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E Belli

Publications and source records attributed to E Belli.

81 records · Page 5Linked to original sources

Giant pleomorphic adenoma of the submandibular gland. Case report.

Salivary glands are sites for a great variety of tumors. The parotid gland is the most common site followed by the submandibular gland. The pleomorphic adenoma represents the 60-70% of all tumors involving the major salivary glands, while the submandibular gland is involved in 8% of cases. The pleomorphic adenoma of the submandibular gland is rare and can present difficulty in diagnosis. The heterogeneous histology, a possible malignant transformation, an incomplete capsule that can determine a recurrence, are the most important characteristics of pleomorphic adenoma. A complete surgical removal of the tumor is the treatment of choice. In the case presented, the mass showed an unusual vascularization and remarkable dimensions.

Adenoma, Pleomorphic↗

[Intraoral reconstruction with radial forearm flap].

The intraoral region include structures that represent a functional matrix for the physiology of this region. The reconstructive problems of this area are centred around difficulties to obtain thin flaps that provide coverage without excessive bulk and uninhibited tongue motion. For this regions the radial forearm flap is particularly suited to intraoral reconstruction because it is thin, minimally hair bearing and with moderate donor site morbidity. The Authors report their experience in 6 cases of intraoral reconstruction with radial forearm flap and analyzes it's surgical, anatomical and anatomopathological features. The advantage, the svantage and the indications of this flap are discussed.

Aged↗

[The use of the jejunum free flap in the reconstruction of the oral cavity].

The rapid development of surgical techniques in the head and neck area has greatly assisted in enabling reconstructive surgery to bring about prompt positive results. Radical tumor excision alone is no longer an acceptable treatment. Through new reconstructive techniques, psychological and social isolation of the patients, due to difficulties in such vital functions as chewing, speech, swallowing and breathing, can be reduced remarkably. In the past numerous techniques which employed myocutaneous flaps in the reconstruction of the oropharynx have been described. During the last ten years, however, many Authors have proposed the use of free flaps for this reconstructive surgery. Our Department presents its personal experience in reconstruction of the oral cavity using the jejunal flap, which facilitates superior physiological and histological adaptation when compared to that had with other flaps. Our histological study shows metaplastic transformation of the columnar epithelium into squamous epithelium (similar to oral cavity epithelium), phenomenon already observed in "cervix uteri" and anorectal area. The primary reconstruction with a free revascularized jejunal loop associated with mandibular replacement offers certain significant advantages such as satisfactory reconstruction of large defects, high flexibility of the flap and a productions of mucous which cleans the surface of transplants. Furthermore, the mesenteric foot tissue serves as good transplant material for extended soft-tissue loss. In agreement with a Study begun by Carrel in 1906 and that of Reuther (1982), we believe that reconstruction of large defects in the oral cavity by means of transplantation of the mucosa is the ideal treatment.

Adult↗