Journal of the Korean Association of Oral and Maxillofacial Surgeons最新文献

{"title":"Superiorly based nasolabial flap for closure of oronasal fistula: a case report.","authors":"Ji-Eun Choi, Hyuk-Jun Moon, Jin-Wook Kim, Gyu-Jo Shim","doi":"10.5125/jkaoms.2026.52.2.94","DOIUrl":"10.5125/jkaoms.2026.52.2.94","url":null,"abstract":"<p><p>Oronasal fistula (ONF) is an epithelialized tract between the oral and nasal cavities, for which various flaps are used in surgical closure. ONF may lead to regurgitation of food into the nasal cavity, nasal obstruction, halitosis, and other symptoms that contribute to patient discomfort and impaired quality of life. Surgical closure is challenging, occasionally requiring multiple procedures and carrying a risk of recurrence. The nasolabial flap (NLF) is a well-established local flap for soft tissue reconstruction in the orofacial region; superiorly based flaps are typically used for defects of the nasal dorsum, tip, and ala, while inferiorly based flaps are applied to defects of the nasal floor, lips, and buccal mucosa. The NLF provides dependable vascularity and favorable donor-site esthetic outcomes. Although superiorly based NLFs are not commonly used for intraoral reconstruction, this case report suggests that they can serve as a feasible option for ONF closure in carefully selected patients when the flap lies within an appropriate distance from the maxilla.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"52 2","pages":"94-99"},"PeriodicalIF":1.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789011","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 the efficacy of salmon calcitonin nasal spray on bone healing following surgical removal of impacted third molar: a randomized controlled study.","authors":"Harni Nirmal, Satheesh Chandran, Deepak Abraham Pandyan, Deenadayalan Narasimman, Karthik Kattur Premkumar, Balamurugan Rajendran, George Samyo Stephenson","doi":"10.5125/jkaoms.2026.52.2.73","DOIUrl":"10.5125/jkaoms.2026.52.2.73","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the efficacy of salmon calcitonin spray on postoperative pain, serum calcitonin levels, and bone healing after surgical removal of impacted mandibular third molar.</p><p><strong>Materials and methods: </strong>This prospective study included 100 patients who required surgical removal of impacted mandibular third molars under local anesthesia. Group I included 50 patients who received intranasal serum calcitonin spray, and Group II included 50 patients who did not receive serum calcitonin spray. The postoperative pain was evaluated on the 1st, 3rd and 7th days. The serum osteocalcin levels were assessed at 1 month, and bone density was evaluated at the 3rd month postoperatively.</p><p><strong>Results: </strong>The severity of pain was less in Group I on days 3, and 7 postoperatively compared to Group II (<i>P</i><0.05). The postoperative serum calcitonin level was higher in Group I compared to Group II (<i>P</i><0.05), and the bone density was greater in Group I when compared to Group II evaluated at the 3rd month postoperatively (<i>P</i><0.05).</p><p><strong>Conclusion: </strong>The results of our study delineate that Group I patients had better efficacy in controlling pain and improved bone healing with calcitonin nasal spray when compared to Group II patients.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"52 2","pages":"73-79"},"PeriodicalIF":1.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788948","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":"Breaking barriers: women in oral and maxillofacial surgery challenges and the path forward.","authors":"Joo-Young Park","doi":"10.5125/jkaoms.2026.52.2.55","DOIUrl":"10.5125/jkaoms.2026.52.2.55","url":null,"abstract":"","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"52 2","pages":"55-57"},"PeriodicalIF":1.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788929","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":"The Korean medication-related osteonecrosis of the jaw position paper-a milestone toward practical, evidence-based guidance.","authors":"Won Lee","doi":"10.5125/jkaoms.2026.52.1.1","DOIUrl":"10.5125/jkaoms.2026.52.1.1","url":null,"abstract":"","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"52 1","pages":"1-2"},"PeriodicalIF":1.6,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312435","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":"Clinical characteristics of osteonecrosis of the jaw related to denosumab: a 5-year retrospective cohort study.","authors":"Keuk-Je Cho, Ming-Xu Jin, So-Young Choi, Tae-Geon Kwon","doi":"10.5125/jkaoms.2026.52.1.18","DOIUrl":"10.5125/jkaoms.2026.52.1.18","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the clinical characteristics, treatment outcomes, and factors influencing treatment success in patients with denosumab (Dmab)-related osteonecrosis of the jaw (DRONJ).</p><p><strong>Patients and methods: </strong>This retrospective cohort study included the patients who were diagnosed with DRONJ and treated at the authors' affiliated hospital, between August 2019 and August 2024. The patients were divided into the three groups; Group 1, low-dose Dmab; Group 2, transition from bisphosphonates (BPs) to low-dose Dmab; Group 3, high-dose Dmab. Differences in clinical characteristics among the groups were compared. Surgical outcomes were classified into three categories: complete healing, partial healing, and no healing. \"Treatment success\" was defined as the combined proportion of complete and partial healing.</p><p><strong>Results: </strong>A total of 178 DRONJ patients were included in this study. Most of DRONJ occurred in osteoporosis patients. In patients treated with lowdose Dmab, prior BP use resulted in the development of MRONJ within a shorter period after Dmab administration but did not affect disease severity or treatment outcomes. Overall postoperative healing outcomes were favorable at 3 months after DRONJ treatment. The overall treatment success rate was 81.5%; Group 1, 85.0%; Group 2, 82.8%; Group 3, 53.8%, <i>P</i>=0.027). Multiple regression analysis demonstrated that Dmab dosage was a significant factor influencing treatment success, whereas age, treatment duration, lesion location, and DRONJ stage were not (odds ratio, 5.13; 95% confidence interval, 1.19-22.14; <i>P</i>=0.028).</p><p><strong>Conclusion: </strong>The earlier onset in the BP to Dmab transition group may be attributable to the cumulative duration of antiresorptive therapy. Patients treated with high-dose Dmab demonstrated poorer prognosis and more frequent recurrence after MRONJ treatment compared with those treated with low-dose Dmab or BP to Dmab transition therapy. herefore, these findings need to be considered for treatment of DRONJ.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"52 1","pages":"18-26"},"PeriodicalIF":1.6,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312464","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":"Implant rehabilitation of extensive maxillary bone loss secondary to chronic odontogenic sinusitis using a press-fit autogenous ramal block graft: a multidisciplinary staged approach.","authors":"Daewoo Kim, Se Mok Oh, Min Beom Kim, Hansol Oh, Yongkwon Lee, Jong Han Yu","doi":"10.5125/jkaoms.2026.52.1.44","DOIUrl":"10.5125/jkaoms.2026.52.1.44","url":null,"abstract":"<p><p>This report details the implant rehabilitation of a patient with extensive maxillary bone loss secondary to chronic odontogenic sinusitis. Prolonged inflammation rendered the right posterior maxilla unsuitable for spontaneous regeneration, necessitating a staged multidisciplinary intervention. Treatment commenced with sinus management via incision and drainage and a targeted pharmacological regimen. Once clinical resolution was achieved, reconstruction was performed using an autogenous bone block harvested from the right mandibular ramus combined with xenogenic substitutes. A key aspect of the surgical procedure was the utilization of a press-fit fixation technique, where the ramal block was precisely contoured to achieve immediate mechanical stability and screwless fixation through frictional force and mechanical interlocking. The approach was divided into four phases: (1) management of sinusitis; (2) sinus floor elevation and reconstruction using a press-fit autogenous ramal block; (3) implant placement (#16, #17) after a five-month graft maturation period; and (4) final prosthesis delivery after a three-month osseointegration period. The successful outcome demonstrates that predictable functional restoration can be achieved through a planned staged protocol integrating medical management and press-fit bone grafting, even in severe bone deficiency complicated by sinus pathology.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"52 1","pages":"44-50"},"PeriodicalIF":1.6,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312408","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":"Individualized multidisciplinary management of severe odontogenic deep neck infections with and without descending necrotizing mediastinitis: a report of two cases.","authors":"Shin-Won Hwang, Hyun-Jun Park, Da-Mi Yoon, Jung-Hyun Park, Heon-Young Kim","doi":"10.5125/jkaoms.2026.52.1.34","DOIUrl":"10.5125/jkaoms.2026.52.1.34","url":null,"abstract":"<p><p>Severe odontogenic deep neck infections (DNIs) can rapidly extend along cervical fascial planes and progress to descending necrotizing mediastinitis (DNM) with high mortality, requiring early diagnosis and multidisciplinary management, especially in elderly patients with comorbidities. We report two elderly patients with rapidly progressive odontogenic infections: one with DNM fulfilling Estrera's criteria (Endo type IIA) and another with extensive DNI without mediastinal spread. Clinical features, serial contrast-enhanced computed tomography (CECT) findings, laboratory risk indicator for necrotizing fasciitis (LRINEC) score trends, microbiological results, surgical approaches were analyzed. Both patients presented with high LRINEC scores (≥8) and polymicrobial infections, involving multidrug-resistant organisms. Case 1 required five staged cervicothoracic debridements, negative pressure wound therapy, and delayed skin grafting. Case 2 underwent three surgeries with gland excision, hemorrhage control. Airway patency was maintained without tracheostomy through coordinated airway monitoring. Targeted antimicrobial adjustments and systemic optimization facilitated infection control. Both patients recovered fully without recurrence. These cases emphasize the importance of early CECT evaluation, cautious interpretation of LRINEC scores in patients with metabolic comorbidities, individualized surgical debridement tailored to anatomical spread, and multidisciplinary collaboration. Personalized reconstructive strategies based on defect size and tissue viability are essential for functional restoration and successful outcomes.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"52 1","pages":"34-43"},"PeriodicalIF":1.6,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312432","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":"Response to the letter regarding \"Diagnosis and management of persistent idiopathic facial pain following dental procedures: a retrospective study\".","authors":"Seung-Heon Bae, Gyu-Jo Shim, Tae-Geon Kwon","doi":"10.5125/jkaoms.2026.52.1.52","DOIUrl":"10.5125/jkaoms.2026.52.1.52","url":null,"abstract":"","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"52 1","pages":"52-53"},"PeriodicalIF":1.6,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312427","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":"Comment on \"Diagnosis and management of persistent idiopathic facial pain following dental procedures: a retrospective study\".","authors":"Suhair Cherukunnummal","doi":"10.5125/jkaoms.2026.52.1.51","DOIUrl":"10.5125/jkaoms.2026.52.1.51","url":null,"abstract":"","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"52 1","pages":"51"},"PeriodicalIF":1.6,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312411","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":"Peri-implantitis as a potential risk factor for peri-implant oral malignancy.","authors":"Yeeun Lee, Kezia Rachellea Mustakim, Mi Young Eo, Yun Ju Cho, Soung Min Kim","doi":"10.5125/jkaoms.2026.52.1.27","DOIUrl":"10.5125/jkaoms.2026.52.1.27","url":null,"abstract":"<p><p>Peri-implant oral malignancy (PIOM) refers to malignant tumors arising around dental implants and is an increasingly reported complication of implant therapy. PIOM may follow distinct pathophysiological mechanisms, including chronic peri-implant inflammation and implant-related factors that contribute to carcinogenesis. This current review aims to explore the potential role of peri-implantitis (PI) as a risk factor for PIOM, discussing the proposed pathogenic mechanisms, histological findings, and clinical implications. A comprehensive literature search was conducted in PubMed, Scopus, and Web of Science databases. Relevant case reports, clinical studies, and reviews on the keywords \"PIOM\" and \"PI\" published from 2019 up to 2025 were included and qualitatively analyzed. Clinicopathologic characteristics are summarized as location and morphology, disease progression, histopathology, and degree of differentiation, and pathophysiological hypotheses involve inflammatory and electrochemical pathways, epithelial barrier dysfunction, molecular alterations, microbiome dysbiosis, and immune dysregulation. Current evidence remains limited and primarily anecdotal. Several studies suggest that chronic inflammation, titanium particle exposure, corrosion byproducts, and sustained tissue damage in peri-implant tissues may contribute to oncogenesis. While a direct causal link between PI and PIOM remains unproven, chronic peri-implant inflammation may contribute to malignancy development in predisposed individuals. Clinicians should consider a biopsy when peri-implant lesions exhibit atypical features, promptly.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"52 1","pages":"27-33"},"PeriodicalIF":1.6,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312445","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}