M. Chen , L. Wang , J. Li , J. Zheng , G. Bai , C. Yang
{"title":"Twenty years of experience with lesions involving the temporomandibular joint and adjacent structures complex","authors":"M. Chen , L. Wang , J. Li , J. Zheng , G. Bai , C. Yang","doi":"10.1016/j.ijom.2024.12.005","DOIUrl":"10.1016/j.ijom.2024.12.005","url":null,"abstract":"<div><div>With their close anatomical relationship, the temporomandibular joint (TMJ), mandibular ramus, skull base, ear, and infratemporal fossa make up a complex structure that may collectively be referred to as the ‘TMJ and adjacent structures complex’ (TASC). This study presents the neoplasms that may be encountered in the TASC region and their classification, which may be useful for the surgical treatment. Data of 1022 consecutive patients treated with resection of TASC neoplasms from May 2000 to October 2022 were reviewed. Pathology outcomes were classified according to the World Health Organization classification and <em>Bone Tumors</em> (Dorfman and Czerniak). Extent of the lesions was analysed based on imaging modalities. Ten tissue origins were observed. Synovial lesions accounted for the highest proportion of pathologies (56.0%). Regarding their biological behaviour, the lesions could be divided into pseudotumours (12.8%), benign tumours (28.4%), intermediate tumours (57.0%), or malignant tumours (1.8%). All lesions originated from one of four sites: lesions intrinsic to the TMJ (91.5%), extending from adjacent structures (7.7%), distant metastatic spread (0.4%), and multiple general foci (0.4%). In conclusion, it is hoped that knowledge of the histopathological and biological features will facilitate the surgical treatment of these pathologies in a rational, minimally invasive, and functional manner.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 5","pages":"Pages 411-419"},"PeriodicalIF":2.2,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928928","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}
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}
{"title":"Comment on “Mandibular autorotation: a critical virtual parameter in clinical decision-making regarding maxilla-first versus mandible-first sequence”","authors":"F. Melhem-Elias , B.A.Q. Reis","doi":"10.1016/j.ijom.2024.07.015","DOIUrl":"10.1016/j.ijom.2024.07.015","url":null,"abstract":"","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 1","pages":"Page 100"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984217","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}
{"title":"Comment on “Arthroscopy versus arthrocentesis and versus conservative treatments for temporomandibular joint disorders: a systematic review with meta-analysis and trial sequential analysis”","authors":"W. Jerjes","doi":"10.1016/j.ijom.2024.08.030","DOIUrl":"10.1016/j.ijom.2024.08.030","url":null,"abstract":"","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 1","pages":"Page 98"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019993","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}
A. Thielen , V. Brizzi , C. Majoufre , R. Nicot , M. Schlund
{"title":"Eagle syndrome and vascular complications—a systematic review","authors":"A. Thielen , V. Brizzi , C. Majoufre , R. Nicot , M. Schlund","doi":"10.1016/j.ijom.2024.09.011","DOIUrl":"10.1016/j.ijom.2024.09.011","url":null,"abstract":"<div><div>Vascular complications occurring in Eagle syndrome are seldom described. The aim of this study was to systematically review the occurrence, characteristics, and management outcomes of vascular complications occurring in Eagle syndrome. A systematic review was conducted with a search in several databases. The research question was “What characterizes Eagle syndrome with vascular complications and how should it be managed?” The initial search yielded 4145 results; 150 of these were included, reporting a total of 231 patients with vascular complications. Arterial impingement (67.5%) was more frequent than venous impingement (32.5%). The most frequent consequence of arterial impingement was stroke (46.8%), while for venous impingement it was chronic headache (68%). Seventy-nine patients underwent styloidectomy as initial treatment: 78.5% of the patients were cured and 19.0% improved, while only 2.5% showed a recurrence. On the other hand, among the 106 patients treated medically without initial styloidectomy, only 24.5% of the patients were cured, 28.3% improved, and 47.2% had a recurrence. The association of symptoms of classic Eagle syndrome with neurovascular symptoms should prompt clinicians to consider this diagnosis and to measure the styloid length. Styloidectomy is the treatment of choice to obtain the best cure rate and reduce recurrence.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 1","pages":"Pages 31-42"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484194","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}
G. Trento , H. Parize , L. Bohner , O. Oelerich , S. Jung , J. Kleinheinz
{"title":"Can a unilateral total temporomandibular joint prosthesis affect the healthy contralateral temporomandibular joint? A systematic review","authors":"G. Trento , H. Parize , L. Bohner , O. Oelerich , S. Jung , J. Kleinheinz","doi":"10.1016/j.ijom.2024.10.001","DOIUrl":"10.1016/j.ijom.2024.10.001","url":null,"abstract":"<div><div>Temporomandibular joint (TMJ) prostheses are considered an important alternative for the treatment of severe end-stage TMJ disorders. However, unilateral TMJ replacement may affect the healthy contralateral TMJ. The purpose of this study was to systematically review the literature on the effects of unilateral total TMJ prosthesis placement on the contralateral healthy TMJ. The PubMed, Scopus, Web of Science, and Cochrane Library databases were searched for English-language articles published up to December 2023. Inclusion criteria encompassed clinical studies (randomized, prospective, retrospective, observational) that evaluated clinical and patient-reported outcomes after total unilateral TMJ prosthesis placement (both glenoid and mandibular components). The initial search identified 141 non-duplicate studies, of which eight remained after title and abstract reading. Four studies included only unilateral prostheses; the other four included bilateral interventions and/or control groups without any TMJ intervention. The studies reported on stock and custom prostheses, with custom prostheses being the most used. As the studies had different specific objectives, no pattern of data reporting was found and the research question could not be answered. Randomized clinical trials with standardized variables are required to achieve reliable conclusions. Furthermore, long-term follow-up is necessary to determine whether the function of the healthy TMJ is compromised.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 1","pages":"Pages 65-73"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484192","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}
M.S. Iqbal, R. Patil, J. Kovarik, M. Jackson, C. Kelly
{"title":"Comment on “Clinicopathological features and prognostic factors of salivary gland myoepithelial carcinoma: institutional experience of 42 cases”","authors":"M.S. Iqbal, R. Patil, J. Kovarik, M. Jackson, C. Kelly","doi":"10.1016/j.ijom.2024.04.010","DOIUrl":"10.1016/j.ijom.2024.04.010","url":null,"abstract":"","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 1","pages":"Pages 96-97"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140924192","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}