Journal of Maxillofacial & Oral Surgery最新文献

{"title":"Implementation of a Manual Vacuum Drainage System for Odontogenic Space Infections: Technical Note.","authors":"Rafael Alvim Magesty, Carlos José de Paula Silva, Luciana Carvalho Soares Almeida, Endi Lanza Galvão, Saulo Gabriel Moreira Falci, Marcos Luciano Pimenta Pinheiro","doi":"10.1007/s12663-026-02967-0","DOIUrl":"10.1007/s12663-026-02967-0","url":null,"abstract":"<p><strong>Background: </strong>Odontogenic space infections typically require surgical incision and drainage for effective source control. While passive drainage remains the standard, manual closed vacuum systems are proposed to enhance exudate evacuation and wound management. This technical note describes the implementation and feasibility of a manual vacuum drainage system in a general hospital setting.</p><p><strong>Methods: </strong>The system utilizes a 4.8 mm perforated silicone tube connected to a manual accordion-shaped reservoir. Following surgical debridement, a hermetic seal is created using a 4-0 nylon purse-string suture and reinforced with transparent adhesive film. Negative pressure is generated by manual compression of the reservoir.</p><p><strong>Results: </strong>The technique was safe and straightforward to implement. However, operational challenges included frequent loss of the vacuum seal due to patient mobility and drain obstruction by viscous exudate in the absence of continuous irrigation. These factors led to increased nursing maintenance and lower staff acceptability compared to conventional methods.</p><p><strong>Conclusion: </strong>Manual closed vacuum drainage is a technically viable and safe alternative for odontogenic infections but is limited by operational constraints in non-intensive care settings. Future refinements, such as integrated irrigation channels, are necessary to optimize clinical performance.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1142-1144"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622095","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":"Comprehensive Management of Skeletal Class III Malocclusion: A Case Report Emphasizing Facial Aesthetics and Occlusal Harmony.","authors":"Shraddha Shetti, Unnati D Parekh, Jiwanasha Agrawal, Manish Agrawal, Sangamesh Fulari, Someshwar Golgire, Amit Basannavar","doi":"10.1007/s12663-025-02645-7","DOIUrl":"10.1007/s12663-025-02645-7","url":null,"abstract":"","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1042-1050"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621844","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":"Beyond the Books: The Hidden Curriculum of Oral and Maxillofacial Surgery Residency.","authors":"Sonal Anchlia","doi":"10.1007/s12663-026-03204-4","DOIUrl":"10.1007/s12663-026-03204-4","url":null,"abstract":"","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"943-946"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621819","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":"Efficacy of Shyama Tulsi (<i>Ocimum Sanctum Linn</i>) Extract Impregnated with Calcium Sulphate Hemihydrate as an Alternative to Systemic Antibiotics and Painkillers Post- Extraction: Randomized Controlled Trial.","authors":"Mudgal Anantam, Bansal Shallu, Managutti Anil, Mannava Padmakanth, Sharma Suhani, Adiwal Yash","doi":"10.1007/s12663-026-02936-7","DOIUrl":"10.1007/s12663-026-02936-7","url":null,"abstract":"<p><strong>Aim: </strong>This randomized controlled trial aimed to evaluate the clinical efficacy of 4% Shyama Tulsi (Ocimum Sanctum Linn) extract impregnated with Calcium Sulphate Hemihydrate as a localized alternative to systemic antibiotics following simple tooth extraction.</p><p><strong>Materials and methods: </strong>A total of 160 patients (<i>n</i> = 80 per group) aged 18-60 years requiring tooth extraction via a closed technique were enrolled. Patients were randomly assigned to Group A (control) or Group B (study). The control group received antibiotics and analgesics twice daily, while the study group received 4% Shyama Tulsi extract with Calcium Sulphate Hemihydrate in the socket and a single analgesic postoperatively. The primary objectives were pain and infection, while the secondary objectives included dry socket and any other complications. Patients were assessed clinically on Days 1, 3, and 7, with daily telephone follow-ups.</p><p><strong>Results: </strong>A total of 242 extractions were performed in 160 patients. Among the 112 extractions in the study group, only 6 patients (6.3%) reported pain on the first day, with 7 (7.6%) requiring one painkiller at night. By day 2, 7 patients reported pain, with 6 consuming one tablet in the morning. No patients developed an infection or dry socket. Age and gender distribution between groups were statistically nonsignificant.</p><p><strong>Conclusion: </strong>The combination of 4% Shyama Tulsi extract with Calcium Sulphate Hemihydrate shows promise as an effective alternative to systemic antibiotics and painkillers in simple tooth extractions.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1106-1117"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621980","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":"Evaluation of Clinical Safety of 4% Articaine in Inferior Alveolar Nerve Block for Non-surgical Mandibular Third Molar Extractions.","authors":"Sindhuja Singhu, Harish Kalarikkal Mukundan, Karthik Nandakumar, Sai Aditiya Narayanan Radhakrishnan, Ramkarthik Sivaseelan, Vikraman Baskara Pandian","doi":"10.1007/s12663-026-03127-0","DOIUrl":"10.1007/s12663-026-03127-0","url":null,"abstract":"<p><strong>Introduction: </strong>Achieving profound local anesthesia during mandibular third molar extraction can be challenging because of dense cortical bone and anatomical variations. Articaine has gained increasing attention due to its superior tissue penetration, faster onset, and longer duration of action, but concerns regarding its potential neurotoxic effects when used in mandibular nerve blocks, remain controversial.</p><p><strong>Method: </strong>Fifty patients aged 18-60 years were enrolled following strict inclusion and exclusion criteria, ensuring the absence of radiographic proximity of the third molar to the inferior alveolar nerve and the absence of periapical pathology. Clinical parameters, including onset and duration of anesthesia, intra-operative pain assessed using the Visual Analog Scale (VAS), and postoperative neurosensory responses, were evaluated using standardized tests (brush stroke directional discrimination, two-point discrimination, and pin-prick nociception) on days 1, 3, and 5 post-operatively.</p><p><strong>Results: </strong>The mean onset and duration of anesthesia were 1.30 ± 0.33 min and 4.22 ± 1.09 h, respectively, and the mean intra-operative pain score was 1.10 ± 0.78. No neurosensory deficits were observed during the 5-day follow-up period; however, long-term complications cannot be excluded.</p><p><strong>Conclusion: </strong>Within the limitations of this single-arm study without a comparator group and involving low-risk, non-surgical extractions, 4% Articaine with 1:100,000 epinephrine demonstrated effective anesthesia with no clinically detectable neurosensory impairment.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1127-1133"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622014","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":"Surgical-Site Infection Following Maxillofacial Fracture Repair in E-Scooter and E-Bike Trauma: A Retrospective Cohort Study.","authors":"Nadav Grinberg, Ortal Ben Aharon, Maysan Siddeeq, Shlomi Kleinman, Clariel Ianculovici, Oren Peleg","doi":"10.1007/s12663-026-03163-w","DOIUrl":"10.1007/s12663-026-03163-w","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the incidence, anatomical risk factors, and peri-operative determinants of surgical-site infection (SSI) after operative repair of maxillofacial fractures caused by E-scooter and E-bike trauma, a rapidly emerging cause of urban injuries.</p><p><strong>Methods: </strong>A retrospective cohort of 129 consecutive patients with micromobility-related facial fractures (2017-2022) was analyzed. Demographic, injury, operative, and pharmacologic variables were extracted from medical records. SSI was defined according to CDC/NHSN criteria and graded using the Clavien-Dindo classification. Comparative analyses employed Fisher's exact and Mann-Whitney U tests.</p><p><strong>Results: </strong>SSI occurred in 3.1% (4/129; 95% CI 0.9-7.7%) of patients, all of whom were classified as Clavien-Dindo grade III and required reoperation or intravenous therapy. Infections were exclusively confined to sinus-bearing fractures (orbit, frontal, zygomatic), with significant clustering in orbital fractures (<i>p</i> = 0.023) and sparing of the mandible (<i>p</i> = 0.041). ORIF carried the highest burden, with an infection rate of 8.6%, while one case was managed with isolated soft-tissue repair. Neither operative duration, emergency status, steroids, nor antibiotic prophylaxis reduced the risk of infection. Infected patients had longer hospitalizations (7 vs. 5 days) and markedly prolonged surveillance periods (60 vs. 8 weeks; <i>p</i> = 0.053).</p><p><strong>Conclusions: </strong>Although uncommon, SSI in micromobility trauma occurs in 3.1% of patients and demonstrates an anatomical concentration within sinus-bearing fractures. These findings describe the occurrence and anatomical distribution of SSI within a micromobility-related facial trauma cohort and may inform future hypothesis-driven studies.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1069-1077"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622067","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":"VELscope Fluorescence Method for Early Diagnosis of Oral Potentially Malignant Lesions - A Systematic Review and Meta-Analysis.","authors":"Sagar Sanjay Kadadhekar, Nomita Yein, Amar Kumar Shaw","doi":"10.1007/s12663-025-02869-7","DOIUrl":"10.1007/s12663-025-02869-7","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate diagnostic ability of velscope for various oral potentially malignant disorders (OPMDs).</p><p><strong>Method: </strong>Review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analysis - Diagnostic Test Accuracy (PRISMA- DTA) guidelines. Databases were searched till April 2025 to identify the diagnostic potential of velscope. Quality of selected studies was evaluated based on QUADAS (Quality assessment of diagnostic accuracy studies)- 2 tool. Pooled sensitivity, specificity, likelihood ratio (LR), diagnostic odds ratio (DOR) and area under curve (AUC) was performed in Meta-Disc 1. software and Review Manager 5.3.</p><p><strong>Results: </strong>Nine studies were included in review and for meta-analysis. Included studies evaluated the diagnostic accuracy of velscope for various OPMDs like oral leukoplakia (OL), oral lichen planus (OLP), oral submucous fibrosis (OSMF) and oral candidiasis in comparison with reference standard like toluidine blue test (TBT) and biopsy followed by histopathological investigation. Meta-analysis showed pooled sensitivity and specificity of 0.73 and 0.65 for OL, 0.70 and 0.80 for OLP, 0.72 and 0.84 for OSMF, 0.68 and 0.80 for candidiasis while an overall AUC of 0.75, 0.81, 0.80 and 0.50 was seen for OL, OLP, OSMF and candidiasis respectively.</p><p><strong>Conclusion: </strong>Velscope is a promising and valid tool and overall has good diagnostic potentiality in diagnosing the target condition and can be used as an alternative adjunct to histopathology. It can be undertaken for early diagnosis and prompt treatment under secondary level of prevention.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12663-025-02869-7.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"947-963"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622096","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":"Novel Approach to Tracking Neuroma Formation Following Lingual Nerve Repair: Technical Note.","authors":"Marcus Hwang, Srinivasa Chandra","doi":"10.1007/s12663-025-02908-3","DOIUrl":"10.1007/s12663-025-02908-3","url":null,"abstract":"","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1205-1208"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622128","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":"Comparative Effectiveness Between Radial Forearm Flap and Pectoralis Major Myocutaneous Flap for Tongue Carcinoma Reconstruction: A Systematic Review and Meta-analysis.","authors":"Vrinda Rajagopal, B M Rudagi, Amar Kumar Shaw","doi":"10.1007/s12663-026-03123-4","DOIUrl":"10.1007/s12663-026-03123-4","url":null,"abstract":"<p><strong>Background: </strong>Reconstruction following tongue carcinoma resection is critical for restoring speech, swallowing, and overall quality of life. Among the available reconstructive options, the radial forearm free flap (RFF) and pectoralis major myocutaneous flap (PMMF) are commonly used techniques. However, uncertainty remains regarding their comparative effectiveness, particularly in hemi- and total glossectomy defects.</p><p><strong>Aim: </strong>To systematically evaluate and compare the effectiveness of RFF and PMMF in tongue cancer reconstruction with respect to functional outcomes, complications, and quality of life (QOL).</p><p><strong>Methods: </strong>This systematic review was conducted according to PRISMA 2020 guidelines and registered in PROSPERO. Electronic databases were searched till April 2025. Comparative studies evaluating RFF and PMMF in tongue carcinoma patients (T1-T4) were included. Risk of bias was assessed using the Newcastle-Ottawa Scale. Meta-analysis was performed using a random-effects model, with standardized mean difference (SMD) as the summary measure.</p><p><strong>Results: </strong>Six retrospective studies comprising 380 patients were included for qualitative synthesis, and four studies were eligible for meta-analysis. Pooled analysis demonstrated a trend toward improved speech (SMD = 0.35) and swallowing outcomes (SMD = 0.18) in the RFF group, although statistical significance was not achieved. Combined speech and swallowing outcomes in hemi-glossectomy patients demonstrated a statistically significant trend favouring RFF (SMD = 1.63, p < 0.05); however, substantial heterogeneity among studies limits the reliability and generalizability of this finding. Complication rates, including dehiscence and fistula formation, were generally lower with RFF. Quality-of-life parameters also demonstrated favourable trends in the RFF group. Also, as fewer studies were included, funnel plot assessment is underpowered, and publication bias could not be reliably determined.</p><p><strong>Conclusion: </strong>RFF showed a trend toward improved functional outcomes and lower complication rates compared with PMMF, particularly in hemi-glossectomy defects; however, several pooled outcomes did not achieve statistical significance. Flap selection should consider tumor extent, patient comorbidities, and anticipated adjuvant therapy. High-quality prospective studies are required to strengthen the current evidence base.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12663-026-03123-4.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"980-990"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621840","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":"Fate of Free Fibula Flap Used for Mandibular Reconstruction in Paediatric Population: Effect on Growth, Function, Symmetry-A Systematic Review.","authors":"Aditi Vora, Amit Date, Yogesh Kini, Riya Gupta, Kalindee Padmawar, Shvani Sharma","doi":"10.1007/s12663-026-02965-2","DOIUrl":"10.1007/s12663-026-02965-2","url":null,"abstract":"<p><strong>Introduction: </strong>Mandibular reconstruction in paediatric patients using vascularized fibula flaps is a complex surgical intervention with significant implications for growth and functional outcomes. Despite being practiced for decades, the long-term growth potential following this procedure remains uncertain, especially in the context of condylar preservation, patient age, and the underlying pathology.</p><p><strong>Methods: </strong>A systematic review was conducted by analysing studies that reported on mandibular growth outcomes in paediatric patients following reconstruction with vascularized fibula flaps. The review focused on evaluating factors such as condylar preservation, age at surgery, lesion type, and the impact of postoperative therapies.</p><p><strong>Results: </strong>The review included eight studies with a total of 180 paediatric patients. The findings indicated that over 50% of patients exhibited mandibular growth post-reconstruction. Condylar preservation was significantly associated with improved growth potential, particularly in patients undergoing surgery between 8 and 12 years of age. Benign lesions were more likely to result in continued growth compared to malignant ones. Postoperative radiation therapy was found to negatively impact growth potential, whereas chemotherapy had no significant effect.</p><p><strong>Conclusion: </strong>The review suggests that careful consideration of condylar preservation whenever possible depending on patient age, and lesion type is crucial in optimizing growth outcomes following mandibular reconstruction with vascularized fibula flaps in paediatric patients. Further research is needed to elucidate the long-term effects and refine surgical approaches in this patient population.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"991-1001"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621983","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}