Journal of Maxillofacial & Oral Surgery最新文献

{"title":"Myositis Ossificans of the Masseter Muscle: A Systematic Review of Treatment, Controversies, and Outcomes.","authors":"M Nagaraj, G Anitha, Gomati Dhandai, D Shanmuga Sundaram, Poonam Yadav","doi":"10.1007/s12663-026-02994-x","DOIUrl":"https://doi.org/10.1007/s12663-026-02994-x","url":null,"abstract":"<p><strong>Purpose: </strong>Myositis ossificans (MO) is a rare disorder that poses a dilemma for the treating surgeon. The purpose of the present systematic review is to give an insight on controversies on treatment of MO of masseter muscle and its outcome.</p><p><strong>Methods: </strong>The authors designed a systematic review following PRISMA-Guidelines. A systematic search was performed through PubMed, Google Scholar, Semantic Scholar and the Cochrane library database from 1980 to 2024. The articles reporting MO of masseter muscle were included as study subjects. The data collected were the type of study, number of cases, age and gender of the patients, potential etiology, treatment applied and its outcome (recurrence/no recurrence). The data was recorded on an excel spreadsheet.</p><p><strong>Results: </strong>A total of 34 articles were found reporting the MO of masseter muscle as per the inclusion criteria, which were all case reports. The number of patients were 36 and the number of joints were 41 (5 patients had bilateral involvement of masseter). Male dominance (M: F = 3:1) was seen. The age range was 5 to 64 years (mean = 31.02-years). Trauma was seen as the most common potential etiology in 25 (69.44%) patients. Surgical excision was applied in 31 patients, observation in 4 patients, and the treatment was not clearly reported in 1 patient. Out of 31 patients treated surgically, success/no recurrence was observed in 24 patients (77.41%). Whereas recurrence was observed in 2 (6.4%) patients and the outcome was not clearly reported in 5 (16.12%) patients.</p><p><strong>Conclusion: </strong>The literature suggests that surgical excision is a highly effective modality for the traumatica variety, whereas conservative management is indicated for the progressiva variety of myositis ossificans.</p><p><strong>Graphical abstract: </strong></p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 5","pages":"1467-1474"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13627593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116654","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":"Superficial Cervical Plexus Nerve Block for Incision & Drainage of Fascial Space Infection - A Prospective Study.","authors":"Ajish George Oommen, Inderjot Singh, Sumir Gandhi","doi":"10.1007/s12663-025-02888-4","DOIUrl":"10.1007/s12663-025-02888-4","url":null,"abstract":"<p><strong>Introduction: </strong>A superficial cervical plexus nerve block is used for the incision and drainage of <b>fascial</b> space infections.</p><p><strong>Materials & methods: </strong>The prospective study was conducted on <b>twenty-six </b>patients who presented with <b>fascial</b> space infections. The study protocol involved incision and drainage of the <b>fascial</b> space infection under the superficial cervical plexus block supplemented by an intraoral nerve block.</p><p><strong>Results: </strong>The age of patients varied from 17 to 58 years, with the submandibular space most commonly involved. The mean time to onset of anesthesia symptoms was 5.27 min. There was a considerable decrease in pain after giving the nerve block with no significant variation in oxygen saturation and no recorded complications in this study. The time of first rescue analgesia ranged from 120 to 180 min. The correlation coefficient between the time of onset of anesthesia and the time for first analgesia was 0.095, suggesting a statistically nonsignificant correlation between the two parameters.</p><p><strong>Conclusion: </strong>This study achieved significant pain reduction and high patient compliance. This anesthetic technique is promising for the management of <b>fascial</b> space infection.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1134-1141"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622075","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":"Volumetric Analysis of Airway in Snoring Patients at Risk for Obstructive Sleep Apnea.","authors":"Parinitha Jayaraj, Madhumati Singh, Ravipati Pranathi, N Varsha","doi":"10.1007/s12663-026-03076-8","DOIUrl":"10.1007/s12663-026-03076-8","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea (OSA) is marked by daytime sleepiness, loud snoring, gasping or choking, and at least 5 obstructive breathing events per hour of sleep. Though polysomnography is the \"gold standard\" for diagnosing OSA, it is costly and time-consuming; alternatives like cone-beam computed tomography (CBCT) exist. CBCT, provides a large field of view of upper airway, making it a valuable adjunctive tool for airway evaluation in patients at risk for OSA.</p><p><strong>Aim: </strong>To evaluate the upper airway dimensions of patients with snoring and controls using CBCT and the role of CBCT as an adjunctive screening tool.</p><p><strong>Materials and methods: </strong>Study was done on 20 patients, 10 snoring subjects and 10 without snoring. Berlin questionnaire was given to the patients, to assess the risk for OSA. CBCT was used to measure the airway dimensions. Length of ramus and body of mandible was also estimated.</p><p><strong>Results: </strong>Out of 10 snoring patients, 9 were at high risk for OSA. Snoring subjects had significantly smaller mean A-P oropharynx dimensions, lateral dimensions, and oropharynx volume, but a longer oropharynx and shorter mandibular length than controls. Additionally, their mean BMI was higher.</p><p><strong>Conclusion: </strong>The findings highlight 3D imaging's role in identifying patients at risk for OSA by showing differences in airway dimensions, volume, and mandibular morphology.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1029-1034"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622111","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":"Tramadol hydrochloride vs. lignocaine hydrochloride in the extraction of anterior teeth: a randomised comparative study.","authors":"Srishti Agarwal, Saravanan Lakshmanan, Murugesan Krishnan, Gidean Arularasan","doi":"10.1007/s12663-026-02985-y","DOIUrl":"10.1007/s12663-026-02985-y","url":null,"abstract":"<p><strong>Background: </strong>Tramadol hydrochloride (T-HCL) has shown potential local anesthetic properties but its efficacy in dental extraction remains unclear. This study aimed to compare the local anesthetic effect of tramadol with that of lignocaine hydrochloride (L-HCL) in the extraction of maxillary anterior teeth.</p><p><strong>Materials and methods: </strong>It was a randomized, double-blind, controlled trial. Patients aged 18-60 years, requiring extraction of one or more maxillary anterior teeth were included in the study. The patients were assigned into two groups: Group A received 1.8 ml of 5% T-HCL and Group B received 1.8 ml of 2% L-HCL without adrenaline, respectively. Amount of anesthesia administered, onset of anesthesia, and intraoperative pain were evaluated using unpaired t tests.</p><p><strong>Results: </strong>Forty patients were enrolled. The study results revealed that the amount of anesthesia required was higher in the tramadol group than in the lignocaine group. The onset of anesthesia was faster in the tramadol group (4.5 ± 0.88 min) compared to the lignocaine group (5.35 ± 0.87 min) Intraoperative pain, measured using the Visual Analog Scale (VAS), was slightly higher in the tramadol group (0.85 ± 0.78 min) compared to the lignocaine group (0.5 ± 0.4 min).</p><p><strong>Conclusion: </strong>Tramadol has less potent, higher dose is required for the desired anesthetic property which cannot be recommended as a first-line anesthetic. However, it can be considered as alternative drug for patients who are allergic to lignocaine or other conventional local anesthetics.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1092-1097"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622119","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":"Comparison of the Effectiveness of Osteosynthesis Using MatrixMANDIBLE Plate Versus Reconstruction Plate in Anterior Mandible Fracture Associated With Angle Fracture-A Prospective Clinical Trial.","authors":"Vignesh Elangovan, Rahul Yadav, Jithin Sasikumar Puthukkudiyil, Ongkila Bhutia, Ajoy Roychoudhury, Krushna Bhatt","doi":"10.1007/s12663-025-02784-x","DOIUrl":"10.1007/s12663-025-02784-x","url":null,"abstract":"","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1084-1091"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621794","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":"Comparison of Outcome of Surgical Treatment of Odontogenic Keratocyst Using 5-Fluorouracil and Liquid Nitrogen: A Randomized Clinical Trial.","authors":"Harshvardhan Shelke, Samir D Khaire, Abhilasha Yadav, Kavita Wadde, Sharyu Sawant, Sanpreet Singh Sachdev","doi":"10.1007/s12663-025-02855-z","DOIUrl":"10.1007/s12663-025-02855-z","url":null,"abstract":"<p><strong>Introduction: </strong>Conservative management of OKC through enucleation followed by adjunctive therapy is widely advocated to minimize recurrence while preserving anatomical structures. The present study aimed to compare the clinical and radiological outcomes of topical 5-fluorouracil versus liquid nitrogen cryotherapy used after enucleation of OKC.</p><p><strong>Methods: </strong>A prospective randomized clinical trial was conducted on 24 patients diagnosed with OKC. Patients were allocated into two equal groups: Group I received 5% fluorouracil applied on ribbon gauze post-enucleation for 24 h, while Group II underwent cryotherapy with liquid nitrogen spray in two 1-minute freeze cycles separated by 5-minute thaw interval. Clinical parameters such as pain, swelling, wound sloughing, gaping, and paresthesia were assessed postoperatively, and radiographic outcomes, including bone regeneration and bone density, were evaluated at six months using standardized imaging protocols.</p><p><strong>Results: </strong>Both groups showed comparable recurrence rates (8.3%) and bone regeneration (> 50% in 92% of cases). However, the cryotherapy group showed statistically significant advantages in terms of lower postoperative swelling, sloughing, wound gaping, and higher bone density at six months (<i>p</i> < 0.05). Pain and paresthesia outcomes did not significantly differ between the two groups.</p><p><strong>Conclusion: </strong>Both 5-fluorouracil and liquid nitrogen cryotherapy are effective adjuncts in the conservative management of OKCs. While both promote favourable bone healing and comparable recurrence rates, cryotherapy demonstrates superior outcomes in early soft tissue healing and radiographic bone density, suggesting its potential advantage in select clinical situations.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1182-1189"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621857","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":"Utilizing Firm Segments in the Treatment and Reconstruction Strategy of the Facial Contour for Patients with Pan-Facial Fractures.","authors":"Lam Vu Ngoc, Duc Nguyen Quang, Tien Nguyen Phuong, Vinh Phan Duy, Linh Le Diep","doi":"10.1007/s12663-025-02910-9","DOIUrl":"10.1007/s12663-025-02910-9","url":null,"abstract":"<p><strong>Background: </strong>Currently, there are two classic approaches to correcting and setting fractured facial bones globally, which are \"<i>Correction sequence from bottom to top-from inside to outside</i>\" and \"<i>Correction sequence from top to bottom-from outside to inside</i>.\" No method achieves optimal results in all cases. Depending on each case, the surgeon applies the appropriate sequence of bone correction. Therefore, the application becomes mechanical when relying on one of the two treatment strategies. When patients are treated according to the third principle of correction based on the \"firm segment,\" it becomes more flexible and effective. The \"firm segment\" here refers to the most stable area on the face, allowing the correction of fractures near cthe \"firm segment\" first, followed by those farther away.</p><p><strong>Methods: </strong>Patients with pan-facial fractures, classified according to Follmar's classification, undergo Computed Tomography (CT) scans and Three Dimensional (3D) reconstruction to identify the \"firm segment\" on the 3D images. From there, the correct occlusion is determined, and the fractures are set according to the principle of setting fractures near the firm segment first, followed by those farther away from the firm segment.</p><p><strong>Results: </strong>48 patients with pan-facial fractures classified according to Follmar's classification have been identified with the firm segment on 3D images. There are 4 types of firm segments divided on the images, providing the basis for correcting the right occlusion and setting fractures, restoring the facial contour.</p><p><strong>Conclusion: </strong>Correcting based on \"Firm segment\" is one of the strategies to effectively treat Pan facial fractures, this is an organized and flexible approach, setting fractures near the \"firm segment\" first and followed by those farther away. This strategy helps shorten the surgical time, ensure stability of the fractures, restore the anatomical shape of facial skeleton and function of the organs.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1078-1083"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622126","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":"Fat Graft Transfer in Nasal Tip Reconstruction.","authors":"Ingrid Raponi, Valeria Pallini, Valentino Valentini, Filippo Giovannetti, Andrea Marzetti","doi":"10.1007/s12663-025-02710-1","DOIUrl":"10.1007/s12663-025-02710-1","url":null,"abstract":"<p><strong>Objective: </strong>To assess the esthetic and functional outcomes of reconstructing small cutaneous nasal tip defects with fat graft transfer.</p><p><strong>Methods: </strong>Under local anesthesia, fat graft transfer was performed in nine patients affected by non-melanoma skin cancer of the nasal tip to fill surgical gap. A NAFEQ questionnaire was submitted to all patients to verify nasal function and appearance.</p><p><strong>Results: </strong>The surgery was uneventful in all cases. In most of the patients (8 of 9 patients), the adipose tissue graft remained vital and re-epithelization started from the edges of the resected area. In three patients, a hematoma in the donor site was observed. All patients were satisfied of esthetical appearance of the nasal tip and of the nasal function.</p><p><strong>Conclusions: </strong>The fat tissue graft is a good reconstruction option because it gives both good esthetic and functional results, and it can be performed also in elderly patients with many comorbidities.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12663-025-02710-1.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1018-1022"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622028","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":"Dimpleplasty: A Detailed Elucidation-A Narrative Review.","authors":"Rushabh Chordia, Kalyani Bhate, Sidhant Patil, Ishani Sirsikar, Uday Londhe, Preeti Athwani","doi":"10.1007/s12663-025-02903-8","DOIUrl":"10.1007/s12663-025-02903-8","url":null,"abstract":"<p><strong>Introduction: </strong>This narrative review provides a comprehensive overview of dimpleplasty, a cosmetic surgical procedure to create artificial facial dimples. The review aims to synthesize current knowledge on techniques, outcomes, and considerations associated with this increasingly popular aesthetic intervention.</p><p><strong>Historical background: </strong>We trace the evolution of dimpleplasty from its early development to its current status in cosmetic surgery. This section highlights key milestones in the procedure's history and its growing acceptance in the field of aesthetic medicine.</p><p><strong>Classification: </strong>The review presents a classification of dimpleplasty techniques, categorizing them based on invasiveness, method of dimple creation, and approach. This classification system provides a framework for understanding the various surgical options available.</p><p><strong>Procedure: </strong>We detail the most common dimpleplasty procedures, including the punch excision method, suture technique, and minimally invasive approaches. Each technique is described in terms of its methodology, advantages, potential complications, and reported outcomes. The anatomical basis for natural dimple formation and how these surgical techniques aim to replicate it are also discussed.</p><p><strong>Conclusion: </strong>The review concludes by summarizing the current state of dimpleplasty, including its efficacy, patient satisfaction rates, and areas requiring further research. We address the psychological and social aspects of the procedure, as well as ethical considerations. Finally, we identify gaps in the existing literature and suggest directions for future studies to advance our understanding of this cosmetic intervention.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1173-1181"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621945","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":"Autologous Iliac Crest Bone Grafts in Orbital Floor Reconstruction: A Quantifying Study of Graft Resorption and Clinical Outcome.","authors":"E M Strabbing, S A J Kronig, R J G van der Mooren, M Wevers, D Paridaens, M J Koudstaal, E W Wolvius","doi":"10.1007/s12663-025-02844-2","DOIUrl":"10.1007/s12663-025-02844-2","url":null,"abstract":"<p><strong>Background: </strong>This study investigates bone graft resorption following orbital floor reconstruction with autologous iliac crest bone grafts. While autologous grafts are valued for their biocompatibility, concerns remain regarding unpredictable resorption and its potential impact on functional and aesthetic outcomes.</p><p><strong>Methods: </strong>Between 2009 and 2013, 32 patients with pure blowout fractures were treated with iliac crest grafts. Of these, 10 consecutive patients (median age 47.5 years) met inclusion criteria. CT scans were analyzed at two points: immediately postoperative (T1) and at 12 months (T2). Graft volumes, orbital volume, and clinical outcomes, including enophthalmos and diplopia, were assessed.</p><p><strong>Results: </strong>The mean initial graft volume of 903 mm³ decreased by 70% at T2. Despite significant resorption, orbital volume increased 3.2% due to bone remodeling. No clinically relevant enophthalmos or diplopia was observed. Donor site complications were minimal, with scarring being the most common.</p><p><strong>Conclusion: </strong>Significant bone graft resorption does not impair long-term outcomes in orbital reconstruction. Remodeling enhances stability, supporting autologous iliac crest grafts as a cost-effective option, particularly in resource-limited settings. Further research is needed to explore the clinical implications of graft resorption.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1010-1017"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621780","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}