Oral and Maxillofacial Surgery Cases最新文献_第2页

Application of low-profile patient-specific surgical cutting guides in the management of craniofacial fibrous dysplasia: A case report and review of current surgical approaches 在颅面纤维发育不良治疗中应用低轮廓患者特异性手术切割指南：一个病例报告和当前手术入路的回顾

Oral and Maxillofacial Surgery Cases Pub Date : 2025-04-11 DOI: 10.1016/j.omsc.2025.100399

Mahdi Zakeri , Brian Kinard

{"title":"Application of low-profile patient-specific surgical cutting guides in the management of craniofacial fibrous dysplasia: A case report and review of current surgical approaches","authors":"Mahdi Zakeri , Brian Kinard","doi":"10.1016/j.omsc.2025.100399","DOIUrl":"10.1016/j.omsc.2025.100399","url":null,"abstract":"<div><div>Managing craniofacial fibrous dysplasia (FD) poses significant challenges, particularly in balancing functional and aesthetic outcomes. Traditional approaches often require broad exposure through coronal flaps or midfacial degloving, leading to increased morbidity and extended recovery. This case report highlights a minimally invasive approach for a 20-year-old female with disfiguring zygomaticomaxillary FD. Through computer-aided surgical simulation (CASS), low-profile patient-specific recontouring guides were employed to perform precise bone recontouring through transconjunctival and intraoral incisions. Postoperative imaging confirmed accurate bone removal when superimposed with the preoperative plan. The patient achieved satisfactory facial symmetry with reduced morbidity. This approach demonstrates that combining CASS with low-profile patient specific recontouring guides can optimize outcomes for complex craniofacial FD cases. Further research and comparative studies are necessary to fully assess the long-term benefits of this technique in surgical managing FD and other benign craniofacial lesions.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100399"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143842651","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

Oral mycetoma of the upper lip nasolabial region in a healthy host: A case report and minireview of diagnostic and therapeutic considerations 健康宿主上唇鼻唇区口腔真菌瘤：病例报告及诊断和治疗注意事项综述

Oral and Maxillofacial Surgery Cases Pub Date : 2025-04-11 DOI: 10.1016/j.omsc.2025.100400

Kenichi Ogata , Michiaki Akashi , Shintaro Kawano

{"title":"Oral mycetoma of the upper lip nasolabial region in a healthy host: A case report and minireview of diagnostic and therapeutic considerations","authors":"Kenichi Ogata , Michiaki Akashi , Shintaro Kawano","doi":"10.1016/j.omsc.2025.100400","DOIUrl":"10.1016/j.omsc.2025.100400","url":null,"abstract":"<div><div>Oral mycetoma, or fungal ball, is a rare entity typically affecting immunocompromised individuals; its presentation in the oral cavity, particularly the upper lip of healthy hosts, is exceedingly rare. We report a unique instance of upper lip nasolabial mycetoma in a 60-year-old immunocompetent male presenting with painless swelling. Initial imaging (magnetic resonance imaging/ultrasonography) revealed a well-defined, fluid-filled nodule, mimicking a benign neoplasm or mucocele. Excisional biopsy and subsequent histopathological examination with Grocott methenamine silver staining definitively diagnosed mycetoma, revealing encapsulated abscesses with filamentous fungal hyphae, suggestive of Aspergillus etiology. This case highlights the diagnostic ambiguity of atypical fungal infections in immunocompetent patients and underscores the necessity to consider fungal etiologies in the differential diagnosis of oral lesions, irrespective of patient immune status. Histopathology remains crucial for definitive diagnosis and appropriate management. Surgical excision with 1-year follow-up proved to be an effective therapeutic modality for localized oral fungal mycetoma in this healthy individual.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100400"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143830073","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

Managing wound complications in hypoglossal nerve stimulation: Prevention strategies and criteria for avoiding device explantation 舌下神经刺激术中伤口并发症的处理：避免器械外植的预防策略和标准

Oral and Maxillofacial Surgery Cases Pub Date : 2025-03-31 DOI: 10.1016/j.omsc.2025.100398

Kai-Yuan Hsiao , Martha Lucía Gutiérrez Pérez , Patrícia S. Cé , Thomaz Fleury Curado

{"title":"Managing wound complications in hypoglossal nerve stimulation: Prevention strategies and criteria for avoiding device explantation","authors":"Kai-Yuan Hsiao , Martha Lucía Gutiérrez Pérez , Patrícia S. Cé , Thomaz Fleury Curado","doi":"10.1016/j.omsc.2025.100398","DOIUrl":"10.1016/j.omsc.2025.100398","url":null,"abstract":"<div><div>Hypoglossal nerve stimulation is a proven treatment for obstructive sleep apnea, yet its invasive nature raises concerns about wound complications. This case series examines three distinct postoperative scenarios: (1) early infection in a patient with poor glycemic control and inadequate self-care, (2) late-stage infection in a patient with prolonged device non-use, and (3) early wound dehiscence caused by nonadherence to postoperative restrictions, successfully managed with a novel wound management protocol that preserved the device. These cases highlight the importance of comprehensive risk assessment, adherence to postoperative guidelines, the control of metabolic diseases and individualized management strategies to preserve device functionality while reducing healthcare costs. Notably, this is the first report demonstrating successful device retention in hypoglossal nerve stimulation despite wound dehiscence. Further studies are essential to refine risk stratification and establish evidence-based treatment protocols for this innovative and increasingly utilized therapy.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100398"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776586","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

Clinical and histopathological features of the first known case of glycogenic acanthosis resembling an isolated gingival tumour: A case report 第一例糖原性棘层病的临床和组织病理学特征，类似于孤立的牙龈肿瘤：1例报告

Oral and Maxillofacial Surgery Cases Pub Date : 2025-03-27 DOI: 10.1016/j.omsc.2025.100397

Svyat Strokov , Anne-Laure Ejeil , Hélène Raybaud , Christine Voha , Sophie-Myriam Dridi

{"title":"Clinical and histopathological features of the first known case of glycogenic acanthosis resembling an isolated gingival tumour: A case report","authors":"Svyat Strokov , Anne-Laure Ejeil , Hélène Raybaud , Christine Voha , Sophie-Myriam Dridi","doi":"10.1016/j.omsc.2025.100397","DOIUrl":"10.1016/j.omsc.2025.100397","url":null,"abstract":"<div><div>Glycogenic acanthosis is a common benign lesion of the oesophagus. However, extra-oesophageal localisations in the larynx and oral mucosa in the form of white, papular or plaque-like lesions are possible. We report a nodular gingival form which, to our knowledge, has not been previously observed or published in the scientific literature. This clinical case, presented according to the CARE guidelines, concerns a 63-year-old woman patient in good general health who was diagnosed with glycogenic acanthosis taking the original form of an isolated asymptomatic gingival nodule mimicking a pseudotumour or tumour. The diagnosis was confirmed by histology and immunohistochemistry. No complications or recurrences were noted after removal of the nodule. Although oral glycogenic acanthosis is included in the differential diagnosis of leukoplakia, this case report suggests that this diagnostic hypothesis should also be considered in the presence of an isolated gingival nodule. This iconographic aid, supplemented by a review of the literature, is designed to assist the odontologist in the diagnostic process, from clinical examination to anatomopathological examination.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100397"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768045","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

Multiple myeloma presenting as an ill-defined osteolytic lesion of the mandibular condyle: A case report and literature review 多发性骨髓瘤表现为下颌髁不明确的溶骨性病变：1例报告和文献复习

Oral and Maxillofacial Surgery Cases Pub Date : 2025-03-20 DOI: 10.1016/j.omsc.2025.100394

Connor Capobianco , Mariela Padilla , Jungsuk Cho , Lauren Levi

引用次数: 0

Giant dentigerous cyst encasing an impacted third molar in the maxillary sinus: A unique case study with comprehensive literature review 巨大含牙囊肿包围上颌窦阻生第三磨牙：一个独特的病例研究和全面的文献回顾

Oral and Maxillofacial Surgery Cases Pub Date : 2025-03-19 DOI: 10.1016/j.omsc.2025.100396

Naida Hadziabdic , Edina Lazovic Salcin , Nedim Sulejmanagic , Halid Sulejmanagic

{"title":"Giant dentigerous cyst encasing an impacted third molar in the maxillary sinus: A unique case study with comprehensive literature review","authors":"Naida Hadziabdic , Edina Lazovic Salcin , Nedim Sulejmanagic , Halid Sulejmanagic","doi":"10.1016/j.omsc.2025.100396","DOIUrl":"10.1016/j.omsc.2025.100396","url":null,"abstract":"<div><div>Dentigerous cysts are developmental cysts that are commonly associated with impacted teeth. These cysts can appear atypically in the maxillary sinus. Usually, they do not cause symptoms and are incidentally discovered through radiographic examinations. However, larger cysts may lead to a symptomatic presentation.</div><div>This report presents a case of a substantial dentigerous cyst in the maxillary sinus with an impacted wisdom tooth in a fifteen-year-old male. The surgical procedure, involving decompression and enucleation under local anesthesia, was conducted a month after the diagnosis. Histopathological examination confirmed the diagnosis of dentigerous cyst. This study emphasizes postoperative complications diagnosed using cone-beam computed tomography (CBCT).</div><div>Periodic panoramic radiographic examinations in pediatric patients should be conducted solely based on individualized clinical indications, ensuring compliance with current radioprotection standards. This approach facilitates the early detection of maxillomandibular pathologies such as cysts while minimizing unnecessary radiation exposure and prioritizing patient safety.</div><div>Cone-beam computed tomography (CBCT) is recommended for accurate diagnosis, treatment planning, and postoperative monitoring.</div><div>Surgeons are encouraged to tailor each operation individually to optimize patient outcomes.</div><div>Excised tissue should be subjected to histopathological examination to establish a precise diagnosis.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100396"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683581","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

Rare and silent: Diagnostic and surgical pathways in extracranial hypoglossal schwannoma resection 罕见和沉默：颅外舌下神经鞘瘤切除术的诊断和手术途径

Oral and Maxillofacial Surgery Cases Pub Date : 2025-03-19 DOI: 10.1016/j.omsc.2025.100395

Ananth S. Mathad , Surbhi Varshney , Vidya Monappa , Adarsh Ishwar Hegde , Naveen AN Kumar

引用次数: 0

Osteo-myo-cutaneous 5th rib-pectoralis major flap in complex mandibular ameloblastoma: A practical solution for low-resources settings 骨-肌-皮第5肋-胸大肌瓣治疗复杂的下颌成釉细胞瘤：一种低资源环境下的实用方法

Oral and Maxillofacial Surgery Cases Pub Date : 2025-03-06 DOI: 10.1016/j.omsc.2025.100393

Norman A. Rendón Mejía , Natanael Flores González , Yidam Irak Villa Martínez , Nancy Martinez Varela , Arturo Zamora Perea , Eric Sánchez Tellez , Hansel Gabriel Gómez Arámbula

{"title":"Osteo-myo-cutaneous 5th rib-pectoralis major flap in complex mandibular ameloblastoma: A practical solution for low-resources settings","authors":"Norman A. Rendón Mejía , Natanael Flores González , Yidam Irak Villa Martínez , Nancy Martinez Varela , Arturo Zamora Perea , Eric Sánchez Tellez , Hansel Gabriel Gómez Arámbula","doi":"10.1016/j.omsc.2025.100393","DOIUrl":"10.1016/j.omsc.2025.100393","url":null,"abstract":"<div><div>Ameloblastoma, representing 1.3 % of all jaw tumors and ranking as the second most prevalent odontogenic neoplasm, is a benign yet locally invasive tumor. In developing countries, patients frequently present with advanced-stage lesions due to delayed medical intervention. Clinically, these tumors manifest as slow-growing, painless masses; however, their aggressive behavior often results in rapid expansion, causing tooth mobility, displacement, and facial deformity. Surgical resection remains the gold standard for management. Preoperative evaluation necessitates a comprehensive assessment of the patient's medical history, tumor location, macroscopic dimensions, and histopathological subtype. Post-resection, significant mandibular defects often necessitate reconstruction to restore shape and function. The fifth rib-pectoralis major osteo-myo-cutaneous flap has emerged as a robust reconstructive option, particularly in resource-limited settings. This technique leverages the flap's acromion-pectoral blood supply to transfer a spade-shaped segment of skin, subcutaneous tissue, and rib with reliability. It facilitates rapid oral rehabilitation, requires no microsurgical expertise, and minimizes operative time.</div><div>We present the case of a 44-year-old Rarámuri woman with a seven-year history of a left mandibular mass. Symptomatic progression—marked by pain and oral intolerance—prompted referral to our center. She underwent left mandibulectomy with immediate reconstruction using the osteo-myo-cutaneous flap. Postoperatively, she was discharged on day 14 with a gastrostomy tube and tracheostomy to manage neck edema, tolerating enteral feeds without complications. Follow-up revealed no significant adverse events, underscoring the flap's efficacy in challenging clinical contexts.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100393"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577282","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

Integrating aligners with surgery first: A novel case report on single-jaw, multi-segmented maxillary osteotomy 先将矫正器与手术结合：单颌多节段上颌截骨术一例新报告

Oral and Maxillofacial Surgery Cases Pub Date : 2025-02-26 DOI: 10.1016/j.omsc.2025.100392

Inleel Lundgård Shino , Mohammedreza Sefidroodi , Stratos Vassis , Kasper Dahl Kristensen , Thomas Klit Pedersen , Jytte Buhl , Sven Erik Nørholt

{"title":"Integrating aligners with surgery first: A novel case report on single-jaw, multi-segmented maxillary osteotomy","authors":"Inleel Lundgård Shino , Mohammedreza Sefidroodi , Stratos Vassis , Kasper Dahl Kristensen , Thomas Klit Pedersen , Jytte Buhl , Sven Erik Nørholt","doi":"10.1016/j.omsc.2025.100392","DOIUrl":"10.1016/j.omsc.2025.100392","url":null,"abstract":"<div><div>Technological advancements have made the integration of clear aligner therapy (CAT) with orthognathic surgery a reality. This case report outlines an innovative, patient-specific workflow that merges CAT with the surgery first orthognathic approach (SFOA), developed in collaboration with engineers to facilitate in-house production of surgical guides and pre-adapted titanium plates. Objective evaluation was performed using the peer assessment rating (PAR) index. The patient achieved the intended occlusal relationship without discomfort in the temporomandibular joint (TMJ) and experienced no surgical complications. The surgical and occlusal outcomes have remained stable with reduced scores in the PAR index, reflecting improved objective assessment post treatment. This case report is the first of its kind to describe a single-jaw, multi-segmented maxillary osteotomy in SFOA using CAT. It demonstrates precise individualized planning in a multidisciplinary approach integrating CAT with SFOA making it feasible in cases involving a single jaw segmented Le Fort 1 osteotomy.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 2","pages":"Article 100392"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551639","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

Surgical excision of an ulcerating post-auricular infantile hemangioma with refractory hemorrhage 顽固性出血的婴幼儿耳后溃疡性血管瘤的手术切除

Oral and Maxillofacial Surgery Cases Pub Date : 2025-02-12 DOI: 10.1016/j.omsc.2025.100389

Rami Ezzibdeh , Mohamed Diop , Taseer Din , Brooke M. Su-Velez , Tulio Valdez

引用次数: 0