Journal of Oral and Maxillofacial Surgery最新文献

{"title":"Insights From the 100 Most Cited Articles on Orbital Fractures: A Bibliometric and Sentiment Analysis.","authors":"Vicky Yau, Boyu Ma, Shanshan Lin, Shaoshi Zhu, Michael D Turner","doi":"10.1016/j.joms.2025.08.016","DOIUrl":"https://doi.org/10.1016/j.joms.2025.08.016","url":null,"abstract":"<p><strong>Background: </strong>Orbital fractures are common midfacial injuries that present complex challenges due to the anatomical and functional intricacies of the orbit. Understanding the evolution of surgical approaches and academic perspectives is essential to guide future research and multidisciplinary management.</p><p><strong>Purpose: </strong>The purpose of this study was to describe the evolution of management of orbital fractures, highlighting scholarly focus to inform future research and multidisciplinary care.</p><p><strong>Study design, setting, sample: </strong>This bibliometric study was conducted in January 2025. An electronic literature search was conducted on Web of Science Core Collection with search keys of orbital fracture and associated terms. Articles published between 1950 and 2024 were eligible for screening. Inclusion criteria were full-length, English-language articles, and ranking among the top 100 most-cited articles in the search results. Any literature not in English, editorial materials, letters, book chapters, meeting abstracts, notes, and reprints were excluded. The identified literature was analyzed using bibliometric and sentiment analysis.</p><p><strong>Outcome variables: </strong>Information on the title, abstract, authors, year of publication, country of origin, primary institution, keywords, citation count, and number of references was retrieved from all identified articles. For the top 100 most cited articles, additional data were collected, including journal, corresponding author's specialty, and research topics.</p><p><strong>Analyses: </strong>Sentiment analysis was performed on the top 100 most-cited articles using a natural language processing model to classify abstracts as positive, neutral, or negative, reflecting the overall tone of orbital fracture research. Bibliometric analyses and graphical presentations were generated using VOSviewer (Leiden University, The Netherlands).</p><p><strong>Results: </strong>A total of 981 articles were identified, representing 66 countries. The United States was the top publishing country with a total of 326 (33.2%) articles, followed by South Korea and China. The top 5 institutions were Shanghai Jiaotong University, Harvard University, University of Maryland, Johns Hopkins University, and Helsinki University Hospital. Articles from Baylor College of Medicine were the most cited, with a total of 460 citations. For the 100 most-cited articles, the United States remained the leading country; however, our overlay map demonstrated a subtle shift toward other countries in recent years. Four clusters of keywords were identified, including \"Epidemiology,\" \"Management,\" \"Complications,\" and \"Fracture Types,\" suggesting research trends from diagnosis and management to materials and surgical planning. These articles most frequently appeared in the Plastic and Reconstructive Surgery (n = 9, 9%), the International Journal of Oral & Maxillofacial Surgery (n = 7, 7%), and the","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124865","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":"Mixed Reality-Guided System for Patient-Specific Implants in Orthognathic Surgery.","authors":"Haoning Li, Liwei Huang, Vicky Yau, En Luo","doi":"10.1016/j.joms.2025.08.018","DOIUrl":"https://doi.org/10.1016/j.joms.2025.08.018","url":null,"abstract":"<p><p>Patient-specific implants and cutting guides in orthognathic surgery have demonstrated improved surgical precision in maxillary positioning. We present a mixed reality-assisted technique for using patient-specific implants (PSI) and dynamically transferring drilling holes and osteotomy lines, eliminating cutting guide fabrication and enhancing the efficiency of maxillary positioning during surgery. Postoperative computed tomography (CT) analysis revealed clinically acceptable maxillary deviations of less than 1.2 mm. The mixed reality-guided technique provides a novel, cutting guide-free approach to maxillary positioning, enhancing surgical accuracy, workflow efficiency, and intraoperative adaptability.</p>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124870","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 Tranexamic Acid Associated With a Reduced Need for Hypotensive Anesthesia During Orthognathic Surgery?","authors":"Timothy M Weber, Brendan Squier, Brian E Kinard","doi":"10.1016/j.joms.2025.08.013","DOIUrl":"10.1016/j.joms.2025.08.013","url":null,"abstract":"<p><strong>Background: </strong>No prior study in orthognathic surgery has isolated the effects of tranexamic acid (TXA) from deliberate hypotensive anesthesia (HA). Due to hypoperfusion risks with HA, it is valuable to evaluate the efficacy of TXA in the absence of HA as the utility of TXA to decrease blood loss may potentially make HA an unnecessary risk.</p><p><strong>Purpose: </strong>The study purpose was to assess surgical site visualization and measure blood loss among subjects exposed to TXA during bimaxillary orthognathic surgery without deliberate HA.</p><p><strong>Study design, setting, sample: </strong>A prospective cohort study was performed at the University of Alabama at Birmingham for subjects ages 14 to 75 who received TXA during bimaxillary orthognathic surgery. Exclusion criteria included those who underwent single jaw surgery or could not receive TXA.</p><p><strong>Predictor variable: </strong>The predictor variable was the percentage of time spent under HA; either greater or less than 10%.</p><p><strong>Main outcome variables: </strong>The main outcome variable was blood loss measured by surgical field visibility, estimated blood loss, and changes in hemoglobin and hematocrit.</p><p><strong>Covariates: </strong>Covariates included age, sex, race, American Society of Anesthesiologists physical status classification score, surgery length, osteotomy type, and concomitant procedures.</p><p><strong>Analyses: </strong>Bivariate analyses were used to measure the association between level of HA and blood loss. P value of < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The sample was composed of 115 subjects with a mean age of 26.1 ± 11.4 and 69 (60.0%) were female. There were 51 (44.3%) subjects with less than 10% of the case under HA versus 64 (55.7%) with greater than 10% HA. There was no statistically significant difference between the cohorts in terms of surgical field visibility, estimated blood loss, or changes in hemoglobin or hematocrit (P values > 0.1).</p><p><strong>Conclusions and relevance: </strong>TXA use maintains surgical visibility and blood loss under normotensive conditions that is not inferior to HA. Usage of normotensive anesthesia may decrease costs secondary to medication usage, usage of invasive monitoring, and contributes to efficiency of surgical care. These findings may decrease reliance on HA and its inherent risk of end organ damage; a randomized controlled trial is necessary to confirm these findings.</p>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102657","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":"Persistent Neurosensory Disturbance Following Sagittal Split Osteotomy: A Systematic Review and Meta-Analysis of One-Year Outcomes and Risk Factors.","authors":"Andrew Bertagna E, Frederic Van der Cruyssen, Michael Miloro","doi":"10.1016/j.joms.2025.08.014","DOIUrl":"https://doi.org/10.1016/j.joms.2025.08.014","url":null,"abstract":"<p><strong>Background: </strong>Sagittal split osteotomy (SSO) is widely performed for mandibular repositioning; however, inferior alveolar nerve injury may result in persistent neurosensory disturbance (NSD) that affects quality of life. The true 1-year incidence and associated risk factors remain uncertain.</p><p><strong>Purpose: </strong>The study purpose was to estimate the 1-year incidence of persistent NSD after SSO and to evaluate risk factors.</p><p><strong>Data sources: </strong>We systematically searched PubMed and Embase (1998 to February 2025). Eligible human studies (randomized, prospective, retrospective) reporting NSD outcomes after SSO and possible risk factors in English language were included.</p><p><strong>Study selection: </strong>Randomized controlled trials and prospective and retrospective cohort studies with a minimum follow-up of 3 months, reporting NSD incidence and potential predictors, were included. Nonhuman studies, case reports, and studies with alternative osteotomy techniques or incomplete NSD assessment were excluded. Study selection was performed by 2 independent reviewers.</p><p><strong>Data extraction and synthesis: </strong>Following PRISMA, we extracted study characteristics, variable definitions, NSD assessment methods, and 1-year outcomes. \"Persistent NSD\" was defined as any NSD reported or assessed at 12 months postoperatively. Random- and fixed-effects models estimated pooled 1-year incidence; heterogeneity (I²) and small-study effects were assessed.</p><p><strong>Results: </strong>The final sample comprised 47 studies (5,406 patients). The pooled 1-year incidence of persistent NSD was 21% (95% CI, 13%-32%). Older age (statistically significant in 5 out of 9 studies), greater mandibular advancement (significant in 2 out of 2 studies), and intraoperative nerve exposure/manipulation (significant in 2 out of 3 studies) were statistically significantly associated with a higher risk of persistent NSD across contributing adequately powered studies. Across the available evidence, persistent NSD was not significantly associated with sex (8/9 studies), skeletal class (4/5), fixation method (1/2), third molar presence (1/1), or concomitant genioplasty (3/5).</p><p><strong>Conclusions and relevance: </strong>NSD following SSO persists in 1 in 5 patients at 1 year. Larger mandibular advancements and nerve manipulation increase persistent NSD risk. Standardized NSD assessments and adequately powered studies are essential to refine risk stratification and optimize surgical techniques.</p>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124968","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":"Can Chatbots Provide Accurate and Readable Information for Patients With Temporomandibular Disorders?","authors":"Luís Eduardo Charles Pagotto, Dennys Ramon de Melo Fernandes Almeida, Thiago de Santana Santos, Everton Freitas de Morais","doi":"10.1016/j.joms.2025.08.012","DOIUrl":"10.1016/j.joms.2025.08.012","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMDs) are common musculoskeletal and neuromuscular conditions that impair jaw function and quality of life. Patients often lack access to reliable health information. Large language models (LLMs) have introduced chatbots as potential educational tools, yet concerns remain regarding accuracy, readability, empathy, and citation integrity.</p><p><strong>Purpose: </strong>This study evaluated whether LLM-based chatbots can provide clinically accurate, empathic, and readable responses to patient-friendly questions about TMDs and whether their cited references are authentic.</p><p><strong>Study design, setting, sample: </strong>This cross-sectional in silico study was conducted in March 2025. Twenty-three standardized TMD-related questions were used as prompts for each chatbot.</p><p><strong>Predictor/exposure/independent variable: </strong>The predictor variable was the chatbot platform, reflecting distinct LLM architectures: GPT-4 (transformer-based autoregressive model, OpenAI), Gemini Pro (multimodal transformer, Google), and DeepSeek-V3 (mixture-of-experts transformer, DeepSeek).</p><p><strong>Main outcome variables: </strong>Accuracy was defined as the proportion of responses judged clinically correct by two board-certified oral medicine specialists. Empathy was assessed by expert scoring of tone. Readability was determined with Flesch-Kincaid Reading Ease and Grade Level. Citation reliability was assessed by verifying whether references were authentic and retrievable in PubMed or other authoritative databases.</p><p><strong>Covariates: </strong>No formal covariates were included; exploratory correlations between variables were performed.</p><p><strong>Analyses: </strong>Descriptive statistics, 1-way analysis of variance with Tukey's post hoc tests, Pearson correlation, and χ² tests were performed. Statistical significance was set at P < .05.</p><p><strong>Results: </strong>No statistically significant differences were observed in accuracy (P = .2) or empathy (P = .2). The mixture-of-experts transformer provided the most readable content (Flesch-Kincaid Reading Ease = 28.47; Flesch-Kincaid Grade Level = 12.19; P < .001). The transformer-based autoregressive model produced the highest proportion of hallucinated references (47.2%), compared with the multimodal transformer (18.8%) and the mixture-of-experts transformer (10.1%) (P < .001). A weak positive correlation was found between accuracy and readability (r = 0.27; P = .03), with no correlation between accuracy and empathy.</p><p><strong>Conclusions and relevance: </strong>While all LLM-based chatbots delivered generally accurate and empathetic responses, the mixture-of-experts transformer outperformed others in readability and citation reliability. The high rate of hallucinated references in the transformer-based autoregressive model underscores the need for human oversight in clinical applications.</p>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092045","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":"AAOMS Author Disclosure forms","authors":"","doi":"10.1016/S0278-2391(25)00617-2","DOIUrl":"10.1016/S0278-2391(25)00617-2","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages A8-A10"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921149","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: How Artificial Intelligence Differs From Humans in Peer Review","authors":"Hinpetch Daungsupawong PhD,&nbsp;Viroj Wiwanitkit MD","doi":"10.1016/j.joms.2025.04.025","DOIUrl":"10.1016/j.joms.2025.04.025","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Page 1065"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921150","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 Oral and Maxillofacial Surgeon Experience Affect Opioid Prescriptions to Medicare Recipients?","authors":"Tim T. Wang DMD, MD, MPH,&nbsp;Lang Liang BS,&nbsp;Jeffrey T. Hajibandeh DDS, MD,&nbsp;David A. Keith BDS, FDSRCS, DMD,&nbsp;Cameron C. Lee DMD, MD","doi":"10.1016/j.joms.2025.06.041","DOIUrl":"10.1016/j.joms.2025.06.041","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Page S16"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018726","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":"Long-Term Aesthetic and Functional Outcomes of Early Cleft Lip Repair: A Retrospective Analysis of 133 Patients","authors":"Raina K. Patel BS,&nbsp;Valeria Mejia BS,&nbsp;Melanie Bakovic BS,&nbsp;Asli Pekcan BS,&nbsp;Marvee Turk MD, MPH,&nbsp;Alyssa B. Valenti MD,&nbsp;William P. Magee III MD, DDS,&nbsp;Mark M. Urata MD, DDS,&nbsp;Jeffrey A. Hammoudeh MD, DDS","doi":"10.1016/j.joms.2025.06.095","DOIUrl":"10.1016/j.joms.2025.06.095","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Page S57"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018794","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":"Comorbidities and Feeding Challenges After Mandibular Distraction Osteogenesis in Robin Sequence Patients","authors":"Melanie Bakovic BS,&nbsp;Asli Pekcan BS,&nbsp;Raina K. Patel BS,&nbsp;Valeria Mejia BS,&nbsp;Marvee Turk MD, MPH,&nbsp;Alyssa B. Valenti MD,&nbsp;Caroline Kreh BS,&nbsp;Nora Papazyan DDS,&nbsp;Mark M. Urata MD, DDS,&nbsp;Jeffrey A. Hammoudeh MD, DDS","doi":"10.1016/j.joms.2025.06.033","DOIUrl":"10.1016/j.joms.2025.06.033","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"83 9","pages":"Pages S4-S5"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020794","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}