Advances in Oral and Maxillofacial Surgery最新文献_第2页

Atypical peripheral calcifying odontogenic cyst — Case report and updated review of the literature 非典型外周钙化牙源性囊肿1例报告及最新文献复习

Advances in Oral and Maxillofacial Surgery Pub Date : 2026-03-01 Epub Date: 2025-11-15 DOI: 10.1016/j.adoms.2025.100604

Mohammed H. Albodbaij , Bander Y. Alkarri , Kawthar M. Almumatin , Ahmad M. Alramil

{"title":"Atypical peripheral calcifying odontogenic cyst — Case report and updated review of the literature","authors":"Mohammed H. Albodbaij , Bander Y. Alkarri , Kawthar M. Almumatin , Ahmad M. Alramil","doi":"10.1016/j.adoms.2025.100604","DOIUrl":"10.1016/j.adoms.2025.100604","url":null,"abstract":"<div><div>A peripheral calcifying odontogenic cyst (PCOC) is an uncommon extraosseous variant of a calcifying odontogenic cyst, characterized by the presence of ghost cell and focal calcifications within the cystic lining. Here, we report a rare case of a PCOC occurring in the anterior maxilla of a 39-year-old female. The patient presented with painless, slowly enlarging swelling that had recurred twice following prior incision and evacuation procedures. Clinical and radiographic evaluation revealed a well-circumscribed soft-tissue lesion confined to the labial mucosa without any osseous involvement. The lesion was surgically managed under general anesthesia through conservative excision. The patient was prescribed amoxicillin 500 mg cap q8h, metronidazole 500 mg tab q8h, and paracetamol 1 g q6h as needed for 5 days. Histopathologic examination demonstrated a cystic cavity lined by ameloblastoma-like odontogenic epithelium containing numerous ghost cells with the absence of focal dystrophic calcifications, consistent with a PCOC. The postoperative course was uneventful, and no recurrence was noted during a 30-month follow-up. A review of the current literature highlights the consistent clinicopathologic behaviour of PCOCs and their favourable prognosis with conservative treatment.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100604"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145594507","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}

引用次数: 0

Central giant cell granuloma of the temporomandibular joint: A case report 颞下颌关节中央巨细胞肉芽肿1例

Advances in Oral and Maxillofacial Surgery Pub Date : 2026-03-01 Epub Date: 2025-11-19 DOI: 10.1016/j.adoms.2025.100605

Maïa Vitoratos , Maryam Ejaz , Sina Hashemi

引用次数: 0

A novel scarless intraoral approach for the excision of large submental epidermoid cysts: A minimally invasive innovation 一种新的无瘢痕口内入路用于切除大型颏下表皮样囊肿：一种微创创新

Advances in Oral and Maxillofacial Surgery Pub Date : 2026-03-01 Epub Date: 2025-11-24 DOI: 10.1016/j.adoms.2025.100610

Anjani Kumar Jha, Akash Ganguly, Ashish Kumar, Tauseef Fazal, Soumalya Das, Sajid Qureshi

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Deproteinized bovine bone block for horizontal ridge augmentation: A clinical split-mouth prospective study – part II, histologic and microtomographic evaluation 去蛋白牛骨块水平嵴增强：临床裂口前瞻性研究-第二部分，组织学和显微层析评价

Advances in Oral and Maxillofacial Surgery Pub Date : 2026-03-01 Epub Date: 2026-01-19 DOI: 10.1016/j.adoms.2026.100627

Pedro Henrique de Azambuja Carvalho , Guilherme dos Santos Trento , Nathalia Caetano Marques , Julia Ferrazoli de Oliveira Borges , Marisa Aparecida Cabrini Gabrielli , Roberta Okamoto , Rubens Spin-Neto , Valfrido Antonio Pereira-Filho

{"title":"Deproteinized bovine bone block for horizontal ridge augmentation: A clinical split-mouth prospective study – part II, histologic and microtomographic evaluation","authors":"Pedro Henrique de Azambuja Carvalho , Guilherme dos Santos Trento , Nathalia Caetano Marques , Julia Ferrazoli de Oliveira Borges , Marisa Aparecida Cabrini Gabrielli , Roberta Okamoto , Rubens Spin-Neto , Valfrido Antonio Pereira-Filho","doi":"10.1016/j.adoms.2026.100627","DOIUrl":"10.1016/j.adoms.2026.100627","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the micro architectural and histological patterns of new bone formation in areas grafted with deproteinized bovine bone block (DBBM) compared to autogenous graft from mandibular ramus (AB).</div></div><div><h3>Materials and methods</h3><div>Twelve patients with edentulous atrophic maxillary ridges were submitted to maxillary ridge reconstruction surgery. Each side of maxilla received a type of graft, according to randomization: AB or DBBM. Nine months after, cylindrical bone biopsies were obtained using a trephine bur, and then submitted to micro CT to evaluate tissue volume, surface, Bone volume and surface, bone volume percent, bone surface density, specific bone density; trabecular number, separation, thickness and pattern, porosity and connectivity. From each group, six samples were randomly selected for histological analysis. Histological images were qualitatively evaluated for tissue pattern and osteocytes infiltration. Furthermore the areas of new bone formation, vital bone, soft tissue, residual biomaterial, and necrotic bone were defined.</div></div><div><h3>Results</h3><div>specific bone density was larger for DBBM than for AB (14.69 ± 2.66 vs 12.01 ± 2.16), but trabecular thickness was larger in AB (0.55 ± 0.33 mm) than in DBBM (0.28 ± 0.04 mm). At the histologic analysis, area of mineralized tissue was larger in the AB than in DBBM (55.29 % ± 11.24 vs 37.04 % ± 9.04). All other evaluated criteria did not differ between groups.</div></div><div><h3>Conclusion</h3><div>DBBM presented suitable incorporation to the grafted site, allied to new bone formation, bone volume, bone density, and soft tissue areas similar to AB.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100627"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037248","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}

引用次数: 0

Extensive bilateral cervical and mediastinal emphysema following dental implant scaling: The unexpected airway risk 牙种植体刮除后广泛的双侧颈椎和纵隔肺气肿：意想不到的气道风险

Advances in Oral and Maxillofacial Surgery Pub Date : 2026-03-01 Epub Date: 2025-11-07 DOI: 10.1016/j.adoms.2025.100600

Roisin Kerlin , Nikolaos Fanaras , Richard Parkin

引用次数: 0

Rethink your orthognathic toolbox: Adopt OSAgnathic surgery for sleep apnea 重新考虑你的正颌手术工具箱：采用osnathic手术治疗睡眠呼吸暂停

Advances in Oral and Maxillofacial Surgery Pub Date : 2026-03-01 Epub Date: 2025-12-06 DOI: 10.1016/j.adoms.2025.100612

引用次数: 0

Oral and Maxillofacial Surgery teaching in the medical undergraduate curriculum: A Scottish perspective and suggestions for future improvement 医学本科课程口腔颌面外科教学：苏格兰视角及改进建议

Advances in Oral and Maxillofacial Surgery Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.adoms.2026.100621

Katherine A. Lowe , Mark F. Devlin

{"title":"Oral and Maxillofacial Surgery teaching in the medical undergraduate curriculum: A Scottish perspective and suggestions for future improvement","authors":"Katherine A. Lowe , Mark F. Devlin","doi":"10.1016/j.adoms.2026.100621","DOIUrl":"10.1016/j.adoms.2026.100621","url":null,"abstract":"<div><div>Medical undergraduate teaching of Oral and Maxillofacial Surgery (OMFS) has been shown to be limited compared with other surgical specialties. This has a potential negative impact on informed decision making for future career choices and appropriate specialty referrals. National statistics demonstrate undersubscribed OMFS higher specialty posts, highlighting the importance of early exposure and continued improvements to training to attract, support and retain future trainees. The purpose of this project was to explore OMFS teaching in the Scottish university's medical curricula and to assess final year medical students' understanding of the specialty and training pathway. Four universities were contacted to explore OMFS teaching in the curriculum. Two universities responded; one centre included a 1-hour lecture in second year and a single theatre session in fourth year. The second centre included a 45-minute lecture in third year. Final year students were invited to complete a questionnaire exploring understanding of OMFS scope of practice and the training pathway. 22 responses were collected. 81.8% had poor knowledge of the specialty, 50% had limited understanding of the training pathway and 36.4% described no formal OMFS curriculum teaching. All participants were in favour of additional mandatory undergraduate teaching about OMFS to improve their understanding of the specialty and ability to make appropriate clinical referrals. Our results demonstrate that majority of medical students lack confidence in understanding the scope of practice of OMFS, emphasising the requirement for change in the undergraduate medical curriculum.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100621"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187779","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}

引用次数: 0

Integrating a funded second degree into Oral & Maxillofacial Surgery specialty training: addressing the current workforce crisis in the UK 将资助的第二学位纳入口腔颌面外科专业培训：解决英国当前的劳动力危机

Advances in Oral and Maxillofacial Surgery Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.adoms.2026.100622

Krishan Goyal , Shreetama Mukherjee

引用次数: 0

Minimally invasive surgery of hyperplasia of coronoid process of mandible: Endoscopically assisted intra oral coronoidectomy – Case report 下颌骨冠突增生的微创手术：内镜辅助口内冠突切除术1例

Advances in Oral and Maxillofacial Surgery Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.adoms.2026.100623

Caio Pazziani , Roger Moreira , Robson Garcia , Juliana Colla , P.H. Robson Denofrio

{"title":"Minimally invasive surgery of hyperplasia of coronoid process of mandible: Endoscopically assisted intra oral coronoidectomy – Case report","authors":"Caio Pazziani , Roger Moreira , Robson Garcia , Juliana Colla , P.H. Robson Denofrio","doi":"10.1016/j.adoms.2026.100623","DOIUrl":"10.1016/j.adoms.2026.100623","url":null,"abstract":"<div><h3>Introduction</h3><div>Coronoid process hyperplasia (CPH) is a rare developmental condition characterized by abnormal elongation of the coronoid process, resulting in progressive, painless limitation of mandibular opening due to mechanical impingement against the zygomatic arch. Diagnosis is frequently delayed because clinical features overlap with temporomandibular disorders. Minimally invasive approaches, including endoscopic visualization and piezoelectric osteotomy, have improved surgical precision and safety.</div></div><div><h3>Case report</h3><div>A 25-year-old male presented with a 10-year history of progressive mouth-opening limitation, with a maximal interincisal distance of 18 mm and no history of trauma or temporomandibular joint symptoms. Computed tomography confirmed unilateral hyperplasia of the left coronoid process causing mechanical interference with the zygomatic arch. The patient underwent an endoscopically assisted intraoral coronoidectomy.</div></div><div><h3>Surgical technique and outcome</h3><div>Using a 30° endoscope and piezoelectric instrumentation, a controlled osteotomy was performed through a minimally invasive intraoral incision. The coronoid process was fully detached under direct endoscopic visualization, allowing safe resection. Intraoperative mouth opening improved to 28 mm. Postoperative physiotherapy was initiated on day seven, contributing to early functional recovery.</div></div><div><h3>Conclusion</h3><div>Endoscopically assisted intraoral coronoidectomy with piezoelectric osteotomy is a safe, precise, and minimally invasive technique for treating CPH. This approach enhances visualization, reduces soft-tissue trauma, and facilitates reliable osteotomy execution. Early diagnosis, meticulous surgical technique, and structured physiotherapy are essential to achieving stable functional outcomes in patients with CPH.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100623"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090464","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}

引用次数: 0

Odontogenic cervical necrotizing fasciitis in diabetic patients – A case series highlighting critical complications and surgical management 糖尿病患者牙源性颈椎病坏死性筋膜炎-一个突出关键并发症和外科治疗的病例系列

Advances in Oral and Maxillofacial Surgery Pub Date : 2026-03-01 Epub Date: 2025-12-24 DOI: 10.1016/j.adoms.2025.100617

Ali S. Albandar, Bander Y. Alkarri

{"title":"Odontogenic cervical necrotizing fasciitis in diabetic patients – A case series highlighting critical complications and surgical management","authors":"Ali S. Albandar, Bander Y. Alkarri","doi":"10.1016/j.adoms.2025.100617","DOIUrl":"10.1016/j.adoms.2025.100617","url":null,"abstract":"<div><div>Cervical necrotizing fasciitis (CNF) is a rapidly progressive and potentially fatal soft-tissue infection that may arise from odontogenic sources, particularly in patients with uncontrolled diabetes mellitus. This series describes two patients with diabetes presenting with acute cervical swelling and marked leukocytosis. Computed tomography demonstrated extensive subcutaneous emphysema tracking along multiple cervical fascial planes, highly suggestive of CNF, with findings supporting an odontogenic origin. Both patients underwent urgent, repeated surgical debridement until healthy, viable tissue margins were obtained, followed by definitive reconstruction using a rotation flap in the first case and a split-thickness skin graft in the second. Broad-spectrum intravenous antibiotics, intensive wound care, and frequent laboratory monitoring were performed. Despite complications including transient pancytopenia and septic shock, both patients achieved successful healing and demonstrated stable outcomes at 3-month follow-up. These cases highlight the importance of early recognition, aggressive surgical intervention, and timely reconstruction to optimize survival and reduce morbidity in odontogenic CNF.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100617"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884272","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}

引用次数: 0