Journal of Oral and Maxillofacial Surgery最新文献

{"title":"Custom Titanium Plates as a Marker of Surgical Complexity in Orthognathic Surgery: Association With Operative Time, Length of Stay, and Intraoperative Fluid Requirements","authors":"Ryan A. Alt, Steven Wang DMD, MD, Puhan He DMD, MD, John Button DMD, MOPH, Matthew Sullivan DMD, Amanda Mavricos, Brian Ford DMD, MD, FACS","doi":"10.1016/j.joms.2026.06.060","DOIUrl":"10.1016/j.joms.2026.06.060","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S25-S26"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859483","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":"Mandibular Interforaminal Ridge Reorientation for Osteogenic Reinforcement for Knife-Edge and Hourglass Mandibles in the Anterior Region: A Technical Note","authors":"Daniele De Santis MD, DDS,&nbsp;Federico Gelpi DDS, MSc,&nbsp;Francesco Gianfreda DDS, PhD,&nbsp;Federica Melloni DDS,&nbsp;Pietro Montagna DDS, MSc","doi":"10.1016/j.joms.2026.04.002","DOIUrl":"10.1016/j.joms.2026.04.002","url":null,"abstract":"<div><div>Severely narrow interforaminal mandibular ridges with knife-edge or hourglass morphology may compromise implant placement despite preserved vertical height. This technical note describes the Mandibular Interforaminal Ridge Reorientation for Osteogenic Reinforcement technique, a same-site approach in which a crestal cortical segment is mobilized and reoriented outward to create a contained tunnel for particulate grafting under a titanium-reinforced dense polytetrafluoroethylene membrane. The surgical workflow includes controlled osteotomies, stabilization of the mirrored segment, tunnel grafting, and tension-free closure. In a consecutive series of five cases, cone beam computed tomography at 6 months showed a mean horizontal gain of 4.08 mm, enabling implant placement in all cases and continuation of the planned prosthetic rehabilitation. Mandibular Interforaminal Ridge Reorientation for Osteogenic Reinforcement may represent a pragmatic option for selected anterior mandibular atrophies with preserved height, avoiding donor-site morbidity. Further clinical studies are required to validate its predictability.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages 1465-1470"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774353","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":"Osteoradionecrosis in Irradiated Patients After Osteocutaneous Free Flap Reconstruction With Dental Implants","authors":"Stephanie Sbarro DDS, MD,&nbsp;Kun Yoon DMD, MD,&nbsp;Amelia Wilson DMD,&nbsp;Dylan Salem DDS,&nbsp;Joli Chou DMD, MD,&nbsp;Andrew Yampolsky DDS, MD","doi":"10.1016/j.joms.2026.06.115","DOIUrl":"10.1016/j.joms.2026.06.115","url":null,"abstract":"<div>Osteoradionecrosis (ORN) is a significant complication of radiation therapy, particularly in patients undergoing reconstructive surgery. The reported incidence varies widely depending on patient and treatment factors. Recent literature has demonstrated ORN rates as high as 34% in high-risk irradiated populations. However, the risk of ORN in patients undergoing osteocutaneous free flap reconstruction with dental implant placement and radiation therapy remains poorly defined. This study aims to</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S75-S76"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861454","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":"Surgeon Operative Speed and Postoperative Recovery in Orthognathic Surgery: Institutional Pathways Mitigate Intraoperative Variation","authors":"Sahil Maher,&nbsp;Niharika Mukkamala,&nbsp;Puhan He DMD, MD,&nbsp;Brian Ford DMD, MD, FACS,&nbsp;Steven Wang DMD, MD","doi":"10.1016/j.joms.2026.06.142","DOIUrl":"10.1016/j.joms.2026.06.142","url":null,"abstract":"<div>Operative duration is frequently used as a surrogate marker of surgical efficiency; however, its relationship with postoperative recovery and adverse outcomes remains incompletely defined. A meta-analysis by Cheng et al demonstrated that prolonged operative duration across surgical specialties is associated with increased postoperative complications, including surgical site infection and venous thromboembolism.¹ Despite these findings, the impact of intraoperative variation on recovery</div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S89-S90"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861478","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":"MaxSafe: A Mobile-Friendly Calculator for Fractional Local Anesthetic Toxicity and Epinephrine Dose Tracking in Dental Practice","authors":"Soren Christensen DMD,&nbsp;Evan M. Shipp DDS","doi":"10.1016/j.joms.2026.06.094","DOIUrl":"10.1016/j.joms.2026.06.094","url":null,"abstract":"<div>Local anesthetic systemic toxicity (LAST) is a preventable but potentially life-threatening complication of regional anesthesia. In dental and oral surgical practice, procedures frequently require multiple local anesthetic agents for bilateral blocks, multi-quadrant surgery, and combined techniques. When multiple agents are administered, their toxicities are additive, governed by the fractional toxicity rule: (Dose1/Max1) + (Dose2/Max2) + ... = 1.0. Additionally, epinephrine coadministered as a </div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S57-S58"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861570","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":"Simultaneous Functional Endoscopic Sinus Surgery and Maxillary Tooth Extraction for Odontogenic Sinusitis: A Retrospective Cohort Analysis","authors":"Sterling Gray DDS,&nbsp;Erin Mulligan APRN,&nbsp;Victoria Lee MD,&nbsp;Nicholas F. Callahan DMD, MD, MPH, FACS","doi":"10.1016/j.joms.2026.06.110","DOIUrl":"10.1016/j.joms.2026.06.110","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S72-S73"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861470","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":"Preoperative Coenzyme Q10 Supplementation Modulates Oxidative Stress and Wound-Healing–Related Gene Expression After Orthognathic Surgery: A Randomized Placebo-Controlled Trial","authors":"Apitchaya Saibua DDS,&nbsp;Chonatee Chinkrua DDS, MS,&nbsp;Napatsorn Imerb DDS, PhD","doi":"10.1016/j.joms.2026.06.180","DOIUrl":"10.1016/j.joms.2026.06.180","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Page S93"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861474","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":"Intraoperative Hydromorphone Use Is Associated With Extended Hospital Length of Stay and Increased Postoperative Nausea and Vomiting Following Orthognathic Surgery","authors":"Ryan A. Alt,&nbsp;Steven Wang DMD, MD,&nbsp;Puhan He DMD, MD,&nbsp;John Button DMD, MOPH,&nbsp;Amanda Mavricos,&nbsp;Brian Ford DMD, MD, FACS","doi":"10.1016/j.joms.2026.06.054","DOIUrl":"10.1016/j.joms.2026.06.054","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages S32-S33"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861505","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":"Redundant Computed Tomography in Maxillofacial Trauma: A National Analysis of Frequency and Predictors Following Interfacility Transfer","authors":"Tim T. Wang DMD, MD, MPH,&nbsp;Lang Liang BS,&nbsp;Nicholas Wilken DDS, MD,&nbsp;Zachary Peacock DMD, MD,&nbsp;Gary Warburton DDS, MD,&nbsp;John Caccamese DMD, MD,&nbsp;Cameron Lee DMD, MD","doi":"10.1016/j.joms.2026.04.007","DOIUrl":"10.1016/j.joms.2026.04.007","url":null,"abstract":"<div><h3>Background</h3><div>Duplication of computed tomography (CT) imaging following interfacility transfer for trauma is a well-established systems level inefficiency. However, the incidence and drivers of repeat imaging have not been examined within the maxillofacial trauma demographic.</div></div><div><h3>Purpose</h3><div>The purpose was to estimate the frequency and factors associated with redundant maxillofacial CT imaging among adults transferred for isolated facial fractures.</div></div><div><h3>Study design, setting sample</h3><div>This was a retrospective cohort study using the American College of Surgeons National Trauma Data Bank from 2017 to 2024. Patients at least 18 years of age, transferred for management of isolated facial fractures, were included. Patients with missing data were excluded.</div></div><div><h3>Predictor variable</h3><div>The predictor variable was a set of factors categorized as demographic (age, sex), clinical (Charlson comorbidity index), injury-related (fracture location), and hospital-level characteristics (bed size, teaching status).</div></div><div><h3>Main outcome variable</h3><div>The primary outcome was duplicated imaging, defined as the receipt of a dedicated maxillofacial CT scan at the receiving trauma center within 24 hours of arrival.</div></div><div><h3>Covariates</h3><div>None.</div></div><div><h3>Analyses</h3><div>Descriptive, bivariate, and multivariable logistic regression statistics were computed to measure the associations between study variables and duplicated imaging. An alpha threshold of <em>P</em> &lt; .001 was considered statistically significant.</div></div><div><h3>Results</h3><div>The cohort consisted of 72,766 subjects with a mean age of 47.0 ± 20.2 years and was 69.8% male (n = 50,817). Redundant imaging occurred in 16.8% (n = 12,206) of the cohort over the study period. In the fully adjusted model, the strongest predictor of redundancy was the receipt of a trauma pan-scan (odds ratio [OR] = 11.0, 95% CI 10.2 to 11.9, <em>P</em> &lt; .001). Other predictors included for-profit status (OR = 1.65, 95% CI, 1.55 to 1.76), university hospitals (OR = 1.27, 95% CI, 1.16 to 1.40), and mandibular fractures (OR = 1.28, 95% CI, 1.19 to 1.37) (all <em>P</em> &lt; .001). Conversely, hospitals with &gt;600 beds were less likely to duplicate scans (OR = 0.59, 95% CI, 0.52 to 0.67, <em>P</em> &lt; .001). Repeated imaging was associated with a 2 to 3% increase in operative intervention for fractures of the mandible, maxilla, and orbit (all <em>P</em> &lt; .001).</div></div><div><h3>Conclusions and relevance</h3><div>Imaging redundancy affects approximately one in 6 transferred facial trauma patients and is driven primarily by trauma imaging protocols and hospital characteristics.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages 1449-1460"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839248","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":"Sensory Outcomes Following Nerve Tape Sutureless Neurorrhaphy for Reconstruction of Lingual and Inferior Alveolar Nerve Discontinuities","authors":"Timothy W. Neal DDS, MD,&nbsp;Yotom Rabinowitz DDS,&nbsp;John R. Zuniga DMD, MS, PhD","doi":"10.1016/j.joms.2026.04.009","DOIUrl":"10.1016/j.joms.2026.04.009","url":null,"abstract":"<div><h3>Background</h3><div>Trigeminal nerve repair with microsuture techniques provides predictable functional sensory recovery (FSR) outcomes. Recently, Nerve Tape (Biocircuit Technologies, Inc., Atlanta, Georgia), a new sutureless peripheral nerve repair device, has been introduced.</div></div><div><h3>Purpose</h3><div>The purpose of this case series was to estimate the rate of FSR following reconstruction of the lingual (LN) and inferior alveolar nerves (IAN) using sutureless neurorrhaphy.</div></div><div><h3>Study design</h3><div>This retrospective case series was composed of subjects who underwent reconstruction of IAN and LN discontinuities using sutureless neurorrhaphy from 2023 to 2025 at the University of Texas Southwestern and Virginia Commonwealth University. Subjects with inadequate follow-up or previous trigeminal nerve repair surgery by another surgeon were excluded.</div></div><div><h3>Predictor variable</h3><div>Not applicable.</div></div><div><h3>Outcome variable</h3><div>The primary outcome variable was time to FSR.</div></div><div><h3>Covariates</h3><div>Demographic covariates included age and sex. Preoperative covariates included the nerve injured (LN and IAN), laterality of the injured nerve, and etiology of injury. Operative covariates included the measured nerve gap in centimeters, allograft (yes/no), Sunderland classification found, and injury-to-surgery time in days.</div></div><div><h3>Analyses</h3><div>Frequencies and proportions were calculated for categorical data. Means, medians, and standard deviations were calculated for continuous data. Cox proportional hazards model was used to estimate the effect of the covariates on the primary outcome, time to FSR. Kaplan-Meier curve was generated to estimate the probability of achieving FSR. A <em>P</em> value of &lt;.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The study sample was composed of 19 subjects who underwent 21 nerve repairs using sutureless neurorrhaphy. There was no significant effect of the covariates on the primary outcome. FSR was achieved in 62% of subjects by 3 months and in 81% by 6 months.</div></div><div><h3>Conclusions</h3><div>The estimated FSR rate following trigeminal nerve repair with sutureless neurorrhaphy is within the published FSR range using microsuture neurorrhaphy.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 9","pages":"Pages 1480-1486"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838917","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}