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Maxillo-Facial Surgery

Maxillo-Facial surgery is a medical-surgical specialty aimed at diagnosing and treating diseases that affect the face, the cranio-orbito-naso-maxillary bony structures, soft tissue, the oral cavity including the dental elements, and the neck. The specialist in Maxillo-Facial Surgery deals with the restoration of function, morphology, and aesthetics of this extremely complex area.

The Maxillo-Facial Surgery Department of the Istituto Stomatologico Italiano is modern, efficient, and comfortable. Fifty-two beds are available in 27 recovery rooms on the fifth and sixth floors. The fourth floor hosts three operating rooms dedicated to operations under general anesthesia or under sedation. The Radiology Service provides services for Dentistry and Maxillofacial Surgery using cone beam computed tomography (CBCT ) at low radiation doses.
Maxillo-Facial Pathologies:

  • Congenital and acquired facial malformations: congenital abnormalities of different origins and acquired such as dento-skeletal malocclusions of various types, or sequelae after resections for different types of tumours 

  • Benign and malignant neoplasms of the oral cavity and the maxillofacial area, particularly in relation to the pathology of major and minor salivary glands using the most modern available technologies (lasers and radiofrequency scalpels) 

  • Rehabilitation after loss of dental elements. Pre-prosthetic surgery uses biomaterials or bone grafts taken from the mandible, the iliac crest, or the calvaria (cranial bone). Complex implant rehabilitations are also performed using zygomatic anchorage implants in case of severe atrophy (when the thickness of the maxillary or mandibular bone structures is not adequate) 

  • Traumatic injuries of the facial mass and related sequelae, with the aim of achieving the patient’s functional, morphological, and aesthetic recovery

  • Diseases of the paranasal sinuses (sinusitis, polyposis, foreign bodies) treated with minimally invasive endoscopic surgery 

  • Eyelid and orbital surgery 

  • Facial lipostructure with autologous adipose tissue transplantation 

In the Department of Maxillo-Facial Surgery these pathologies are treated with operations performed in regime agreement with the National Health System, in an ordinary hospitalization regime, in Day Hospital, and in Private Practice. The most advanced and modern technologies are used for surgical procedures. Titanium materials are available for reconstructive surgery; centrifugation of adipose tissue for facial reconstruction with maintenance of the staminal component in adipocytes; ultrasound scalpel - piezosurgery - which allows predictable and precise bone sections with notable improvement of postoperative recovery; creation of prototypes with simulation of some complex reconstructive surgical operations; implantology programming with sophisticated software systems (cone beam computerized tomography -CBCT, computer-guided implantology-morhping). 

The Institute has always particularly paid attention to the prevention and care of the oral cavity of all disabled and fragile patients, or patients with health vulnerabilities (who present health conditions that require dental treatment in a protected environment). Among the diseases: heart disease, diabetes, hemocoagulatory disorders, hemophilia, epilepsy, syndromic patients, and patients with rare diseases, with recurrent infections, with outcomes of malignant neoplasms of the head-neck area, patients waiting for transplantation and post transplantation, patients with immunodeficiency, and psychophysically disabled people. In 2014 the Istituto Stomatologico Italiano introduced the ADO Project (Access of the Disabled to Dental Care). Fragile and vulnerable patients with psycho-physical disabilities are taken care of via the ADO project. Patients and families have at their disposal: Disabled Day Centers and Educational-Social Centers), the Staff of Maxillofacial Surgery, Dentistry, Anesthesiology, Radiology, Dedicated Nursing Staff, and an adequate Administrative Organization.