Advances in Oral and Maxillofacial Surgery最新文献

{"title":"Volumetric measurements from manually drawn segmentations of periapical lesions in cone-beam computed tomography scans correlate with the inflammatory activity classified using the dental apical inflammation score","authors":"Pascal Grün ,&nbsp;Sepideh Hatamikia ,&nbsp;Ruva Jadadic ,&nbsp;Arb Gjergjindreaj ,&nbsp;Lars Jansen ,&nbsp;Florian Pfaffeneder-Mantai ,&nbsp;Sebastian Fitzek ,&nbsp;Margit Mostegel ,&nbsp;Kyung-Eun Anna Choi ,&nbsp;Dritan Turhani","doi":"10.1016/j.adoms.2024.100510","DOIUrl":"10.1016/j.adoms.2024.100510","url":null,"abstract":"<div><h3>Introduction</h3><div>The Dental Apical Inflammation Score (DAIS) is a semi-quantitative histopathological score used to categorise apical inflammatory lesions. This score has shown clinical potential for assessment of wound-healing and infection risk in post-apical lesions.</div></div><div><h3>Objective</h3><div>This retrospective study aimed to investigate whether periapical lesion volume measurements obtained using manual segmentation on cone-beam computed tomography (CBCT) scans were related to the DAIS categorisation. In addition, the correlations of periapical lesion volume with treatment, anatomical sites, and histological diagnosis criteria were explored.</div></div><div><h3>Material and methods</h3><div>CBCT scans and histopathological findings of specimens from a cohort of 153 patients were used in this study. Volumetric measurement of the apical lesions was performed using MeVisLab© software. Fisher's exact test and Kruskal–Wallis H-test were performed to examine the relationship between lesion volume and different factors.</div></div><div><h3>Results</h3><div>Lesions with a DAIS of 4 showed a significantly larger mean volume than those with a DAIS of 2 (p-value of 0.0377). Lesion volumes also showed a significant difference (p-value of 0.0157) in relation to the histological diagnosis types, with diagnosis based on the presence of radicular cysts being associated with a larger mean lesion volume than that based on the proportion of radicular cysts.</div></div><div><h3>Discussion/conclusions</h3><div>The volume of the preoperative periapical lesion correlates with both the DAIS category and histological diagnosis and can be used to assess inflammatory infiltrations, facilitating clinical decision-making and treatment-plan optimisation.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100510"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095722","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 Method to evaluate the efficacy of conservative treatment of intraosseous mandibular ameloblastoma","authors":"Federico Stolbizer ,&nbsp;María Luisa Paparella ,&nbsp;María Magdalena Andrada ,&nbsp;Diego Vázquez ,&nbsp;María Elina Itoiz ,&nbsp;Krissya María Villegas","doi":"10.1016/j.adoms.2024.100509","DOIUrl":"10.1016/j.adoms.2024.100509","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100509"},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095483","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":"Aesthetic and functional sequelae of patients operated upon for benign jaw tumours at a tertiary hospital in Cameroon","authors":"Atanwo Nita Lise Dongmo,&nbsp;Edouma Bohimbo Jacques,&nbsp;Kwedi Karl,&nbsp;Mboya Marius,&nbsp;Nkollo Francis,&nbsp;Bengondo Messanga Charles","doi":"10.1016/j.adoms.2024.100507","DOIUrl":"10.1016/j.adoms.2024.100507","url":null,"abstract":"<div><h3>Introduction and general objective</h3><div>Benign tumours develop locally and remain confined to the tissue in which they originate. They grow slowly. However, they can grow to significant size and weight. They rarely reoccur after surgical removal. Their evolution is generally favourable. In some cases, however, they can cause serious or even morbid complications, due to their location or metabolic disorders.There are two types of management for these tumours: conservative surgery, which consists of removing the tumour with a margin of healthy surrounding tissue, while preserving the role and appearance of the organ in question; and radical surgery, which is the removal of a diseased organ and all surrounding tissues likely to be affected by the disease. These treatments can lead to loss of substance, resulting in both functional and aesthetic sequelae.</div><div>The general objective of our study was to: Determine the aesthetic and functional sequelae of patients operated on for benign jaw tumours at the Yaoundé Central Hospital.</div></div><div><h3>Methodology</h3><div>We conducted a descriptive cross-sectional from January 1, 2013 to January 1, 2023 with prospective data collection in the ENT and Cervico Maxillofacial Surgery Department of the Yaoundé Central Hospital. Patient recruitment was consecutive and non-exhaustive. Epidemiological, clinical and anatomopathological data were collected, as well as the various aesthetic and functional sequelae.</div><div>This study concerned all patients operated on for benign tumours presenting anatomopathological evidence and having given their informed consent at the Yaoundé Central Hospital. Patients who were lost to follow-up, deceased or who had not given consent were excluded.</div></div><div><h3>Results</h3><div>39 patients were recruited; 16 men and 23 women, giving a sex ratio of 0.69. The mean age was 36.18 ± 15.38 years, a minimum of 14 years and a maximum of 71 years. Ameloblastoma was the most common tumour (38.5 %). The most common method of treatment was radical surgery, and the most common material used for reconstruction was the screw-plate (86.9 %). Sequelae were found in 35 patients (89.74 %), the most common functional sequelae being impaired mastication (92.5 %). Aesthetic sequelae were mainly marked by facial asymmetry (66.7 %).</div></div><div><h3>Conclusion</h3><div>The fourth decade of female gender was the most represented population among patients operated on for benign tumours of the jaws. Radical surgery was more commonly used in our work. Among the aesthetic sequelae in our study, we noted facial asymmetries, scars and their location were predominantly mandibular. The most common functional sequelae were impaired mastication, nerve damage and impaired speech.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100507"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095484","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 reconstruction of large mandibular defect with combined distraction osteogenesis","authors":"Xue-gang Niu","doi":"10.1016/j.adoms.2024.100508","DOIUrl":"10.1016/j.adoms.2024.100508","url":null,"abstract":"<div><div>We describe one case of the rehabilitation for large mandibular defect by the combined application of internal curvilinear and linear distraction osteogenesis. In the first operation, the transport discs were produced on both sides of the defect. The internal curvilinear and linear distraction were then performed Three months later, the defect was reduced by half, then in the second operation, the internal linear distraction osteogenesis bilateral to the residual defect was started. Another three months later, the newly-formed bone was evident in the distraction gaps, then in the third operation, the distracted transport bony discs were connected by a small local bone graft. By the steps, the 70 mm defect was reconstructed. This might be a practical way for the synchronous reconstruction of bony and soft tissue for large mandibular defects that do not require bone grafts from other anatomic areas.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100508"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095715","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":"Atypical case of Lemierre's syndrome secondary to cellulitis of the orofacial region","authors":"Vishal N. Mepani ,&nbsp;Bhavin G. Visavadia","doi":"10.1016/j.adoms.2024.100506","DOIUrl":"10.1016/j.adoms.2024.100506","url":null,"abstract":"<div><div>Lemierre's syndrome is a rare condition associated with infection of the oropharynx. We present an atypical case in a young healthy female who developed the condition secondary to a skin infection of the lip and chin. She also developed sepsis and chest pain. She was commenced on broad-spectrum antibiotics early and was fortunate to avoid aggressive surgical treatment. This case highlights the need for clinicians to consider this rare condition in addition to recognising its manifestations.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100506"},"PeriodicalIF":0.0,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748402","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":"Inferior alveolar nerve bypass during tilted implant insertion: A 3-year retrospective cohort study","authors":"Nadim Sleman","doi":"10.1016/j.adoms.2024.100502","DOIUrl":"10.1016/j.adoms.2024.100502","url":null,"abstract":"<div><h3>Objective</h3><div>Implant placement in atrophic mandibles can be challenging due to insufficient bone volume. To overcome this problem, bone grafts are often required to increase bone volume and provide a stable base for the implant. However, bone grafting procedures can be invasive, time-consuming, and costly. Tilted implants are a viable option to bypass the inferior alveolar nerve (IAN) and increase the contact surface and primary stability.</div><div>The aim of this study was to evaluate the survival rate of tilted implants in posterior atrophic mandible and complications related to injury of the inferior alveolar nerve (IAN).</div></div><div><h3>Methods</h3><div>Accepted patients in this study were only those who suffered from teeth loss in the posterior atrophic mandible. The analysis of this study focused on tilted implants to investigate the survival rate following insertion and during the loading stage. Clinical assessment was conducted to analyze any occurrences of IAN injury.</div></div><div><h3>Results</h3><div>A total of 31 implants were placed in the posterior mandible of 26 patients with insufficient bone volume. Over a 36-month observation period, all implants exhibited a 100 % survival rate. Three patients experienced temporary neurosensory disturbances.</div></div><div><h3>Conclusions</h3><div>The use of tilted implants is a viable option for patients with atrophic edentulous mandible that lack the required alveolar height for traditional dental implants. Despite limited study observation time, bypassing the IAN during implant placement presents a predictable option for atrophic posterior mandible treatment.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100502"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142719649","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":"Histological characteristics of benign jaw tumours in Cameroon; A 10-year appraisal","authors":"Zilefac Brian Ngokwe ,&nbsp;Ntep Ntep David Bienvenue ,&nbsp;Bola Antoine Siafa ,&nbsp;Nokam Kamdem Stephane ,&nbsp;Kouamou Audrey Tchiekou ,&nbsp;Bengondo Charles Messanga ,&nbsp;Sando Zacharie","doi":"10.1016/j.adoms.2024.100501","DOIUrl":"10.1016/j.adoms.2024.100501","url":null,"abstract":"<div><h3>Introduction</h3><div>The diagnosis of jaw tumours is histological. Jaw tumours can be classified as benign or malignant. Benign jaw tumours can be classified as epithelial, mesenchymatous or epithelio-mesenchymatous based on their origin or with respect to their relation to the development of the dental organ into odontogenic and non -odontogenic.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted from the period from January 2010 to April 2020 in the Stomatology and maxillofacial surgery units and pathology units of 4 hospitals in Yaoundé. Participants who had been operated for a benign jaw tumour with available and exploitable histopathological workups were retained in this study. The histological slides found were examined by a team of pathologists in accordance with the 2005 World Health Organization classification of head and neck tumours.</div></div><div><h3>Results</h3><div>We retained 62 participants, ameloblastoma was the most represented tumour (25.81 %) followed by fibrous dysplasia (12.9 %) and Keratocystic odontogenic tumour (12.9 %). Ameloblastoma had 5 recurrences with a recurrence rate of 31.25 %.</div></div><div><h3>Conclusion</h3><div>Ameloblastoma was the most common benign jaw tumour and odontogenic tumour with Fibrous dysplasia being the most frequent non odontogenic tumour. Better description of histological characteristics and typing would help to prevent recurrence and complications such as malignant transformation. Digital recording of histopathological slides could help improve conservation and permit the carrying out long term retrospective studies in our settings.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"16 ","pages":"Article 100501"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663526","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":"Clinical application of submandibular endotracheal intubation in craniomaxillofacial fracture","authors":"Kaifang Yuan,&nbsp;Qudong Liao,&nbsp;Meixing Ren,&nbsp;Lin Lu,&nbsp;Guotao Wu,&nbsp;Junwen Wang","doi":"10.1016/j.adoms.2024.100499","DOIUrl":"10.1016/j.adoms.2024.100499","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the clinical application of submandibular endotracheal intubation in craniomaxillofacial fractures.</div></div><div><h3>Methods</h3><div>The submandibular endotracheal intubation was used to treat 10 patients with cranio-maxillofacial fractures and contraindications to nasal intubation.Ventilator monitoring data including SPO2(oxygen saturation of blood), Freq,VT,MV,PEEP, PLAT and PEAK were monitored before and after the operation of submandibular endotracheal intubation. The technique of submandibular intubation was assessed intraoperatively and in the postoperative period. The outcomes and complications are presented.</div></div><div><h3>Results</h3><div>The study included 10 patients aged between 18 and 63 years(6 males and 4 females). All patients had mandibular fractures, with 6 midface fractures (60 %), 5 nasal bone fractures (50 %), 6 zygomatic bone fractures (60 %). The procedure time ranged from 6 to 10 min (mean, 7.9 min). NO delayed extubation was performed in 10 cases. The technique has proved to be straightforward and satisfactory. A postoperative superficial infection occurred in 1 patients, whereas hypertrophic scars occurred in another 1 patients.</div></div><div><h3>Conclusion</h3><div>Submandibular endotracheal intubation is a safe procedure for intraoperative airway control in maxillofacial trauma patients who present contraindication to nasotracheal intubation.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"16 ","pages":"Article 100499"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445326","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":"Maxillo-orbital gunshot trauma in a pediatric patient","authors":"Maram Adil Mansour ,&nbsp;Elnagar E. Elgasim ,&nbsp;Esameldin Adam Nagi ,&nbsp;Ibtisam Hussein ,&nbsp;Malaz Mansour","doi":"10.1016/j.adoms.2024.100497","DOIUrl":"10.1016/j.adoms.2024.100497","url":null,"abstract":"<div><div>Gunshot injuries to the maxillofacial region vary in severity from minor harm to critical situations necessitating urgent medical intervention. Effective handling of facial gunshot wounds mandates a multidisciplinary approach to deliver thorough care to the individual.</div><div>We present a pediatric patient presenting to the Emergency Department following an accidental machine gun injury.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"16 ","pages":"Article 100497"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142359291","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":"Management of von Willebrand disease for orthognathic surgery: Evidenced-based recommendations and scoping review of the literature","authors":"Marshall F. Newman ,&nbsp;Dylan Walker ,&nbsp;Aaron Flanders","doi":"10.1016/j.adoms.2024.100498","DOIUrl":"10.1016/j.adoms.2024.100498","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The general management of von Willebrand Disease has evolved over the past several decades. Advances in blood product replacement manufacturing have led to changes in perioperative management of the bleeding diathesis in its various subtypes. Surgical management follows changes in medical management, but unique perioperative considerations exist depending on the type of surgery. Orthognathic surgery is considered a major surgery that can have life-threatening complications in patients with von Willebrand Disease (vWD) and updates in evidenced-based management are presented.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;The objectives of this report are to review available literature regarding management of patients with von Willebrand Disease and other bleeding disorder undergoing orthognathic surgery and to provide a case report regarding the management of a patient vWD type 2M undergoing orthognathic surgery.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Eligibility criteria&lt;/h3&gt;&lt;div&gt;Articles included for review were studies addressing patients with bleeding disorders undergoing orthognathic surgery.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Sources of evidence&lt;/h3&gt;&lt;div&gt;PubMed and Ovid were queried using the terms “orthognathic surgery OR jaw deformity” AND “von Willebrand OR bleeding disorders OR hemophilia.” Additional references relevant to the review were obtained from the reference lists of available articles ultimately deemed appropriate for inclusion in the review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A recent example case of a patient with type 2M vWD undergoing orthognathic surgery and the patient's perioperative management is presented for consideration. A scoping review of the literature was undertaken for evaluation of available literature using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review (PRISMA-ScR).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Insufficient evidence exists for significant analysis of perioperative management strategies previously reported compared to the currently utilized management strategy for the case presented. A review of the available literature with reference to updated literature regarding management of patients with vWD undergoing surgical procedures other than orthognathic surgery yields primarily case reports, two randomized controlled trials, and one systematic review. The results indicate that an evolution in the general management of patients with vWD undergoing surgery can be applied to patients undergoing orthognathic surgery and that the addition of hemostatic agents such as tranexamic acid may be considered with a low level of evidence.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;For patients undergoing orthognathic surgery, the use of cryoprecipitate in large quantities has been replaced with the use of Humate-P infusion and will likely be replaced with the use of recombinant von Willebrand factor (VWF). The timing of infusion of adjuncts preoperatively for patients with vWD","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"16 ","pages":"Article 100498"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427039","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}