International journal of oral and maxillofacial surgery最新文献_第2页

A new patient-specific helical maxillary distractor: a cadaver test 新型患者专用螺旋上颌骨牵引器：尸体试验。

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-02-01 DOI: 10.1016/j.ijom.2024.05.008

J. Gateno , S. Bartlett , D. Kim , A.S. Xue , K. Gu

{"title":"A new patient-specific helical maxillary distractor: a cadaver test","authors":"J. Gateno , S. Bartlett , D. Kim , A.S. Xue , K. Gu","doi":"10.1016/j.ijom.2024.05.008","DOIUrl":"10.1016/j.ijom.2024.05.008","url":null,"abstract":"<div><div><span>The primary objective of this cadaver study was to assess the feasibility of a novel custom helical distraction system and a patient-specific antral maxillary distractor. The study involved two fresh cadaver heads and followed a systematic procedure. First, virtual planning was conducted for an asymmetric maxillomandibular advancement<span>. Custom patient-specific hardware was then fabricated to enable sequential mandibular advancement and gradual maxillary distraction. The mandibular lengthening procedures were found to be highly accurate, with only minor deviations from the planned results. In terms of maxillary distraction, the patient-specific antral distractors demonstrated favorable outcomes, with two noteworthy exceptions. Ideal forward maxillary advancement was short by a modest 2–3 mm in both cadavers. Additionally, cadaver 2 exhibited an unplanned pitch malrotation. However, an excellent occlusion was achieved in cadaver 1 and an acceptable anterior occlusion in cadaver 2, albeit with bilateral posterior </span></span>open bites that could be readily corrected with interdental elastics in a clinical setting. This cadaver model study provides compelling evidence for the feasibility of patient-specific antral helical distractors, highlighting their potential to yield positive outcomes. Importantly, the study results suggest that patient-specific antral distractors may offer superior results compared to the current standard of linear distractors.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 2","pages":"Pages 191-197"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141186972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comprehensive evaluation of advanced platelet-rich fibrin in common complications following sagittal split ramus osteotomy: a double-blind, split-mouth, randomized clinical trial 全面评估高级富血小板纤维蛋白在矢状劈开臼齿截骨术后常见并发症中的作用：一项双盲、分口、随机临床试验。

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-02-01 DOI: 10.1016/j.ijom.2024.03.005

Z. Zhu , X. Sun , K. Chen , M. Zhang , G. Wu

{"title":"Comprehensive evaluation of advanced platelet-rich fibrin in common complications following sagittal split ramus osteotomy: a double-blind, split-mouth, randomized clinical trial","authors":"Z. Zhu , X. Sun , K. Chen , M. Zhang , G. Wu","doi":"10.1016/j.ijom.2024.03.005","DOIUrl":"10.1016/j.ijom.2024.03.005","url":null,"abstract":"<div><div><span>The sagittal split ramus osteotomy<span> (SSRO) carries potential risks and complications. A double-blind, split-mouth, randomized clinical trial<span> was performed, involving 30 patients undergoing mandibular setback. Advanced platelet-rich fibrin (A-PRF) was applied to one side, and the other side served as a control. The volume of postoperative drainage over 24 h was recorded. At 1, 2, and 5 days, and 3 months postsurgery, nerve recovery<span> was assessed using the two-point discrimination test (TPD), while pain was evaluated using a visual analogue scale (VAS pain). Facial swelling was evaluated by taking linear measurements from facial reference points at the same time intervals. In the treatment group, the 24-hour drainage volume was lower (</span></span></span></span><em>P</em> = 0.011), pain was better on day 5 (<em>P</em> = 0.011), and TPD was better on day 2 (<em>P</em> = 0.011), day 5 (<em>P</em> = 0.007), and 3 months postoperatively (<em>P</em> = 0.020) than in the control group. There was also less facial swelling in the treatment group when compared to the baseline of 3 months postoperative (day 1, <em>P</em> = 0.012; day 2, <em>P</em> = 0.001; day 5, <em>P</em> = 0.011). The difference in bone mineral density (HU) at 3 months between the treatment group (469.7 ± 134.2) and the control group (348.3 ± 127.2) was statistically significant (<em>P</em><span> = 0.011), in favour of the treatment group. A-PRF may reduce postoperative complications<span> such as neurosensory disturbance of the inferior alveolar nerve, pain, swelling, and drainage while enhancing bone healing in the osteotomy gap following SSRO.</span></span></div></div><div><h3>Trial registration</h3><div>The study was registered with the Chinese Clinical Trial Register (ChiCTR2200064534).</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 2","pages":"Pages 134-142"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric mandibular malignancies: a comprehensive analysis of SEER data 小儿下颌骨恶性肿瘤：SEER 数据综合分析。

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-02-01 DOI: 10.1016/j.ijom.2024.08.002

S.L. Newman , N.B. Drury , K.T. Lee , A.K. Devarakonda , A. Ahmed , H.K. Koehn

{"title":"Pediatric mandibular malignancies: a comprehensive analysis of SEER data","authors":"S.L. Newman , N.B. Drury , K.T. Lee , A.K. Devarakonda , A. Ahmed , H.K. Koehn","doi":"10.1016/j.ijom.2024.08.002","DOIUrl":"10.1016/j.ijom.2024.08.002","url":null,"abstract":"<div><div>Mandibular malignancies are rare in the pediatric population and subsequently not well characterized. SEER 18 registry data was collected, applying age 0–18 years and ICD-O-3 code C41.1 (‘mandible’). Univariate Cox regression analysis was conducted, and hazard ratios (HR) were calculated for overall survival (OS) and disease-specific survival (DSS) according to patient demographics, tumor characteristics, and treatment. Kaplan–Meier survival curves were generated for OS and DSS. Sixty-four patients met the inclusion criteria. The median age at diagnosis was 13.0 years, and median survival was 8.7 years. Osteosarcoma was the most common histological diagnosis (<em>n</em> = 22). Sex, race, age (<13 vs ≥13 years), histological type, odontogenic origin, and treatment modality were found not to be associated with OS or DSS. The SEER stage ‘distant’ was significantly associated with an elevated HR of 6.28 for DSS (<em>P</em> = 0.027) and 5.29 for OS (<em>P</em> = 0.025). Kaplan–Meier survival curves demonstrated significantly lower 5-year DSS (<em>P</em><0.001) and OS (<em>P</em><0.001) for SEER ‘distant’ stage. This study includes the analysis of a large number of pediatric mandibular malignancies when compared to previous studies. ‘Distant’ stage was associated with decreased survival. Early clinical suspicion and diagnosis are paramount for improved survival.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 2","pages":"Pages 109-114"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Success of custom total joint replacement simultaneous with orthognathic surgery in patients with idiopathic condylar resorption 特发性髁突吸收患者在接受正颌手术的同时接受定制全关节置换术的成功案例。

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-02-01 DOI: 10.1016/j.ijom.2024.08.037

S. Can , S.B. Kıraç Can , A. Varol

{"title":"Success of custom total joint replacement simultaneous with orthognathic surgery in patients with idiopathic condylar resorption","authors":"S. Can , S.B. Kıraç Can , A. Varol","doi":"10.1016/j.ijom.2024.08.037","DOIUrl":"10.1016/j.ijom.2024.08.037","url":null,"abstract":"<div><div>The aim of this study was to evaluate the aesthetic and functional outcomes of custom alloplastic total joint replacement combined with orthognathic surgery (cTJR + OS) in patients with idiopathic condylar resorption. Thirteen patients who underwent cTJR + OS between 2015 and 2022 were analysed retrospectively. Primary outcomes were maximum inter-incisal opening (MIO), scores for joint pain, jaw function, diet, sleep apnoea, and aesthetics. Secondary outcomes were cranial nerve VII deficits, infection, heterotopic ossification, prosthesis failure with need for reoperation, and bleeding. Clinical data were collected for a minimum 24 months post-surgery; postoperative data were compared with the preoperative data. Mean follow-up was 39.6 months. Significant improvements were observed in joint pain (<em>P</em> = 0.026), jaw function (<em>P</em> = 0.004), diet (<em>P</em> = 0.004), sleep apnoea (<em>P</em> = 0.001), and aesthetics (<em>P</em> = 0.001) scores, as well as in MIO (<em>P</em> = 0.006). The greatest improvements (preoperative to postoperative) were obtained for aesthetics and sleep apnoea, and the smallest for joint pain and MIO. Early and mid-term results were very satisfactory in terms of the patients’ perceptions of the outcomes investigated. Optimization of the prosthesis design and increasing surgical experience may contribute to significant improvements in patient outcomes.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 2","pages":"Pages 157-165"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142195240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Empowering surgeons: will artificial intelligence change oral and maxillofacial surgery? 增强外科医生的能力：人工智能会改变口腔颌面外科吗？

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-02-01 DOI: 10.1016/j.ijom.2024.09.004

Y.M. Sillmann , J.L.G.C. Monteiro , P. Eber , A.M.P. Baggio , Z.S. Peacock , F.P.S. Guastaldi

{"title":"Empowering surgeons: will artificial intelligence change oral and maxillofacial surgery?","authors":"Y.M. Sillmann , J.L.G.C. Monteiro , P. Eber , A.M.P. Baggio , Z.S. Peacock , F.P.S. Guastaldi","doi":"10.1016/j.ijom.2024.09.004","DOIUrl":"10.1016/j.ijom.2024.09.004","url":null,"abstract":"<div><div>Artificial Intelligence (AI) can enhance the precision and efficiency of diagnostics and treatments in oral and maxillofacial surgery (OMS), leveraging advanced computational technologies to mimic intelligent human behaviors. The study aimed to examine the current state of AI in the OMS literature and highlight the urgent need for further research to optimize AI integration in clinical practice and enhance patient outcomes. A scoping review of journals related to OMS focused on OMS-related applications. PubMed was searched using terms “artificial intelligence”, “convolutional networks”, “neural networks”, “machine learning”, “deep learning”, and “automation”. Ninety articles were analyzed and classified into the following subcategories: pathology, orthognathic surgery, facial trauma, temporomandibular joint disorders, dentoalveolar surgery, dental implants, craniofacial deformities, reconstructive surgery, aesthetic surgery, and complications. There was a significant increase in AI-related studies published after 2019, 95.6% of the total reviewed. This surge in research reflects growing interest in AI and its potential in OMS. Among the studies, the primary uses of AI in OMS were in pathology (e.g., lesion detection, lymph node metastasis detection) and orthognathic surgery (e.g., surgical planning through facial bone segmentation). The studies predominantly employed convolutional neural networks (CNNs) and artificial neural networks (ANNs) for classification tasks, potentially improving clinical outcomes.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 2","pages":"Pages 179-190"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial Board/Reviewing Committee 编辑委员会/评审委员会

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-02-01 DOI: 10.1016/S0901-5027(24)00483-1

引用次数: 0

Simultaneous arthroscopy of upper and lower compartments of the temporomandibular joint 颞下颌关节上下区的同步关节镜检查。

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-02-01 DOI: 10.1016/j.ijom.2024.11.003

R.C.M. de Barros , H.Y. Ono

引用次数: 0

Functional outcomes and survival after total glossectomy with laryngectomy: a systematic review 全喉切除术合并喉切除术后的功能预后和存活率：系统性综述。

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-02-01 DOI: 10.1016/j.ijom.2024.07.005

A.M. Weyh , C. Mosquera , S. Nedrud , A. Bunnell , R. Fernandes

{"title":"Functional outcomes and survival after total glossectomy with laryngectomy: a systematic review","authors":"A.M. Weyh , C. Mosquera , S. Nedrud , A. Bunnell , R. Fernandes","doi":"10.1016/j.ijom.2024.07.005","DOIUrl":"10.1016/j.ijom.2024.07.005","url":null,"abstract":"<div><div>Total glossectomy with laryngectomy (TGL) is a procedure with high morbidity/mortality risks reserved for cases of advanced tongue cancer with laryngeal invasion. This technique is controversial as there are significant impacts on quality of life, including loss of functional speech and swallowing. A systematic review was performed following the PRISMA guidelines with the primary goal of quantifying the functional outcomes and overall survival of patients undergoing TGL. The initial search resulted in 748 studies; seven of these met the inclusion criteria. Five studies evaluated functional speech postoperatively, and 12.1% (8/66) of patients in these studies achieved a form of functional speech. Most studies did not refer to the use of specific postoperative voice rehabilitation. Regarding swallowing function, 53.3% (32/60) of patients in five studies regained their ability to swallow. In six studies reporting gastrostomy tube dependence, 37.7% (29/77) of patients were tube-dependent. Recurrence within 1-year was reported in three studies; 52% (26/50) of the patients had recurrence within 1 year, and the 1-year disease-free survival rate was 48%. TGL is a highly invasive surgery; postoperatively, most patients do not regain the ability to speak, while only half are able to swallow. Despite these extreme efforts and sacrifices by the patient, approximately half of patients have a recurrence within the first year. The decision to perform a TGL should be made only in select and motivated patients after carefully explaining and weighing the oncological and quality of life risks and benefits.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 2","pages":"Pages 103-108"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on “Permanent lingual nerve injury after dental procedures: a retrospective study of 228 patients” 就 "牙科手术后的永久性舌神经损伤：对 228 名患者的回顾性研究 "发表评论。

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-01-25 DOI: 10.1016/j.ijom.2025.01.006

F. Van der Cruyssen , M. Miloro

引用次数: 0

Dermatofibrosarcoma protuberans arising in the lower labial mucosa: a case report and literature review 下唇黏膜生隆突性皮肤纤维肉瘤1例并文献复习。

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-01-24 DOI: 10.1016/j.ijom.2025.01.009

K. Chihara , K. Yamagata , K. Maeda , T. Namai

{"title":"Dermatofibrosarcoma protuberans arising in the lower labial mucosa: a case report and literature review","authors":"K. Chihara , K. Yamagata , K. Maeda , T. Namai","doi":"10.1016/j.ijom.2025.01.009","DOIUrl":"10.1016/j.ijom.2025.01.009","url":null,"abstract":"<div><div>Dermatofibrosarcoma protuberans (DFSP) is a low-grade, malignant, spindle cell tumour with an infiltrative growth pattern and a high local recurrence rate. Cases of oral DFSP are rare. This report describes a case of DFSP occurring in the labial mucosa. A 21-year-old Japanese man was referred with a recurrent mass on the labial mucosa. Oral examination revealed an indurated tumour of 10 mm, extending from the lower labial mucosa to the labial commissure. The lesion was resected with a surgical margin of >10 mm from the induration, under general anaesthesia. The full-thickness labial mucosa to the cheek, with overlying skin and labial commissure, was resected. Pathologically, spindle-shaped cells with pale eosinophilic cytoplasm were observed. Most of the tumour cells exhibited mild to moderate nuclear atypia and were positive for α-smooth muscle actin and CD34 on immunohistochemistry. Based on these findings, a pathological diagnosis of DFSP was made. The postoperative course was uneventful, and no recurrence was observed for over a year. Oral DFSP is extremely rare and challenging to diagnose, and DFSP of the labial mucosa, as reported here, is exceptionally rare. Resection of this locally invasive tumour with a clear margin is important for a good prognosis.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 6","pages":"Pages 506-510"},"PeriodicalIF":2.2,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0