Journal of Oral and Maxillofacial Surgery最新文献

{"title":"Effect of Biopsy on MRI Accuracy in Preoperative Assessment of Tongue Squamous Cell Carcinoma","authors":"Lin-Song Lu MD,&nbsp;Ke-Yue Liu MD,&nbsp;Tian-Cheng Jiang MD,&nbsp;Jing-Yuan Zou MD,&nbsp;Cheng-Ai Li MD,&nbsp;Zhao-Jian Gong PhD","doi":"10.1016/j.joms.2026.04.011","DOIUrl":"10.1016/j.joms.2026.04.011","url":null,"abstract":"<div><h3>Background</h3><div>The effect of biopsy on magnetic resonance imaging (MRI) measurement accuracy in preoperative assessment of tongue squamous cell carcinoma (TSCC) remains unclear.</div></div><div><h3>Purpose</h3><div>To quantify the MRI-intraoperative measurement discrepancy of primary tumor and evaluate whether biopsy affects this discrepancy.</div></div><div><h3>Study Design, Setting, and Sample</h3><div>This prospective cohort study included TSCC patients undergoing first-time resection of primary lesions at the Second Xiangya Hospital of Central South University between June 2023 and March 2025. Patients with previous head and neck radiotherapy/chemotherapy, prior oral cancer surgery, or inadequate MRI data were excluded.</div></div><div><h3>Predictor Variable</h3><div>The MRI timing categorized as prebiopsy MRI and postbiopsy MRI.</div></div><div><h3>Main Outcome Variable</h3><div>The primary outcome variable was the discrepancy between MRI-based and intraoperative specimen measurements (MRI minus intraoperative) for depth of invasion (DOI), largest diameter, and tumor lingual septum distance.</div></div><div><h3>Covariates</h3><div>Sex, age, biopsy-MRI interval, T stage, tumor location, and tumor morphology.</div></div><div><h3>Analyses</h3><div>Subgroup comparisons used parametric or nonparametric tests as appropriate. Univariable and multivariable linear regression assessed associations between MRI timing and measurement discrepancies; 2-sided <em>P</em> &lt; .05 was considered significant.</div></div><div><h3>Results</h3><div>The sample comprised 203 subjects (mean age 52.7 ± 9.4 years; 176 males, 86.7%). Seventy five (36.9%) had prebiopsy MRI and 128 (63.1%) had postbiopsy MRI. Contrast-enhanced T1-weighted imaging (CE-T1WI) demonstrated a smaller DOI discrepancy than T2-weighted imaging (1.44 ± 2.06 mm vs 1.67 ± 2.19 mm, <em>P</em> = .002). In early-stage tumors, the CE-T1WI DOI discrepancy was smaller in the prebiopsy group than in the postbiopsy group (0.78 ± 1.49 mm vs 2.25 ± 2.22 mm, <em>P</em> &lt; .001). For postbiopsy imaging on CE-T1WI, DOI discrepancies were 2.26 ± 2.14 mm at 0 to 7 days and 2.64 ± 2.60 mm at 8 to 14 days. MRI excluded lingual septum invasion in all MRI-negative cases (114 of 114), while only 53.8% (21 of 39) of MRI-indicated involvement was confirmed intraoperatively. No significant biopsy-related effects were observed for largest diameter or tumor lingual septum distance discrepancy.</div></div><div><h3>Conclusions</h3><div>CE-T1WI demonstrated superior accuracy for DOI assessment compared with T2-weighted imaging. For early-stage TSCC, MRI should be performed before biopsy or delayed for at least 2 weeks, and MRI can safely rule out lingual septum involvement.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages 1503-1515"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856550","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":"","authors":"","doi":"10.1016/j.joms.2026.06.002","DOIUrl":"10.1016/j.joms.2026.06.002","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Page 1521"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Modern Tissue Engineering Concepts for the Reconstruction of Mandibular Condyles and Muscle Reattachment for Full Function","authors":"Fatemeh Ebrahimi,&nbsp;James C. Melville DDS, FACS,&nbsp;Jeanette Johnson DDS,&nbsp;Omar Ahmed DDS,&nbsp;Paul Addamo DDS, MD,&nbsp;Rishabh Rattan DDS,&nbsp;Joseph McCain DDS,&nbsp;Brent Smith DDS","doi":"10.1016/j.joms.2026.06.033","DOIUrl":"10.1016/j.joms.2026.06.033","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Page S13"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859476","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":"Determinants of Recurrence, Metastasis, and Survival in Pediatric Head and Neck Sarcomas: The Role of Surgical Strategy, Margins, and Disease Burden","authors":"Simon Youn DDS, MD,&nbsp;Meryem Guler,&nbsp;Tayla Moshal,&nbsp;Raina Patel,&nbsp;Artur Manasyan,&nbsp;Caroline Kreh,&nbsp;Anika Kim MS,&nbsp;Joseph Firriolo MD,&nbsp;Mark M. Urata DDS, MD,&nbsp;Jeffrey A. Hammoudeh DDS, MD","doi":"10.1016/j.joms.2026.06.042","DOIUrl":"10.1016/j.joms.2026.06.042","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S18-S19"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859468","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":"Microbiology of Odontogenic Sinusitis and Optimal Antibiotic Treatment","authors":"Edward Mo DDS,&nbsp;Yongjin Yoon DMD,&nbsp;Peter Giannaris,&nbsp;Hunter J. Martin DDS, MD,&nbsp;David Hirsch DDS, MD,&nbsp;Andrew Salama DDS, MD, FACS,&nbsp;Zachary Pek MD,&nbsp;Mark Chaskes MD,&nbsp;Bint-E Awan MD,&nbsp;Charles Tong MD","doi":"10.1016/j.joms.2026.06.043","DOIUrl":"10.1016/j.joms.2026.06.043","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S19-S20"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859469","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":"The Psychosocial Architecture of Orthognathic Surgery: A Systematic Review of Depression, Body Dysmorphic Disorder, and Quality of Life Outcomes","authors":"Jacob Khan DMD","doi":"10.1016/j.joms.2026.06.139","DOIUrl":"10.1016/j.joms.2026.06.139","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S86-S87"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861466","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":"Does a Single Preoperative Dose of Ketorolac Decrease Postoperative Pain Following Dentoalveolar Surgery?","authors":"David Brooks II DDS,&nbsp;Molly Antoinette Christie DDS,&nbsp;Quyen Tran DDS,&nbsp;Changyong Feng PhD,&nbsp;John S. Vorrasi DDS,&nbsp;Dina Amin DDS, FACS","doi":"10.1016/j.joms.2026.06.024","DOIUrl":"10.1016/j.joms.2026.06.024","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S2-S3"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861484","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":"Differences in Anatomy of Pterygoid Plates in Patients With Cleft Palate","authors":"Kimberly Veltman DMD, MD,&nbsp;Ashley Elizabeth Manlove DMD, MD, FACS,&nbsp;Camden Cox,&nbsp;Copeland Lachapelle,&nbsp;Yang Lee,&nbsp;Kenneth Sequeria","doi":"10.1016/j.joms.2026.06.098","DOIUrl":"10.1016/j.joms.2026.06.098","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S61-S62"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861574","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":"ALT Fascia Lata Free Flap With Allogeneic Bone Grafting for Mandibular Osteoradionecrosis Reconstruction: A Preliminary Institutional Experience","authors":"May Lin DMD,&nbsp;Scott Cannon DMD, MD,&nbsp;Thomas Schlieve DDS, MD, FACS","doi":"10.1016/j.joms.2026.06.113","DOIUrl":"10.1016/j.joms.2026.06.113","url":null,"abstract":"<div>Mandibular osteoradionecrosis (ORN) is a severe complication of head and neck radiotherapy, characterized by devitalized bone, chronic infection, and progressive structural compromise. Surgical reconstruction is often required for advanced disease. While fibula free flap reconstruction is the standard approach, it is associated with prolonged operative time, donor-site morbidity, and extended recovery. Alternative reconstructive strategies that restore mandibular perfusion and structural</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Page S74"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861452","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":"Antibiotic Stewardship in Temporomandibular Joint Replacement: Does Duration Matter?","authors":"Sierra van den Dries DMD, MD,&nbsp;Kristie Cheng DDS, MD,&nbsp;Eric J. Granquist DMD, MD","doi":"10.1016/j.joms.2026.06.064","DOIUrl":"10.1016/j.joms.2026.06.064","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S44-S45"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861565","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}