Journal of Oral and Maxillofacial Surgery Medicine and Pathology最新文献_第10页

The association between residual excessive sleepiness and polysomnography parameters in patients with obstructive sleep apnea using oral appliances 使用口腔矫治器的阻塞性睡眠呼吸暂停患者的残余过度嗜睡与多导睡眠图参数之间的关系

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-10 DOI: 10.1016/j.ajoms.2024.02.002

{"title":"The association between residual excessive sleepiness and polysomnography parameters in patients with obstructive sleep apnea using oral appliances","authors":"","doi":"10.1016/j.ajoms.2024.02.002","DOIUrl":"10.1016/j.ajoms.2024.02.002","url":null,"abstract":"<div><h3>Objective</h3><p>Oral appliances (OA) are effective in reducing apnea-hypopnea index (AHI) in patients with obstructive sleep apnea (OSA). However, residual excessive sleepiness (RES) may occur despite successful OA treatment, and there is limited evidence on the cause of this. Furthermore, few studies have examined the association between changes in sleepiness after OA treatment and polysomnography (PSG) parameters. The purpose of this study was to evaluate the prevalence of RES after OA treatment and examine the effects of changes in sleepiness on PSG parameters.</p></div><div><h3>Methods</h3><p>The study sample included 121 participants who were diagnosed with OSA and had evaluated RES after OA treatment outcomes using PSG. All patients were scored using the Epworth sleepiness scale (ESS) at baseline and after OA treatment, and the association between changes in ESS and PSG parameters were examined statistically.</p></div><div><h3>Results</h3><p>Approximately 20.5% of OA responders (n = 73) exhibited RES. The ESS change better group (n = 24, ESS decreased by ≥2 points after treatment) exhibited significantly lower baseline lowest SpO<sub>2</sub> values (82.0 ± 7.9 vs. 87.5 ± 4.2; p-value <0.01) and higher baseline CT90 value (2.4 ± 4.0 vs. 0.5 ± 0.9; p-value <.05) compared to the ESS change worse group (n = 19, ESS increased by ≥2 points after treatment). Moreover, the CT90 change rate after OA treatment was also significantly higher in the former group.</p></div><div><h3>Conclusion</h3><p>OSA patients can exhibit RES despite improvements in AHI after OA treatment. Furthermore, improvements in ESS can potentially help predict hypoxia parameters in PSG.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"36 5","pages":"Pages 729-734"},"PeriodicalIF":0.4,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212555824000139/pdfft?md5=af3135f8b9f5bd5b4d866a079e54406f&pid=1-s2.0-S2212555824000139-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139884500","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

Lingual reconstruction using a modification of the Harada technique: A case report 使用改良原田技术进行舌侧重建：病例报告

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-10 DOI: 10.1016/j.ajoms.2024.02.003

引用次数: 0

A case of supermassive cemento-ossifying fibroma in the mandible 一例下颌骨超大骨水泥化纤维瘤病例

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-07 DOI: 10.1016/j.ajoms.2024.01.010

引用次数: 0

The clinical impact of the G8 screening tool score on treatment strategy decisions and outcomes among oral squamous cell carcinoma patients aged 75 years or older in Japan G8 筛查工具评分对日本 75 岁或以上口腔鳞状细胞癌患者治疗策略决策和疗效的临床影响

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-03 DOI: 10.1016/j.ajoms.2024.01.011

{"title":"The clinical impact of the G8 screening tool score on treatment strategy decisions and outcomes among oral squamous cell carcinoma patients aged 75 years or older in Japan","authors":"","doi":"10.1016/j.ajoms.2024.01.011","DOIUrl":"10.1016/j.ajoms.2024.01.011","url":null,"abstract":"<div><h3>Objective</h3><p>Treatment strategy decisions are very difficult in elderly patients with oral squamous carcinoma (OSCC). In this study, the factors that affect treatment strategy decisions and the clinical impact of the G8 screening tool score were retrospectively investigated in elderly OSCC patients.</p></div><div><h3>Methods</h3><p>The medical records of primary OSCC patients aged 75 years or older were retrospectively reviewed, and 438 patients aged 75 years or older were included in this study. The factors that affect treatment strategy decisions and the clinical impact of the G8 screening tool score were investigated.</p></div><div><h3>Results</h3><p>Regarding treatment decisions, the elderly OSCC patients with better Eastern Cooperative Oncology Group Performance Status (ECOG-PS) scores and G8 scores of more than 10.5 were treated with the standard treatment with curative intent. The 5-year overall survival (OS) rates of the patients with G8 scores of <10.5 and ≥10.5 were 43.8 % and 60.3 %, respectively (p < 0.01). The 5-year self-reliant survival (SR) rates of the patients with G8 scores of <10.5 and ≥10.5 were 44.9 % and 59.3 %, respectively (p < 0.01). Multivariate analyses revealed that OS and SR were significantly correlated with poorer ECOG-PS and lower G8 scores (<10.5).</p></div><div><h3>Conclusions</h3><p>These results suggest that pre-treatment evaluations based on the ECOG-PS and G8 screening tool may aid treatment decisions for and prognostic evaluations of elderly OSCC patients.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"36 5","pages":"Pages 678-683"},"PeriodicalIF":0.4,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139686668","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

Response to “Proper clinical management for infantile vascular disease in oral cavity: Experience from a tertiary teaching hospital”; Challenges in diagnosis and management of palatal hemangioma in an infant: A case report 回应 "口腔婴幼儿血管疾病的正确临床管理：一家三级教学医院的经验"；婴儿腭部血管瘤诊断和管理的挑战：病例报告

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-02 DOI: 10.1016/j.ajoms.2024.01.012

Mari Shibata, Hiroyuki Yoshitake, Tohru Ikeda, Motoko Seki, Tetsuya Yoda

引用次数: 0

Osteoblastoma in the mandible of an older adult patient without FOS gene rearrangement: A case report and literature review 一名无 FOS 基因重排的老年下颌骨骨母细胞瘤：病例报告和文献综述

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-01-20 DOI: 10.1016/j.ajoms.2024.01.009

引用次数: 0

Massive osteolysis of the upper and lower jaw controlled by bisphosphonate: A case report 双膦酸盐控制的上下颌骨大面积溶骨：病例报告

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-01-11 DOI: 10.1016/j.ajoms.2024.01.007

引用次数: 0

Continuous intermaxillary elastic traction as first-line treatment for early idiopathic condylar resorption: A case report 将持续性颌间弹性牵引作为早期特发性髁状突吸收的一线治疗方法：病例报告

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-01-10 DOI: 10.1016/j.ajoms.2024.01.008

{"title":"Continuous intermaxillary elastic traction as first-line treatment for early idiopathic condylar resorption: A case report","authors":"","doi":"10.1016/j.ajoms.2024.01.008","DOIUrl":"10.1016/j.ajoms.2024.01.008","url":null,"abstract":"<div><p>Idiopathic condylar resorption (ICR) is characterized by resorption of the entire mandibular condyle, resulting in a reduced mandibular ramus and skeletal anterior open bite. We applied intermaxillary elastic traction to a patient with early ICR and obtained a stable long-term outcome. The patient was a 16-year-old girl who had noticed an anterior open bite after orthodontic treatment. The anterior open bite was observed with an overbite of − 2 mm and an overjet of + 4 mm. Computed tomography (CT) and magnetic resonance imaging (MRI) showed bilateral mandibular condylar resorption, and clinical diagnosis indicated ICR. An indirect bonded splint (IBS) was placed on the dental arches, and intermaxillary traction with elastic bands was applied continuously except during eating and oral cleaning. After 1 month of traction, complete contact of the upper and lower teeth was confirmed, indicating improvement of occlusion. CT images taken after 1 year of traction showed bone remodeling and cortical bone formation bilaterally in the part of condylar heads. This treatment was applied continuously for 1 more year and intermittently at night for another year to prevent relapse. After 3 years of traction, CT images taken showed a stable morphology of the mandibular condyle with stable occlusion, prompting the termination of the intermaxillary traction and removal of the IBS. Furthermore, 3 years after ending traction, CT and MRI showed no evidence of ICR recurrence, and occlusion was stable. This treatment method could be a useful first-line treatment for early ICR.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"36 5","pages":"Pages 708-715"},"PeriodicalIF":0.4,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212555824000085/pdfft?md5=02b79a1a7904b7470b03ea1cc684fcac&pid=1-s2.0-S2212555824000085-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458367","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

Influence of COVID-19 pandemic on mandible fractures – Multicentric study COVID-19 大流行对下颌骨骨折的影响 - 多中心研究

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-01-10 DOI: 10.1016/j.ajoms.2024.01.005

{"title":"Influence of COVID-19 pandemic on mandible fractures – Multicentric study","authors":"","doi":"10.1016/j.ajoms.2024.01.005","DOIUrl":"10.1016/j.ajoms.2024.01.005","url":null,"abstract":"<div><h3>Objective</h3><p>It is expected that the number of patients with mandible fractures will be affected by the global spread of COVID-19 because of a decline in physical activities. The purpose of this study was to investigate characteristics of mandible fractures before and during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>Patients with mandible fracture who visited our department or a nearby associated medical institution were surveyed, with 242 enrolled. The time period was divided into 2017–2019, before the COVID-19 pandemic, and 2020–2022, during the pandemic.</p></div><div><h3>Results</h3><p>There were 138 cases before and 104 during the pandemic. The majority of patients before the pandemic were teenagers, while the majority during the pandemic were in their 20 s. Before the pandemic, May had the greatest number of patients and the greatest number during the pandemic was in December. A fall was the most common cause of injury during both time periods. Both before and during the pandemic, the most common period of time to visit a doctor following an incident was less than one day. During both time periods, the condyle was the most common fracture site, with surgical therapy the most common treatment strategy used throughout the term of the study.</p></div><div><h3>Conclusions</h3><p>The number of patients with mandible fractures decreased after the beginning of the pandemic, which is considered to be due to a decrease in social activities associated with refraining from going out due to the declaration of state of emergency. These findings suggest a relationship between social activities and risk of mandible fracture.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"36 5","pages":"Pages 672-677"},"PeriodicalIF":0.4,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455173","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

Unilateral scissors bite treated by posterior segmental maxillary osteotomy and corticotomy-assisted mandibular expansion 上颌骨后段截骨术和皮质切除术辅助下颌骨扩张术治疗单侧剪刀状咬合

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-01-09 DOI: 10.1016/j.ajoms.2024.01.006

{"title":"Unilateral scissors bite treated by posterior segmental maxillary osteotomy and corticotomy-assisted mandibular expansion","authors":"","doi":"10.1016/j.ajoms.2024.01.006","DOIUrl":"10.1016/j.ajoms.2024.01.006","url":null,"abstract":"<div><p><span><span>Unilateral scissor bite is one of the rare forms of malocclusion<span><span> that is accompanied by deep bite and collapsed arch. This report describes the treatment of unilateral scissors bite improved by maxillary and mandibular posterior segmental </span>osteotomy with </span></span>orthodontic treatment. The patient was a 16-year-old woman with unilateral collapsed maxillary and mandibular arch and a scissor bite of the right buccal segment, and without facial asymmetry. At first, intrusion of right maxillary molars with implant miniscrew was planned, but failure to move. To improve, posterior segmental subapical </span>maxillary osteotomy<span> and mandibular corticotomy<span><span> were applied without changing facial appearance. Following the surgery, the expansion of the collapsed right mandibular segment bucally using an appliance during comprehensive orthodontic treatment was planned. There was no sensory or motor paralysis. After post-surgical orthodontic treatment, her occlusion improved without alteration of facial appearance and disorder of her speech. Transverse widths at the maxillary </span>premolars<span> and first molars were nearly stable over the 4 years postoperative interval in our patient, and her overall long-term stability showed excellent results. To our knowledge, this case was the first case to combinate two segmental subapical osteotomies without Le Fort I and sagittal split ramous osteotomy. The results indicate that this technique is useful for unilateral expansion of distorted mandibular alveolar process and maxillary and mandibular subapical osteotomy with subsequent orthodontic treatment can be used to successfully treat unilateral scissor bite.</span></span></span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"36 5","pages":"Pages 694-699"},"PeriodicalIF":0.4,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454013","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