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1.
J Oral Rehabil ; 34(4): 311-5, 2007 Apr.
Article in English | MEDLINE | ID: mdl-17371570

ABSTRACT

The aim of these clinical reports was to describe two different approaches to prosthetic rehabilitation after facial disfigurement because of a total rhinectomy. A man with a total rhinectomy was scheduled for craniofacial implants in the nasal residual defect. Three oral implants were used instead of craniofacial ones. A conventional framework was designed to connect the prosthesis to the implant abutments in the anterior nasal floor, and a custom-made ball attachment was positioned in the glabella abutment. A woman with a free rectum abdomis flap covering the defect of the middle face was scheduled for a nasal prosthesis. A titanium framework with a novel connection between the eyeglasses and the prosthesis was manufactured. The two clinical reports presented in this article illustrate favourable clinical treatment outcomes in the rehabilitation of disfigurement.


Subject(s)
Maxillofacial Prosthesis Implantation/rehabilitation , Nose/surgery , Aged , Carcinoma, Basal Cell/surgery , Female , Humans , Male , Maxillofacial Prosthesis , Maxillofacial Prosthesis Implantation/methods , Nasal Septum/surgery , Nose Neoplasms/surgery , Prosthesis Design , Skull Neoplasms/surgery , Zygoma/surgery
2.
Oral Oncol ; 37(1): 110-3, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11120492

ABSTRACT

Primary central mucoepidermoid carcinoma (CMC) of the jaws accounts only for 2-3% of all mucoepidermoid carcinomas reported. Bhaskar in 1963 first analysed the criteria for his central origin, histology and pathogenesis. The authors report a long-term evolution case of CMC of the mandible with peculiar clinical features observed at the Department of Maxillo-Facial Surgery of the School of Medicine and Surgery of the "Federico II" University of Naples (Naples, Italy) examining histopathologic and clinical features and problems related to the treatment.


Subject(s)
Carcinoma, Mucoepidermoid/pathology , Mandibular Neoplasms/pathology , Carcinoma, Mucoepidermoid/diagnostic imaging , Disease Progression , Female , Follow-Up Studies , Humans , Mandibular Neoplasms/diagnostic imaging , Middle Aged , Tomography, X-Ray Computed
4.
Minerva Stomatol ; 49(7-8): 383-7, 2000.
Article in Italian | MEDLINE | ID: mdl-11234690

ABSTRACT

HIV infections are often related with lymphoepithelial benign cysts of the parotid gland; these lesions are uncommon and other salivary glands are rarely involved. The diagnosis, often difficult, is based on imaging techniques, like computed tomography, and pathologic techniques, like fine needle aspiration biopsy. The therapeutic approach can be performed by simple aspiration, surgical resection, pharmacotherapy, or radiotherapy. Three cases of HIV-related lymphoepithelial benign cysts of the parotid gland observed at the Department of Maxillofacial Surgery of the "Federico II" University of Naples and at the Department of Oral and Maxillofacial Surgery of "La Paz" Hospital of the Universitad Autonoma of Madrid are described.


Subject(s)
HIV Infections/complications , Lymphocele/etiology , Parotid Diseases/etiology , Adult , Epithelium , Female , Humans , Middle Aged
5.
G Chir ; 20(6-7): 307-9, 1999.
Article in Italian | MEDLINE | ID: mdl-10390927

ABSTRACT

Oral squamous cell carcinoma often invades the mandible. However, the incidence of pathological fractures of the maxillofacial bones is low and their treatment is rarely satisfactory. A patient, too weak to undergo surgery, affected by squamous cell carcinoma of the mandibular region with bone involvement and pathological fracture of the mandible, underwent chemotherapy with carboplatin associated with diphosphonate.


Subject(s)
Clodronic Acid/therapeutic use , Fractures, Spontaneous/drug therapy , Mandibular Fractures/drug therapy , Aged , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Biopsy, Needle , Carcinoma, Squamous Cell/complications , Carcinoma, Squamous Cell/drug therapy , Carcinoma, Squamous Cell/pathology , Fractures, Spontaneous/etiology , Fractures, Spontaneous/pathology , Humans , Male , Mandibular Fractures/etiology , Mandibular Fractures/pathology , Mandibular Neoplasms/complications , Mandibular Neoplasms/drug therapy , Mandibular Neoplasms/pathology , Neoplasm Staging
8.
J Craniomaxillofac Surg ; 25(3): 149-52, 1997 Jun.
Article in English | MEDLINE | ID: mdl-9234094

ABSTRACT

In squamous cell carcinoma of the oral cavity, the presence of nodal metastases greatly influences prognosis. The evaluation of regional lymph nodal involvement is crucial in the correct management of these neoplasms. The records of 45 patients with oral cancer were reviewed retrospectively to evaluate the accuracy and prognostic value of the techniques used to detect lymph node metastasis in the neck (clinical examination, echo-colour-Doppler, computed tomography and magnetic resonance imaging). Echo-colour-Doppler was the most accurate procedure with a predictive positive value of 95.6% and the lowest false-negative rate. Therefore, a diagnostic preoperative study must include echo-colour-Doppler preferably associated with computed tomography to achieve the greatest diagnostic accuracy.


Subject(s)
Carcinoma, Squamous Cell/secondary , Lymph Nodes/pathology , Lymphatic Metastasis/diagnosis , Mouth Neoplasms/pathology , Adult , Aged , Carcinoma, Squamous Cell/pathology , Female , Humans , Lymph Nodes/blood supply , Magnetic Resonance Imaging , Male , Middle Aged , Neck , Predictive Value of Tests , Preoperative Care , Prognosis , Reproducibility of Results , Retrospective Studies , Sensitivity and Specificity , Tomography, X-Ray Computed , Ultrasonography, Doppler, Color
9.
Acta Stomatol Belg ; 94(1): 29-31, 1997 Mar.
Article in English | MEDLINE | ID: mdl-9923108

ABSTRACT

A patient with a right latero-cervical swelling of three-months history was observed. Fine needle aspiration biopsy showed the presence of metastases of epidermoid carcinoma moderately differentiated. No signs or symptoms of head and neck neoplasm were presents. After instrumental evaluation the primary neoplasm was localised at the left lung and metastases were also localised in the right submandibular gland. Although metastases from pulmonary epidermoid carcinoma are normally bloodborne, in this case lymphatic metastases involving cervical areas were present, probably secondarily the submandibular involvement.


Subject(s)
Carcinoma, Squamous Cell/secondary , Lung Neoplasms/pathology , Lymphatic Metastasis/pathology , Submandibular Gland Neoplasms/secondary , Biopsy, Needle , Carcinoma, Squamous Cell/pathology , Fatal Outcome , Humans , Male , Middle Aged , Neck , Tomography, X-Ray Computed , Ultrasonography, Doppler, Color
10.
Rev Stomatol Chir Maxillofac ; 98(5): 312-5, 1997 Dec.
Article in French | MEDLINE | ID: mdl-9471677

ABSTRACT

The pathological fracture of the mandible is a rare and undesirable consequence of cancerous bone invasion. This study investigates the retrospective incidence of this phenomenon in diagnosed cases of squamous cell carcinoma of the mandibular region, and reviews the methods of treatment used. A total of 194 patients with squamous cell carcinoma of the mandibular region were observed. Only six cases of pathological fractures were found. The treatment was conditioned by the need to eliminate the tumor, and was carried out in different methods according to the individual cases. This study underlines the importance of both knowing various techniques and collaborating with other specialists in treating the fracture.


Subject(s)
Carcinoma, Squamous Cell/complications , Fractures, Spontaneous/etiology , Mandibular Fractures/etiology , Mouth Neoplasms/complications , Adult , Age Factors , Aged , Aged, 80 and over , Alveolar Process/pathology , Bone Diseases/etiology , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/radiotherapy , Carcinoma, Squamous Cell/surgery , Facial Bones/radiation effects , Female , Fractures, Spontaneous/surgery , Humans , Incidence , Male , Mandibular Fractures/surgery , Mandibular Neoplasms/pathology , Mandibular Neoplasms/radiotherapy , Mandibular Neoplasms/surgery , Middle Aged , Mouth Neoplasms/pathology , Mouth Neoplasms/radiotherapy , Mouth Neoplasms/surgery , Neoplasm Invasiveness , Osteoradionecrosis/etiology , Retrospective Studies , Sex Factors
11.
J Craniomaxillofac Surg ; 24(5): 281-4, 1996 Oct.
Article in English | MEDLINE | ID: mdl-8938509

ABSTRACT

Cancer of the mandibular region usually has a poor prognosis; this is particularly correlated to invasion of the mandible. To reduce the consequences of poor therapeutic planning, careful preoperative assessment of bone infiltration is necessary. We have examined the records of 50 patients evaluated by clinical examination, conventional radiography, computed tomography (CT), bone scintigraphy with 99mTc and magnetic resonance imaging (MRI). The highest sensitivity (100%) was attained by scintigraphy; the highest values of specificity (96.3%) were reached by CT scan and MRI. A CT scan showed the highest predictive positive value (95.4%) and efficiency (94%), this plus MRI have good values and the associated sensitivity and efficiency are higher than when these techniques are used alone.


Subject(s)
Mandibular Neoplasms/diagnosis , Mouth Neoplasms/pathology , Neoplasm Invasiveness/diagnosis , Adult , Female , Humans , Magnetic Resonance Imaging , Male , Mandibular Neoplasms/diagnostic imaging , Mandibular Neoplasms/secondary , Middle Aged , Predictive Value of Tests , Radionuclide Imaging , Retrospective Studies , Sensitivity and Specificity , Tomography, X-Ray Computed
12.
Br J Oral Maxillofac Surg ; 34(3): 240-2, 1996 Jun.
Article in English | MEDLINE | ID: mdl-8818258

ABSTRACT

Peripheral ameloblastoma is a very rare tumour with histological characteristics similar to those of the centrally located ameloblastoma. It appears in the gum and in the alveolar process of the jaws. We report a case of tumour of the left maxillary region, near the canine area. Histologically it presented itself with follicles and nests of cells with a trabecular architectural pattern. High mitotic index and clear images of perineural infiltration were present. The diagnosis was peripheral ameloblastoma with malignant aspects. At 12-month follow-up no local recurrence was noted.


Subject(s)
Ameloblastoma/pathology , Gingival Neoplasms/pathology , Maxillary Neoplasms/pathology , Cell Nucleolus/ultrastructure , Cell Nucleus/ultrastructure , Cuspid , Follow-Up Studies , Humans , Male , Middle Aged , Mitosis , Neoplasm Invasiveness
14.
Minerva Stomatol ; 43(7-8): 343-9, 1994.
Article in Italian | MEDLINE | ID: mdl-7984132

ABSTRACT

A clinic-statistical study of maxillo-facial fractures in a series of 52 children is reported. This group presents a higher involvement of mandibular body and a low rate M:F than in the literature. Factors responsible for increasing of maxillo-facial traumas in little girls and in school age are analyzed.


Subject(s)
Maxillary Fractures , Child , Child, Preschool , Female , Humans , Male , Maxillary Fractures/epidemiology
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