Journal of Oral and Maxillofacial Surgery最新文献

{"title":"AAOMS Author Disclosure forms","authors":"","doi":"10.1016/S0278-2391(25)00201-0","DOIUrl":"10.1016/S0278-2391(25)00201-0","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 6","pages":"Pages A9-A11"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184756","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":"Evidence to the Contrary","authors":"Thomas B. Dodson DMD, MPH (Editor-in-Chief)","doi":"10.1016/j.joms.2025.03.004","DOIUrl":"10.1016/j.joms.2025.03.004","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 6","pages":"Pages 645-646"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184757","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":"RE: Clinical, Radiological, and Histomorphometric Comparison of the Use of Deproteinized Bovine Bone Mineral and Titanium-Prepared Platelet-Rich Fibrin in Maxillary Sinus Augmentation: A Split-Mouth Randomized Controlled Clinical Study","authors":"Carlos Fernando Mourão DMD, MS, PhD, Rodrigo dos Santos Pereira DDS, MSc, PhD","doi":"10.1016/j.joms.2025.01.019","DOIUrl":"10.1016/j.joms.2025.01.019","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 6","pages":"Pages 655-656"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184817","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":"Custom Fabricated Subperiosteal Implants for Sectional Rehabilitation of Severely Atrophic Maxillae: A Technical Note","authors":"Luigi Angelo Vaira MD, PhD ,&nbsp;Andrea Biglio MD, DDS ,&nbsp;Giovanni Salzano MD ,&nbsp;Alberto Pispero DDS ,&nbsp;Jerome R. Lechien MD, PhD ,&nbsp;Giacomo De Riu MD","doi":"10.1016/j.joms.2025.02.007","DOIUrl":"10.1016/j.joms.2025.02.007","url":null,"abstract":"<div><div>Severe atrophy in isolated posterior maxillary sectors poses challenges for dental rehabilitation, especially in partially dentate patients where traditional graftless techniques are unsuitable. This study retrospectively analyzed the outcomes of sectional rehabilitation in 16 consecutive patients with Cawood and Howell class V to VI atrophy treated with 21 custom fabricated subperiosteal implants. Patients were followed for a median of 36 months (interquartile range: 24 to 48). Implant survival and success rates at 1 and 5 years were 95.2%, with minimal complications. Radiological assessments showed no significant bone resorption beneath abutments (mean: 0.18 mm at 1 year). Soft tissue health improved over time, with bleeding on probing affecting 10% of abutments at 6 months and only 2.5% at 4 years. These findings suggest that subperiosteal implants offer a viable graftless solution for sectional rehabilitation in partially dentate patients, combining high survival rates with favorable radiological and soft tissue outcomes. Further studies are needed to confirm long-term effectiveness.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 6","pages":"Pages 728-737"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586055","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":"Aromatherapy on Anxiety, Pain, and Quality of Life Following Surgery of Mandibular Third Molars: A Randomized, Double-Blind Clinical Trial","authors":"Ylana Rosa Matos DDS ,&nbsp;Maria Fernanda da Silva Nascimento DDS ,&nbsp;Maria Clara Mendes Gomes ,&nbsp;João Emanuel Sousa de Almeida DDS ,&nbsp;Paulo Goberlânio de Barros Silva DDS, MSc, PhD ,&nbsp;Edson Luiz Cetira Filho DDS, MSc, PhD","doi":"10.1016/j.joms.2025.03.003","DOIUrl":"10.1016/j.joms.2025.03.003","url":null,"abstract":"<div><h3>Background</h3><div>The control of anxiety is significant in the management of mandibular third molar removal surgery and may impact patients' pain.</div></div><div><h3>Purpose</h3><div>This study aimed to measure the effects of aromatherapy on the control of anxiety, pain, and quality of life in lower third molar removal surgery.</div></div><div><h3>Study design</h3><div>From 2023 to 2024, a double-blinded randomized clinical trial was performed on patients with indications for removal of unilateral mandibular third molars at our institution. Subjects were excluded if they received additional mandibular teeth extractions, were unable to complete the questionnaire, or had medical contraindications.</div></div><div><h3>Predictor variable</h3><div>The predictor variable is aromatherapy exposure, and subjects were randomly assigned to lavender oil or distilled water. Each patient underwent an aromatherapy session in a closed room, with the diffuser turned on 30 minutes before the patient's entry following its use during the operation.</div></div><div><h3>Main outcome variables</h3><div>The outcome variables were pain measured using a visual analog scale, anxiety measured using the Dental Anxiety Scale questionnaire, and quality of life measured using the Oral Health Impact Profile questionnaire. The outcomes were measured preoperatively and 7 days after the operation.</div></div><div><h3>Covariates</h3><div>The covariates are hemodynamic parameters, sex, age, race, educational level, and family income.</div></div><div><h3>Analyses</h3><div>Mann-Whitney independent test (between groups) or Friedman/Dunn and Wilcoxon's test (intragroup analysis); the statistical significance was set at <em>P</em> &lt; .05.</div></div><div><h3>Results</h3><div>The study sample included 32 patients (17 female [53%] and 15 male [47%], mean age 24.72 ± 4.63 years). The peak of pain in both groups was observed 2 hours after surgery, with a reduction after 12 hours, and there were no differences between the 2 groups about pain (<em>P</em> = .9). Regarding anxiety control and hemodynamic parameters, there was an improvement in both groups, with a reduction of 2 points in the score (<em>P</em> = .011).</div></div><div><h3>Conclusions</h3><div>Aromatherapy is not statistically significantly effective compared to distilled water in reducing pain and improving quality of life. However, it showed favorable results in reducing anxiety and hemodynamic parameters.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 6","pages":"Pages 748-756"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730531","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":"Oral and Maxillofacial Surgery Complication Rates at a Major Teaching Hospital: A 9-Year Retrospective Review","authors":"Mary Cho DDS ,&nbsp;Nagi Demian DDS, MD ,&nbsp;Brendan Moxley BS ,&nbsp;Pearl Craig DDS, MsD","doi":"10.1016/j.joms.2025.02.011","DOIUrl":"10.1016/j.joms.2025.02.011","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative complications in oral and maxillofacial surgery (OMS) can prolong recovery, increase health care costs, and negatively impact patient outcomes. Identifying complication trends is crucial for improving patient care and safety, particularly in academic settings where balancing surgical training and patient safety is essential.</div></div><div><h3>Purpose</h3><div>The study purpose is to measure and identify trends in the prevalence of OMS complications over a 9-year period at a major teaching hospital.</div></div><div><h3>Study Design, Setting, Sample</h3><div>This retrospective cohort study was conducted at Memorial Hermann Hospital, Texas Medical Center, Houston. The study included 4,466 documented operations performed between July 1, 2014, and June 30, 2023, with no exclusions.</div></div><div><h3>Predictor Variable</h3><div>The primary predictor variable was date of surgery, measured in years. A secondary predictor variable was procedure type, categorized into 8 groups: trauma, infection, dentoalveolar, reconstruction, pathology, critical care, orthognathic, and temporomandibular joint disorder.</div></div><div><h3>Main Outcome Variable</h3><div>The primary outcome variable was the occurrence of postoperative complications, defined as any adverse outcome or unintended consequence resulting from medical or surgical treatment and documented as a morbidity or mortality event. A secondary outcome variable was complication type.</div></div><div><h3>Covariates</h3><div>Age and sex associated with procedures were collected.</div></div><div><h3>Analyses</h3><div>Demographic variables were computed at the subject level. Descriptive analysis at the procedure level was used to calculate the prevalence of complications. A generalized linear model assessed trends in complication prevalence, procedure volume, and complication type over time, while Fisher’s exact test examined the relationship between procedure type and complication type. A <em>P</em> value of &lt;.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The sample was composed of 4,466 operations and 4,453 subjects with a mean age of 41.4 (±4.6) and 2,724 (61%) were male. There were 325 (7.28%) complications. There was no statistically significant trend in the prevalence of complications over time (B-coefficient 0.002, 95% CI −3.9 to 0.004, <em>P</em> = .1). There was a significant association between procedure type and complication type (<em>P</em> &lt; .001). Orthognathic procedures exhibited the highest proportion of complications at 17.4% (n = 4), while critical care procedures demonstrated the lowest at 2.0% (n = 4).</div></div><div><h3>Conclusion and Relevance</h3><div>No statistically significant trend in the prevalence of complications was observed, but procedure type was associated with complication type.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 6","pages":"Pages 711-719"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649327","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":"Evaluation of Lingual Fracture Pattern Following Sagittal Split With the Low and Short Medial Osteotomy","authors":"Collin A. Ritchie DMD, MD ,&nbsp;Lauren Hayes BS ,&nbsp;Guihua Zhai PhD ,&nbsp;Brian E. Kinard DMD, MD","doi":"10.1016/j.joms.2025.03.002","DOIUrl":"10.1016/j.joms.2025.03.002","url":null,"abstract":"<div><h3>Background</h3><div>The lingual split scale (LSS) following sagittal ramus osteotomy (SRO) is an objective scale where LSS1 to 3 are variations of a favorable split, while LSS4 is an unfavorable split. LSS influences postoperative bone overlap, posterior interferences, and fixation methods. There is currently no study evaluating LSS following SRO using the low and short medial osteotomy modification.</div></div><div><h3>Purpose</h3><div>The purpose of this study is to describe the lingual fracture pattern of the distal segment through the LSS following SRO using the low and short medial osteotomy modification.</div></div><div><h3>Study Design, Setting, and Sample</h3><div>A retrospective cohort study of subjects undergoing SRO with the low and short medial osteotomy by a single surgeon at The University of Alabama at Birmingham between February 2020 and July 2024. Subjects with incomplete records were excluded.</div></div><div><h3>Predictor Variables</h3><div>Anatomic predictor variables were ramus width and length and the vertical height of the lingula. Procedural predictor variables were height and angle of the medial osteotomy, medial osteotomy relative to the lingula and to the mandibular canal, and third molar removal at the time of SRO.</div></div><div><h3>Main Outcome Variable</h3><div>The primary outcome variable was the LSS. LSS1 to 3 are variations of a favorable SRO split, while LSS4 is unfavorable.</div></div><div><h3>Covariates</h3><div>Covariates include age, sex, and previous mandibular osteotomies.</div></div><div><h3>Analyses</h3><div>The significance level was defined as <em>P</em> &lt; .05. Multivariate regression analyses assessed variables that were near statistically significant (<em>P</em> &lt; .2). Hemimandibles were correlated and the subject factor was accounted for using generalized estimating equations.</div></div><div><h3>Results</h3><div>The study sample had 210 subjects (419 hemimandibles). LSS variations of favorable splits resulted in 263 (62.8%) vertical fractures (LSS1), 8 (1.9%) horizontal fractures (LSS2), and 139 (33.2%) fractures along the mandibular canal (LSS3). Nine (2.2%) unfavorable splits (LSS4) were present. No variables were found to be significantly associated with unfavorable fractures (LSS4).</div></div><div><h3>Conclusions and Relevance</h3><div>SRO using the low and short medial osteotomy resulted in predictable LSS patterns. Favorable fracture patterns (LSS1 to 3) were present in 97.8% (410) of SROs, while unfavorable fracture patterns (LSS4) were present in 2.2% (9). No variables were identified to be significantly associated with unfavorable fracture (LSS4).</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 6","pages":"Pages 670-680"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730535","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 Treatment at a Level 1 Trauma Center Associated With Better Outcomes Among Patients With Isolated Mandible Fractures?","authors":"Cameron C. Lee DMD, MD ,&nbsp;Tim T. Wang DMD, MD, MPH ,&nbsp;Lang Liang BS ,&nbsp;Nicholas Wilken DDS, MD ,&nbsp;Donita Dyalram DDS, MD ,&nbsp;Gary Warburton DDS, MD ,&nbsp;Joshua Lubek DDS, MD ,&nbsp;John Caccamese DMD, MD","doi":"10.1016/j.joms.2025.03.007","DOIUrl":"10.1016/j.joms.2025.03.007","url":null,"abstract":"<div><h3>Background</h3><div>The trauma literature suggests that treatment at a level 1 trauma center is associated with improved outcomes for a diversity of injuries. However, differences in outcomes with respect to trauma center designation are poorly studied in the facial trauma demographic.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to measure the association between trauma center designation and clinical outcomes in patients undergoing management of isolated mandible fractures.</div></div><div><h3>Study Design, Setting, Sample</h3><div>This was a retrospective cohort study using the 2018 to 2022 American College of Surgeons National Trauma Data Bank. Adult patients with an isolated mandibular fracture undergoing open reduction internal fixation or closed reduction were included. Patients missing demographic or outcomes data were excluded.</div></div><div><h3>Predictor/Exposure/Independent Variable</h3><div>The primary predictor was trauma center designation (level 1 or nonlevel 1).</div></div><div><h3>Main Outcome Variable</h3><div>The primary outcome was any complication. Secondary outcomes were return to the operating room, length of stay, adverse discharge disposition, and specific complications.</div></div><div><h3>Covariates</h3><div>Covariates were categorized into demographic (age, sex), medical (Elixhauser Comorbidity Index), injury severity, operative intervention (open reduction internal fixation or closed reduction), and hospital characteristics (teaching status, bed size).</div></div><div><h3>Analyses</h3><div>Descriptive, bivariate, and multiple regression statistics were performed to evaluate the association between trauma center designation and outcomes.</div></div><div><h3>Results</h3><div>The cohort was composed of 28,897 subjects with a mean age of 35.1 ± 14.0 years, and 23,718 were male (82.1%). There were 16,788 (58.1%) and 12,109 (41.9%) subjects treated at level 1 and nonlevel 1 trauma centers, respectively. Complication rates were 1.10% (188) and 1.00% (120) at level 1 and nonlevel 1 trauma centers, respectively (relative risk: 0.88; 95% confidence interval: 0.70 to 1.11; <em>P</em> = .3). After adjusting for demographic, medical, injury severity, operative intervention, and hospital characteristic covariates, treatment at a level 1 trauma center was not independently associated with complications, nor was it associated with return to the operating room, length of stay, or adverse discharge disposition.</div></div><div><h3>Conclusions and Relevance</h3><div>Trauma center designation was not an independent predictor of adverse outcomes. Additional studies are needed to identify which patients will benefit most from treatment at a level 1 trauma center in this demographic.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 6","pages":"Pages 720-727"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753072","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":"RE: Application of Handheld Point-of-Care Ultrasound in the Setting of Craniomaxillofacial Trauma: A Technical Note","authors":"Srinivedha Cholappadi Vijayakumar MDS,&nbsp;Rinku Kurian George MDS,&nbsp;Raja Sethupathy Cheeman MDS","doi":"10.1016/j.joms.2025.01.018","DOIUrl":"10.1016/j.joms.2025.01.018","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 6","pages":"Page 655"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184760","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":"Perineural Invasion and Lymph Node Ratio Quartile Are Associated With Extranodal Extension in Oral Cavity Squamous Cell Carcinoma","authors":"Piper A. Wenzel ,&nbsp;Steven L. Van Meeteren ,&nbsp;Nitin A. Pagedar MD, MPH ,&nbsp;Marisa R. Buchakjian MD, PhD","doi":"10.1016/j.joms.2025.02.012","DOIUrl":"10.1016/j.joms.2025.02.012","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;In contrast to extranodal extension (ENE), tumor characteristics can often be evaluated preoperatively in patients with oral cavity squamous cell carcinoma (OCSCC). If correlations exist between primary tumor characteristics and the presence of ENE, evaluating these factors could help provide more accurate patient counseling and adjuvant treatment planning before undergoing surgical therapy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;The study’s purpose was to identify associations between OCSCC pathologic characteristics and ENE.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study Design, Setting, Sample&lt;/h3&gt;&lt;div&gt;We performed a retrospective cohort study of adult patients who underwent upfront curative-intent surgery for OCSCC at the University of Iowa Hospitals and Clinics from 2004 to 2018. The treating service was Otolaryngology-Head and Neck Surgery. Exclusion criteria included patients who did not undergo neck dissection, primary tumor occurring outside the oral cavity, pathologic N0, cancer previously treated with radiation or surgically at another institution, and gross disease remaining after surgery.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Predictor Variable&lt;/h3&gt;&lt;div&gt;The predictor variable was a set of tumor characteristics, including oral cavity subsite, T- and N- classification, perineural invasion (PNI), lymphovascular invasion, bone invasion, and positive lymph node ratio (LNR).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Variable&lt;/h3&gt;&lt;div&gt;The main outcome variable was ENE status, defined as positive (at least 1 lymph node reported to have ENE) or negative, identified from pathology reports.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Covariates&lt;/h3&gt;&lt;div&gt;Covariates included subject sex, age, and smoking history.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Analyses&lt;/h3&gt;&lt;div&gt;Bivariate comparisons and multivariate logistic regression analyses were performed to identify correlations between predictor variables/covariates and presence of ENE. Statistical significance was set at &lt;em&gt;P&lt;/em&gt; = .05.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The sample comprised 233 subjects with a mean age of 60.5 (SD 12.5) years, and 154 (66.1%) were male. Of 233 subjects with nodal metastasis, 122 (52.4%) had ENE in at least 1 node, and the median (interquartile range) positive LNR was 0.083 (0.094). On bivariate analysis, PNI (relative risk = 1.49; 95% CI, 1.14 to 1.96; &lt;em&gt;P&lt;/em&gt; = .002), bone invasion (relative risk = 1.42; 95% CI, 1.13 to 1.80; &lt;em&gt;P&lt;/em&gt; = .005), LNR quartile (&lt;em&gt;P&lt;/em&gt; &lt; .001), and pathologic T-class (eighth edition; &lt;em&gt;P&lt;/em&gt; = .001) were significantly correlated with ENE. On multivariate logistic regression analysis, PNI (odds ratio = 2.29; 95% CI, 1.21 to 4.31; &lt;em&gt;P&lt;/em&gt; = .01) and LNR quartile (&lt;em&gt;P&lt;/em&gt; &lt; .001) remained significantly correlated with ENE.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions and Relevance&lt;/h3&gt;&lt;div&gt;This study offers insight into important clinicopathologic details of lymph node metastases in OCSCC with an emphasis on tumor characteristics and odds of ENE in 1 or more lymph nodes. This informati","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 6","pages":"Pages 768-775"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692522","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}