction in 20 surgical oncological cases involving the face and neck. RESULTS: Postoperative progress was regular; no lesions of the facial nerve were observed, nor any cases of flap necrosis, including partial. Epithelialisation could already be observed as early as 15 days postsurgery without skin grafting being employed. CONCLUSIONS: Application of a Medpor prosthesis eliminates the only negative outcome from the aesthetic standpoint, related to harvesting the muscle from the fossa

Treatment of lower lip cancer: an experience of 48 cases

The article reports results obtained in 48 cases of lower lip cancer.Tumor classified as T1 or T2, requiring a resection up to 60% of the lower lip,were treated with the stair-case technique. Nine patients were treated with thebilateral symmetrical stair-case technique since their lesions were locatedmedially, while 23 were treated with the bilateral method using two asymmetricalflaps because their lesions were in paramedian position but larger than 2 cm. Tenpatients required a unilateral flap.The cases classified as T3, in which the lesion required resection of more than60% of the lip, were treated with the Bernard–Freeman–Fries technique

La rinoplastica con allungamento columellare negli esiti di LPS.

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