{"title":"Condylar re-positioning devices in orthognathic surgery – is there a benefit to their use?","authors":"R. Leader , O. Carty","doi":"10.1016/j.adoms.2023.100454","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100454","url":null,"abstract":"<div><p>The bilateral sagittal split osteotomy (BSSO) is the established workhorse in mandibular orthognathic surgery. Despite the frequency at which this procedure is performed, alterations in condylar position from the surgery remain a concern to the operating surgeon. Such changes in condylar positioning have long been associated with relapse. A systematic literature review was carried out to address the question: ‘condylar re-positioning devices in orthognathic surgery – is there a benefit to their use?'. As of yet there is no robust scientific evidence to suggest that these devices confer any clinical benefit over traditional manual re-positioning in orthognathic surgery cases. It would seem appropriate that future research focus on cost effective methods for intra-operative identification of a mal-positioned condyle with the aim of preventing later relapse.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"12 ","pages":"Article 100454"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49720467","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}
Zilefac Brian Ngokwe , Nokam Kamdem Stephane , Ntep Ntep David Bienvenue , Kwedi Karl Guy , Tamoh Stive Fokam , Bengondo Messanga Charles
{"title":"Paediatric temporo-mandibular joint ankylosis of infectious origin at the Yaounde University Teaching Hospital","authors":"Zilefac Brian Ngokwe , Nokam Kamdem Stephane , Ntep Ntep David Bienvenue , Kwedi Karl Guy , Tamoh Stive Fokam , Bengondo Messanga Charles","doi":"10.1016/j.adoms.2023.100450","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100450","url":null,"abstract":"<div><p>Mandibular condyle and glenoid fossa fusion results in temporomandibular joint (TMJ) ankylosis.</p><p>Paediatric TMJ ankylosis has a negative impact on facial growth, resulting in micrognathia, dental malocclusions, and sometimes facial asymmetry, which leads to significant morbidity.</p><p>We present a case of a bilateral TMJ ankylosis with an infectious odontogenic origin.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"12 ","pages":"Article 100450"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49720471","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}
Feras AlMofreh AlQahtani , Sam Kuriadom , Mohammed S. AlSaleh , Hamedy AlAnzy , Jeny Mary George , Nouf AlShahri
{"title":"Effectiveness of oral bromelain on third molar surgery patients: A systematic review of systematic reviews","authors":"Feras AlMofreh AlQahtani , Sam Kuriadom , Mohammed S. AlSaleh , Hamedy AlAnzy , Jeny Mary George , Nouf AlShahri","doi":"10.1016/j.adoms.2023.100449","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100449","url":null,"abstract":"<div><h3>Purpose</h3><p>This review aimed to evaluate the current evidence on the effectiveness of bromelain in controlling postoperative pain, swelling, and trismus associated with third the molar surgery.</p></div><div><h3>Results</h3><p>The search strategy produced 26 articles. After reading the abstracts, 8 articles were excluded and the full-text articles in English of the remaining 18 studies were separately examined for eligibility by 2 authors, with 12 studies being excluded because they did not fit the inclusion criteria. Finally, 6 systematic reviews satisfied the criteria for inclusion and were processed for critical evaluation, with all the included studies reporting high quality evidence according to the Grading of Recommendations, Assessment, Development, and Evaluation system.</p></div><div><h3>Conclusions</h3><p>Oral Bromelain has been shown to reduce postoperative pain, improve a patient's quality of life and reduce the need for postoperative analgesics after third molar surgery. However, oral bromelain have no effect in reducing postoperative trismus and oedema.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"12 ","pages":"Article 100449"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49709508","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":"Oronasal fistula: A rare complication of mesiodens","authors":"Tetsuya Seikai, Soichi Tanaka, Naohiro Ogawa, Hirotake Murakami, Yoichi Ohiro","doi":"10.1016/j.adoms.2023.100453","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100453","url":null,"abstract":"<div><p>A mesiodens is a supernumerary tooth located in the premaxilla between the two central incisors. Although various complications attributed to mesiodens have been reported, oronasal fistula are rare. We encountered a 62-year-old male patient with a complaint of leakage of water into the nose over the past 1 year. A small fistula was observed in the middle of the hard palate. Computed tomography revealed two inverted impacted mesiodens with osteolytic changes extending from the oral cavity to the nasopalatine canal; thus, we diagnosed the patient with an oronasal fistula attributed to infection of the mesiodens. The two mesiodens were extracted under general anaesthesia and closure of the fistula was performed. No recurrence was observed at the 1 year follow up.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"12 ","pages":"Article 100453"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49720529","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":"Endoscope assisted removal of impacted third molars from the lower mandibular border via lingual access","authors":"A. Gupta , K. Ganesan , T. Nagpal , V. Bhatt","doi":"10.1016/j.adoms.2023.100445","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100445","url":null,"abstract":"<div><h3>Purpose</h3><p>Endoscopes are increasing the surgical spectrum for Oral and Maxillofacial Surgery. Naaj et al. quote that for third molars below the inferior dentoalveolar nerve (IDN), extra-oral removal is the best technique. The authors demonstrate that with endoscopic assistance, deeply impacted third molars can be removed intra-orally instead, without any complications. Endoscopes have demonstrated their usefulness in Oral and Maxillofacial surgery by aiding intra-oral repair of condylar fractures and submandibular gland removal; surgeries that are traditionally carried out with extra-oral access. The authors demonstrate how endoscopes have a place in minor oral surgery, particularly reducing the amount of bone removal needed to gain access to the surgical site.</p></div><div><h3>Methods</h3><p>The article reports on two case studies of lingually placed third molars lying below the IDN. They were removed with endoscope assisted lingual access. Surgical planning was done using CT/CBCT scanning. The authors also detail how neurosensory disturbance was avoided when raising a lingual flap.</p></div><div><h3>Results</h3><p>Wisdom teeth were successfully removed in all instances, whole, via lingual access. Patients had uneventful recovery and there were no cases of reported neurosensory disturbance.</p></div><div><h3>Conclusion</h3><p>The authors demonstrate that the use of an endoscope, CT/CBCT guided surgical planning and careful lingual retraction provides a safe alternative to extra-oral removal of deeply impacted third molars. The advantages are avoidance of post-operative scarring and the potential to operate in ambulatory care.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"12 ","pages":"Article 100445"},"PeriodicalIF":0.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49709509","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":"Cysticercosis involving the masseter muscle: A rare anatomical location","authors":"Ballamudi Sarat Ravi Kiran , Sameer Mehta , Ramashankar Chaudhary , Rohit Breh","doi":"10.1016/j.adoms.2023.100434","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100434","url":null,"abstract":"<div><p>We report a case of a 47year old male who presented with a history of pain while chewing in the right masseter muscle, was diagnosed with Cysticercosis involving the right masseter muscle. The patient was prescribed Tab albendazole 400 mg (BD) for 4 weeks and Tab Prednisolone – 10 mg (TDS) for 2 weeks which lead to the complete resolution of the lesion.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"11 ","pages":"Article 100434"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49731175","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}
Benjamin Denoiseux , Nader Ibrahim , Robert Isaac, Elizabeth S. Brennan, Peter A. Brennan
{"title":"A duplicate superior belly of omohyoid muscle: A rare anatomical finding","authors":"Benjamin Denoiseux , Nader Ibrahim , Robert Isaac, Elizabeth S. Brennan, Peter A. Brennan","doi":"10.1016/j.adoms.2023.100437","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100437","url":null,"abstract":"<div><p>The omohyoid muscle is a useful anatomical landmark during neck surgery. The superior belly delineates the inferior limit of a supra-omohyoid neck dissection. We report a rare variant seen during a level I-IV neck dissection surgery with a duplicate superior belly, that initially was confusing in establishing the inferior aspect of level III. We discuss the implications of this finding. A cadaveric and clinical study is in progress.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"11 ","pages":"Article 100437"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49731187","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":"In house customized 3D printed and designed device for marsupialization of a mandibular odontogenic cyst. Technical note","authors":"Í. Aragón Niño, E.M. Gómez García, A. Gutiérrez Venturini, M.M. Martín Pérez, J.L. Cebrián Carretero","doi":"10.1016/j.adoms.2023.100430","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100430","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"11 ","pages":"Article 100430"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49707872","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}
Mamadou Diatta , Macoura Gadji , Marie Jeo Diémé , Souleymane Sarr , Mamadou Keita , Mouhammad Kane , Abdou Ba , Bintou Catherine Gassama , Babacar Tamba , Soukeye Dia Tine
{"title":"Study of the cell proliferation index (Ki67) in inflammatory odontogenic cysts","authors":"Mamadou Diatta , Macoura Gadji , Marie Jeo Diémé , Souleymane Sarr , Mamadou Keita , Mouhammad Kane , Abdou Ba , Bintou Catherine Gassama , Babacar Tamba , Soukeye Dia Tine","doi":"10.1016/j.adoms.2023.100431","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100431","url":null,"abstract":"<div><h3>Introduction</h3><p>Inflammatory odontogenic cysts are lesions that develop from the cellular remains of odontogenesis. They are lesions that may recur after incomplete surgical enucleation with a variable clinical appearance depending on the clinical form. These clinical variations could be explained by the biological behaviour of the lesion cells which can be explored by the study of the cell proliferation index (Ki67). This justifies the initiation of this work whose objective was to study the level of expression of Ki67 and to measure the index of proliferation in odontogenic inflammatory cysts.</p></div><div><h3>Material and method</h3><p>This was a cross-sectional study with an analytical aim on surgical parts of odontogenic inflammatory cysts over a period of 31 months in the odontostomatology department of the Hôpital Général Idrissa Pouye. The Ki67 immunohistochemistry study was performed on 3μ thick histological sections of paraffin-fixed tissue. The inclusion criteria were any surgical specimen of odontogenic inflammatory cyst that we could collect. The variables studied were sociodemographic, clinical and histopathological.</p></div><div><h3>Results</h3><p>Radiculo-dental cysts represented 80.5% of the surgical specimens collected and residual cysts 12.2%. The percentage of Ki67-labelled cells was greater than 15% in 80.5% of the odontogenic inflammatory cysts and less than 7% in 19.5% of the cases. In addition, intense labelling was noted in radiculo-dental cysts and weak labelling in the other clinical forms of inflammatory odontogenic cysts obtained. An association was noted between the percentage of Ki67 labelled cells and histological types (p-value <0.001); but also between the intensity of Ki67 labelling and histological types (p-value <0.001).</p></div><div><h3>Conclusion</h3><p>The cell proliferation index (Ki67) could be used as a prognostic biomarker in odontogenic inflammatory cysts.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"11 ","pages":"Article 100431"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49707693","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}
Mohd Aswad Khan, Tabishur Rahman, Sajjad Abdur Rahman, Ghulam Sarwar Hashmi, Md Kalim Ansari, Mohammad Danish, Mohammad Arman, Rizwan Ahmad, Wasim Ahmad
{"title":"Is post-COVID osteonecrosis of jaw (PCONJ) Masquerading as osteomyelitis ? A largest unicentric report of 13 cases","authors":"Mohd Aswad Khan, Tabishur Rahman, Sajjad Abdur Rahman, Ghulam Sarwar Hashmi, Md Kalim Ansari, Mohammad Danish, Mohammad Arman, Rizwan Ahmad, Wasim Ahmad","doi":"10.1016/j.adoms.2023.100435","DOIUrl":"https://doi.org/10.1016/j.adoms.2023.100435","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to ascertain the correlation between COVID-19 infection and jaw osteonecrosis, along with the identification of risk factors that could be associated with the development of the condition. Another aim of our study is to establish whether maxillofacial osteonecrosis is an early or late complication seen in COVID-19 patients.</p></div><div><h3>Material and method</h3><p>This was a retrospective study conducted over a period of two years. Case records of patients with a history of severe COVID and steroid treatment who later developed jaw osteonecrosis were evaluated.</p></div><div><h3>Result</h3><p>13 patients with an age range from 8 years to 70 years were identified. Osteonecrosis was seen as late as 21 months after COVID-19. The majority of the cases involved maxilla, one case was of bi-jaw involvement, and one case presented with isolated mandibular involvement. 6 patients were diabetic and 11 patients gave a history of provocative dental treatment like extraction.</p></div><div><h3>Conclusion</h3><p>A triad of post-COVID coagulopathy, steroid administration, and a provocative dental treatment may contribute to jaw osteonecrosis which may be seen in patients without pre-existing systemic illness and may present as late as 21 months after COVID-19.</p></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"11 ","pages":"Article 100435"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49707691","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}