A. Sayed , S. Salam, M. Lubbad, A.I. Al-Jalahma, M.A. AlMuharraqi, G. Sivaramakrishnan
{"title":"Craniomaxillofacial osteolipoma: a rare case and review of the literature","authors":"A. Sayed , S. Salam, M. Lubbad, A.I. Al-Jalahma, M.A. AlMuharraqi, G. Sivaramakrishnan","doi":"10.1016/j.ijom.2025.05.009","DOIUrl":"10.1016/j.ijom.2025.05.009","url":null,"abstract":"<div><div><span>Osteolipoma is a rare variant of lipoma, accounting for 0.3% of all lipomas, and comprises mature adipose and </span>osseous tissues. It is rare in the head and neck region, with only 54 documented cases to date. This report presents the case of a 14-year-old male patient with an unusually large osteolipoma in the craniomaxillofacial region, highlighting its clinical, radiological, and histological features, while emphasizing diagnostic challenges and the importance of imaging for the differential diagnosis. The rarity of osteolipomas highlights the importance of documenting unique cases, aiding diagnosis and management, with long-term follow-up essential for monitoring recurrence.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1156-1159"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251585","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}
R. Martin-Granizo , L.V. González , C. Mazo , J.P. López
{"title":"Management of arthroscopic perforation of the middle cranial fossa: a case report","authors":"R. Martin-Granizo , L.V. González , C. Mazo , J.P. López","doi":"10.1016/j.ijom.2025.04.1146","DOIUrl":"10.1016/j.ijom.2025.04.1146","url":null,"abstract":"<div><div>Complications during temporomandibular joint arthroscopy<span> have been described widely. However, while perforation of the neighbouring anatomical structures<span>, such as the cranial fossa, is a possibility, perforation of the middle cranial fossa and its arthroscopic management have not been reported previously. This report describes a case of middle cranial fossa perforation diagnosed intraoperatively and its immediate arthroscopic management.</span></span></div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1226-1229"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121876","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. Vázquez-Sebrango , E. Anitua , I. Macía , I. Arganda-Carreras
{"title":"The role of artificial intelligence in implant dentistry: a systematic review","authors":"G. Vázquez-Sebrango , E. Anitua , I. Macía , I. Arganda-Carreras","doi":"10.1016/j.ijom.2025.04.005","DOIUrl":"10.1016/j.ijom.2025.04.005","url":null,"abstract":"<div><div>The aim of this systematic review was to comprehensively analyse recent studies on the application of artificial intelligence (AI) in dental implantology. The PRISMA guidelines were followed. Five databases were accessed: Scopus, Web of Science, MEDLINE/PubMed, IEEE Xplore, and JSTOR. Documents published between 2018 and October 15, 2024 relating to AI and implantology were considered. Exclusions encompassed reviews, opinion articles, books, conference references, studies using AI as a supplementary method, AI for teaching implant dentistry, and AI for implant fabrication, prothesis, or design. A total of 120 relevant papers were included. Risk of bias was assessed using PROBAST. Findings demonstrated extensive utilization of AI in various aspects of dental implantology: guided surgery, diagnosis, classification of oral structures, bone classification, classification of dental restorations, implant classification, implant planning, and implant prognosis. Deep learning algorithms were employed in 89.2% of studies, predominantly utilizing image data (72.0% two-dimensional images and 28.0% three-dimensional images). Publications doubled in 2022 compared to the previous year and have remained consistent since. Despite growth, the field remains relatively underdeveloped. However, with advancements in technology and data quality, substantial progress is anticipated in forthcoming years. Remarkably, 11 studies were found to have a high risk of bias.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 11","pages":"Pages 1098-1122"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176306","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}
Y. Oikawa, M. Fukuda, Y. Noguchi, K. Ito, H. Igarashi, H. Takano
{"title":"Clinicopathological study of invasion patterns and late cervical lymph node metastasis in pT1/T2 oral squamous cell carcinoma","authors":"Y. Oikawa, M. Fukuda, Y. Noguchi, K. Ito, H. Igarashi, H. Takano","doi":"10.1016/j.ijom.2025.06.010","DOIUrl":"10.1016/j.ijom.2025.06.010","url":null,"abstract":"<div><div>Despite early-stage oral squamous cell carcinoma (OSCC) often being treated effectively with surgery or radiation, 20–40% of patients develop late cervical lymph node metastasis (LCLM), significantly impacting survival rates. This clinicopathological study was performed to investigate the association between invasion patterns and LCLM with pT1/T2 OSCC, treated surgically without preoperative chemotherapy or radiation; 145 patients were included, of whom 21 developed LCLM. Various histopathological factors were analysed, including depth of invasion (DOI), grade, pattern of invasion (POI), and the Yamamoto–Kohama classification. Multivariable analysis revealed that grade and POI were independent prognostic factors for LCLM; higher grade (hazard ratio 3.49, <em>P</em> = 0.043) and POI (hazard ratio 9.35, <em>P</em> = 0.007) were associated with an increased metastasis risk. Notably, 88.9% of cases with worst pattern of invasion-5 (WPOI-5) demonstrated LCLM. The study suggests that a combination of POI and grade should be considered for more accurate prediction and management of the LCLM risk, potentially guiding decisions on elective neck dissection to improve patient outcomes. However, WPOI-5 is difficult to identify from biopsy specimens, highlighting the need for a comprehensive approach combining multiple factors to accurately identify cases with a poor prognosis.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 11","pages":"Pages 1011-1018"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328224","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}
C. Coppen , T. Verhoeven , T.J. Snoeijink , W.L.J. Weijs , A. Verhulst , J.G. van Rijssel , T.J.J. Maal , E.A. Dik
{"title":"Fibula free flap reconstruction: improving the accuracy of virtual surgical planning using titanium inserts","authors":"C. Coppen , T. Verhoeven , T.J. Snoeijink , W.L.J. Weijs , A. Verhulst , J.G. van Rijssel , T.J.J. Maal , E.A. Dik","doi":"10.1016/j.ijom.2025.04.1141","DOIUrl":"10.1016/j.ijom.2025.04.1141","url":null,"abstract":"<div><div>Although advancements in three-dimensional (3D) modelling techniques have significantly reduced deviations between planned and actual clinical outcomes in fibula free flap reconstructions, discrepancies between the virtual surgical plan (VSP) and postoperative results persist. In this study, three head and neck surgeons performed 10 fibula osteotomies using conventional cutting templates and 10 osteotomies using more rigid cutting templates with titanium inserts. Differences in 3D angles and segment lengths between the planned and achieved osteotomy planes were calculated. The use of the titanium inserts resulted in a decrease in 3D angular deviation by 0.5° and a reduction in fibula segment length deviation by 0.2 mm for both the short and long sides. The use of the inserts enhanced guidance of the saw and diminished the risk of creating a false route, resulting in a better alignment with the VSP. This may lead to better reconstructive results, decreased operation times, and a potential reduction in complications in a cost-effective manner.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 11","pages":"Pages 1037-1042"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061054","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. Di Rita , F. Zerini , A.M. Buccoliero , V. Zanchi , F. Giordano , G. Spinelli
{"title":"Congenital cranial fasciitis of the ethmoid bone with extensive intracranial and facial involvement: a case report and review of the literature","authors":"A. Di Rita , F. Zerini , A.M. Buccoliero , V. Zanchi , F. Giordano , G. Spinelli","doi":"10.1016/j.ijom.2025.03.009","DOIUrl":"10.1016/j.ijom.2025.03.009","url":null,"abstract":"<div><div><span>Cranial fasciitis<span> is a rare fibroproliferative condition predominantly affecting children. An unusual case of cranial fasciitis in a full-term male </span></span>newborn<span> presenting with significant right malar swelling is reported. Initial imaging revealed a large frontal extra-axial mass displacing both frontal lobes<span> and extending to the right infratemporal fossa and orbit, subsequently diagnosed via a transoral biopsy. Two-stage surgery involving a multidisciplinary team was performed to completely remove both the intracranial and extracranial components of the lesion. Long-term follow-up MRI indicated no recurrence of the disease at 16 months post-resection. Multidisciplinary collaboration is crucial in managing complex craniofacial conditions, especially in newborns and infants.</span></span></div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 11","pages":"Pages 1031-1036"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813258","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":"Immunohistochemical expression of Ki67, CD10, BRAF, and α-SMA tumour markers in ameloblastoma and odontogenic keratocyst","authors":"C. Chen , T. Taheri , M. Batstone , N. Johnson","doi":"10.1016/j.ijom.2025.06.012","DOIUrl":"10.1016/j.ijom.2025.06.012","url":null,"abstract":"<div><div>Certain tumour markers may play a role in the pathogenesis of ameloblastoma and odontogenic keratocyst (OKC), and may aid the initial diagnostic assessment in selected cases, or possibly serve as prognostic indicators. An immunohistochemical (IHC) study was undertaken to observe the staining patterns of Ki67, CD10, BRAF, and α-SMA tumour biomarkers in relation to ameloblastoma and OKC. Patients treated for ameloblastoma or OKC at the Royal Brisbane and Women’s Hospital between January 1, 2008 and December 31, 2020, inclusive, were included. Selected paraffin tissue blocks were retrieved, and slides underwent IHC staining for Ki67 and CD10 (both OKC and ameloblastoma cases) and for BRAF and α-SMA (ameloblastoma cases). Differences were observed in CD10 expression between lesions, with inflammation influencing increased expression in OKC, while unicystic ameloblastoma was usually CD10-positive (87.5%) regardless of inflammation. CD10 and BRAF demonstrated significant differences in location, both presenting higher in mandibular than maxillary ameloblastoma. The study findings suggest that some tumour markers may assist as diagnostic tools in odontogenic lesions; however, tumour marker expression did not demonstrate utility as a prognostic biomarker in ameloblastoma or OKC, where treatment decisions likely played a larger role in the risk of recurrence.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 11","pages":"Pages 1023-1030"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487536","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}
R.B. Cardoso , C. Ruppel , V.L. Pereira , F.A. dos Santos , M.C. Bortoluzzi
{"title":"Effect of paracetamol–codeine compared to placebo on surgical discomfort and post-traumatic stress disorder symptoms following mandibular third molar removal: a prospective randomized clinical trial","authors":"R.B. Cardoso , C. Ruppel , V.L. Pereira , F.A. dos Santos , M.C. Bortoluzzi","doi":"10.1016/j.ijom.2025.05.010","DOIUrl":"10.1016/j.ijom.2025.05.010","url":null,"abstract":"<div><div><span>This study investigated the impact of a single, pre-emptive 500 mg paracetamol plus 7.5 mg </span>codeine phosphate<span> dose on surgical discomfort, anxiety, post-traumatic stress disorder (PTSD) symptoms, and pain during mandibular third molar<span><span><span> extraction. Patients were randomized to receive either the drug combination or a placebo.Preoperative anxiety was assessed using the State-Trait Anxiety Inventory (STAI), Dental Anxiety Scale (DAS), and anxiety visual analogue scale (Anxiety-VAS). Post-surgery, discomfort was measured with the Self-Perception Questionnaire of Dentoalveolar Oral Surgery (QCirDental), while pain and anxiety were assessed using VAS scales. Patients also maintained a </span>postoperative pain<span><span> diary. On day 7, the Impact of Event Scale-Revised (IES-R) evaluated surgery-related PTSD symptoms.Sixty patients completed the study (30 per group), with similar demographics and surgical characteristics. Results indicated no significant difference in anxiety (STAI, DAS, Anxiety-VAS) between groups. The pre-emptive medication was similarly effective to placebo for managing anxiety, intraoperative discomfort, and postoperative pain.A stressful surgical event was observed in 13.3% of patients, leading to clinical concern or probable oral surgery-related PTSD. However, the paracetamol-codeine group did not show improved overall IES-R scores. Ultimately, a single pre-emptive dose of 500 mg </span>paracetamol plus 7.5 mg </span></span>codeine phosphate offered no additional benefits in mandibular third molar surgery.</span></span></div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 11","pages":"Pages 1123-1130"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295544","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}