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

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

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

Comparison of the stability of immediate dental implant placement in fresh molar extraction sockets in the maxilla and mandible: a controlled, prospective, non-randomized clinical trial 上颌和下颌骨新鲜磨牙拔牙槽即刻种植体稳定性的比较：一项对照、前瞻性、非随机临床试验。

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-01-09 DOI: 10.1016/j.ijom.2024.12.011

P. Witoonkitvanich , P. Amornsettachai , W. Panyayong , D. Rokaya , N. Vongsirichat , S. Suphangul

{"title":"Comparison of the stability of immediate dental implant placement in fresh molar extraction sockets in the maxilla and mandible: a controlled, prospective, non-randomized clinical trial","authors":"P. Witoonkitvanich , P. Amornsettachai , W. Panyayong , D. Rokaya , N. Vongsirichat , S. Suphangul","doi":"10.1016/j.ijom.2024.12.011","DOIUrl":"10.1016/j.ijom.2024.12.011","url":null,"abstract":"<div><div>The aim of this study was to assess the stability of immediate dental implants in fresh molar extraction sockets and to compare those placed in the maxilla and mandible. This was a controlled, prospective, non-randomized clinical trial; the maxilla was the test group and the mandible was the control group. Thirty patients with an unrestorable molar tooth who needed immediate implant placement were included. The implant surgery was performed using a surgical stent and a guided surgery kit. After placement of the implant, the implant stability quotient (ISQ) was measured. A titanium customized healing abutment was inserted, and further ISQ values were obtained during 24 weeks of follow-up. The mean primary stability after immediate implant placement was >70 (73.98 ± 5.40 in the maxilla and 73.59 ± 6.74 in the mandible; P = 0.864). In the maxilla, stability was reduced at 2 weeks and 4 weeks and then increased gradually. In conclusion, immediate implant placement in the molar region with computer-guided surgery resulted in excellent implant stability. Higher mean ISQ values were obtained for the implants in the mandibular molar region when compared to the maxillary molar region (significant at 24 weeks, P = 0.018).</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 4","pages":"Pages 365-373"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prognostic triad: a novel method for decision-making for adjuvant treatment in stage I–II oral squamous cell carcinoma 预后三要素：I-II 期口腔鳞状细胞癌辅助治疗决策的新方法。

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-01-01 DOI: 10.1016/j.ijom.2024.07.004

P.V. Jain , I. Mallick , K. Manikantan , S. Chatterjee , I. Arun , P. Roy , L. Zameer , P. Arun

{"title":"Prognostic triad: a novel method for decision-making for adjuvant treatment in stage I–II oral squamous cell carcinoma","authors":"P.V. Jain , I. Mallick , K. Manikantan , S. Chatterjee , I. Arun , P. Roy , L. Zameer , P. Arun","doi":"10.1016/j.ijom.2024.07.004","DOIUrl":"10.1016/j.ijom.2024.07.004","url":null,"abstract":"<div><div><span><span>This study proposes a scoring system for adjuvant irradiation for stage I/II oral squamous cell carcinoma (OSCC). Derivation cohort (119 patients, operated between 2011 and 2014) and a validation cohort (204 patients, operated between 2016 and 2019) were included. In derivation cohort, on </span>univariate analysis<span>, tumor size >2 cm [3-year Disease Free Survival (DFS) 72.5% vs 95.6%, </span></span><em>P</em><span> = 0.039], lymphovascular invasion (58.3% vs 83.6%, </span><em>P</em><span> = 0.024), perineural invasion (75% vs 85.6%, </span><em>P</em> = 0.013), and depth of invasion ≥0.5 cm (73.8% vs 97.5%, <em>P</em><span> = 0.017) predicted 3-year DFS. Tongue lesions and poor differentiation were added as poor prognosticators based on previously published reports. Patients were grouped as low risk (<3 risk factors) and high risk (≥3 risk factors), with only high-risk group receiving adjuvant irradiation in validation cohort. Overall, 47/119 (39.5%) patients in the derivation cohort and 50/204 (24.5%) patients in validation cohort received adjuvant irradiation. In derivation cohort, 3-year DFS was 93% and 72.5% in the low and high-risk group, respectively. 3-year DFS was 90.7% and 85.8% in the low and high-risk group, respectively for validation cohort. The proposed scoring system reduced the use of adjuvant irradiation by 38%, with similar DFS.</span></div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 1","pages":"Pages 23-30"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604668","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 “Mandibular autorotation: a critical virtual parameter in clinical decision-making regarding maxilla-first versus mandible-first sequence” 就 "下颌自转：上颌先行与下颌先行序列临床决策中的关键虚拟参数 "发表评论。

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-01-01 DOI: 10.1016/j.ijom.2024.07.015

F. Melhem-Elias , B.A.Q. Reis

引用次数: 0

Editorial Board/Reviewing Committee

IF 2.2 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2025-01-01 DOI: 10.1016/S0901-5027(24)00458-2

引用次数: 0