Advances in Oral and Maxillofacial Surgery最新文献

{"title":"Extensive pyogenic granuloma in a pregnant woman","authors":"Sarfi Dounia ,&nbsp;Ben Yahya Ihssane","doi":"10.1016/j.adoms.2025.100563","DOIUrl":"10.1016/j.adoms.2025.100563","url":null,"abstract":"<div><h3>Introduction</h3><div>Pregnancy epulis, or pregnancy-associated pyogenic granuloma, is a benign oral tumor linked to hormonal changes and local irritative factors. It typically appears as an exuberant, bleeding, and sometimes painful gingival mass.</div></div><div><h3>Clinical case</h3><div>We report the case of a 32-year-old woman in her third trimester of pregnancy, presenting with a bilobed tumor evolving over six months, bleeding upon contact. Clinical examination revealed a pedunculated, dark red lesion on the anterior maxillary marginal gingiva. Surgical excision was performed after local debridement. Histology confirmed a pyogenic granuloma. The postoperative course was favorable, with no recurrence until delivery.</div></div><div><h3>Discussion conclusion</h3><div>This case illustrates the classic features of pregnancy epulis. Proper management allows complete healing without recurrence.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"20 ","pages":"Article 100563"},"PeriodicalIF":0.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050535","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":"Autotransplantation of impacted maxillary canines: A conservative surgical-orthodontic strategy – A case report","authors":"D. Sarfi,&nbsp;L. Bouchghel,&nbsp;A. Traore,&nbsp;M. Khazana,&nbsp;F. Bourzgui,&nbsp;I. Ben Yahya","doi":"10.1016/j.adoms.2025.100562","DOIUrl":"10.1016/j.adoms.2025.100562","url":null,"abstract":"<div><div>Impaction of maxillary canines is a common dental anomaly. Its management is multidisciplinary and requires both surgical and orthodontic expertise, along with a well-reasoned and appropriate treatment plan. The aim of this study is to report the management of an impacted canine treated within the Department of Oral Surgery at the Center for Dental Consultations and Treatments in Casablanca, Morocco.</div></div><div><h3>Case report</h3><div>This paper presents the surgical and orthodontic management of a 17-year-old Moroccan female patient with a complete impaction and transposition of tooth 23, associated with the impaction of tooth 21. Several treatment options were considered, among which autotransplantation of tooth 23 was deemed the most appropriate, with the goal of improving facial aesthetics and restoring functional occlusion.</div></div><div><h3>Discussion</h3><div>Ortho-surgical repositioning of the impacted tooth is the most commonly desired and performed treatment. However, alternative approaches such as autotransplantation can be a valuable solution in certain clinical situations. Given the complexity of the case and the patient's socioeconomic background, autotransplantation represented the most effective option to restore both aesthetics and function.</div></div><div><h3>Conclusion</h3><div>A thorough assessment of all aspects of the anomaly at the outset of treatment serves as a crucial guide in choosing the most suitable therapeutic approach. Autotransplantation techniques aim to preserve as much alveolar bone volume as possible, thereby optimizing future conditions for implant placement if needed.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"20 ","pages":"Article 100562"},"PeriodicalIF":0.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050536","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":"Actinomycosis of upper lip: A rare case report","authors":"Bander Y. Alkarri,&nbsp;Mohammed H. Albodbaij,&nbsp;Adam Ahmed M. AlQadhi,&nbsp;Mohammed A. AlQadhi","doi":"10.1016/j.adoms.2025.100566","DOIUrl":"10.1016/j.adoms.2025.100566","url":null,"abstract":"<div><div>Actinomycosis is a chronic granulomatous infection caused by anaerobic Gram-positive bacteria, predominantly Actinomyces israelii. The cervicofacial region accounts for more than half of reported cases; however, involvement of the upper lip is extremely rare and often mimics benign tumors or mucoceles. In this case report, we describe a 41-year-old woman who presented with an 8-month history of a painless, slow-growing, mobile mass on the upper left labial mucosa. Diagnosis of an actinomycotic infection of the upper lip was achieved histologically, and the patient was treated with surgical excision and antibiotic therapy. Recovery was uneventful, and no recurrence was observed at 9 months follow-up. Our case highlights the importance of considering actinomycosis in the differential diagnosis of persistent lip nodules.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100566"},"PeriodicalIF":0.0,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144770943","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":"Protecting the fibular free flap during break in surgery: a technique","authors":"Daniel Dilworth ,&nbsp;John Hanratty","doi":"10.1016/j.adoms.2025.100565","DOIUrl":"10.1016/j.adoms.2025.100565","url":null,"abstract":"<div><div>The use of fibular free flaps has become widespread in the reconstruction of large bony defects in the trauma and head and neck cancer patient with a high success rate. These surgeries can take a prolonged period of time, and oftentimes a break in surgery may be necessary, at which point the free flap may be vulnerable to iatrogenic damage. In this short communication, we describe a technique we regularly use at such an interval to protect the fibular free flap following soft tissue dissection and osteotomy but prior to its ligation and transfer up to the head for anastomosis, with the aim of minimising the risk of undue force being applied to the flap or any kinking or occluding of the pedicle.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100565"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633203","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":"Minimally invasive aesthetic management of gingival pigmentation with Er:YAG laser","authors":"Sarfi Dounia,&nbsp;Haitami Sofia,&nbsp;Ihssane Ben Yahya","doi":"10.1016/j.adoms.2025.100561","DOIUrl":"10.1016/j.adoms.2025.100561","url":null,"abstract":"<div><div>Gingival melanin pigmentation is a frequent aesthetic concern, resulting from increased melanin production by melanocytes located in the basal and suprabasal layers of the oral epithelium. Its etiology ranges from physiological pigmentation to systemic pathologies. Gingival depigmentation aims to improve smile aesthetics using various surgical techniques, among which the Er:YAG laser is recognized for its precision and minimal thermal damage.</div><div>We report the case of a 34-year-old female patient with diffuse melanin hyperpigmentation in the anterior maxillary gingiva, treated with an Er:YAG laser. The procedure led to effective pigment removal, favorable wound healing, and high patient satisfaction. Clinical follow-up showed minimal postoperative discomfort, complete re-epithelialization within two weeks, and no gingival recession. However, slight residual pigmentation was noted.</div><div>This case highlights the effectiveness of the Er:YAG laser in gingival depigmentation, offering advantages in terms of patient comfort, healing quality, and aesthetic outcomes. Nevertheless, limitations include suboptimal hemostasis and a relatively high risk of repigmentation.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100561"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757323","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":"Microsurgical free flap reconstruction performed by head and neck surgeons: a retrospective cohort study of 125 patients of a single institution","authors":"Paola Solis-Pazmino ,&nbsp;Luiz Osowski ,&nbsp;Bruno Zittlau ,&nbsp;Juliane Bucco Gomes ,&nbsp;Rafaela Andrade ,&nbsp;Daniel Solis- Pazmino ,&nbsp;Virgilio Gonzales Zanella","doi":"10.1016/j.adoms.2025.100564","DOIUrl":"10.1016/j.adoms.2025.100564","url":null,"abstract":"<div><h3>Background</h3><div>Microsurgical Free Flap Reconstruction (MFFR) is a keystone in head and neck surgery because it offers better functional outcomes, less donor site morbidity, improved esthetics, and higher success rates.</div></div><div><h3>Objective</h3><div>To provide a comprehensive overview of our experience with MFFR, exploring its indications, procedural details, outcomes, and emerging trends in postoperative care.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted on 125 patients who underwent MFFR between June 2016 and July 2024 at the Hospital Santa Casa de Misericordia, Porto Alegre, Brazil. Patient demographics, tumor characteristics, flap type, surgical details, and postoperative outcomes were analyzed, including flap survival and the need for intensive care unit (ICU) admission.</div></div><div><h3>Results</h3><div>125 patients (57.6 % male; mean age: 59 (SD 15.9)) were included. The most common tumor location was the oral cavity. The predominant diagnosis was head and neck squamous cell carcinoma (60.8 %), and the most commonly used free flap was the anterolateral thigh (ALT) flap (37.6 %). The overall flap success rate was 93.7 %, while the incidence of flap failure was 6.4 %. The main causes of flap failure were arterial thrombosis (37.5 %) and venous thrombosis (25 %). Notably, 72.2 % of patients did not require ICU admission postoperatively, with no significant difference in outcomes between patients managed in the ICU and those managed in non-ICU settings.</div></div><div><h3>Conclusion</h3><div>MFFR is a reliable technique when performed by an experienced head and neck team, achieving high success rates even when performed in non-ICU settings. Carefully selected patients can be safely managed outside the ICU, presenting a cost-effective model of care in resource-limited environments. Further studies are warranted to refine patient selection criteria and postoperative monitoring protocols.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100564"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144656547","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":"Oral mucosal papilloma: A typical clinical case","authors":"Dounia Sarfi ,&nbsp;Ihssane BenYahya","doi":"10.1016/j.adoms.2025.100560","DOIUrl":"10.1016/j.adoms.2025.100560","url":null,"abstract":"<div><div>Oral papilloma is a benign lesion of viral origin, mainly associated with infection by human papillomavirus (HPV) types 6 and 11. Clinically, it presents as a pedunculated or sessile growth, often asymptomatic, with a papillomatous surface. This article reports a clinical case of a 31-year-old patient with no particular medical history, presenting with a verrucous lesion localized to the anterior lingual region. Surgical excision allowed for histopathological diagnosis confirming a benign oral papilloma, without signs of dysplasia or malignancy. The discussion addresses differential diagnosis with other papillomatous lesions, notably condyloma acuminatum and focal epithelial hyperplasia, and emphasizes the importance of histology in the final diagnosis. Post-operative follow-up was favorable, with no recurrence to date. This case illustrates the importance of a rigorous diagnostic approach when faced with an oral exophytic lesion, even in the absence of symptoms or risk factors.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100560"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724772","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":"Post-traumatic radicular cyst involving multiple anterior Teeth: Open apex management and surgical enucleation – A case report","authors":"B. Doumari,&nbsp;S. Dhoum,&nbsp;Z. EL Hajjioui,&nbsp;M. Jabri","doi":"10.1016/j.adoms.2025.100558","DOIUrl":"10.1016/j.adoms.2025.100558","url":null,"abstract":"<div><div>Radicular cysts are the most common inflammatory odontogenic cysts, typically arising from chronic periapical infection following pulp necrosis. Post-traumatic radicular cysts involving immature teeth with open apices are uncommon and present unique clinical challenges due to incomplete root formation. This case report describes the management of a large post-traumatic radicular cyst affecting multiple maxillary anterior teeth (teeth 11, 12, and 13) in a 27-year-old patient, discovered incidentally during routine radiographic examination.</div><div>Clinical examination revealed pulp necrosis and an open apex on tooth 11, with teeth 12 and 13 also non-vital. Radiographs and CBCT confirmed a well-demarcated radiolucent lesion with buccopalatal expansion and cortical bone resorption, consistent with a radicular cyst. Treatment included conventional root canal therapy for teeth 12 and 13, and apexification with Biodentine for tooth 11. Surgical enucleation of the cyst was performed via a full-thickness mucoperiosteal flap, achieving complete removal of the lesion.</div><div>Biodentine, a bioactive calcium silicate-based material, was used to create an apical plug, promoting hard tissue formation and providing a reliable apical barrier, thus facilitating root canal obturation in the immature tooth. Histopathology confirmed an inflammatory radicular cyst. At 13-month follow-up, the patient was asymptomatic, with radiographic evidence of significant bone regeneration, although a residual bony defect remained. Long-term follow-up was recommended to monitor complete healing and prevent recurrence.</div><div>This case highlights the importance of early diagnosis and a multidisciplinary approach combining modern endodontic materials and surgical intervention in managing post-traumatic radicular cysts involving open apex teeth, ultimately preserving tooth structure and function.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100558"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518870","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 single centre service evaluation of 53 MRONJ cases","authors":"Millicent Forrest ,&nbsp;Sanford Grossman ,&nbsp;Noha Seoudi ,&nbsp;Edmund Bailey ,&nbsp;Rishi Bhandari ,&nbsp;Leo Cheng ,&nbsp;Judith Jones ,&nbsp;Zoe Killick ,&nbsp;Mohammed Dungarwalla","doi":"10.1016/j.adoms.2025.100557","DOIUrl":"10.1016/j.adoms.2025.100557","url":null,"abstract":"<div><div>Medication-related osteonecrosis of the jaw (MRONJ) is a significant complication associated with antiresorptive or antiangiogenic medications, particularly bisphosphonates and denosumab, commonly used in the management of osteoporosis and metastatic bone disease.</div><div>This retrospective service evaluation assessed treatment modalities and outcomes of MRONJ patients treated at the Royal London Dental Hospital (RLDH) between 2018 and 2023. A cohort of 53 patients, primarily oncology patients, were analysed, with 60 % of MRONJ sites presenting in the posterior mandible. Tooth extractions were identified as a leading precipitating factor in MRONJ development, while poor oral hygiene exacerbated disease progression.</div><div>Management strategies included conservative and operative interventions, with surgical debridement yielding a 70.6 % success rate in healing. Antibiotic therapy was prescribed in 50 % of stage 1 patients despite a lack of infection, highlighting the need to audit such use given the lack of evidence outside infection in stages 2 and 3.</div><div>This evaluation highlights the importance of preventive dental care, patient-centred personalised treatment planning, and the role of surgical interventions in MRONJ management.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100557"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632736","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":"The study on the construction of injectable tissue-engineered bone based on the injectable PRF combined with osteoblastic bone marrow mesenchymal stem cell sheets","authors":"L. Han ,&nbsp;X. Wu ,&nbsp;Q. Ouyang ,&nbsp;J. Hu ,&nbsp;S. Sun ,&nbsp;X. Li ,&nbsp;Z. Wang","doi":"10.1016/j.adoms.2025.100559","DOIUrl":"10.1016/j.adoms.2025.100559","url":null,"abstract":"<div><div>Injectable platelet-rich fibrin (i-PRF) has been proven to be able to promote tissue regeneration and applied in the treatment of diseases in the maxillofacial region, but whether it can be used to construct injectable tissue-engineered bone remains inconclusive. The aim of this study was to investigate whether i-PRF combined with osteoblastic bone marrow mesenchymal stem cell (BMSC) sheets can be used to construct injectable tissue-engineered bone. First, i-PRF prepared from fresh blood after a short-time and low-speed centrifugation. BMSCs, after continuous osteogenic induction for 2 weeks, formed membrane-like structures containing calcium nodules. They were mixed and then transplanted subcutaneously in nude mice by injection. the osteogenesis was evaluated through Micro-CT scanning and histological analysis after 8 weeks of transplantation. The group with BMSC sheets alone formed osteoid tissue, but the volume of new bone- and cartilage-like tissue was smaller, more sparse, and unevenly distributed. In contrast, the group with i-PRF and BMSC sheets had larger volumes of new tissue, higher bone density, more mineralized deposits, and more woven bone structures. In summary, osteoblastic BMSC sheets have the potential for ectopic osteogenesis, but i-PRF can significantly enhance their osteogenic capacity. Therefore, i-PRF combined with osteoblastic BMSC sheets can be regarded as a promising method for constructing injectable tissue-engineered bone.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100559"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144470958","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}