I have been a specialist in Maxillofacial Surgery since 1997. Specialist in Otolaryngology since 2006. Hospital Medical Director since 1994. Diploma Fellow European Board Oral-Maxillo-Facial Surgery (FEBOMFS) in 2008. Currently, I am the Head of the U. O. of Maxillofacial Surgery at the Ospedale del Mare in Naples. I have had several experiences abroad (Europe, USA, Africa). My clinical interests are directed to the study and surgical therapy of malformative, oncological and traumatological pathology of the head and neck region and of the orbit.
I discovered the bone substitute SmartBone through some colleagues who had performed it successfully.
The product has characteristics of moldability, lightness, adaptability, and osteointegration with almost no postoperative inflammatory response. In particular, I used it for the three-dimensional reconstruction of a large defect of the frontal bone, with complex thickness and three-dimensional conformation. In this case, we solved with a “puzzle” technique, fitting the various pieces together to reconstruct the vast defect. Five years after surgery, clinical controls have not revealed any criticality.
I suggest increasing the thickness of the Blocks, to improve the charachteristic related to the weight and the load-bearing. Last but not least, I would make the cost more affordable, since is not always feasible for patiences.
I prefer to perform SmartBone® on sub-periosteal placement and containment with trans-cortical titanium screws. Also, with trans-oral access, avoiding external scars.
Thank you for the collaboration and assistance you have always shown me.
See you soon for future projects.