Maxillofacial Trauma TeamLasco Historical Clinical Archive← Main site

A clinical memory spanning more than six decades

Lasco Historical
Clinical Archive

Cases treated by Professor Gino Emilio Lasco’s team, reconstructed from clinical records and professional memory as a living notebook of diagnosis, choice, technique and outcome.

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WHY THIS ARCHIVE EXISTS

Experience disappears unless someone records it.

For more than 60 years, Professor Lasco’s teams encountered facial trauma, deformity, infection, TMJ disease, reconstruction and unusual clinical problems across changing generations of surgery. Many of those lessons were never designed as research papers. They remain valuable because they show how clinicians observed, reasoned, adapted and followed their patients.

This archive preserves that practical inheritance case by case. It is not a museum and not a conventional journal. It is a clinical notebook made public for education.

THE NOTEBOOK

Browse by clinical era.

Cases will appear here after reconstruction, de-identification and approval by the archive curator.

01

1950s to 1960s

Building hospital-based Maxillofacial Surgery

Case 001 published
02

1970s

Facial trauma, reconstruction and TMJ investigation

Case 004 published
03

1980s

Clinical maturity, innovation and multidisciplinary care

Collection opening soon
04

1990s to today

The team’s continuing experience and reflection

Cases 002, 003, 005 and 006 published
CASE 001 · 1961

Temporomandibular joint

Bilateral TMJ ankylosis in a seven-year-old childDiagnostic revision, bilateral pseudoarthrosis, immediate physiotherapy and the reported 21-day result.
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CASE 002 · 2006

Complex mandibular trauma

Bilateral mandibular gunshot fractures with left-sided bone lossRigid fixation where stability was needed, conservative treatment where contamination and tissue preservation changed the decision.
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CASE 003 · 2002

Orthognathic surgery

Severe mandibular prognathism treated by an intraoral Babcock adaptationModel surgery, bilateral horizontal ramus osteotomies, wire stabilization and 21 days of maxillomandibular fixation.
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CASE 004 · 1975

Maxillofacial tumor and reconstruction

Mandibular ameloblastoma with staged reconstructionPartial mandibulectomy, manually sized temporary prosthesis and later rib-graft reconstruction.
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CASE 005 · 2001

Maxillofacial tumor and staged reconstruction

Central giant cell granuloma with temporary prosthesis and delayed rib graftPartial mandibulectomy, preservation of a team-described peri-prosthetic capsule and autogenous reconstruction six months later.
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CASE 006 · 2002

Temporomandibular joint surgery

Bilateral condylar arthroplasty for longstanding painful dysfunctionSelective recontouring of bilateral exostotic condylar bone through preauricular approaches after more than 15 years of symptoms.
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CONTINUING EXPERIENCE · 2024

Orthognathic surgery and 3D design

Biomechanics of a Novel 3D Mandibular Osteotomy DesignA proposed advancement of Professor Lasco's biomechanical orthognathic principles using DICOM-to-STL planning, a guided beveled ramus osteotomy and additive-manufactured validation.
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ONE CONSISTENT RECORD

Every case follows the clinical encounter.

  1. 01
    The patient arrives

    Age range, complaint, mechanism, timing, examination and immediate priorities.

  2. 02
    What the team knew

    Available imaging, diagnostic limitations, differential diagnosis and historical resources.

  3. 03
    Possible treatments

    All reasonable options at that time, not only the treatment ultimately chosen.

  4. 04
    The decision

    Why the team selected, modified, staged or declined a particular intervention.

  5. 05
    Treatment record

    Technique, interdisciplinary participation, materials, complications and postoperative care.

  6. 06
    Outcome and hindsight

    Follow-up, what was learned, and how the same case might be approached today.

PROTECTED CURATION

One curator publishes.
Everyone may learn.

Original files, identifiable clinical images and unfinished drafts remain in the curator's private Dropbox. Only Carlos A. Andreucci can create, edit or publish an archive case. The public site receives only an approved educational edition with identification reduced to what is clinically necessary.

PrivateOriginal recordFiles and clinical images
CuratedCase reconstructionContext, options and reflection
PublicApproved caseDe-identified educational record