Advances in Oral and Maxillofacial Surgery最新文献

{"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,&nbsp;Aneesa Ansari,&nbsp;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,&nbsp;A. Ogunbowale,&nbsp;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}

{"title":"Time patterns of recurrence and correlating histomorphology to delay of recurrence of benign jaw tumours: A 10-year appreciation","authors":"Zilefac Brian Ngokwe ,&nbsp;Ntep Ntep David Bienvenue ,&nbsp;Nokam Kamdem Stephane ,&nbsp;Kouamou Tchiekou Audrey ,&nbsp;Atanwo Nita Lise Dongmo ,&nbsp;Bengondo Messanga Charles ,&nbsp;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}

{"title":"Psychological and quality of life outcomes following orthognathic surgery: A comprehensive systematic review","authors":"Alkaabi S ,&nbsp;Alsabri G ,&nbsp;Alyammahi A ,&nbsp;Aljamani S ,&nbsp;Maningky M ,&nbsp;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}

{"title":"Rare and challenging; diagnosing lip myiasis in the UK","authors":"Victoria Mellish,&nbsp;Mehad Ahmed,&nbsp;Aghiad Yassin Alsabbagh,&nbsp;Manahel Osman,&nbsp;Ian Downie","doi":"10.1016/j.adoms.2025.100525","DOIUrl":"10.1016/j.adoms.2025.100525","url":null,"abstract":"<div><div>Myiasis, an infestation of human tissue by fly larvae, can occur in travellers returning from endemic regions such as Africa and the Americas. In the head and neck, myiasis can result from infected periodontal disease, wounds or tumours, affecting both children and adults. Due to its rarity in the UK and slow progression, myiasis is often diagnosed late and can easily be misdiagnosed. We present a case of a 75-year-old woman who was stung by a venomous caterpillar, Lanomia Obliqua, whilst volunteering in Brazil. She developed non-healing wounds, initially thought to be a reaction to the caterpillar's toxic spines, but was later diagnosed with myiasis. This case highlights the presentation, management, and potential diagnostic challenges associated with myiasis.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100525"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828857","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 true malignant mixed tumour of the parotid gland","authors":"Ayesha McLennan-Dalal ,&nbsp;Efstathia Kyrodimou ,&nbsp;Sarah L. Saunders ,&nbsp;Syed Ali Khurram ,&nbsp;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 ,&nbsp;Dhanashri Ekatpure ,&nbsp;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}

{"title":"Logbook template and assessment of operative experience at a glance","authors":"Anna Sayan,&nbsp;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}