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  1. Article ; Online: Intraconal orbital displacement of a dental implant treated with an endoscopically-assisted approach.

    Bocchialini, G / Negrini, S / Bolzoni Villaret, A / Pianta, L

    The British journal of oral & maxillofacial surgery

    2020  Volume 58, Issue 4, Page(s) 469–471

    Abstract: Foreign bodies in the orbit are uncommon, and dental intraconal displacement is even more rare. We aim to present and discuss what is to our knowledge the first case and its management. A 55-year-old woman had a dental implant placed in the upper right ... ...

    Abstract Foreign bodies in the orbit are uncommon, and dental intraconal displacement is even more rare. We aim to present and discuss what is to our knowledge the first case and its management. A 55-year-old woman had a dental implant placed in the upper right maxilla, but during the procedure it was displaced into the orbit. It was removed reliably and safely through an enlarged endoscopic medial maxillectomy.
    MeSH term(s) Dental Implants ; Endoscopy ; Female ; Foreign Bodies ; Humans ; Middle Aged ; Orbit/diagnostic imaging ; Orbit/surgery
    Chemical Substances Dental Implants
    Language English
    Publishing date 2020-01-20
    Publishing country Scotland
    Document type Case Reports ; Journal Article
    ZDB-ID 605685-4
    ISSN 1532-1940 ; 0266-4356
    ISSN (online) 1532-1940
    ISSN 0266-4356
    DOI 10.1016/j.bjoms.2020.01.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Facial Trauma: A Retrospective Study of 1262 Patients.

    Bocchialini, Gabriele / Castellani, Andrea

    Annals of maxillofacial surgery

    2019  Volume 9, Issue 1, Page(s) 135–139

    Abstract: Introduction: Traumatic injuries are the leading cause of death among <40 year olds, a good part of the working age population. Traumatic injuries are also the leading cause of lost productivity, causing more lost working days than cancer or vascular ... ...

    Abstract Introduction: Traumatic injuries are the leading cause of death among <40 year olds, a good part of the working age population. Traumatic injuries are also the leading cause of lost productivity, causing more lost working days than cancer or vascular cardiomyopathy.
    Materials and methods: We retrospectively and statistically analyzed the characteristics of facial fractures treated between June 2010 and December 2016 at the Maxillofacial Adult Surgery Unit, Spedali Civili Brescia, Italy.
    Discussion: Facial fractures are common in polytrauma patients, due to exposure of the cephalic end. The incidence of concomitant facial injuries with major trauma is 15%-24% in England (between Liverpool and London) and up to 34% in Washington, based on a large database of 87,174 patients. High-energy trauma frequently involving multiple traumatic injuries often leads to complex facial fractures, affecting different portions of the splanchnocranium.
    Conclusions: Treatment of facial fractures often focuses on functional or esthetic outcomes, and the outcomes are often substantially worse than those of other trauma treatments. Given the esthetic value of the face, facial trauma often leads to heightened emotional distress.
    Language English
    Publishing date 2019-06-12
    Publishing country India
    Document type Journal Article
    ZDB-ID 2696991-9
    ISSN 2249-3816 ; 2231-0746
    ISSN (online) 2249-3816
    ISSN 2231-0746
    DOI 10.4103/ams.ams_51_19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Edentulous mandible: clinical results of reconstruction with fresh frozen bone.

    Castellani, A / Bocchialini, G / Zanetti, U

    Minerva stomatologica

    2015  Volume 64, Issue 6, Page(s) 309–321

    Abstract: Aim: The aim of this study was the clinical and radiological evaluation in severe mandibular atrophy (class V-VI Cadwood-Howell) of bone grafts with homologous fresh frozen bone (FFB) in patients with dysesthesia of the inferior alveolar nerve with or ... ...

    Abstract Aim: The aim of this study was the clinical and radiological evaluation in severe mandibular atrophy (class V-VI Cadwood-Howell) of bone grafts with homologous fresh frozen bone (FFB) in patients with dysesthesia of the inferior alveolar nerve with or without transposition of the NAI in order to perform a proper implant-prosthetic rehabilitation.
    Methods: This article presents our experience in mandibular reconstructions performed in 12 patients with severe mandibular atrophy and dysesthesia performing onlay grafts with FFB and subsequent implant-prosthetic rehabilitation.
    Results: The surgical protocol of homologous bone graft in symptomatic patients with severe mandibular atrophy presented an excellent clinical outcome with disappearance of dysesthesia in all patients treated, good graft integration and a complete implant-prosthetic rehabilitation with loss of only 3 implants at the 24-36 month follow up visit.
    Conclusion: Homologous bone grafting in patients with severe mandibular atrophy may be a viable therapeutic option in cases of prosthetic reconstruction in those symptomatic patients who cannot tolerate removable dentures, reducing intraoperative time, patient morbidity and the complications in common sites of autologous bone graft removal.
    MeSH term(s) Aged ; Allografts ; Alveolar Ridge Augmentation/methods ; Atrophy ; Bone Transplantation/methods ; Cryopreservation ; Dental Implantation, Endosseous/methods ; Female ; Humans ; Ilium ; Jaw, Edentulous/surgery ; Male ; Mandible/pathology ; Mandible/surgery ; Mandibular Nerve/surgery ; Middle Aged ; Nerve Transfer ; Neuralgia/etiology ; Organ Preservation ; Osseointegration ; Paresthesia/etiology ; Retrospective Studies ; Trigeminal Nerve Injuries/complications ; Trigeminal Nerve Injuries/surgery
    Language English
    Publishing date 2015-12
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 416059-9
    ISSN 1827-174X ; 0026-4970
    ISSN (online) 1827-174X
    ISSN 0026-4970
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Central giant cell granuloma of the mandibular condyle: A rare case and a literature review.

    Bocchialini, Gabriele / Salvagni, Luana / Guerini, Agostino / Castellani, Andrea

    Heliyon

    2019  Volume 6, Issue 1, Page(s) e03085

    Abstract: Introduction: Central giant cell granuloma is a benign intraosseous lesion; tumours in the condylar region are rarely reported.: Case presentation: We present the case of a 60-year-old woman with preauricular swelling, limitation of joint motion and ... ...

    Abstract Introduction: Central giant cell granuloma is a benign intraosseous lesion; tumours in the condylar region are rarely reported.
    Case presentation: We present the case of a 60-year-old woman with preauricular swelling, limitation of joint motion and pain on only the right side.
    Discussion: The patient was evaluated based on her preoperative clinical manifestations, by orthopantomography and computed tomography (CT). CT revealed a lesion on the right condylar head. Surgery was scheduled based on this imaging finding, histological findings from an incisional biopsy specimen, and the patient's indications and symptoms.
    Conclusion: Of all reported cases of central giantcell granuloma, only five (including this case) were located in the mandibular condyle.
    Language English
    Publishing date 2019-12-28
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2019.e03085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The pedicled buccal fat pad in oral reconstruction.

    Castellani, A / Bocchialini, G / Negrini, S / Zanetti, U / Rossi, A

    Minerva stomatologica

    2015  Volume 64, Issue 6, Page(s) 283–293

    Abstract: Aim: Aim of the study was to present a follow-up on 46 cases in which pedical buccal fat pad (BFP) flaps were used to repair oral defects without any additional local flaps or skin grafts.: Methods: The study comprised 46 patients, 31 men and 15 ... ...

    Abstract Aim: Aim of the study was to present a follow-up on 46 cases in which pedical buccal fat pad (BFP) flaps were used to repair oral defects without any additional local flaps or skin grafts.
    Methods: The study comprised 46 patients, 31 men and 15 women, with an age range of 30-78 years (mean age 57.3 years). They were treated with a pedicled flap to repair defects of the ipsilateral maxilla (anterior or posterior), soft palate or retromolar mandibular area following tumor resection, osteonecrosis or the closure of oro-antral fistulae. The defects ranged from 2 × 2.5 cm to 4.5 × 5 cm. All patients were treated under general anesthesia.
    Results: The flap fully covered the intraoral defect with any aesthetic deficits. After one month, the flap was fully epithelialized and of adequate thickness in all cases. Three postoperative complications were reported: one superficial necrosis and two small fistulae.
    Conclusion: Although the BFP has long been recognized and despite the simplicity of preparing the flap itself, numerically significant reports concerning the use of this technique in reconstructive facial surgery have only recently been published. The pedicled buccal fat flap is convenient and reliably repairs oral defects up to 4.5 cm in diameter on the ipsilateral side of the soft and hard palate, posterior alveolar region of the maxilla and the retromolar mandibular area. The surgical procedure is simple and morbidity at the donor site in not significant.
    MeSH term(s) Adipose Tissue/transplantation ; Adult ; Aged ; Cheek/surgery ; Female ; Humans ; Male ; Maxilla/surgery ; Middle Aged ; Mouth Neoplasms/surgery ; Oral Surgical Procedures/methods ; Oroantral Fistula/surgery ; Osteonecrosis/surgery ; Palate, Soft/surgery ; Reconstructive Surgical Procedures/methods ; Retrospective Studies ; Surgical Flaps
    Language English
    Publishing date 2015-12
    Publishing country Italy
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 416059-9
    ISSN 1827-174X ; 0026-4970
    ISSN (online) 1827-174X
    ISSN 0026-4970
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: A massive haemorrhage developing during deciduous tooth extraction in a young child: A case report.

    Bocchialini, Gabriele / Ferrari, Luca / Burlini, Dante

    International journal of surgery case reports

    2017  Volume 31, Page(s) 237–240

    Abstract: Introduction: Major haemorrhage developing during oral or maxillofacial surgery is uncommon, but potentially life-threatening. Dental extractions in childhood are common, but blood loss is unusual.: Case presentation: Here, we report a rare case of a ...

    Abstract Introduction: Major haemorrhage developing during oral or maxillofacial surgery is uncommon, but potentially life-threatening. Dental extractions in childhood are common, but blood loss is unusual.
    Case presentation: Here, we report a rare case of a complication developing during a trivial deciduous tooth extraction. We focus on the great difference between the preoperative orthopantomography and the maxillo-facial computed tomography obtained post-haemorrhage.
    Discussion: The surgical procedures most commonly associated with acute haemorrhage are orthognathic, oncological, and temporomandibular joint procedures. When acute haemorrhage develops, the surgeon must remain calm, temporarily arrest the bleeding, and ultimately definitively control it. Although ligation of the offending artery, vein, or vascular malformation is clearly the treatment of choice, identifying the offending vessel and gaining adequate access thereto are often difficult.
    Conclusion: We emphasise that what we encountered could happen in routine daily practice.
    Language English
    Publishing date 2017-01-30
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2017.01.061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: A Hemangioma of the Zygomatic Bone: Management Ensuring Good Reconstructive and Aesthetic Results.

    Bocchialini, Gabriele / Castellani, Andrea / Bozzola, Anna / Rossi, Alessandro

    Craniomaxillofacial trauma & reconstruction

    2017  Volume 10, Issue 4, Page(s) 332–336

    Abstract: Hemangiomas are benign tumors representing only 0.7 to 1% of all bone tumors; those that arise in the zygomatic region are rarely described in the literature. Here, we describe the case of a 55-year-old woman with a mass in the right orbitozygomatic ... ...

    Abstract Hemangiomas are benign tumors representing only 0.7 to 1% of all bone tumors; those that arise in the zygomatic region are rarely described in the literature. Here, we describe the case of a 55-year-old woman with a mass in the right orbitozygomatic region. She was diagnosed on the basis of preoperative clinical manifestations, data from an earlier histopathological examination, and computed tomography (CT). The CT scan revealed a lesion in the right zygomatic region at the level of the cancellous component. This caused thinning and remodeling of the deformed cortex both medially and laterally. Surgery was performed. We describe the clinical characteristics of our case with an emphasis on surgical management of the lesion using a titanium grid prepared by reference to a stereolithographic model.
    Language English
    Publishing date 2017-01-11
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 1943-3875
    ISSN 1943-3875
    DOI 10.1055/s-0036-1594274
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: From tooth extraction to Gorham-Stout disease: A case report.

    Bocchialini, Gabriele / Ferrari, Luca / Burlini, Dante

    International journal of surgery case reports

    2017  Volume 34, Page(s) 110–114

    Abstract: Introduction: Gorham-Stout disease (GSD), or vanishing bone disease, is a very rare condition of unknown aetiology. It is characterised by progressive osteolysis and angiomatosis.: Case presentation: We report the discovery of this very rare disease ... ...

    Abstract Introduction: Gorham-Stout disease (GSD), or vanishing bone disease, is a very rare condition of unknown aetiology. It is characterised by progressive osteolysis and angiomatosis.
    Case presentation: We report the discovery of this very rare disease following a trivial deciduous tooth extraction in a 14-year-old female. We focus initially on the difference between the preoperative orthopantomography and the whole-body computed tomography and magnetic resonance images obtained post-haemorrhage, and then on the improvement of strategies for the correct diagnosis and treatment of this disease.
    Discussion: Bone loss and the proliferation of vascular structures can occur in a single bone or spread to soft tissue and adjacent bone; areas commonly affected by GSD include the ribs, spine, pelvis, skull, clavicle, and the maxillofacial area. The clinical presentation of GSD includes pain, functional impairment, and swelling, although a few asymptomatic cases have been reported, similar to our case.
    Conclusion: We report a very rare case of this multicentric disease in an asymptomatic child who presented for dental extraction, almost died, and was then diagnosed with and treated for GSD.
    Language English
    Publishing date 2017-03-21
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2017.03.028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Massive Cervicothoracic Subcutaneous Emphysema and Pneumomediastinum Developing during a Dental Hygiene Procedure.

    Bocchialini, Gabriele / Ambrosi, Serena / Castellani, Andrea

    Case reports in dentistry

    2017  Volume 2017, Page(s) 7016467

    Abstract: Subcutaneous emphysema is rare during or after dental procedures (usually extractions). Here, we describe the case of a 65-year-old woman who developed massive cervicothoracic subcutaneous emphysema and pneumomediastinum during a dental hygiene procedure ...

    Abstract Subcutaneous emphysema is rare during or after dental procedures (usually extractions). Here, we describe the case of a 65-year-old woman who developed massive cervicothoracic subcutaneous emphysema and pneumomediastinum during a dental hygiene procedure employing an artificial airflow. She was diagnosed based on clinical manifestations and computed tomography (CT). CT revealed massive subcutaneous emphysema extending from the superior left eyelid to the diaphragm. We describe the clinical and radiological characteristics of this rare case.
    Language English
    Publishing date 2017-04-13
    Publishing country Egypt
    Document type Case Reports
    ZDB-ID 2627632-X
    ISSN 2090-6455 ; 2090-6447
    ISSN (online) 2090-6455
    ISSN 2090-6447
    DOI 10.1155/2017/7016467
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: New Management in Bilateral Masseter Muscle Hypertrophy.

    Bocchialini, Gabriele / Castellani, Andrea / Negrini, Stefano / Rossi, Alessandro

    Craniomaxillofacial trauma & reconstruction

    2016  Volume 10, Issue 4, Page(s) 325–328

    Abstract: Bilateral masseter muscle hypertrophy is an alteration in shape and thickness of the masseter muscles that can modify the width of the lower face causing aesthetic and functional problems. A 21-year-old man was referred to the Department of Maxillofacial ...

    Abstract Bilateral masseter muscle hypertrophy is an alteration in shape and thickness of the masseter muscles that can modify the width of the lower face causing aesthetic and functional problems. A 21-year-old man was referred to the Department of Maxillofacial Surgery at the Civil Hospital in Brescia by his dentist for an evaluation of his facial appearance with a square-face type. To reduce the undesirable facial appearance, a surgical intraoral approach was performed; the procedure includes the bilateral dissection of the masseter muscle, partial lipectomy, and the ostectomy of the mandibular angle assisted by a surgical guide built on a stereolithographic model. The patient was satisfied with the functional and aesthetic outcomes of both the profile and the frontal views. There was no evidence of complication at a 1-year follow-up. This new method yields optimal aesthetic results with an enhanced outline of the lower face.
    Language English
    Publishing date 2016-11-01
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 1943-3875
    ISSN 1943-3875
    DOI 10.1055/s-0036-1592089
    Database MEDical Literature Analysis and Retrieval System OnLINE

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