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  1. Article: Superficial Intramuscular Gluteal Lipograft by Doppler Ultrasound: A Report of 24 Patients.

    Roblero Rivera, Carlos Alexander / Manzaneda Cipriani, Raul / Flores Gonzáles, Emmanuel Armando / Scheneider Salomone Viaro, Mauricio

    Plastic and reconstructive surgery. Global open

    2024  Volume 12, Issue 4, Page(s) e5743

    Abstract: Background: Gluteal fat grafting is a common procedure in liposculpture. This study proposes a Doppler ultrasound-guided intramuscular and subcutaneous gluteal lipotransfer technique that allows for visualization of the location of the gluteal vessels, ... ...

    Abstract Background: Gluteal fat grafting is a common procedure in liposculpture. This study proposes a Doppler ultrasound-guided intramuscular and subcutaneous gluteal lipotransfer technique that allows for visualization of the location of the gluteal vessels, avoiding approaching them during lipotransfer by having the cannula localized during fat infiltration.
    Methods: This new technique was applied to 24 women after obtaining informed consent and providing them with a clear explanation of potential risks and complications. Doppler ultrasound was used to locate the site and depth of blood vessels, and for quadrant scanning of vessels and superficial intramuscular visualization of the cannula's location. Intramuscular lipotransfer was performed with a volume of 400 mL per gluteus (or less), and 12 patients underwent magnetic resonance imaging before and 3 months after surgery.
    Results: This technique allowed for visualizing the location of the gluteal vessels, and infiltration could be easily performed in patients. In the 24 glutei reviewed postsurgery, from 12 patients who underwent pre- and postsurgery magnetic resonance imaging, intramuscular fat was found; however, there was no migration outside the gluteus maximus muscle.
    Conclusions: No local or systemic complications were observed. The results of our report show that fat filtration did not migrate outside the gluteus maximus muscle. This finding seeks to promote new research to create theoretical/practical precedents for the intervention of plastic surgeons and, from there, promote the standardization of a new and safe technique.
    Language English
    Publishing date 2024-04-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2851682-5
    ISSN 2169-7574 ; 2169-7574
    ISSN (online) 2169-7574
    ISSN 2169-7574
    DOI 10.1097/GOX.0000000000005743
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Defining the Inframammary Fold by Liposuction: An Essential Tool in Aesthetic Shaping of the Reconstructed Breast. Technique and Long-term Results in a Series of Patients.

    Pinto, Valentina / Pignatti, Marco / Contu, Luca / Cipriani, Riccardo

    Aesthetic plastic surgery

    2021  Volume 46, Issue 1, Page(s) 58–68

    Abstract: Background: A good inframammary fold (IMF) definition and position is essential to achieve a satisfactory and natural result in breast surgery. This structure can be damaged, especially during mastectomies. Multiple methods are reported in the ... ...

    Abstract Background: A good inframammary fold (IMF) definition and position is essential to achieve a satisfactory and natural result in breast surgery. This structure can be damaged, especially during mastectomies. Multiple methods are reported in the literature to restore IMF or improve its definition. In this study, we present the results achieved in a series of patients treated with subdermal liposuction.
    Methods: We report on all our patients who underwent IMF liposuction between January 2016 and June 2020. Subdermal liposuction was performed with a blunt 3 mm cannula along the new IMF to promote skin retraction and adherence between skin and fascia. Results were evaluated subjectively by the patients and objectively by 8 individuals not involved with the treatment.
    Results: We performed IMF liposuction in 88 breasts (69 patients), aged 21-74 (mean 52) years for 82 implant-based reconstructions, 2 tuberous breasts, and 4 contralateral breast augmentations. Mean follow-up was 28 months (6-64). Subjective results: the overall result evaluated with the VAS scale reached 86.6/100. All the 22 patients interviewed judged as well defined the new inframammary fold. Objective results: in 83% of cases the definition of the inframammary fold was judged as good or excellent, while symmetry with contralateral IMF, natural appearance, and overall aesthetic outcome were judged as good.
    Conclusion: Based on our long-term satisfactory results, we recommend the technique of subdermal liposuction to improve the definition of IMF in breast reconstruction after mastectomy and other breast procedures. It is effective, easy to perform, minimally invasive, and durable.
    Level of evidence iv: This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
    MeSH term(s) Breast Neoplasms/etiology ; Esthetics ; Female ; Humans ; Lipectomy ; Mammaplasty/methods ; Mastectomy/methods ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2021-08-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-021-02543-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Invited Response on: Letter-to-the-Editor: Defining the Inframammary Fold by Liposuction: An Essential Tool in Aesthetic Shaping of the Reconstructed Breast-Technique and Long-Term Results in a Series of Patients.

    Pignatti, Marco / Pinto, Valentina / Contu, Luca / Cipriani, Riccardo

    Aesthetic plastic surgery

    2021  Volume 46, Issue Suppl 1, Page(s) 78–79

    MeSH term(s) Breast/surgery ; Esthetics ; Humans ; Lipectomy ; Mammaplasty/methods
    Language English
    Publishing date 2021-10-22
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-021-02622-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Use of the Spare-Part Strategy to Reconstruct the External Auditory Canal After Subtotal Auriculectomy for Basal Cell Carcinoma.

    Pignatti, Marco / Sorbi, Gioia / Pinto, Valentina / Sorrenti, Giovanni / Cipriani, Riccardo

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2021  Volume 74, Issue Suppl 3, Page(s) 5974–5977

    Abstract: After removal of an infiltrative BCC of the auditory meatus, a soft tissue defect of the temporal-mastoid area with bone exposure, needed reconstruction. Several options have been taken into account and a simple yet effective solution has been found ... ...

    Abstract After removal of an infiltrative BCC of the auditory meatus, a soft tissue defect of the temporal-mastoid area with bone exposure, needed reconstruction. Several options have been taken into account and a simple yet effective solution has been found following the spare-parts principle. The ear lobe, preserved during cancer removal, was split and used as a thin skin flap. Adequate coverage of the bone exposure and resurfacing of the external auditory canal was obtained with minimal donor site morbidity and a short surgery in a fragile patient with several comorbidities. The spare-parts strategy can provide successful solution to difficult reconstructive cases regardless of the anatomical area.
    Language English
    Publishing date 2021-05-22
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-021-02654-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: SCIP flap in head and neck reconstruction after oncologic ablative surgery: a systematic review.

    Rosti, Alessandro / Ammar, Alessandro / Pignatti, Marco / Molteni, Gabriele / Franchi, Alberto / Cipriani, Riccardo / Presutti, Livio / Fermi, Matteo

    European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

    2023  Volume 281, Issue 3, Page(s) 1083–1093

    Abstract: Background: In the surgical treatment of head and neck locally advanced malignancies, microvascular free flaps represent the most valuable solution to reconstruct the tissue defect after resection of the primary neoplasm. In particular, microvascular ... ...

    Abstract Background: In the surgical treatment of head and neck locally advanced malignancies, microvascular free flaps represent the most valuable solution to reconstruct the tissue defect after resection of the primary neoplasm. In particular, microvascular free flaps allow to restore the functional and aesthetical features of the head and neck compartments. The superficial circumflex iliac perforator (SCIP) flap represents, as an evolution of the groin flap, a valid alternative to the radial fasciocutaneous free (RFFF) flap or the anterolateral thigh (ALT) flap.
    Methods: This systematic review adhered to the recommendations of the Preferred Reporting Items of Systematic Reviews and Meta-analysis (PRISMA) 2009 guidelines. A computerized MEDLINE search was performed using the PubMed service of the U.S. National Library of Medicine ( www.pubmed.org ) and Scopus database ( www.scopus.com ). Two authors screened the articles, then selected and extracted data on malignancies characteristics, reconstructive techniques, outcomes, and complications.
    Results: A total of 25 articles were selected and reviewed among the 39 identified through the search string. Six out of the selected 25 articles were case reports, while the remaining 19 articles were retrospective case series. The whole study population was represented by 174 oncologic patients undergoing ablation of a head and neck tumor and reconstruction with a SCIP flap. The site of reconstruction was the oral cavity in 125 (71.0%) patients, being the tongue the most common subsite in 73 (41.5%) patients, the pharynx in 10 (5.7%) cases, the larynx in 3 (1.7%) and head and neck skin in 36 (20.4%) patients. Only two cases of total flap loss were reported. Partial flap loss or shrinkage requiring minor surgical revisions was observed in 11 patients (6.32%). Primary closure of the donor site was achieved in the whole study population, according to the available data.
    Conclusions: In head and neck postoncological reconstruction, despite the caliber and the length of the pedicle, SCIP flap offers a pliable and thin skin paddle, allowing single-stage resurfacing, medium to large skin paddle, possibility of composite-fashion harvest and a well-concealed donor site.
    MeSH term(s) Humans ; Plastic Surgery Procedures ; Retrospective Studies ; Head and Neck Neoplasms/surgery ; Head ; Perforator Flap/blood supply ; Free Tissue Flaps/blood supply
    Language English
    Publishing date 2023-10-19
    Publishing country Germany
    Document type Systematic Review ; Meta-Analysis ; Journal Article ; Review
    ZDB-ID 1017359-6
    ISSN 1434-4726 ; 0937-4477
    ISSN (online) 1434-4726
    ISSN 0937-4477
    DOI 10.1007/s00405-023-08287-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Molecular differentiation of cattle

    Rubiola, S / Civera, T / Ferroglio, E / Zanet, S / Zaccaria, T / Brossa, S / Cipriani, R / Chiesa, F

    Food and waterborne parasitology

    2020  Volume 18, Page(s) e00074

    Abstract: ... ...

    Abstract Sarcocystis
    Language English
    Publishing date 2020-02-21
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2405-6766
    ISSN (online) 2405-6766
    DOI 10.1016/j.fawpar.2020.e00074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Melanoma of glans penis and urethra: A case report and systematic review of the literature of a rare and complex neoplasm.

    Franceschelli, Alessandro / Palmisano, Franco / Gentile, Giorgio / Vagnoni, Valerio / Zannetti, Guido / Cipriani, Riccardo / Colombo, Fulvio

    Urologia

    2021  Volume 90, Issue 4, Page(s) 766–774

    Abstract: Objective: To evaluate the features and prognosis of melanoma of glans penis and urethra, with the presentation of a significant case report.: Materials and methods: A systematic literature review was performed using the MEDLINE (PubMed) and Cochrane ...

    Abstract Objective: To evaluate the features and prognosis of melanoma of glans penis and urethra, with the presentation of a significant case report.
    Materials and methods: A systematic literature review was performed using the MEDLINE (PubMed) and Cochrane Libraries databases to identify all cases of male mucosal melanoma reported.
    Results: Two hundred fifty-two patients with male mucosal primary melanoma were found. Glans penis and fossa navicularis as primary site includes the 81.6% of all lesions considered. Median Breslow's depth is 2.1 mm, whereas nine in situ melanomas have been reported. At the diagnosis, the disease was at a non-localized stage in 21.4% for glans penis melanomas and 11.7% urethral lesions, respectively. The 2 and 5-year survival for glans melanoma is 62.5% and 38.4%; higher rates were observed in the 2012-2020 period (76% and 58.8%, respectively). Two-year survival for urethral melanomas is 66.7%, while 5-year survival is 12.5%. 22 patients survived over 5 years with a Breslow's depth reported always < 3.3 mm.
    Conclusion: Melanoma of the glans penis and urethra is a rare neoplasm associated with a poor prognosis, however recent reports show higher survival rates. Surgery remains the mainstay for a localized disease. Taking into account the small number of cases reported, topical imiquimod seems to be a valid non-surgical alterative for melanoma in situ. The use of immunotherapy and targeted therapy should be considered only in an adjuvant setting according to the recommendations of cutaneous melanoma; however, additional clinical data on male mucosal melanoma are needed to draw definitive conclusions.
    MeSH term(s) Humans ; Male ; Melanoma/therapy ; Melanoma/diagnosis ; Melanoma/pathology ; Skin Neoplasms ; Urethra ; Penile Neoplasms/diagnosis ; Penile Neoplasms/therapy ; Penile Neoplasms/pathology ; Penis ; Melanoma, Cutaneous Malignant
    Language English
    Publishing date 2021-09-16
    Publishing country United States
    Document type Systematic Review ; Case Reports ; Journal Article ; Review
    ZDB-ID 204043-8
    ISSN 1724-6075 ; 0376-0057 ; 0391-5603
    ISSN (online) 1724-6075
    ISSN 0376-0057 ; 0391-5603
    DOI 10.1177/03915603211046471
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: In vitro

    Grandi, Giuseppe / Cavallo, Rossana / Zanotto, Elisa / Cipriani, Raffaella / Panico, Claudio / Protti, Romolo / Scapagnini, Giovanni / Davinelli, Sergio / Costagliola, Ciro

    Open medicine (Warsaw, Poland)

    2022  Volume 17, Issue 1, Page(s) 1057–1063

    Abstract: Bacteria are the most common causative agents of ocular infections. Treatment with topical broad-spectrum antibiotics is recommended in severe cases. However, antibiotic resistance has become a major concern in recent years, although antibiotics are ... ...

    Abstract Bacteria are the most common causative agents of ocular infections. Treatment with topical broad-spectrum antibiotics is recommended in severe cases. However, antibiotic resistance has become a major concern in recent years, although antibiotics are generally effective in treating ocular infections. Antibacterial compound screening is performed to identify alternative therapeutic options to antibiotics. The aim of this study was to assess the
    Language English
    Publishing date 2022-06-07
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 2829380-0
    ISSN 2391-5463
    ISSN 2391-5463
    DOI 10.1515/med-2022-0495
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Densità di popolazione e SARS-CoV-2: uno studio epidemiologico di urban health.

    Giannico, O V / Baldacci, S / Fragnelli, G R / Desiante, F / Battista, T / Calamai, C / Caputi, G / Cipriani, R / Faino, A / Francioso, F / Giorgino, A / Mastronuzzi, L / Russo, C / Sponselli, G M / Terlizzi, E M / Menna, A D / Rizzi, R / Bisceglia, L / Conversano, M

    Igiene e sanita pubblica

    2022  Volume 78, Issue 1, Page(s) 23–35

    Abstract: Despite SARS-CoV-2 transmission being a complex phenomenon, greater population density seems to be a risk factor. The aim of this study was to analyze through an epidemiologic urban health approach the relationship between population density and SARS-CoV- ...

    Abstract Despite SARS-CoV-2 transmission being a complex phenomenon, greater population density seems to be a risk factor. The aim of this study was to analyze through an epidemiologic urban health approach the relationship between population density and SARS-CoV-2 incidence using data which are comparable with regard to testing strategies. All 10,300 SARS-CoV-2 confirmed cases between October and December 2020 were included. We conducted separate analysis by gender standardizing and stratifying by age and month. In the Province Capital (p.d.=765 inhabitants/km2), standardized SARS-CoV-2 incidence rate was higher than the expected, both in men (SIR=1.17, 95%CI=1.12;1.22, p<0.0001) and women (SIR=1.20, 95%CI=1.15;1.25, p<0.0001). In municipalities with p.d. >200 inhabitants/km2, standardized SARS-CoV-2 incidence rate was similar to the expected (p>0.05). In municipalities with p.d. <200 inhabitants/km2, standardized SARS-CoV-2 incidence rate was lower than the expected, both in men (SIR=0.85, 95%CI=0.81;0.90, p<0.0001) and women (SIR=0.84, 95%CI=0.80;0.88, p<0.0001). Stratified analysis by months with likelihood ratio test showed heterogeneity of the p.d. effect in men and women (p<0.05). SARS-CoV-2 incidence rate seemed to be higher in most densely populated areas, both in men and women. Our results confirmed the great importance of restrictive measures as well as the importance of limiting the epidemic wave in the initial stages and could help guide pandemic management strategies according to urban context and population density.
    MeSH term(s) COVID-19/epidemiology ; Female ; Humans ; Male ; SARS-CoV-2 ; Urban Health
    Language English
    Publishing date 2022-02-15
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 3031485-9
    ISSN 0019-1639
    ISSN 0019-1639
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Mandibular reconstruction using fibula free flap harvested using a customised cutting guide: how we do it.

    Tarsitano, A / Ciocca, L / Cipriani, R / Scotti, R / Marchetti, C

    Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale

    2015  Volume 35, Issue 3, Page(s) 198–201

    Abstract: Free fibula flap is routinely used for mandibular reconstructions. For contouring the flap, multiple osteotomies should be shaped to reproduce the native mandibular contour. The bone segments should be fixed using a reconstructive plate. This plate is ... ...

    Abstract Free fibula flap is routinely used for mandibular reconstructions. For contouring the flap, multiple osteotomies should be shaped to reproduce the native mandibular contour. The bone segments should be fixed using a reconstructive plate. This plate is usually manually bent by the surgeon during surgery. This method is efficient, but during reconstruction it is complicated to reproduce the complex 3D conformation of the mandible and recreate a normal morphology with a mandibular profile as similar as possible to the original; any aberration in its structural alignment may lead to aesthetic and function alterations due to malocclusion or temporomandibular disorders. In order to achieve better morphological and functional outcomes, we have performed a customised flap harvest using cutting guides. This study demonstrates how we have performed customised mandibular reconstruction using CAD-CAM fibular cutting guides in 20 patients undergoing oncological segmental resection.
    MeSH term(s) Computer-Aided Design ; Fibula/transplantation ; Free Tissue Flaps ; Humans ; Mandibular Reconstruction/methods ; Tissue and Organ Harvesting/methods
    Language English
    Publishing date 2015-06
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 604898-5
    ISSN 1827-675X ; 0392-100X
    ISSN (online) 1827-675X
    ISSN 0392-100X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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