Papers by Stefano Cotrufo
Journal of Reconstructive Microsurgery, Sep 1, 2008
... Stefano Cotrufo 1 , Anthony Philip Payne 2 , Elizabeth Zetlitz 1 , Joerg Dabernig 1. ... We h... more ... Stefano Cotrufo 1 , Anthony Philip Payne 2 , Elizabeth Zetlitz 1 , Joerg Dabernig 1. ... We have been interested in the article by Tetik Menevse et al, entitled “Expansion of Surviving Skin Paddle of Neurocutaneous Island Flaps in Rats by VEGF.”[1] The authors present a successful ...
Plastic and reconstructive surgery, 2009
Annali italiani di chirurgia
Coverage of soft tissue defects in the lower leg is often made by use of free flap, also because ... more Coverage of soft tissue defects in the lower leg is often made by use of free flap, also because of the improving of anaesthesiology techniques in the last decades. However, there are disadvantages in the use of free flaps like the need for a remote donor site, increased operative time, use of a major vessel to the leg, and microsurgical skills. Besides these, trauma in the lower limb are often cause of damage for a major vessels of the leg, so the use of free flaps in these patients may be related to an higher incidence of complications; also associated pathologies, like diabetes and vascular pathology, can increase the incidence of complications when a free flap is utilized. In all these cases local fascio-cutaneous flaps, like the sural reverse flap, because of their easy and short time harvesting, can be a very good alternative to free flaps. Superficial sural artery flap is a adipofasciocutaneous flap based on the vascular axis of the sural nerve, which gets reverse blood flow ...
Urologia Internationalis, 2009
Fournier&... more Fournier's gangrene (FG) is a very aggressive necrotizing fasciitis involving subcutaneous fat and skin of scrotal and perineal regions. Vacuum-assisted closure (VAC) is a well-known method used to treat complex wounds. The authors for the first time enhance a multimodal strategy to treat the FG using VAC, reducing the number of surgical debridements, allowing a one-step surgical reconstruction with locoregional fasciocutaneous flap. Six patients with the diagnosis of FG were reviewed retrospectively at our institution. All patients were affected by very extensive FG. The FG Severity Index (FGSI) was used to evaluate the prognosis of the case at admission. Following the acute phase (24-48 h), VAC was used to achieve wound cleaning and prepare the area to a single-stage reconstruction with superomedial thigh flap. Hyperbaric oxygen therapy was also used before final reconstruction. The average FGSI was 10.5, ranging from 8 to 12. All patients survived and were completely healed at the mean follow-up time of 9 months (range 3-30 months). VAC therapy is effective to clean and prepare the wounds, cutting off the fasciitis process and reducing the hospital stay and patient discomfort. Multidisciplinary treatment is mandatory during this devastating infection.
Plastic and Reconstructive Surgery, 2008
A 1987 American Society of Plastic and Reconstructive Surgeons position paper predicted that fat ... more A 1987 American Society of Plastic and Reconstructive Surgeons position paper predicted that fat grafting would compromise breast cancer detection and should therefore be prohibited. However, there is no evidence that fat grafting to breasts is less safe than any other form of breast surgery. As discussions of fat grafting to the breast are surfacing all over the world, it is time to reexamine the opinions of the 1987 American Society of Plastic and Reconstructive Surgeons position paper. This is a retrospective examination of 17 breast procedures performed using fat grafting from 1995 to 2000. Indications included micromastia, postaugmentation deformity, tuberous breast deformity, Poland's syndrome, and postmastectomy reconstruction deformities. The technique used was the Coleman method of fat grafting, which attempts to minimize trauma and place grafted fat in small aliquots at many levels. All women had a significant improvement in their breast size and/or shape postoperatively and all had breasts that were soft and natural in appearance and feel. Postoperative mammograms identified changes one would expect after any breast procedure. Given these results and reports of other plastic surgeons, free fat grafting should be considered as an alternative or adjunct to breast augmentation and reconstruction procedures. It is time to end the discrimination created by the 1987 position paper and judge fat grafting to the breast with the same caution and enthusiasm as any other useful breast procedure.
Plastic and Reconstructive Surgery, 2010
Journal of Reconstructive Microsurgery, 2008
... Stefano Cotrufo 1 , Anthony Philip Payne 2 , Elizabeth Zetlitz 1 , Joerg Dabernig 1. ... We h... more ... Stefano Cotrufo 1 , Anthony Philip Payne 2 , Elizabeth Zetlitz 1 , Joerg Dabernig 1. ... We have been interested in the article by Tetik Menevse et al, entitled “Expansion of Surviving Skin Paddle of Neurocutaneous Island Flaps in Rats by VEGF.”[1] The authors present a successful ...
Journal of Plastic, Reconstructive & Aesthetic Surgery, 2008
Journal of Plastic, Reconstructive & Aesthetic Surgery, 2011
The use of the motor nerve to masseter has proved to be a reliable and sensible solution in facia... more The use of the motor nerve to masseter has proved to be a reliable and sensible solution in facial reanimation as a donor for free muscle transfer. In this paper we describe the topographic anatomy of the nerve to masseter and our original technique for its quick and safe harvesting. This anatomical study is based on the dissection of the nerve to masseter in 17 embalmed cadaverous sites and is focused on the anatomical relations between the nerve and the surrounding structures. Also buccal and zygomatic branches of the facial nerve were dissected and assessed and the resulting data are compared. The nerve to masseter has a predictable track inside the muscle which can be identified topographically within a square area under the zygomatic arch. This area is different between males and females and its accuracy has been tested on six patients at the Canniesburn Unit. The nerve to masseter emerges in a very predictable point from the mandibular notch - immediately below the zygomatic arch - to run within the muscle belly. The approach here described allows safer and faster harvesting of the nerve to masseter with minimal dissection through the muscle.
Head & Neck, 2014
Treatment for tumors of the oral cavity and the oropharynx disrupts normal swallow function. The ... more Treatment for tumors of the oral cavity and the oropharynx disrupts normal swallow function. The ability for oral diet postoperatively varies and may be influenced by surgery and patient-related factors. In all, 114 patients treated with surgery with and without chemoradiotherapy for advanced oral/oropharyngeal cancer were recruited. Clinicopathologic tumor parameters and reconstruction modalities were recorded. Swallow function was determined by oral intake, using the Functional Oral Intake Scale (FOIS) pretreatment and posttreatment. The median time to first attaining swallow function was 14 days. Patients were less likely to attain tube independence within 1 year of surgery if they received radiotherapy or had a low FOIS score preoperatively. Patients' time to first attaining swallow function postsurgery was inversely related to the FOIS score presurgery. Swallow function recovery postsurgery is better in patients with higher FOIS presurgery, smaller tumors, and no requirement for radiotherapy.
Clinical Oral Investigations, 2012
An abnormal vascular course of the superior cerebellar artery is often cited as the cause for tri... more An abnormal vascular course of the superior cerebellar artery is often cited as the cause for trigeminal neuralgia. However, among patients with TN-like symptoms, 6% to 16% are variously reported to have intracranial tumours. Aneurysms, tumours, or other lesions may impinge or irritate the trigeminal nerve along its course. Uncommonly, an area of demyelination from multiple sclerosis may be the precipitant. We would like to present a series of unusual lesions, all of which initially presented with neuralgic-like symptoms and were refractory to treatment. Collated case series with photographs and imaging are reviewed in this paper. Discussion of case presentation and management are done for evaluation. A wide range of other compressive lesions can cause trigeminal neuralgia. This paper illustrates the clinical presentation of atypical trigeminal neuralgia and emphasises the value of diagnostic imaging in trigeminal neuralgia patient. Suggested algorithm for management of trigeminal neuralgia
British Journal of Oral and Maxillofacial Surgery, 2011
British Journal of Oral and Maxillofacial Surgery, 2011
Annals of Plastic Surgery, 2007
Annals of Plastic Surgery, 2010
Accurate depiction of cutaneous vascular microanatomy is of relevance to plastic surgical flap re... more Accurate depiction of cutaneous vascular microanatomy is of relevance to plastic surgical flap research, and to descriptive anatomy. Yet current techniques have not permitted full visualization of the subdermal plexus, or potential angiosomal connections. Nor has endothelial visualization been facilitated. Vascular corrosion casting techniques are promising in that regard, and were applied in an extended lateral thoracoabdominal suprafascial adipocutaneous flap in the rat (based on the superficial epigastric bundle). Technical refinements for application to further study of human cadaveric flap models are presented. The intraflap vascular branching pattern of the superficial epigastric artery is described, with filling of the lateral thoracic, intercostals, and iliolumbar angiosomes found when coagulation of vessels at the periphery was delayed until after clearance. The vascular casting protocol presented is an effective and promising tool for the study of macro- and microvascular anatomy.
Uploads
Papers by Stefano Cotrufo