Oral and Maxillofacial Surgery Cases最新文献_第3页

A novel technique to treat maxillary monostotic fibrous dysplasia 一种治疗上颌单一纤维发育不良的新技术

Oral and Maxillofacial Surgery Cases Pub Date : 2025-12-01 Epub Date: 2025-10-31 DOI: 10.1016/j.omsc.2025.100424

Carson Van Etta, Connor Witty

引用次数: 0

Evaluation of the efficacy of three distinct lip repositioning techniques and identification of the approach associated with the lowest relapse rate. A six-month follow-up case report 评估三种不同的唇部复位技术的疗效，并确定复发率最低的方法。6个月随访病例报告

Oral and Maxillofacial Surgery Cases Pub Date : 2025-12-01 Epub Date: 2025-09-11 DOI: 10.1016/j.omsc.2025.100423

Mohamad A. Alhomsi, Issa B. Wehbeh

{"title":"Evaluation of the efficacy of three distinct lip repositioning techniques and identification of the approach associated with the lowest relapse rate. A six-month follow-up case report","authors":"Mohamad A. Alhomsi, Issa B. Wehbeh","doi":"10.1016/j.omsc.2025.100423","DOIUrl":"10.1016/j.omsc.2025.100423","url":null,"abstract":"<div><h3>Background</h3><div>A beautiful smile is a key element of facial aesthetics, with an average gingival display of 1–3 mm in smile position. When gingival visibility exceeds this range, it is defined as a gummy smile. This condition may result from skeletal, dentoalveolar, or soft tissue factors.</div></div><div><h3>Case description</h3><div>Three patients with mild gummy smile were treated using different approaches: (i) traditional lip repositioning surgery, (ii) modified lip repositioning surgery, and (iii) Botox injection. Patients were monitored for two weeks to assess postoperative complications. Follow-up evaluations at two weeks, one month, three months, and six months assessed gingival exposure and relapse.</div></div><div><h3>Conclusion</h3><div>The modified lip repositioning procedure demonstrated greater stability between the three- and six-month follow-ups, with the least relapse, although it was associated with more postoperative complications. Botox was the most preferred option due to its non-invasive nature.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 4","pages":"Article 100423"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145057328","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

Rehabilitation of the atrophic maxilla: Guided Le Fort I maxillary advancement and zygomatic implants with and immediate loading 萎缩上颌的康复：引导Le Fort I上颌前进和颧种植体与即刻负荷

Oral and Maxillofacial Surgery Cases Pub Date : 2025-12-01 Epub Date: 2025-09-11 DOI: 10.1016/j.omsc.2025.100422

Rémy Raphael , Dimitri Pascual

引用次数: 0

Angina bullosa hemorrhagica: A case report and review of the literature 大疱性出血性心绞痛1例报告及文献复习

Oral and Maxillofacial Surgery Cases Pub Date : 2025-09-01 Epub Date: 2025-07-12 DOI: 10.1016/j.omsc.2025.100412

Hassan El-Awour , Kinda Allaham , Mohammed Inam Ullah Khan

引用次数: 0

The interplay of soft tissue and osseous structures in bifid mandibular condyle: Implications for diagnosis and treatment. Case series and literature review 软组织和骨性结构在下颌髁的相互作用：对诊断和治疗的意义。病例系列和文献回顾

Oral and Maxillofacial Surgery Cases Pub Date : 2025-09-01 Epub Date: 2025-08-07 DOI: 10.1016/j.omsc.2025.100415

Gustavo Andres Grimaldi Finol , Alaa Abdulsattar Kadhim Al-Taie , Renan Elsadig Ibrahem Aadam , Ismail Farag , Abdul-Aziz ALaqeeli

{"title":"The interplay of soft tissue and osseous structures in bifid mandibular condyle: Implications for diagnosis and treatment. Case series and literature review","authors":"Gustavo Andres Grimaldi Finol , Alaa Abdulsattar Kadhim Al-Taie , Renan Elsadig Ibrahem Aadam , Ismail Farag , Abdul-Aziz ALaqeeli","doi":"10.1016/j.omsc.2025.100415","DOIUrl":"10.1016/j.omsc.2025.100415","url":null,"abstract":"<div><div>Bifid mandibular condyle (BMC) is a rare developmental or acquired anomaly of the temporomandibular joint (TMJ), characterized by the presence of a duplicated condylar head. Although often asymptomatic and discovered incidentally on imaging, BMC can be associated with TMJ dysfunction, facial asymmetry, and a history of trauma or developmental disturbances. The clinical significance of BMC remains poorly understood, with controversies surrounding its etiology, classification, and management. This article presents a comprehensive literature review on the current understanding of BMC, supported by the presentation of a unique clinical case involving a symptomatic patient diagnosed through advanced imaging modalities. The diagnostic process, clinical presentation, and treatment approach are detailed to highlight the role of thorough evaluation and multidisciplinary management. Our findings suggest that while conservative management remains the mainstay in asymptomatic cases, individualized approaches are essential when functional disturbances are present. Further studies are warranted to clarify long-term outcomes and to standardize diagnostic and therapeutic protocols for BMC within maxillofacial practice.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 3","pages":"Article 100415"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827594","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

The trinity of chronic kidney failure, hyperparathyroidism, and brown tumors: a case report 慢性肾衰竭、甲状旁腺功能亢进和棕色肿瘤三位一体：1例报告

Oral and Maxillofacial Surgery Cases Pub Date : 2025-09-01 Epub Date: 2025-08-22 DOI: 10.1016/j.omsc.2025.100417

Alamira haya Salloum , Nayar Khadro , Iyad Ali , Mounzer Assad , Zuheir Alshehabi

{"title":"The trinity of chronic kidney failure, hyperparathyroidism, and brown tumors: a case report","authors":"Alamira haya Salloum , Nayar Khadro , Iyad Ali , Mounzer Assad , Zuheir Alshehabi","doi":"10.1016/j.omsc.2025.100417","DOIUrl":"10.1016/j.omsc.2025.100417","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic kidney disease (CKD) is an irreversible progressive glomerular disease, and it can cause many complications like osteodystrophy, hyperparathyroidism (HPT), or bone lesions such as Brown Tumors (BT)</div><div>BTs are rare slow-growing lesions in skeletal and facial bones and are benign.</div><div>This paper describes a patient with tertiary hyperparathyroidism (THPT) and CKD-MBD who developed a large maxillary BT.</div></div><div><h3>Case presentation</h3><div>A 28-year-old male presented with swelling in the maxillary bone caused by secondary hyperparathyroidism (SHPT) after 14 years of chronic kidney disease (CKD). Radiological examinations confirmed the presence of a bone lesion localized to the maxillary bone, indicating a tumor, followed by histological tests confirmed the tumor was a brown tumor and the role of CKD and SHPT hypothesis involvement. The tumor was treated surgically after controlling the other underlying conditions.</div></div><div><h3>Discussion</h3><div>The impaired kidney function in Chronic kidney disease (CKD) leads to vitamin D deficiency and abnormal calcium and phosphorus levels, which stimulate the parathyroid glands to overproduce parathyroid hormone (PTH), and alteration in bone resorption and formation leading to bone lesions like BTs.</div><div>The diagnosis of brown Tumors is quite challenging and usually requires a combination of clinical and laboratory examination with imaging.</div><div>The cornerstone in treating BTs is managing the underlying HPT, which may involve medication, surgery, or both.</div></div><div><h3>Conclusion</h3><div>Brown Tumors are a late complication of hyperparathyroidism and chronic kidney disease. A thorough medical history is essential for early diagnosis and appropriate treatment of BTs.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 3","pages":"Article 100417"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891846","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

Evaluation of the effectiveness of anterior segmental maxillary osteotomy in management of anterior vertical maxillary excess associated with gummy smile: A clinical study 上颌前节段截骨术治疗上颌前垂直过度伴粘笑的临床研究

Oral and Maxillofacial Surgery Cases Pub Date : 2025-09-01 Epub Date: 2025-08-05 DOI: 10.1016/j.omsc.2025.100414

Mohammad Kouja, Abdul Karim Khalil

{"title":"Evaluation of the effectiveness of anterior segmental maxillary osteotomy in management of anterior vertical maxillary excess associated with gummy smile: A clinical study","authors":"Mohammad Kouja, Abdul Karim Khalil","doi":"10.1016/j.omsc.2025.100414","DOIUrl":"10.1016/j.omsc.2025.100414","url":null,"abstract":"<div><div>To evaluate the effectiveness of anterior segmental maxillary osteotomy in improving The amount of gingival exposure (above incisors and above canines) and the measurement of the nasolabial angle and increasing patient satisfaction in cases of excessive vertical growth of the upper jaw associated with a gummy smile.</div></div><div><h3>Materials and methods</h3><div>10 female patients, aged 20–34 years, were diagnosed with anterior vertical maxillary excess combined with a gummy smile. They underwent anterior segmental maxillary osteotomy using digital three-dimensional planning. Gingival exposure above the incisors and canines and the nasolabial angle were measured. Patient satisfaction was assessed using a numerical scale from 1 to 5 six months post-surgery.</div></div><div><h3>Results</h3><div>The findings demonstrated a statistically significant reduction in gingival exposure (from 7.00 mm to 1.20 mm above incisors, with an 97.14 % improvement) and (from 6.30 mm to 1.40 mm, with a 93.65 % improvement).And nasolabial angle(from 84.24° to 98.77° with 92.20 %).The average patient satisfaction score was 4.70 out of 5, with a low standard deviation (0.48), indicating a high level of satisfaction consistency among the patients.</div></div><div><h3>Conclusion</h3><div>Anterior segmental maxillary osteotomy is an effective and safe technique for improving gingival exposure over the maxillary incisors and canines, optimizing the nasolabial angle, and enhancing patient satisfaction in cases of excessive vertical maxillary growth associated with a gummy smile, particularly when performed with digital planning.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 3","pages":"Article 100414"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144770944","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

Occult papillary thyroid carcinoma presenting as parapharyngeal space mass: A case report and literature review 隐匿性甲状腺乳头状癌表现为咽旁间隙肿块：1例报告并文献复习

Oral and Maxillofacial Surgery Cases Pub Date : 2025-09-01 Epub Date: 2025-05-24 DOI: 10.1016/j.omsc.2025.100402

Fawaz Alotaibi , Harish Tummala , Mitchell Naito , Yousef Alshamrani

{"title":"Occult papillary thyroid carcinoma presenting as parapharyngeal space mass: A case report and literature review","authors":"Fawaz Alotaibi , Harish Tummala , Mitchell Naito , Yousef Alshamrani","doi":"10.1016/j.omsc.2025.100402","DOIUrl":"10.1016/j.omsc.2025.100402","url":null,"abstract":"<div><div>Papillary thyroid carcinoma presenting as a parapharyngeal mass is uncommon clinical presentation<sup>1,2</sup>. Papillary thyroid cancer is the most common primary thyroid cancer (80–90 % of cases)<sup>17</sup>. 20–50 % of cases have lymph node metastasis<sup>4</sup>. Superior thyroid lesions usually metastasize through superior pretracheal and cervical nodes while inferior thyroid and isthmus drainage travel via the paratracheal and deep cervical nodes<sup>17</sup>. Parapharyngeal space (PPS) tumors are rare and represent about 0.5 % of all head and neck tumors<sup>1,2</sup>. We report a case of 59 years-old man who presented initially with left parapharyngeal mass for about four months and a chief complaint of dysphagia. Exam revealed a submucosal 4 cm mass in the oropharyngeal wall, no tumor was palpable in the neck and his physical examination was otherwise unremarkable. Preoperative work up was completed, and Fine Needle Aspiration (FNA) was inconclusive. The mass was excised via transcervical-mandibular swing approach and a diagnosis of papillary thyroid carcinoma was rendered. Subsequently, the patient underwent a total thyroidectomy and neck dissection. This case report highlights the unusual metastasis to parapharyngeal space from occult papillary thyroid carcinoma, reviews the lymphatic drainage system of the head and neck responsible for this route of metastasis, recommendations for preoperative imaging, surgical treatment, and adjuvant treatment of this uncommon presentation.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 3","pages":"Article 100402"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144205666","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

Iatrogenic intra-temporomandibular joint emphysema during injection: A case report 注射时医源性颞下颌关节内肺气肿1例

Oral and Maxillofacial Surgery Cases Pub Date : 2025-09-01 Epub Date: 2025-05-26 DOI: 10.1016/j.omsc.2025.100405

Asaad Shehada, Mazen Zenati

引用次数: 0

Primary sclerosing fibroinflammatory pseudotumor of the maxillary sinus misdiagnosed as migraine: A case report 上颌窦原发性硬化性纤维炎性假瘤误诊为偏头痛1例

Oral and Maxillofacial Surgery Cases Pub Date : 2025-09-01 Epub Date: 2025-07-05 DOI: 10.1016/j.omsc.2025.100411

Safwan Salih, Sadeq Qanah, Fadi Nahhab

{"title":"Primary sclerosing fibroinflammatory pseudotumor of the maxillary sinus misdiagnosed as migraine: A case report","authors":"Safwan Salih, Sadeq Qanah, Fadi Nahhab","doi":"10.1016/j.omsc.2025.100411","DOIUrl":"10.1016/j.omsc.2025.100411","url":null,"abstract":"<div><div>The head and neck region is a complex anatomical area where overlapping structures and nonspecific symptoms often make accurate diagnosis challenging. Facial pain, in particular, is a common yet ambiguous symptom frequently attributed to prevalent conditions like migraine, which can delay recognition of less common but clinically significant diseases. One such condition is Primary Sclerosing Fibroinflammatory Pseudotumor—a rare, benign lesion that can mimic malignancy both clinically and radiologically.We present the case of an 18-year-old female with chronic facial pain and globe displacement, misdiagnosed as migraine for four years. Imaging revealed a mass in the maxillary sinus with bone erosion and orbital involvement. A core needle biopsy was inconclusive, and definitive diagnosis was achieved only after surgical excision. Histopathological and immunohistochemical analysis confirmed Primary Sclerosing Fibroinflammatory Pseudotumor. The patient experienced substantial clinical improvement following combined surgical and corticosteroid therapy. This case highlights the importance of including rare pathologies in the differential diagnosis of maxillofacial masses and demonstrates the value of thorough investigation when symptoms persist despite standard treatment<strong>.</strong></div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 3","pages":"Article 100411"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581178","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