Publications by authors named "Vaccari Stefano"

Background: Prominent ears are a prevalent aesthetic concern, with numerous surgical techniques utilized in otoplasty procedures, without a widely approved gold standard. Traditional methods often leave residual deformities, reducing patient satisfaction.

Methods: We conducted a retrospective case series analysis involving 38 patients (30 Female, 8 Male) who underwent otoplasty to correct prominent ears for aesthetic purposes from January 2019 to December 2022.

View Article and Find Full Text PDF

Background: Tuberous breast (TB) is a congenital anomaly characterised by morphological, structural and breast region alterations. The pectoralis major muscle (PMM) is crucial for correction when using breast implants, alterations at this level have received little attention in the literature.

Objectives: This study aims to define the anatomical characteristics of the PMM in TB patients using radiomic data extracted from MRI sequences.

View Article and Find Full Text PDF
Article Synopsis
  • Implant-based breast reconstruction is common after mastectomy, raising concerns about the safety of prostheses and their effect on breast cancer recurrence based on surface texture.* -
  • A study analyzed data from 646 patients who received either macrotexturized or microtexturized implants, with findings showing a cancer recurrence risk of 5.6% for macrotexturized and 2.1% for microtexturized implants.* -
  • Results indicated a significantly higher local recurrence risk (RR of 2.65) for those with macrotexturized implants, highlighting the need for further research on these outcomes.*
View Article and Find Full Text PDF
Article Synopsis
  • * A new 4-step surgical technique is introduced, involving specific modifications to the nasal structure to improve alignment and stability while meeting aesthetic needs.
  • * Results from a large patient sample show high satisfaction rates, minimal complications, and successful integration of aesthetic and functional improvements, indicating the technique's effectiveness for long-term stability.
View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

As the life expectancy of the population continues to increase, more facial-rejuvenating procedures are sought. As the number of facelift procedures increases, it is mandatory to acknowledge, and most importantly prevent, any possible associated complications. One of the complications after rhytidectomy, and a sign of facelift, is the so-called "pixie ear deformity" or "bat ear.

View Article and Find Full Text PDF

Rhinoplasty, a common surgical procedure for nose reshaping, demands meticulous preoperative evaluation and precise execution. When coupled with septoplasty to address medical issues stemming from a deviated nasal septum, these procedures can lead to noteworthy postoperative complications. These encompass early issues like epistaxis and hematoma, as well as long-term challenges such as scarring and aesthetic deformities.

View Article and Find Full Text PDF

Facelift surgery, also known as rhytidectomy, is a popular cosmetic procedure aimed at reversing the signs of facial aging. While facelift surgery is more commonly performed in women, an increasing number of men are seeking this procedure to maintain a youthful appearance. The long recovery period conflicts the overall primary outcome anticipated by men undergoing rhytidectomy, i.

View Article and Find Full Text PDF
Article Synopsis
  • - CLOVES syndrome is a rare disorder marked by abnormal growth due to gene mutations.
  • - A case study details a 28-year-old woman with CLOVES who had multiple surgeries aimed at positive outcomes while protecting her lymphovascular structures.
  • - The study highlights the need for a team-based approach and customized surgical strategies in effectively managing CLOVES syndrome.
View Article and Find Full Text PDF

Background: Increasing adoption of implant-based breast reconstruction (IBR) has raised expectations regarding postoperative outcomes and aesthetic results. BMI has been extensively explored as a predictor of complications. This study is the first to examine complication rates in underweight subjects, and compares these rates among underweight, normal weight, overweight, and obese patients.

View Article and Find Full Text PDF

Venous thromboembolism (VTE) is a postoperative complication experienced in all branches of surgery, including plastic surgery. Its occurrence can be lowered with adequate prophylaxis in the light of the patient's risk category and the type of surgery that will be performed. Nevertheless, thromboembolic prophylaxis is not routinely administered in plastic surgery.

View Article and Find Full Text PDF

Flaps based on perforators of the intercostal arteries have been described for the reconstruction of defects resulting from partial mastectomies. Dynamic infrared thermography (DIRT) identifies hot spots that accurately correspond to and evaluate perforator vessels toward the skin. The new generation of portable thermal cameras has become smaller, less expensive, more sensitive, and compatible with common smartphones.

View Article and Find Full Text PDF

Antifibrinolytics, particularly tranexamic acid (TXA), are agents used to reduce bleeding. TXA is a synthetic reversible competitive inhibitor to the lysine receptor found on plasminogen. By reversibly binding to this site, it leads to plasminogen being unable to bind to fibrin and so prevents fibrinolysis, this stabilizes the clot and thus prevents hemorrhage.

View Article and Find Full Text PDF

We read with great interest the article titled "Tuberous breast, deformities, and asymmetries: a retrospective analysis comparing fat grafting versus mastopexy and breast implants" by Gentile. In this interesting paper, the author compares results obtained in patients suffering from tuberous breast, deformities, and asymmetries treated with fat grafting (FG) with those of patients who underwent mastopexy and breast implant (M-SI). The TB reconstructive procedures aims to release the constricted base both vertically and horizontally, restore the correct nipple-inframammary fold distance, avoid the double bubble, correct ptosis and hypertrophy, and restore both volume and asymmetry.

View Article and Find Full Text PDF

Objective: Patients with triple-negative (TN) or human epidermal growth factor 2 (HER2)-enriched ipsilateral breast cancer recurrence (IBCR) seem to be excluded from a second breast-conserving surgery (BCS) under the assumption that salvage mastectomy would provide better oncological outcomes. The objective of this study was to describe the clinical features of these patients, to compare the two surgical alternatives (salvage mastectomy second BCS) in terms of oncological results, and to identify independent factors influencing prognosis and surgical treatment.

Materials And Methods: We retrospectively reviewed all the consecutive patients with histologically confirmed TN or HER2-enriched IBCR.

View Article and Find Full Text PDF

Ochratoxin A (OTA) is a mycotoxin produced by several species of Aspergillus and Penicillium and commonly detected in a wide range of foodstuffs. The purpose of this work was to monitor the presence of OTA in cheeses and pork meat products. A simple and accurate "dilute and shoot" method with no need of immunoaffinity column and isotopic labeled internal standard, by liquid chromatography-tandem mass spectrometry, was validated in accordance with the criteria set out in Commission Regulation (EC) No.

View Article and Find Full Text PDF

Background: The increased incidence of conservative mastectomy operations (nipple- and skin- sparing) has increased the frequency of immediate breast reconstructions (IBR). In order to guarantee patients the best possible aesthetic outcome, the least chance of complications and moreover, the least postoperative pain, the technique with prepectoral prosthetic pocket was recently reconsidered with the use of ADM. This is the first study using Fortiva in prepectoral breast reconstruction, and it compares the outcomes of three different patient populations (undergoing retromuscular, prepectoral and prepectoral reconstruction with ADM).

View Article and Find Full Text PDF

Silica-based materials find applications as excipients and, particularly for those of mesoporous nature, as drug delivery agents for pharmaceutical formulations. Their performance can be crucially affected by water moisture, as it can modify the behavior of these formulations, by limiting their shelf life. Here we describe the role of water microsolvation on the features of ibuprofen adsorbed on a model of amorphous silica surface by means of density functional theory (DFT) simulations.

View Article and Find Full Text PDF