Publications (6)1.46 Total impact
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Article: [The Caldwell-Luc procedure in the management of maxillary sinusitis. Long-term results].
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ABSTRACT: The surgical technique proposed by Caldwell and Luc more than a century ago has been applied in over a million cases to treat maxillary sinusitis. A critical re-evaluation of the method has been in progress for several years, in the light of the results that can be achieved with endoscopic functional surgery. In a retrospective study, operations performed according to the Caldwell-Luc technique on 40 patients, mean age 45 years, between 1992 and 1996, were evaluated critically to determine the efficacy of this approach in treating maxillary sinusitis, with particular emphasis on the incidence of immediate or delayed complications. Initially, clinical and radiological data concerning each patient where considered with particular reference to the subjective and objective symptomatology, preoperative radiological diagnosis and etiology of the sinusitis. Having completed the analysis of the documentation available, some of the patients were recalled and subjected to an in-depth instrumental diagnosis through traditional and CT radiography. It was concluded that, in consideration of the marked incidence of complications, the Caldwell-Luc procedure may be defined as a non-obligatory therapeutic option even in chronic maxillary sinusitis. The use of this surgical procedure is rational in cases of antral tumour, trauma, very serious mycotic or septic factors, or when a surgical approach to the pterigo-maxillary fossa is necessary. In all other cases, the preferred treatment must now be endoscopy.Minerva stomatologica 05/1998; 47(4):143-7. -
Article: [Sinusoscopy in stomatology. Review of a 5-year clinical experience].
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ABSTRACT: Investigative sinus endoscopy for purely diagnostic purposes has become an important therapeutic tool for disorders of the paranasal system thanks to the enormous technological developments of the last twenty years. In a retrospective study, sinus endoscopies carried out between 1990 and 1994 on 57 patients, mean age 43 years, were subjected to critical re-evaluation, with the aim of evaluating the efficacy of endoscopic treatment. In the first phase, the documentation available for each patient was examined; it included clinical data, preoperative traditional and CT radiographs, rhinoscopic and sinus endoscopic findings. Once the analysis of the available documentation had been completed the patients were recalled and subjected to clinical and radiological evaluation. Radiographic examination was carried out by traditional radiography. CT scanning was only performed for those patients in whom the clinical findings indicated a possible relapse. Immediate and delayed complications occurring after the endoscopic sinus surgery were taken into consideration. In conclusion, sinus endoscopy is a fundamental instrumental investigation in the diagnosis of rhinosinusopathies. It can no longer be considered as only a diagnostic investigation able to provide clear visual images, it also allows specimens to be taken for bacteriological, micological, cytological and histological analysis. Furthermore, endoscopic surgery can treat pathologies for which, until a few years ago, operations were necessary which respected the physiology of the paranasal system to a much lesser extent (Denker-Caldwell-Luc).Minerva stomatologica 04/1998; 47(3):87-93. -
Article: [Actinomycosis of the tongue. Report of two cases and review of the literature].
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ABSTRACT: Actinomycosis of the tongue is a rare form of infection whose initial clinical manifestation is a submucosal swelling that may mimic both benign and malignant neoplasias. Two cases are, presented and their clinical features and diagnostic criteria are discussed in the light of twelve cases drawn from the literature. Infection in the tongue is rare, though perhaps underestimated. It is generally located on the anterior two thirds laterally to the median sulcus, and presents as a moderately painful nodule set deep in the extrinsic and intrinsic muscles and poorly mobile on the adjacent planes. In a few weeks the lesion increases in size and painfulness with consequent loss of function in the absence of diagnosis and appropriate antibiotic management. Both our patients, in fact, presented with deep lesions and no apparent involvement of the mucosa, and were investigated by means of fine-needle aspiration biopsy (FNAB). The aspirated material was used to prepare both routine smears and cell blocks embedded in paraffin. The pathological material provided by this combination of methods proved quantitatively and qualitatively sufficient for the definitive diagnosis of actinomycosis in both cases.Minerva stomatologica 04/1998; 47(3):95-101. -
Article: Diagnosis of actinomycosis by fine-needle aspiration.
Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics 05/1996; 81(4):381-2. · 1.46 Impact Factor -
Article: [Anesthetic efficacy of an eutectic mixture of lidocaine and prilocaine (EMLA) on the oral mucosa: prospective double-blind study with a placebo].
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ABSTRACT: The aim of this study was to evaluate the topical analgesic efficacy of an eutectic mixture of lignocaine and prilocaine (EMLA) cream on oral mucosa. The study evaluated a total of 52 patients of legal age to give their informed consent, requiring the removal of metal maxillary and/or mandibular splints used to contain fractures. A double-blind prospective study was carried out using EMLA cream and placebo during the removal of metal splints. The placebo cream contained the eccipients of EMLA cream without the active ingredients. After the removal of the metal clips, patients were invited to quantify the pain using a visual analog scale of 100 mm. Patients were then evaluated using an objective examination to identify the possible presence of alterations to the oral mucosa. The analysis of results highlighted a statistically significant difference (p < 0.01) between EMLA cream (23 mm) and placebo (35.3 mm) in reducing pain consequent to the removal of metal splints and the relative pericoronal bindings. As shown by the results of this study, the analgesic effect of EMLA cream on oral mucosa allow the application of contact anesthesia to be broadened to oral surgery and dentistry, limiting it to those procedures that do not involve deep tissues and only require short-term anesthesia.Minerva stomatologica 48(1-2):39-43. -
Article: [Arthroscopy of the temporomandibular joint. The instruments and surgical technic].
Minerva stomatologica 42(1-2):29-35.
