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Biomedical subjects

R Brusati

Publications and source records attributed to R Brusati.

14 recordsLinked to original sources

The early gingivoalveoloplasty. Preliminary results.

To try and achieve good alveolar structure without the need for later bone grafting, we have carried out secondary gingivoalveoloplasties in 19 consecutive patients with cleft lip and palate at a mean age of 36 months (range 19-68). The lip and soft palate had been repaired at a mean age of 6 months. Preliminary results suggest that simultaneous closure of the hard palate and reconstruction of the alveolomaxillary cleft results in good formation of new bone and good or reasonable alveolar structure, so obviating the necessity for bone grafting at the age of 9-10 years. Long term follow up is needed to confirm these results.

Age Factors

Reconstruction of labial commissure by a sliding U-shaped cheek flap.

Repair of the labial commissure following tumour removal is performed with a U-shaped posteriorly based cheek advancement flap. With such a method a very good reconstruction of this delicate area can be achieved and it has no tendency to dehiscence or scar contracture at the vermillion border of the lip. Best results are of course obtained when reconstruction is performed in three layers (skin, muscle, mucosa).

Dermatologic Surgical Procedures

En bloc cortical resection in the treatment of paramandibular carcinomas.

The authors describe a method which, according to the site of the lesion, permits the removal of a segment of the internal or external mandibular cortex en bloc with the primary tumour and with the satellite lymph nodes. This method, which retains the continuity and height of the mandible, offers the advantage of a greater radicality and at the same time avoids those impairments of the endoral morphology which are an obstacle to a subsequent prosthetic rehabilitation. Its advantages are compared with other surgical techniques proposed for the treatment of paramandibular cancer.

Humans

[Mouth oepning limitations due to coronoid-zygomatic-malar interference].

Interferences between coronoid process and bone walls of the zygomatic arch should always be considered among the causes of extra-ankylotic mouth-opening limitation. With the exception of traumatic cases, the event is rare and once correct diagnosis has been made there are excellent opportunities for treatment, largely of surgical nature. The zygomatic-malar area or coronoid process will be operated on depending on the case. When surgery has involved the coronoid process it is advisable to follow up with an adequate period of mechanotherapy.

Female