International journal of oral and maxillofacial surgery最新文献_第4页

Effects of low and short medial osteotomy on postoperative neurosensory disturbances after sagittal split ramus osteotomy: a split-mouth randomized study 低和短内侧截骨术对矢状分叉支截骨术后神经感觉障碍的影响：一项裂口随机研究

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-06-12 DOI: 10.1016/j.ijom.2025.05.005

A.T. Saygi , N. Diker , D. Dolanmaz

{"title":"Effects of low and short medial osteotomy on postoperative neurosensory disturbances after sagittal split ramus osteotomy: a split-mouth randomized study","authors":"A.T. Saygi , N. Diker , D. Dolanmaz","doi":"10.1016/j.ijom.2025.05.005","DOIUrl":"10.1016/j.ijom.2025.05.005","url":null,"abstract":"<div><div>The aim of this study was to compare postoperative neurosensory disturbances between the Hunsuck–Epker and ‘low and short medial osteotomy’ (LASMO) modifications of the sagittal split ramus osteotomy. The study included 21 patients aged 18–35 years who presented with dentofacial deformities and sought orthognathic surgery. A split-mouth randomized clinical trial design was employed, with osteotomies performed using the Hunsuck–Epker modification on one side and the LASMO modification on the contralateral side (total 42 osteotomies). Evaluations of neurosensory alterations were conducted in a double-blind manner at 1, 3, and 6 months postoperatively. Various assessments were conducted, including tests for painful stimuli, two-point discrimination, pressure, and brush stroke direction. Additionally, subjective neurosensory recovery was evaluated using visual analogue scale (VAS) scores reported by the patients. The results at 1, 3, and 6 months post-surgery indicated no significant difference between the two techniques for any of the parameters assessed (all <em>P</em> > 0.05). Furthermore, the patient-reported VAS scores at 6 months indicated no significant difference in neurosensory recovery between the two techniques (<em>P</em> = 0.67). In conclusion, the results of this study showed that there was no significant difference in neurosensory recovery between the LASMO modification and the Hunsuck–Epker modification.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 188-194"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037293","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

Evaluation of heat generation during implant surgery by conventional and guided approach: a systematic review and meta-analysis 评估种植术中热产生的传统和引导方法：系统回顾和荟萃分析。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-10-01 DOI: 10.1016/j.ijom.2025.09.006

C.P. Noronha, A.L.C. Figueiredo, E.V.F. da Silva, M.K. Mukai

{"title":"Evaluation of heat generation during implant surgery by conventional and guided approach: a systematic review and meta-analysis","authors":"C.P. Noronha, A.L.C. Figueiredo, E.V.F. da Silva, M.K. Mukai","doi":"10.1016/j.ijom.2025.09.006","DOIUrl":"10.1016/j.ijom.2025.09.006","url":null,"abstract":"<div><div>This systematic review and meta-analysis investigated the difference in heat generated during guided implant surgery compared to freehand surgery. Four databases were searched with keywords for relevant studies.Included studies met the following criteria: in vitro comparison of implant surgery aided by a three-dimensionally printed surgical guide and freehand surgery with external irrigation. Risk-of-bias was assessed using QUIN. Data quantified temperature increases, categorized by device: thermocouple or infrared camera.The search yielded 1750 articles. After removing duplicates and screening, nine were included in the quantitative evaluation (meta-analysis).In the studies using a thermocouple (measurement at 1–3 mm depth), there was no statistically significant difference in temperature increase between the guided and freehand groups (pilot drill 2.0–2.35 mm, P=0.32; 2.8–3.0 mm, P=0.40). The infrared camera studies (pilot drill 2.0–2.35 mm, at 1–3 mm and 3–6 mm depth) showed a statistically significant difference in favour of freehand surgery, particularly at the greater depth: 5.97 °C (95% confidence interval 4.66–7.27 °C) more heat was generated with guided surgery (P<0.001).overall, <em>in vitro</em> studies showed that guided surgery resulted in significantly greater heat generation than freehand surgery, particularly at greater drilling depths.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 248-255"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215043","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 Doppler sonographic examination of temperature-related reactions of the facial artery 面部动脉温度相关反应的体内多普勒超声检查。

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.2025.09.001

Á. Bicsák , A. Kurdakova , C. Sömmer , L. Koch , S. Haßfeld , L. Bonitz

{"title":"In vivo Doppler sonographic examination of temperature-related reactions of the facial artery","authors":"Á. Bicsák , A. Kurdakova , C. Sömmer , L. Koch , S. Haßfeld , L. Bonitz","doi":"10.1016/j.ijom.2025.09.001","DOIUrl":"10.1016/j.ijom.2025.09.001","url":null,"abstract":"<div><div>This study was performed to investigate the reactions of the facial artery to changes in facial temperature. Healthy volunteers (10 female, 10 male) underwent three 30-min applications of facial cooling at 18 °C (Hilotherm HomeCare) and warming at 42 °C (preheated gel packs) in separate sessions. Colour Doppler ultrasound measurements of artery diameter, blood flow velocity, and blood flow volume were made every 30 min. The measured values were compared with two-sided t-test. After warming, the participants showed an increase in mean artery diameter: males, 0.183–0.217 cm; females, 0.162–0.190 cm. There were increases in mean velocity (4.818–5.011 cm/s in males; 4.580–5.052 cm/s in females) and mean blood flow volume (0.132–0.188 cm<sup>3</sup>/s in males; 0.099–0.145 cm<sup>3</sup>/s in females). Cooling reduced the mean diameter: 0.201–0.153 cm in males; 0.190–0.138 cm in females. Mean velocity changed slightly (males, 4.531–4.578 cm/s; females, 4.036–4.390 cm/s), blood flow volume dropped from 0.143 cm<sup>3</sup>/s to 0.090 cm<sup>3</sup>/s in males and from 0.111 cm<sup>3</sup>/s to 0.067 cm<sup>3</sup>/s in females. Approximately two-fold difference between the blood flow volume at 18 °C and 42 °C was observed, highlighting the significance of the facial artery in microvascular surgery and supportive therapies.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 159-164"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058719","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

Safety and efficacy of maxillomandibular fixation techniques: a network meta-analysis 上颌下颌固定技术的安全性和有效性：网络荟萃分析。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-02-01 Epub Date: 2025-10-29 DOI: 10.1016/j.ijom.2025.10.007

P. Papócsi , A. Pál , K. Kelemen , N. Gede , B. Kerémi , G. Varga , A.S. Wenning , P. Hegyi , Z. Németh

{"title":"Safety and efficacy of maxillomandibular fixation techniques: a network meta-analysis","authors":"P. Papócsi , A. Pál , K. Kelemen , N. Gede , B. Kerémi , G. Varga , A.S. Wenning , P. Hegyi , Z. Németh","doi":"10.1016/j.ijom.2025.10.007","DOIUrl":"10.1016/j.ijom.2025.10.007","url":null,"abstract":"<div><div>Jaw fractures are prevalent facial injuries. Choosing the optimal intermaxillary/maxillomandibular fixation(IMF/MMF) technique is crucial for a successful conservative and surgical treatment, to achieve perfect occlusion.This network meta-analysis aimed to identify the most time-efficient and safe technique for IMF by comparing currently used techniques. A systematic search was performed in four databases, where 20,249 studies were identified; after the selection process 29 were included in the synthesis. Application time of IMF screws(IMFS)(MD -47,95% CI -62 to-33) and Hybrid Maxillomandibular Fixation(HMMF)(MD -33, 95% CI -48 to -19), and removal of IMFS (MD -16, 95% CI -23 to -8) were significantly shorter than Erich Arch Bar(EAB). EAB causes significantly fewer iatrogenic injuries than IMFS(OR: 0.30, 95% CI 0.09-0.93) or HMMF(OR 0.20, 95% CI 0.05-0.76). Both IMFS and HMMF were associated with a significantly lower risk of glove perforation and needlestick injury than EAB: OR 0.05(95% CI 0.02–0.12) and 0.08 (95% CI 0.03–0.23), respectively. In conclusion, IMF screws and HMMF are more effective than EAB in terms of application and removal time, oral hygiene, and patient acceptance. They also offer greater safety in terms of gloves and needlestick injuries, although there is a higher risk of iatrogenic injuries and hardware loosening.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 2","pages":"Pages 212-221"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145411426","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

Low-dose tranexamic acid in orthognathic surgery: two-dose protocol—a double-blind randomized controlled trial on oedema, bleeding, and visibility of the surgical field 低剂量氨甲环酸在正颌手术中的应用：双剂量方案——一项关于水肿、出血和手术视野可见度的双盲随机对照试验。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-01-01 Epub Date: 2025-04-25 DOI: 10.1016/j.ijom.2025.04.010

G. Kaşarcıoğlu , T. Pergel , E.F. Akkoyun , D. Dolanmaz

{"title":"Low-dose tranexamic acid in orthognathic surgery: two-dose protocol—a double-blind randomized controlled trial on oedema, bleeding, and visibility of the surgical field","authors":"G. Kaşarcıoğlu , T. Pergel , E.F. Akkoyun , D. Dolanmaz","doi":"10.1016/j.ijom.2025.04.010","DOIUrl":"10.1016/j.ijom.2025.04.010","url":null,"abstract":"<div><div><span>The aim of this double-blind randomized controlled trial<span><span> was to evaluate the effects of a two-dose tranexamic acid<span><span> (TXA) protocol on oedema, bleeding, and surgical field visibility during orthognathic surgery. 72 patients participated and were assigned to three groups: the TXA250 group received a single </span>intravenous dose of 250 mg TXA prior to </span></span>incision; the TXA500 group received 250 mg TXA before incision and 250 mg after the first jaw surgery was completed; the control group received no TXA. Oedema was measured preoperatively and on postoperative days 1, 3, and 7. Sixty-four patients completed the study. Bleeding was significantly higher and Fromme scale scores for surgical field visibility were significantly lower in the control group compared to the TXA groups (all </span></span><em>P</em> < 0.001). The TXA500 group demonstrated significantly reduced oedema compared to the control group (day 3: <em>P</em> = 0.037, day 7: <em>P</em> = 0.002), while the comparison of the TXA250 and control groups showed no significant difference. However, there was no significant difference in oedema between the two TXA groups. Hence, no firm conclusions can be drawn about the superiority of two-dose TXA over the single dose; this needs further investigation in a future study.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 1","pages":"Pages 34-42"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048579","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}

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In Reply 对“口腔癌中自杀意念的患病率和危险因素：系统回顾和荟萃分析”评论的回应。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-01-01 Epub Date: 2025-01-03 DOI: 10.1016/j.ijom.2024.12.008

S.M. Gondivkar , G.S. Sarode , A. Warhekar , M. Yuwanati , R. Ingole , A.R. Gadbail , S.C. Sarode , P. Motghare

引用次数: 0

Three-dimensional evaluation of upper airway changes following maxillomandibular surgery for Class III deformity with or without advancement genioplasty 上颌下颌骨手术治疗III类畸形伴或不伴提前颏成形术后上呼吸道变化的三维评价。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-01-01 Epub Date: 2025-09-12 DOI: 10.1016/j.ijom.2025.08.013

G. Taşkıran , S.E. Meral , H. El , H.H. Tüz

{"title":"Three-dimensional evaluation of upper airway changes following maxillomandibular surgery for Class III deformity with or without advancement genioplasty","authors":"G. Taşkıran , S.E. Meral , H. El , H.H. Tüz","doi":"10.1016/j.ijom.2025.08.013","DOIUrl":"10.1016/j.ijom.2025.08.013","url":null,"abstract":"<div><div>This retrospective study was performed to evaluate the effect of maxillomandibular surgery on upper airway volumes and hyoid bone positioning in patients with Class III skeletal deformities, treated with maxillary advancement and mandibular setback, with/without a concomitant genioplasty. The study involved 43 patients, divided into two groups: BiMax (bimaxillary surgery with Le Fort I osteotomy and mandibular setback) and BiMax + G (the same surgery with an advancement genioplasty). Changes in nasopharynx, oropharynx, and hypopharynx volumes and position of the hyoid bone were assessed using pre- and postoperative CBCT scans. The data were analysed using <em>t</em>-tests, the Mann–Whitney <em>U</em>-test, and the Wilcoxon signed rank test. The patients in both groups showed a significant increase in nasopharyngeal volume post-surgery (BiMax, <em>P</em> = 0.009; BiMax + G, <em>P</em> = 0.001); however, the change in volume did not differ significantly between the groups. Furthermore, the hypopharyngeal volume increased significantly in the BiMax + G group (<em>P</em> = 0.025), but there was no statistically significant difference in volume change between the groups. There was no statistically significant between-group difference in the change in oropharyngeal or total pharyngeal volume. However, a significant difference was observed in the change in H–RGn distance between the groups (<em>P</em> = 0.021), indicating a differential effect on this hyoid-related parameter. Further exploration of the effects of genioplasty on the upper airway is necessary in future studies.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 1","pages":"Pages 61-67"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058810","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

Panoptic evaluation of maxillomandibular stability and quality of life after surgery-first approach versus conventional three-stage method in skeletal Class III orthognathic surgery—systematic review and meta-analysis 骨科III类正颌手术中手术优先入路与常规三期方法后上颌下颌稳定性和生活质量的全视镜评价——系统回顾和荟萃分析

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-01-01 Epub Date: 2025-05-13 DOI: 10.1016/j.ijom.2025.04.003

N. Jenwanichkul, S. Keerativittayanun , S. Suttapreyasri, P. Pripatnanont

{"title":"Panoptic evaluation of maxillomandibular stability and quality of life after surgery-first approach versus conventional three-stage method in skeletal Class III orthognathic surgery—systematic review and meta-analysis","authors":"N. Jenwanichkul, S. Keerativittayanun , S. Suttapreyasri, P. Pripatnanont","doi":"10.1016/j.ijom.2025.04.003","DOIUrl":"10.1016/j.ijom.2025.04.003","url":null,"abstract":"<div><div><span><span>This study was performed to comprehensively evaluate the outcomes of the surgery-first approach (SFA) compared to the conventional three-stage method (CTM) in skeletal Class III deformity patients, in terms of stability, quality of life, and treatment time. The search covered the period 2010–2022. Heterogeneity was assessed and the stability was subgroup analysed into two-jaw and one-jaw surgery. Thirty-three studies were identified, 29 were included in the meta-analyses. Overall anteroposterior stability of the </span>maxilla<span> and mandible did not differ significantly between CTM and SFA groups (maxilla, </span></span><em>P</em> = 0.77; mandible, <em>P</em> = 0.072). In two-dimensional radiographs, the results for anteroposterior stability of the mandible were in favour of CTM (<em>P</em> = 0.051); conversely, vertical stability of the mandible showed better results with SFA (<em>P</em> = 0.051). SFA patients showed a significantly shorter treatment time (<em>P</em> < 0.001) and better quality of life (22-item Orthognathic Quality of Life Questionnaire) at 6 months follow-up (<em>P</em><span> = 0.042). In conclusion, CTM supports better anteroposterior stability. Nevertheless, SFA provides greater vertical stability in the mandible and is associated with a shorter treatment time and better quality of life. However, only six of the 33 included studies were randomized controlled trials, hence in view of the weakness of the evidence, the results should be interpreted with caution.</span></div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"55 1","pages":"Pages 20-33"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056388","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}

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Comment on “The prognostic value of pre-treatment sarcopenia in overall survival in head and neck cancer patients: a systematic review” 评论“治疗前肌肉减少症对头颈癌患者总生存期的预后价值：一项系统综述”。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-01-01 Epub Date: 2025-04-28 DOI: 10.1016/j.ijom.2025.04.1140

E. Topkan , E. Somay , U. Selek

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In Reply 对“将植入物放置在先前植入物失败部位的结果：系统回顾和荟萃分析”评论的回应。

IF 2.7 3区医学

International journal of oral and maxillofacial surgery Pub Date : 2026-01-01 Epub Date: 2025-06-11 DOI: 10.1016/j.ijom.2025.06.001

B. Gareb , A. Vissink , H. Terheyden , H.J.A. Meijer , G.M. Raghoebar

引用次数: 0