Journal of Oral and Maxillofacial Surgery Medicine and Pathology最新文献_第3页

Case of cervical necrotizing fasciitis successfully treated by rapid response system activation 启动快速反应系统成功治疗颈椎坏死性筋膜炎病例

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-28 DOI: 10.1016/j.ajoms.2024.02.012

{"title":"Case of cervical necrotizing fasciitis successfully treated by rapid response system activation","authors":"","doi":"10.1016/j.ajoms.2024.02.012","DOIUrl":"10.1016/j.ajoms.2024.02.012","url":null,"abstract":"<div><p><span><span><span><span>Response teams, via the rapid response system (RRS), are activated when a patient's condition deteriorates; respiratory, neurological, or </span>cardiac diseases are precursors to unexpected in-hospital cardiac arrest or death. In December 2019, our hospital introduced the RRS to reduce serious </span>adverse events<span><span>. Herein, we report a case where RRS was initiated twice for a patient who developed septic shock due to cervical </span>necrotizing fasciitis and non-occlusive </span></span>mesenteric ischemia<span><span> (NOMI) after the septic shock. In August 2021, a male in his 70 s developed facial swelling, difficulty opening his mouth, and difficulty with oral intake. We observed necrotic skin on the face, soft tissue swelling in the neck, and hypotension. The RRS was initiated, and the patient was immediately admitted to the </span>intensive care unit<span><span> (ICU) where he was diagnosed with septic shock<span> and necrotizing fasciitis of the neck. The patient underwent surgical necrotic lesion </span></span>debridement and incisional drainage under </span></span></span>general anesthesia<span>. After weaning from shock, owing to his hypotensive and hemorrhagic status, the RRS was requested again. The patient was re-admitted to the ICU and diagnosed with NOMI. His general condition improved, and he was discharged on day 47.</span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140462362","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

Periodontal ligament and bone marrow derived stem cells in periodontal regeneration – A systematic review 牙周韧带和骨髓干细胞在牙周再生中的应用--系统综述

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-28 DOI: 10.1016/j.ajoms.2024.02.009

{"title":"Periodontal ligament and bone marrow derived stem cells in periodontal regeneration – A systematic review","authors":"","doi":"10.1016/j.ajoms.2024.02.009","DOIUrl":"10.1016/j.ajoms.2024.02.009","url":null,"abstract":"<div><h3>Background</h3><p>Periodontal therapy aims to slow the progression of periodontal disease and encourage regeneration. Clinically, a number of periodontal therapies are used to treat periodontitis. Stem cell-based tissue regeneration is currently thought to be a promising therapeutic approach for periodontal tissue regeneration.</p></div><div><h3>Objective</h3><p>The systemic review's objective is to assess and compare the efficacy of periodontal ligament derived stem cells and bone marrow-derived stem cells in periodontal regeneration.</p></div><div><h3>Methods</h3><p>The Preferred Reporting Items for Systematic Review recommendations will be followed while conducting a systematic review. The efficiency of bone marrowderived stem cells (BMSCs) and stem cells produced from periodontal ligaments (PDLSCs) in regenerating periodontal tissue will be assessed. From 2013 to 2023, search engines will be utilized to identify appropriate information from databases like PubMed, Web of Science, and Scopus in order to locate research studies on PDLSCs and BMSCs in periodontal regeneration. The newly created periodontal ligament (NPDL), newly formed cementum (NC), and newly produced alveolar bone (NB) will be the main outcomes.</p></div><div><h3>Results</h3><p>The research evaluating bone marrow-derived stem cells-based therapies and periodontal ligament-derived stem cell-based therapies for the regeneration of periodontal tissue will be identified, and their efficacy in terms of histologic markers will be compared.</p></div><div><h3>Conclusion</h3><p>The most popular and efficient stem cell types for regenerating periodontal tissue are those produced from bone marrow and periodontal ligaments. The research will aid in the eventual clinical application of stem cell research.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212555824000206/pdfft?md5=d7fe997d0f99c5e736deaeb868be2a90&pid=1-s2.0-S2212555824000206-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140463971","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

A peripheral osteoma of the mandibular coronoid process 下颌骨冠状突周围骨瘤

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-28 DOI: 10.1016/j.ajoms.2024.02.010

{"title":"A peripheral osteoma of the mandibular coronoid process","authors":"","doi":"10.1016/j.ajoms.2024.02.010","DOIUrl":"10.1016/j.ajoms.2024.02.010","url":null,"abstract":"<div><p>Osteoma is a benign neoplasm composed of mature bone and is limited almost exclusively to the craniofacial bones. Osteoma of the coronoid process is very rare. We encountered a 35-year-old woman who noticed right cheek pain when opening her mouth. She was referred to our hospital in August 2021 for the further evaluation and treatment of radio-opacity of the right mandibular coronoid process. She had no relevant medical history, family history, or history of oral parafunction. Initial extra- and intraoral clinical examinations revealed no definite swelling and no limitation of joint motion. However, the maximum unassisted mouth opening was 37 mm, and she experienced pain in the medial mandibular ramus at mouth opening. After this discomfort she had been pain-free for 15 years. Panoramic radiography revealed mushroom-shaped radiopacity on the right-side mandibular coronoid process which had increased in size compared to 15 years earlier. Computed tomography showed a bone-like lesion on the right mandibular coronoid process measuring 28 × 18 × 15 mm, with lesion-shaped right skull base bone resorption. The clinical diagnosis was a benign osseous neoplasm of the coronoid process (right side). The lesion was excised intraorally under general anesthesia; the pathological diagnosis was compact bone osteoma. The postoperative course was uneventful. The patient was then able to open her mouth to 40 mm and her right cheek pain at mouth-opening had disappeared. There has been no recurrence as of 2 years post-surgery.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140463297","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

Role of Actinomyces in the progression of medication-related osteonecrosis of the jaws in an immunocompromised mouse model with periapical disease 放线菌在患有根尖周病的免疫受损小鼠模型中与药物相关的颌骨坏死进展过程中的作用

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-23 DOI: 10.1016/j.ajoms.2024.02.006

{"title":"Role of Actinomyces in the progression of medication-related osteonecrosis of the jaws in an immunocompromised mouse model with periapical disease","authors":"","doi":"10.1016/j.ajoms.2024.02.006","DOIUrl":"10.1016/j.ajoms.2024.02.006","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to investigate the role of <em>Actinomyces</em> on the development of MRONJ in an immunocompromised mouse model with periapical disease.</p></div><div><h3>Methods</h3><p>Thirty ovariectomized C57BL/6 N female mice were treated with zoledronic acid (ZA) and dexamethasone (DX) for 12 weeks. At the eighth week of drug administration, pulpal exposure operation was performed on the lower right first molar in Group B and C, meanwhile <em>Actinomyces</em> inoculation was performed at the pulpal entrance of Group C. Group A received no operation as control. After 4 weeks, loads of total bacteria and <em>Actinomyces</em> in the oral cavity were assessed by real-time polymerase chain reaction (PCR). Mandibles were harvested for micro-computed tomography (CT) and histological analysis.</p></div><div><h3>Results</h3><p>Real-time PCR revealed positive detection of <em>Actinomyces</em> in 30% samples in Group C and negative detection in all samples in Group B and control group. Micro-CT examination demonstrated that in ZA treated mice, pulpal exposure significantly increased periapical bone loss, which was significantly aggravated by <em>Actinomyces</em> inoculation. Histological assessment showed vasodilation, acute exudative changes and pulp necrosis in Group B and C.</p></div><div><h3>Conclusions</h3><p>The present study revealed that inoculation of <em>Actinomyces</em> compromises the bone quality but does not further aggravate bone necrosis significantly.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140463771","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

Risk factors and prevalence of human papillomavirus-related secondary oral and oropharyngeal squamous cell carcinoma in patients following allogeneic stem cell transplant for hematological malignancies 异基因干细胞移植治疗血液恶性肿瘤患者发生人乳头瘤病毒相关继发性口腔和口咽鳞癌的风险因素和患病率

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-17 DOI: 10.1016/j.ajoms.2024.02.008

{"title":"Risk factors and prevalence of human papillomavirus-related secondary oral and oropharyngeal squamous cell carcinoma in patients following allogeneic stem cell transplant for hematological malignancies","authors":"","doi":"10.1016/j.ajoms.2024.02.008","DOIUrl":"10.1016/j.ajoms.2024.02.008","url":null,"abstract":"<div><h3>Objective</h3><p>Allogeneic hematopoietic stem cell transplants are associated with a greater susceptibility to secondary malignancies. The present study examines the prevalence and risk factors of developing secondary oral and oropharyngeal cancer.</p></div><div><h3>Material and methods</h3><p>This was a chart review of 286 allogeneic stem cell transplant recipients treated at a large Health Center, with a mean follow-up time of 5 years. The eligibility included adults who underwent allogeneic hematopoietic stem cell transplants between October 2016 and June 2021.</p></div><div><h3>Results</h3><p>Two hundred eighty-six charts were reviewed of them: leukemia (65%), aplastic anemia (10%), and lymphoma (9%). 57 (20%) developed secondary cancers Five cases of the secondary cancers (8.8%) were oral squamous cell carcinoma, and three were human papillomavirus-related. Graft versus host disease occurred in 77.1% and 100% of oral/oropharyngeal cancers. About 50% across the groups had a history of smoking. graft versus host disease, immunosuppression, and smoking. The risk factors for secondary oral/oropharyngeal cancer; chronic graft versus host disease, immunosuppression, and smoking were not statistically significant.</p></div><div><h3>Conclusions</h3><p>These findings support the recommendation for increased follow-up time and close monitoring of hematopoietic stem cell transplant recipients for secondary oral/oropharyngeal malignancies. The involvement of the human papillomavirus in these cases should be further investigated.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212555824000218/pdfft?md5=1f4f7cff2046ebbbe0f6915f415c2f28&pid=1-s2.0-S2212555824000218-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967151","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

A case of congenital infiltrating lipomatosis of the face with the early eruption of permanent teeth with a review of the English literature 一例面部先天性浸润性脂肪瘤伴恒牙早萌病例及英文文献综述

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-15 DOI: 10.1016/j.ajoms.2024.02.004

{"title":"A case of congenital infiltrating lipomatosis of the face with the early eruption of permanent teeth with a review of the English literature","authors":"","doi":"10.1016/j.ajoms.2024.02.004","DOIUrl":"10.1016/j.ajoms.2024.02.004","url":null,"abstract":"<div><p>Congenital infiltrating lipomatosis of the face (CILF) is a benign non-epithelial tumor that was initially reported in 1983. Although lipomas are generally encased in fibrous tissue, CILF lacks a fibrous capsule and is characterized by intramuscular invasion. We herein report a case of CILF diagnosed based on the early eruption of permanent teeth and reviewed the English literature. The patient was a 5-year-old male with diffuse swelling of the left upper canine gingiva. He had undergone surgery at 3 years old to debulk left buccal lipoma. At presentation, facial asymmetry and diffuse swelling of the left cheek were noted. Radiographic examinations revealed the early eruption of and accelerated root formation by the left upper permanent teeth, bony hyperplasia of the left maxilla and zygomatic bone, and adipose hyperplasia of the left cheek region. Hormone examinations revealed no abnormalities. A histopathological specimen obtained from surgery to reduce buccal lipoma was re-evaluated and diagnosed as infiltrative lipoma. Based on histopathological and clinical features, the patient was diagnosed with congenial infiltrative lipoma was established. Conservative therapy was performed in consideration of future surgical interventions after adolescence.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139823287","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

A case of orbital cellulitis due to bacteremia caused by oral Streptococcus pyogenes 一例由口腔化脓性链球菌引起的菌血症导致的眼眶蜂窝织炎病例

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-15 DOI: 10.1016/j.ajoms.2024.02.005

引用次数: 0

A case of eosinophilic gastroenteritis developed during administration of nivolumab for a patient with platinum-resistant head and neck cancer 一例嗜酸性粒细胞性肠胃炎病例，患者在使用尼伐单抗治疗铂类耐药头颈癌期间发病

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Journal of Oral and Maxillofacial Surgery Medicine and Pathology Pub Date : 2024-02-10 DOI: 10.1016/j.ajoms.2024.02.001

{"title":"A case of eosinophilic gastroenteritis developed during administration of nivolumab for a patient with platinum-resistant head and neck cancer","authors":"","doi":"10.1016/j.ajoms.2024.02.001","DOIUrl":"10.1016/j.ajoms.2024.02.001","url":null,"abstract":"<div><p>Eosinophilic gastroenteritis (EGE) is an inflammatory disease that causes symptoms related to dysfunction owing to the high infiltration of eosinophils into the gastrointestinal tissue. We report a case of EGE that developed after severe eosinophilia induced by nivolumab administration. A 53-year-old woman was diagnosed with recurrent neck lymph node metastasis of right tongue cancer and was referred to our hospital for chemotherapy. After the administration of 12 courses of nivolumab, grade 2 diarrhea was observed, and contrast-enhanced computed tomography (CT) revealed intestinal wall edema and stenosis of the small intestine. Symptoms improved with fasting, discontinuation of nivolumab, and administration of a proton pump inhibitor. Biopsy performed using a colon fiberscope revealed EGE. After resuming nivolumab and administering three courses, positron emission tomography/CT confirmed a complete response to the metastatic lesion, and nivolumab was discontinued. After discontinuation, mild eosinophilia persisted, but abdominal symptoms, such as diarrhea, did not recur. No signs of recurrence or metastasis were observed after two years.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139892736","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 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":null,"pages":null},"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