Journal of Maxillofacial & Oral Surgery最新文献

{"title":"To Evaluate the Efficacy of Methylene Blue in Identification of Neck Sentinel Lymph Nodes in Oral Squamous Cell Carcinoma.","authors":"Mohammed Tasveem Ustad, Aaisha Siddiqa, Neelakamal H Hallur, Syed Zakaullah, Chaitanya Kothari, Shereen Fatima, Najmussahar Kudchi, Syed Manazir Hussain","doi":"10.1007/s12663-024-02425-9","DOIUrl":"https://doi.org/10.1007/s12663-024-02425-9","url":null,"abstract":"<p><strong>Background: </strong>Sentinel lymph node is the first lymph node to drain a metastatic tumor cell or cluster of cells that drains via the lymphatic route. Mapping from the tumor site to the regional lymphatic drainage area can be used to identify the primary draining lymph node. The status of the sentinel node decides the need for neck dissection. The purpose of this study is to evaluate the efficacy of <i>Methylene blue</i> in identification of <i>Neck Sentinel Lymph Nodes (SLN)</i> in oral squamous cell carcinoma. A total of 10 patients diagnosed histopathologically with oral squamous cell carcinoma were included in the study. Efficacy of methylene blue intraoperatively as an injectable medium for sentinel lymph node biopsy is established.</p><p><strong>Results: </strong>SLN were identified in all the 10 cases, with an average of 1.8 SLN per patient and standard deviation of 1.13.</p><p><strong>Conclusion: </strong>We conclude that, methylene blue is an effective, hypoallergenic, low cost and easily available dye that has shown promising results in identification of sentinel lymph nodes in early oral cancer, signifying the important role to be played by SLNB procedures in deciding the type of neck dissection with least morbidity and maximum outcome.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 1","pages":"200-206"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123750","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":"Juvenile Tuberculous Osteomyelitis of the Mandible: A Rarity.","authors":"P N Ramaraj, Uday Kiran Uppada, Niveda Jith","doi":"10.1007/s12663-024-02216-2","DOIUrl":"https://doi.org/10.1007/s12663-024-02216-2","url":null,"abstract":"<p><p>Due to its unusual occurrence in the oral and maxillofacial region, a suspicion of the oral tuberculous manifestation does not arise, particularly in the absence of a positive history of systemic infection or therapy. Diagnosing a case of tuberculous osteomyelitis involving the mandible in the absence of pathognomonic signs of tuberculous infection, particularly in a juvenile patient, is extremely difficult. We report a similar case with an intention to caution the clinicians that the documented cases of tuberculous osteomyelitis in the oral and maxillofacial region are increasing in the recent past.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 1","pages":"70-73"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123778","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":"Does Peripheral Nerve Stimulator-Guided Extraoral Mandibular Nerve Block Provide Effective Anaesthesia for Third Molar Surgery: A Prospective Interventional Study.","authors":"Thivviyan Karthikeyan, Abinaya Subramanian, Vivek Narayanan, Mahima Seetaram","doi":"10.1007/s12663-024-02418-8","DOIUrl":"https://doi.org/10.1007/s12663-024-02418-8","url":null,"abstract":"<p><strong>Background/aim: </strong>Mandibular nerve block provides good quality and long-lasting analgesia. In situations necessitating extraoral nerve-blocking procedures, clinicians may find it technically challenging to administer this block due to its uncertain surface landmarks or distorted anatomy. Peripheral nerve stimulator is a device used to electrically stimulate the peripheral and terminal branches of the nerve.</p><p><strong>Methods: </strong>This prospective interventional clinical study was carried out in the Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College And Hospital in patients requiring surgical extraction of mandibular third molar. Patients were divided into two groups: control group and test group based on computer-generated randomization. Control group patients underwent impaction procedure after conventional extraoral mandibular nerve block, while test group patients underwent impaction procedure after PNS-guided extraoral mandibular nerve block.</p><p><strong>Results: </strong>Statistical analysis was done and the mean length of anaesthesia between the two groups was compared using a paired t test, and the mean pain levels up to six hours were compared using a Wilcoxon signed-rank test. Out of 42 patients, 25 were male and 17 were female. The mean age was 28.36 years. The age range was 19-52 years. In both control and test groups, no patients had failure of anaesthesia, and no one complained of pain during the procedure; hence, no supplemental injections were given. Visual analogue scale score remained (score ≤ 2) up to 6 h for patients in test group.</p><p><strong>Conclusion: </strong>Thus, using a peripheral nerve stimulator guarantees the success of the block. For patients undergoing third molar surgery, it is a reliable, secure, and safer option for administering extraoral mandibular nerve block. In the future, the use of this technique could extend to pain control during major procedures such as cleft lip and palate, orthognathic, tumour removal, and facial injuries too.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 1","pages":"267-273"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123814","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":"Are We Overlooking Vascular Anomalies in Oral and Maxillofacial Surgical Training?","authors":"Jordan Middleton, Gerardo A Alvarez, Sheridan Danquah, Navkiran Deol, Salim Afshar","doi":"10.1007/s12663-024-02401-3","DOIUrl":"https://doi.org/10.1007/s12663-024-02401-3","url":null,"abstract":"<p><strong>Purpose: </strong>Treating vascular anomalies (VAs) in the head and neck is challenging for resident physicians due to evolving educational approaches. This survey assessed oral and maxillofacial surgery (OMFS) residents' exposure, education, and comfort in managing patients with VAs.</p><p><strong>Methods: </strong>The Boston Children's Hospital Vascular Anomalies Center distributed a 15-question survey to 108 program/fellowship directors and 633 OMFS residents in the U.S. The survey included questions on demographics, education, exposure, VA management, and the role of oral health professionals. It was sent on 5/10/2022, with a reminder on 5/17/2022. Statistical significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Of 633 residents contacted, 98 (15.5%) responded, with 91 (14.4%) completing the survey. Among them, 57.1% were in dual degree programs, and 42.9% in single degree programs. Over half (56%) had no experience with VA care teams, and 35.2% lacked specific VA education. Only 23.1% trained at facilities with interdisciplinary VA clinics. While 67% had VA case exposure, 33% felt unconfident in treating head and neck vascular lesions or managing oral health for VA patients.</p><p><strong>Conclusion: </strong>The study highlights limited exposure and education on VAs among OMFS residents, underscoring the need to include VAs in the OMFS curriculum and expand interdisciplinary VA clinics in OMFS programs.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 1","pages":"30-35"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123714","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":"Innovative Pre-clinical Learning in Oral Surgery: Injection on Tomato-A Quasi-Experimental Study.","authors":"Bhushan R Bhagat, Mahesh Khairnar, Pushkar P Waknis, B M Rudagi","doi":"10.1007/s12663-024-02235-z","DOIUrl":"https://doi.org/10.1007/s12663-024-02235-z","url":null,"abstract":"<p><strong>Introduction: </strong>Before any patient handling, the third-year undergraduate learners should handle the injection on tomato to raise their confidence pre-clinically. Another advantage of this learning was learners can avoid needle prick injury in the initial learning stage. Also, they can learn single hand to aspirate during the injection technique. Tomato was used to reduce the \"Red colour\" fear of blood for the learners.</p><p><strong>Aim of the study: </strong>To evaluate students' perception towards tomato injection activity in oral surgery.</p><p><strong>Methodology: </strong>Quasi-experimental study was conducted on third-year BDS students from the department of Oral and Maxillofacial Surgery of a Dental Institute. All the third-year BDS Students were informed about the objective of the study and those who were willing to participate were invited to take part in the study. A written informed consent was obtained from the students, and ethical clearance was obtained from the Institutional Ethical Committee.</p><p><strong>Conclusion: </strong>A simple activity like tomato injection can be easily done at the workplace. This is a potentially flourishing concept to accomplish self-confidence and enhance ability and preparedness for young learners to execute actual procedure in patients pre-clinically.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 1","pages":"8-12"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123759","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":"Does Facial Gunshot Wound Location Affect the Need for Airway Intervention?","authors":"Mohammed Qaisi, Thaer Al Azzawi, Othman Rezki, Faran Bokhari, James Murphy","doi":"10.1007/s12663-024-02421-z","DOIUrl":"https://doi.org/10.1007/s12663-024-02421-z","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to determine the effect of the facial region associated with gunshot wound (GSW) on the need for airway intervention.</p><p><strong>Methods: </strong>This was a cross-sectional study. We reviewed charts of patients treated at Cook County Health from (2008-2018) for GSW injuries involving the face. Data collection included demographics and airway intervention. The region of the face involved in GSW was the predictor variable. Airway intervention via intubation, cricothyrotomy, or tracheostomy was the outcome variable. Chi-square tests and odds ratios were employed for statistical analyses.</p><p><strong>Results: </strong>Of the 180 GSW patients, 169 were males (94%), and eleven were females (6%). 145 were African American (80.6%), 21 were Hispanic (11.7%), 5 were Caucasian (2.8%), and 9 were of other ethnicities (5%). The median age in this cohort was 25 years (range 16-73 years). The mean was 27.9 years, and 75% of patients were younger than the age of 33 years. The overall rate of airway intervention was 45%. Among patients with injuries to the lower face, 53% required airway management, compared to 33% of patients with injuries to the middle face and 30% of patients with injuries to the upper face. This difference was not statistically significant. Dichotomized data into the upper half and lower half injuries of the face reflected a statistically significant difference in the need for airway intervention (chi-square 4.358, <i>p</i> = 0.037). The odds ratio was 0.3824 and a 95% confidence interval was 0.1532-0.9545.</p><p><strong>Conclusion: </strong>While only half of GSW patients may require airway intervention, vigilance and close attention should be paid to all patients and especially those with lower half of the face injuries.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 1","pages":"117-122"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123809","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":"Evaluating the Harmony Between Clinical Observations and Pathological Findings in Oral Soft Tissue Lesions: A Two-Decade Retrospective Study of Diagnostic Consistency.","authors":"Nafiseh Shamloo, Zeynab Afzali, Maryam Rezaeianjam, Mahyar Khanlari Goodarzi","doi":"10.1007/s12663-025-02447-x","DOIUrl":"https://doi.org/10.1007/s12663-025-02447-x","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to evaluate the concordance rate between clinical diagnoses and pathological findings of oral soft tissue lesions.</p><p><strong>Methods: </strong>In this retrospective descriptive-analytical study, we analyzed 7901 cases of oral tissue lesions referred to the pathology department at Shahid Beheshti Faculty of Dentistry from 1996 to 2022. Data extracted from archived records included age, sex, lesion location, and both clinical and histopathological diagnoses.</p><p><strong>Results: </strong>A total of 2592 samples of oral soft tissue lesions meeting the inclusion criteria were evaluated. The concordance rate between clinical and pathological diagnoses was 65.3%. A significant relationship was found between the anatomical location of the lesion and the matching rate (<i>p</i> < 0.001), with the lips exhibiting the highest matching rate at 77.3% and the sinus presenting the lowest at 45.4%. Additionally, the type of lesion significantly correlated with the concordance rate (<i>p</i> < 0.001), with connective tissue lesions showing the highest concordance at 83.3% and nonodontogenic lesions the lowest at 46.1%. However, no significant associations were found between gender/age (<i>p</i> > 0.743/<i>p</i> > 0.506) and the concordance rate.</p><p><strong>Conclusion: </strong>The findings underscore the need for enhanced training for clinicians, greater attentiveness to clinical symptoms, and improved collaboration between dentists and pathologists to facilitate accurate diagnoses and effective treatment.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12663-025-02447-x.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 1","pages":"24-29"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123821","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":"Combined Open Reduction and Transantral Endoscopic Approach for Internal Fixation of Orbital Floor Fractures: A Tertiary Care Center Experience with Decision-Making Algorithm.","authors":"Mehul Saha, Adarsh Kudva, Srikanth Gadicherla, Chithra Aramanadka, Anupam Singh, Surbhi Varshney","doi":"10.1007/s12663-024-02386-z","DOIUrl":"https://doi.org/10.1007/s12663-024-02386-z","url":null,"abstract":"<p><strong>Introduction: </strong>Perfect reduction and fixation of orbital blowout fractures remain challenging due to difficulty in visualization of herniated orbital contents and intact bony ledge. This often leads to eyeballing during surgery, which results in inadequate soft tissue reduction or improper implant placement. The use of endoscopy greatly overcomes these challenges.</p><p><strong>Patients and methods: </strong>In this paper, the authors have described 3 clinical scenarios where a combined approach of open reduction and transantral endoscopy (through an anterolateral wall defect of the maxillary sinus or Caldwell-Luc procedure) has been used for the reduction and fixation of orbital floor fractures with soft tissue entrapment. This approach has ensured perfect soft tissue reduction and precise implant position, which in turn have alleviated post-operative complications and improved patient symptoms.</p><p><strong>Discussion: </strong>Conventional techniques for orbital floor repair include lower lid transcutaneous or transconjunctival approaches. However, it is difficult to visualize the posterior intact bony shelf and difficult to confirm adequate herniated soft tissue reduction. Endoscopic techniques allow superior visualization of these structures. When transantral endoscopy is combined with a traditional open approach, it provides better illumination, visualization, and effective reduction and fixation of large defects with a provision for confirmation post-fixation. In the presence of a concomitant anterolateral wall of maxillary sinus fracture, an endoscope can be easily introduced into the sinus for better visualization and confirmation. The authors have also set down a few guidelines for approaching orbital floor fractures with the combined technique in the form of an algorithm. This algorithm can help surgeons decide which type of approach to adopt based on certain characteristics of the fracture.</p><p><strong>Conclusion: </strong>The combination of open reduction and transantral endoscopy is easy, effective, and shows promising results for orbital floor repair.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"24 1","pages":"144-152"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123716","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":"Mastering Our Craft: An End in Itself Worth the Patience.","authors":"Dani Stanbouly, Srinivasa R Chandra, Sung-Kiang Chuang","doi":"10.1007/s12663-023-01974-9","DOIUrl":"10.1007/s12663-023-01974-9","url":null,"abstract":"<p><p>It is tempting to ascribe the most outstanding achievements and discoveries in history to inborn talent, exclusive to only a handful of gifted individuals. Nevertheless, such feats are convincingly secondary to the potential for mastery-something we all share. Many studies demonstrate phenomena, such as perceptual learning, that corroborate a human's potential for mastery. This mutual power latently resides in the mind and needs to be turned on and exercised with patience and tenacity in order to reap its benefits. The potential for mastery when reached, not inborn talent, will enable oral and maxillofacial surgeons to innovate and move the field forward.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":" ","pages":"13-14"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44106490","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":"Does Preoperative Vascular Mapping Using Color-Doppler Ultrasound have a Role in the Success of Axial Nasolabial Flap?","authors":"Anjali Verma, Sujata Mohanty, Pankaj Sharma, Anjali Prakash, Rudra Deo Kumar","doi":"10.1007/s12663-023-01954-z","DOIUrl":"10.1007/s12663-023-01954-z","url":null,"abstract":"<p><strong>Aim: </strong>The study was performed to compare the effects of preoperative vascular mapping on the clinical outcome of axial nasolabial flap.</p><p><strong>Materials and methods: </strong>A total of 26 patients (29 flaps) were alternately divided into two groups using simple block randomization method. In Group I patients, the conventional axial flap was marked. In Group II, USG-guided flap was designed with the help of Color-Doppler ultrasound. Patients were assessed for a minimum of 6 months and the postoperative flap outcome was quantified using a self-validated composite scoring system. Other parameters of patient morbidity including length of hospital stay, resurgery for reconstruction of secondary defects, postoperative complications were also measured and compared.</p><p><strong>Results: </strong>The mean postoperative flap outcome score was significantly superior in Group II patients than Group I, at the beginning and at the conclusion of the study (intergroup <i>p</i>-value at postoperative-1-week = .001; at postoperative-1-month = .044; at postoperative-3-month = .139; at postoperative-6-month = .007). Additionally, reconstruction defects with the conventional nasolabial flap were associated with greater morbidity as compared to Group II (intergroup comparison-hospital stay and duration <i>p</i> = .001; complications <i>p</i> = .115; Redo Surgery <i>p</i> = .096).</p><p><strong>Conclusion: </strong>Therefore, it can be concluded that flap selection based on known dominant perforators could be helpful in achieving favorable outcomes resulting in minimal postoperative morbidity while allowing complex surgical reconstructions.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":" ","pages":"224-232"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41832140","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}