{"title":"Dermis fat graft compared to temporalis myofascial graft for interpositional arthroplasty in TMJ ankylosis. A systematic review and metanalysis","authors":"Ashutosh Kumar Singh , Anson Jose , Nikita Khanal , K.C. Krishna , Rajib Chaulagain , Ajoy Roychoudhury","doi":"10.1016/j.adoms.2023.100410","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100410","url":null,"abstract":"<div><p>This systematic review was performed to compare the dermis fat graft (DFG) to the conventional temporalis myofascial flap (TMF) used as Interpositional material in the management of temporomandibular joint ankylosis (TMJA). We searched PubMed, Embase, CENTRAL, clinical trial registries and google scholar. The outcomes of interest were Maximal Incisal Opening (MIO), Post-operative pain and reankylosis. Only four studies met the inclusion criteria. The studies had an overall high risk of bias. Nevertheless, the MIO was higher by 4.485 mm in DFG which was statistically significant (p < 0.01) but heterogenous (I<sup>2</sup> = 92%). The risk difference of reankylosis was only 3% less in DFG compared to TMF, which was statistically not significant (p = 0.64). The post-operative pain was comparable between the two techniques, with only one study reporting a statistically significant reduction in pain in the DFG group. We found low-quality evidence of statistically significant higher MIO in DFG, but a very low risk difference in reankylosis between the two techniques. Further clinical trials with long-term follow-up are recommended as the total sample and outcome events are very low for a concrete conclusion.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"10 ","pages":"Article 100410"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49707692","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":"A miniscrew supported transpalatal arch for stability of the multiple piece LeFort I osteotomy. Technical note","authors":"N. Leon , N. Solano , M. Hirschhaut","doi":"10.1016/j.adoms.2023.100408","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100408","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"10 ","pages":"Article 100408"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49707782","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":"Primary acinic cell carcinoma in an adolescent female","authors":"Meena Venkatasami, Katherine Harrison","doi":"10.1016/j.adoms.2023.100419","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100419","url":null,"abstract":"<div><p>Acinic cell carcinoma (ACC) is a rare, low-grade tumour, accounting for about 17% of all primary salivary gland malignancies in adults. ACC most commonly affects the parotid gland, predominating fifth and sixth decades of life and a female predilection. In the paediatric population, mucoepidermoid carcinoma is the most common parotid malignancy, followed by ACC.</p><p>We report a case of a 16-year-old female, presenting with a slow-growing right parotid lump. Clinical examination revealed a small right parotid nodule, grade I House-Brackmann score and cervical lymphadenopathy. Radiological investigations revealed a well-circumscribed lobulated lesion in the anterior right parotid gland and reactive lymph nodes. Surgical management included a right partial parotidectomy. Immunohistochemistry was negative for S100, positive with DOG-1 and widespread PAS-D-resistant granules throughout the tumour cells, confirming a diagnosis of ACC.</p><p>ACC is an important differential diagnosis to consider in salivary gland pathology in the female adolescent patient.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"10 ","pages":"Article 100419"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49707787","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}
Christina Lipede , Lyudmila Kishikova , Alexis Thomas , Catriona Neville , Vanessa Venables , Charles Nduka
{"title":"Facial expression detection using posterior-auricular muscle surface-electromyographic activity","authors":"Christina Lipede , Lyudmila Kishikova , Alexis Thomas , Catriona Neville , Vanessa Venables , Charles Nduka","doi":"10.1016/j.adoms.2023.100414","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100414","url":null,"abstract":"<div><h3>Introduction</h3><p>Following Bell's palsy, 25% of sufferers are left with chronic, difficult to treat involuntary muscle movements (synkinesis). Surface-electromyography (sEMG) biofeedback has an established role in improving muscular coordination. The vestigial posterior auricular muscle (PAM) is the first muscle re-innervated by the facial nerve. This study measured the sEMG signal from PAM in facial animation in healthy subjects and explored the possibility of using PAM in a wearable rehabilitative device.</p></div><div><h3>Material and methods</h3><p>PAMs activity was recorded using sEMG in 41 healthy volunteers during the performance of a set range of facial expressions. To compare results between participants and expressions, the percentage increase from baseline were used.</p></div><div><h3>Results</h3><p>PAMs activity increased significantly from baseline in response to smiling (110.98%) compared with other facial expressions: closing eyes (7.85%); blowing out cheeks (39.35%); whistling (11.84%), and showing lower teeth (38.24%). PAMs activity increased in proportion to smile intensity: lips together smile (55.18%); open smile (111.98%); full denture smile (130.07%); and, laughing (269.42%).</p></div><div><h3>Conclusion</h3><p>This study demonstrates that measurement of smile intensity is possible via the sEMG signal from the PAM. Further studies investigating the applicability of measuring PAM activity during smiling to enhance and guide facial palsy rehabilitation are ongoing.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"10 ","pages":"Article 100414"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49707837","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}
Mohamed Elseyoufi , Ayman Hasan Alrabiaa , Peter Tsakiris
{"title":"Removal of nasally impacted mesiodens by maxillary vestibular transnasal approach","authors":"Mohamed Elseyoufi , Ayman Hasan Alrabiaa , Peter Tsakiris","doi":"10.1016/j.adoms.2023.100420","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100420","url":null,"abstract":"<div><p>The mesiodens is rarely associated with the nasal floor. Several surgical techniques exist for the removal of nasally impacted mesiodens. This case report presents a 13-year-old male who had uneventful surgical extraction of nasally impacted asymptomatic mesiodens using a maxillary transnasal subperiosteal approach via a modified LeFort I vestibular incision. This novel technique, which requires surgical experience and expertise, is recommended due to optimal surgical access, resulting in reduced surgical time and less bone removal with a decreased risk of damage to the adjacent structures.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"10 ","pages":"Article 100420"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49731100","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}
Ahmed Abdelrahman, Natalie Turton, Matthew R. Idle, Prav Praveen, Tim Martin, Sat Parmar
{"title":"Percutaneous tracheostomy in head and neck oncology surgery: How Covid-19 changed our practice","authors":"Ahmed Abdelrahman, Natalie Turton, Matthew R. Idle, Prav Praveen, Tim Martin, Sat Parmar","doi":"10.1016/j.adoms.2023.100422","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100422","url":null,"abstract":"<div><p>Enhanced experience in performing percutaneous tracheostomies during the COVID-19 pandemic resulted in changes to airway management protocol for patients undergoing major head and neck reconstructive surgery within our department. Most patients now receive a percutaneous tracheostomy over the previously favoured surgical tracheostomy. The aim of this study was to review our experience in performing percutaneous tracheostomies, whilst comparing complication rates with surgical tracheostomies performed in similar settings. All consecutive patients undergoing free flap reconstructive surgery for head and neck cancer between June 2020 and November 2021 were included, with 56 patients receiving a percutaneous tracheostomy. Data across a range of variables including age, BMI, comorbidities and complications was compared with 56 surgical tracheostomies performed for the same group of patients before the COVID-19 pandemic and resultant protocol changes. In the percutaneous group, a marginally lower complication rate was observed over the surgical tracheostomy group; 28.57% and 30.35% respectively. Analysis of the 16 patients who experienced complications in the percutaneous group led to development of selection criteria to identify appropriate patients to receive a percutaneous tracheostomy in future, based on factors such as BMI, bleeding risk and positioning deformities. The COVID-19 pandemic has offered a multitude of learning experiences for healthcare professionals to change our practice. In our unit, this has involved modifying the routine tracheostomy procedure used for airway management intra- and post-operatively in major head and neck reconstruction surgery.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"10 ","pages":"Article 100422"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49731180","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}
N. Parvataneni, Deepthi Kancharla, Kiran Kumar D, Ishfaq Ahmad Gilkar, P. Susmitha, Mahesh Chejarla
{"title":"Robotic assisted laryngopharyngoesophagectomy in an advanced carcinoma of hypopharynx- assistance of newer surgical armamentarium in an advanced malignancy","authors":"N. Parvataneni, Deepthi Kancharla, Kiran Kumar D, Ishfaq Ahmad Gilkar, P. Susmitha, Mahesh Chejarla","doi":"10.1016/j.adoms.2023.100424","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100424","url":null,"abstract":"<div><p>Still in today's advanced era to reconstruct surgical abnormalities following removal of upper airway and proximal esophageal malignancies is regarded a herculean task which does require tremendous surgical experience and expertise and multidisciplinary team work. In this short communication we are presenting a case of advanced carcinoma hypopharynx which was surgically managed with laryngopharyngoesophagectomy with Robotic assistance.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"10 ","pages":"Article 100424"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49761012","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":"Design and clinical application of X-shaped cross-dressing method in rhytidectomy","authors":"Mingyu Zhao , Lehao Wu , Qianwen Wang, Tailing Wang, Jiaqi Wang","doi":"10.1016/j.adoms.2023.100404","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100404","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the effect of “X\"-shaped cross-compression dressing of nasal root in rhytidectomy surgery.</p></div><div><h3>Methods</h3><p>From 2019.01 to 2022.02, 60 patients with high SMAS facelift in our department were selected to undergo “X\"-shaped cross compression bandaging of the nasal root, and the incidence of postoperative hematoma and skin necrosis were counted.</p></div><div><h3>Results</h3><p>There were two small-scale hematomas, and no flap infection and skin necrosis were observed postoperatively.</p></div><div><h3>Conclusion</h3><p>Nasal “X\"-shaped cross-compression bandaging method is reliable. It can effectively prevent the occurrence of postoperative hematoma and other complications and significantly improve patients' comfort.</p></div><div><h3>Evidence based medicine(ebm) level</h3><p>IV.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"10 ","pages":"Article 100404"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49707694","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}
Mohammed Laachoubi, Youssef Oukessou, Sami Rouadi, Reda Abada, Mohamed Roubal, Mohamed Mahtar
{"title":"Mass of the parapharyngeal space: A tumor with a surgical challenge","authors":"Mohammed Laachoubi, Youssef Oukessou, Sami Rouadi, Reda Abada, Mohamed Roubal, Mohamed Mahtar","doi":"10.1016/j.adoms.2023.100403","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100403","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"10 ","pages":"Article 100403"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49761016","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":"Social adaptation following radical resection and free flap reconstruction for oral cancer","authors":"Satoshi Yamaguchi , Kento Kaminogo , Tatsuya Tokura , Hiroyuki Kimura , Shinichi Kishi , Noriyuki Yamamoto , Norihisa Ichimura , Yoshiro Koma , Norio Ozaki , Hideharu Hibi","doi":"10.1016/j.adoms.2023.100416","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100416","url":null,"abstract":"<div><h3>Objective</h3><p>Understanding the extent of social reintegration is crucial in providing social support to patients. The incidence and treatment of oral cancer can result in functional and aesthetic impairments that significantly affect the daily lives of patients. Therefore, we aimed to determine the social adaptation status of patients after oral cancer surgery.</p></div><div><h3>Methods</h3><p>Patients who had undergone resection and reconstructive surgery with free flaps for oral cancer between February 2017 and October 2020 and agreed to participate in this study were included. The social adaptation status of patients was assessed using the Japanese version of the Social Adaptation Self-evaluation Scale (SASS-J; higher scores denote better social adaptation) preoperatively and at 3- and 6-months postoperatively.</p></div><div><h3>Results</h3><p>Thirty-four patients completed the SASS-J questionnaire. The median preoperative and 3- and 6-month postoperative SASS-J scores were 34 (26.5–39.25), 33.5 (25–38), and 33.5 (30–40), respectively, and did not differ significantly between these three categories. Analysis of covariance (ANCOVA) of 6-month postoperative SASS-J scores revealed significant differences for both the primary site of cancer (F = 6.6024, p = 0.0007) and marital status (F = 11.6866, p = 0.0019). Furthermore, multiple comparisons for the primary site of cancer indicated that the SASS-J scores of patients with tongue cancer were significantly lower than those of patients with mandibular cancer (p = 0.0178).</p></div><div><h3>Conclusions</h3><p>These results indicate that the postoperative social adaptation status among patients who underwent oral cancer resection with reconstruction is worse in patients with tongue cancer and in those who are unmarried.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"10 ","pages":"Article 100416"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49707874","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}