Journal of Oral and Maxillofacial Surgery最新文献

{"title":"October 2025 AAOMS News and Announcements","authors":"","doi":"10.1016/j.joms.2025.07.007","DOIUrl":"10.1016/j.joms.2025.07.007","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 10","pages":"Pages 1298-1302"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190037","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":"Reply: Selective Serotonin Reuptake Inhibitors May Increase Implant Failure","authors":"Michael S. Block DMD","doi":"10.1016/j.joms.2025.06.002","DOIUrl":"10.1016/j.joms.2025.06.002","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 10","pages":"Pages 1196-1197"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190100","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":"What Factors Influence Success of Mandibular Reconstructions With Patient-Specific Selective Laser Melted Reconstruction Plates?","authors":"Jeffrey S. Marschall DMD, MD, MS ,&nbsp;Mitchell Frerichs DDS ,&nbsp;Thomas Keith DDS ,&nbsp;Steven Fletcher DDS ,&nbsp;Doug Kendrick DDS ,&nbsp;Chris Kepros DDS ,&nbsp;Kirk Fridrich DDS, MS ,&nbsp;Richard Burton DDS, MS","doi":"10.1016/j.joms.2025.05.024","DOIUrl":"10.1016/j.joms.2025.05.024","url":null,"abstract":"<div><h3>Background</h3><div>Patient-specific reconstruction is becoming more ubiquitous in craniomaxillofacial surgery. There is a paucity of information on what factors may influence case success.</div></div><div><h3>Purpose</h3><div>The purpose of the study was to estimate patient-specific hardware failure rate and to identify risk factors associated with hardware failure.</div></div><div><h3>Study Design, Setting, Sample</h3><div>A retrospective cohort study was implemented using data from subjects treated with selectively laser melted (SLM) reconstruction plates at the University of Iowa. Subjects were excluded if follow-up was less than 3 months, data were not complete, or the subjects were not treated with an SLM plate.</div></div><div><h3>Predictor Variables</h3><div>The predictor variables were composed of heterogenous variables grouped into the following categories: demographics, etiology, mandibular characteristics, and reconstruction plate characteristics, such as number of screws proximal and distal to fracture/defect.</div></div><div><h3>Main Outcome Variable</h3><div>The primary outcome variable was time to screw failure (yes/no), which was determined by examining subject radiographic data and if it was clinical reason for the removal of the reconstruction plate.</div></div><div><h3>Covariates</h3><div>The only covariate is sex.</div></div><div><h3>Analyses</h3><div>Descriptive statistics were calculated for each variable. Bivariate Cox regression analyses were performed to assess the association between each variable and the hazard of screw failure. Alpha = 0.05 was considered significant.</div></div><div><h3>Results</h3><div>The sample included 131 subjects. The median follow-up time was 11.0 (interquartile range 14.0) months. There was 1 (0.8%) plate fracture and 10 (7.6%) screw failures. Subjects with 1 additional screw proximal to the fracture/defect (eg, from 3 to 4, or 4 to 5, or 5 to 6) had a 63% higher hazard of screw failure at any given time over the follow-up period (hazard ratio [HR] = 1.63; <em>P</em> = .04; 95% CI, 1.02 to 2.63). Subjects with 1 additional screw distal to the fracture/defect had a 58% higher hazard of screw failure (HR = 1.58; <em>P</em> = .01; 95% CI, 1.10 to 2.26). Among patients with continuity defects (<em>n</em><span> = 49), those who received a bone graft had an 85% lower hazard of screw failure compared to those who did not receive a graft (HR = 0.15; </span><em>P</em> = .03; 95% CI, 0.03 to 0.851).</div></div><div><h3>Conclusion and Relevance</h3><div>SLM reconstruction plate fracture is rare. Adding additional screws proximal and distal to a fracture/defect may lead to a higher hazard of hardware failure. Using a bone graft for continuity defects may lead to a lower hazard of hardware failure.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 10","pages":"Pages 1271-1278"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475707","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":"Characterization of Tenosynovial Giant Cell Tumors in the Temporomandibular Joint: A Multidisciplinary Approach to Treatment","authors":"Sydnee R. Vaughan DMD ,&nbsp;Andrew J. Gross PhD, DMD, MBA ,&nbsp;Ivan A. Chebib MD ,&nbsp;Joseph P. McCain DMD ,&nbsp;Daniel D. Choi DDS, MD","doi":"10.1016/j.joms.2025.06.204","DOIUrl":"10.1016/j.joms.2025.06.204","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 10","pages":"Pages 1279-1286"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575694","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":"How Does Thrombocytopenia Affect Outcomes in Head and Neck Cancer Surgery With Free Flap Reconstruction?","authors":"Cameron C. Lee DMD, MD ,&nbsp;Tim T. Wang DMD, MD, MPH ,&nbsp;Lang Liang BS ,&nbsp;Glyndwr Jenkins BChD, MBBS ,&nbsp;Donita Dyalram DDS, MD ,&nbsp;Joshua E. Lubek DDS, MD","doi":"10.1016/j.joms.2025.06.225","DOIUrl":"10.1016/j.joms.2025.06.225","url":null,"abstract":"<div><h3>Background</h3><div>Thrombocytopenia is associated with a variety of medical comorbidities seen in patients with head and neck cancer. However, it remains unclear if and how thrombocytopenia affects surgical outcomes.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to measure the association between thrombocytopenia and 30-day adverse outcomes in patients undergoing head and neck cancer surgery with free flap reconstruction.</div></div><div><h3>Study design, setting sample</h3><div>This was a retrospective cohort study using the 2012 to 2022 American College of Surgeons National Surgical Quality Improvement Program databases. Patients undergoing resection and free flap reconstruction for malignant pathology of the oral cavity, oropharynx, hypopharynx, larynx, and salivary glands were included. Patients undergoing emergency surgery or with missing outcomes data were excluded.</div></div><div><h3>Predictor/exposure/independent variable</h3><div>The predictor variable was platelet count coded as a binary variable: &lt;150k/μL (thrombocytopenia) or &gt;150k/μL.</div></div><div><h3>Main outcome variable</h3><div>The primary outcome variable was return to the operating room for free flap salvage or hematoma evacuation coded based on International Classification of Diseases diagnoses.</div></div><div><h3>Covariates</h3><div>Covariates were categorized into demographic (age, sex), medical (hypertension, diabetes), and perioperative (concurrent procedures, reconstructive modality).</div></div><div><h3>Analyses</h3><div>Descriptive, bivariate, and bootstrapped multiple logistic regression statistics were performed to evaluate the association between thrombocytopenia and adverse outcomes. Youden J analysis was used to identify a platelet value at which complications were more likely to occur. An alpha of <em>P</em> &lt; .05 was significant.</div></div><div><h3>Results</h3><div>A total of 4,993 subjects met the inclusion criteria. There were 281 subjects with thrombocytopenia (5.63%) and 213 who underwent reoperations (4.30%). In bivariate analysis, thrombocytopenia was the only significant risk factor for reoperation, and these subjects were 1.74 times more likely to return to the operating room (<em>P</em> = .015, relative risk = 1.74, 95% CI 1.11 to 2.71). In multivariate analysis adjusting for study covariates, thrombocytopenia was independently associated with 1.82 times greater odds of return to the operating room (<em>P</em> = .026, OR = 1.82, 95% CI 1.11 to 3.26). Cut point analysis suggested that a platelet value less than 136,000/μL was a risk factor for return to the operating room.</div></div><div><h3>Conclusions and relevance</h3><div>Thrombocytopenia was independently associated with return to the operating room following ablative head and neck cancer procedures with free flap reconstruction.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 10","pages":"Pages 1287-1297"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626547","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 Shield-Like Septal Extension Graft: A Novel Technique for Nasal Tip Management in Revision Rhinoplasty","authors":"Hüseyin Balikci MD ,&nbsp;Alper Yenigun MD ,&nbsp;Emre Polat MD ,&nbsp;Remzi Dogan MD ,&nbsp;Orhan Ozturan MD","doi":"10.1016/j.joms.2025.05.005","DOIUrl":"10.1016/j.joms.2025.05.005","url":null,"abstract":"<div><div>This study introduces the shield-like septal extension graft technique, a novel approach for enhancing tip support, rotation, and projection in revision rhinoplasty cases. The shield-like septal extension graft is positioned in front of the caudal septum, mimicking a shield graft to provide structural reinforcement. The study included 18 patients (12 women and 6 men) with a median follow-up of 12 months (interquartile range: 9 to 15 months). No significant complications were observed, and patients achieved satisfactory aesthetic and functional outcomes. This technique offers a reliable and reproducible solution for managing complex revision rhinoplasty cases by providing superior tip stability, midline alignment, and long-term structural support. The use of costal cartilage ensures sufficient strength, especially in patients with structural deficiencies or thick skin.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 10","pages":"Pages 1244-1247"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199430","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":"Association of Preoperative Nutritional Status With Outcomes in Fronto-Orbital Advancement for Syndromic Craniosynostosis","authors":"Raina K. Patel BS ,&nbsp;Asli Pekcan BS ,&nbsp;Valeria Mejia BS ,&nbsp;Melanie Bakovic BS ,&nbsp;Alyssa Valenti MD ,&nbsp;Mark M. Urata DDS, MD ,&nbsp;Jeffrey A. Hammoudeh DDS, MD","doi":"10.1016/j.joms.2025.06.027","DOIUrl":"10.1016/j.joms.2025.06.027","url":null,"abstract":"<div><h3>Background</h3><div>Calvarial vault remodeling (CVR) is a critical procedure for patients with syndromic craniosynostosis (SC), a condition associated with genetic syndromes and comorbidities that can worsen nutritional status before surgery. Despite nutritional challenges in this population, few studies have assessed how preoperative nutritional health correlates with complications, relapse, or hospital stay after CVR.</div></div><div><h3>Purpose</h3><div>The study purpose was to measure the association of nutritional status on surgical outcomes in patients with SC undergoing CVR.</div></div><div><h3>Study Design, Setting, Sample</h3><div><span>This study was a retrospective cohort analysis of </span>pediatric subjects with SC who underwent CVR between 2002 and 2024 at a children's hospital in Los Angeles. Patients surgically treated at external hospitals were excluded.</div></div><div><h3>Predictor Variable</h3><div>The primary predictor variable was nutritional status, measured using weight-for-length (WFL) percentile, with higher values indicating better nutritional status. Gastrostomy<span> tube (G-tube) dependency and preoperative serum albumin were included as secondary predictors.</span></div></div><div><h3>Main Outcome Variable(s)</h3><div><span>The primary outcome was the occurrence of postoperative complications, including hematomas, unplanned </span>reoperation, and skeletal relapse. Secondary outcomes included length of stay, readmissions, and mortality.</div></div><div><h3>Covariates</h3><div>The covariates were demographics (age, sex, and prematurity) and surgical parameters (anesthesia time and blood transfusions).</div></div><div><h3>Analyses</h3><div>Statistical analyses included χ² tests, analysis of variance, t-tests, and regression analyses to assess the relationships between nutritional status and outcome variables. A <em>P</em> value of &lt; 0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The study included 86 patients (mean age 12.4 ± 10.9 months); 14% (n = 12) were premature and 21% (n = 18) were G-tube dependent. G-tube dependent patients had significantly lower WFL percentiles compared to those without G-tubes (26.4 vs 43.5, <em>P</em> &lt; .001). Lower WFL scores were significantly associated with higher rates of postoperative complications (<em>P</em> = .047). Regression analysis showed that for every 10-point increase in WFL percentile, the predicted probability of complications decreased by 6.5% (<em>P</em> &lt; .001).</div></div><div><h3>Conclusions and Relevance</h3><div>Low WFL and G-tube dependency were statistically significantly associated with a higher rate of postoperative complications in patients with SC undergoing CVR. These findings suggest that careful assessment and optimization of preoperative nutritional status may help reduce the risk of complications and improve patient outcomes.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 10","pages":"Pages 1223-1232"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564901","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":"Patients With Bicuspid Aortic Valves or Mitral Valve Prolapse With Regurgitation Not Provided Prophylactic Antibiotics Potentially Risk Developing Infective Endocarditis","authors":"Arthur H. Friedlander DMD ,&nbsp;Paulo Henrique Couto Souza DDS, PhD","doi":"10.1016/j.joms.2025.04.029","DOIUrl":"10.1016/j.joms.2025.04.029","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 10","pages":"Pages 1190-1191"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190097","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":"Prescribing Alcohol for Facial Trauma: Treating Fractured Bones and Minds Together!!","authors":"Elavenil Panneerselvam MDS, FDSRCPS, FAM, MBA ,&nbsp;Rajkumar Krishnan MDS, PhD","doi":"10.1016/j.joms.2025.06.229","DOIUrl":"10.1016/j.joms.2025.06.229","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 10","pages":"Pages 1192-1195"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190098","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":"Chondroid Diffuse Tenosynovial Giant Cell Tumor of the Temporomandibular Joint: A Case of a Rare Maxillofacial Tumor With Unique Pathophysiology and Therapeutic Considerations","authors":"Katherine Richardson MS, DDS ,&nbsp;Hwi Sean Moon DDS, MD ,&nbsp;Faizan Alawi DDS ,&nbsp;Helen Giannakopoulos DDS, MD","doi":"10.1016/j.joms.2025.05.019","DOIUrl":"10.1016/j.joms.2025.05.019","url":null,"abstract":"<div><div>Diffuse tenosynovial giant cell tumors (D-TGCT) represent a rare group of benign proliferative lesions originating from the synovium of joints, bursae, and tendon sheaths, with infrequent involvement of the temporomandibular joint (TMJ). Among these, chondroid D-TGCT, previously known as pigmented villonodular synovitis with chondroid metaplasia, constitutes an even rarer subtype displaying a specific affinity for the TMJ. Despite its distinctive nature, only a limited number of cases (n = 30) of chondroid D-TGCT have been extensively documented in existing literature. This case report highlights an unusual instance of chondroid variant of D-TGCT within the TMJ and introduces novel adjuvant therapeutic techniques to prevent recurrence. Given the absence of definitive treatment protocols, our objective is to review existing literature on predictive markers for D-TGCT, aiming to facilitate timely diagnosis via core biopsy technique, and explore potential adjunctive therapeutic modalities that could complement surgical resection, especially in managing these locally aggressive tumor variants.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 10","pages":"Pages 1199-1208"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310077","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}