Journal of Maxillofacial & Oral Surgery最新文献

{"title":"Flap Design for Cranial Reconstruction: An Analysis of Craniectomy and Cranioplasty Incisions.","authors":"Nanda Kishore Sahoo, Ankur Thakral, Sanjay Kumar, Vishal Kulkarni","doi":"10.1007/s12663-021-01526-z","DOIUrl":"10.1007/s12663-021-01526-z","url":null,"abstract":"<p><strong>Background: </strong>The surgical approach for cranial reconstruction is influenced by the presence of pre-existing scar tissue. Scars that lie within the vicinity of cranial defect require modification.</p><p><strong>Purpose: </strong>The present study was conducted to analyse co-relation between craniectomy scar and cranioplasty incision.</p><p><strong>Materials and methods: </strong>A retrospective evaluation of 70 patients who were divided into three groups based on location of cranioplasty incision line was done. In group I, incision was located parallel and outside the scar; group II, incision was located over the scar; and group III, mixed and criss-cross incision was present. The primary outcome variable of interest was to analyse co-relation between craniectomy and cranioplasty incisions.</p><p><strong>Results: </strong>There were 45 cases of group I, 15 cases of group II and 10 cases of group III. Thirty-three patients had defect on left side, 26 had on right side, and 10 had bifrontal defect. No significant association was noted between the site and cranioplasty incision (Chi² = 9.155, <i>p</i> = 0.433 and likelihood ratio = 9.487, <i>p</i> = 0.394).</p><p><strong>Conclusion: </strong>Well-vascularized broad-based scalp flap that provides adequate exposure and located on healthy bone irrespective of pre-existing craniectomy scar forms the mainstay of successful cranial reconstruction.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"1 1","pages":"242-247"},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11001807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41990434","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}

{"title":"Ipsilateral Cervicodeltopectoral Flap: A Forgotten Technique, Revival in the Era of Microvascular Reconstruction.","authors":"Nawaz Usman, Punit Singh Dikhit, Naveena A N Kumar, Preethi S Shetty, Keshava Rajan, V N R Vittamsetti, Diksha Dinker, Anmi Jose","doi":"10.1007/s12663-022-01757-8","DOIUrl":"10.1007/s12663-022-01757-8","url":null,"abstract":"<p><p>Oral cavity cancer is one of the most common cancers in India responsible for significant morbidity and mortality in Indian subcontinent. Majority of cases present in advanced stages which requires extensive reconstruction following tumor resection. Microvascular free flap reconstruction is now considered standard of care for reconstruction for major head and neck skin-mucosal defects but, many factors still act as hindrance like patient's comorbidities, long operating hours for microvascular reconstruction, logistic and financial issues from patient's side. In such situation it is better to have a backup plan for reconstruction of major head and neck defects using pedicled flaps. Pectoralis major myocutaneous (PMMC) flap has been the workhorse flap for head and neck reconstruction since its introduction four decades ago. But relying too much on PMMC flap for major skin-mucosal defects especially in female patients is associated with complications and risk for flap failure leading to catastrophic and significant patient morbidities. Our study involves the use of two flaps for head and neck reconstuction involving skin-mucosal defects i.e PMMC flap for mucosal defect and cervicodeltopectoral (CDP) flap for skin defect. As of now there has been no retrospective or prospective study done which has given a conclusive statement regarding use of these two flaps simultaneously for head and neck reconstruction to the best of our knowledge. In our experience from the present study, CDP flap offers an excellent alternative for extensive head and neck reconstruction and can be readily included in the surgeon's armamentarium with proper planning and meticulous handling.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"1 1","pages":"38-43"},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10831001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47925730","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}

{"title":"Dentinogenic Ghost Cell Tumour in Childhood Involving the Temporomandibular Joint: Considerations and Therapy.","authors":"Jan Rustemeyer, Alexander Busch, Klaus Junker","doi":"10.1007/s12663-023-01874-y","DOIUrl":"10.1007/s12663-023-01874-y","url":null,"abstract":"<p><strong>Background: </strong>Although the uncommon dentinogenic ghost cell tumour (DGCT) is a benign entity, it possesses the ability to cause widespread destruction of the jaws and to recur after bone-preserving therapy. Hence, clear margins should be achieved upon surgery, and reconstruction techniques must often be used to restore osseous defects. However, this can be challenging in cases with involvement of the temporomandibular joint (TMJ), and especially in children.</p><p><strong>Case report: </strong>We present a case of a DGCT in a 12-year-old boy with wide infiltration of the mandible and the TMJ. A two-staged reconstructive approach was performed. Upon primary surgery, tumour-free margins were obtained and mandibular anatomy was restored using an iliac crest graft and an alloplastic condyle implant for temporary TMJ reconstruction. In a second step 5 months later, having received a customized TMJ prosthesis consisting of a fossa and a condyle component, the TMJ was completely replaced for definitive reconstruction.</p><p><strong>Conclusion: </strong>A customized TMJ prosthesis could be a solution for reconstruction of the TMJ in children. However, the further course with respect to growth disturbances must be evaluated upon short-term follow-ups and might require additional corrective interventions.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"1 1","pages":"210-218"},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46836494","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}

{"title":"Integration of the 'Snipping' Tool to the Pre-operative Checklist: A Technical Note.","authors":"I Chan, G Baniulyte, A Adams, J Bowden","doi":"10.1007/s12663-022-01768-5","DOIUrl":"10.1007/s12663-022-01768-5","url":null,"abstract":"","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"1 1","pages":"97-98"},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46084966","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}

{"title":"Proximal Redundant Fibula Bone Template for Flap Osteotomies in Mandibular Reconstruction: A Novel Technique.","authors":"Manish Mair, Kartic Rajaram, Andrew Baker","doi":"10.1007/s12663-021-01567-4","DOIUrl":"10.1007/s12663-021-01567-4","url":null,"abstract":"<p><strong>Background: </strong>Free fibula flap has been the workhouse of reconstruction for segmental mandibular defects. The use of computer aided design helps in achieving the desired aesthetic and functional outcome. It has its advantages but it comes with an extensive financial burden.</p><p><strong>Purpose: </strong>We propose the use of redundant proximal fibula bone segment as a template and a cutting guide for flap osteotomies in mandibular reconstruction.</p><p><strong>Methods: </strong>We have used this surgical technique in a case of T4 oral cancer that required segmental mandibulectomy.</p><p><strong>Result: </strong>Average ischaemia time was 1 hour and 30 minutes. Based on histopathology report, both the patients required adjuvant radiotherapy. Oral competence was maintained in both the patients. Post-operatively, the contour and the orientation of the mandibular reconstruction were comparable both clinically and radiologically to the previously planned 3D cases.</p><p><strong>Conclusion: </strong>This surgical technique provides an accurate guide for end angle osteotomy. In addition, it does not require any extra surgical step and does not increase the ischemia time of the flap with no additional extra cost.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12663-021-01567-4.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"1 1","pages":"53-55"},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10831015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41713678","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}

{"title":"Haberland Syndrome Associated with Juvenile Ossifying Fibroma and Odontoma: Rare Case Report.","authors":"Ragavi Alagarsamy, Ongkila Bhutia, Ajoy Roychoudhury, Babu Lal, Rahul Yadav, Deepika Mishra","doi":"10.1007/s12663-023-01893-9","DOIUrl":"10.1007/s12663-023-01893-9","url":null,"abstract":"","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"1 1","pages":"184-188"},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10831002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42460317","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}

{"title":"Electromyographic Assessment of Masticatory Muscles & their Asymmetries in Adult Indian Population.","authors":"Naresh Kumar Sharma, Bhupendra Singh Yadav, Mehul Shashikant Hirani, Neeraj Kumar Dhiman, Akhilesh Kumar Singh, Richik Tripathi","doi":"10.1007/s12663-022-01770-x","DOIUrl":"10.1007/s12663-022-01770-x","url":null,"abstract":"<p><strong>Objective: </strong>To study the surface electromyography (sEMG) and it is asymmetry under resting and dynamic conditions in masticatory muscles.</p><p><strong>Materials and methods: </strong>sEMG of the masticatory muscles (bilateral masseter & temporalis) was done in 61 healthy subjects (mean age 28.5 ± 8.8 years) with bilateral functional molar occlusal relationship. Root mean square (RMS) values sEMG for each activity (rest, clenching, maximum mouth opening (MMO), left and right excursion) for a 10 s period were recorded and analyzed. Indices for asymmetry of muscles, relative activity and resultant torque were assessed and analyzed.</p><p><strong>Results: </strong>RMS values of sEMG during clenching were significantly higher for all masticatory muscles in males compared to females (<i>p</i> < 0.05). During excursive mandibular movement a statistically significant difference seen in ipsilateral temporalis muscle in males. sEMG of masticatory muscles during rest as well as functional activities of mandible was asymmetrical. A predominant masseteric activity was observed for all functional activities of mandible except during rest for which temporalis muscle activity was higher. Right sided torque was observed during rest, MMO and right lateral movements while a predominant left sided torque was present during left lateral movement and clenching.</p><p><strong>Conclusion: </strong>sEMG values of masticatory muscles obtained in our study can be used as reference for healthy Indian population. A perfect muscular symmetry might be illusive and a controlled asymmetry criterion appears to be more useful which corresponds to reality.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"1 1","pages":"197-203"},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52676801","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}

{"title":"Sialendoscopic Management and Gland Preservation in an Unusual Case of Extensive Submandibular Sialolithiasis.","authors":"Nayak Tulasi, Bachalli Prithvi, Moorthy Aditya","doi":"10.1007/s12663-023-01890-y","DOIUrl":"10.1007/s12663-023-01890-y","url":null,"abstract":"<p><p>Sialolthiasis is one of the most common benign pathologies of the salivary glands. It is associated with frequent bacterial infections and significant discomfort. Large &/or multiple stones are traditionally treated by ductal marsupialisation or gland excision. Sialendoscopy, a relatively new minimally invasive technique is a useful technique which can preserve a functioning gland and reduce postoperative morbidity. The current report demonstrates the successful use of sialendoscopy in evacuating 13 stones from a submandibular gland.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"1 1","pages":"171-173"},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42352285","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}

{"title":"Management of Sialoceles Using an Indigenous Salivary Stent.","authors":"Tulasi Nayak, Gowrishankar, Shreya Krishna, Prithvi Bachalli, Aditya Moorthy","doi":"10.1007/s12663-023-01888-6","DOIUrl":"10.1007/s12663-023-01888-6","url":null,"abstract":"<p><strong>Background: </strong>A Sialocele is a subcutaneous extravasation of saliva from the salivary gland secondary to traumatic disruption of its duct or parenchyma. It is observed after ablative head and neck surgery or due to trauma. Though there are several techniques described, there is no universal consensus on how to treat postoperative sialoceles.</p><p><strong>Purpose: </strong>This paper describes a simple technique which was used to successfully treat 11 patients with postoperative sialoceles.</p><p><strong>Methods: </strong>In this paper we have described the use of an indigenously designed tapered stent used to decompress the sialocele. The decompression allows natural healing and fibrosis to occur over 4-6 days thereby resolving the sialocele.</p><p><strong>Results: </strong>11 patients with postoperative sialoceles were successfully treated using our technique.</p><p><strong>Conclusion: </strong>The technique described by the authors is a simple, easy to perform procedure that can be managed in the outpatient office under local anesthesia with minimal equipment.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"1 1","pages":"167-170"},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44976357","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}

{"title":"Assessment of Shame and Stigma in Head and Neck Cancer: A Meta-Analysis.","authors":"Atul Kumar Goyal, Jaimanti Bakshi, Naresh K Panda, Rakesh Kapoor, Dharam Vir, Krishan Kumar, Pankaj Aneja","doi":"10.1007/s12663-021-01658-2","DOIUrl":"10.1007/s12663-021-01658-2","url":null,"abstract":"<p><strong>Background: </strong>Head and neck cancer is the most common cancer around the globe, following lung cancer and breast cancer. Treatment at advanced stages of head and neck cancer is usually followed intense surgical procedures, which leads to mutilation among patients. Mutilation imparts a sense of disgrace and causes a feeling of shame and stigma in the patient. The feeling of shame and stigma persists over time and affects the overall long-term survival of patients by deteriorating their quality of life.</p><p><strong>Objectives: </strong>Since shame and stigma is an important psychological domain of head and neck cancer, the present article aims toward evaluating the studies published so far for the assessment of shame and stigma in head and neck cancer and highlighting the lacunae in the existing research designs. The present study also aims to design a checklist that could be followed while developing, translating, or validating a psychometric instrument that aims to measure shame and stigma in head and neck cancer.</p><p><strong>Methods: </strong>In the present metanalysis, all articles published in the past years on shame and stigma in head and neck cancer was compiled using a predefined data extraction matrix. The available literature was compiled for major objectives of the study, the sample size used, major findings, and critical lacunae that need to be addressed.</p><p><strong>Results: </strong>Shame and stigma is a very important domain of psychological well-being in head and neck cancer patients, which yet not appropriately addressed and further need to be researched.</p><p><strong>Conclusion: </strong>Future studies could be based on the lacunae highlighted in the existing literature, and the prescribed methodology checklist could be taken into consideration while conducting further studies involving developing, translating, or validating a psychometric instrument related to shame and stigma in the head and neck cancer.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"1 1","pages":"16-22"},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43222973","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}