Journal of Maxillofacial & Oral Surgery最新文献_第8页

Optimal Depth of Penetration to Access the Superior Joint Space in Temporomandibular Joint Arthroscopy: A Single Institutional Retrospective Study. 颞下颌关节镜检查中进入上关节间隙的最佳穿透深度：一项单一机构回顾性研究

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Journal of Maxillofacial & Oral Surgery Pub Date : 2024-04-01 Epub Date: 2022-10-31 DOI: 10.1007/s12663-022-01815-1

Bobby John, T Anish Poorna, E K Joshna

{"title":"Optimal Depth of Penetration to Access the Superior Joint Space in Temporomandibular Joint Arthroscopy: A Single Institutional Retrospective Study.","authors":"Bobby John, T Anish Poorna, E K Joshna","doi":"10.1007/s12663-022-01815-1","DOIUrl":"10.1007/s12663-022-01815-1","url":null,"abstract":"Aim: To identify the optimal depth of penetration required to access the superior joint space (SJS) for arthroscopic procedures of the temporomandibular joint (TMJ) among the study population.Materials and methods: The study included all patients with internal derangement (ID) of the TMJ, managed by TMJ arthroscopy in our institution. The study was conducted with data retrieved from the hospital records over five years (January 2018-April 2022). Demographic factors and depth of penetration (mms) were the variables included in our study. For all the statistical interpretations, p < 0.05 was considered statistically significant.Results: The study included 66 patients (males, n = 25; females, n = 41) who underwent arthroscopic procedures of the TMJ (right = 29, left = 37). The mean duration between the development of symptoms and the point of intervention (TMJ arthroscopy) in our study was 3.94 months. The mean depth of penetration of the arthroscope as measured from the skin to the point of entry into the SJS was 20.60 ± 1.85 mms in males and 19.56 ± 1.38 mms in females (p value < 0.05). Variables such as age, duration of symptoms, side involved and stage of ID did not have any influence on the optimal depth of penetration required to access the joint space among our study population.Conclusion: The optimal depth of penetration (mean) required to access the SJS was less than 25 mms in our study population.","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11001795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48213153","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}

引用次数: 0

Flap Design for Cranial Reconstruction: An Analysis of Craniectomy and Cranioplasty Incisions. 颅骨重建的皮瓣设计:颅骨切除术和颅骨成形术切口的分析

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Journal of Maxillofacial & Oral Surgery Pub Date : 2024-04-01 Epub Date: 2021-02-24 DOI: 10.1007/s12663-021-01526-z

Nanda Kishore Sahoo, Ankur Thakral, Sanjay Kumar, Vishal Kulkarni

{"title":"Flap Design for Cranial Reconstruction: An Analysis of Craniectomy and Cranioplasty Incisions.","authors":"Nanda Kishore Sahoo, Ankur Thakral, Sanjay Kumar, Vishal Kulkarni","doi":"10.1007/s12663-021-01526-z","DOIUrl":"10.1007/s12663-021-01526-z","url":null,"abstract":"Background: The surgical approach for cranial reconstruction is influenced by the presence of pre-existing scar tissue. Scars that lie within the vicinity of cranial defect require modification.Purpose: The present study was conducted to analyse co-relation between craniectomy scar and cranioplasty incision.Materials and methods: A retrospective evaluation of 70 patients who were divided into three groups based on location of cranioplasty incision line was done. In group I, incision was located parallel and outside the scar; group II, incision was located over the scar; and group III, mixed and criss-cross incision was present. The primary outcome variable of interest was to analyse co-relation between craniectomy and cranioplasty incisions.Results: There were 45 cases of group I, 15 cases of group II and 10 cases of group III. Thirty-three patients had defect on left side, 26 had on right side, and 10 had bifrontal defect. No significant association was noted between the site and cranioplasty incision (Chi2 = 9.155, p = 0.433 and likelihood ratio = 9.487, p = 0.394).Conclusion: Well-vascularized broad-based scalp flap that provides adequate exposure and located on healthy bone irrespective of pre-existing craniectomy scar forms the mainstay of successful cranial reconstruction.","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11001807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41990434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clear Cell Odontogenic Carcinoma: A Rare JAW Tumor-A Case Report and Literature Review. 透明细胞牙源性癌:一种罕见的颌骨肿瘤- 1例报告并文献复习

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Journal of Maxillofacial & Oral Surgery Pub Date : 2024-02-01 Epub Date: 2023-03-31 DOI: 10.1007/s12663-023-01904-9

Kapil Tomar, R Vasanthanarayanan, I D Roy, Mohan Rangan

引用次数: 0

Ipsilateral Cervicodeltopectoral Flap: A Forgotten Technique, Revival in the Era of Microvascular Reconstruction. 颈外同侧皮瓣：一种被遗忘的技术，在微血管重建时代复兴

IF 0.8

Journal of Maxillofacial & Oral Surgery Pub Date : 2024-02-01 Epub Date: 2022-07-08 DOI: 10.1007/s12663-022-01757-8

Nawaz Usman, Punit Singh Dikhit, Naveena A N Kumar, Preethi S Shetty, Keshava Rajan, V N R Vittamsetti, Diksha Dinker, Anmi Jose

{"title":"Ipsilateral Cervicodeltopectoral Flap: A Forgotten Technique, Revival in the Era of Microvascular Reconstruction.","authors":"Nawaz Usman, Punit Singh Dikhit, Naveena A N Kumar, Preethi S Shetty, Keshava Rajan, V N R Vittamsetti, Diksha Dinker, Anmi Jose","doi":"10.1007/s12663-022-01757-8","DOIUrl":"10.1007/s12663-022-01757-8","url":null,"abstract":"Oral cavity cancer is one of the most common cancers in India responsible for significant morbidity and mortality in Indian subcontinent. Majority of cases present in advanced stages which requires extensive reconstruction following tumor resection. Microvascular free flap reconstruction is now considered standard of care for reconstruction for major head and neck skin-mucosal defects but, many factors still act as hindrance like patient's comorbidities, long operating hours for microvascular reconstruction, logistic and financial issues from patient's side. In such situation it is better to have a backup plan for reconstruction of major head and neck defects using pedicled flaps. Pectoralis major myocutaneous (PMMC) flap has been the workhorse flap for head and neck reconstruction since its introduction four decades ago. But relying too much on PMMC flap for major skin-mucosal defects especially in female patients is associated with complications and risk for flap failure leading to catastrophic and significant patient morbidities. Our study involves the use of two flaps for head and neck reconstuction involving skin-mucosal defects i.e PMMC flap for mucosal defect and cervicodeltopectoral (CDP) flap for skin defect. As of now there has been no retrospective or prospective study done which has given a conclusive statement regarding use of these two flaps simultaneously for head and neck reconstruction to the best of our knowledge. In our experience from the present study, CDP flap offers an excellent alternative for extensive head and neck reconstruction and can be readily included in the surgeon's armamentarium with proper planning and meticulous handling.","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10831001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47925730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integration of the 'Snipping' Tool to the Pre-operative Checklist: A Technical Note. “剪接”工具与术前检查表的整合:技术说明

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Journal of Maxillofacial & Oral Surgery Pub Date : 2024-02-01 Epub Date: 2022-07-25 DOI: 10.1007/s12663-022-01768-5

I Chan, G Baniulyte, A Adams, J Bowden

引用次数: 0

Dentinogenic Ghost Cell Tumour in Childhood Involving the Temporomandibular Joint: Considerations and Therapy. 儿童牙本质源性鬼细胞瘤累及颞下颌关节:考虑和治疗

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Journal of Maxillofacial & Oral Surgery Pub Date : 2024-02-01 Epub Date: 2023-02-24 DOI: 10.1007/s12663-023-01874-y

Jan Rustemeyer, Alexander Busch, Klaus Junker

{"title":"Dentinogenic Ghost Cell Tumour in Childhood Involving the Temporomandibular Joint: Considerations and Therapy.","authors":"Jan Rustemeyer, Alexander Busch, Klaus Junker","doi":"10.1007/s12663-023-01874-y","DOIUrl":"10.1007/s12663-023-01874-y","url":null,"abstract":"Background: Although the uncommon dentinogenic ghost cell tumour (DGCT) is a benign entity, it possesses the ability to cause widespread destruction of the jaws and to recur after bone-preserving therapy. Hence, clear margins should be achieved upon surgery, and reconstruction techniques must often be used to restore osseous defects. However, this can be challenging in cases with involvement of the temporomandibular joint (TMJ), and especially in children.Case report: We present a case of a DGCT in a 12-year-old boy with wide infiltration of the mandible and the TMJ. A two-staged reconstructive approach was performed. Upon primary surgery, tumour-free margins were obtained and mandibular anatomy was restored using an iliac crest graft and an alloplastic condyle implant for temporary TMJ reconstruction. In a second step 5 months later, having received a customized TMJ prosthesis consisting of a fossa and a condyle component, the TMJ was completely replaced for definitive reconstruction.Conclusion: A customized TMJ prosthesis could be a solution for reconstruction of the TMJ in children. However, the further course with respect to growth disturbances must be evaluated upon short-term follow-ups and might require additional corrective interventions.","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46836494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Submammary Approach for Harvesting Pectoralis Major Myocutaneous Flap in Females with Oral Cavity Cancers: Report of Technique and Our Experience. 乳腺下入路切除女性口腔癌胸大肌肌皮瓣:技术报告及经验

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Journal of Maxillofacial & Oral Surgery Pub Date : 2024-02-01 Epub Date: 2023-08-04 DOI: 10.1007/s12663-023-01984-7

Durgesh Kumar, Indu Shukla, Ankur Verma, Ashok Kumar Singh

{"title":"Submammary Approach for Harvesting Pectoralis Major Myocutaneous Flap in Females with Oral Cavity Cancers: Report of Technique and Our Experience.","authors":"Durgesh Kumar, Indu Shukla, Ankur Verma, Ashok Kumar Singh","doi":"10.1007/s12663-023-01984-7","DOIUrl":"10.1007/s12663-023-01984-7","url":null,"abstract":"Background: Oral squamous cell carcinoma is one of the most common types of cancers affecting both male and female population worldwide. Currently gold standard for reconstruction of oral cavity defects is free flap reconstruction. However, in developing countries due to large case load, infrastructural and resource constraints, Pectoralis major myocutaneous flap is still widely being used. Harvesting PMMC flap in females is challenging due to thick fat and breast tissue affecting its reliability and also increased donor site morbidity. This article aims at highlighting our experience with harvesting PMMC flap in female patients by submammary approach and its outcomes.Methods: A total of 23 female patients who underwent wide local excision of oral cavity cancers and reconstruction with PMMC flap were included. Data was analysed as mean, median, mode, percentages and statistical averages.Results: Majority of patients belonged to 40-60 years of age group (60.86%). Buccal mucosa was the most common site of primary lesion in 16 patients (69.56%). Out of the 23 patients who underwent PMMC flap reconstruction, recipient site complications were seen in 4 patients including total flap loss in 2 patients (8.69%), minor complications, e.g. infection in 2 patients (8.69%). Donor site morbidity in the form of axillary seroma was seen in only 1 patient (4.34%).Conclusion: In our experience, PMMC flap is still a viable option for reconstruction especially in resource constraint settings. Submammary approach to PMMC flap harvest is a safe technique as it is associated with minimum recipient site complications whilst preserving donor site anatomy and thereby reducing donor site morbidities to minimum.","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44025624","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}

引用次数: 0

Proximal Redundant Fibula Bone Template for Flap Osteotomies in Mandibular Reconstruction: A Novel Technique. 腓骨近端冗余骨模板用于下颌骨重建皮瓣截骨术:一种新技术

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Journal of Maxillofacial & Oral Surgery Pub Date : 2024-02-01 Epub Date: 2021-05-11 DOI: 10.1007/s12663-021-01567-4

Manish Mair, Kartic Rajaram, Andrew Baker

{"title":"Proximal Redundant Fibula Bone Template for Flap Osteotomies in Mandibular Reconstruction: A Novel Technique.","authors":"Manish Mair, Kartic Rajaram, Andrew Baker","doi":"10.1007/s12663-021-01567-4","DOIUrl":"10.1007/s12663-021-01567-4","url":null,"abstract":"Background: Free fibula flap has been the workhouse of reconstruction for segmental mandibular defects. The use of computer aided design helps in achieving the desired aesthetic and functional outcome. It has its advantages but it comes with an extensive financial burden.Purpose: We propose the use of redundant proximal fibula bone segment as a template and a cutting guide for flap osteotomies in mandibular reconstruction.Methods: We have used this surgical technique in a case of T4 oral cancer that required segmental mandibulectomy.Result: Average ischaemia time was 1 hour and 30 minutes. Based on histopathology report, both the patients required adjuvant radiotherapy. Oral competence was maintained in both the patients. Post-operatively, the contour and the orientation of the mandibular reconstruction were comparable both clinically and radiologically to the previously planned 3D cases.Conclusion: This surgical technique provides an accurate guide for end angle osteotomy. In addition, it does not require any extra surgical step and does not increase the ischemia time of the flap with no additional extra cost.Supplementary information: The online version contains supplementary material available at 10.1007/s12663-021-01567-4.","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10831015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41713678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Maxillofacial Trauma in Pediatric Patients: A Retrospective Study. 儿童颌面创伤的回顾性研究

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Journal of Maxillofacial & Oral Surgery Pub Date : 2024-02-01 Epub Date: 2023-01-12 DOI: 10.1007/s12663-022-01842-y

Deepika Patidar, Suma Sogi, Ramesh Ram Fry, Dinesh Chand Patidar, Aayush Malhotra

{"title":"Maxillofacial Trauma in Pediatric Patients: A Retrospective Study.","authors":"Deepika Patidar, Suma Sogi, Ramesh Ram Fry, Dinesh Chand Patidar, Aayush Malhotra","doi":"10.1007/s12663-022-01842-y","DOIUrl":"10.1007/s12663-022-01842-y","url":null,"abstract":"Objective: The study was conducted to analyze the pattern, etiology and management of maxillofacial trauma in children up to 16 years of age.Study design: Records of the patients who sustained maxillofacial trauma from 2013 to 2018 were retrospectively evaluated for age, gender, etiology, pattern of injuries and their management. Children were divided into three groups-primary (0-5 yrs), mixed (6-11 yrs) and permanent dentition group (12-16 yrs). Maxillofacial trauma was observed as midface fracture, mandible fractures, soft tissue injuries and associated tooth fractures. SPSS software version 19.0 was used for the data analysis.Result: A total record of 99 children were evaluated. Gender-wise distribution was reported twice in male than females. Fall was observed as the major etiological factor (73.7%) with a significant p value of 0.012 using chi-square test. The highest frequency of maxillofacial trauma is noted in mixed dentition group (47.4%). Mandible fracture was most frequently observed followed by associated soft tissue injury. Conservative approach/closed reduction for management was executed for the majority of cases.Conclusion: Knowledge gained from the present study would help in assessing the effectiveness of present preventive modalities and facilitate elaboration of future preventive measures and new research works as well.","PeriodicalId":47495,"journal":{"name":"Journal of Maxillofacial & Oral Surgery","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10830960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42323953","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}

引用次数: 0

Haberland Syndrome Associated with Juvenile Ossifying Fibroma and Odontoma: Rare Case Report. Haberland综合征与青少年骨化性纤维瘤和齿瘤:罕见病例报告

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Journal of Maxillofacial & Oral Surgery Pub Date : 2024-02-01 Epub Date: 2023-03-26 DOI: 10.1007/s12663-023-01893-9

Ragavi Alagarsamy, Ongkila Bhutia, Ajoy Roychoudhury, Babu Lal, Rahul Yadav, Deepika Mishra

引用次数: 0