Maxillofacial Plastic and Reconstructive Surgery最新文献

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Radiological features of Stafne mandibular bone cavity in panoramic image and cone beam computed tomography 全景图像和锥形束计算机断层扫描中斯塔夫内下颌骨骨腔的放射学特征
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-03-19 DOI: 10.1186/s40902-024-00415-y
Jangwoo Son, Dong-Jae Lee, Kang-Min Ahn
{"title":"Radiological features of Stafne mandibular bone cavity in panoramic image and cone beam computed tomography","authors":"Jangwoo Son, Dong-Jae Lee, Kang-Min Ahn","doi":"10.1186/s40902-024-00415-y","DOIUrl":"https://doi.org/10.1186/s40902-024-00415-y","url":null,"abstract":"Stafne mandibular bone cavity (SMBC) is an asymptomatic radiolucent lesion observed in the mandible on X-ray images, with well-defined borders. This lesion does not require treatment, and size changes are very rare. The purpose of this article is to summarize the radiological and clinical features of SMBC, aiming to prevent misinterpretation of this benign lesion as other pathologies and aid in differential diagnosis within the field of dental practice. A total of 32 patients who visited our hospital and were radiologically diagnosed with SMBC based on cone-beam computed tomography (CBCT) and panoramic images between 2005 and 2021 were included in this study. Among them, surgical intervention was performed in one case. Gender and age distribution of the patients, radiographic location and size of the lesion, relationship with the mandibular canal in CBCT, presence of cortical bone erosion in the mandibular lingual area in panoramic images, and the amount of residual cortical bone on the affected side in CBCT were investigated. Patients were 26 men (81.3%) and 6 women, with a mean age of 54.3 years. The average horizontal and vertical length was 16.6 mm and 10.6 mm. Out of a total of 32 cases, 29 cases were found in the posterior region of the mandibular body, while 3 cases were in the angle of the mandible. Lesions located below the mandibular canal were observed in 29 cases, while lesions involving the mandibular canal were present in 3 cases. Erosion of the mandibular lingual cortical bone was observed in 11 cases (34.4%), while 21 cases (65.6%) showed no erosion on panoramic images. Among the total of 14 cases (43.8%) where the cortical bone on the affected side was invaded, the average residual cortical bone thickness was 1.1 mm. SMBC is a benign lesion primarily found in the mandibular angle and posterior body of the mandible. In most cases, treatment is not necessary, and differentiation from other lesions can be achieved by understanding its clinical characteristics and features on panoramic radiographs and CBCT.","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"149 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140170199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prognostic factors of oral squamous cell carcinoma: the importance of recurrence and pTNM stage. 口腔鳞状细胞癌的预后因素:复发和 pTNM 分期的重要性。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-03-04 DOI: 10.1186/s40902-024-00410-3
Min Jae Kim, Kang-Min Ahn
{"title":"Prognostic factors of oral squamous cell carcinoma: the importance of recurrence and pTNM stage.","authors":"Min Jae Kim, Kang-Min Ahn","doi":"10.1186/s40902-024-00410-3","DOIUrl":"10.1186/s40902-024-00410-3","url":null,"abstract":"<p><strong>Background: </strong>Oral squamous cell carcinoma has a poor prognosis. Therefore, prognostic factors are important to increase the survival rate. This study assessed the survival rate and the prognostic factors for survival of patients with oral squamous cell carcinoma.</p><p><strong>Method: </strong>This study included 168 patients who underwent surgery for oral squamous cell carcinoma between January 2006 and December 2021. The survival rate was analyzed with overall survival and disease-specific survival. The patient's age, sex, pTNM stage, primary sites (lip, tongue, mouth of floor, mandibular gingiva, maxillary gingiva, mandibular vestibule, maxillary vestibule, retromolar trigone, palate, buccal mucosa, primary intra-osseous site), smoking and alcohol drinking habits, depth of invasion, perineural and lymphovascular invasion, cell differentiation, and postoperative radiotherapy were evaluated to analyze risk factors. Kaplan-Meier methods were used to estimate the survival rates. Cox regression methods were used to investigate the main independent predictors of survival in univariable and multivariable analysis.</p><p><strong>Results: </strong>Sixty-eight patients died of oral squamous cell carcinoma during follow-up periods. Their overall survival for 5 years was 51.2%, and the disease-specific survival was 59.2%. In univariable analysis, seven factors which are neck metastasis, depth of invasion, cell differentiation, lymphovascular invasion, postoperative radiotherapy, pTNM stage, and recurrence were significantly associated with survival. In multivariable analysis, pTNM stage and recurrence were significantly associated with survival.</p><p><strong>Conclusion: </strong>In patients with oral squamous cell carcinoma, pTNM stage and recurrence were significant prognostic factors. Neck metastasis, depth of invasion, cell differentiation, lymphovascular invasion, and postoperative radiotherapy were also prognostic factors. These factors serve as markers for obtaining prognosis information in oral squamous cell carcinoma.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"8"},"PeriodicalIF":2.3,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10909804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Residual calcified material volume of β-tricalcium phosphate with platelet-rich fibrin in unilateral alveolar bone graft. 单侧牙槽骨移植中含有富血小板纤维蛋白的β-磷酸三钙的残余钙化物体积。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-03-01 DOI: 10.1186/s40902-024-00420-1
Chon T Ho Nguyen, Minh H Bui, Phuong H Lam
{"title":"Residual calcified material volume of β-tricalcium phosphate with platelet-rich fibrin in unilateral alveolar bone graft.","authors":"Chon T Ho Nguyen, Minh H Bui, Phuong H Lam","doi":"10.1186/s40902-024-00420-1","DOIUrl":"10.1186/s40902-024-00420-1","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effectiveness of β-tricalcium phosphate (β-TCP) and platelet-rich fibrin (PRF) in unilateral alveolar bone graft, involving the percentage of residual calcified material and the average labiopalatal thickness of the grafts on cone beam computed tomography at 6 months after surgery, comparing two age groups 12 years and under and over 12 years old.</p><p><strong>Results: </strong>The mean preoperative defect volume was 0.93 ± 0.20 cm<sup>3</sup>, with no significant difference between the two groups (p = 0.652). In the postoperative period, we did not record any abnormal bleeding and no infection was observed. Six months after surgery, the mean percentage of residual calcified material was 63.53 ± 16.48% with a significantly higher difference in the age group 12 and under (p < 0.001), and the mean average labiopalatal thickness of the grafted bone was 5.72 ± 1.09 mm with a significantly higher difference in the age group 12 and under (p = 0.011).</p><p><strong>Conclusion: </strong>Using β-TCP and PRF in alveolar bone graft surgery has acceptable effectiveness clinically and on CBCT images, with significantly higher differences of the percentage of residual calcified material and the average labiopalatal thickness of the grafted bone in the group 12 years old and younger than in the older group.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"7"},"PeriodicalIF":2.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10907557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes of treatment with short dental implants compared with standard-length implants: a retrospective clinical study. 短牙种植体与标准长度种植体的治疗效果比较:一项回顾性临床研究。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-02-28 DOI: 10.1186/s40902-024-00419-8
Kinga Bérczy, György Göndöcs, György Komlós, Tatiana Shkolnik, György Szabó, Zsolt Németh
{"title":"Outcomes of treatment with short dental implants compared with standard-length implants: a retrospective clinical study.","authors":"Kinga Bérczy, György Göndöcs, György Komlós, Tatiana Shkolnik, György Szabó, Zsolt Németh","doi":"10.1186/s40902-024-00419-8","DOIUrl":"10.1186/s40902-024-00419-8","url":null,"abstract":"<p><strong>Background: </strong>The size of dental implants is a key success factor for appropriate osseointegration. Using shorter implants allows the possibility of avoiding complex surgical procedures and reduces the morbidity of treatment. Shorter implants also enable implant-prosthetic rehabilitation after maxillofacial reconstructions where only limited bone is available. In this study, the success rates of short implants were examined and compared to those of standard-sized implants.</p><p><strong>Methods: </strong>Patients who received dental implants between 2007 and 2016 at the Department of Oro-Maxillofacial Surgery and Stomatology Semmelweis University were enrolled in the study. Several clinical parameters were recorded and supplemented with radiological examinations. The data were statistically analysed.</p><p><strong>Results: </strong>Thirty-four patients with a total of 60 implants were included. The average time after prosthetic loading was 39.33 ± 21.96 months in the group with 8-mm implants and 41.6 ± 27.5 months in the group with > 8-mm implants. No significant differences were observed between the two groups in terms of probing depth (short implants, 2.84 ± 0.09 mm; standard implants, 2.91 ± 0.35 mm) or mean marginal bone loss (short implants, 1.2 ± 1.21-mm mesially and 1.36 ± 1.47-mm distally; standard implants: 0.63 ± 0.80-mm mesially and 0.78 ± 0.70-mm distally).</p><p><strong>Conclusions: </strong>In this study, the success rate of short dental implants was comparable to that of standard-sized implants. Consequently, it can be claimed that the long-term success of short dental implants does not differ significantly from the long-term success of standard implants.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"6"},"PeriodicalIF":2.3,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139983296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fibular free flap with proximal perforator skin paddle due to aberrant anatomy - a case report. 腓骨游离皮瓣与近端穿孔器皮瓣因解剖结构异常而导致的畸形--病例报告。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-02-20 DOI: 10.1186/s40902-024-00416-x
Kyu-Bum Kim, Jihye Ryu, Jae-Yeol Lee
{"title":"Fibular free flap with proximal perforator skin paddle due to aberrant anatomy - a case report.","authors":"Kyu-Bum Kim, Jihye Ryu, Jae-Yeol Lee","doi":"10.1186/s40902-024-00416-x","DOIUrl":"10.1186/s40902-024-00416-x","url":null,"abstract":"<p><strong>Background: </strong>The fibular free flap is considered one of the most valuable options for mandible reconstruction. A perforator flap has gained widespread acceptance in oral and maxillofacial reconstruction. Typically, the fibula flap is obtained primarily with the distal perforator due to its reliable blood supply, with less attention given to the proximal perforators during the harvesting process. Normally, the distal perforator of the fibula exhibits stability and shows limited anatomical variations. However, there have been reported cases in which the distal perforator is absent. At times, these vascular abnormalities remain undetectable through Doppler examination or preoperative angiography evaluation. Therefore, this case details the experience of encountering the rare event of vascular abnormality in oral cancer surgery.</p><p><strong>Case presentation: </strong>This article reports the case of a patient who presented with a congenital absence of the distal perforator in the peroneal artery, attributed to a vascular abnormality. Additionally, we provide a review of the concept of utilizing the proximal perforator as an alternative approach in the flap harvesting process.</p><p><strong>Conclusions: </strong>While the distal perforator of the peroneal artery is typically utilized for fibula free flap procedures, surgeons must remain cognizant of the potential for its absence due to aberrant anatomy. Recognizing an alternative approach in such cases can be pivotal for precise surgical planning and favorable outcomes in oral and maxillofacial reconstruction.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"5"},"PeriodicalIF":2.3,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10879059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139905966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of frontal sinus trauma: a retrospective study of surgical interventions and complications. 额窦外伤的处理:手术干预和并发症的回顾性研究。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-01-18 DOI: 10.1186/s40902-024-00414-z
InKyeong Kim, Jeong-Mo Kim, Jiha Kim, Seung Jin Lee, Eui-Cheol Nam
{"title":"Management of frontal sinus trauma: a retrospective study of surgical interventions and complications.","authors":"InKyeong Kim, Jeong-Mo Kim, Jiha Kim, Seung Jin Lee, Eui-Cheol Nam","doi":"10.1186/s40902-024-00414-z","DOIUrl":"10.1186/s40902-024-00414-z","url":null,"abstract":"<p><strong>Background: </strong>Frontal sinus injuries are relatively rare among facial bone traumas. Without proper treatment, they can lead to fatal intracranial complications, including meningitis or brain abscesses, as well as aesthetic and functional sequelae. The management of frontal sinus injuries remains controversial, with various treatment methods and outcomes being reported. This article describes the clinical characteristics, surgical methods, and outcomes among 17 patients who underwent surgery for frontal sinus injury and related complications.</p><p><strong>Case presentation: </strong>We retrospectively included 17 patients who underwent surgery for frontal sinus injury and its related complications at the Kangwon National University Hospital between July 2010 and September 2021. Among them, six underwent simple open reduction and fixation of the anterior wall, eight underwent sinus obliteration, and three underwent cranialization. Two patients who underwent sinus obliteration died due to infection-related complications. The patient who underwent cranialization reported experiencing chronic headache and expressed dissatisfaction regarding the esthetic outcomes of the forehead. Except for these three patients, the other patients achieved satisfactory esthetic and functional recovery.</p><p><strong>Conclusion: </strong>Active surgical management of frontal sinus injuries is often required owing to the various complications caused by these injuries; however, several factors, including the fracture type, clinical presentation, related craniomaxillofacial injury, and medical history, should be considered while formulating the treatment plan. Surgical treatment through the opening of the frontal sinus should be actively considered in patients with severely damaged posterior wall fractures and those at risk of developing infection.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"4"},"PeriodicalIF":2.3,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10794673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139485170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The golden ratio-dispelling the myth. 黄金比例--打破神话
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-01-17 DOI: 10.1186/s40902-024-00411-2
Farhad B Naini
{"title":"The golden ratio-dispelling the myth.","authors":"Farhad B Naini","doi":"10.1186/s40902-024-00411-2","DOIUrl":"10.1186/s40902-024-00411-2","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this article is to explore the claims often cited in scientific journals regarding the golden ratio, and its proposed link to beauty and idealized forms in nature, including idealized human proportions.</p><p><strong>Main body: </strong>Claims made in the nineteenth century through to the modern day in the clinical literature do not appear to be supported by evidence.</p><p><strong>Short conclusions: </strong>There is no convincing evidence that the golden ratio is linked to idealized human proportions or facial beauty. There is currently no evidence to support the use of the golden ratio in orthognathic or facial aesthetic/reconstructive surgical planning or analysis of results.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"2"},"PeriodicalIF":2.3,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10792139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139478787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
One-stage jaw reconstruction and prosthetic rehabilitation with an iliac flap: a case report and literature review. 使用髂骨皮瓣进行单阶段颌骨重建和假体修复:病例报告和文献综述。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-01-17 DOI: 10.1186/s40902-024-00413-0
Yi-Fan Kang, Yan-Jun Ge, Xiao-Ming Lv, Meng-Kun Ding, Xiao-Feng Shan, Zhi-Gang Cai
{"title":"One-stage jaw reconstruction and prosthetic rehabilitation with an iliac flap: a case report and literature review.","authors":"Yi-Fan Kang, Yan-Jun Ge, Xiao-Ming Lv, Meng-Kun Ding, Xiao-Feng Shan, Zhi-Gang Cai","doi":"10.1186/s40902-024-00413-0","DOIUrl":"10.1186/s40902-024-00413-0","url":null,"abstract":"<p><strong>Background: </strong>One-stage jaw reconstruction with fibular flap and prosthetic rehabilitation restores bony and dental continuity simultaneously. It was also called as \"jaw-in-a-day (JIAD)\" technique. However, bone volume and height of fibular flap may be insufficient for dental implant insertion. The provision of a considerable amount of bone makes an iliac flap the ideal choice in these cases. We present the first case report to document the use of one-stage jaw reconstruction and prosthetic rehabilitation with the iliac flap.</p><p><strong>Case presentation: </strong>We modified the conventional JIAD workflow to make it suitable for iliac flap. Two cases were presented who both underwent segmental mandibulectomy for ameloblastoma. Virtual surgical planning was performed in all cases. The iliac crest was positioned upward to provide cortical bone for achieving primary stability of dental implants. Similar to the \"all-on-4\" procedure, the iliac bone was placed 12 to 15 mm below the occlusal plane to create adequate space for the implant-retained prosthesis. Immediate implant-based dental rehabilitation was performed at same stage. The surgery was successful in all cases without any short-term complications. In the first postoperative week, patients were given a liquid diet through a nasal feeding tube. The liquid diet is advised until 1 month after the surgery. Thereafter, a soft diet is recommended. Patients were advised to resume routine mastication and normal diet 3 months after the surgery. Peri-implantitis occurred in one patient, and additional gingival graft was required. Postoperative function and esthetics were satisfactory at the last follow-up visit.</p><p><strong>Conclusions: </strong>One-stage jaw reconstruction and prosthetic rehabilitation with the iliac flap are safe and useful for restoring postoperative function and esthetics. It should be used in more cases with a longer follow-up in further studies.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"3"},"PeriodicalIF":2.3,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10794675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139478784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The presence and distribution of various genes in postnatal CLP-affected palatine tissue. 受CLP影响的出生后腭组织中各种基因的存在和分布。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-01-16 DOI: 10.1186/s40902-024-00412-1
Jana Goida, Mara Pilmane
{"title":"The presence and distribution of various genes in postnatal CLP-affected palatine tissue.","authors":"Jana Goida, Mara Pilmane","doi":"10.1186/s40902-024-00412-1","DOIUrl":"10.1186/s40902-024-00412-1","url":null,"abstract":"<p><strong>Background: </strong>Worldwide cleft lip with or without a cleft palate (CL/P) is the most common craniofacial birth defect. Apart from changes in facial appearance, additionally affected individuals often suffer from various associated comorbidities requiring complex multidisciplinary treatment with overall high expenses. Understanding the complete pathogenetic mechanisms of CL/P might aid in developing new preventative strategies and therapeutic approaches, help with genetic counselling, and improve quality of life. Many genes have been associated with the development of orofacial clefts; however, the majority require further research. Based on the role of PAX7, PAX9, SHH, SOX3, WNT3A, and WNT9B in orofacial development, the intention was to use chromogenic in situ hybridization to detect the six genes in postnatal CLP-affected palatine tissue and compare their distribution within the tissue samples.</p><p><strong>Results: </strong>Statistically significant differences in the distribution of PAX7, PAX9, WNT3A, and WNT9B were observed. In total, 19 pairs of moderate to very strong positive correlations were noted.</p><p><strong>Conclusions: </strong>Changes in the cleft-affected palatine epithelium primarily seem to be associated with the PAX7 gene; however, PAX9, WNT3A, WNT9B, and SOX3 role seems to be more limited. Whilst connective tissue changes seem to depend on PAX7 only, SHH seems to participate individually and indistinctly. Numerous positive correlations reflect the complicating interactions of the pathways and their components in the orofacial cleft morphopathogenesis.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"1"},"PeriodicalIF":2.3,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10792134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Redefining precision and efficiency in orthognathic surgery through virtual surgical planning and 3D printing: a narrative review 通过虚拟手术规划和 3D 打印重新定义正颌外科手术的精度和效率:叙述性综述
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2023-12-18 DOI: 10.1186/s40902-023-00409-2
Yong-Chan Lee, Seong-Gon Kim
{"title":"Redefining precision and efficiency in orthognathic surgery through virtual surgical planning and 3D printing: a narrative review","authors":"Yong-Chan Lee, Seong-Gon Kim","doi":"10.1186/s40902-023-00409-2","DOIUrl":"https://doi.org/10.1186/s40902-023-00409-2","url":null,"abstract":"Orthognathic surgery, essential for addressing jaw and facial skeletal irregularities, has historically relied on traditional surgical planning (TSP) involving a series of time-consuming steps including two-dimensional radiographs. The advent of virtual surgical planning (VSP) and 3D printing technologies has revolutionized this field, bringing unprecedented precision and customization to surgical processes. VSP facilitates 3D visualization of the surgical site, allowing for real-time adjustments and improving preoperative stress for patients by reducing planning time. 3D printing dovetails with VSP, offering the creation of anatomical models and surgical guides, enhancing the predictability of surgical outcomes despite higher initial setup and material costs. The integration of VSP and 3D printing promises innovative and effective solutions in orthognathic surgery, surpassing the limitations of traditional methods. Patient-reported outcomes show a positive post-surgery impact on the quality of life, underlining the significant role of these technologies in enhancing self-esteem and reducing anxiety. Economic analyses depict a promising long-term fiscal advantage with these modern technologies, notwithstanding the higher initial costs. The review emphasizes the need for large-scale randomized controlled trials to address existing research gaps and calls for a deeper exploration into the long-term impacts and ethical considerations of these technologies. In conclusion, while standing on the cusp of a technological renaissance in orthognathic surgery, it is incumbent upon the medical fraternity to foster a collaborative approach, balancing innovation with scrutiny to enhance patient care. The narrative review encourages the leveraging of VSP and 3D printing technologies for more efficient and patient-centric orthognathic surgery, urging the community to navigate uncharted territories in pursuit of precision and efficiency in the surgical landscape.","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"19 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138715503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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