Journal of Oral and Maxillofacial Surgery最新文献

{"title":"An MRI-Guided and AI-Assisted Approach to Reproducible TMJ Ultrasound Imaging","authors":"Amy M. Banks,&nbsp;Shuchun Sun,&nbsp;Jichao Zhao MS,&nbsp;Hai Yao PhD,&nbsp;Janice S. Lee DDS, MD, MSc","doi":"10.1016/j.joms.2026.06.047","DOIUrl":"10.1016/j.joms.2026.06.047","url":null,"abstract":"<div>The temporomandibular joint (TMJ) is essential for everyday function, enabling the coordinated movements required for mastication, speech, and facial expression. These functional demands predispose the joint to dysfunction and pain, often involving soft tissue pathology such as displacement or degeneration of the articular disc and joint capsule. Magnetic resonance imaging (MRI) is the gold standard for assessing TMJ soft tissues, however, its adoption in routine care is limited by high cost,</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S23-S24"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859481","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":"Employment of Tacrolimus (FK-506) as a Peripheral Nerve Repair Agent: A Systematic Review","authors":"Valeria Mariel García López,&nbsp;Sung Soon Chang DDS,&nbsp;Ximena Montserrat Márquez Mancera","doi":"10.1016/j.joms.2026.06.120","DOIUrl":"10.1016/j.joms.2026.06.120","url":null,"abstract":"<div>Peripheral nerve injuries are debilitating and decline the quality of life of those affected. Issues such as disability, neuropathic pain, loss of sensory and motor function, and muscle atrophy pose a damage that remains, for the most part, untreated. These injuries have a slow axonal regeneration rate, leading to irreversible damage, denervation, and loss of functional ability of the nerve. Experimental studies with the immunosuppressive drug Tacrolimus (FK-506) have recently been done to</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S78-S79"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861458","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":"Factors Associated With Patient-Initiated Postoperative Communication Following Oral and Maxillofacial Surgery","authors":"Chao Dong DDS, MS,&nbsp;Min Lin DDS,&nbsp;Jiaxin Douglas Yuan DDS,&nbsp;Jasjit K. Dillon DDS, MBBS, FDSRCS, FACS,&nbsp;Kevin Lee DDS, MD","doi":"10.1016/j.joms.2026.06.057","DOIUrl":"10.1016/j.joms.2026.06.057","url":null,"abstract":"<div>Postoperative patient-initiated communication has become an important component of recovery after oral and maxillofacial surgery, yet the factors associated with these interactions remain incompletely understood. The purpose of this study was to identify demographic, clinical, psychosocial, and treatment-related factors associated with patient-initiated communication within 30 days of surgery and to distinguish factors associated with clinically actionable communication. The investigators</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S36-S37"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861486","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 Recreational Marijuana Use Associated With Changes in the Anesthetic Requirements or Vital Signs During Intravenous Sedation? A Prospective Cohort Study","authors":"Pooja Gangwani DDS, MPH,&nbsp;Chinmaya Agarwal BDS, MS,&nbsp;Mosin Chaudhry,&nbsp;Sung-Kiang Chuang DMD, MD, DMSc","doi":"10.1016/j.joms.2026.06.177","DOIUrl":"10.1016/j.joms.2026.06.177","url":null,"abstract":"<div>Recreational marijuana use in the United States has continued to increase since its legalization by many states. The potential for drug interactions between marijuana and anesthetic medications is a significant concern. No prospective studies have been performed, leaving a large void in the availability of quality data.^1,2 The purpose of the present study is to assess the effects of marijuana on the anesthetic requirements and the vital signs on patients undergoing deep intravenous (IV)</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S4-S5"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861493","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":"National Burden and Economic Impact of Interfacility Transfers for Odontogenic Infections in US Emergency Departments","authors":"Bobby P. Laungani DDS,&nbsp;Kenneth E. Fleisher DDS","doi":"10.1016/j.joms.2026.06.106","DOIUrl":"10.1016/j.joms.2026.06.106","url":null,"abstract":"<div>Odontogenic infections are a common cause of emergency department (ED) visits and require evaluation by oral and maxillofacial surgeons. In many hospitals, the lack of on-site specialty coverage necessitates interfacility transfer for definitive care, potentially increasing healthcare utilization and costs. Prior studies have suggested that patient factors such as insurance status may influence transfer patterns among pediatric patients with odontogenic infections, while other investigations</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S69-S70"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861582","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":"Diagnostic Criteria and Multidisciplinary Management for Descending Necrotizing Mediastinitis of Odontogenic Origin","authors":"Emmanuel Hanjar DMD,&nbsp;Huzaifa Shakir MD,&nbsp;Amy Gore MD,&nbsp;Rabie M. Shanti DMD, MD","doi":"10.1016/j.joms.2026.06.107","DOIUrl":"10.1016/j.joms.2026.06.107","url":null,"abstract":"<div>Descending necrotizing mediastinitis is a severe and rare condition that occurs when an odontogenic infection spreads through the fascial planes into the mediastinum, with mortality rates reaching 22-41%.¹ The infection most commonly originates from the posterior mandibular molars, with periapical periodontitis being the predominant etiology.² The anatomical continuity of fascial spaces between the neck and mediastinum allows a polymicrobial infection, involving both aerobic and anaerobic</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S70-S71"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861583","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":"Perioperative Management and Clinical Outcomes of Oral and Maxillofacial Surgical Care in Patients With Fibrodysplasia Ossificans Progressiva","authors":"Aviana Duca DDS, MD,&nbsp;Austin Hale DMD, MD,&nbsp;Robert J. Diecidue DMD, MD, PhD, MBA, MPH","doi":"10.1016/j.joms.2026.06.109","DOIUrl":"10.1016/j.joms.2026.06.109","url":null,"abstract":"<div>Fibrodysplasia ossificans progressiva (FOP) is a rare debilitating connective tissue disorder characterized by congenital skeletal malformations and progressive heterotopic ossification. Oral and maxillofacial surgical care is particularly challenging due to temporomandibular joint ankylosis, severe limitation in MIO, cervical spine rigidity, restricted use of regional anesthetic techniques, diminished cardiopulmonary reserve, and susceptibility to trauma induced inflammatory flare ups with</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Page S72"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861585","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":"Limitations of Virtual Surgical Planning in Osteoradionecrosis: The Role of Imaging in Margin Determination","authors":"Philopateer Hanein,&nbsp;Srinivasa R. Chandra MD, BDS, FDSRCS, FACS,&nbsp;Katie Humphrey","doi":"10.1016/j.joms.2026.06.032","DOIUrl":"10.1016/j.joms.2026.06.032","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S11-S13"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859473","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":"Occlusal Scheme Shapes the Success of Mandibular Fracture Plating Systems: Toward a Better Understanding","authors":"Mahdi Zakeri DDS, MDent, FRCDC","doi":"10.1016/j.joms.2026.06.050","DOIUrl":"10.1016/j.joms.2026.06.050","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S37-S38"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859488","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":"Relationship Between Expansion Magnitude and Relapse in Multi-Segment Le Fort I Osteotomy: A Retrospective Cohort Study","authors":"Rachel Macdonald DDS, MSD,&nbsp;Melih Motro DDS, PhD,&nbsp;Michael Gunson DDS, MD,&nbsp;Leslie Will DMD, MSD","doi":"10.1016/j.joms.2026.04.006","DOIUrl":"10.1016/j.joms.2026.04.006","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Maxillary transverse deficiency is commonly addressed through multisegment Le Fort I osteotomies. Whether greater expansion magnitudes result in greater relapse remains uncertain, because the existing literature primarily reports relapse of procedures with dental expansion of &lt;4 mm.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;To measure the association between magnitude of expansion and relapse among patients undergoing multisegment Le Fort I osteotomies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study Design/Setting/Sample&lt;/h3&gt;&lt;div&gt;This retrospective cohort study included subjects presenting to a private oral and maxillofacial surgery practice in Santa Barbara, CA, for multisegment Le Fort I osteotomies for correction of class II or class III skeletal deformities. Inclusion criteria were the presence of all first molars and the availability of CBCT images taken at the surgeon's office 2 to 4 days preoperatively and at 2 weeks, 8 weeks, and at least 6 months postoperatively, after orthodontic treatment. Exclusion criteria were a history of skeletal deformities resulting from trauma, orofacial clefts, degenerative temporomandibular joint disorders, or previous orthognathic surgery.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Predictor Variable&lt;/h3&gt;&lt;div&gt;The primary predictor variable was the magnitude of surgical maxillary molar expansion (&lt;4 mm vs ≥4 mm).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Variables&lt;/h3&gt;&lt;div&gt;The main outcome variables were relapse in maxillary intercanine and intermolar widths. Skeletal relapse was assessed by similar comparisons for piriform aperture and greater palatine foramen widths.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Covariates&lt;/h3&gt;&lt;div&gt;Covariates included age, sex, grouping according to molar expansion, and first molar buccolingual angulation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Analyses&lt;/h3&gt;&lt;div&gt;Changes in measurements from preoperative (T0), 2-week postoperative (T1), 8-week (T2), and longest term (T3) follow-ups were compared between groups using paired &lt;em&gt;t&lt;/em&gt; tests and analysis of variance, with statistical significance set at &lt;em&gt;P&lt;/em&gt; &lt; .05. Time-to-event analyses were conducted to evaluate relapse-free survival following maxillary expansion.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The &lt;4-mm expansion group, including 31 subjects (22 females) with a mean age of 26.6 years, demonstrated a significant relapse of 0.71 mm as related to a mean expansion of 1.33 mm in intermolar width (55%, &lt;em&gt;P&lt;/em&gt; &lt; .001). The ≥4-mm group had 32 subjects (21 females) with a mean age of 25.6 years and had a mean of 1.24 mm relapse out of 5.20-mm expansion (23%) (&lt;em&gt;P&lt;/em&gt; &lt; .001). Relapse in the GPF width for both groups was insignificant. Relapse was significantly correlated with expansion. Molar relapse and expansion, however, occurred during postoperative orthodontic treatment and may not reflect surgical instability. Kaplan–Meier analysis demonstrated a significantly shorter relapse-free survival among patients undergoing ≥4-mm expansion compared with those undergoing &","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages 1414-1426"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838902","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}