{"title":"Ameloblastoma: Retrospective single institute study and analysis of 86 subjects","authors":"Pengleang Cheang , Amit Dattani , Lykheang Lou , Sandeth Phan","doi":"10.1016/j.adoms.2025.100551","DOIUrl":"10.1016/j.adoms.2025.100551","url":null,"abstract":"<div><div>The aim of this study was to investigate the results of ameloblastoma treated at a single Cambodian institute during a 6-year period (Jan 2018–Dec 2023). A retrospective study was designed to include all patients who had been diagnosed with ameloblastoma and treated at the Department of Oral and Maxillofacial Surgery, Preah Ang Duong Hospital, Phnom Penh, Cambodia. Demographic details, location and size of lesion, histological classification of lesion by subtype, radiographic appearance, treatment and recurrence rates for up to 5 years were collated by using patients’ records and the histopathology database. 86 patients were included in the study. 75 (87.2 %) were located in the mandible, the most common size of ameloblastoma at presentation was 3.1–6 cm in 38 patients (44.2 %). By the 2022 WHO Classification of ameloblastomas, conventional ameloblastomas were reported in 55 patients (64 %). 11 patients (13 %) underwent marsupialization with 9 patients (60 %) having a recurrence within 2 years. 10 patients (12 %) underwent enucleation with 6 patients having recurrence within 3 years. 46 patients (53 %) underwent radical resection with 6 patients having recurrence within 5 years. 19 patients (22 %) declined treatment. Overall, 15/67 treated patients (22.3 %) had some form of recurrence in which radical resection had the lowest rate of recurrence.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100551"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Double-cinch suturing during Le Fort Ⅰ osteotomy","authors":"Takuma Watanabe, Kazumasa Nakao, Shigeki Yamanaka, Makoto Hirota","doi":"10.1016/j.adoms.2025.100550","DOIUrl":"10.1016/j.adoms.2025.100550","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100550"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fahim Oumaima, Lachkar Amal, Haitami Sofia, Ben Yahya Ihsane
{"title":"Parotid sialolithiasis: a case report","authors":"Fahim Oumaima, Lachkar Amal, Haitami Sofia, Ben Yahya Ihsane","doi":"10.1016/j.adoms.2025.100549","DOIUrl":"10.1016/j.adoms.2025.100549","url":null,"abstract":"<div><div>Sialolithiasis is one of the most common condition affecting the major salivary glands. This benign disorder is characterized by a partial or complete obstruction of the salivary glands or their ducts.</div><div>More than 80 % of salivary calculi occur in the submandibular ductal system. Parotid gland involvement is relatively rare, accounting for 5–10 % of cases. Its diagnosis is particularly challenging for the practitioners, which can lead to delayed diagnosis.</div><div>The aim of this article is to report a case of parotid sialolithiasis in Stenon's duct, diagnosed late after four years of recurrent acute sialadenitis episodes.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100549"},"PeriodicalIF":0.0,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thair Mahroq , Ahmet Arslan , İbrahim Mutlu , Zakaria Al Joulaji
{"title":"Evaluation of lateral and axial forces in atrophic maxilla with angled pterygoid implant using three dimensional finite element analysis","authors":"Thair Mahroq , Ahmet Arslan , İbrahim Mutlu , Zakaria Al Joulaji","doi":"10.1016/j.adoms.2025.100545","DOIUrl":"10.1016/j.adoms.2025.100545","url":null,"abstract":"<div><div>The purpose of this research is to identify the angle of pterygoid implant that have minimum equivalent stress and minimum equivalent strain using the finite element analysis (FEA) technique, based on the Frankfort Horizontal Plane. A three-dimensional maxilla model was reconstructed from a CT scan of a toothless patient. This model includes the cancellous and cortical bone. The facial region of a 58-year-old male patient with an atrophic maxilla and an angled pterygoid implant was imaged with CT in DICOM format. The raw DICOM data had a 0.3-mm section thickness. The MIMICS program created a three-dimensional model of the sections bone tissue. A dental implant with a diameter of 3.5 mm, a length of 16 mm, a conical shape, and a private thread design was placed in the pterygoid bone using SOLIDWORKS. This study investigated at how to place a pterygoid dental implant using both monocortical (at the end of the crest and cancellous bone) and bicortical (between the crest and basal bone) methods at 45, 55, 65, 75, and 85° relative to the Frankfort Horizontal Plane. Ten models were used for this study. CAD models were sent to ANSYS for loading. Boundaries of maxilla before force application are fixed from the zygomatic region. Human mastication was simulated using three load situations with the following characteristics, 150-N axial loading and 50-N lateral loading separately and 50-N lateral loading and 150-N axial loading simultaneously. Based on our studies and according to the Frankfort Horizontal Plane, placing the pterygoid implant at an 85° angle is the best in terms of bone stress. In terms of bone strain, it was found that placing the implant at 75 and 85° angles monocortically and bicortically respectively has the best outcome. This research concluded that an angle of 85° exhibits the minimum stress and strain effects on the surrounding bone tissue and the implant's structural integrity.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100545"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Postoperative nasal airway resistance is correlated with changes in anterior nasal cavity volume following posterior and superior movement caused by Le Fort I osteotomy","authors":"Jing Yuan , Kazuya Haraguchi , Taishi Ohtani , Kikuo Sakamoto , Manabu Habu , Izumi Yoshioka","doi":"10.1016/j.adoms.2025.100548","DOIUrl":"10.1016/j.adoms.2025.100548","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to analyse the relationship between changes in the anterior nasal cavity volume and nasal airway resistance following posterosuperior movement of the maxilla.</div></div><div><h3>Materials and methods</h3><div>We studied 16 patients (13 female, 3 male) who underwent Le Fort I osteotomy combined with horseshoe osteotomy at Kyushu Dental University Hospital. Rhinomanometry was used to measure nasal airway resistance, and Pro Plan software was used to calculate the anterior nasal cavity volume from computed tomography images taken before and three months after surgery. We analysed the relationship between changes in anterior nasal cavity volume and nasal airway resistance before and three months after surgery. Additionally, we examined the relationship between maxillary superior and posterior movements and nasal airway resistance.</div></div><div><h3>Results</h3><div>Nasal airway resistance is generally correlated with the anterior nasal cavity volume. When the maxilla is moved posterosuperiorly, the anterior nasal cavity volume increases, decreasing the nasal airway resistance.</div></div><div><h3>Conclusion</h3><div>When the maxilla is moved posterosuperiorly, nasal airway resistance generally correlates with anterior nasal cavity volume. While posterosuperior movement of the maxilla can enhance nasal patency, patency stabilises at the optimal level for each patient.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100548"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clarissa Hjalmarsson , Mark Cairns , William Rohde , Domniki Chatzopoulou , Simon Holmes
{"title":"Social deprivation and severe cervicofacial abscess: A retrospective review of patients presenting to a tertiary oral and maxillofacial surgery unit","authors":"Clarissa Hjalmarsson , Mark Cairns , William Rohde , Domniki Chatzopoulou , Simon Holmes","doi":"10.1016/j.adoms.2025.100546","DOIUrl":"10.1016/j.adoms.2025.100546","url":null,"abstract":"<div><h3>Background</h3><div>Severe cervicofacial abscesses require emergency incision and drainage under general anaesthetic to avoid life-threatening sequelae. There is a well-described association between dental disease and socioeconomic status (SES), and most cervicofacial abscesses are odontogenic.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed the relationship between severe cervicofacial infection and SES in patients presenting to a tertiary Oral and Maxillofacial Surgery (OMFS) unit.</div></div><div><h3>Results</h3><div>There were 96 patients with severe cervicofacial abscess in 2019–20, increasing by 11.5 %–107 patients in 2021–22 (<em>t</em>-test = −0.665, p = 0.513). Patients were disproportionately from the most deprived areas, with a majority of patients living in the three most deprived deciles in both datasets (71.9 % and 64.7 % respectively). There was no statistical difference in deprivation indices between the two time periods (X<sup>2</sup> = 7.44, p = 0.591). While the cohorts had high indices of deprivation, these were not significantly different to the areas served by the hospital (X<sup>2</sup> = 11.42, p = 0.248).</div></div><div><h3>Conclusions</h3><div>This dataset demonstrates a high incidence of severe cervicofacial abscess in a deprived population. This relationship is likely to reflect a number of factors including access to primary dental care, lifestyle factors including smoking, and background medical comorbidities. Further iterations of data collection and multi-centre collaboration will improve our understanding of the relationship between social deprivation and severe cervicofacial abscess.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100546"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managing airway emergencies on the Ward: Lessons learned from Rapid Rhino pack herniation","authors":"Alicia Wong, James Davies, Ra'ed Al-Ashqar","doi":"10.1016/j.adoms.2025.100547","DOIUrl":"10.1016/j.adoms.2025.100547","url":null,"abstract":"<div><div>Managing epistaxis is a skill encountered by both maxillofacial and ENT trainees. This case report details an incident where a patient's airway was compromised due to the herniation of a Rapid Rhino pack. The airway distress occurred after nasal packing, necessitating emergency intervention. The ENT team assessed the patient, discovering a Rapid Rhino pack obstructing the airway. Immediate A-E assessment was completed and the pack was removed nasally. The cause of the herniation was considered to be anatomical, a defective pack, overinflation, or a combination of these factors.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100547"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Estévez-González Gabriel Levi , Gómez-Hernandez Andrew Kevin , Salgado-Chavarría Fabiola , Cruz-Tapia Roberto Onner , Nuñez-Toro Erick
{"title":"Neurovascular hamartoma of the tongue: Case report and current concepts","authors":"Estévez-González Gabriel Levi , Gómez-Hernandez Andrew Kevin , Salgado-Chavarría Fabiola , Cruz-Tapia Roberto Onner , Nuñez-Toro Erick","doi":"10.1016/j.adoms.2025.100541","DOIUrl":"10.1016/j.adoms.2025.100541","url":null,"abstract":"<div><div>Neurovascular hamartoma (NVH) is a hamartomatous proliferation of neural, perineural, and vascular tissue, typically solitary, superficial, or deep. While odontomas are the most common hamartomas in the head and neck region, NVH is a rare pathology in the oral cavity. Due to its histological components and anatomical location, it presents a diagnostic and therapeutic challenge. We report a case of multiple asymptomatic soft nodules on the dorsal tongue diagnosed as multinodular NVH. Surgical excision and sclerosing therapy were performed. The aim is to present a low-frequency case and discuss current concepts for its diagnosis and treatment.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100541"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayman F. Hegab , Wael Elmohandes , Bahaaeldin Abdrabbo Tawfik , Abdullah Ahmed Ali Hasan , Ahmed mohammed mostafa elfar , AbdElKader Hyder
{"title":"Management of restricted mouth opening due to Temporomandibular joint disorders","authors":"Ayman F. Hegab , Wael Elmohandes , Bahaaeldin Abdrabbo Tawfik , Abdullah Ahmed Ali Hasan , Ahmed mohammed mostafa elfar , AbdElKader Hyder","doi":"10.1016/j.adoms.2025.100543","DOIUrl":"10.1016/j.adoms.2025.100543","url":null,"abstract":"<div><h3>Background</h3><div>Restricted mouth opening, which is also known as Limited mouth opening, trismus, or lockjaw, has several causes and Temporomandibular joint disorders are considered as the main cause.</div></div><div><h3>Purpose</h3><div>This study aimed to retrospectively review the causes of restricted mouth opening due to TMJ and its management.</div></div><div><h3>Study design</h3><div>A retrospective cohort study of subjects who underwent Management of locked jaw Due to TMJ. A total of 879 consecutive patients with locked jaw in the period from 2016 to 2022 were reviewed for the causative factor and its management.</div></div><div><h3>Main outcome variable(s)</h3><div>maximum inter-incisal opening (MIO in mm), pain in the TMJ (Yes/No) using the visual analogue score (VAS).</div></div><div><h3>Results</h3><div>the final sample consisted of 409 patients. Irreducible disc displacement represented 60 % of the total cases (245 patients with mean age 31.7 ± 5.5). Followed by TMJ osteoarthritis which represented 12 % (48 patients with mean age 38.4 ± 8.3), Joint adhesion Secondary to Immobilization (9 %), post-surgical represented 8.5 %, Anchored disc phenomenon (7.5 %). While ankylosis, coronoid hyperplasia, radiotherapy, were represented only 3 % (14 patients). Arthrocentesis with joint injection successfully used in treatment of 394 (96 %). Out of them, 21 patients didn't respond to the arthrocentesis and treated by second intervention with TMJ arthroscopy level II. 6 patients with TMJ ankylosis treated with Hegab protocol while one patient with failed joint prosthesis was treated with Total joint replacement.</div></div><div><h3>Conclusions</h3><div>Arthrocentesis with joint injection could be used effectively in most cases of locked jaw secondary to TMJ. While TMJ arthroscopy could be used in un-responded cases.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100543"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}