Ana Paula de Souza Faloni , Daniela Oliveira Marques , Thallita Pereira Queiroz , João Paulo Lima Machado , Yasmin Mayara Justo , Eloá Rodrigues Luvizuto , Roberta Okamoto , Pâmela Letícia dos Santos
{"title":"Cerasorb® for filling critical peri-implant defects","authors":"Ana Paula de Souza Faloni , Daniela Oliveira Marques , Thallita Pereira Queiroz , João Paulo Lima Machado , Yasmin Mayara Justo , Eloá Rodrigues Luvizuto , Roberta Okamoto , Pâmela Letícia dos Santos","doi":"10.1016/j.ajoms.2023.10.008","DOIUrl":"10.1016/j.ajoms.2023.10.008","url":null,"abstract":"<div><h3>Objective</h3><p>Bone loss is a substantial challenge for oral rehabilitation<span>, and immediate implants associated with biomaterials are a treatment option to minimize this condition. This study aimed to assess the repair of peri-implant defects filled with β-tricalcium phosphate.</span></p></div><div><h3>Material and Method</h3><p><span>Fifteen rabbits received two osteotomies in each </span>tibia<span> using a 6.1-mm-diameter trephine bur. Next, lance and helical drills were used to prepare the host tissues, and two implants were installed. The defects were filled per groups BC (blood clot) and Ce (Cerasorb®). After 15, 30, and 60 days, the animals were euthanized, and biomechanical, histological, and immunohistochemical analyses were performed.</span></p></div><div><h3>Results</h3><p><span>The biomechanical analysis did not show statistical differences intergroup. The morphological analysis showed bone neoformation around Cerasorb® particles and inside their pores only in the regions where the biomaterial was close to the host bone tissue. In all investigated periods, next to the host tissue, there were TRAP-positive </span>osteoclasts in close contact with β-TCP particles, apparently reabsorbing them. However, the biomaterial caused an inflammatory response characterized by several mononucleated cells at 30 days and TRAP-negative multinucleated giant cells at 60 days.</p></div><div><h3>C<strong>onclusion</strong></h3><p>Cerasorb® worked as an osteoconductor, considering that regions of bone neoformation were in close contact with the biomaterial around the host tissue.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135811485","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}
Kensuke Naganawa , Haruki Sato , Taihei Hayakawa , Shoya Ono , Sanako Nakaya , Ichiro Oh-iwa
{"title":"Three cases of maxillofacial fracture with delayed airway stenosis","authors":"Kensuke Naganawa , Haruki Sato , Taihei Hayakawa , Shoya Ono , Sanako Nakaya , Ichiro Oh-iwa","doi":"10.1016/j.ajoms.2023.10.007","DOIUrl":"10.1016/j.ajoms.2023.10.007","url":null,"abstract":"<div><p><span><span>Airway management is a major concern </span>in patients with maxillofacial fractures because compromised airways can lead to death. Of the 414 maxillofacial fracture patients that visited our department between January 2008 and December 2017, three developed delayed airway stenosis and later required airway management. The fracture types were </span>panfacial fractures<span><span> (n = 1) and comminuted mandibular fractures<span> (n = 2). The causes of injury included one case of traffic accident, one case of tumble, and one case of blow. Of the three patients, two underwent tracheostomy and one underwent oral </span></span>intubation<span>. The causes of airway stenosis were hemorrhage in two cases and glossoptosis<span> in one case. The airway was secured by tracheostomy in two cases and endotracheal intubation in one case. All patients were successfully treated.</span></span></span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135706323","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}
{"title":"Anteriorly pedicled deep layer of temporalis muscle flap for disc replacement after temporomandibular discectomy","authors":"Osamu Sakaguchi , Izumi Yoshioka , Daigo Yoshiga , Manabu Habu , Kazuhiro Tominaga","doi":"10.1016/j.ajoms.2023.10.005","DOIUrl":"10.1016/j.ajoms.2023.10.005","url":null,"abstract":"<div><h3>Objective</h3><p><span>An anteriorly pedicled temporalis muscle flap<span> has a functional advantage for temporomandibular (TMJ) joint reconstruction<span>. However, the greater thickness of the flap for disc replacement after discectomy might cause several </span></span></span>postoperative complications<span><span> including malocclusion. The </span>temporalis muscle<span> can be split into the thin superficial and thick deep layers; they are separated by a thin fatty layer. Therefore, we developed the modified anteriorly pedicled temporalis muscle flap using the deep layer of the temporalis muscle, which has a suitable size for the TMJ space after discectomy without losing the functional advantage.</span></span></p></div><div><h3>Methods</h3><p><span>The procedure was applied to three patients who underwent discectomy for the treatment of </span>synovial osteochondromatosis. They were followed up from preoperatively to more than 1 year postoperatively.</p></div><div><h3>Results</h3><p>No significant postoperative complication were observed in all patients. Additionally, all patients obtained normal jaw function without malocclusion from immediately after the surgery.</p></div><div><h3>Conclusion</h3><p>This technique offers some advantages in disc replacement after discectomy.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135605530","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}
{"title":"A case of epidermoid cyst arising in the masticator muscle space with bone absorption","authors":"Kinuko Ogata , Takamitsu Koga , Hirotaka Zaima , Naoki Katase , Misa Sumi , Seigo Ohba","doi":"10.1016/j.ajoms.2023.10.003","DOIUrl":"10.1016/j.ajoms.2023.10.003","url":null,"abstract":"<div><p>Epidermoid cysts<span><span><span> develop through the inclusion of the ectoderm or epithelial tissue. They mostly occur at the floor of the mouth, but rarely at other loci in the oral region. Here, we report a case of an epidermoid cyst arising in the masticator muscle space. The patient was a 60-year-old man who was referred to our hospital complaining of swelling and pain in the inner part of the right mandibular ramus. </span>Computed tomography and magnetic resonance imaging revealed a monocytic lesion in the right </span>masticatory muscle<span><span><span> and pterygomandibular space. Compressive bone resorption was observed on the buccal side of the maxillary right molar </span>alveolar bone<span> and lingual side of the right mandibular ramus cortical bone. The lesion was enucleated under the clinical diagnosis of cyst or </span></span>benign tumor<span><span> in the right masticatory muscle space. Histopathological findings showed that the resected specimen has a cyst wall lined with a layer of squamous epithelium with </span>parakeratosis<span>, but without skin appendages. Thus, this was diagnosed as an epidermoid cyst. Recurrences did not occur 41 months after the surgery.</span></span></span></span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134936395","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}
{"title":"A case of stomatitis caused by Arisaema serratum","authors":"Takuma Watanabe , Shota Tokumochi , Keiichirou Nanashima , Shizuko Fukuhara , Tomoki Kato","doi":"10.1016/j.ajoms.2023.10.004","DOIUrl":"10.1016/j.ajoms.2023.10.004","url":null,"abstract":"<div><p><span>Ingestion of even small quantities of </span><em>Arisaema serratum</em><span>, a woodland perennial endemic to Japan, can be extremely toxic. History taking<span><span> may provide a clue for diagnosis of stomatitis or other conditions related to this ingestion; however, the </span>treatment is usually supportive therapy. Herein, we report a case of stomatitis caused by the ingestion of </span></span><em>Arisaema serratum</em>. A man in his 30 s presented to our department with significant oral pain and swelling after ingesting a fruit. The patient identified the fruit as <em>Arisaema serratum</em> from a pictorial book of flora. He was consequently diagnosed with stomatitis caused by <em>Arisaema serratum</em><span><span> and administered antihistamine<span>, antiplasmin, and corticosteroids, following which, he was asymptomatic for approximately one month. Serious organ damage was not observed, and the antihistamines and antiplasmin for treating the oral </span></span>symptoms appeared to be effective. In cases of accidental ingestion of toxic plants, differential diagnosis considering the clinical situation and careful treatment are required. Increasing the awareness about toxic plants is crucial.</span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134978233","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}
Yumi Kawaoka , Kazuya Yoshida , Yukitada Hyo , Naoko Yano , Takeshi Yoshida , Koki Moriyoshi
{"title":"A rare case of cemento-ossifying fibroma in a 13-year-old boy with Crouzon syndrome with acanthosis nigricans","authors":"Yumi Kawaoka , Kazuya Yoshida , Yukitada Hyo , Naoko Yano , Takeshi Yoshida , Koki Moriyoshi","doi":"10.1016/j.ajoms.2023.10.002","DOIUrl":"10.1016/j.ajoms.2023.10.002","url":null,"abstract":"<div><p><span>Cemento-ossifying fibroma (COF) is a fibro-osseous lesion of the jaw. It was defined as a benign mesenchymal odontogenic tumor according to the World Health Organization (WHO) histological classification of 2017. COF is a relatively rare tumor that generally occurs in the mandibular molar region of adult women. Herein, we report a case of COF that occurred symmetrically in the bilateral anterior mandibular regions<span> of a child. The patient was a 13-year-old boy who had Crouzon syndrome. He was referred to our clinic because radiolucent lesions were detected in the bilateral anterior mandibular regions on </span></span>panoramic radiography<span>. Computed tomography revealed lesions in the bilateral mandibular anterior regions. The lesions were completely removed, and histopathological examinations were performed, which confirmed COF in bilateral lesions. There was no evidence of recurrence at the 2-year postoperative follow-up.</span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134935424","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}
Chen-xi Li , Zhong-cheng Gong , Wen-li Cui , Jing-wen Yu
{"title":"Primary chondromyxofibroma originating from the temporomandibular joint: A case report of an extremely rare benign bone tumor","authors":"Chen-xi Li , Zhong-cheng Gong , Wen-li Cui , Jing-wen Yu","doi":"10.1016/j.ajoms.2023.09.009","DOIUrl":"10.1016/j.ajoms.2023.09.009","url":null,"abstract":"<div><p><span>Chondromyxoid fibroma<span><span> (CMF) is an extremely rare cartilaginous tumor<span>, accounting for less than 1 % of benign bone tumor<span>. Most CMFs are found in the metaphysis of long bones. This study aimed to present a patient with </span></span></span>temporomandibular joint (TMJ)-CMF involving pterygopalatine space and the </span></span>skull base<span><span><span>, and to discuss its epidemiology, clinical characteristics and management thereof. A 56-year-old Chinese Han woman visited our hospital with a chief complaint of facial asymmetry and progressive limitation of mouth opening due to this mass expanding upwardly to the auriculotemporal region. A computed tomography presented the wormlike osteolysis of the right condylar head presenting with swelling, cloudy flocculent ground-glass opacity, relatively clear boundary, thin bone in the middle of the cranial fossa, low continuity, and involving the temporomandibular joint. Incisional biopsy confirmed a diagnosis of TMJ-CMF. Using digital technique to determine the boundary of the lesion and reconstruct the normal glenoid fossa, the temporalis myofascial flap was transplanted between titanium mesh and condyle so as to reconstruct the disk after complete resection of the tumor. The patient's facial profile is symmetrical, with a mouth opening of 45 mm; there was no local recurrence, no complications such as </span>cerebrospinal fluid fistula and cerebral hernia during 1-year follow-up period. To date, a review of the literature yielded only one case occurred in the TMJ was previously evaluated by </span>radiology. To our knowledge, this is the second case of primary CMF in the TMJ.</span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134917486","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}
{"title":"Is intra-arterial infusion chemoradiotherapy more effective than surgery in patients with locally advanced oral squamous cell carcinoma? A systematic review and meta-analysis for the update of the 2019 Japanese oral cancer clinical practice guidelines","authors":"Haruki Sato , Kanako Takayama , Senri Oguri , Hirokazu Saito , Taiki Suzuki , Daisuke Takeda , Masatoshi Adachi , Hidemichi Yuasa , Narikazu Uzawa , Hiroshi Kurita","doi":"10.1016/j.ajoms.2023.09.010","DOIUrl":"10.1016/j.ajoms.2023.09.010","url":null,"abstract":"<div><h3>Objectives</h3><p>This study evaluated the effectiveness of intra-arterial infusion chemoradiotherapy (IACRT) compared to surgery in patients with locally advanced oral squamous cell carcinoma (LAOSCC) as part of the process of updating the 2019 Japanese oral cancer clinical practice guidelines.</p></div><div><h3>Methods</h3><p>We searched PubMed, Japana Centra Revuo Medicina Web, and the Cochrane Central Register of Controlled Trials (from 2019 to 2022) to identify articles that evaluated the effectiveness of IACRT and surgery in patients with LAOSCC.</p></div><div><h3>Results</h3><p>Because no randomized controlled trials were identified, we searched observational studies, such as cohort studies and case-control studies. A total of 337 articles were identified, and two studies were selected through the search. The only primary endpoint that was assessed was the locoregional recurrence rate. The hazard ratio for the locoregional recurrence rate was 1.03, with a 95 % confidence interval of 0.77–2.18, and the point estimate was slightly in favor of the control group. However, there were large discrepancies between the proportions of early-stage OSCC and LAOSCC in the two articles. The balance between the desirable and undesirable effects of the intervention was not known. The certainty of evidence was very low.</p></div><div><h3>Conclusions</h3><p>In this systematic review, the evidence of a desirable effect was small, and the balance between effectiveness and harms was not known. Some Japanese hospitals have reported good outcomes with IACRT for patients with LAOSCC. We must therefore exercise caution in analyzing this result.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212555823002120/pdfft?md5=357ae46023815e8ad07b83898de2b219&pid=1-s2.0-S2212555823002120-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134962218","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}
Carlos F. Ugas Charcape , Vania C. Ccuno Peralta , Gustavo A. Matos Vasquez , Verónica M. Caller Farfán
{"title":"Pai syndrome associated with cerebral arteriovenous malformation","authors":"Carlos F. Ugas Charcape , Vania C. Ccuno Peralta , Gustavo A. Matos Vasquez , Verónica M. Caller Farfán","doi":"10.1016/j.ajoms.2023.09.007","DOIUrl":"10.1016/j.ajoms.2023.09.007","url":null,"abstract":"<div><p><span>Pai syndrome is a rare entity, initially described as a frontonasal dysplasia that associates the presence of skin polyp on the nasal bridge, midline cleft of the upper lip and </span>lipoma<span><span> of the corpus callosum<span>, due to the wide phenotypic variability. Recently the diagnostic criteria were updated to include the presence of a congenital midfrontal or nasal skin mass or polyp in the alveolar process associated with mid-upper lip fissure<span> and/or pericallosal lipoma. We present the case of a 10-month-old infant with Pai syndrome associated with cerebral arteriovenous malformation, in our review such association was not found in the literature reviewed. The patient received multidisciplinary care that included surgeries by the specialties of </span></span></span>otorhinolaryngology and plastic surgery with a favorable outcome.</span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135389354","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}
{"title":"Chondrolipoma of floor of the mouth: A case report","authors":"Nami Nakayama , Kenta Ushikubo , Keisuke Sawada , Yosuke Iijima , Shunsuke Hino , Takahiro Kaneko , Norio Horie","doi":"10.1016/j.ajoms.2023.09.008","DOIUrl":"10.1016/j.ajoms.2023.09.008","url":null,"abstract":"<div><p>Chondrolipoma is one of the less common variants of lipoma<span>, showing mature hyaline cartilage<span> in the underlying adipose tissue<span>. We describe herein a rare case of chondrolipoma arising on the floor of the mouth. A 66-year-old woman was referred for close examination of a lingual mass on the anterior floor of the mouth. Intraoral examination revealed a spherical, well-defined, relatively soft mass, 2.0 cm in diameter, without adhesions to alveolar bone in the anterior floor of the mouth. The tumor was resected, and histopathologic examination diagnosed chondrolipoma. The postoperative course was uneventful and no recurrence within 1 year after surgery. Lipomas are also occasionally found on the floor of the mouth, where the chondrolipoma subtype can arise.</span></span></span></p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135348635","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}