{"title":"Evaluation of an Artificial Intelligence Language Model for Generating Informed Consent Forms in Oral and Maxillofacial Surgery: A QUEST Framework Analysis.","authors":"Anuj Jain, Rahul Deshmukh, Umesh Bhutekar","doi":"10.1007/s12663-026-03085-7","DOIUrl":"10.1007/s12663-026-03085-7","url":null,"abstract":"<p><strong>Background: </strong>Informed consent is a core ethical and legal requirement in oral and maxillofacial surgery (OMFS). Traditional consent documents often lack adequate readability and comprehensive coverage of ethical and safety elements. Large language models (LLMs) may assist in drafting consent forms; however, their alignment with clinician expectations in OMFS remains insufficiently studied.</p><p><strong>Methods: </strong>This in silico descriptive evaluation study assessed AI-generated informed consent drafts using the QUEST (Quality, Utility, Ethics, Safety, and Transparency) framework. Consent drafts were generated for four representative OMFS procedures: third molar extraction, dental implant placement, open reduction and internal fixation of mandibular fracture, and soft tissue biopsy. One draft was produced per procedure. Two experienced oral and maxillofacial surgeons independently rated each draft across QUEST domains using a 5-point Likert scale (1 = poor, 3 = acceptable, 5 = excellent). Readability was evaluated using standard grade-level metrics. Inter-rater reliability was assessed using Cohen's kappa (κ), with significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Four AI-generated consent drafts were evaluated. Readability scores ranged from grade 6.0 to 8.0 (mean 6.85 ± 0.85). Inter-rater reliability was substantial (κ = 0.78; <i>p</i> < 0.001). Among QUEST domains, Quality achieved the highest scores (mean 4.1 ± 0.4), while Ethics, Safety, and Transparency demonstrated comparatively lower ratings.</p><p><strong>Conclusion: </strong>AI-generated informed consent drafts showed acceptable readability and procedural descriptions but demonstrated limitations in ethical, safety, and transparency domains. These findings suggest that LLMs may assist in consent drafting; however, clinician oversight and further validation are required before routine clinical adoption.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12663-026-03085-7.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1118-1126"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622042","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":"Reconstruction of Oronasal Fistulas with Multiple Techniques: A Case Series Including an Orthodontic Appliance-Induced Defect.","authors":"Sezai Çiftçi, Yunus Çetiner, Samet Özden","doi":"10.1007/s12663-026-02996-9","DOIUrl":"10.1007/s12663-026-02996-9","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the effectiveness of various surgical techniques for repairing oronasal fistulas (ONFs) and to present clinical cases utilizing multilayer closure and tongue flap combinations.</p><p><strong>Materials: </strong>Four ONF patients underwent different repairs: three-layer closure for an orthodontic appliance-induced fistula, double palatal flap with buccal fat pad for a congenital fistula, anteriorly based tongue flap for a recurrent fistula, and autogenous bone grafting with flap reconstruction for dual fistulas.</p><p><strong>Results: </strong>Complete closure was achieved in three patients (75%), with one small asymptomatic residual fistula. No major complications were observed during 6-12 months of follow-up. The appliance-induced fistula appears to be the first reported case linked directly to orthodontic devices.</p><p><strong>Conclusion: </strong>ONF repair remains complex, with outcomes influenced by defect size and tissue quality. Local flaps are adequate for small defects, whereas larger or recurrent cases benefit from advanced reconstructive methods. Long-term orthodontic appliance use may increase fistula risk, highlighting the need for close monitoring.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1023-1028"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622090","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}
Zhenzhen Fu, Lihao Wang, Tao Li, Quan Li, Hong Li, Qiang Zhang
{"title":"Multi-Stage \"Dredging\" Treatment of Large Solid Mandibular Ameloblastoma in Adolescent Patients: A Prospective Case Series of Six Patients.","authors":"Zhenzhen Fu, Lihao Wang, Tao Li, Quan Li, Hong Li, Qiang Zhang","doi":"10.1007/s12663-026-03094-6","DOIUrl":"10.1007/s12663-026-03094-6","url":null,"abstract":"<p><strong>Objective: </strong>Multi-stage \"dredging\" approach was applied to adolescent patients suffering from large solid mandibular ameloblastoma with mural invasion and finally satisfactory results was achieved. The purpose of this report is to review this technique and to share our experience leading to success in six case series.</p><p><strong>Materials and methods: </strong>Six patients who were diagnosed with cone beam computerized tomography (CBCT), intraoperative frozen examination, and finally confirmed by pathological examination postoperatively. The lesions were large and no fluid was detected by needle aspiration. Owing to solid type and serious bone destruction, multi-stage \"dredging\" treatment was applied after serious consideration and careful preparation in order to avoid significant complications. The dredging protocol was performed and the details were shared in our study. Patients were followed up every 6 months after the last surgery to assess whether the lesion had recurred or whether there was a change in facial contour. This research was a prospective clinical study.</p><p><strong>Results: </strong>Two years later, CBCT showed disappearance of the lesion and a large amount of new bone formation with normal bone contour. During the subsequent 5 to 8 years follow-up period, there were no postoperative complications such as lower lip numbness and no recurrence. The patients' facial swelling resolved, and the faces were essentially symmetrical.</p><p><strong>Conclusion: </strong>The conservative multi-stage dredging method might be a viable option for the treatment of large solid ameloblastoma, especially in younger patients, however, some techniques need to be carefully considered to achieve success.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1197-1204"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622084","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":"Three-Dimensional Morphometric Evaluation of the Upper Airway in Infants with Cleft Palate.","authors":"Shijiao Lu, Qinlin Sun, Fubing Yang, Peng Wang","doi":"10.1007/s12663-025-02913-6","DOIUrl":"10.1007/s12663-025-02913-6","url":null,"abstract":"<p><strong>Introduction: </strong>As surgical and anesthetic techniques advance, more infants with cleft palates undergo surgery at earlier ages. This progress, however, is accompanied by an increased risk of airway complications like obstruction and edema. Consequently, thorough preoperative evaluation of the upper airway in cleft palate patients is crucial.</p><p><strong>Objective: </strong>To explore the three-dimensional morphology of the upper airway in infants with cleft palate.</p><p><strong>Materials and methods: </strong>Twenty-two patients diagnosed with cleft palate were examined, and upper airway models were reconstructed. The maxillofacial bone morphology and total volume of the upper airway, nasopharynx and oropharynx were measured. The hyoid vertebral distance (HVD) and adenoid thickness (AT) were analyzed together. <i>P</i><0.05 was considered to indicate statistical significance.</p><p><strong>Results: </strong>The total volume of the upper airway and the oropharyngeal volume in cleft palate infants were significantly lower than those in normal infants, whereas the nasopharyngeal volume was not significantly different. The measurements of craniofacial morphology in cleft palate infants were significantly lower than those in normal infants. Nevertheless, there was no significant difference in HVD or AT.</p><p><strong>Conclusion: </strong>Oropharyngeal volume, other than AT volume and HVD volume, is the main factor affecting the airway in infancy with cleft palate.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1051-1056"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622157","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}
Namitha S Prem, K M Sandeep, C S Soumithran, E Midhun Sai, J Vishnu, K T Shahina
{"title":"Haemophiliac Pseudotumour of Oral Cavity: Case Report with Review of Literature.","authors":"Namitha S Prem, K M Sandeep, C S Soumithran, E Midhun Sai, J Vishnu, K T Shahina","doi":"10.1007/s12663-024-02412-0","DOIUrl":"10.1007/s12663-024-02412-0","url":null,"abstract":"<p><strong>Introduction: </strong>Haemophilic pseudotumour is a rare entity among neoplasms in the oral cavity. It is a diagnostic and treatment challenge for the surgeons. Clinically, the tumour mimics innocuous soft tissue lesions like fibroma, lipoma or pyogenic granuloma with intermittent bleeding which can be misleading.</p><p><strong>Case description: </strong>Haemophiliac 30-year-old male patient complained of slow-growing sessile and pedunculated growth on left molar region of gingiva buccally and lingually, which bleeds intermittently in the last 4 months.</p><p><strong>Diagnosis and treatment: </strong>Clinically and histopathologically diagnosed as pseudotumour of haemophilia treated with surgical excision and haematological intervention and concurrent treatment challenges with successful surgical outcome.</p><p><strong>Conclusion: </strong>Management is crucial as surgical curettage should be done in consensus with haematological correction and supportive care. Post-operative period should be alarmed for haemorrhage as it can hinder healing and cause recurrence.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1209-1213"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621967","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}
Pawan V Dawane, Vijay N Rode, Snehal M Bharsakle, Akash P Kadam, Gujan K Hiware
{"title":"Efficacy of Intraoperative Platelet-Rich Plasma in Follicular Unit Extraction Hair Transplantation: A Prospective Study.","authors":"Pawan V Dawane, Vijay N Rode, Snehal M Bharsakle, Akash P Kadam, Gujan K Hiware","doi":"10.1007/s12663-026-02997-8","DOIUrl":"10.1007/s12663-026-02997-8","url":null,"abstract":"<p><strong>Background: </strong>Follicular Unit Extraction (FUE) is a standard technique for hair restoration. However, post-transplant graft survival and early regrowth can be compromised by ischemic injury and delayed vascularization. Platelet-rich plasma (PRP), rich in growth factors, may enhance graft survival and follicular growth.</p><p><strong>Aim: </strong>To compare the efficacy of intraoperative PRP in FUE hair transplantation.</p><p><strong>Methods: </strong>A prospective, randomized study was conducted on 60 male patients with androgenetic alopecia. Group A (<i>n</i> = 30) underwent FUE with PRP, and Group B (<i>n</i> = 30) underwent FUE without PRP.</p><p><strong>Results: </strong>At 6 months, all PRP patients (100%) achieved ≥ 75% regrowth versus 40% in controls (<i>p</i> < 0.000001). Hair density was significantly higher in the PRP group at 1 month (66.7% vs. 16.7%), 3 months (80% vs. 43.3%), and 6 months (100% vs. 40%). Mean hair shaft length at 6 months was greater with PRP (12.3 mm vs. 8.4 mm, <i>p</i> < 0.0001). Scalp redness resolved faster (24 vs. 36 days, <i>p</i> < 0.0001) and satisfaction scores were higher (8.4 vs. 7.1, <i>p</i> < 0.0001).</p><p><strong>Conclusion: </strong>Intraoperative PRP significantly improves graft survival, accelerates regrowth, promotes faster healing, and enhances patient satisfaction in FUE hair transplantation.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1166-1172"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622035","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}
Frederico Felipe Antonio de Oliveira Nascimento, John Paul Stella, Leandro Eduardo Klüppel, Leonardo Flores Luthi, Carla Tatiana Mota Anflor
{"title":"Strain Gauge Analysis of Three Different Sagittal Split Ramus Osteotomy Modifications.","authors":"Frederico Felipe Antonio de Oliveira Nascimento, John Paul Stella, Leandro Eduardo Klüppel, Leonardo Flores Luthi, Carla Tatiana Mota Anflor","doi":"10.1007/s12663-026-03057-x","DOIUrl":"10.1007/s12663-026-03057-x","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to analyze the deformation of screws under vertical load across three different sagittal split osteotomy designs proposed by Epker, Wolford, and Wyatt.</p><p><strong>Materials and methods: </strong>Thirty polyurethane hemimandibles were separated into three groups (<i>n</i> = 10) according to osteotomy design. All specimens received standardized fixation with three positional titanium screws in an inverted L configuration. Strain gauges were bonded to each screw head to record deformation during vertical loading (1 mm/min) until failure. Peak load and deformation were measured. Data were analyzed using the Kruskal-Wallis test (α = 0.05).</p><p><strong>Results: </strong>The Wolford design (Group II) had the highest mean load and most even stress distribution, indicating better stability. The Epker design (Group I) showed stress at screw 1, while the Wyatt design (Group III) had lower load resistance, more variability, early failure, and stress at screw 3. Screw 2 was most stable across all groups with the lowest deformation.</p><p><strong>Conclusion: </strong>SSRO design affects force distribution. Techniques maintaining proximal segment thickness (Groups I and II) improve load dissipation. Group III modification shows less stability with inverted-L fixation. Strain-gauge analysis reveals stress patterns, with screw 2 as a key mechanical zone. Surgical planning should consider osteotomy design and anatomy to enhance fixation stability and minimize failure risk.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1035-1041"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622064","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":"Knowledge and Awareness of HPV, Its Link to Oral and Oropharyngeal Cancer and Vaccine Acceptance Among Dental Students, Professionals and Patients in Western Tamil Nadu: A Cross-sectional Questionnaire Study.","authors":"Karunya Sri, K S SaiNithes, A Pavithran","doi":"10.1007/s12663-026-02984-z","DOIUrl":"10.1007/s12663-026-02984-z","url":null,"abstract":"<p><strong>Aim: </strong>To determine dental students, dental practitioners and patients' knowledge about Human Papilloma Virus HPV) and HPV vaccination, HPV-related OPCs, and assess the acceptability of the HPV vaccine.</p><p><strong>Materials and methods: </strong>A self-administered questionnaire consisted of four main sections. The questions were focused on demographic and personal information of the participants, knowledge about HPV, awareness of the link between HPV and Oral and Oropharyngeal cancers and the knowledge of the HPV vaccine and acceptance for vaccination. Chi-Square test was used to assess associations between the responses and the dependent variables. A significance level (p-value) of ≤ 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Overall knowledge shows that undergraduates were less aware about HPV (17.5%) than post graduates (85%, <i>p</i> < .001) and professionals (100%, <i>p</i> < .001), whereas patients had poor knowledge (0%). Undergraduates were not aware about vaccines available against and availability in India, whereas post graduates and professionals were quite aware about it. Almost all participants showed acceptance for vaccination in context of understanding that it reduces the risk of oral and oropharyngeal cancer and not completely offer prevention.</p><p><strong>Conclusion: </strong>The study concludes that there is a general lack of knowledge about HPV, the HPV vaccine, and HPV-related oropharyngeal cancers (OPCs) among the population is western Tamil Nadu. Addressing the identified knowledge gaps in terms of Targeted educational interventions in dental curricula and public health campaigns can potentially enhance students' readiness to contribute to public health awareness and recommend HPV vaccination.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"964-975"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622087","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}
Mina Asaad Sawiris, Ibrahim Kamel, Mohamed Samir Badawy
{"title":"Vacuum-Assisted Closure Device as a Suction Tool in First Stage Autologous Auricular Reconstruction.","authors":"Mina Asaad Sawiris, Ibrahim Kamel, Mohamed Samir Badawy","doi":"10.1007/s12663-025-02884-8","DOIUrl":"10.1007/s12663-025-02884-8","url":null,"abstract":"<p><strong>Background: </strong>Autologous auricular reconstruction typically involves the fabrication and insertion of a costal cartilage framework. Achieving a natural contour requires the skin envelope and cartilage framework to remain in close touch. Traditional suction drains might not be able to sustain a constant negative pressure, leading to suboptimal outcomes. This study evaluates the novel use of a vacuum-assisted closure (VAC) device as a suction tool in the first stage autologous auricular reconstruction.</p><p><strong>Methodology: </strong>Twenty patients; with unilateral microtia underwent autologous ear reconstruction using costal cartilage graft were selected, 10 patients used a syringe as a traditional method for suction while 10 patients underwent reconstruction with the incorporation of a VAC device to provide an uniform negative pressure and promote adherence of the skin flap to the underlying structure. Outcome measures included skin flap viability, contour definition, complication rates, and patient satisfaction.</p><p><strong>Results: </strong>Patients reported high satisfaction rates with early aesthetic outcomes higher for the VAC group (22 ± 1.49) than syringe suction (18 ± 1.17) (<i>P</i> < 0.001). Also, 9 out of 10 patients (90%) in VAC group didn't record any complication while 30% of Syringe patients had complications like hematoma, skin necrosis and exposed cartilage. Use of the VAC device resulted in improved skin adherence and enhanced definition of auricular subunits.</p><p><strong>Conclusion: </strong>The VAC device is a safe and effective tool for optimizing surgical outcomes in the first stage of autologous auricular reconstruction. Its application promotes consistent contouring, reduces complications, and enhances patient satisfaction. Further studies are warranted to validate long-term benefits.</p>","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":"25 4","pages":"1002-1009"},"PeriodicalIF":0.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622155","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}