Paula Lancaster , Brian Hogan , Eldo Verghese , Alasdair McKechnie
{"title":"Case report: Mysterious neck metastasis – Role of the dental clinician","authors":"Paula Lancaster , Brian Hogan , Eldo Verghese , Alasdair McKechnie","doi":"10.1016/j.adoms.2025.100535","DOIUrl":"10.1016/j.adoms.2025.100535","url":null,"abstract":"<div><div>This report presents an unusual neck lesion, initially seen by a dental surgeon. The lesion had been present for more than 4 weeks, was asymptomatic, slowly increasing in size and proved to be diagnostically challenging from a clinical, radiological and histopathology perspective. Following excision and full histopathological analysis, a definitive diagnosis remains elusive.</div><div>This demonstrates the importance of the dental surgeon as the first point of patient-contact and the patient's relationship with numerous multidisciplinary teams. Promotion of healthy living, screening for abnormal lesions and early referrals by dental surgeons improves prognosis and patients' quality of life. All clinicians need to be vigilant.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100535"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706395","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":"Pseudoankylosis as a complication of reanimation with neuro-vascular anastomosed gracilis muscle: A case report","authors":"Vladimir Machon , Michal Beno , Petr Michl","doi":"10.1016/j.adoms.2025.100532","DOIUrl":"10.1016/j.adoms.2025.100532","url":null,"abstract":"<div><div>Pseudoankylosis is an uncommon condition characterized by painless restriction of jaw mobility. It is a pathological condition outside the temporomandibular joint (TMJ) articular structure, with myogenic, osteologic, neurogenic, and psychogenic etiologies. The authors present a case of pseudoankylosis arising as an isolated complication of reanimation with neuro-vascular anastomosed gracilis muscle.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100532"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696215","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":"Oral epithelial dysplasia: Do we have a management solution? A systematic review","authors":"Navini Mannapperuma , Chiew Ying Chieng , Velupillai Ilankovan","doi":"10.1016/j.adoms.2025.100533","DOIUrl":"10.1016/j.adoms.2025.100533","url":null,"abstract":"<div><div>Currently there is no definite approved guidelines over the treatment and follow-up required for patients with oral epithelial dysplasia (OED). There are ample controversies based on predicting the malignant transformation potential and deciding the management options solely based on the degree of epithelial dysplasia. The objective of this review was to identify an evidence-based management pathway for OED. The systematic review was conducted using PubMed, EMBASE using PRISMA guidelines. Following applications of inclusion and exclusion criteria, only 12 studies were included in the review. Overall, there were a wide variation in the reported recurrence rate (2.5 %–51.4 %) and the malignant transformation rate (MTR) (2.6–27 %). The degree of dysplasia was not significant in malignant transformation. The mainstay of treatment includes observation, laser ablation and excision with no concrete evidence of resolution. Therefore, there is an urgent need for a multidisciplinary conference to create a consensus for treatment pathway for OED.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100533"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716036","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":"Inclusion Body Myositis presenting with macroglossia: A diagnostic challenge","authors":"Aaron Patel, Suresh Shetty","doi":"10.1016/j.adoms.2025.100531","DOIUrl":"10.1016/j.adoms.2025.100531","url":null,"abstract":"<div><div>Patients with Inclusion Body Myositis (IBM) may present with symptoms such as dysarthria and dysphagia, often before a formal diagnosis. Increased awareness and understanding of IBM among clinicians can help identify early signs, leading to timely referrals to specialist teams. Raising awareness of IBMs oral manifestations will empower clinicians to play a key role in the multidisciplinary management of this progressive disease.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100531"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697138","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":"Locally advanced squamous cell carcinoma of the hard palate invading the maxillary sinus with ipsilateral maxillary chromoblastomycosis: Simply a rare coexistence or a causal relationship?","authors":"Shaivy Malik, Aneesa Ansari, Charanjeet Ahluwalia","doi":"10.1016/j.adoms.2025.100530","DOIUrl":"10.1016/j.adoms.2025.100530","url":null,"abstract":"<div><div>Chromoblastomycosis is a rare chronic fungal infection typically affecting the cutaneous regions of the lower extremities, predominantly in male agricultural workers. However, its extracutaneous manifestations, particularly in the maxillary sinus, are exceedingly rare, with only three cases reported in the literature. This case report presents a 59-year-old female with a history of chronic tobacco use, who presented with an ulceroproliferative lesion of the hard palate, later diagnosed as moderately differentiated squamous cell carcinoma (SCC) invading the maxillary sinus. During surgery, necrotic debris in the maxillary sinus revealed chromoblastomycosis on histopathological examination, confirmed by the presence of characteristic sclerotic bodies.</div><div>The co-occurrence of maxillary chromoblastomycosis and SCC is unprecedented, raising important questions about their etiological interplay. The fungal infection may have been facilitated by trauma, cortical erosion, and immunosuppression induced by the invasive carcinoma. This case emphasizes the importance of careful intraoperative evaluation and highlights the need for a multidisciplinary approach to manage rare co-pathologies effectively. Postoperative treatment included antifungal therapy with oral itraconazole (400 mg/day) and adjuvant radiotherapy for SCC.</div><div>The unique combination of an aggressive malignancy with a rare fungal infection in this patient underscores the importance of detailed documentation and exploration of such atypical presentations. Further studies are required to elucidate potential causative links and to develop evidence-based guidelines for the diagnosis and management of such rare and complex clinical scenarios.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100530"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527171","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":"Endotracheal tube damage during Le Fort I osteotomy: Diagnosis and management","authors":"S. Kilgarriff, A. Ogunbowale, M. Gilbride","doi":"10.1016/j.adoms.2025.100524","DOIUrl":"10.1016/j.adoms.2025.100524","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100524"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143465344","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}
Zilefac Brian Ngokwe , Ntep Ntep David Bienvenue , Nokam Kamdem Stephane , Kouamou Tchiekou Audrey , Atanwo Nita Lise Dongmo , Bengondo Messanga Charles , Sando Zacharie
{"title":"Time patterns of recurrence and correlating histomorphology to delay of recurrence of benign jaw tumours: A 10-year appreciation","authors":"Zilefac Brian Ngokwe , Ntep Ntep David Bienvenue , Nokam Kamdem Stephane , Kouamou Tchiekou Audrey , Atanwo Nita Lise Dongmo , Bengondo Messanga Charles , Sando Zacharie","doi":"10.1016/j.adoms.2025.100526","DOIUrl":"10.1016/j.adoms.2025.100526","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients presenting a recurrent benign jaw tumour have many complications, among which increased morbidities and mortalities, malignant degeneration of these benign tumours, aesthetic as well as functional sequalae and high medical bills. Hence, we sought out through a retrospective study to evaluate the patterns of these recurrences to help us appreciate and help predict recurrences to improve the overall wellbeing of these patients.</div></div><div><h3>Methods</h3><div>We carried out a retrospective study during the period of January 2010 to April 2020 at 3 medical centers in Yaoundé. We obtained the necessary ethical approval and administrative authorizations. All study participants having a histological diagnosis of a benign jaw tumour and presenting with at least one tumour recurrence were included in our study. The histological diagnoses were reconfirmed and we excluded all participants with pathology slides that could not be retrieved or those that could not undergo histological analysis.</div></div><div><h3>Results</h3><div>We retrieved 19 cases of benign tumour recurrences in this 10-year period and finally retained 14 cases of benign tumour recurrences in our study with a total of 7 different histological diagnoses. Also, all our cases of recurrences were found between the second and fifth decade with ameloblastoma having the most cases of recurrences in our study. The mean duration of recurrence for participants with one recurrence only was 6.31years ± 6.08, while those with ≥2 recurrences was 3.50years ± 2.95. Looking at the histomorphology, the mean duration of first recurrence of ameloblastoma in our study was 5 years, relatively shorter than the combined mean duration of first recurrence for all tumours recurrences which was 5.55years ± 5.49.</div></div><div><h3>Conclusion</h3><div>The mean duration of first, second and third recurrences were 5.55years ± 5.49, 2.17years ± 1.47 and 2.80years ± 2.88 respectively. These durations and patterns could help as surgical post operative follow up period after jaw tumour recurrences.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100526"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419369","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}
Alkaabi S , Alsabri G , Alyammahi A , Aljamani S , Maningky M , Helder M
{"title":"Psychological and quality of life outcomes following orthognathic surgery: A comprehensive systematic review","authors":"Alkaabi S , Alsabri G , Alyammahi A , Aljamani S , Maningky M , Helder M","doi":"10.1016/j.adoms.2025.100522","DOIUrl":"10.1016/j.adoms.2025.100522","url":null,"abstract":"<div><div>Orthognathic surgery (OGS) corrects functional malocclusions and enhances facial profiles. It is suitable for patients with dentofacial deformities, facial asymmetries, and craniofacial anomalies. OGS has significant psychological implications, making the assessment of patient satisfaction and quality of life (QoL) vital for optimal outcomes.</div><div>This study evaluates the psychological context of patient satisfaction and QoL improvements post-OGS. A systematic review of 29 studies, following PRISMA guidelines, included databases like Cochrane, MEDLINE, and others. Results showed 25/29 studies reporting improved outcomes: OHIP (12/29), OQLQ (10/29), and SF-36 (7/29). Overall, OGS positively impacted QoL, emphasizing its effectiveness in psychological well-being and aesthetic transformation. Understanding limitations and exploring psychological impacts further can optimize patient outcomes.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100522"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563109","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}
Ayesha McLennan-Dalal , Efstathia Kyrodimou , Sarah L. Saunders , Syed Ali Khurram , Andrew S. McLennan
{"title":"A true malignant mixed tumour of the parotid gland","authors":"Ayesha McLennan-Dalal , Efstathia Kyrodimou , Sarah L. Saunders , Syed Ali Khurram , Andrew S. McLennan","doi":"10.1016/j.adoms.2025.100521","DOIUrl":"10.1016/j.adoms.2025.100521","url":null,"abstract":"<div><div>Salivary gland carcinosarcomas contain both malignant epithelial and mesenchymal elements making them a true malignant mixed tumour. They may arise ‘de novo’ or from an existing pleomorphic adenoma and are often difficult to diagnose histologically. Management is by means of radical surgery, but prognosis remains poor. We present a case of this rare tumour seen in a young patient to highlight its aggressive potential.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100521"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143207577","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":"Comprehensive five-year study on salivary gland tumors: Demographic, clinical, and histopathological insights","authors":"Rahul Rajbhar , Dhanashri Ekatpure , Ashvini Kolhe","doi":"10.1016/j.adoms.2025.100523","DOIUrl":"10.1016/j.adoms.2025.100523","url":null,"abstract":"<div><h3>Background</h3><div>Salivary gland tumors account for 3 %–10 % of head and neck neoplasms. The aim of the study is to analyze demographic, clinical, and histopathological characteristics of salivary gland tumors.</div></div><div><h3>Materials and methods</h3><div>A five year retrospective analysis of surgically excised salivary gland tumor specimens was conducted. Data on demographics, clinical features, and histopathology were reviewed and statistically analyzed using descriptive and inferential methods.</div></div><div><h3>Results</h3><div>A total of 55,000 specimens were received; of these, 0.12 % was diagnosed as salivary gland tumors, with a male to female ratio of 1.1:1. Of the tumors, 85.1 % were benign and 14.9 % were malignant neoplasms, with the most common tumors being pleomorphic adenoma and mucoepidermoid carcinoma respectively. Benign tumors generally had a slower onset and were more encapsulated, while malignant tumors showed faster growth and were less encapsulated.</div></div><div><h3>Conclusion</h3><div>This study enhances understanding of salivary gland tumors, highlighting benign predominance, gender disparities, and key histopathological features for diagnosis and treatment.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100523"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143207825","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}