Publications by authors named "Giacomo De Riu"

this pilot study aimed to evaluate the diagnostic accuracy of ChatGPT-4o in analyzing oral mucosal lesions from clinical images. : a total of 110 clinical images, including 100 pathological lesions and 10 healthy mucosal images, were retrieved from Google Images and analyzed by ChatGPT-4o using a standardized prompt. An expert panel of five clinicians established a reference diagnosis, categorizing lesions as benign or malignant.

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Ectrodactyly-ectodermal dysplasia-cleft (EEC) syndrome is a rare genetic disorder presenting significant challenges for dental rehabilitation due to severe maxillary atrophy and altered anatomy. This report describes a 23-year-old female with EEC syndrome successfully rehabilitated using a custom-made subperiosteal implant. Despite multiple grafting procedures, conventional implants were not viable.

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TAS2R38 is the T2R receptor primarily associated with the innate immune response of the respiratory system. It activates a response mediated by nitric oxide (NO), which has been shown to inhibit the replication of SARS-CoV-2. TAS2R38 polymorphisms (SNPs) that decrease receptor functionality contributing to individual differences in susceptibility to airway infections.

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Background: Total maxillectomy for malignant tumors presents significant challenges for functional and aesthetic rehabilitation. Advances in digital planning and additive manufacturing have reintroduced subperiosteal implants as a promising solution for primary reconstructions.

Case Report: This report details the case of a 59-year-old male with squamous cell carcinoma of the hard palate extending contralaterally, treated with a total maxillectomy and primary reconstruction using an osteomyocutaneous fibula free flap combined with a custom-made, additively manufactured subperiosteal implant.

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Objective: To explore the excitability and sensory motor integration of the face and masticatory primary motor cortex (M1), and recognition of face expressions in individuals with dentofacial deformities (IDD).

Methods: Short-interval intracortical inhibition (SICI), short-afferent inhibition (SAI) of masticatory and face M1, the blink reflex and face expressions recognition (FER) ability were assessed in 18 healthy subjects (HS) (24.56 ± 1.

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Severe atrophy in isolated posterior maxillary sectors poses challenges for dental rehabilitation, especially in partially dentate patients where traditional graftless techniques are unsuitable. This study retrospectively analyzed the outcomes of sectional rehabilitation in 16 consecutive patients with Cawood and Howell class V to VI atrophy treated with 21 custom fabricated subperiosteal implants. Patients were followed for a median of 36 months (interquartile range: 24 to 48).

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Condylectomy is a delicate and intricate procedure commonly employed in the management of temporomandibular joint (TMJ) disorders, osteochondromas, condylar hyperplasia, hemimandibular hyperplasia, and other pathologies affecting the condylar region. The advent of surgical cutting guides has introduced a new dimension to condylectomy procedures as they enable surgeons to plan and execute precise cuts with a heightened level of accuracy. In the literature already exists cases of cutting guide-based condylectomy, but they only depend on the mere mirroring procedure in virtual planning, which has accuracy limitations because it does not consider asymmetry of peri-condylar structures at the level of the ramus, body, and mandibular angle.

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Objective: This study aims to evaluate the impact of prompt construction on the quality of artificial intelligence (AI) chatbot responses in the context of head and neck surgery.

Study Design: Observational and evaluative study.

Setting: An international collaboration involving 16 researchers from 11 European centers specializing in head and neck surgery.

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This study evaluates the quality and readability of informed consent documents generated by AI platforms ChatGPT-4 and Bard Gemini Advanced compared to those written by a first-year oral surgery resident for common oral surgery procedures. The evaluation, conducted by 18 experienced oral and maxillofacial surgeons, assessed consents for accuracy, completeness, readability, and overall quality. ChatGPT-4 consistently outperformed both Bard and human-written consents.

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Article Synopsis
  • The study investigated the impact of standing electric scooters on maxillofacial injuries in Italy, collecting data from 10 maxillofacial surgery departments over a three-year period from January 2020 to December 2023.
  • A total of 79 patients were analyzed, with an average age of 31; notable findings included that 19% had elevated blood alcohol levels and only one patient wore a helmet during the accident.
  • The most common injuries were fractures in the middle third of the face, particularly the orbito-malar-zygomatic complex and multifocal mandibular fractures, highlighting the complex nature of injuries and high likelihood of post-surgical complications.
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  • This study analyzes maxillofacial fractures from motorcycle accidents, highlighting that most injuries are caused by road traffic collisions.* -
  • It compares the impact of different helmet types (full-face, modular, and open-face) on the severity and type of facial fractures among 282 patients.* -
  • Findings reveal that full-face helmets are linked to fewer severe fractures, particularly in the midface, while open-face helmets are associated with a higher risk of mandibular and combined fractures.*
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  • * There was a 90.3% success rate with no implant losses, although 9.7% experienced class 1 exposure, and bleeding on probing occurred at varying rates over a 4-year period.
  • * The results suggested that these implants are a safe and reliable option for treating patients with significant maxillary bone loss.
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  • Implant-prosthetic rehabilitation for patients missing back teeth is hard and usually takes a long time.
  • New techniques using special implants are becoming popular because they can help patients get better faster, but they don't always work for specific areas.
  • This report talks about a patient who had no back teeth and got a special kind of implant to help fix the problem.
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  • The study introduced the Quality Assessment of Medical Artificial Intelligence (QAMAI), a tool aimed at evaluating the quality of health information from AI platforms, highlighting the need for such assessments as AI use expands in healthcare.
  • QAMAI was validated through a rigorous process involving 27 reviewers who evaluated responses generated by ChatGPT4, demonstrating strong reliability and validity metrics, including a high internal consistency (Cronbach's alpha = 0.837) and excellent inter-rater reliability (ICC = 0.983).
  • The successful validation of QAMAI suggests it could be an important resource for healthcare professionals as more patients turn to AI for medical information, helping ensure they receive quality data.
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Objective: To translate and validate an Italian version of the Questionnaire of Olfactory Disorders (IT-QOD).

Materials And Methods: This is a prospective, multicentre study that involved patients with olfactory dysfunction (OD). Both cases and controls underwent administration of the IT-QOD, Sino-Nasal Outcome Test-22 (SNOT-22) and psychophysical evaluation of orthonasal and retronasal olfactory function.

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Article Synopsis
  • * The average age of affected individuals is 48 years, with statistics showing a higher incidence of fractures in men compared to women (2.2:1 ratio) and significant clinical symptoms like enophthalmos and diplopia experienced by many patients.
  • * Analysis indicated a strong correlation between age and fracture size, where older patients tended to have larger defects, while younger individuals were more likely to have injuries stemming from violence or traffic incidents.
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Article Synopsis
  • The study aimed to explore how the COVID-19 pandemic influenced the patterns of maxillo-facial fractures in Italy across different phases of the pandemic.
  • It analyzed data from 2938 patients who underwent surgery for facial fractures during four key periods: pre-pandemic, first wave, partial restrictions, and post-pandemic.
  • Significant differences were found in hospitalization causes between pre-pandemic and certain pandemic phases, while demographics like gender and age showed no notable changes over time.
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Facial palsy can severely compromise quality of life, significantly altering the harmony and symmetry of the face, which can be restored by surgical rehabilitation. The aim of the study was the quantification of facial symmetry following facial reanimation. Fifteen consecutive adult patients were surgically treated through triple innervation for reanimation of flaccid unilateral facial paralysis (contralateral facial nerve, masseteric nerve, and hypoglossal nerve) and fascia lata graft for definition of the nasolabial sulcus.

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Objective: To investigate the accuracy of Chat-Based Generative Pre-trained Transformer (ChatGPT) in answering questions and solving clinical scenarios of head and neck surgery.

Study Design: Observational and valuative study.

Setting: Eighteen surgeons from 14 Italian head and neck surgery units.

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