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ATTILIO CARLO SALGARELLI

Docente a contratto
Dipartimento Chirurgico, Medico, Odontoiatrico e di Scienze Morfologiche con interesse Trapiantologico, Oncologico e di Medicina Rigenerativa

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Pubblicazioni

2022 - A rare case of solitary fibrous tumor of the temporal region: 7-year-follow-up clinical-radiographic evaluation and literature review [Articolo su rivista]
Consolo, U.; Diamante, F.; Salgarelli, A. C.; Bellini, P.
abstract

Solitary fibrous tumor is a rare spindle-cell neoplasm of mesenchymal origin. In head and neck region, the tumors present slow-growing masses, often with local compressive symptoms. Although it is generally benign, malignant variants have been identified. The radiological diagnosis of solitary fibrous tumor is usually based on computer tomography and/or magnetic resonance imaging. Microscopically, a solitary fibrous tumor is characteristically a circumscribed neoplasm composed of variably cellular and patternless distributions of bland spindle and ovoid cells within variably collagenous stroma that frequently shows areas of dense hyalinisation, as well as interspersed large branching or “staghorn”- shaped thin-walled vessels. Immunohistochemical staining is very effective to distinguish solitary fibrous tumors from other fibroblastic tumors. Recently, NAB2–STAT6 gene fusion derived from inv12 (q13q13) has been reported as the genetic hallmark of solitary fibrous tumor. Complete local surgical excision appears to be the treatment of choice for solitary fibrous tumor of the head and neck region. Recurrence was reported in 5% of cases. The median recurrence-free interval was 36.5 months. We report the case of a solitary fibrous tumor of the temporal region, surgically excised and with no clinical and/or radiological signs of recurrence after 7 years of follow-up.

2021 - Synergic effect of buccal fat pad pedicled flap and dermal acellular matrix for large cheek defect [Articolo su rivista]
Rossi, E.; Salgarelli, A. C.; Mandel, V. D.; Magnoni, C.
abstract

Reconstruction of large defects of the upper cheek defects still remains a challenge for the surgeon, who can apply different techniques. We present a new method involving the use of a dermal regeneration template to achieve an improved, faster healing of pedicled buccal fat flap in a 75-year-old woman affected by melanoma of the upper-middle cheek. The tumor involved soft tissue, zygomatic arch and periocular fact. The choice of the surgical technique consisted first in the creation of a buccal fat pad to restore the important lack of tissue over the underlying bones, and then in the position of a dermal acellular matrix (Integra® Dermal Regeneration Template; Integra LifeSciences Holdings Corporation, Plainsboro, NJ, USA). Three weeks later, once the neodermal formation was finished, a split thickness graft was placed. This is a not yet described association that represents a good surgical option for the restoration of large cheek defects that allows good functional and cosmetic result in older patient when minimal surgical invasion and operative duration are necessary because of a patient's general condition. The postoperative course with this surgical technique was regular and a good functional result was achieved. This technique provides an adequate functional coverage, a restoration of soft tissue lacking and an acceptable cosmetic result without ectropion.

2019 - The “Bat Flap”: A flap for reconstruction of large skull skin defects [Articolo su rivista]
Reggiani, C.; Bellini, P.; Salgarelli, A. C.; Setti, G.; Ferrari, B.; De Santis, G.; Starnoni, M.; Magnoni, C.
abstract

2017 - Non-melanoma skin cancer of the head and neck: the aid of reflectance confocal microscopy for the accurate diagnosis and management [Articolo su rivista]
Ferrari, Barbara; Salgarelli, Attilio Carlo; Mandel, Victor Desmond; Bellini, Pierantonio; Reggiani, Camilla; Farnetani, Francesca; Pellacani, Giovanni; Magnoni, Cristina
abstract

Background: Non-melanoma skin cancer (NMSC) represents the most common cutaneous neoplasms of the head and neck. In recent years, novel non-invasive diagnostic tool have been developed, and among these we have the reflectance confocal microscopy (RCM), that offers the evaluation of the skin at real time with cellular resolution. Numerous studies have identified the main confocal features of skin tumours, demonstrating the good correlation of these features with certain dermatoscopic patterns and histologic findings. Evidence acquisition: The aim of this analysis was to provide new insight into the role of RCM in the diagnosis and management of NMSC of the head and neck. Data comes from the most recent literature, taking into account previous essential reported information in this field. The study eligibility criteria were: studies providing update information, focusing on RCM findings in NMSC, without restrictions for age, sex, ethnicity. A search concerning the role of dermoscopy and RCM in the diagnosis of NMSC was performed on Medline. Duplicated studies, single case report and papers with language other than English were excluded from this study. Evidence synthesis: RCM clues were analysed for NMSC in association with clinical, dermoscopic and histopathologic findings. Moreover, some new findings have been described and possible applications for NMSC of the head and neck have been discussed. Conclusions: RCM allows tissue imaging in vivo contributing to a more accurate diagnosis of NMSC of the head and neck, sparing time for the patient and costs for the public health system. RCM can also be used for selection of the biopsy site and it is helpful in defining the surgical safety margins to keep during the excision of skin cancers.

2017 - Synergic effect of buccal fat pad pedicled flap and dermal acellular matrix for large cheek defect [Poster]
Rossi, Elena; Salgarelli, Attilio Carlo; Mandel, Victor Desmond; Magnoni, Cristina
abstract

Introduction & Objectives: Reconstruction of large defects of the upper cheek defects still remains a challenge for the surgeon, than can apply different techniques. We present a new method involving the use of a dermal regeneration template to achieve an improved, faster healing of pedicled buccal fat flap in a 75-years-old woman affected by melanoma of the upper-middle cheek. The tumor involved soft tissue, zygomatic arch and periocular fact. Material & Methods: The choice of the surgical technique consisted first in the creation of a buccal fat pad to restore the important lack of tissue over the underlying bones, then in the positioning of a dermal acellular matrix. Three weeks later, once the neodermal formation was finished, a split thickness graft was placed. Results: This is a not yet described association that represents a good surgical option for the restoration of large cheeck defects that allows good functional and cosmetic result in older patient when minimal surgical invasion and operative duration are necessary because of a patient’s general condition. The post-operative course with this surgical technique was regular and a good functional result was achieved. Conclusions: This technique provides an adequate functional coverage, a restoration of soft tissue lacking and an acceptable cosmetic result without ectropion.

2016 - Crescentic flap for the reconstruction of the nose after skin cancer resection [Articolo su rivista]
Arginelli, Federica; Salgarelli, Attilio Carlo; Ferrari, Barbara; Losi, Amanda; Bellini, Pierantonio; Magnoni, Cristina
abstract

Purpose Non-melanoma skin cancers are the most frequent skin tumours; in 25.5% of cases, they are reported to affect the nasal area. For an excellent surgical outcome, first of all the radical excision of the lesion is important, with appropriate margins of healthy skin in order to avoid recurrences. Moreover is important to achieve a good aesthetical result, avoiding distortion of the aesthetic units and preserving their functions. Material and methods We have applied the modified crescentic flap, described by Smadja in 2007, to 24 nasal skin defects left by oncologic surgery. It consists of the crescent-shaped resection of Burow's triangle all around the alar groove that allows the advancement of the flap to the tip of the nose, hiding the scar in the alar groove. Results The outcome and the long-term follow-up were completely satisfactory both for patients and for surgeons. Conclusion For skin defects localized in the midline or paramedian line of the dorsum of the nose, the crescentic flap seems to be a good solution to obtain the better aesthetic result with respect to both anatomy and function of the nasal area, sparing the patient a second intervention or an overly invasive procedure.

2016 - Epithelioid hemangioendothelioma of the mandibular gingiva: A rare case of metastasis 4 years after radical excision and literature review [Articolo su rivista]
Salgarelli, Attilio Carlo; Bellini, Pierantonio; Maccio, Livia; Setti, Giacomo
abstract

Malignant epithelioid hemangioendothelioma (MEH), or high-risk epithelioid hemangioendothelioma, is a low- to intermediate-grade vascular malignancy. A few cases of MEH have been documented in the head and neck region, including the neck, thyroid gland, larynx and scalp. MEHs are extremely rare in the oral cavity. Only 31 cases of MEH in the oral cavity were described in English literature between 1975 and 2014. Further, only eleven cases were referred to MEH of the maxillary or mandibular gingiva. No gingival MEH metastases have been described in literature. We report a literature review and a case of MEH with a metastatic occurrence 4 years after surgical excision.

2016 - Guidance flap choice for lip cancer: Principles, timing and esthetic-functional results [Articolo su rivista]
Salgarelli, Attilio Carlo; Setti, Giacomo; Bellini, Pierantonio; Magnoni, Cristina; Robiony, Massimo; Consolo, Ugo
abstract

The purpose of this study is to help in the choice of an appropriate reconstructive technique by reference to the dimensions of the defect, the required functional and esthetic outcomes, and retention of adequate surgical safety margins to prevent primary tumor recurrence. Material and methods: A total of 158 patients were treated. We indicate how the most appropriate reconstructive method may be chosen, with reference to the size and position of the cancer and depth of tissue infiltration. Result: Of all patients, 89 (56.3%) had T1 (lesions up to 2 cm long, less than 1/3). The remaining patients had T2 lesions >2 cm, from 1/3 to 2/3 of lip involvement (50 patients), T3 lesions >4 cm, more than 2/3 of lip involvement (18), and a T4 lesion > 5.5 cm with commissure involvement (1). Conclusion: We share the widespread view that a surgeon who performs a reconstruction using the minimal tissue components required to close the lesion will achieve the best results. Reconstruction does not influence prognosis and overall should be oriented to the defect. Careful, clean, and safe resection of lip carcinoma, with creation of healthy margins, can be followed by functional and esthetic lip reconstruction.

2016 - The protein expression network in periodontal pocket tissue: a preliminary study [Abstract in Rivista]
Bertoldi, C; Monari, E; Generali, L; Franceschetti, F; Bellini, P; Salgarelli, Ac; Consolo, U
abstract

Background and Objective The periodontal disease (PD) is caused by a set of inflammatory disorders characterized by periodontal pocket formation that lead to tooth loss if untreated. Periodontitis diagnosis is only based on clinical assessment only, in the absence of a reliable pathogenic check based on appropriate interpretation of inflammation. A modern pathogenic model based on a multilevel framework including disease-initiating and -resolving mechanisms is requested. Studies on PD utilizing proteomic analysis have been performed on saliva or crevicular fluid samples, peripheral blood or periodontal plaque samples, but not on the pathologic tissue of the periodontal pocket, which is the key lesion of the PD. The aim of this work was to compare the proteomic profile of the pathologic interproximal gingival pocket tissue with the corresponding of interproximal gingival healthy tissue, obtained from sites where no periodontal-pathogenic bacteria were detectable. Materials and methods Twenty healthy subjects (T, test group), affected by chronic PD and twenty periodontally healthy subjects (C, control group), were enrolled in the study. T subjects underwent to the periodontal resective treatment, while C subjects underwent to the crown lengthening surgical treatment. To characterize the proteomic profile of periodontally-affected patients, their interproximal periodontal pocket tissue was compared with that of periodontally-healthy patients. Pocket-associated and healthy tissue samples, harvested during surgical therapy, were treated to extract the protein content. Tissues were always collected at sites where no periodontal-pathogenic bacteria were detectable. 2DE (Two-dimensional gel electrophoresis) and LC-MS/MS (Liquid Chromatography-tandem mass spectrometry) analysis were performed for T and C gingival tissue samples to separate and identify the proteins. Web-based bioinformatics tools (iPROClass and CateGOrize) were employed to investigate all potential localizations, molecular functions and biological processes of the identified proteins. After identification, proteins were selected for subsequent Western Blot quantitation both in pathological and healthy tissues. Results The identified proteins are mainly involved in metabolism (32 %), transport (13 %) and cell organization and biogenesis (13 %). A significant unbalance in protein expression between healthy and pathological sites was recorded. Thirty-two protein spots were overall identified, and four proteins, the protein S100-A9 (S100A9), heat shock protein beta-1 (HSPB1), Galectin-7 (LEG7) and 14-3-3 protein zeta/delta (14-3-3) were selected for Western blot analysis of both periodontally-affected and healthy patients. The four selected proteins resulted extremely over-expressed in periodontal pocket tissue when compared with the corresponding tissue of periodontally-healthy patients. Discussion: S100A9 is involved in the regulation of inflammatory processes, immune response, oxidant-scavenging and apoptosis-inducing activities. HSPB1 synthesis increases in response to a variety of stresses (e.g. elevated temperatures, heavy metals, toxins, oxidants, bacterial and viral infections) in order to minimize the attendant deleterious consequences. LEG7 expression contributes to the tissue remodeling processes following tissue damage and protects cell from death. The 14-3-3 proteins are involved in the control of several cell cycle checkpoint, connective tissue remodeling, apoptosis signaling, during inflammation response. The Western blot and proteomic analyses are congruent with the reaction of injured periodontal tissues in PD. The proteomic analysis was performed for the first time directly on periodontal pocket tissue. The proteomic network highlighted enhances the understanding of PD pathogenesis revealing a defensive protein strategy which, however, evidently fails in patients affected by PD. Further study are requested also for specific therapeutic strateg

2015 - Foreign body mimicking an oral pathology [Articolo su rivista]
Bellini, Pierantonio; Salgarelli, Attilio Carlo; Barberini, S.; Negrello, S.
abstract

Foreign bodies’ adherence to the hard palate is unusual and can mimic an oral pathology. The diagnosis of this foreign body is challenging: it is based on an amnestic history, unspecific or absent symptoms and oral examination. The oral examination could be difficult when dealing with paediatric patients. Imaging techniques may mislead and so an exam under anaesthesia is often necessary to make the proper diagnosis. We report a case of 2 years-old male child referred to our attention for a strange lesion on the hard palate. After poorly significant MRI, we were unable to perform an oral examination and a general anaesthesia procedure was performed. A small translucent mass that turned out to be a piece of plastic adherent to the hard palate, was removed.

2015 - Sentinel lymph node biopsy in lower lip cancer [Abstract in Rivista]
Setti, G.; Salgarelli, Attilio Carlo; Magnoni, Cristina; Bellini, Pierantonio; Consolo, Ugo
abstract

Objective Lower lip SCC neck nodes metastases increase mortality to 50% of cases when involved. Recent NCCN guidelines don't refer to occult metastases investigation strategy. We report application and results of sentinel node biopsy as diagnostic method in cN0 lesions. Study Design Through the use of lymphoscintigraphy, performed with colloidal 99Tc injected in the main lesion, 22 patients with neck cN0 and negative ultrasonography were treated. Tumor staging varies from T1 (77,3%) to T4. Results Only two cases, both T2, result positive to micro metastases investigation, realized with monoclonal anti-body MNF 116 marking and 200μm microtome sections; either undergo to ND which allowed to identify respectively 1 pN+ each, same neck level of sentinel node. Conclusions To avoid needless elective neck dissection or a delay of treatment in occult N+ cases, biopsy method can identify metastases presence in cN0 cases, though we suggest expanding the method also to all T1 less than 1 cm.

2015 - Surgical pitfalls with custom-made porus hydroxyapatite cranial implants. [Articolo su rivista]
Zanotti, B.; Verlicchi, A.; Stefini, R.; Salgarelli, Attilio Carlo; Zingaretti, N.; Parodi, P. C.; Casadei, M.; Robiony, M.
abstract

Aim: Cranioplasty implants are used primarily in cases of surgical cranial decompression following pathological elevations of intracranial pressure. Available bone substitutes include porous hydroxyapatite (HA) and polymethylmethacrylate. Whichever material is used, however, prosthetic cranial implants are susceptible to intra‑ and postsurgical complications and even failure. The aim of this study was to investigate such occurrences in HA cranioplasty implants, seeking not only to determine the likely causes (whether correlated or not with the device itself) but also, where possible, to suggest countermeasures. Methods: We analyzed information regarding failures or complications reported in postmarketing surveillance and clinical studies of patients treated worldwide with custom‑made HA cranial implants (Custom Bone Service Fin‑Ceramica Faenza, Italy) in the period 1997-2013. Results: The two most common complications were implant fractures (84 cases, 2.9% of the total fitted) and infections (51 cases, 1.77%). Conclusion: Although cranioplasties are superficial and not difficult types of surgery, and use of custom‑made implants are often considered the “easy” option from a surgical perspective, these procedures are nonetheless plagued by potential pitfalls. If performed well they yield more than satisfactory results from the points of view of both the patient and surgeon, but lack of appropriate care can open the door to numerous potential sources of failure, which can compromise-even irreparably-the ability to heal.

2014 - Correlation between Density and Resorption of Fresh-Frozen and Autogenous Bone Grafts [Articolo su rivista]
Lumetti, S.; Galli, C.; Manfredi, E.; Consolo, Ugo; Marchetti, C.; Ghiacci, G.; Toffoli, A.; Bonanini, M.; Salgarelli, Attilio Carlo; Macaluso, G. M.
abstract

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2014 - Foreign body mimicking an oral pathology [Abstract in Rivista]
Bellini, Pierantonio; Salgarelli, Attilio Carlo; Bertoldi, Carlo; Generali, Luigi; Giannetti, Luca; Consolo, Ugo
abstract

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2014 - General practitioner and gnathology: fact-finding survey on cranio-cervico-mandibular disorders [Abstract in Rivista]
Ferraboli, F.; Ghidoni, R.; Salgarelli, Attilio Carlo; Consolo, Ugo
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2014 - Sentinel lymph node biopsy in lower lip cancer [Abstract in Rivista]
Setti, C.; Salgarelli, Attilio Carlo; Magnoni, Cristina; Bellini, Pierantonio; Consolo, Ugo
abstract

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2014 - Wave technique in lower lip cancer [Abstract in Rivista]
Bellini, Pierantonio; Salgarelli, Attilio Carlo; Setti, G.; Magnoni, Cristina; Consolo, Ugo
abstract

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2013 - How to improve retromandibular transmasseteric anteroparotid approach for mandibular condylar fractures: our clinical experience [Articolo su rivista]
Salgarelli, Attilio Carlo; Anesi, Alexandre; Bellini, Pierantonio; G., Pollastri; D., Tanza; S., Barberini; Chiarini, Luigi
abstract

Fractures of the mandibular condyle are common and account for 25–35% of all mandibular fractures reported in the literature. Even with the development of a consensus on the preference for open reduction and internal fixation of these fractures, the clinician is still faced with a dilemma concerning the optimal approach to the ramus–condyle unit. Limited access and injury to the facial nerve are the most common problems. The most commonly used extraoral approaches are the submandibular, retromandibular and preauricular methods. In this study, we propose a modified cosmetic preauricular incision with a short end in the neck, to improve the transmasseteric anteroparotid (TMAP) approach previously described by Wilson et al. in 2005. We retrospectively analysed 13 patients treated in our department for mandibular condylar fractures. Post-operative complications, occlusal status, interincisal opening and joint tenderness were evaluated at 3 months after surgery. The wider skin incision described here provides a convenient approach for open reduction and rigid internal fixation, and good results were obtained. The follow-up ranged from 6 to 40 months.

2012 - Intraoral Approach for Aesthetic Restoration of Posttraumatic Zygomatic Arch Deformities. [Articolo su rivista]
Robiony, M; Tenani, G; Bellini, Pierantonio; Salgarelli, Attilio Carlo
abstract

Minimally invasive oral and maxillofacial surgery is now being developed for virtually all minor and major oral and maxillofacial surgeries, and developments are now focused on facial trauma surgery. This article assesses the feasibility of reducing isolated zygomatic arch fractures using the intraoral lateral coronoid approach. The procedure is cost-effective and timesaving, as it can be performed under local anesthesia in an emergency department or similar clinical setting and does not need postoperative hospitalization if no other comorbidities are present.

2012 - Technical tips for a cosmetic approach to parotid surgery [Articolo su rivista]
Salgarelli, Attilio Carlo; Bellini, Pierantonio; Consolo, Ugo; M., Collini
abstract

Purpose: Recently, skin incisions have tended to be smaller if surgical exposure is not greatly compromised, especially for benign lesions of the head and neck. An incision in a visible area of the neck needs to be moved to hidden or less prominent sites or away from the head and neck. For aesthetic considerations, the preauricular broken/postauricular trichophytic skin incision was developed for parotid surgery. Patients and Methods: This retrospective clinical study enrolled 36 patients (20 women and 16 men) with benign preneural parotid tumors. Six months after surgery, patients were specifically asked to rate their satisfaction with their postoperative appearance on a scale of 1 to 10, with higher scores meaning better patient satisfaction, and whether they would consent to the operation again. Results: All patients were satisfied with the cosmetic outcome: 24, 9, and 3 patients rated the procedure 8, 9, and 10, respectively. Conclusions: The preauricular broken/postauricular trichophytic skin incision provides generous access to the parotid gland, which is at least as good as the access provided by a Blair incision. It is an aesthetically superior incision that allows good surgical access and improved contour reconstruction.

2012 - Wave technique for treatment of lower lip cancer [Articolo su rivista]
Salgarelli, Attilio Carlo; Magnoni, Cristina; Bellini, Pierantonio
abstract

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2012 - “Surgical management of the spinal nerve in modified radical neck dissection” submitted chapter for the book titled “Neck dissection – clinical application and recent advances” . [Capitolo/Saggio]
Salgarelli, Attilio Carlo; Bellini, Pierantonio
abstract

Shoulder and neck pain associated with neck dissection are well recognized and closely related to the quality of life of patients undergoing surgical treatment for head and neck cancer. Shoulder pain and disfunction have been reduced using modified radical neck dissection that preserves cranial nerve XI.

2011 - Cicatricial iatrogenic lower eyelid malposition in skin cancer surgery: results of a combined approach [Articolo su rivista]
Salgarelli, Attilio Carlo; Francomano, Mariangela; Magnoni, Cristina; Bellini, Pierantonio
abstract

Purpose: Malposition of the lower lid, including rounding of the lateral canthal angle, lower eyelidretraction with inferior scleral show, and ectropion, is a relatively frequent complication in the surgicaltreatment of skin cancer of the cheek and zygomatic areas. The tarsal strip technique, in association witha vertical vector cheek lift, is a reliable method for correcting lower lid malposition.Materials and patients: From January 2008 to January 2010, we treated 19 patients with lower eyelidmalposition after skin cancer surgery of the cheek and zygomatic areas. To correct lower eyelidmalposition, we used the tarsal strip technique and a vertical vector cheek lift in all patients.Results: Eleven patients had scleral show and eight patients had ectropion. Sixteen patients obtainedsatisfactory correction of the eyelid malposition in a single surgical procedure, while three patientsrequired a second surgical step to correct the remaining scleral show. Good esthetic and functionalresults were achieved in all cases.Conclusions: The surgical treatment of skin cancer of the cheek and zygomatic areas has the potential forpostoperative sequelae. The tarsal strip technique, in association with a vertical vector cheek lift, isa relatively simple technique for correcting scleral show and ectropion.

2011 - Clinical Study – Reconstruction of Nasal Skin Cancer Defects with Local Flaps [Articolo su rivista]
Salgarelli, Attilio Carlo; Bellini, Pierantonio; Multinu, A.; Magnoni, Cristina; Francomano, M.; Fantini, F.; Consolo, Ugo; Seidenari, S.
abstract

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2011 - Piezosurgery to Perform Hyoid Bone Osteotomies in Thyroglossal Duct Cyst Surgery [Articolo su rivista]
Salgarelli, Attilio Carlo; Massimo, Robiony; Consolo, Ugo; Marco, Collini; Bellini, Pierantonio
abstract

Ultrasonic bone-cutting surgery has been introduced asa feasible alternative to the conventional sharp instruments used incraniomaxillofacial surgery because of its precision and safety. Thedevice used is unique in that the cutting action occurs when the toolis used on mineralized tissues and stops on soft tissues. This workdescribes the use of piezosurgery for hyoid bone resection in thyroglossalduct cyst surgery, briefly reviews the literature on the surgicaltechnique, and reports our experience with 12 cases.

2011 - Reconstruction of nasal skin cancer defects with local flaps. [Articolo su rivista]
Salgarelli, Attilio Carlo; Bellini, Pierantonio; A., Multinu; Magnoni, Cristina; M., Francomano; F., Fantini; Consolo, Ugo; Seidenari, Stefania
abstract

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.

2011 - Synergistic Use of Local Flaps for Total Lower Lip Reconstruction [Articolo su rivista]
Salgarelli, Attilio Carlo; Bellini, Pierantonio; Magnoni, Cristina; Anesi, Alexandre; Collini, M.
abstract

The loss of tissue in the lower lip has beentreated using different techniques dependingon the size and location (median or lateral) of thedefect.1,2 Plastic surgery for small defects of up totwo-thirds of the lower lip relies on surgicaltechniques such as direct suturing of the resectionmargins with or without Z-plasty. The methodsthat Gillies and Millard,3 Estlander,4 Abbe´,5 andKarapandzic6 proposed, as well as the staircasetechnique,7 have been used for reconstructionsinvolving up to two-thirds of the lip, whereas theproximity of the flaps is suitable for treatingcomplete lower lip losses, according to Von Bruns,8Bernard,9 and Bernard-Freeman-Fries.10–12The multiplicity of techniques reported in the literatureindicates that there is no ideal method fortotal lower lip reconstruction. It is generally agreedthat reconstruction after resection of more thantwo-thirds of the lower lip produces visible scarsand alters the kinetics of smiling.1,2,7The Sabattini-Abbe´ flap is a full-thickness one-lipflap that is pedicled on the superior or inferiorlabial vessels and rotated 180° to fit into the defectof the opposite lip. The Sabattini-Abbe´ flap can beused for reconstructing up to two-thirds of the lip.The staircase technique, used to close full-thicknessdefects of up to two-thirds of the lower lip, is basedon the advancement flap. Johanson and colleaguesfirst described it in 1974,13 and by Dado andAngelats,14 Stiernberg,15 Kuttenberger and Hardt16and Salgarelli and colleagues7 subsequentlymodified it. Reconstruction of the lower lip isperformed using a lateral advancement flap fromthe lateral parts of the lip and chin, in a stepwisefashion.7Here, we propose the synergistic use of thestaircase technique and a Sabattini-Abbe´ flap forreconstructions involving more than two-thirds ofthe lower lip (Figures 1A and B).

2011 - Tracheostomy in maxillofacial surgery: a simple and safe technique for residents in training. [Articolo su rivista]
Salgarelli, Attilio Carlo; M., Collini; Bellini, Pierantonio; P., Capparè
abstract

: Tracheostomy is a frequently performed surgical procedure and may be required under emergency, semiurgent, or elective conditions. In maxillofacial surgery, it is indicated in congenital, inflammatory, oncologic, or traumatic respiratory obstruction and prolonged intubation. This article presents a simplified tracheostomy procedure based on anatomic markers that gives the best compromise between minimum invasiveness and safety.: A retrospective study analyzed the clinical aspects, treatment methods, and clinical course of 198 patients who underwent tracheostomies performed by residents in training under the supervision of surgeons between October 2002 and December 2007 at the Maxillofacial Surgery Department of Carlo Poma Hospital, Mantova, and the Maxillofacial Unit, Head and Neck Department, University of Modena and Reggio Emilia, Italy. Tracheostomies were performed in 127 patients (64.14\%) with neoplastic diseases (tumors of the tongue base, tonsils, and oral and pharyngeal regions) and in 71 patients with trauma (35.86\%). The patients were followed up for 3 to 65 months.: Acceptable clinical healing and outcomes were obtained in all patients. Intraoperative complications occurred in 35 patients (17.7\%): bleeding in 32 patients (16.2\%) and pretracheal or paratracheal tube placement in 3 patients (1.51\%). Postoperative complications after tracheostomy closure included tracheostomy dehiscence in 5 patients (2.52\%) and subcutaneous emphysema in 26 patients (13.12\%). Tracheostomy dehiscence occurred in 3 patients with neoplasia (1.51\%) and in 2 patients with trauma (1.01\%). No symptomatic tracheal stenosis developed.: The standardized surgical technique presented here reduces the associated surgical risk when the correct anatomic markers are used and important structures are recognized and handled correctly.

2010 - A comparative study of different approaches in the treatment of orbital trauma: an experience based on 274 cases. [Articolo su rivista]
Salgarelli, Attilio Carlo; Bellini, Pierantonio; B., Landini; A., Multinu; Consolo, Ugo
abstract

PURPOSE: The aim of the study was to compare the aesthetic results, complications and surgical indications in patients treated for orbital trauma by one of three different approaches: subciliary, transconjunctival or transconjunctival with lateral canthotomy. MATERIALS AND METHODS: In this retrospective study, 274 patients (169 men and 105 women aged 16-78 years) who had been treated for orbital trauma without soft tissue lacerations of orbital region and then returned for long-term follow-up (6-48 months) between 2000 and 2007 were evaluated in terms of aesthetics and function for the presence of a visible scar and lower-eyelid malposition (scleral show or ectropion). RESULTS: Of the 274 patients, 50 (18.2\%) experienced complications. In the group of 219 patients treated with the subciliary approach, 41 experienced complications, whereas amongst the 32 patients treated with the transconjunctival approach, there was one complication (0.3\%) and amongst the 23 patients treated with the transconjunctival approach and canthotomy, there were eight complications (34.8\%). CONCLUSIONS: Patients treated for orbital trauma with the transconjunctival approach with canthotomy had a higher rate of lower eyelid malposition. Transconjunctival incision without canthotomy was the most successful surgical approach for the treatment of isolated fracture of the orbital floor; however, when major surgical exposure is necessary, subciliary incision is recommended.

2010 - Aesthetic reconstruction of nasal skin cancer defects [Abstract in Rivista]
Salgarelli, Attilio Carlo; Bellini, Pierantonio; Landini, Barbara; Multinu, A.; Consolo, Ugo
abstract

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2010 - FNA in parotid diagnosis [Abstract in Rivista]
Salgarelli, Attilio Carlo; Capparè, P.; Bellini, Pierantonio; Collini, M.; Consolo, Ugo
abstract

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2010 - Re: A.C. Salgarelli, et al., Tarsal strip technique for correction of malposition of the lower eyelid after treatment of orbital trauma, Br J Oral Maxillofacial Surg 47 (2009) 298-301 [Articolo su rivista]
Salgarelli, A. C.; Bellini, P.
abstract

2010 - The bilobed flap in skin cancer of the face: our experience on 285 cases. [Articolo su rivista]
Salgarelli, Attilio Carlo; A., Cangiano; F., Sartorelli; Bellini, Pierantonio; M., Collini
abstract

BACKGROUND: This article describes how many of the defects caused by oncological surgery can be closed with an easily estended flap. PATIENT AND METHOD: The Zitelli bilobed flap was used to treat 285 consecutive patients with basal cell carcinomas (BCCs) or squamous cell carcinomas (SCCs); 167 men (58.60\%) and 118 women (41.40\%) between 45 and 98 years of age. Histologically, 247 BCCs (86.6\%) and 38 SCCs (13.4\%) were documented. Regarding the site, 148 (51.9\%) involved the nose, 51 (17.9\%) the cheeks, 36 (12.6\%) the preauricular region, 27 (9.5\%) the perilabial region and chin and 23 (8.1\%) the periorbital region. To measure long-term satisfaction patients responded to a telephone survey consisting of a single global question. RESULTS: The size of the defect following tumour removal was between 1 and 4cm. Carcinomas up to 1cm were treated using a one step procedure with a cryostat test of the surgical margins; all others cases were treated using two step procedure after excision and histological in sano resection. Completely acceptable aesthetic and functional deficits were obtained in 275 (96.4\%) patients over a 6-72-month follow-up. Ten (3.6\%) patients suffered postoperative complications. Two cases of local infection; one case of completely flap necrosis and seven cases of partial revision due to flap necrosis occurred. The level of satisfaction with the surgical long-term result reported by the patients was high. CONCLUSION: In our experience the bilobed Zitelli flap for covering defects in the area of the face showed very few complications and good aesthetic results.

2010 - Use of the reabsorbable filler in lip esthetics [Articolo su rivista]
Salgarelli, A. C.; Landini, B.; Bellini, P.; Consolo, U.
abstract

2009 - A simple method of identifying the spinal accessory nerve in modified radical neck dissection: Anatomic study and clinical implications for resident training [Articolo su rivista]
Salgarelli, Attilio Carlo; Landini, Barbara; Bellini, Pierantonio; A., Multinu; Consolo, Ugo; M., Collini
abstract

PURPOSE: The major complication of neck dissection and surgery at the posterior triangle of the neck is the shoulder syndrome, which results from spinal accessory nerve injury. Erb's point (the great auricular nerve) and the point where the spinal accessory nerve enters the trapezius muscle are used to identify the spinal accessory nerve in the posterior nerve triangle. MATERIALS AND METHODS: Measurements were made during unilateral neck dissections in 30 patients to identify the relationship between the spinal accessory nerve and great auricular nerve and the distance between the entrance of the accessory nerve in the trapezious and clavicle. RESULTS: The distance between the spinal accessory nerve and Erb's point was ranging from 0 to 3.8 cm (mean 1.53 cm). The distance between the spinal accessory nerve entering the trapezious muscle and the clavicle was between 2.5 and 7.3 cm (mean 4.8 cm). CONCLUSIONS: Since the great auricular nerve (Erb's point) represents a constantly identifiable landmark, it allows simple and reliable identification of the course of the spinal accessory nerve. Also useful, but of secondary importance in our opinion, is identifying the nerve at the point where it enters the trapezius muscle.

2009 - Combined technique for the correction of prominent ears: Results in 140 patients [Articolo su rivista]
Salgarelli, Attilio Carlo; Bellini, Pierantonio; Multinu, A.; Landini, B.; Broccaioli, E.; Consolo, Ugo
abstract

We present our assessment of a combined technique for the correction of prominent ears in 140 patients between 1991 and 2007. We had no major complications, and minor complications including extrusion of a stitch, granuloma around a suture, hypertrophic scarring, and superficial ulceration on the anterior side of the helix developed in nine patients. Two also developed residual asymmetry. A good aesthetic result was achieved in all cases.

2009 - Surgical Treatment of Lip Cancer: Our Experience With 106 Cases [Articolo su rivista]
Salgarelli, Attilio Carlo; Francesco, Sartorelli; Alessandro, Cangiano; Renato, Pagani; Marco, Collini
abstract

Purpose: To report our experience with 106 cases of lip cancer.Patients and Methods: We treated 106 patients with stages T1, T2, or T3 lip cancer (76, 22, and 8 cases,respectively). For the 34 T1 lesions up to 1 cm in diameter, we used a V or W excision. In the 42 T1 lesionsgreater than 1 cm and the 20 T2 lesions, we used the staircase technique. In 2 T2 cases, the carcinoma waslocated on the labial commissure and was treated with the Fries technique. For the 8 T3 cases, we used theBernard-Freeman-Fries technique. In 28 patients, a lip shave was performed and tumor was removed. The 7patients who were N at diagnosis underwent modified radical neck dissection and radiotherapy.Results: Ten patients died during the follow-up period of 11 to 65 months: 8 of unrelated causes and2 of new upper aerodigestive tract carcinoma. None of the patients died of their lip cancer.Conclusions: Lip cancer is a frequent disease of the oral cavity. Although general agreement has beenreached concerning stage T and N surgical treatment, unresolved questions remain with regard to N0treatment. We present our experience and suggestions.

2009 - Tarsal strip technique for correction of malposition of the lower eyelid after treatment of orbital trauma [Articolo su rivista]
Salgarelli, Attilio Carlo; Bellini, Pierantonio; A., Multinu; B., Landini; Consolo, Ugo
abstract

Purpose: The transconjunctival, subciliary, subtarsal, and subpalpebral approaches for accessing the infraorbital rim and orbital floor have both advantages and disadvantages. The most common complications include rounding of the lateral canthal angle, lower eyelid retraction with inferior scleral show, and frank ectropion. Materials and patients: From 2000 to 2007, we treated 29 patients with lower eyelid malposition after surgery to manage the floor and infraorbital trauma (22 subciliary approaches, five transconjunctival approaches and lateral canthotomies, and two transconjunctival approaches). To correct lower eyelid malposition, we applied the tarsal strip technique in all patients. Results: Twenty-five patients had scleral show and four patients had ectropion: three were previous treated using transconjunctival access and one using subciliary access. Twenty-six patients obtained satisfactory correction of eyelid malposition in a single-step surgical procedure, while three patients required a second surgical step to correct the remaining scleral show. Good aesthetic and functional results were achieved in all cases. Conclusions: All approaches to the infraorbital rim or orbital floor have the potential for postoperative sequelae. The tarsal strip technique is a relatively simple technique that oral and maxillofacial surgeons can use to manage lower lid malposition, such as scleral show and ectropion. (C) 2009 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

2009 - The use of temporary injectable filler in lip augmentation [Uso dei filler riassorbibili nell'estetica delle labbra] [Articolo su rivista]
Salgarelli, Attilio Carlo; Landini, Barbara; Bellini, Pierantonio; Consolo, Ugo
abstract

The present "must" in facial aesthetics has favoured the use of temporary injectable filler for lip augmentation. Even if simple, this technique bides some risks. A careful evaluation must be done on right indications in relation to the patient's wishes and to the proper consensus about the need of more sessions and carrying out the single application. The technique reported step by step (photographs before and after treatment, anaesthesia, injection technique), must be supported by a scientific, anatomical and clinical knowledge and by the knowledge of the uncommon, but possible risks.

2009 - Usefulness of fine-needle aspiration in parotid diagnostics. [Articolo su rivista]
Salgarelli, Attilio Carlo; P., Capparè; Bellini, Pierantonio; M., Collini
abstract

PURPOSE: Fine needle aspiration (FNA) is a safe diagnostic technique that is widely employed for lesions of the head and neck. Among head and neck sites, the parotid gland is unique in the number, diversity, and peculiarity of its pathological processes. This complexity has prompted a great deal of discussion regarding the application of FNA to parotid masses, primarily focusing on the reliability of FNA as a diagnostic tool in guiding patient management. METHODS: This review presents an analysis of the usefulness of FNA in differential diagnosis of parotid pathologies. RESULTS: Recent studies have confirmed a wide range of accuracy rates for FNA evaluation of parotid masses, varying from 79\% to 97\%. These data cannot be uniformly anticipated across all diagnostic scenarios. FNA is notoriously unreliable in recognising the malignant nature of parotid carcinoma providing its precise classification and establishing its grade. A few malignant neoplasms are particularly prone to diagnostic error: acinic cell carcinoma is frequently interpreted as benign, and low-grade lymphomas are often discounted as inflammatory processes. CONCLUSIONS: FNA cytology is useful in avoiding surgery (inflammatory lesions) or limiting surgical procedures (benign tumours). For planning the extent of surgery of malignant parotid tumours, the histological subtype and/or grade should be determined; therefore, a histological diagnosis by frozen section analysis is required. Moreover, reliance on FNA findings at the expense of clinical, radiographic, and intraoperative findings is unwarranted. Regardless of whether FNA is used routinely or selectively in patients with parotid masses, the findings should contribute to, and not replace, the overall diagnostic impression.

2008 - Correction of prominent ears: our experiences [Articolo su rivista]
Salgarelli, Attilio Carlo; Bellini, Pierantonio; Multinu, A.; Consolo, Ugo
abstract

Vedasi l'allegato

2008 - FES indications in the sinus lift for implant rehabilitation [Articolo su rivista]
Bellini, Pierantonio; Consolo, Ugo; Salgarelli, Attilio Carlo; Presutti, Livio
abstract

Vedasi l'allegato

2008 - Survey on Italian impantologists’ approach to atrophic mandible therapy [Articolo su rivista]
Dotti, Andrea; Multinu, A.; Salgarelli, Attilio Carlo; Consolo, Ugo
abstract

Vedasi l'allegato

2008 - The importance of 3D solid modeling in maxillary reconstruction [Articolo su rivista]
Multinu, A.; Consolo, Ugo; Bellini, Pierantonio; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

2007 - Atrofie del mascellare edentulo totale , ricostruzione con cresta iliaca e impianti : follow-up a quattro anni di 11 pazienti. [Articolo su rivista]
Consolo, Ugo; Travaglini, D.; Cannizzaro, G.; Salgarelli, Attilio Carlo
abstract

.

2007 - Lembi d’accesso in chirurgia implantare [Articolo su rivista]
Bellini, Pierantonio; Travaglini, Domenico; Salgarelli, Attilio Carlo; Consolo, Ugo
abstract

Vedasi l'allegato

2006 - Ricostruzione cutanea del naso [Articolo su rivista]
Magnato, R.; Poladas, G.; Salgarelli, Attilio Carlo; Broccaioli, E.
abstract

Vedasi l'allegato

2006 - temporal myofascial flap in reconstructive surgery of thr oral cavity [Articolo su rivista]
Salgarelli, Attilio Carlo; Cangiano, A.; Broccaioli, E. A.; Collini, M.
abstract

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.

2005 - Ausilio della sterolitografia nel rimodellamento dei lembi microvascolarizzati [Relazione in Atti di Convegno]
Salgarelli, Attilio Carlo; Pagani, R.; Broccaioli, E.
abstract

Vedasi l'allegato

2005 - Reperimento del nervo accessorio spinale nello svuotamento laterocervicale radicale modificato [Relazione in Atti di Convegno]
Salgarelli, Attilio Carlo; Broccaioli, E.; Sartorelli, F.
abstract

Vedasi l'allegato

2005 - Treatment of lower lip cancer: an experience of 48 cases [Articolo su rivista]
Salgarelli, Attilio Carlo; F., Sartorelli; A., Cangiano; M., Collini
abstract

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.

2003 - Correzione estetico-funzionale delle asimmetrie del 1/3 inferiore del viso [Abstract in Atti di Convegno]
Salgarelli, Attilio Carlo; Ladisa, R.
abstract

Vedasi l'allegato

2003 - La via aperta nella rinoplastica [Abstract in Atti di Convegno]
Salgarelli, Attilio Carlo; Ladisa, R.
abstract

Vedasi l'allegato

2003 - Modellazione dell'antielice per la correzione dell'orecchio prominente. [Articolo su rivista]
Salgarelli, Attilio Carlo; Ladisa, R.; Sartorelli, F.; Collini, M.
abstract

Vedasi l'allegato

2003 - Ricostruzione del naso nel carcinoma cutaneo. [Relazione in Atti di Convegno]
Salgarelli, Attilio Carlo; Sartorelli, F.; Ladisa, R.; Pagani, R.; Cangiano, A.; Collini, M.
abstract

Vedasi l'allegato

2002 - Indicazioni alle ricostruzioni: tecniche classiche [Articolo su rivista]
Collini, M.; Salgarelli, Attilio Carlo; Sartorelli, F.; Ladisa, R.; Pagani, R.; Cangiano, A.
abstract

Vedasi l'allegato

2002 - Leiomiosarcoma epitelioide gengivale: presentazione di un caso clinico e revisione della letteratura. [Articolo su rivista]
Salgarelli, Attilio Carlo; Cella, L.; Ladisa, R.; Pagani, R.; Colpani, F.
abstract

Vedasi l'allegato

2002 - Ripristino estetico funzionale delle asimmetrie facciali [Abstract in Atti di Convegno]
Salgarelli, Attilio Carlo; Carminati, R.; Ladisa, R.
abstract

Vedasi l'allegato

2002 - The orbicularis oculi muscle flap in subciliary access for management of orbital trauma: Technical note [Articolo su rivista]
Salgarelli, Attilio Carlo; Consolo, Ugo
abstract

Vedasi allegato

2001 - Anomalous hemimandibular growth. [Abstract in Atti di Convegno]
Salgarelli, Attilio Carlo; Ladisa, R.; Sartorelli, F.; Pagani, R.; Cangiano, A.
abstract

Vedasi l'allegato

2001 - Ballistic traumas in maxillofacial surgery: our experience and review of the letterature [Articolo su rivista]
Nocini, P. F.; Cortelazzi, R.; Fior, A.; Collini, M.; Carminati, R.; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

2001 - Carcinoma squamoso della lingua: esperienza della Chirurgia Maxillo-Facciale di Mantova nel quinquennio 1995-2000. In C. Giardino: II carcinoma della lingua: attualità terapeutica. [Relazione in Atti di Convegno]
Collini, M.; Salgarelli, Attilio Carlo; Sartorelli, F.
abstract

Vedasi l'allegato

2001 - Gestione odontostomatologica del paziente radiotrattato. [Articolo su rivista]
Salgarelli, Attilio Carlo; Ladisa, R.; Ciancio, P.; Pradella, R.
abstract

Vedasi l'allegato

2001 - Ricostruzione estetica del processo alveolare superiore. [Abstract in Atti di Convegno]
Carminati, R.; Salgarelli, Attilio Carlo; Singer, G.
abstract

Vedasi l'allegato

2001 - The staircase technique for treatment of cancer of the lower lip: a report of 36 cases [Articolo su rivista]
Salgarelli, Attilio Carlo; Persia, M.; Ciancio, P.; Pagani, R.
abstract

Vedasi l'allegato

2000 - Condromatosi sinoviale dell'articolazione temporo mandibolare. [Articolo su rivista]
Salgarelli, Attilio Carlo; Panigatti, S.; Persia, M.; Collini, M.
abstract

Vedasi l'allegato

2000 - Dislocazione traumatica del condilo mandibolare in fossa cranica media. [Abstract in Atti di Convegno]
Ciancio, P.; Persia, M.; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

2000 - Fibromatosis Colli dell'adulto: caso clinico. [Abstract in Atti di Convegno]
Pagani, R.; Ciancio, P.; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

2000 - Lembo laterale modificato per la ricostruzione della punta del naso. [Articolo su rivista]
Salgarelli, Attilio Carlo; Cella, L.; Ladisa, R.; Carminati, R.
abstract

Vedasi l'allegato

2000 - Synovial chondromatosis of the temporomandibular joint [Articolo su rivista]
Salgarelli, Attilio Carlo; Panigatti, S.; Persia, M.; Collini, M.
abstract

Vedasi l'allegato

1999 - Ricostruzione del labbro inferiore con metodica staircase dopo demolizione oncologica. [Relazione in Atti di Convegno]
Salgarelli, Attilio Carlo; Panigatti, S.; Persia, M.; Ciancio, P.
abstract

Vedasi l'allegato

1998 - Aspetti psico-sociali della chirurgia ortognatica. [Articolo su rivista]
Consolo, Ugo; Salgarelli, Attilio Carlo; Bertoldi, Carlo; Faccioni, F.
abstract

Gli autori hanno svolto uno studio longitudinale sui pazienti che sarebbero stati sottoposti a chirurgia ortognatica. Attraverso una serie di questionari si voleva arrivare a conoscere quali fossero le motivazioni che avevano spinto tali pazienti a sottoporsi a terapia ed i risultati e le “risposte” che quest’ultima era soggettivamente in grado di fornire. I soggetti selezionati per lo studio venivano suddivisi in 2 gruppi, a seconda del tipo di chirurgia cui avrebbero dovuto sottoporsi e, quindi, della classe disgnatica scheletrica di base. Nel primo gruppo afferirono 100 pazienti di terza classe scheletrica mentre, nel secondo gruppo, 50 pazienti di seconda classe scheletrica. Dallo studio condotto è emersa la grande importanza che i soggetti, in definitiva, attribuiscono al fattore “estetico” nel sottoporsi a terapia chirurgica ortognatodontica. Tale rilievo giungeva fondamentalmente inaspettato in quanto non veniva dichiarato direttamente dai soggetti, ma emergeva da un insieme di domande “indirette” poste sulla questione. Risultava anche lo scarso livello di “comunicatività” che il personale medico-odontoiatrico, e particolarmente il chirurgo, ha verso e con il paziente. Questo punto riveste particolare importanza perché è emerso che i pazienti più soddisfatti della terapia sono anche quelli meglio informati e che ritengono di aver avuto un buon grado di “comunicazione” con il personale sanitario. Riteniamo, quindi, che sia di fondamentale importanza un rapporto “biunivoco” tra odontoiatra/chirurgo e paziente affinché anche gli operatori sanitari possano meglio rendersi conto dell’atteggiamento psicologico e delle aspettative del paziente e, quindi, siano in grado di indirizzarlo eventualmente alla terapia basandosi su un più completo quadro clinico.

1998 - Il consenso informato tra norma e realtà. [Articolo su rivista]
Nocini, P. F.; Carminati, R.; Salgarelli, Attilio Carlo; Fiora, ; Sorrentino, A.
abstract

Vedasi l'allegato

1998 - La via di approccio coronale in chirurgia maxillo facciale. [Articolo su rivista]
Salgarelli, Attilio Carlo; Carminati, R.; Bertossi, D.; Cantù, G.; Nocini, P. F.
abstract

Vedasi l'allegato

1998 - The coronal approach in maxillofacial surgery. Notes on the surgical anatomy [Articolo su rivista]
Salgarelli, Attilio Carlo; Carminati, R.; Bertossi, D.; Cantù, G.; Nocini, P. F.
abstract

Vedasi l'allegato

1998 - Trattamento del dolore postoperatorio in odontostomatologia con ibuprofene L-arginina e naprossene. [Articolo su rivista]
Polati, E.; Finco, G.; Salgarelli, Attilio Carlo; De Santis, D.; Gilli, E.; Barzoi, G.; Gottin, L.; Ischia, S.
abstract

Vedasi l'allegato

1997 - Evolution of maxillo-malar osteotomy. Clinical experience [Articolo su rivista]
Salgarelli, Attilio Carlo; Fraccari, E.; Magnato, R.; Nocini, P. F.
abstract

Vedasi l'allegato

1997 - Il carcinoma del cavo orale. II ruolo del medico di base. [Articolo su rivista]
Salgarelli, Attilio Carlo; Carminati, R.; Magnato, R.; Nocini, P. F.
abstract

Vedasi l'allegato

1997 - Myositis ossificans of the pterygoid and temporal muscles with metachronous contralateral involvement [Articolo su rivista]
Salgarelli, Attilio Carlo; Magnato, R.; Carminati, R.; Barbaglio, A.; Nocini, P. F.
abstract

Vedasi l'allegato

1997 - Non-Hodgkin's lymphomas of the oromaxillofacial area. A clinical contribution [Articolo su rivista]
Salgarelli, Attilio Carlo; Barbaglio, A.; Magnato, R.; Nocini, P. F.; Veneri, D.
abstract

Vedasi l'allegato

1997 - Osteoma dello sfenoide. [Articolo su rivista]
Nocini, P. F.; Salgarelli, Attilio Carlo; Carminati, R.; Cantù, G.; Mattavelli, F.
abstract

Vedasi l'allegato

1997 - Pseudoaneurysm of the lingual artery: a case report [Articolo su rivista]
Salgarelli, Attilio Carlo; Morana, G.; Beltramello, A.; Nocini, P. F.
abstract

Vedasi l'allegato

1997 - Surgical techniques for the corretion of prominent ear. [Articolo su rivista]
Salgarelli, Attilio Carlo; Bertossi, D.; Nocini, P. F.; Magnato, R.; Carminati, R.
abstract

Vedasi l'allegato

1996 - Dermoid cyst of the nose: a case report and review of the literature [Articolo su rivista]
Nocini, P. F.; Barbaglio, A.; Dolci, M.; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

1996 - Efficacia e tollerabilità del Tramadolo nel trattamento del dolore post operatorio in pazienti sottoposti ad interventi di chirurgia maxillo-facciale. [Relazione in Atti di Convegno]
Finco, G.; Polati, E.; Bartoloni, A.; Barzoi, G.; Zanoni, L.; Salgarelli, Attilio Carlo; Gilli, E.
abstract

Vedasi l'allegato

1996 - Il trauma acuto cranio - maxillo - facciale minore. Flow - chart diagnostico - terapeutico. [Articolo su rivista]
Salgarelli, Attilio Carlo; Carminati, R.; Consolo, Ugo; Magnato, R.; Nocini, P. F.
abstract

Vedasi l'allegato

1996 - La ranula sottolinguale : valutazione di due tipi di trattamento. [Relazione in Atti di Convegno]
Carminati, R.; Salgarelli, Attilio Carlo; De Santis, D.; D'Agostino, A.; Nocini, P. F.
abstract

Vedasi l'allegato

1996 - La rinoplastica aperta negli esiti di LPS. [Abstract in Atti di Convegno]
Nocini, P. F.; Salgarelli, Attilio Carlo; Gotte, P.
abstract

Vedasi l'allegato

1996 - La rinoplastica con allungamento della columella negli esiti di labiopalatoschisi [Relazione in Atti di Convegno]
Salgarelli, Attilio Carlo; De Santis, D.; Furlan, S.
abstract

Vedasi l'allegato

1996 - La strategia chirurgica nel trattamento delle atrofie dei mascellari. L'esperienza della Scuola di Verona. Parte I: il mascellare superiore [Relazione in Atti di Convegno]
Nocini, P. F.; Dolci, M.; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

1996 - Lengthening of the columella in the aftermath of cleft lip repair. [Articolo su rivista]
Magnato, R.; Salgarelli, Attilio Carlo; Barbaglio, A.; Nocini, P. F.
abstract

Vedasi l'allegato

1996 - Psychosocial Aspects of Orthognathic Surgery. [Abstract in Rivista]
Consolo, Ugo; Magnato, R.; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

1996 - Surgical treatment of the prominent ear. [Articolo su rivista]
Salgarelli, Attilio Carlo; Magnato, R.; Nocini, P. F.
abstract

Vedasi l'allegato

1996 - The vomero nasal organ: a prospective study [Articolo su rivista]
Bertossi, D.; Nocini, P. F.; Salgarelli, Attilio Carlo; Zancanaro, C.; Osculati, F.
abstract

Vedasi l'allegato

1996 - Trattamento del dolore post operatorio in odonstomatologia con Ibuprofene L-Arginina e Naprossene sodico: studio prospettico e randomizzato. [Relazione in Atti di Convegno]
Polati, E.; Finco, G.; Bartoloni, A.; Barzoi, G.; Gottin, L.; Pinaroli, A. M.; Salgarelli, Attilio Carlo; De Santis, D.
abstract

Vedasi l'allegato

1995 - Brodie's syndrome. A report of 2 atypical cases [Sindrome di Brodie. Presentazione di due casi atipici.] [Articolo su rivista]
Nocini, P. F.; Salgarelli, Attilio Carlo; Consolo, Ugo; Bertossi, D.; Faccioni, F.
abstract

The aim of the authors is to show the treatment of Brodie's syndrome even in atypical cases where this pathology can not offer typical signs but can be associated to other skeletal deformities of the face. There are two atypical cases of Brodie's syndrome both of them came to our out patient's department. They were grown-up (one 20 one 22 years old), one of them with an extreme vertical expansion of lower third of the face and with a big transverse expansion of the upper maxillary bone, all typical signs of Brodie's syndrome; the other patient was with an extreme transverse expansion of the upper maxilla associated to a II class and a defect of 11, 12, 21, 22. The first patient was treated with orthodontic Tweed technique continued with surgical operation setting out to the contraction of the transverse diameter of the upper maxilla, associated to a Le Fort I osteotomy and an Epker osteotomy of the jaw. This orthodontic-surgical correction, allowed us to achieve a good aesthetic and functional result. The second patient was treated with orthodontics followed by surgical correction of the excessive transverse expansion of the upper maxilla after a Le Fort I osteotomy; a sagittal split of the jaw on Gotte technique was performed to correct the III class. We gave the patient a good aesthetic result with the restoration of the lost teeth in the upper maxilla, reaching in this way a good aesthetic and a well functioning result. We think it's possible to treat patients with atypical Brodie's syndrome with orthodontics or surgery in the same way we treat Brodie's syndrome and other deformities of the face reaching good aesthetic-functional results.

1995 - Controllo delle modificazioni naso labiali nella chirurgia ortognatica del mascellare superiore. [Relazione in Atti di Convegno]
Consolo, Ugo; Bretelè, G. P.; Nocini, P. F.; Cortelazzi, R.; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

1995 - Implantologia mandibolare avanzata. [Relazione in Atti di Convegno]
Nocini, P. F.; De Santis, D.; Cortelazzi, R.; Salgarelli, Attilio Carlo; Consolo, Ugo
abstract

Vedasi l'allegato

1995 - Innalzamento della punta del naso e della columella nei casi secondari a Labioschisi. [Abstract in Atti di Convegno]
Furlan, S.; Nocini, P. F.; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

1995 - La rinoplastica con allungamento columellare negli esiti di LPS. [Abstract in Atti di Convegno]
Nocini, P. F.; Salgarelli, Attilio Carlo; Consolo, Ugo; Barbaglio, A.
abstract

Vedasi l'allegato

1995 - Studio sperimentale ed ottimizzazione dell'impiego di macrolidi e chinoloni in chirurgia orale e maxillo facciale [Abstract in Atti di Convegno]
Barbaglio, A.; Consolo, Ugo; Dolci, M.; Salgarelli, Attilio Carlo; Bertazzoni Minelli, E.
abstract

Vedasi l'allegato

1995 - Uso dell'osso autologo ed eterologo nella tecnica di rialzo del pavimento del seno mascellare: valutazione istologica. [Abstract in Atti di Convegno]
Salgarelli, Attilio Carlo; De Santis, D.; Dolci, M.; Cortelazzi, R.; Nocini, P. F.
abstract

Vedasi l'allegato

1994 - Attuali orientamenti nel trattamento della ipoplasia maxillo-malare [Abstract in Atti di Convegno]
Nocini, P. F.; Salgarelli, Attilio Carlo; Consolo, Ugo; Cortelazzi, R.; Barbaglio, A.
abstract

Vedasi l'allegato

1994 - Cementoblastoma: presentazione di un caso clinico [Articolo su rivista]
Salgarelli, Attilio Carlo; Barbaglio, A.; Salgarelli, C.; Consolo, Ugo
abstract

Vedasi l'allegato

1994 - Correzione naso labiale nelle osteotomie di Le Fort 1 [Abstract in Atti di Convegno]
Consolo, Ugo; Salgarelli, Attilio Carlo; Nocini, P. F.; Cortelazzi, R.; Magnato, R.
abstract

Vedasi l'allegato

1994 - Espansione chirurgico ortodontica (R. E. P.) del mascellare superiore in anestesia loco regionale [Abstract in Atti di Convegno]
Salgarelli, Attilio Carlo; Bertelè, G. P.; De Santis, D.; Polati, E.; Nocini, P. F.
abstract

Vedasi l'allegato

1994 - Fascite nodulare del cavo orale [Abstract in Atti di Convegno]
Barbaglio, A.; Panigatti, S.; Salgarelli, Attilio Carlo; De Santis, D.; Consolo, Ugo
abstract

Vedasi l'allegato

1994 - Ipotensione controllata in chirurgia maxillo facciale con Fentanyl + Labetalolo [Abstract in Atti di Convegno]
Polati, E.; Finco, G.; Gilli, E.; Salgarelli, Attilio Carlo; Gottin, L.; Pinaroli, A. M.; Zanoni, L.
abstract

Vedasi l'allegato

1994 - Le cheratocisti: contributo clinico statistico [Abstract in Atti di Convegno]
Magnato, R.; Salgarelli, Attilio Carlo; Cortelazzi, R.; Consolo, Ugo; Nocini, P. F.
abstract

Vedasi l'allegato

1994 - Linfoma Ki-1 del cavo orale [Abstract in Atti di Convegno]
Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

1994 - Ricostruzioni plastiche nel trattamento del carcinoma del cavo orale [Abstract in Atti di Convegno]
Cortelazzi, R.; Nocini, P. F.; Maranzano, M.; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

1994 - Tecniche di chirurgia pre-protesica per restendere il trattamento protesico fisso alle atrofie mandibolari [Abstract in Atti di Convegno]
De Santis, D.; Salgarelli, Attilio Carlo; Magnato, R.; Barbaglio, A.; Nocini, P. F.
abstract

Vedasi l'allegato

1994 - Uso dell'osso eterologo bovino nei rialzi di seno mascellare [Abstract in Atti di Convegno]
De Santis, D.; Barbaglio, A.; Salgarelli, Attilio Carlo; Orio, S.; Consolo, Ugo; Nocini, P. F.
abstract

Vedasi l'ìallegato

1994 - Utilità della tomografia computerizzata e della risonanza magnetica nello studio della iperplasia bilaterale idiopatica dei processi coronoidei [Abstract in Atti di Convegno]
Consolo, Ugo; Pregarz, M.; Salgarelli, Attilio Carlo; Cortelazzi, R.; Nocini, P. F.
abstract

Vedasi l'allegato

1993 - Accorgimenti di tecnica chirurgica per il controllo delle modificazioni naso labiali nelle osteotomie di Le Fort I [Abstract in Atti di Convegno]
Consolo, Ugo; Salgarelli, Attilio Carlo; Cortellazzi, R.; Nocini, P. F.; Faccioni, F.
abstract

Vedasi l'allegato

1993 - Gli odontomi: contributo clinico [Relazione in Atti di Convegno]
Magnato, R.; Salgarelli, Attilio Carlo; Nocini, P. F.; Cortellazzi, R.; Consolo, Ugo
abstract

Vedasi l'allrgato

1993 - La cecità complicanza delle fratture del III medio facciale [Abstract in Atti di Convegno]
Salgarelli, Attilio Carlo; Consolo, Ugo; Nocini, P. F.; Cortelazzi, R.; Mecca, E.
abstract

Vedasi l'allegato

1993 - Metodiche ricostruttive nelle fratture del complesso orbito malare zigomatico mediante materiali autologhi, alloplastici ed eterologhi [Abstract in Atti di Convegno]
Nocini, P. F.; Consolo, Ugo; Salgarelli, Attilio Carlo; Cortelazzi, R. e. Ronchi P.
abstract

Vedasi l'allegato

1993 - Surgical treatment of neoplasms of the lip [Articolo su rivista]
Politi, M.; Salgarelli, Attilio Carlo; Panziera, G.; Cortelazzi, R.
abstract

Vedasi l'allegato

1993 - Tecnica chirurgica di ricostruzione della mandibola atrofica mediante impiego combinato di innesti ossei ed impianti [Relazione in Atti di Convegno]
Cortellazzi, R.; Consolo, Ugo; Salgarelli, Attilio Carlo; Nocini, P. F.; Filippini, P.
abstract

Vedasi l'allegato

1992 - Approccio diagnostico-terapeutico al tumore a cellule granulose del cavo orale: descrizione di tre casi clinici [Articolo su rivista]
Politi, M.; Panziera, G.; Cortellazzi, R.; Salgarelli, Attilio Carlo; Bonetti, F.
abstract

Vedasi l'allegato

1992 - Associazione di carcinoma orale ed anemia di Fanconi: descrizione di un caso clinico [Articolo su rivista]
Politi, M.; Cortellazzi, R.; Panziera, G.; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato

1992 - Carcinoma spinocellulare insorto in congiunzione con impianti lamellari. Descrizione di due casi [Relazione in Atti di Convegno]
Cortellazzi, R.; Panziera, G.; Salgarelli, Attilio Carlo; Politi, M.
abstract

Vedasi l'allegato

1992 - Cisti di Stafne: inclusione mandibolare di tessuto ghiandolare. [Articolo su rivista]
Consolo, Ugo; Salgarelli, Attilio Carlo; De Santis, D.
abstract

Vedasi l'allegato

1992 - Cisti traumatiche mandibolari: esperienza personale [Relazione in Atti di Convegno]
Salgarelli, Attilio Carlo; Consolo, Ugo; Magnato, R.; Filippini, P.
abstract

Vedasi l'allegato

1992 - Diagnosi differenziale e trattamento delle lesioni bianche del cavo orale [Articolo su rivista]
Salgarelli, Attilio Carlo; Guarda, L.; Nocini, P. F.; Politi, M.
abstract

Vedasi l'allegato

1992 - Fratture del complesso orbito - malare - zigomatico (COMZ): classificazione e protocollo di trattamento semplificato. [Articolo su rivista]
Consolo, Ugo; Salgarelli, Attilio Carlo; Cortelazzi, R.; Nocini, P. F.
abstract

Vedasi l'allegato

1992 - Fratture isolate del complesso orbito-malare-zigomatico (COMZ): 1) approccio diagnostico [Abstract in Atti di Convegno]
Consolo, Ugo; Salgarelli, Attilio Carlo; Nocini, P. F.
abstract

Vedasi l'allegato

1992 - Fratture isolate del complesso orbito-malare-zigomatico (COMZ): 2) approccio terapeutico [Abstract in Atti di Convegno]
Consolo, Ugo; Salgarelli, Attilio Carlo; Nocini, P. F.
abstract

Vedasi l'allegato

1992 - L'estesioneuroblastoma. [Articolo su rivista]
Cortelazzi, R.; Salgarelli, Attilio Carlo; Panziera, G.; Consolo, Ugo; Bonetti, F.
abstract

Vedasi l'allegato

1992 - La biopsia nella diagnosi del carcinoma del cavo orale: indicazioni e tecnica [Articolo su rivista]
Politi, M.; Salgarelli, Attilio Carlo; Panziera, G.
abstract

Vedasi l'allegato

1992 - La calcolosi della ghiandola sottomandibolare: diagnostica per immagini. [Articolo su rivista]
Consolo, Ugo; De Santis, D.; Salgarelli, Attilio Carlo; Nocini, P. F.
abstract

Vedasi l'allegato

1992 - La calcolosi della ghiandola sottomandibolare: sulla fisiologia e biochimica della saliva e sulla genesi e struttura dei calcoli salivari. [Articolo su rivista]
Consolo, Ugo; Nocini, P. F.; Salgarelli, Attilio Carlo; De Santis, D.
abstract

Vedasi l'allegato

1992 - Late secondary oesteoplasty by Osprogel (R) bone graft: Preliminary results [Osteoplastica secondaria tardiva mediante innesto di OSPROGEL (R): risultati preliminari] [Articolo su rivista]
Consolo, Ugo; Salgarelli, Attilio Carlo; Nocini, P. F.
abstract

Late secondary osteoplasty is still a very important procedure despite improvements in the primary treatment of LPS. The procedure can be performed either alone or in combination with maxillomandibular osteotomy. It consists in the grafting of autologous bone (iliac crest) at the level of the alveolopalatine cleft so as to assure stability of the maxillary stumps and to achieve appropriate alveolar height. The authors suggest the possibility of performing late secondary oesteoblasty using a gelatin and glycerol-based granular ceramic hydroxylapatite (Osprogel R), listing the characteristics of the material and describing the preliminary results obtained in 5 patients treated for the after-effects of monolateral LPS by Osprogel (R) bone graft and followed up for a period of at least one year. The results of the study show that the procedure is indicated in carefully selected patients with small-sized monolateral clefts and stable occlusion.

1992 - Limitazione dell'apertura della bocca per conflitto coronoido-malare. [Relazione in Atti di Convegno]
Salgarelli, Attilio Carlo; Consolo, Ugo; Nocini, P. F.; Urbani, G.
abstract

Vedasi l'allegato

1992 - Osteoplastica secondaria tardiva mediante innesto di Osprogel: risultati preliminari [Articolo su rivista]
Consolo, Ugo; Salgarelli, Attilio Carlo; Nocini, P. F.
abstract

Vedasi l'allegato

1992 - Osteotomia intraorale maxillo-zigomatica: indicazioni, tecnica e risultati. [Articolo su rivista]
Consolo, Ugo; Salgarelli, Attilio Carlo; Cortelazzi, R.; Nocini, P. F.
abstract

Vedasi l'allegato

1992 - Sindrome di Gorlin a familiarità conclamata: aspetti clinici. [Relazione in Atti di Convegno]
Consolo, Ugo; Salgarelli, Attilio Carlo; Cortelazzi, R.; Nocini, P. F.; Urbani, G.
abstract

Vedasi l'allegato

1992 - Transient facial nerve palsy following orthognathic surgery: A case report [Articolo su rivista]
Consolo, Ugo; Salgarelli, Attilio Carlo
abstract

Vedasi allegato

1991 - I lembi in chirurgia orale. Metodiche operative. [Articolo su rivista]
Nocini, P. F.; Consolo, Ugo; Lo Muzio, L.; De Santis, D.; Salgarelli, Attilio Carlo
abstract

Vedi allegato

1991 - Neurofibromatosi: Aspetti clinici e criteri diagnostici. [Articolo su rivista]
Consolo, Ugo; Salgarelli, Attilio Carlo
abstract

Vedi allegato

1991 - Osteoplastica secondaria tardiva mediante innesto di Osprogel: risultati preliminari [Abstract in Atti di Convegno]
Consolo, Ugo; Salgarelli, Attilio Carlo; Nocini, P. F.
abstract

Vedasi l'allegato

1990 - Dens invaginatus. Review of the literature and presentation of two clinical cases [Dens invaginatus: revisione della letteratura e presentazione di due casi clinici.] [Articolo su rivista]
Consolo, Ugo; Massignan, C.; Salgarelli, Attilio Carlo; Nocini, P. F.
abstract

Authors present two cases of dens invaginatus, radicular variety in lateral incisors teeth. They suggest a revision of literature, underlining epidemiological, classifying, clinical and terapeutical aspects of this pathology.

1990 - Samples of iliac crest bone. A case report review and clinico-statistical evaluation [Prelievi d'osso da cresta iliaca: revisione della casistica e valutazioni clinico - statistiche] [Articolo su rivista]
Consolo, Ugo; Politi, M.; Nocini, P. F.; Salgarelli, Attilio Carlo
abstract

Vedi allego

1989 - Burkitt's lymphoma. A case report [Articolo su rivista]
Cortelazzi, R.; Politi, M.; Nocini, P. F.; Salgarelli, Attilio Carlo; Pelosi, G.
abstract

Vedasi l'allegato

1989 - Rimodellazione dello scheletro maxillo-facciale mediante innesto di Osprogel. [Relazione in Atti di Convegno]
Gotte, P.; Politi, M.; Nocini, P. F.; Consolo, Ugo; Salgarelli, Attilio Carlo
abstract

Vedi allegato

1988 - Immediate replacement bone grafts in benign pathology of the facial bones. An analysis of 37 cases [Articolo su rivista]
Cortelazzi, R.; Ferronato, G.; Nocini, P. F.; Salgarelli, Attilio Carlo
abstract

Vedasi l'allegato