{"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}
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}
Georges Ziade , Georges Abikanaan , Dayane Daou , Desiree Karam , Elias Keyrouz , Rami Saade
{"title":"Impact of surgical consultation and counseling on patients perspectives regarding nasal shape and expectations from rhinoplasty","authors":"Georges Ziade , Georges Abikanaan , Dayane Daou , Desiree Karam , Elias Keyrouz , Rami Saade","doi":"10.1016/j.adoms.2025.100540","DOIUrl":"10.1016/j.adoms.2025.100540","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Surgical rhinoplasty is a challenging aesthetic procedure, where patient satisfaction is the primary measure of success. This study assessed patients' perceptions of their nose shapes before and after a surgical consultation, using the Face-Q questionnaire.</div></div><div><h3>Materials and methods</h3><div>Patients attending preoperative consultations for primary rhinoplasty completed the Face-Q questionnaire; additional questions included those on nasal symmetry and skin regularity. Subsequently, the same questions were answered after standardized clinical assessment-based photos and measurements. The two sets of answers and demographic data analysis were compared. The study group was stratified by age into younger than or equal to, and older than 21 years, and compared using previously mentioned statistical methods.</div></div><div><h3>Results</h3><div>Forty patients, predominantly women (65 %), with a mean age of 26.5 years, were included. The Face-Q scores significantly changed after the objective assessment (mean change 3.30, p < 0.001). Stratification by age showed statistically significant differences in all questions for participants above 21, while those below 21 exhibited significant changes in all questions except those on columellar symmetry.</div></div><div><h3>Conclusion</h3><div>A preoperative review of a rhinoplasty patient's own nasal features through photographs influenced their perception of their nose, highlighting the importance of preoperative counseling in managing patient expectations effectively.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100540"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800596","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}
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}