International journal of oral and maxillofacial surgery最新文献_第3页

Free forearm flaps for head and neck reconstruction: fewer revisions and flap failures with two venous anastomoses—a 25-year prospective study 自由前臂皮瓣头颈部重建：较少的修正和皮瓣失败与两个静脉吻合-一个25年的前瞻性研究。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-10-22 DOI: 10.1016/j.ijom.2025.10.003

C.J. Kuijpers , E.M. Van Cann , F.J. Dieleman , J.E. Bergsma , R.J.J. van Es , A.J.W.P. Rosenberg

{"title":"Free forearm flaps for head and neck reconstruction: fewer revisions and flap failures with two venous anastomoses—a 25-year prospective study","authors":"C.J. Kuijpers , E.M. Van Cann , F.J. Dieleman , J.E. Bergsma , R.J.J. van Es , A.J.W.P. Rosenberg","doi":"10.1016/j.ijom.2025.10.003","DOIUrl":"10.1016/j.ijom.2025.10.003","url":null,"abstract":"<div><div>Flap failure is a potential complication following head and neck reconstruction using free vascularized flaps. The value of a second venous anastomosis remains debated. This prospective cohort study included consecutive patients who underwent free forearm flap (FFF) surgery to repair head and neck defects between 1998 and 2023, and compared outcomes of FFF with one versus two venous anastomoses. Outcome parameters were surgical vascular revision and flap failure rates. In patients who received radial FFF for primary reconstruction, the rates of vascular revision and flap failure were significantly higher in flaps with one anastomosis (<em>P</em> = 0.045 and <em>P</em> = 0.018, respectively). Analysis of all forearm flaps (radial and ulnar) used for primary or secondary reconstruction, showed that flaps with one venous anastomosis had significantly higher rates of vascular revision (8.3% vs 2.8%, <em>P</em> = 0.031) and flap failure (6.7% vs 2.0%, <em>P</em> = 0.033) than those with two. Multivariable logistic regression confirmed that a single venous anastomosis was independently associated with increased odds of vascular revision (<em>P</em> = 0.039) and flap failure (<em>P</em> = 0.015). In conclusion, FFF with one venous anastomosis needed more surgical vascular revision and showed more flap failure than those with two venous anastomoses.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 152-158"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357381","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

Carbon impact of orthognathic surgery 正颌手术对碳的影响。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-06-24 DOI: 10.1016/j.ijom.2025.06.005

L. Mattei , F. Barry , N. Al-Badri , J. Ferri , G. Masson , R. Nicot

{"title":"Carbon impact of orthognathic surgery","authors":"L. Mattei , F. Barry , N. Al-Badri , J. Ferri , G. Masson , R. Nicot","doi":"10.1016/j.ijom.2025.06.005","DOIUrl":"10.1016/j.ijom.2025.06.005","url":null,"abstract":"<div><div><span><span>Climate change is a threat to humankind that cannot be ignored and requires efforts to be made in every sector, including the health care<span> industry. Operating rooms are understood to contribute significantly to emissions. The aim of this study was to assess the carbon footprint of orthognathic surgery in a regional specialized centre at the University Hospital of Lille (CHU Lille) in France. All consecutive patients who underwent orthognathic surgery between January 2 and July 2, 2024 were included retrospectively. A life cycle assessment (LCA) of orthognathic surgery was performed to estimate its overall carbon footprint. Patient transportation, </span></span>medical devices<span>, patient consumables, the sterilization process, medications, operating room electricity consumption, operating room heating, anaesthetic gases, and consultations were included. Staff transportation, hospitalization, cleaning, reprocessing of linen, and water consumption were excluded. Overall, 122 patients underwent orthognathic surgery in CHU Lille during the study period. The mean ± standard deviation carbon emissions for orthognathic surgery was 209.00 ± 149.92 kgCO</span></span><sub>2</sub>eq. Patient transportation represented 66.4–70.4% of the overall emissions. Orthognathic surgery results in the emission of non-negligible amounts of carbon dioxide equivalent. The carbon footprint of other procedures requires evaluation, and actions need to be taken to reduce their impact.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 195-201"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499946","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

CAD/CAM manufactured allogeneic bone blocks for three-dimensional ridge augmentation in implant dentistry: a retrospective clinical and radiological analysis CAD/CAM制造的异体骨块用于种植牙科的三维嵴增强：回顾性临床和放射学分析。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-07-22 DOI: 10.1016/j.ijom.2025.07.003

O. Blume , L. Gärtner , M. Back , P. Poxleitner , O. Schubert , S. Otto

{"title":"CAD/CAM manufactured allogeneic bone blocks for three-dimensional ridge augmentation in implant dentistry: a retrospective clinical and radiological analysis","authors":"O. Blume , L. Gärtner , M. Back , P. Poxleitner , O. Schubert , S. Otto","doi":"10.1016/j.ijom.2025.07.003","DOIUrl":"10.1016/j.ijom.2025.07.003","url":null,"abstract":"<div><div>The edentulous alveolar ridge is a challenge for implant treatment, commonly requiring extensive reconstruction to create an adequate implant site. The aim of this study was to analyse the efficacy of customized cancellous allogeneic bone blocks (CABB) for alveolar ridge augmentation and examine staged implantation in the reconstructed bone. Three-dimensional radiographic images were analysed retrospectively to determine linear bone and volume gain at T1 (postoperative after CABB insertion) and resorption at T2 (after the CABB healing phase). A total 111 implants placed in 66 CABB were investigated retrospectively, and clinical follow-up was performed. At T1, the CABB showed a mean linear bone gain of 6.29 mm horizontally and 6.80 mm vertically, and volume gain of 457 ± 302 mm<sup>3</sup>. Although complications occurred during the healing phase, there was no total bone block loss. At T2, mean bone dimensions were 4.96 mm horizontally and 5.55 mm vertically, and the volume was 326 ± 250 mm<sup>3</sup><sub>,</sub> giving a mean volumetric stability of 71.41% ± 18.00%. Five early implant losses occurred, indicating an implant survival rate of 95.5%. The results suggest that CABB can be used successfully to achieve a reasonable increase in bone dimensions for augmentation of three-dimensional alveolar ridge defects, with a high implant survival rate. However, this procedure is technique-sensitive and strict follow-up is required to allow possible intervention.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 256-262"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700773","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

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-07-05 DOI: 10.1016/j.ijom.2025.06.018

N. Vachiradecha , S. Themkumkwun , N. Sirintawat , N. Srimaneekarn , S. Pornprasertsuk-Damrongsri , A. Hayter

{"title":"Factors related to the effectiveness of decompression in unicystic ameloblastoma: a retrospective study","authors":"N. Vachiradecha , S. Themkumkwun , N. Sirintawat , N. Srimaneekarn , S. Pornprasertsuk-Damrongsri , A. Hayter","doi":"10.1016/j.ijom.2025.06.018","DOIUrl":"10.1016/j.ijom.2025.06.018","url":null,"abstract":"<div><div><span><span>The aim of this study was to identify factors that predict the outcome of decompression for unicystic ameloblastoma<span><span> (UA) in the mandible. This was a single-center, retrospective, cross-sectional study of 40 patients with mandibular UA who underwent decompression as the primary treatment. Pre- and post-decompression </span>panoramic radiographs were reviewed to evaluate the lesion area and calculate the percentage reduction. Other parameters were recorded from the charts, including clinical, radiographic and </span></span>histopathology reports. Decompression reduced the lesion size by a mean 41.4%. The patients were classified according to the effectiveness of decompression (effective defined as ≥30% reduction): 27 patients were included in the effective group and 13 in the ineffective group. The average rate of reduction was 0.17% per day. An absence of bone perforation (</span><em>P</em> = 0.043) and larger initial lesion size (P = 0.034) were significantly associated with effective decompression. There was a significant association between the initial size and the reduction rate (increased reduction rate for initial size ≥10 cm<sup>2</sup>; <em>P</em> = 0.019). A significant linear relationship between the duration of decompression and the percentage reduction was observed (<em>P</em> = 0.025). These results demonstrate that UA can be treated initially with decompression, followed by other definitive treatments.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 172-181"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568146","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

Performance of machine learning algorithms in predicting the need for surgical fixation in pediatric craniomaxillofacial trauma 机器学习算法在预测小儿颅颌面创伤手术固定需求中的表现。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-10-18 DOI: 10.1016/j.ijom.2025.10.005

B. Thornton , K. Patel , B. Ma , J. Castro-Nunez

{"title":"Performance of machine learning algorithms in predicting the need for surgical fixation in pediatric craniomaxillofacial trauma","authors":"B. Thornton , K. Patel , B. Ma , J. Castro-Nunez","doi":"10.1016/j.ijom.2025.10.005","DOIUrl":"10.1016/j.ijom.2025.10.005","url":null,"abstract":"<div><div>Machine learning offers a novel approach to improve surgical triage in pediatric craniomaxillofacial trauma, where decision-making often relies on clinician judgment without standardized criteria. This retrospective study used data from the National Trauma Data Bank (2017–2022) to evaluate the performance of machine learning algorithms in predicting the need for open surgical fixation among pediatric patients with facial fractures. Multivariable logistic regression identified fracture patterns, neurologic and dental injuries, and trauma center characteristics as significant predictors of open surgical fixation. XGBoost outperformed four other models (area under the receiver operating characteristic curve (ROC-AUC) 0.89) and demonstrated strong calibration. Shapley Additive Explanations (SHAP) confirmed that facial injury severity, mandible fractures, and fracture multiplicity were key drivers of operative predictions, aligning with clinical priorities to restore occlusion and stabilize the facial skeleton. Conversely, closed cranial base fractures and head injury severity reduced the predicted likelihood of surgery, consistent with conservative management. False positives and false negatives reflected gaps in radiographic detail and clinical context, including fracture displacement and surgical contraindications. These findings highlight the potential of machine learning to support the early identification of surgical candidates using structured data available at the time of presentation and underscore the need for multimodal approaches to further refine triage accuracy.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 222-230"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145331444","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

The fate of the TMJ metal fossa implant: a long-term follow-up TMJ金属窝种植体的命运：长期随访。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-09-12 DOI: 10.1016/j.ijom.2025.08.010

C. Wroclawski , Y. Petukhova , WJ. Fillmore

{"title":"The fate of the TMJ metal fossa implant: a long-term follow-up","authors":"C. Wroclawski , Y. Petukhova , WJ. Fillmore","doi":"10.1016/j.ijom.2025.08.010","DOIUrl":"10.1016/j.ijom.2025.08.010","url":null,"abstract":"<div><div>The temporomandibular joint (TMJ) metal fossa (hemijoint) prosthesis was a treatment modality for select TMJ disorders starting in the 1960s, but was taken off the market in 2015. While many were placed, and some medium-term follow-up has been reported, there is a paucity of long-term follow-up on this prosthesis to guide current clinical decision-making. A cross-sectional survey of 200 Mayo Clinic patients documented to have had a hemijoint implant placed between 2000 and 2015 was performed. The primary outcome measure was the length of time the hemijoint prosthesis was retained. Secondary outcomes were quality-of-life measures (reasons for removal, patient satisfaction, range of motion or dietary restrictions, pain, occlusion, and related secondary interventions performed). At the time of survey collection, 148 (74%) of the surveyed patients still had a hemijoint in place, of whom 119 (80.4%) reported satisfaction with the prosthesis and their current level of function. Pain was the most frequent reason for hemijoint removal (30/52, 57.7%). The mean lifespan of the removed hemijoints was 7.5 years. This study suggests that many hemijoint recipients have retained their prosthesis in the long term with acceptable outcomes and it may not be necessary to remove these prostheses simply due to their presence.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 231-237"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056555","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

In vivo wear behavior and chemical alterations in a cohort of total temporomandibular joint replacements from a single design 单一设计的全颞下颌关节置换队列的体内磨损行为和化学变化。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-07-04 DOI: 10.1016/j.ijom.2025.06.017

C. Yuh , M.Q. Neto , D.J. Hall , K. Cordero , L.G. Mercuri , R. Pourzal

{"title":"In vivo wear behavior and chemical alterations in a cohort of total temporomandibular joint replacements from a single design","authors":"C. Yuh , M.Q. Neto , D.J. Hall , K. Cordero , L.G. Mercuri , R. Pourzal","doi":"10.1016/j.ijom.2025.06.017","DOIUrl":"10.1016/j.ijom.2025.06.017","url":null,"abstract":"<div><div><span>Total temporomandibular joint<span> (TMJ) replacement (TMJR) is a salvage management option for end-stage TMJ pathologies. This study assessed implant damage generated in vivo of 25 surgically-retrieved TMJR prostheses. Surface damage features on mandibular ramus condylar heads and fossae<span><span><span> were recorded using a stereomicroscope. Laser scanning confocal microscopy was used to measure </span>roughness parameters<span> on the mandibular ramus condylar heads and linear wear penetration on the fossae. Polyethylene </span></span>oxidation index (OI) through the fossa component thickness were assessed using </span></span></span>infrared spectroscopy. Mild wear was observed in both the TMJR mandibular ramus condylar heads and fossae. Wear features on the fossae included polishing, protuberances characteristic of striated patterns, and fine scratches. The mean ± standard deviation maximum linear wear was 87.35 ± 110.17 µm. Wear and time in situ were linearly correlated, with an estimated wear rate of 0.71 µm/month. Samples with wear scars had higher OIs within the wear scar subsurface, with OI increasing with longer time in situ. This study is novel in reporting a wear rate in TMJR polyethylene bearings. As TMJR is increasing as a management option for end-stage TMJ pathologies, knowledge of wear mechanisms associated with implant design/material is essential to ensure implant safety and effectiveness.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 238-247"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568247","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 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2026-01-24 DOI: 10.1016/S0901-5027(25)01543-7

引用次数: 0

Comment on “Comparison of cone beam computed tomography and panoramic imaging for the detection of pneumatization of the articular eminence” 对“锥束计算机断层扫描与全景成像检测关节隆起充气的比较”的评论。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-08-28 DOI: 10.1016/j.ijom.2025.08.007

A. Mathur , R. Sah

引用次数: 0

Outcomes of an enhanced recovery after surgery (ERAS) protocol following head and neck cancer surgery with free flap reconstruction 头颈癌游离皮瓣重建术后增强恢复（ERAS）方案的结果。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-08-23 DOI: 10.1016/j.ijom.2025.08.005

G. Raj , M. Raj , H.H.M. Ng , Jimin Suh , N.B. Shannon , R.H. Nagadia , N.G. Iyer , R. Dharmawan

{"title":"Outcomes of an enhanced recovery after surgery (ERAS) protocol following head and neck cancer surgery with free flap reconstruction","authors":"G. Raj , M. Raj , H.H.M. Ng , Jimin Suh , N.B. Shannon , R.H. Nagadia , N.G. Iyer , R. Dharmawan","doi":"10.1016/j.ijom.2025.08.005","DOIUrl":"10.1016/j.ijom.2025.08.005","url":null,"abstract":"<div><div>The aim of this study was to evaluate the effectiveness of an enhanced recovery after surgery (ERAS) protocol following head and neck cancer (HNC) surgery with free flap reconstruction. Primary outcomes measured were length of stay (LOS), days to oral feeds, days to ambulation, complications within 1 month, and 30-day readmission. Secondary outcomes included days to urinary catheter removal (TOC), use and duration of patient-controlled analgesia (PCA), days to decannulation, and days to radiation therapy. Seventy-nine patients were studied: 37 ERAS and 42 pre-ERAS, with comparable baseline demographics. The ERAS group demonstrated significantly shorter median days to oral feeds (8.0 vs 11.0, P = 0.045) and TOC (5.0 vs 11.0, P = 0.007). Respiratory complications were also significantly lower in the ERAS group (0% vs 16.7%, P = 0.009). However, the ERAS group had longer median days to decannulation (8.0 vs 5.0, P < 0.001). No significant differences were observed in LOS, overall complication rate, or 30-day readmission. Adoption of the ERAS protocol in HNC free flap reconstruction is safe and effective, reducing time to oral feeding, respiratory complications, and days to TOC, though with longer decannulation times, without adversely affecting overall complications or readmissions.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 143-151"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983939","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