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Brevi BC, Toma L, Magri AS, Sesenna E. Use of the Mandibular Distraction Technique to Treat Obstructive Sleep Apnea Syndrome. J Oral Maxillofac Surg 2011; 69:566-71. [DOI: 10.1016/j.joms.2010.09.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2010] [Revised: 07/27/2010] [Accepted: 09/22/2010] [Indexed: 11/26/2022]
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77
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Bianchi B, Ferri A, Ferrari S, Copelli C, Boni P, Sesenna E. Iliac Crest Free Flap for Maxillary Reconstruction. J Oral Maxillofac Surg 2010; 68:2706-13. [DOI: 10.1016/j.joms.2010.01.008] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2009] [Revised: 01/03/2010] [Accepted: 01/12/2010] [Indexed: 11/30/2022]
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78
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Bianchi B, Copelli C, Ferrari S, Ferri A, Sesenna E. Facial animation in patients with Moebius and Moebius-like syndromes. Int J Oral Maxillofac Surg 2010; 39:1066-73. [DOI: 10.1016/j.ijom.2010.06.020] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2008] [Revised: 05/19/2010] [Accepted: 06/14/2010] [Indexed: 10/19/2022]
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79
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Bianchi B, Ferri A, Ferrari S, Copelli C, Boni P, Baj A, Sesenna E. Reconstruction of lateral through and through oro-mandibular defects following oncological resections. Microsurgery 2010; 30:517-25. [DOI: 10.1002/micr.20786] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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80
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Poli T, Ferrari S, Sesenna E. The surgical treatment of BRONJ: Parma Maxillofacial Surgery School experience. BMC Geriatr 2010. [PMCID: PMC3290218 DOI: 10.1186/1471-2318-10-s1-a72] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
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81
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Bianchi B, Copelli C, Ferrari S, Ferri A, Bailleul C, Sesenna E. Facial Animation With Free-Muscle Transfer Innervated by the Masseter Motor Nerve in Unilateral Facial Paralysis. J Oral Maxillofac Surg 2010; 68:1524-9. [DOI: 10.1016/j.joms.2009.09.024] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2008] [Revised: 06/21/2009] [Accepted: 09/14/2009] [Indexed: 11/17/2022]
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82
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Alkureishi LWT, Ross GL, Shoaib T, Soutar DS, Robertson AG, Thompson R, Hunter KD, Sorensen JA, Thomsen J, Krogdahl A, Alvarez J, Barbier L, Santamaria J, Poli T, Sesenna E, Kovács AF, Grünwald F, Barzan L, Sulfaro S, Alberti F. Sentinel node biopsy in head and neck squamous cell cancer: 5-year follow-up of a European multicenter trial. Ann Surg Oncol 2010; 17:2459-64. [PMID: 20552410 DOI: 10.1245/s10434-010-1111-3] [Citation(s) in RCA: 180] [Impact Index Per Article: 12.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2009] [Indexed: 01/07/2023]
Abstract
BACKGROUND Sentinel node biopsy (SNB) may represent an alternative to elective neck dissection for the staging of patients with early head and neck squamous cell carcinoma (HNSCC). To date, the technique has been successfully described in a number of small single-institution studies. This report describes the long-term follow-up of a large European multicenter trial evaluating the accuracy of the technique. METHODS A total of 227 SNB procedures were carried out across 6 centers, of which 134 were performed in clinically T1/2 N0 patients. All patients underwent SNB with preoperative lymphoscintigraphy, intraoperative blue dye, and handheld gamma probe. Sentinel nodes were evaluated with hematoxylin and eosin (H&E) staining, step-serial sectioning (SSS), and immunohistochemistry (IHC). There were 79 patients who underwent SNB as the sole staging tool, while 55 patients underwent SNB-assisted elective neck dissection. RESULTS Sentinel nodes were successfully identified in 125 of 134 patients (93%), with a lower success rate observed for floor-of-mouth tumors (FoM; 88% vs. 96%, P = 0.138). Also, 42 patients were upstaged (34%); of these, 10 patients harbored only micrometastatic disease. At a minimum follow-up of 5 years, the overall sensitivity of SNB was 91%. The sensitivity and negative predictive values (NPV) were lower for patients with FoM tumors compared with other sites (80% vs. 97% and 88% vs. 98%, respectively, P = 0.034). CONCLUSIONS Sentinel node biopsy is a reliable and reproducible means of staging the clinically N0 neck for patients with cT1/T2 HNSCC. It can be used as the sole staging tool for the majority of these patients, but cannot currently be recommended for patients with tumors in the floor of the mouth.
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83
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Meazzini MC, Brusati R, Diner P, Giannì E, Lalatta F, Magri AS, Picard A, Sesenna E. The importance of a differential diagnosis between true hemifacial microsomia and pseudo-hemifacial microsomia in the post-surgical long-term prognosis. J Craniomaxillofac Surg 2010; 39:10-6. [PMID: 20456963 DOI: 10.1016/j.jcms.2010.03.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2009] [Revised: 03/05/2010] [Accepted: 03/09/2010] [Indexed: 10/19/2022] Open
Abstract
Long-term results after surgical treatment of the mandibular asymmetry in growing children with hemifacial microsomia (HFM), whether with osteotomies or distraction osteogenesis, have mostly shown a tendency towards the recurrence of the asymmetry. In contrast, in the literature we find sporadic case reports where the long-term post-surgical follow-up of patients diagnosed as HFM, are surprisingly stable. All these reports refer to patients who have substantially no soft tissue involvement, but only severe mandibular ramus and condyle deformities. The phenotypes of these cases are unexpectedly similar. The authors suggest, that it is possible that all of these cases might be isolated hemimandibular hypoplasias, misdiagnosed as HFM, which present a normal functional matrix and, therefore, tend to grow towards the original symmetry. Differential diagnosis between true HFM and this HFM-like isolated hemimandibular hypoplasia (pseudo-HFM) is of great importance given the very different prognosis and it is possible through the collaboration between not only surgeons and orthodontists, but also of geneticists and dysmorphologists.
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84
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Sesenna E, Oretti G, Anghinoni ML, Ferri A. Simultaneous management of the enophthalmos and sinus pathology in silent sinus syndrome: a report of three cases. J Craniomaxillofac Surg 2010; 38:469-72. [PMID: 20096597 DOI: 10.1016/j.jcms.2009.12.003] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2009] [Revised: 12/02/2009] [Accepted: 12/21/2009] [Indexed: 10/19/2022] Open
Abstract
Silent sinus syndrome is a rare disorder affecting the maxillary sinus unilaterally, characterized by ipsilateral enophthalmos and hypoglobus. The treatment is surgical: the endoscopic approach represents the gold standard for the restoration of normal sinus aeration, but there is no consensus in the management of the enophthalmos. Most authors suggest a two stage procedure consisting of endoscopic sinus surgery initially and a delayed secondary operation for the restoration of the orbital floor. We present our experience with three cases treated with a single-stage procedure, focusing on the advantages of this one-step approach.
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Bianchi B, Ferri A, Ferrari S, Copelli C, Boni P, Sesenna E. Reconstruction of anterior through and through oromandibular defects following oncological resections. Microsurgery 2009; 30:97-104. [DOI: 10.1002/micr.20714] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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86
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Bianchi B, Copelli C, Ferrari S, Ferri A, Sesenna E. Free flaps: Outcomes and complications in head and neck reconstructions. J Craniomaxillofac Surg 2009; 37:438-42. [DOI: 10.1016/j.jcms.2009.05.003] [Citation(s) in RCA: 110] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2008] [Revised: 05/19/2009] [Accepted: 05/26/2009] [Indexed: 10/20/2022] Open
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87
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Anghinoni ML, Magri AS, Di Blasio A, Toma L, Sesenna E. Midline mandibular osteotomy in an asymmetric patient. Angle Orthod 2009; 79:1008-14. [PMID: 19705948 DOI: 10.2319/102908-550.1] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2008] [Accepted: 12/01/2008] [Indexed: 11/23/2022] Open
Abstract
This case report shows the possibility of the application of a mandibular osteotomy to resolve mandibular asymmetry with independent and discordant movements of both bony segments. The authors report the case of a 25-year-old woman referred for mandibular asymmetry, with a transverse excess of the right hemi mandible and vertical defect of the left one. The patient underwent a bilateral sagittal split osteotomy, midline osteotomy, and genioplasty, which corrected the mandibular asymmetry with contraction of the entire right hemi mandible. A slight left vertical increase was also obtained through the surgically created lateral open bite. In the follow-up assessment, the patient's face appeared symmetrical with normalization of the bizygomatic-bigonial relationships, and the facial shape corresponded to ideal anthropometric features. This technique resulted in resolution of mandibular asymmetry. In addition, mandibular osteotomy permits the esthetic management of the shape of the entire mandibular body in relation to the other third of the face.
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Bianchi B, Ferri A, Silini EM, Magnani C, Sesenna E. Congenital cervical teratoma: a case report. J Oral Maxillofac Surg 2009; 68:667-70. [PMID: 19926379 DOI: 10.1016/j.joms.2009.04.054] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2008] [Revised: 04/04/2009] [Accepted: 04/21/2009] [Indexed: 10/20/2022]
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89
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Bianchi B, Copelli C, Ferrari S, Ferri A, Sesenna E. Facial animation in children with Moebius and Moebius-like syndromes. J Pediatr Surg 2009; 44:2236-42. [PMID: 19944241 DOI: 10.1016/j.jpedsurg.2009.07.038] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2009] [Revised: 06/21/2009] [Accepted: 07/18/2009] [Indexed: 11/28/2022]
Abstract
BACKGROUND Moebius syndrome, a rare congenital disorder of varying severity, involves multiple cranial nerves and is characterized predominantly by bilateral or unilateral paralysis of the facial and abducens nerves. The paralysis of the VI and VII cranial nerves leads to a lack of function in the muscles they supply. Facial paralysis often causes bilabial incompetence with speech difficulties, oral incompetence, problems with eating and drinking, including pocketing of food in the cheek and dribbling, as well as severe drooling. METHODS In this study, we report on pediatric patients with Moebius and Moebius-like syndromes seen and treated surgically from 2003 to September 2007 at the Operative Unit of Maxillofacial Surgery, Head and Neck Department, University of Parma, Italy. RESULTS Twelve patients underwent microsurgical reconstruction for restoration of facial movement. The contralateral facial nerve was used as a motor donor nerve in 4 procedures, the motor nerve to the masseter muscle was used in 8 patients, and the gracilis muscle was used in all operations, with a total of 17 free-muscle transplantations. All free-muscle transplantations survived transfer, and no flap was lost. We observed a significant improvement in drooling, drinking, speech, and facial animation with a high degree of patient satisfaction. CONCLUSIONS The gracilis muscle free transfer is a surgical procedure well tolerated by the young patients and well accepted by their families. We consider it a safe and reliable technique for facial reanimation with good aesthetical and functional results in children with Moebius and Moebius-like syndromes.
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Bianchi B, Ferri A, Ferrari S, Copelli C, Sesenna E. Superficial inferior epigastric artery adiposal flap for facial contour reconstruction: Report of two cases. J Craniomaxillofac Surg 2009; 37:249-52. [DOI: 10.1016/j.jcms.2008.12.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2008] [Revised: 12/21/2008] [Accepted: 12/29/2008] [Indexed: 11/26/2022] Open
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91
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Bianchi B, Copelli C, Ferrari S, Ferri A, Palumbo A, Sesenna E. Reconstruction of a composite anterior mandibular defect with horizontal sliding osteotomies and an osteocutaneous forearm free flap: a case report. J Plast Reconstr Aesthet Surg 2009; 62:e65-8. [DOI: 10.1016/j.bjps.2008.07.028] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2007] [Revised: 06/07/2008] [Accepted: 07/24/2008] [Indexed: 10/21/2022]
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92
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Bianchi B, Copelli C, Ferrari S, Ferri A, Sesenna E. Anterolateral thigh flap pedicle for interposition artery and vein grafts in head and neck reconstruction: A case report. Microsurgery 2009; 29:136-7. [DOI: 10.1002/micr.20566] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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93
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Bianchi B, Ferri A, Ferrari S, Copelli C, Sesenna E. Maxillary reconstruction using anterolateral thigh flap and bone grafts. Microsurgery 2009; 29:430-6. [DOI: 10.1002/micr.20619] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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94
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Meleti M, Leemans CR, de Bree R, Vescovi P, Sesenna E, van der Waal I. Head and neck mucosal melanoma: Experience with 42 patients, with emphasis on the role of postoperative radiotherapy. Head Neck 2008; 30:1543-51. [DOI: 10.1002/hed.20901] [Citation(s) in RCA: 98] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
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95
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Bianchi B, Ferri A, Ferrari S, Copelli C, Sesenna E. Subtotal Mandibular Reconstruction Using an Intraoral Approach: Report of 2 Cases. J Oral Maxillofac Surg 2008; 66:2654-6. [DOI: 10.1016/j.joms.2008.06.071] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2008] [Revised: 04/09/2008] [Accepted: 06/17/2008] [Indexed: 12/01/2022]
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96
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Poli T, Toma L, Anghinoni M, Sesenna E. O.349 The versatility of Kröonlein operation in orbital surgery. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71473-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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97
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Banchini S, Fontana E, Magri A, Anghinoni M, Brevi B, Sesenna E. O.041 Osteodistraction in newborns with Pierre Robin syndrome. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71165-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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98
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Elisa F, Brevi B, Toma L, Fontana E, Sesenna E. O.287 Technical improvements in the surgical treatment of OSAS. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71411-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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99
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Ferri A, Bianchi B, Ferrari S, Copelli C, Sesenna E. O.180 Facial animation in Moebius and Moebius-like patients. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71304-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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100
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Fontana E, Banchini S, Toma L, Anghinoni M, Sesenna E. O.361 Aesthetic and surgical consideration in the short face. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71485-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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