Advances in Oral and Maxillofacial Surgery最新文献

{"title":"Management of large Schneiderian membrane perforations with a resorbable polydioxanone plate during maxillary sinus floor elevation: a technical note","authors":"Hippolyte Stamboul, Laurian Le Gal","doi":"10.1016/j.adoms.2026.100726","DOIUrl":"10.1016/j.adoms.2026.100726","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"23 ","pages":"Article 100726"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148958789","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}

{"title":"Management of hemimandibular hyperplasia: A technical note and treatment methodology","authors":"Marshall F. Newman,&nbsp;Mohamad Fawaz,&nbsp;Wesley James","doi":"10.1016/j.adoms.2026.100728","DOIUrl":"10.1016/j.adoms.2026.100728","url":null,"abstract":"<div><h3>Background</h3><div>Management of hemimandibular hyperplasia can be challenging due to the wide spectrum of dysmorphology severity as well as the presentation of patients with varied degrees of ongoing mandibular growth. Active mandibular growth and hyperplasia can be difficult to quantify. Many patients may present for a combined surgical and orthodontic approach to management with modest but still technically active mandibular growth. These patients represent a surgical treatment dilemma of whether to observe the patient or to proceed with treatment options involving the jaws or the temporomandibular joint complex. Few minimally invasive surgical treatment options exist for this patient population.</div></div><div><h3>Methods</h3><div>A treatment methodology is provided and rationale for its use discussed after review of the available literature. A representative case example is provided to illustrate advances in virtual surgical treatment planning, patient specific cutting guides, and minimally invasive orthognathic surgical techniques available for management of patients with hemimandibular hyperplasia.</div></div><div><h3>Results</h3><div>Reductive techniques allow for treatment of hemimandibular hyperplasia dysmorphology without compromising the inferior alveolar nerve and optimize potential future surgical interventions that may include management of the temporomandibular joint. Utilization of custom titanium cutting guides facilitate the use of endoscopic techniques for surgical visualization. Use of ultrasonic cutting instruments minimizes the surgical burden to the patient facilitates decreased postoperative edema. Augmentation of the non-hypertrophic side of the mandible allows preservation of the vertical height of the lower 2/3rds of the face and optimizes facial symmetry.</div></div><div><h3>Conclusions</h3><div>A conservative methodology for management of hemimandibular hyperplasia allows minimally invasive treatment and optimizes potential future surgical interventions including intra-joint surgery or total joint replacement. Advances in virtual surgical planning facilitate customization and less invasive surgical approaches.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"23 ","pages":"Article 100728"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148958794","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}

{"title":"Alloplastic and nonvascularized autogenous temporomandibular reconstruction: Apples and oranges, or calculators and computers?","authors":"Michael Han,&nbsp;Sofie Vogel,&nbsp;Gloria Ahn,&nbsp;Min Kyeong Lee,&nbsp;Veerasathpurush Allareddy","doi":"10.1016/j.adoms.2026.100712","DOIUrl":"10.1016/j.adoms.2026.100712","url":null,"abstract":"<div><div>Different temporomandibular joint (TMJ) reconstruction techniques have different indication ranges, risk-to-benefit profiles, and resource uses. Current knowledge is largely limited to small-scale reports, expert opinion, and extrapolations from related literature. This study aimed to characterize the clinical indications of nonvascularized autogenous reconstruction (NVAR) and alloplastic reconstruction (APR) techniques, and to compare the hospital length of stay (LOS) and hospital charges (HC) in the United States (US). The National Inpatient Sample (NIS) from 2020 to 2022 were queried for common TMJ reconstruction indications, as well as for NVAR and APR. The weighted frequencies of the socio-demographic characteristics, surgical indications (intra-articular pain and dysfunction [IPD], ankylosis, acquired conditions, congenital deformities, pathology, other conditions), weighted mean hospital length of stay (LOS) and hospital charges HC) were calculated using discharge weights. There were 2150 weighted admissions involving NVAR (10.9%) and APR (89.3%). Several notable differences between the NVAR and APR populations included mean age (16.9 vs. 43.1 years), surgical indications (IPD 14.9% vs. 35.2%, acquired conditions 6.4% vs. 32.8%, pathology 6.4% vs. 21.1%), and LOS (11.5 vs. 3.6 days). Utilization for ankylotic joints (12.6% vs. 12.8%) and weighted mean HC ($177,235 vs. $177,377) did not show meaningful differences. Our findings show measurable differences in characteristics of NVAR and APR performed in the US, highlighting opportunities to develop evidence-based management decisions to balance tailored care and efficient resource utilization.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"23 ","pages":"Article 100712"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148958788","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}

{"title":"A guided lingual approach to a deeply impacted mandibular third molar to avoid peripheral nerve injury: a technical note","authors":"Akihiro Nishiyama,&nbsp;Kotaro Tachizawa,&nbsp;Akimasa Nishimura,&nbsp;Hajime Yoshida,&nbsp;Keisuke Sugahara","doi":"10.1016/j.adoms.2026.100730","DOIUrl":"10.1016/j.adoms.2026.100730","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"23 ","pages":"Article 100730"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148958795","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}

{"title":"Intraoperative indocyanine green fluorescence imaging as an adjunct for determining bone resection margins in medication-related osteonecrosis of the jaw","authors":"Yutaro Hayashi,&nbsp;Keisuke Okumura,&nbsp;Yu Hashimoto,&nbsp;Toshiki Nakanishi,&nbsp;Kazuma Masumoto","doi":"10.1016/j.adoms.2026.100720","DOIUrl":"10.1016/j.adoms.2026.100720","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"23 ","pages":"Article 100720"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148958790","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}

{"title":"Patient expectations on third molar removal","authors":"J. Schortinghuis ,&nbsp;F. Mahboobi ,&nbsp;A. Vissink","doi":"10.1016/j.adoms.2026.100636","DOIUrl":"10.1016/j.adoms.2026.100636","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients are often more anxious than needed when scheduled for third molar removal under local anaesthesia. However, it is unclear what their expectations are beforehand and how these compare to their actual experience.</div></div><div><h3>Materials and methods</h3><div>The expectations of 38 prospectively included patients (21 males, 17 females, mean age 24 ± 3 years) were assessed preoperatively using a validated 66-item questionnaire covering functional limitations, complications, and recovery. Postoperative experiences were recorded one day and one month after surgery. Each item was scored from 0 (very positive) to 10 (very negative). Pre- and postoperative scores were compared per item and as total scores.</div></div><div><h3>Results</h3><div>A total of 38 lower in combination with an upper wisdom (n = 23) teeth on the same side was removed. The total expectation score was 3171, compared to a postoperative total of 1868 (p &lt; 0.001). Pre-surgery, patients expected a pain score of 5.0 ± 1.0 during surgery, but the score was in reality 1.0 ± 1.0 (p &lt; 0.001). Post-surgery, patients expected a pain score of 7.3 ± 1.7, but in reality, the mean pain score was 4.7 ± 1.1 (p &lt; 0.0001). The influence of the surgery on going to work or school was expected to be high (score 60), but was in fact low (score 29, p &lt; 0.0001).</div></div><div><h3>Conclusion</h3><div>Pre-operatively, patients tend to overestimate the negative impact of third molar surgery, but impact of third molar surgery was lower than they expected.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"22 ","pages":"Article 100636"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193185","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":"The Sushi Roll Technique: A simple non-adherent spacer for dead space management after enucleation of jaw cysts","authors":"Makoto Adachi,&nbsp;Ryoya Eguchi,&nbsp;Eiji Takeda,&nbsp;Kento Nakamura","doi":"10.1016/j.adoms.2026.100640","DOIUrl":"10.1016/j.adoms.2026.100640","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"22 ","pages":"Article 100640"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193184","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":"Management of chronic TMJ dislocation via transoral piezoelectric condylectomy: a technical note","authors":"Brian Martin ,&nbsp;Kumara Ekanayake ,&nbsp;David McGoldrick","doi":"10.1016/j.adoms.2026.100624","DOIUrl":"10.1016/j.adoms.2026.100624","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100624"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976455","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":"Sliding staircase osteotomy: Stability and symmetry for transverse augmentation of the chin","authors":"A. Zarpellon ,&nbsp;B. Motta ,&nbsp;M. Raffaini ,&nbsp;S. Grybauskas ,&nbsp;A. Bim","doi":"10.1016/j.adoms.2025.100609","DOIUrl":"10.1016/j.adoms.2025.100609","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100609"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145747959","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":"Functional outcomes of primary closure versus free flap reconstruction for T1 tongue cancer: A systematic review","authors":"Faris Ghafoor ,&nbsp;Mohammed Bux ,&nbsp;Massimo Maranzano ,&nbsp;Simrah Farooqui","doi":"10.1016/j.adoms.2025.100614","DOIUrl":"10.1016/j.adoms.2025.100614","url":null,"abstract":"<div><h3>Objective</h3><div>To review evidence comparing functional outcomes of primary closure and free flap reconstruction in T1 oral tongue squamous cell carcinoma (OTSCC).</div></div><div><h3>Methods</h3><div>PRISMA 2020 guidelines were followed (PROSPERO CRD420251121360). Ovid MEDLINE was searched for studies reporting validated outcomes (speech, swallowing, QoL) in T1 OTSCC treated by primary closure or free flaps. Comparative studies were eligible; case series, abstracts, and non–stage-specific reports were excluded.</div></div><div><h3>Results</h3><div>Of 767 records screened, four underwent full-text review; none met eligibility due to pooled staging, lack of a free flap arm, or absence of comparators. ROBINS-I assessment of the closest study (El-Shabrawi et al.) indicated serious bias. Excluded studies suggested primary closure often yielded better speech, while flap bulk aided swallowing but impaired articulation. QoL outcomes appeared more influenced by adjuvant therapy than reconstruction.</div></div><div><h3>Conclusion</h3><div>No eligible studies were found, underscoring an evidence gap. Current literature suggests no functional advantage of free flaps in T1 OTSCC. Stage-stratified, multicentre studies with standardised measures are needed to guide practice.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100614"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145840157","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}