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New Advances in Oral and Facial Surgery
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New Advances in Oral and Facial Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 2034

Special Issue Editor

Dr. Olindo Massarelli

E-Mail Website
Guest Editor
Maxillofacial Surgery Operative Unit, Department of Mental Health and Sense Organs, University Hospital of Siena, Santa Maria Le Scotte, Italy
Interests: squamous cell carcinoma; tumors; plastic and reconstructive surgery; oncology; facial plastic surgery; reconstructive surgery; microsurgery; head and neck surgery; maxillofacial surgery; facial reanimation; aesthetic surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Maxillo-facial surgery is a fascinating surgical branch that often faces challenging clinical scenarios. A modern approach to the oro-maxillofacial area, a complex region, requires a deep knowledge of anatomy, refined surgical skills and the handling of modern tools offered by technology. The skillful mix of these resources allows the modern surgeon to aspire to achieve better results. Today, we can combine volume and form with function and aesthetics with the aim of improving the patient’s quality of life.

In fact, the expectations of today’s patients have shifted from a mere replacement of the lost tissue to the desire to restore vital functions, facial appearance and psychological wellness as best as possible.

This new wave of holistic approach to the global health of patients should be applied in all the fields of our surgical discipline, from post-oncological reconstruction and orthognatic surgery, treatment of severe atrophies, facial paralysis reanimation and even to ethic aesthetic surgery.

The aim of this Special Issue is to emphasize all these improvements through the publication of papers from authors that support all these previous statements with solid scientific evidence. Basic research papers, clinical papers and reviews are all highly encouraged for submission when focused on new advances in oral and facial surgery.

Dr. Olindo Massarelli
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • squamous cell carcinoma
  • oro-pharyngeal tumors
  • skin tumors
  • plastic and reconstructive surgery
  • facial plastic surgery
  • facial reanimation
  • facial nerve palsy
  • head and neck surgery
  • maxillofacial surgery
  • aesthetic surgery
  • orthognatic surgery
  • dental implant surgery

Published Papers (3 papers)

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Research

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10 pages, 1150 KiB  
Article
Secondary Microsurgical Reconstruction of the Cervical Esophagus: Safer Flaps and Practical Tips in a Challenging Situation
by Vittorio Ramella, Andrea Ferrari, Federico Cesare Novati, Zoran Marij Arnež, Grace Marchi, Agostino Rodda, Stefano Bottosso and Giovanni Papa
J. Clin. Med. 2024, 13(9), 2726; https://doi.org/10.3390/jcm13092726 - 6 May 2024
Viewed by 423
Abstract
Background: Cervical esophageal reconstruction is vital to improve the quality of life in cancer surgery patients. Microsurgery is crucial in providing vascularized tissue for defect repair, particularly in secondary cases with a higher risk of failure due to larger defects and damage [...] Read more.
Background: Cervical esophageal reconstruction is vital to improve the quality of life in cancer surgery patients. Microsurgery is crucial in providing vascularized tissue for defect repair, particularly in secondary cases with a higher risk of failure due to larger defects and damage from previous surgery and radiotherapy. The purpose of this study was to describe the clinical characteristics of a series of patients who underwent secondary repair of esophageal defects and provide practical information for the management and treatment of such cases based on the authors’ experience and the literature review. Methods: We retrospectively reviewed the electronic medical records of the Plastic Surgery Clinic at the University of Trieste to identify cases of patients who underwent secondary esophageal microsurgical reconstructions following oncological surgery. Patient demographics, the etiology of esophageal defects, previous surgical history, and preoperative assessments were collected from medical records. Surgical techniques utilized for reconstruction, such as pedicled flaps or free tissue transfers, were documented along with intraoperative information. Postoperative outcomes, including complications, graft viability, and functional outcomes, were evaluated during follow-up. Results: We treated 13 cases of secondary esophageal reconstructions between 2011 and 2022. Most commonly, Antero-Lateral Thigh (ALT) flaps were used in 10 cases, while 2 cases employed a radial forearm flap (RFF), and 1 case employed a chimeric parascapular flap. No flap failures occurred during a median 50-month follow-up. One ALT flap patient experienced postop stricture but maintained swallowing ability. A single tracheoesophageal fistula occurred in an RFF patient with a history of radiotherapy and complete lymph node dissection. Conclusions: Cervical esophageal reconstruction significantly impacts patients’ quality of life by restoring oral feeding and phonation. When local flaps fall short, microsurgical reconstruction with intestinal flaps is valuable but is burdened by limitations. For challenging secondary cases, ALT or RFF flaps emerge as safer options due to their robust pedicles, yielding low complication rates and positive functional outcomes. Full article
(This article belongs to the Special Issue New Advances in Oral and Facial Surgery)
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10 pages, 4615 KiB  
Article
Tetris Genioplasty: A New Paradigm for Chin Asymmetries Correction
by Valerio Ramieri, Linda Latini, Guido Gabriele, Vittoria Fantozzi, Tito Matteo Marianetti and Flavia Cascino
J. Clin. Med. 2023, 12(23), 7354; https://doi.org/10.3390/jcm12237354 - 28 Nov 2023
Viewed by 965
Abstract
The chin plays a crucial role as a fundamental structural component that contributes to the overall aesthetics and harmony of the face. Recognizing its central position, medical science has seen the evolution of numerous surgical techniques over the years, all aimed at correcting [...] Read more.
The chin plays a crucial role as a fundamental structural component that contributes to the overall aesthetics and harmony of the face. Recognizing its central position, medical science has seen the evolution of numerous surgical techniques over the years, all aimed at correcting the range of structural irregularities that can affect the chin. In this contribution, the authors introduce an innovative osteotomy technique, aimed at cases of chin asymmetry in which the skeletal median diverges from the dental median. This technique, called “Tetris genioplasty”, involves performing the classic rectangular osteotomy, but includes an additional vertical osteotomy in order to obtain two distinct segments. Finally, these segments are translocated and repositioned to obtain a realignment between the skeletal median and the dental median. The results were entirely satisfactory for the patients, aligning perfectly with the expected appearance after the operation. Furthermore, no complications were reported, proving the success and safety of the procedure. The Tetris genioplasty aligns itself with this progressive trend by offering a minimally invasive method that nevertheless is able to achieve excellent results with a high impact on the patient’s quality of life, presenting a promising path in the pursuit of optimal aesthetic results with minimized patient morbidity and greater overall safety. Full article
(This article belongs to the Special Issue New Advances in Oral and Facial Surgery)
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Review

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17 pages, 4803 KiB  
Review
Advances in Microvascular Reconstruction of the Orbit and Beyond: Considerations and a Checklist for Decision-Making
by Gian Battista Bottini, Veronika Joos, Christoph Steiner, Katharina Zeman-Kuhnert and Alexander Gaggl
J. Clin. Med. 2024, 13(10), 2899; https://doi.org/10.3390/jcm13102899 - 14 May 2024
Viewed by 277
Abstract
This paper aims to discuss the microvascular reconstruction of the orbit and adjacent regions and to propose a checklist to aid the reconstructive surgeon in this challenging undertaking. The discussion is based on a literature review that includes 32 retrospective case series, 5 [...] Read more.
This paper aims to discuss the microvascular reconstruction of the orbit and adjacent regions and to propose a checklist to aid the reconstructive surgeon in this challenging undertaking. The discussion is based on a literature review that includes 32 retrospective case series, 5 case reports published in the last 34 years in PubMed, and 3 textbook chapters. Additionally, it relies on the senior author’s expertise, described in a case series, and two case reports published elsewhere. Classifications and treatment algorithms on microvascular orbit reconstruction generally disregard patient-related factors. A more holistic approach can be advantageous: patient-related factors, such as age, comorbidities, prognosis, previous interventions, radiotherapy, and the wish for maximal dental rehabilitation and a prosthetic eye, have the same importance as defect-related considerations and can inform the choice of a reconstructive option. In this manuscript, we examine defect- and patient-related factors and new technologies, provide a checklist, and examine future directions. The checklist is intended as a tool to aid in the decision-making process when reconstructing the orbital region with microvascular flaps. Full article
(This article belongs to the Special Issue New Advances in Oral and Facial Surgery)
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