Sergio Siciliano

Distraction osteogenesis of a fibula free flap used for mandibular reconstruction: preliminary report

The authors report the first case of mandibular distraction osteogenesis applied to a fibula microvascularized flap used to reconstruct an almost entire mandible. The technique and complications are described. The literature is reviewed. The biological and physiological process of bone elongation by Ilizarovs method is explained according new studies on chondroid tissue. Preoperative planning of vectors of device placement and trajectory is essential for good results.

Gustatory rhinorrhea after maxillectomy Two case reports and considerations on etiology and pathophysiology

Gustatory rhinorrhea consists of free discharge of thin mucus from the nose during ingestion or after other gustatory stimulus. At maxillectomy, the nerve fibers going both to the salivary glands of the palate and to the secretory glands of the nasal mucosa may be damaged. A misdirection between the regenerating fibers of these two groups produces gustatory rhinorrhea.