The Experts below are selected from a list of 25674 Experts worldwide ranked by ideXlab platform
Francesco Moschella - One of the best experts on this subject based on the ideXlab platform.
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a new mucosal propeller flap deep lingual artery axial propeller the renaissance of lingual flaps
Plastic and Reconstructive Surgery, 2015Co-Authors: Adriana Cordova, Francesca Toia, Salvatore Darpa, Gabriele Giunta, Francesco MoschellaAbstract:BACKGROUND Lingual flaps provide ideal mucosal coverage for Intraoral defects but traditionally require two surgical stages. The authors present an axial mucosal propeller flap for single-stage Intraoral reconstruction. The flap includes the mucosa of the lateral side of the tongue, islanded on the deep lingual vessels. METHODS Between 2011 and 2013, 23 patients underwent Intraoral mucosal reconstruction with a deep lingual artery axial propeller flap after cancer resection in the cheek (n = 16), floor of the mouth (n = 2), retromolar trigone (n = 2), hard palate (n = 2), and soft palate (n = 1). Mean defect size was 19.5 cm. Preoperative and postoperative Intraoral function was evaluated with the Functional Intraoral Glasgow Scale. RESULTS The authors always achieved one-stage reconstruction with primary donor-site closure. The only complications were an infection treated conservatively and a late oronasal fistula caused by radiotherapy. All patients resumed an oral diet after 1 week and none required surgical revision. Mean 12-month postoperative Functional Intraoral Glasgow Scale score was better than the preoperative score (13.5 versus 12.8). CONCLUSIONS The deep lingual artery axial propeller flap combines the advantages of the traditional lingual flap (i.e., reliable axial vascularization and like-with-like reconstruction) with those of a propeller flap (i.e., one-stage transfer of like tissue and extreme mobility) and has wider indications than a conventional lingual flap. The technique is fast and has low morbidity and good functional results, and the authors recommend it as a first-choice technique to reconstruct moderate to large Intraoral defects. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, IV.
Adriana Cordova - One of the best experts on this subject based on the ideXlab platform.
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a new mucosal propeller flap deep lingual artery axial propeller the renaissance of lingual flaps
Plastic and Reconstructive Surgery, 2015Co-Authors: Adriana Cordova, Francesca Toia, Salvatore Darpa, Gabriele Giunta, Francesco MoschellaAbstract:BACKGROUND Lingual flaps provide ideal mucosal coverage for Intraoral defects but traditionally require two surgical stages. The authors present an axial mucosal propeller flap for single-stage Intraoral reconstruction. The flap includes the mucosa of the lateral side of the tongue, islanded on the deep lingual vessels. METHODS Between 2011 and 2013, 23 patients underwent Intraoral mucosal reconstruction with a deep lingual artery axial propeller flap after cancer resection in the cheek (n = 16), floor of the mouth (n = 2), retromolar trigone (n = 2), hard palate (n = 2), and soft palate (n = 1). Mean defect size was 19.5 cm. Preoperative and postoperative Intraoral function was evaluated with the Functional Intraoral Glasgow Scale. RESULTS The authors always achieved one-stage reconstruction with primary donor-site closure. The only complications were an infection treated conservatively and a late oronasal fistula caused by radiotherapy. All patients resumed an oral diet after 1 week and none required surgical revision. Mean 12-month postoperative Functional Intraoral Glasgow Scale score was better than the preoperative score (13.5 versus 12.8). CONCLUSIONS The deep lingual artery axial propeller flap combines the advantages of the traditional lingual flap (i.e., reliable axial vascularization and like-with-like reconstruction) with those of a propeller flap (i.e., one-stage transfer of like tissue and extreme mobility) and has wider indications than a conventional lingual flap. The technique is fast and has low morbidity and good functional results, and the authors recommend it as a first-choice technique to reconstruct moderate to large Intraoral defects. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, IV.
Lene Baad-hansen - One of the best experts on this subject based on the ideXlab platform.
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Feasibility and reliability of Intraorally evoked “nociceptive-specific” blink reflexes
Clinical Oral Investigations, 2019Co-Authors: Rajath Sasidharan Pillai, Thomas List, Cung May Thai, Laura Zweers, Michail Koutris, Yuri Martins Costa, Maria Pigg, Frank Lobbezoo, Lene Baad-hansenAbstract:ObjectivesThe “nociceptive-specific” blink reflex (nBR) evoked by extraoral stimulation has been used to assess trigeminal nociceptive processing in patients with trigeminal nerve damage regardless of the site of damage. This study aimed to test the feasibility of nBR elicited by Intraoral stimulation, compare Intraoral and extraoral nBR and assess the intrarater and interrater reliability of the Intraoral nBR for the maxillary (V2) and mandibular (V3) branches of the trigeminal nerve.Materials and methodsIn 17 healthy participants, nBR was elicited by stimulation of two extraoral and two Intraoral sites by two operators and repeated Intraorally by one operator. Main outcome variables were Intraoral stimulus-evoked pain scores and nBR R2 responses at different stimulus intensities. Intraclass correlation coefficients (ICC) were used to assess reliability.ResultsDependent on the stimulus intensity, Intraoral stimulation evoked R2 responses in up to 12/17 (70.6%) participants for V2 and up to 8/17 (47.1%) participants for V3. Pain scores ( p
Christopher Bohr - One of the best experts on this subject based on the ideXlab platform.
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A prospective clinical pilot study on the effects of a hydrogen peroxide mouthrinse on the Intraoral viral load of SARS-CoV-2
Clinical Oral Investigations, 2020Co-Authors: Maximilian J. Gottsauner, Ioannis Michaelides, Barbara Schmidt, Konstantin J. Scholz, Wolfgang Buchalla, Matthias Widbiller, Florian Hitzenbichler, Tobias Ettl, Torsten E. Reichert, Christopher BohrAbstract:Objectives SARS-CoV-2 is mainly transmitted by inhalation of droplets and aerosols. This puts healthcare professionals from specialties with close patient contact at high risk of nosocomial infections with SARS-CoV-2. In this context, preprocedural mouthrinses with hydrogen peroxide have been recommended before conducting Intraoral procedures. Therefore, the aim of this study was to investigate the effects of a 1% hydrogen peroxide mouthrinse on reducing the Intraoral SARS-CoV-2 load. Methods Twelve out of 98 initially screened hospitalized SARS-CoV-2-positive patients were included in this study. Intraoral viral load was determined by RT-PCR at baseline, whereupon patients had to gargle mouth and throat with 20 mL of 1% hydrogen peroxide for 30 s. After 30 min, a second examination of Intraoral viral load was performed by RT-PCR. Furthermore, virus culture was performed for specimens exhibiting viral load of at least 10^3 RNA copies/mL at baseline. Results Ten out of the 12 initially included SARS-CoV-2-positive patients completed the study. The hydrogen peroxide mouthrinse led to no significant reduction of Intraoral viral load. Replicating virus could only be determined from one baseline specimen. Conclusion A 1% hydrogen peroxide mouthrinse does not reduce the Intraoral viral load in SARS-CoV-2-positive subjects. However, virus culture did not yield any indication on the effects of the mouthrinse on the infectivity of the detected RNA copies. Clinical relevance The recommendation of a preprocedural mouthrinse with hydrogen peroxide before Intraoral procedures is questionable and thus should not be supported any longer, but strict infection prevention regimens are of paramount importance. Trial registration German Clinical Trials Register (ref. DRKS00022484)
Francesca Toia - One of the best experts on this subject based on the ideXlab platform.
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a new mucosal propeller flap deep lingual artery axial propeller the renaissance of lingual flaps
Plastic and Reconstructive Surgery, 2015Co-Authors: Adriana Cordova, Francesca Toia, Salvatore Darpa, Gabriele Giunta, Francesco MoschellaAbstract:BACKGROUND Lingual flaps provide ideal mucosal coverage for Intraoral defects but traditionally require two surgical stages. The authors present an axial mucosal propeller flap for single-stage Intraoral reconstruction. The flap includes the mucosa of the lateral side of the tongue, islanded on the deep lingual vessels. METHODS Between 2011 and 2013, 23 patients underwent Intraoral mucosal reconstruction with a deep lingual artery axial propeller flap after cancer resection in the cheek (n = 16), floor of the mouth (n = 2), retromolar trigone (n = 2), hard palate (n = 2), and soft palate (n = 1). Mean defect size was 19.5 cm. Preoperative and postoperative Intraoral function was evaluated with the Functional Intraoral Glasgow Scale. RESULTS The authors always achieved one-stage reconstruction with primary donor-site closure. The only complications were an infection treated conservatively and a late oronasal fistula caused by radiotherapy. All patients resumed an oral diet after 1 week and none required surgical revision. Mean 12-month postoperative Functional Intraoral Glasgow Scale score was better than the preoperative score (13.5 versus 12.8). CONCLUSIONS The deep lingual artery axial propeller flap combines the advantages of the traditional lingual flap (i.e., reliable axial vascularization and like-with-like reconstruction) with those of a propeller flap (i.e., one-stage transfer of like tissue and extreme mobility) and has wider indications than a conventional lingual flap. The technique is fast and has low morbidity and good functional results, and the authors recommend it as a first-choice technique to reconstruct moderate to large Intraoral defects. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, IV.
