Olindo Massarelli

Olindo Massarelli
Università degli Studi di Siena | UNISI

MD, PhD, FEBOMFS

About

58
Publications
31,622
Reads
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727
Citations
Additional affiliations
January 2005 - present
Azienda Ospedaliera Universitaria Sassari
Position
  • Medical Doctor

Publications

Publications (58)
Article
Full-text available
The authors evaluate the use of an osteomyocutaneous fibula free flap, combined in a chimeric fashion, with a lateral supramalleolar flap, in 10 patients with composite head and neck defects. All reconstructions were performed successfully. With the exception of one patient who died after disease recurrence, all patients were decannulated and resum...
Article
Full-text available
Squamous cell carcinoma (SCC) of the buccal mucosa is an aggressive form of oral cancer. It tends to spread to adjacent tissues and often metastasizes to occult cervical node. There are multiple techniques for cheek reconstruction after tumor removal, including temporalis myocutaneous and temporoparietal fascial pedicled flaps and a forearm free fl...
Article
Full-text available
Soft palate reconstruction after resection for carci-noma represents a surgical challenge; the difficulty of reconstruction and rehabilitation in this area has been recognized. Soft palate defects often result in nasal speech with excessive air escape and nasal regurgita-tion of food and liquid, which negatively affect the patient's quality of life...
Article
Full-text available
Background: Reconstruction of moderate-sized mucosal defects of the oral cavity/oropharynx represents a surgical challenge. The most widely used reconstructive techniques are skin grafts, local or regional pedicled flaps, and free flaps, but they do not provide mucosal sensitivity, mobility, volume, or texture similar to that of native tissue. The...
Article
Full-text available
Desmoid tumors are characterized by indolent growth, progressive invasion of surrounding tissues and a high rate of relapse. We present the case of a desmoid tumor rising from the trapezius of a young woman. Following resection, we performed a functional reconstruction using an innervated gracilis free flap.
Article
Full-text available
In this study, we present a new case of segmental oro-mandibular reconstruction with fibula transplant, first described as “beveled one-and-a-half-barrel” shape, highlighting tips and tricks for not jeopardizing its vascularity and our technical considerations for adequate dental rehabilitation. A report of all reconstructive stages and secondary i...
Article
Full-text available
Among healthcare workers, oral and maxillofacial surgeons are some of the most exposed to coronavirus disease (COVID-19). The aim of this retrospective study was to develop suggestions for continuing the work of oral and maxillofacial surgeons using a safe protocol for elective and urgent aerosol-generating procedures that could prevent the onset o...
Article
Full-text available
Composite oromandibular defects involving jaw bones, intraoral and skin/soft tissues, or dynamic structures such as the tongue, soft palate, and pharynx are real reconstructive challenges even today. Despite improvements in oral dental rehabilitation, another complex task to deal with in young patients with dentate or nonatrophic mandible is correc...
Article
Full-text available
The purpose of this pictorial essay is to clarify and propose a novel positioning technique for raising the free flaps on the peroneal system with the aim of obtaining optimal exposure of the operating field, good stabilization of the inferior limb with high comfort for the surgical teams without the need of a third assistant during the harvest or...
Article
Full-text available
Background The coronal incision represents the cornerstone for the treatment of upper-third maxillofacial pathologies. However, this approach leaves long scars that in numerous patients, it can cause extensive surrounding alopecia and sensory skin deficits. This clinical evidence prompted the authors to propose a full pretrichial incision, the crow...
Article
Full-text available
Abstract Background: Harmonic instruments are becoming popular in head and neck surgeries. In this prospective, randomized study, the efficacy of the harmonic instruments and electrosurgical technique is compared. Materials and methods: A total of 48 patients undergoing unilateral neck dissection were divided into two groups. In one group, surgery...
Article
Full-text available
Objectives This prospective study evaluated the accuracy of mandibular reconstruction using free fibular flaps (by comparing virtual plans to the three‐dimensional postoperative results), and the extent of bone‐to‐bone contact after computer‐assisted surgery. Methods We included 65 patients who underwent partial‐continuity mandibular resections fr...
Article
Purpose: To compare the clinical and radiographic outcomes of platform switching (PS) and regular platform (RP) implants. Materials and methods: This study was designed as a randomised controlled split-mouth trial. Eighteen patients, with bilaterally missing single premolars or molars to be restored with implant-supported single crowns, were con...
Chapter
Full-text available
Cap. 10a: Anatomia vascolare e mucosasomi del cavo orale Parole chiave: Mucosasomi, perforasomi mucosi, perforanti mucosi del cavo orale, territori vascolari del cavo orale. Sinossi: Nonostante ancora il concetto di lembo perforante o propeller mucosale non sia stato ben standardizzato e definito, gli studi anatomici dei territori vascolari del c...
Chapter
Full-text available
Con lo sviluppo delle tecniche ricostruttive microchirurgiche, diversi lembi liberi (avambraccio, antero- laterale di coscia, laterale di braccio) sono stati descritti per la ricostruzione dei difetti del cavo orale. Le loro caratteristiche di affidabilità, sottigliezza e duttilità garantiscono un’efficace ricostruzione tridimensionale. La mucosa o...
Article
Full-text available
Purpose: The osteogenic potential of vascularized periosteum has been described in a few cases in the literature, and many different factors have been pointed out as plausible. Our aim was to review the literature in order to give a complete overview of this topic and to report on our clinical experience. Patients & methods: Our experience inclu...
Article
Full-text available
Background: The sensitive restoration is a primary aim of oral reconstructive surgery. The Semmes-Weinstein monofilament test is the "Gold Standard" to assess the threshold of tactile sensitivity on the skin but its use in the oral cavity is limited due to the size of the tools. We adopted half-cut Semmes-Weinstein monofilaments to evaluate the th...
Article
Full-text available
Full-thickness cheek defects represent a difficult challenge for reconstructive surgeons. Multiple techniques have been described, including local, regional, and free flaps. In this report, the reconstruction of a through and through left cheek defect, resulting from a self-inflicted gunshot injury, with a chimeric facial artery free flap is presen...
Article
Full-text available
Background Reconstruction of moderate-sized mucosal defects of the oral cavity or oropharynx represents a surgical challenge. Buccinator myomucosal flaps seem to provide “ideal reconstruction” of oral/oropharyngeal defects because they carry a thin, mobile, well-vascularized, and sensitive tissue, like that excised or lost. Nevertheless, these flap...
Article
Full-text available
Oropharyngeal reconstruction after ablative surgery is a challenge. The results of a retrospective study of 17 patients who underwent total or sub-total soft palate reconstruction with a buccinator myomucosal island flap, between 2008 and 2016, are reported herein. An analysis of flap type and size, harvesting time, and postoperative complications...
Article
Full-text available
Background: Sensory restoration of the oral cavity is a primary aim of reconstruc- tive surgery in posttraumatic or postablative defects. Sensitivity plays a key role in oral function, whose impairment strongly affects the patient’s quality of life. Cheek myomucosal flaps provide a reliable and tissue-like reconstruction of these regions but their...
Article
Full-text available
Background Sensitive restoration is the primary aim of oral reconstructive surgery. Discriminative sensibility is an important index of innervation density of a tissue. Instruments normally used to assess this type of skin sensibility are bulky and difficult to introduce in the oral cavity, even in healthy patients with a normal mouth opening. This...
Article
Full-text available
Temporo-mandibular joint (TMJ) metastases are a very rare event and only 73 cases are reported in literature. In about 40% of cases condylar metastases represent the first clinical manifestation of a tumor of elsewhere and may then allow an early diagnosis. However, the identification of this tumoral process can be difficult as in over 50% of the c...
Article
Full-text available
Background. The loss of a portion or the totality of the nose has great relevance on the perception of the beauty of a face and can result in a catastrophic quality of life impairment. Several surgical techniques are currently available for the reconstruction of the nasal pyramid. However, there are very few nasal reconstruction quality evaluation...
Article
Full-text available
Objective: Permanent sensory changes after sagittal split osteotomy have been estimated by various methods of measure. The incidence after sagittal split osteotomy vary considerably. The purpose of this study was to evaluate sensory alterations in patients treated either with sagittal mandibular osteotomy and genioplasty or only with sagittal mandi...
Article
Full-text available
Objective: The aim of the present pilot case series study was to present a new technique for managing the periimplant soft tissue before implant placement, the soft-tissue template technique. Materials and methods: This study was designed as a pilot case series study. At least six months after reconstruction with a fibula free flap, all crestal sof...
Article
Full-text available
The Perivascular Epithelioid Cell tumours (PEComas) are rare mesenchymal neoplasms recognized as entity by the World Health Organization. The tumour cells have an uncertain origin and are characterized by distinctive histological and immunohistochemical features. We report a case of PEComa occurring as intraorbital lesion in a 47-year-old man. We f...
Article
The Perivascular Epithelioid Cell tumours (PEComas) are rare mesenchymal neoplasms recognized as entity by the World Health Organization. The tumour cells have an uncertain origin and are characterized by distinctive histological and immunohistochemical features. We report a case of PEComa occurring as intraorbital lesion in a 47-year-old man. We f...
Article
The aim of this prospective clinical study is to assess the 4-year outcomes of implant-supported restorations performed using a computer-guided template-assisted flapless implant surgery approach in patients reconstructed with fibula or iliac crest free flaps. Twelve jaws in 10 patients were reconstructed with osteomyocutaneous free flap after tumo...
Article
Background: bone continuity defects following tumour ablation, or as a result of other causes, may lead to a serious problems. The osseous free flap has become the gold standard for reconstructing these defects. Implant-supported prosthetic rehabilitation is feasible although it still represents a major challenge Aim: the aim of this prospective cl...
Article
Full-text available
Erdheim-Chester Disease is a rare systemic xanthogranulomatous disease of unknown aetiology in which there is an abnormal proliferation of mononuclear non-Langerhans cell histiocytes. It affects both sexes, with a slight male predominance, and usually occurs in middle age, between the fifth and sixth decade of life. Although long bone involvement i...
Article
Purpose The occurrence of occult cervical metastases due to squamous-cell carcinoma of the hard palate and maxillary alveolar ridge has not been studied systematically. We have observed that many patients return with a delayed cervical metastasis following resection of a primary cancer at these sites. Some of these patients have died as a result of...
Conference Paper
Full-text available
Export Date: 2 December 2013, Source: Scopus, Article in Press
Article
Full-text available
Continuity defects in bone after resection of the jaw may cause problems, and osseo-myocutaneous free flaps are the gold standard for their reconstruction. Implant-supported prosthetic rehabilitation is reliable with these microvascular options, although it is still a serious challenge. The aim of this prospective clinical study was to describe the...
Article
Full-text available
Frontal sinus and supraorbital rim fractures are common in facial trauma patients. Coronal incision is the standard approach for surgical management of these injuries. Nevertheless, with this incision, complications can occur as wide scars and alopecia. Because surgical repair of fronto-orbital fractures is often indicated for aesthetic reasons, su...
Article
Full-text available
Tumors of the lateral wall of the mouth have different origins and behaviors. These lesions often arise from salivary tissues, such as the accessory parotid gland, but tumors can also originate from the muscles, buccal fat pad, or other structures. Surgical approaches are limited in this region by the presence of the facial nerve and the Stensen's...
Article
Full-text available
The fibular free flap, with or without a cutaneous component, is the gold standard for reconstructing mandibular defects. Dental prosthetic rehabilitation is possible this way, even if the prosthesis-based implant is still a challenge because of the many anatomical and prosthetic problems. We think that complications can be overcome or reduced by a...
Article
Full-text available
Three-dimensional reconstruction of the anterior mouth floor and ventral tongue after ablative surgery can be achieved using several techniques. The ideal reconstruction should be accomplished with the same or similar type of tissue, and cheek axial myomucosal flaps based on the branches of facial or internal maxillary arteries seem ideal for this...
Article
Three-dimensional reconstruction of medium-size defects of oral cavity after oncologic ablative surgery or traumatic lesions, is a difficult aim. Since the ‘ideal reconstruction’ should be accomplished with same or similar kind of tissue, we think that cheek myo-mucosal flaps based on the branches of facial or internal maxillary arteries can better...
Article
Full-text available
The aim was to determine the reliability and reproducibility of sentinel node biopsy (SNB) as a staging tool in head and neck squamous cell carcinoma (HNSCC) for T1/2 clinically N0 patients by means of a standardized technique. Between June 1998 and June 2002, 227 SNB procedures have been performed in HNSCC cases at six centers. One hundred thirty-...
Article
Full-text available
In patients with squamous cell carcinoma of the oral cavity and oropharynx, the presence of latero-cervical lymph node metastases was found to be the most important of the better known prognostic factors. Still, today, the most reliable technique by which to detect the presence of lymph node metastases is surgery aimed at the dissection of the late...
Article
Full-text available
Summary In patients with squamous cell carcinoma of the oral cavity and oropharynx, the presence of latero-cervical lymph node metastases was found to be the most important of the better known prognostic factors. Still, today, the most reliable tech- nique by which to detect the presence of lymph node metas- tases is surgery aimed at the dissection...
Article
Full-text available
Aim : Osteoradionecrosis (ORN) of the jaws is a serious complication that can occur following radiotherapy in the head and neck. The treatment of ORN of jaws is currently accomplished by surgical bone resection and primary reconstruction with osteo-cutaneous free flap with good aesthetic and functional results. BP-ONJ is an emerging problem seen in...

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Projects (2)
Project
The best osseous free flap for customized reconstruction
Project
Have we found the Ideal method for oral and oropharynx reconstruction?