Journal of Oral and Maxillofacial Surgery最新文献

{"title":"The Impact of Bite Target Location, Patient-Specific Dentition, and Craniofacial Morphology on Stress Distribution and the Effectiveness of Plating Systems in Mandibular Fracture Mechanics: Advancing Toward Improved Surgical Outcomes","authors":"Mahdi Zakeri DDS, MDent (OMFS), FICOI, Adnan Shah BDS, MDS, FRACDS, FDSRCS, FFDRCS, FCPS, FDSRCPS, FRCDC, Mahdi Zakeri DDS, MDent (OMFS), FICOI (Presenter)","doi":"10.1016/j.joms.2026.01.039","DOIUrl":"10.1016/j.joms.2026.01.039","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 5","pages":"Pages e10-e11"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756345","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":"Is Same-Day Discharge Safe for Outpatient Orthognathic Surgery?","authors":"Ahmad M. AlAli BDS, MSc, Amal Idrissi Janati DMD, MSc, PhD, Jesse Ibanez BSc, Jordan Gigliotti BSc, DMD, MD, CM, FRCD(C), Ahmad M. AlAli BDS, MSc (Presenter)","doi":"10.1016/j.joms.2026.01.056","DOIUrl":"10.1016/j.joms.2026.01.056","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 5","pages":"Page e20"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756355","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":"Is There a Role for an APP in Your Surgical Practice? The Michigan TMJ and Orthognathic Experience","authors":"Chelsea Malburg NP, Jennifer Irene Ash NP, Adhithi L. Kesari DMD, MD, Paul L. Shivers MD, DMD, Sharon Aronovich DMD, Chelsea Malburg NP (Presenter)","doi":"10.1016/j.joms.2026.01.025","DOIUrl":"10.1016/j.joms.2026.01.025","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 5","pages":"Pages e2-e3"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756421","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":"Risk Factors for Venous Thromboembolism Following Oral and Maxillofacial Cancer Surgery With Free Flap Reconstruction","authors":"Limeng Wu MD, PhD , Qi Li MD , Zhaoyu Zhu MD , Sihao Li MD , Zhihui Zhu MD , Tao Zhang MD, PhD","doi":"10.1016/j.joms.2025.12.001","DOIUrl":"10.1016/j.joms.2025.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Patients with oral maxillofacial cancer who undergo tumor resection and simultaneous free flap reconstruction face an increased risk of developing postoperative venous thromboembolism (VTE). However, the precise incidence, specific risk factors, and optimal diagnostic parameters in this surgical context remain unclear.</div></div><div><h3>Purpose</h3><div>The purpose pf the study was to estimate the incidence of VTE and associated risk factors, as well as to measure the association between D-dimer (DD) levels and VTE among patients undergoing tumor resection and simultaneous free flap reconstruction.</div></div><div><h3>Study design, setting, sample</h3><div>A retrospective cohort study was conducted at Peking Union Medical College Hospital from September 2023 to August 2025. The sample included patients with oral maxillofacial cancer undergoing tumor resection and free flap reconstruction. Exclusion criteria were osteoradionecrosis, medication-related osteonecrosis, recurrent tumor, or prior VTE.</div></div><div><h3>Predictor variable</h3><div>The primary predictor variable was the plasma DD level, measured in fibrinogen equivalent units (μg/mL). DD levels were assessed preoperatively and on postoperative days 0, 1, and 2. For the primary multivariable analyses, the DD level on the day of surgery (POD 0) was analyzed as a continuous variable.</div></div><div><h3>Main outcome variable</h3><div>The main outcome variable was postoperative VTE confirmed through imaging examinations, encompassing deep vein thrombosis (DVT), and pulmonary embolism (PE).</div></div><div><h3>Covariates</h3><div>The covariates were a set of risk factors associated with VTE, including demographic, clinicopathologic, and surgical characteristics of the subjects.</div></div><div><h3>Analyses</h3><div>Demographic and clinical characteristics were compared using unpaired <em>t</em> tests, χ<sup>2</sup> tests, Mann–Whitney <em>U</em> tests, Kruskal-Wallis tests, or Spearman's correlation as appropriate. Receiver operating characteristic analyses evaluated area under the curve (AUC) for D-dimer concentration to predict postoperative VTE. Univariate and multivariable logistic regression analyses were performed to identify risk factors.</div></div><div><h3>Results</h3><div>The sample was composed of 90 subjects with a mean age of 60.69 ± 12.93 years, 32 (35.6%) were female, and 43 (47.8%) subjects developed VTE. The majority of subjects (32 of 43, 74.4%) were asymptomatic. Multivariable logistic regression revealed that variables including female (adjusted odds ratio [aOR] = 2.91, 95% CI: 1.01–8.40), higher Caprini VTE risk score (aOR = 1.90 per 1-point increase, 95% CI: 1.20–3.99), and higher DD levels on the day of surgery (aOR = 1.72 per 1μg/mL increase, 95% CI:1.16-2.54) were associated with VTE development. Receiver operating characteristic analysis revealed DD cutoffs of 1.74 μg/mL (sensitivity 65.1%, specificity 80.9%, positive predictive value","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 5","pages":"Pages 778-789"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145846743","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":"From Algorithm to Operatory: How Reliable Is Artificial Intelligence in Educating Patients on External Sinus Lifting?","authors":"Selin Gaş DDS, PhD , Gülfem Özlü Uçan DDS, PhD , Serap Karakış Akcan DDS, PhD , Tuğçe Paksoy , Sevda Altınay Uncu","doi":"10.1016/j.joms.2026.01.001","DOIUrl":"10.1016/j.joms.2026.01.001","url":null,"abstract":"<div><h3>Background</h3><div>Large language models (LLMs) such as Chat Generative Pre-Trained Transformer (ChatGPT; OpenAI, San Francisco, CA) and Claude (Anthropic, San Francisco, CA) are increasingly used by patients seeking information about surgical procedures, including external sinus lifting. However, the accuracy, quality, and readability of these artificial intelligence (AI)-generated explanations remain uncertain.</div></div><div><h3>Purpose</h3><div>The study purpose was to measure and compare 2 AI language models regarding the reliability, quality, usefulness, and readability of their responses to frequently asked patient questions about external sinus lifting.</div></div><div><h3>Study Design, Setting, and Sample</h3><div>This cross-sectional study assessed computer-generated responses provided by LLMs, referred to as decoder-only-based LLM (DO-LLM) and transformer-based LLM (TB-LLM) to standardized patient questions.</div></div><div><h3>Predictor Variable</h3><div>The predictor variable was AI model type (DO-LLM vs TB-LLM).</div></div><div><h3>Main Outcome Variables</h3><div>Outcome measures included reliability, quality, usefulness, and readability. These were assessed using the modified DISCERN instrument, Global Quality Score, a 4-point usefulness scale, and 2 readability indices (Flesch Reading Ease and Flesch-Kincaid Grade Level). Seventy-two standardized questions across 10 clinical domains were submitted to both models. Responses were independently evaluated by one oral and maxillofacial surgeon and 2 periodontists, followed by consensus scoring.</div></div><div><h3>Covariates</h3><div>Not applicable.</div></div><div><h3>Analyses</h3><div>Descriptive statistics summarized outcomes. Depending on normality, comparisons used the independent samples t-test or Mann–Whitney U test. Associations between categorical variables were analyzed using Pearson's χ<sup>2</sup> or Fisher's Exact test.</div></div><div><h3>Results</h3><div>For modified DISCERN, DO-LLM scored 21.88 (3.09), 22.14 (2.04), and 22.63 (2.56) in preoperative preparation, graft materials, and risks/complications, whereas TB-LLM scored 13.88 (4.52), 17.29 (4.27), and 19 (1.77), respectively (<em>P</em> < .05). For Global Quality Score in lifestyle and behavioral recommendations, TB-LLM scored 4 (0) compared with 3.29 (0.49) for DO-LLM (<em>P</em> < .05). Moderate-quality responses were more common with DO-LLM (56.9%), while TB-LLM produced a higher proportion of good quality scores (29.2%) (<em>P</em> < .05).</div></div><div><h3>Conclusion and Relevance</h3><div>Both AI models demonstrated potential value for patient education on external sinus lifting, though their strengths differed by content domain. DO-LLM provided stronger procedural and risk-related explanations, whereas TB-LLM offered more comprehensive lifestyle-related guidance. Continued refinement of dental-specific AI tools and integration of patient-centered considerations remain essential.</div></d","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 5","pages":"Pages 732-745"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146064429","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":"Optimization of Post-Operative Pain Following Orthognathic Surgery with Personalized Opioid Prescription and Tapering Protocols","authors":"Amr Alsabbagh BMSc, DDS, Matthew Kelvey BSc, Kara Matheson BSc, MSc, Kwesi Kwofie MD, FRCPC, Jean-Charles Doucet DMD, MD, MSc, FRCD(C), Amr Alsabbagh BMSc, DDS (Presenter)","doi":"10.1016/j.joms.2026.01.052","DOIUrl":"10.1016/j.joms.2026.01.052","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 5","pages":"Page e18"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756558","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":"KLS Preprosthetic Solution - Review of 25 Arches","authors":"Shahid R. Aziz DMD, MD, FACS, Shahid R. Aziz DMD, MD, FACS (Presenter)","doi":"10.1016/j.joms.2026.01.043","DOIUrl":"10.1016/j.joms.2026.01.043","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 5","pages":"Page e13"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756946","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":"Approaches to Bone Regeneration in the Treatment of Benign Odontogenic Cystic Lesions","authors":"Camila Lopes Rocha DDS, Rebecca Stith DDS, Gulshan Sunavala-Dossabhoy BDS, MDS, MS, PhD, D. David Kim DMD, MD, FACS, MBA, Camila Lopes Rocha DDS (Presenter)","doi":"10.1016/j.joms.2026.01.044","DOIUrl":"10.1016/j.joms.2026.01.044","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 5","pages":"Pages e13-e14"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756947","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":"Variability in the Management of Oral Leukoplakias Based on Clinical Appearance","authors":"Shay Sharon MD, DMD, PhD, Monicka Arora MD, DDS, Vikki Noonan DMD, DMSc, Ashish Patel MD, DDS, Kelly Sayre MD, DMD, Marcus Couey MD, DDS, Marcus Couey MD, DDS (Presenter)","doi":"10.1016/j.joms.2026.01.066","DOIUrl":"10.1016/j.joms.2026.01.066","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 5","pages":"Page e25"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147757054","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":"Assessment and Validation of a Predictive Model for Severe Ocular Injuries Associated With Orbital Wall Fractures","authors":"Farhad Salari MD ,&nbsp;Seyed Mohsen Rafizadeh MD ,&nbsp;Mohammad Taher Rajabi MD ,&nbsp;Keivan Khosravifard MD ,&nbsp;Reza Fekrazad DDS, MSc ,&nbsp;Behzad Salari DDS, MSc","doi":"10.1016/j.joms.2025.12.016","DOIUrl":"10.1016/j.joms.2025.12.016","url":null,"abstract":"<div><h3>Background</h3><div>Severe ocular injuries (SOI) can occur in orbital wall fractures and may be overlooked in acute care. Recognition of factors associated with SOI may improve patient outcomes.</div></div><div><h3>Purpose</h3><div>This study aimed to create and validate a predictive model for SOI in orbital wall fractures.</div></div><div><h3>Study Design, Setting, Sample</h3><div>This is a retrospective cohort study. To create the training predictive model, the investigators screened a study population composed of all patients who presented to Farabi Eye Hospital between 2016 and 2023 for the evaluation and management of orbital wall fractures. The exclusion criteria were the absence of an ophthalmologic examination or an orbital computed tomography report. The validation model was composed of an external dataset that included 97 subjects.</div></div><div><h3>Predictor Variables</h3><div>The predictor variables were trauma details, uncorrected visual acuity (UCVA), lid laceration, conjunctival hemorrhage, computed tomography scan features, including the number of herniated extraocular muscles (EOMs).</div></div><div><h3>Main Outcome Variable(s)</h3><div>The main outcome variable was the presence of SOI, including open globe injuries, optic nerve–related injuries, and severe closed globe injuries.</div></div><div><h3>Covariates</h3><div>The covariates were age and sex.</div></div><div><h3>Analyses</h3><div>Multivariable logistic regression was performed to identify factors associated with SOI. Model performance was assessed using the area under the receiver operating characteristic curve, specificity, and negative predictive value (NPV) in an external validation dataset. Statistical significance was set at <em>P</em> &lt; .05.</div></div><div><h3>Results</h3><div>The sample consisted of 537 subjects, with a mean age of 29.8 ± 13.91 years, and 22.7% (124) were female. The multivariable regression analysis revealed that the 4 main variables associated with SOI were: trauma setting (odds ratio [OR] = 2.61, 95% CI 1.1 to 6.21), UCVA (OR = 4.45, 95% CI 2.65 to 6.27), conjunctival hemorrhage (OR = 4.07, 95% CI 1.21 to 3.49), and herniated EOMs (OR = 1.77, 95% CI 1.2 to 2.61). In the training set, the specificity and NPV were 76.8 and 85.5%, respectively. This model achieved an area under the receiver operating characteristic curve of 0.77 for the subset of closed-globe injuries. When applied to the validation set, the model achieved a specificity of 76.6% and an NPV of 86%.</div></div><div><h3>Conclusions and Relevance</h3><div>We identified that trauma setting, reduced UCVA, conjunctival hemorrhage, and herniated EOMs are associated with SOI in orbital fractures.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 5","pages":"Pages 692-700"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989666","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}