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1) Aldrovandi, A; Maffei, E; Seitun, S; Martini, C; Berti, E; Grilli, R; Messalli, G; Weustink, AC; Mollet, NR; Nieman, K; Ardissino, D; de Feyter, PJ; Krestin, GP; Cademartiri, F (2012) Major Adverse Cardiac Events and the Severity of Coronary Atherosclerosis Assessed by Computed Tomography Coronary Angiography in an Outpatient Population With Suspected or Known Coronary Artery Disease JOURNAL OF THORACIC IMAGING 27(1):23-28 IF=1.207 [Article] Purpose: To investigate the predictive value of 64-slice computed tomography coronary angiography (CTCA) for major adverse cardiac events (MACEs) in patients with suspected or known coronary artery disease (CAD). Materials and Methods: Seven hundred and sixty-seven consecutive patients (496 men, age 62 +/- 11 y) with suspected or known heart disease referred to an outpatient clinic underwent 64-slice CTCA. The patients were followed for the occurrence of MACE (ie, cardiac death, nonfatal myocardial infarction, unstable angina). Results: Eleven thousand five hundred and sixty-four coronary segments were assessed. Of these, 178 (1.5%) were not assessable because of insufficient image quality. Overall, CTCA revealed the absence of CAD in 219 (28.5%) patients, nonobstructive CAD (coronary plaque
4) Bianchi, B; Copelli, C; Ferrari, S; Ferri, A; Sesenna, E (2012) Successful salvage surgery after treatment failures with cross graft and free muscle transplant in facial reanimation JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY 40(2):185-189 IF=1.54 [Article] Background: The microneurovascular transfer of a free-muscle transplant is the procedure of choice for facial animation, It is characterized by low morbidity in both adult and paediatric patients. In spite of the improvements in microsurgical techniques, failures due to absent revascularization or reinnervation of the transplanted muscle or infections causing flap necrosis are observed. We propose a second surgical procedure based on the gracilis muscle transplant reinnervated by the masseteric nerve as a solution for these cases. Methods: We analyzed and report on two patients treated in our department after the failure of a previous cross-facial nerve graft and free muscle transplant. They were treated with a new facial reanimation using the contralateral gracilis muscle and the masseteric nerve as the donor nerve. Results and discussion: We did not observe any postoperative complications, and all of the flaps survived. Reinnervation and contraction of the muscle appeared 3-4 months postoperatively, with good functional and aesthetic results. Conclusions: This technique is a one-step procedure characterized by reliable flap harvesting, low donor site morbidity and good activity of the masseteric nerve. We consider it as a good option for treatment of facial animation failures. (C) 2011 European Association for Cranio-Maxillo-Facial Surgery. 5) Bianchi, B; Ferri, A; Ferrari, S; Copelli, C; Boni, P; Ferri, T; Sesenna, E (2012) The free anterolateral thigh musculocutaneous flap for head and neck reconstruction: One surgeon's experience in 92 cases MICROSURGERY 32(2):87-95 IF=1.555 [Article] Background: Applications of the free anterolateral thigh (ALT) musculocutaneous flap have been largely underestimated compared with indications for fasciocutaneous or perforator flaps. In this article, the authors critically review the experience of a single surgeon with the free ALT musculocutaneous flap for head and neck reconstruction, focusing on its applications in different cephalic areas and on advantages and disadvantages of this technique. Patients and methods: Ninety-two patients were treated using a free ALT musculocutaneous flap. Reconstructed areas included tongue, oropharynx, mandible, maxilla, hypopharynx, cheek, and skull base. Results: Flap survival rate was 97.8%. Donor site morbidity consisted in two cases of partial necrosis of the skin graft used its closure with a final donor site complication rate of 2.2%. Overall results showed an 89% of patients returned to a normal or a soft diet. Speech was good or intelligible in 88% and cosmesis resulted good or acceptable in 89% of cases. Conclusion: The free ALT musculocutaneous flap offers unique advantages in head and neck reconstructions including adequate bulk when needed, obliteration of dead space, support for the soft tissues of the face, low donor-site morbidity, and harvesting without needing for perforators dissection, allowing for optimal patient outcome. Excessive bulky and thickness of subcutaneous tissue, especially in occidental population, have to be considered as the main disadvantages of this technique, finally the high incidence of hairy skin in thigh area in male patients and donor site scars associated with the use of skin grafts have to be considered as supplementary minor drawbacks. 6) Bianchi, B; Ferri, A; Ferrari, S; Copelli, C; Ferri, T; Sesenna, E (2012) Functional and Aesthetic Approach to Adult Unoperated Mobius Syndrome: Orthognathic Surgery followed by Bilateral Free Gracilis Muscle Transfers PLASTIC AND RECONSTRUCTIVE SURGERY 129(1):161E-162E IF=2.635 [Letter]
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