Advances in Oral and Maxillofacial Surgery最新文献

{"title":"Logbook template and assessment of operative experience at a glance","authors":"Anna Sayan, Montey Garg","doi":"10.1016/j.adoms.2025.100519","DOIUrl":"10.1016/j.adoms.2025.100519","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100519"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095721","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":"Horizontally impacted second and third mandibular molars. A rare case, review of the literature and description of the surgical technique for removal","authors":"Amit Dattani ,&nbsp;Flora Menzies ,&nbsp;Ayesha Hammad ,&nbsp;Luis Bruzual","doi":"10.1016/j.adoms.2025.100517","DOIUrl":"10.1016/j.adoms.2025.100517","url":null,"abstract":"<div><div>Horizontally impacted mandibular molars are not uncommon. However, we report a rare case of a horizontally impacted stacked second and third mandibular molar. This paper presents adaption of the principles of surgical exodontia to account for rare variations in abnormal anatomy and a review of the literature, weighing up the balance between orthodontic intervention and surgical removal. Successful removal depends on careful surgical planning and respect for the surrounding anatomical structures whilst following the principles of surgical exodontia.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100517"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095716","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":"Navigating the nasopharyngeal maze: Balanced surgical approach for advanced juvenile angiofibromas","authors":"Sowrabh Kumar Arora,&nbsp;Sumanth Bollu,&nbsp;Bhavya Mishra","doi":"10.1016/j.adoms.2025.100518","DOIUrl":"10.1016/j.adoms.2025.100518","url":null,"abstract":"<div><div>Juvenile nasopharyngeal angiofibroma (JNA) are fibrovascular tumors of the nasopharynx. These tumors are very vascular and non-encapsulated and predominantly affect young males aged 14–25 years. Clinically, JNA presents with unilateral nasal obstruction and recurrent epistaxis. Advanced instances may result in proptosis, cranial neuropathy, facial edema, and potentially fatal bleeding. The tumors exhibit local invasiveness which can extend intracranially. In this study, we reviewed two cases of extensive nasopharyngeal angiofibroma treated at our institute using the maxillary swing technique. The surgical approach was chosen based on tumor extent, blood supply, and the presence or absence of intracranial extension. Preoperatively, patients underwent tracheostomy and embolization. Both patients underwent successful surgical excision via the maxillary swing approach. We report the anticipated complications, their management, and the outcomes of these cases. Long-term follow-up revealed no recurrence, and both patients regained normal nasal function.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100518"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095717","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":"Orbital roof fractures: Considerations for reconstruction","authors":"Valentina Terenzi ,&nbsp;Alberto Dell’Aquila ,&nbsp;Filippo Giovannetti ,&nbsp;Flavia Cascino ,&nbsp;Alessandro Pesce ,&nbsp;Andrea Cassoni ,&nbsp;Andrea Battisti ,&nbsp;Danilo Di Giorgio ,&nbsp;Marco Della Monaca ,&nbsp;Ettore Lupi ,&nbsp;Angelo Pompucci ,&nbsp;Giulio Pagliuca ,&nbsp;Andrea Gallo ,&nbsp;Maurizio Salvati ,&nbsp;Paolo Gennaro ,&nbsp;Valentino Valentini","doi":"10.1016/j.adoms.2025.100516","DOIUrl":"10.1016/j.adoms.2025.100516","url":null,"abstract":"<div><h3>Purpose</h3><div>This paper aims to update current knowledge on orbital roof fractures and their reconstruction techniques through a multicenter experience, a literature review and detailing two cases involving autologous and heterologous bone grafts.</div></div><div><h3>Methods</h3><div>A Medline search from 2018 to 2023 was conducted, alongside a retrospective review of similar cases treated across four Italian hospitals. Inclusion criteria required all clinical and radiological data to be available, with a minimal follow-up of 6 months.</div></div><div><h3>Results</h3><div>Coronal incision was most common in the 16 studies analyzed, with titanium mesh or plates as primary reconstruction materials. Only four cases utilized autogenous bone, and dislocated bone fragment removal occurred in four patients. Early treatment was prioritized for emergencies, with 70 % of cases undergoing coronal incision. Most cases required defect reconstruction, primarily with titanium mesh. One patient experienced late rhinoliquorrhea, and only one required revision surgery.</div></div><div><h3>Conclusion</h3><div>Conservative approaches were mostly favored, with early intervention reserved for enophthalmos and ocular movement impairment. Upper eyelid blepharoplasty approach was considered safe for cases without intracranial injuries or frontal bone fractures. Heterologous bone grafts emerged as a potential alternative to titanium mesh, while autogenous bone harvested from the frontal box reduced operative time and complications in delayed treatments. VSP custom-made prosthesis can be utilized in complex fractures.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100516"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095718","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":"Patient-centred evaluation of a reduced dose of botulinum toxin A in the management of myofascial pain","authors":"Alice Cameron ,&nbsp;Simon Haworth ,&nbsp;Jerry N. Farrier","doi":"10.1016/j.adoms.2025.100515","DOIUrl":"10.1016/j.adoms.2025.100515","url":null,"abstract":"<div><div>In our previous service evaluation, we reported improvement in patients’ pain scores for masseteric pain and spasm, following injection of 50 units of botulinum toxin A (BtA), measured using visual analogue scales (VAS). We have recently introduced a lower dose BtA protocol, for appropriately selected patients, aimed to evaluate whether this is also effective at relieving symptoms of masseteric pain and spasm. The rationale was to reduce side-effects and costs.</div><div>VAS scores were measured before and after treatment for 48 patients who received treatment with the original BtA protocol (“Protocol A” - the historical cohort who received 50 units) and for 46 patients who receieved a modified BtA protocol (“Protocol B” - the current cohort who received 25 units).</div><div>Patients in both treatment groups reported severe symptoms prior to treatment. Patients who received protocol B reported, on average, a 5 unit improvement in VAS following treatment (95 % confidence interval 4.3 to 5.7 improvement in VAS). There was no evidence that protocol B was less effective, despite the lower dose.</div><div>We recommend a reduced dose of BtA, of 25 units, for injection for appropriately selected patients with masseteric pain and spasm. A lower dose of BtA reduces wastage, particularly for single muscles injection and may reduce the incidence of unwanted side-effects. Reducing the standard dose of BtA will reduce costs for healthcare providers and may therefore facilitate funding for provision of intramuscular injection of BtA, where justified.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100515"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095719","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":"A systematic review of social impacts of treatment and rehabilitation of head and neck cancer patients","authors":"Rebecca T. Bernstein,&nbsp;Aphra Garner-Purkis,&nbsp;Jennifer E. Gallagher,&nbsp;Sasha Scambler","doi":"10.1016/j.adoms.2024.100513","DOIUrl":"10.1016/j.adoms.2024.100513","url":null,"abstract":"<div><div>The objective was to examine the social impacts of treatment and rehabilitation on patients with head and neck cancer (HNC). Following a comprehensive search of OVID (Embase, Medline, Pubmed, PsycINFO) and Web of Science, the Mixed Methods Appraisal Tool (MMAT) was used to assess the methodological quality of all included studies. The findings were reported using Preferred Reporting Items of Systematic review and Meta-Analyses (PRISMA) checklist. From 14,661 papers identified, 46 were eligible for inclusion of which 25 were quantitative, 14 qualitative and 7 mixed methods. Most papers focussed on the theme of eating and swallowing impacts (n = 16), with the next most frequent group using general quality-of-life measures (n = 11). Methodological inadequacy concerned small sample sizes and relatively short follow-up times. Qualitative studies revealed a wide range of social impacts which affect patients relating to the cancer, therapeutic education, and the negative impact of treatment side effects over time. The literature suggests that HNC patients experience a range of social impacts linked to identity, relationships, activities undertaken, and cultural issues. This review concludes that more in-depth larger scale prospective research as well as qualitative research is urgently needed to ascertain how to optimize care for HNC patients.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100513"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095346","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":"The association between head and neck radiotherapy, and osteoradionecrosis: A retrospective analysis of risk factors","authors":"Jaymit Patel,&nbsp;Mehmet Sen","doi":"10.1016/j.adoms.2025.100514","DOIUrl":"10.1016/j.adoms.2025.100514","url":null,"abstract":"<div><div>Head and neck cancer is the fastest accelerating cancer. Radiotherapy is commonly used to treat head and neck cancer. Whilst radiotherapy is an effective treatment modality for head and neck cancer, it is associated with significant early and late side effects which impact on the quality of life of patients. The late side effects of radiotherapy (depending on the volume and dose) may cause irreversible problems such as dysphagia, xerostomia, dental decay, and osteoradionecrosis.</div><div>We performed a retrospective analysis of head and neck cancer cases treated with radiotherapy at Leeds Teaching Hospitals Trust, UK. The aim of this process was to perform an exploratory analysis into the potential risk factors for osteoradionecrosis, focussing on risk factors that would be identifiable at a pre-radiotherapy dental screening appointments. This methodology was not utilised to determine statistically significant correlations, but to inform future studies which may involve regression analysis, and subsequent risk prediction.</div><div>Our study confirms findings from previous studies suggesting that variables such as the timing of pre-radiotherapy extractions, the number of pre-radiotherapy extractions, and the smoking status of the patient may increase the risk of osteoradionecrosis. We found new potential risk factors which require further investigation, including the presence of dental pathology on the pre-treatment PET-CT. This novel finding may provide further indication of the patient specific risk for osteoradionecrosis.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100514"},"PeriodicalIF":0.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095720","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":"Tracheostomy in temporomandibular joint ankylosis – A review of the literature and case report","authors":"Marshall F. Newman,&nbsp;Elizabeth Floodeen,&nbsp;Zachary Gardner","doi":"10.1016/j.adoms.2024.100512","DOIUrl":"10.1016/j.adoms.2024.100512","url":null,"abstract":"<div><h3>Background</h3><div>Temporomandibular joint (TMJ) ankylosis is a challenging clinical entity and management is primarily surgical. Patients with neurological conditions such as epilepsy may be prone to frequent joint dislocations or trauma over their lifetimes. They may also undergo surgeries to prevent recurrent joint dislocation that may increase the risk of TMJ ankylosis. Epileptic patients represent a population in which treatment of TMJ ankylosis, particularly bilateral ankylosis, can be complicated by difficult airway or medical management in the postoperative period. Tracheostomy is not often required for airway management in patients undergoing total joint replacement for bilateral TMJ ankylosis but may be a useful surgical adjunct to increase treatment safety in certain patient populations. A multi-disciplinary approach to anti-epileptic medication management is also beneficial given potential difficulties with oral intake in patients with TMJ ankylosis.</div></div><div><h3>Methods</h3><div>A systematic review of the literature was undertaken for evaluation of available literature using the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). A representative case example was provided for consideration.</div></div><div><h3>Results</h3><div>Review of the available literature resulted in no articles addressing the potential utilization of tracheostomy in patients with TMJ ankylosis. A variety of literature is available for patients with craniofacial anomalies who may require tracheostomy and who may develop TMJ ankylosis from a young age, but no literature is available to provide evidenced-based treatment guidelines for adult patients with ankylosis who may be at increased risk for airway compromise. Medical management of patients with refractory seizure activity can be difficult to optimize, and treatment regimens may require alterations during the perioperative period for patients undergoing TMJ total joint replacement.</div></div><div><h3>Conclusions</h3><div>Patients undergoing surgical treatment for bilateral TMJ ankylosis who also have neurological conditions such as epilepsy may be at increased risk for airway compromise during the postoperative period. Patients with difficult to control seizure activity may also be at increased risk for joint dislocation during the postoperative period of TMJ total joint replacement. Temporary tracheostomy represents a surgical option to improve patient safety in the immediate postoperative period along with appropriate medical management, and its consideration has not previously been reported for this patient population.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100512"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095408","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":"Surgical approaches for condylar fractures: An analysis of the advantages of transmeatal retroauricular access","authors":"Bianca Pulino ,&nbsp;Jéssica Freitas de Andrade ,&nbsp;Thiago Felippe Oliveira de Macedo ,&nbsp;Geraldo Prestes de Camargo Filho ,&nbsp;Andreas Neff ,&nbsp;Raphael Capelli Guerra","doi":"10.1016/j.adoms.2024.100500","DOIUrl":"10.1016/j.adoms.2024.100500","url":null,"abstract":"<div><div>Since the beginning of the 20th century, surgical techniques have greatly improved to provide more effective surgical treatment, minimise transoperative time, and restore function. When it comes to facial fractures, it is extremely important to minimise complications, such as facial nerve damage and scarring. The aim of this article was to address the main analyses of the types of condylar fractures and surgical approaches, providing the reader with existing possibilities to help them choose an approach which is effective and reduces the risk of complications.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100500"},"PeriodicalIF":0.0,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095714","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":"Condylar volume changes following minimally invasive orthognathic surgery: A case report","authors":"Nelson J. León ,&nbsp;Stefanía Requejo ,&nbsp;Ronar Gudiño ,&nbsp;Henry García ,&nbsp;Steven Rodríguez","doi":"10.1016/j.adoms.2024.100511","DOIUrl":"10.1016/j.adoms.2024.100511","url":null,"abstract":"<div><div>Minimally invasive orthognathic surgery (MIOS) represents a significant paradigm shift in oral and maxillofacial surgery. The impact of MIOS on the temporomandibular joint (TMJ) remains a topic of debate. This case report aims to evaluate changes in mandibular condylar volume in the TMJ following MIOS and establish a foundation for further research in this area.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100511"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095852","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}