Advances in Oral and Maxillofacial Surgery最新文献

{"title":"Inferior alveolar nerve bypass during tilted implant insertion: A 3-year retrospective cohort study","authors":"Nadim Sleman","doi":"10.1016/j.adoms.2024.100502","DOIUrl":"10.1016/j.adoms.2024.100502","url":null,"abstract":"<div><h3>Objective</h3><div>Implant placement in atrophic mandibles can be challenging due to insufficient bone volume. To overcome this problem, bone grafts are often required to increase bone volume and provide a stable base for the implant. However, bone grafting procedures can be invasive, time-consuming, and costly. Tilted implants are a viable option to bypass the inferior alveolar nerve (IAN) and increase the contact surface and primary stability.</div><div>The aim of this study was to evaluate the survival rate of tilted implants in posterior atrophic mandible and complications related to injury of the inferior alveolar nerve (IAN).</div></div><div><h3>Methods</h3><div>Accepted patients in this study were only those who suffered from teeth loss in the posterior atrophic mandible. The analysis of this study focused on tilted implants to investigate the survival rate following insertion and during the loading stage. Clinical assessment was conducted to analyze any occurrences of IAN injury.</div></div><div><h3>Results</h3><div>A total of 31 implants were placed in the posterior mandible of 26 patients with insufficient bone volume. Over a 36-month observation period, all implants exhibited a 100 % survival rate. Three patients experienced temporary neurosensory disturbances.</div></div><div><h3>Conclusions</h3><div>The use of tilted implants is a viable option for patients with atrophic edentulous mandible that lack the required alveolar height for traditional dental implants. Despite limited study observation time, bypassing the IAN during implant placement presents a predictable option for atrophic posterior mandible treatment.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100502"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142719649","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":"Histological characteristics of benign jaw tumours in Cameroon; A 10-year appraisal","authors":"Zilefac Brian Ngokwe ,&nbsp;Ntep Ntep David Bienvenue ,&nbsp;Bola Antoine Siafa ,&nbsp;Nokam Kamdem Stephane ,&nbsp;Kouamou Audrey Tchiekou ,&nbsp;Bengondo Charles Messanga ,&nbsp;Sando Zacharie","doi":"10.1016/j.adoms.2024.100501","DOIUrl":"10.1016/j.adoms.2024.100501","url":null,"abstract":"<div><h3>Introduction</h3><div>The diagnosis of jaw tumours is histological. Jaw tumours can be classified as benign or malignant. Benign jaw tumours can be classified as epithelial, mesenchymatous or epithelio-mesenchymatous based on their origin or with respect to their relation to the development of the dental organ into odontogenic and non -odontogenic.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted from the period from January 2010 to April 2020 in the Stomatology and maxillofacial surgery units and pathology units of 4 hospitals in Yaoundé. Participants who had been operated for a benign jaw tumour with available and exploitable histopathological workups were retained in this study. The histological slides found were examined by a team of pathologists in accordance with the 2005 World Health Organization classification of head and neck tumours.</div></div><div><h3>Results</h3><div>We retained 62 participants, ameloblastoma was the most represented tumour (25.81 %) followed by fibrous dysplasia (12.9 %) and Keratocystic odontogenic tumour (12.9 %). Ameloblastoma had 5 recurrences with a recurrence rate of 31.25 %.</div></div><div><h3>Conclusion</h3><div>Ameloblastoma was the most common benign jaw tumour and odontogenic tumour with Fibrous dysplasia being the most frequent non odontogenic tumour. Better description of histological characteristics and typing would help to prevent recurrence and complications such as malignant transformation. Digital recording of histopathological slides could help improve conservation and permit the carrying out long term retrospective studies in our settings.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"16 ","pages":"Article 100501"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663526","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":"Clinical application of submandibular endotracheal intubation in craniomaxillofacial fracture","authors":"Kaifang Yuan,&nbsp;Qudong Liao,&nbsp;Meixing Ren,&nbsp;Lin Lu,&nbsp;Guotao Wu,&nbsp;Junwen Wang","doi":"10.1016/j.adoms.2024.100499","DOIUrl":"10.1016/j.adoms.2024.100499","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the clinical application of submandibular endotracheal intubation in craniomaxillofacial fractures.</div></div><div><h3>Methods</h3><div>The submandibular endotracheal intubation was used to treat 10 patients with cranio-maxillofacial fractures and contraindications to nasal intubation.Ventilator monitoring data including SPO2(oxygen saturation of blood), Freq,VT,MV,PEEP, PLAT and PEAK were monitored before and after the operation of submandibular endotracheal intubation. The technique of submandibular intubation was assessed intraoperatively and in the postoperative period. The outcomes and complications are presented.</div></div><div><h3>Results</h3><div>The study included 10 patients aged between 18 and 63 years(6 males and 4 females). All patients had mandibular fractures, with 6 midface fractures (60 %), 5 nasal bone fractures (50 %), 6 zygomatic bone fractures (60 %). The procedure time ranged from 6 to 10 min (mean, 7.9 min). NO delayed extubation was performed in 10 cases. The technique has proved to be straightforward and satisfactory. A postoperative superficial infection occurred in 1 patients, whereas hypertrophic scars occurred in another 1 patients.</div></div><div><h3>Conclusion</h3><div>Submandibular endotracheal intubation is a safe procedure for intraoperative airway control in maxillofacial trauma patients who present contraindication to nasotracheal intubation.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"16 ","pages":"Article 100499"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445326","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":"Maxillo-orbital gunshot trauma in a pediatric patient","authors":"Maram Adil Mansour ,&nbsp;Elnagar E. Elgasim ,&nbsp;Esameldin Adam Nagi ,&nbsp;Ibtisam Hussein ,&nbsp;Malaz Mansour","doi":"10.1016/j.adoms.2024.100497","DOIUrl":"10.1016/j.adoms.2024.100497","url":null,"abstract":"<div><div>Gunshot injuries to the maxillofacial region vary in severity from minor harm to critical situations necessitating urgent medical intervention. Effective handling of facial gunshot wounds mandates a multidisciplinary approach to deliver thorough care to the individual.</div><div>We present a pediatric patient presenting to the Emergency Department following an accidental machine gun injury.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"16 ","pages":"Article 100497"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142359291","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 von Willebrand disease for orthognathic surgery: Evidenced-based recommendations and scoping review of the literature","authors":"Marshall F. Newman ,&nbsp;Dylan Walker ,&nbsp;Aaron Flanders","doi":"10.1016/j.adoms.2024.100498","DOIUrl":"10.1016/j.adoms.2024.100498","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The general management of von Willebrand Disease has evolved over the past several decades. Advances in blood product replacement manufacturing have led to changes in perioperative management of the bleeding diathesis in its various subtypes. Surgical management follows changes in medical management, but unique perioperative considerations exist depending on the type of surgery. Orthognathic surgery is considered a major surgery that can have life-threatening complications in patients with von Willebrand Disease (vWD) and updates in evidenced-based management are presented.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;The objectives of this report are to review available literature regarding management of patients with von Willebrand Disease and other bleeding disorder undergoing orthognathic surgery and to provide a case report regarding the management of a patient vWD type 2M undergoing orthognathic surgery.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Eligibility criteria&lt;/h3&gt;&lt;div&gt;Articles included for review were studies addressing patients with bleeding disorders undergoing orthognathic surgery.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Sources of evidence&lt;/h3&gt;&lt;div&gt;PubMed and Ovid were queried using the terms “orthognathic surgery OR jaw deformity” AND “von Willebrand OR bleeding disorders OR hemophilia.” Additional references relevant to the review were obtained from the reference lists of available articles ultimately deemed appropriate for inclusion in the review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A recent example case of a patient with type 2M vWD undergoing orthognathic surgery and the patient's perioperative management is presented for consideration. A scoping review of the literature was undertaken for evaluation of available literature using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review (PRISMA-ScR).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Insufficient evidence exists for significant analysis of perioperative management strategies previously reported compared to the currently utilized management strategy for the case presented. A review of the available literature with reference to updated literature regarding management of patients with vWD undergoing surgical procedures other than orthognathic surgery yields primarily case reports, two randomized controlled trials, and one systematic review. The results indicate that an evolution in the general management of patients with vWD undergoing surgery can be applied to patients undergoing orthognathic surgery and that the addition of hemostatic agents such as tranexamic acid may be considered with a low level of evidence.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;For patients undergoing orthognathic surgery, the use of cryoprecipitate in large quantities has been replaced with the use of Humate-P infusion and will likely be replaced with the use of recombinant von Willebrand factor (VWF). The timing of infusion of adjuncts preoperatively for patients with vWD","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"16 ","pages":"Article 100498"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427039","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":"Get the lead out-unusual ballistic patterns can lead to diagnostic delay","authors":"Alice Liu,&nbsp;Alice Cameron,&nbsp;Margaret Coyle","doi":"10.1016/j.adoms.2024.100496","DOIUrl":"10.1016/j.adoms.2024.100496","url":null,"abstract":"<div><div>Slingshot injuries have been rarely reported in the literature and while the value of three dimensional imaging, intravenous antibiotics and exploration under anaesthesia remain the mainstay of treatment, this case highlights the need for careful examination when the clinical presentation is seemingly innocuous. Our initial working assumption was that the palpable lump was likely to be an old injury, supported by the single small laceration which seemed an unlikely entry wound due to its size and distant anatomical location. However, blunt exploration of the would revealed a tract, favouring emergent rather than elective management. We therefore highlight to the maxillofacial community the possibility of explosive residue having migrated or being found distant to impact location.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"16 ","pages":"Article 100496"},"PeriodicalIF":0.0,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142328246","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":"Radiological characteristics of benign jaw tumours in Cameroon: 2010–2020","authors":"Zilefac Brian Ngokwe ,&nbsp;Mballa Amougou Jean Claude ,&nbsp;Ntep Ntep David Bienvenue ,&nbsp;Edouma Bohimbo Jacques ,&nbsp;Nokam Kamdem Stephane ,&nbsp;Cheboh Cho-Fon ,&nbsp;Kouamou Tchiekou Audrey ,&nbsp;Bengondo Messanga Charles","doi":"10.1016/j.adoms.2024.100492","DOIUrl":"10.1016/j.adoms.2024.100492","url":null,"abstract":"<div><h3>Introduction</h3><p>Benign jaw tumours or tumour-like swellings of the jaws can be classified as odontogenic; derived from odontogenic tissues or non-odontogenic.</p><p>Once a preliminary diagnosis is made, physicians have to conduct full radiographic investigations in order to make a fairly accurate description of the tumour.</p></div><div><h3>Methods</h3><p>This retrospective hospital-based study was conducted at the Stomatology and maxillofacial surgery and radiology units of 4 medical centres in Yaoundé. 62 participants with radiological work ups were retained in the study with 13 participants having at least one recurrence.</p></div><div><h3>Results</h3><p>The radiographic lesions were mostly unilocular (67.74 %, n = 42), 52(83.9 %) of our study participants had a tumour size ≥4 cm, the mandibular location was more represented in our study with 72.6 %(n = 45) and the fourth decade was the most represented age group with basal cortical perforation (44.4 %, n = 4).</p><p>In our study the orthopantomogram and CT (computed tomography) scans were the only imaging modality used as a result of the cost and accessibility.</p></div><div><h3>Conclusion</h3><p>Multilocular tumor presentation was associated with recurrence in our study and the fourth decade had the most cases of basal cortical perforation. Radiological characteristics of benign jaw tumour should be taken more into consideration as better description of these radiological characteristics can help with the treatment of benign jaw tumours and reduce complications like recurrence.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"15 ","pages":"Article 100492"},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667147624000141/pdfft?md5=280b3ed308f90e00273b2220db6e5e64&pid=1-s2.0-S2667147624000141-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141407671","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":"Outcomes and complications of orthognathic surgery in older patients","authors":"Liesbeth Govaers ,&nbsp;Renée Beckers ,&nbsp;Constantinus Politis","doi":"10.1016/j.adoms.2024.100491","DOIUrl":"https://doi.org/10.1016/j.adoms.2024.100491","url":null,"abstract":"<div><h3>Purpose</h3><p>Several studies have described the outcomes and complications following orthognathic surgery. However, the average patient age in these studies is 20–40 years. It is unclear whether results from these age groups can be extrapolated to older patients.</p></div><div><h3>Methods</h3><p>This retrospective observational study included 54 patients over 50 years of age, who underwent orthognathic surgery. From these patients’ medical records, we retrieved data regarding patient characteristics, surgery characteristics, outcomes, and complications.</p></div><div><h3>Results</h3><p>The patients’ mean age was 56 years (range, 50–69 years), and mean ASA score was 2. A bad split occurred in one patient, and immediate postoperative complications occurred in two patients. There were no long-term sequelae. Neurosensory disturbances (NSD) occurred in 30 patients. Preoperative temporomandibular dysfunction (TMD) was present in 9 patients—among whom, five were cured after surgery. Four patients postoperatively developed de novo TMD. Hardware removal was performed in 22 patients. The mean length of stay was two days for monomaxillary procedures, and three days for bimaxillary procedures.</p></div><div><h3>Conclusions</h3><p>This study demonstrated apparent differences between patients over 50 years of age and the general orthognathic population. In particular, neurosensory disturbances and hardware removal were more prevalent in our study population.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"15 ","pages":"Article 100491"},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266714762400013X/pdfft?md5=1b9b5a6900784379fed4ea4ae673cdcb&pid=1-s2.0-S266714762400013X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141325145","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":"Odontogenic cysts decompression: Myth or reality? A case report","authors":"Samir Mainassara Chekaraou ,&nbsp;Abdoul-Hafizou Rabe Amani ,&nbsp;Abdoul-Majid Habibou ,&nbsp;Malika Mascou ,&nbsp;Amadou Ali ,&nbsp;Abarchi Boubé Djafarou ,&nbsp;Inoussa Daouda Bako ,&nbsp;Kadre Ousmane Kadre Alio ,&nbsp;Mahamadou Dandi Abarchi","doi":"10.1016/j.adoms.2024.100490","DOIUrl":"https://doi.org/10.1016/j.adoms.2024.100490","url":null,"abstract":"<div><h3>Introduction</h3><p>Odontogenic cysts are cysts that originate from the odontogenic epithelium and are found in the areas of the jaw that bear teeth. Dentigerous cysts are one of the most common developmental types of odontogenic cysts occurring in the oral cavity and often manifest as incidental findings on dental radiographs and/or as asymptomatic swellings. Treatment usually involves cyst enucleation or tooth extraction, although decompression may be used for larger lesions.</p></div><div><h3>Case report</h3><p>We report the case of an 8-year-old patient referred by his ENT physician following the swelling of the left maxilla for whom the clinical, radiological examination associated with biopsy suggested a dentigerous cyst.</p></div><div><h3>Conclusion</h3><p>management consisted of decompression of the lesion after eight months which allowed the disappearance of the cystic. The patient continues to be followed clinically and radiologically.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"15 ","pages":"Article 100490"},"PeriodicalIF":0.0,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667147624000128/pdfft?md5=6ba9da044a2188be5651b3cd13b79a09&pid=1-s2.0-S2667147624000128-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141164417","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":"Multi-organ IgG4-related sialadenitis diagnosed via core needle biopsy: A case report","authors":"Shishuo Ma ,&nbsp;Xiaojuan He ,&nbsp;Weijia Huang","doi":"10.1016/j.adoms.2024.100486","DOIUrl":"https://doi.org/10.1016/j.adoms.2024.100486","url":null,"abstract":"<div><p>Diagnosing Immunoglobulin G4-related sialadenitis (IgG4-RS) remains challenging due to its rarity and similarity to other forms of sclerosing sialadenitis. Controversies persist regarding biopsy approaches. We presented a case with sclerosing sialadenitis in the major salivary glands, pancreatitis, elevated serum IgG4 levels, and core needle biopsy (CNB) revealed lymphoplasmacytic infiltration. This case report aims to raise awareness of the potential use of CNB in suspected IgG4-RS cases, minimizing associated risks compared to open biopsy.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"14 ","pages":"Article 100486"},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667147624000086/pdfft?md5=10b1b39968a2e5759301302e56a6f0d5&pid=1-s2.0-S2667147624000086-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140645044","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}