{"title":"Lesch-Nyhan syndrome: a case report.","authors":"Han Ick Park, Gu-Hwan Kim, Kang-Min Ahn","doi":"10.5125/jkaoms.2023.49.4.228","DOIUrl":"https://doi.org/10.5125/jkaoms.2023.49.4.228","url":null,"abstract":"<p><p>Lesch-Nyhan syndrome (LNS) is a rare X-linked recessive disorder caused by a mutation in the <i>hypoxanthine phosphoribosyltransferase 1</i> (HPRT1) gene. This syndrome is characterized by excessive production of uric acid, mental retardation, self-mutilation, choreoathetosis, and spasticity. The most distinctive symptom is compulsive self-mutilation. For patients with LNS, different methods have been tried to reduce self-biting behaviors including restraints, behavioral treatment, medications, deep brain stimulation, tooth extraction and botulinum toxin A injection. In this report, we present a case of LNS undergoing cheiloplasty due to self-mutilation and tooth extraction of the left deciduous maxillary canine.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/57/jkaoms-49-4-228.PMC10466019.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129897","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":"A rare histopathological variant of Schwannoma with rosette-like arrangements and epithelioid cells: a case report from a histopathologist's perspective.","authors":"Monica Mehendiratta, Vikas Kumar Sant, Manisha Lakhanpal, Keerti Chauhan","doi":"10.5125/jkaoms.2023.49.4.233","DOIUrl":"https://doi.org/10.5125/jkaoms.2023.49.4.233","url":null,"abstract":"<p><p>Schwannomas exhibit histopathological variation that leads to diagnostic dilemmas, although less frequent in the oral cavity. We describe a case with unique histopathology and no relevant clinical history that adds to the breadth of literature on the diversity presented by Schwannoma. A 60-year-old female patient presented with a small dome-shaped, asymptomatic swelling on the alveolar ridge 6 years in duration. Histopathologically, it showed rich cellular pathology with a unique arrangement of tumor cells forming irregular rosettes. Each rosette presented with a central core of fibrincollagenous material and the tumor cells were arranged on the periphery, exhibiting epithelioid change with evidence of mild cellular and nuclear pleomorphism. On immunohistochemical evaluation, the cells were strongly and diffusely positive for S-100 and negative for Ki-67. A diagnosis of benign Schwannoma with a rosette-like arrangement with epithelioid change was made. The case report emphasizes the risk of misdiagnosis and the importance of awareness regarding rare histopathological variants of Schwannoma.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/31/jkaoms-49-4-233.PMC10466011.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10127734","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":"Temporomandibular joint re-ankylosis: a case report and literature review.","authors":"Flora Kalita, Arunkumar Kv","doi":"10.5125/jkaoms.2023.49.4.218","DOIUrl":"https://doi.org/10.5125/jkaoms.2023.49.4.218","url":null,"abstract":"<p><p>Re-ankylosis is a common postoperative complication of temporomandibular joint (TMJ) ankylosis surgery. Various surgical options to prevent reankylosis, both with and without interpositional material, have been discussed in the literature. However, no standardized protocol has been suggested for management or prevention of TMJ ankylosis. This paper discusses the probable causes behind TMJ re-ankylosis and presents a case of unilateral TMJ re-ankylosis, which was managed by gap arthroplasty using an autologous abdominal dermal fat graft as an interpositional material and closely monitored for signs of relapse. Autologous fat graft acted as an effective barrier between the glenoid fossa and mandibular condyle, thus preventing dead space, hematoma and heterotrophic bone formation. A brief review of the literature and update on TMJ re-ankylosis are also presented.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c7/e0/jkaoms-49-4-218.PMC10466018.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10127730","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":"Effectiveness of hemocoagulase, tranexamic acid, and their combination for reducing blood loss in bimaxillary orthognathic surgery: a retrospective study.","authors":"Min-Soo Kim, Se-Jin Han","doi":"10.5125/jkaoms.2023.49.4.208","DOIUrl":"https://doi.org/10.5125/jkaoms.2023.49.4.208","url":null,"abstract":"<p><strong>Objectives: </strong>Orthognathic surgery is a corrective intervention for maxillofacial deformities. Bleeding is a major concern for oral and maxillofacial surgeons. Various agents, such as hemocoagulase, tranexamic acid, and aprotinin have been developed to reduce intraoperative bleeding and transfusion requirements. Therefore, in this study we aimed to investigate the effects of hemocoagulase and tranexamic acid, as well as their simultaneous use, to reduce bleeding during orthognathic surgery. Patients and.</p><p><strong>Methods: </strong>This retrospective study included patients who had undergone simultaneous orthognathic surgery of the maxilla and mandible between January 2013 and September 2022 and were classified into three groups based on drugs administered: hemocoagulase (Botropase), tranexamic acid, and a combination of both drugs. We recorded patient age, sex, weight, blood loss, and duration of surgery. Red blood cell (RBC), hemoglobin, hematocrit, and platelet levels were measured before, immediately after, and one day after surgery.</p><p><strong>Results: </strong>No statistically significant differences were found in blood loss, RBC, hemoglobin, hematocrit, or platelet levels between any of the groups. There were no differences in the drug effects between Le Fort I and bilateral mandibular sagittal split osteotomies, with or without double genioplasty. However, there were significant reductions in RBC, hemoglobin, hematocrit, and platelet levels during genioplasty.</p><p><strong>Conclusion: </strong>Tranexamic acid, hemocoagulase, and their combination had similar efficacy in patients who underwent Le Fort Ⅰ and bilateral mandibular sagittal split osteotomies with and without genioplasty.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/da/jkaoms-49-4-208.PMC10466013.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183436","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":"Midline cleft of the upper lip associated with a microform unilateral cleft and a proboscis-like structure: a case report.","authors":"Adekunle Moses Adetayo, Olukayode Adebola Yusuf, Chika Precious Ibeh, Eyinnaya Ukaegbu, Fadekemi Oginni, Modupe Olusola Adetayo","doi":"10.5125/jkaoms.2023.49.4.223","DOIUrl":"https://doi.org/10.5125/jkaoms.2023.49.4.223","url":null,"abstract":"<p><p>A midline or median cleft lip is rare, and a midline cleft associated with a unilateral cleft and a proboscis-like structure is rarer still. We present a case managed at our center in which a 5-year-old male had a median cleft of the upper lip with an associated 'proboscis' and a microform unilateral cleft lip.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/09/jkaoms-49-4-223.PMC10466017.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129892","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":"Case series and technical report of nasal floor approach for mesiodens.","authors":"Jeong-Kui Ku, Woo-Young Jeon, Jin-A Baek","doi":"10.5125/jkaoms.2023.49.4.214","DOIUrl":"https://doi.org/10.5125/jkaoms.2023.49.4.214","url":null,"abstract":"<p><strong>Objectives: </strong>This case series aims to introduce the nasal floor approach for extracting inverted mesiodens.</p><p><strong>Materials and methods: </strong>Through a retrospective chart review between January 2022 and February 2023, we included the mesiodens patients using nasal floor approach, and analysis the location of mesiodens from the anterior nasal spine (ANS), total operation time, and complications.</p><p><strong>Results: </strong>Each mesiodens was located 10 to 12 mm from the ANS and was covered with a cortical layer of the nasal floor. All mesiodens were successfully extracted without exposing the adjacent incisors or nasopalatine nerve within 30 minutes from draping to postoperative dressing.</p><p><strong>Conclusion: </strong>The nasal floor approach is an efficient extraction method that reduces bone removal and prevents anatomical damage while removing the mesiodens just below the nasal floor bone.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/0a/jkaoms-49-4-214.PMC10466021.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10127732","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}
Sheena Xin Yi Lin, Paul Ruiqi Sim, Wei Ming Clement Lai, Jacinta Xiaotong Lu, Jacob Ren Jie Chew, Raymond Chung Wen Wong
{"title":"Mapping out the surgical anatomy of the lingual nerve: a systematic review and meta-analysis.","authors":"Sheena Xin Yi Lin, Paul Ruiqi Sim, Wei Ming Clement Lai, Jacinta Xiaotong Lu, Jacob Ren Jie Chew, Raymond Chung Wen Wong","doi":"10.5125/jkaoms.2023.49.4.171","DOIUrl":"https://doi.org/10.5125/jkaoms.2023.49.4.171","url":null,"abstract":"<p><strong>Objectives: </strong>Understanding the lingual nerve's precise location is crucial to prevent iatrogenic injury. This systematic review seeks to determine the lingual nerve's most probable topographical location in the posterior mandible.</p><p><strong>Materials and methods: </strong>Two electronic databases were searched, identifying studies reporting the lingual nerve's position in the posterior mandible. Anatomical data in the vertical and horizontal dimensions at the retromolar and molar regions were collected for meta-analyses.</p><p><strong>Results: </strong>Of the 2,700 unique records identified, 18 studies were included in this review. In the vertical plane, 8.8% (95% confidence interval [CI], 1.0%-21.7%) and 6.3% (95% CI, 1.9%-12.5%) of the lingual nerves coursed above the alveolar crest at the retromolar and third molar regions. The mean vertical distance between the nerve and the alveolar crest ranged from 12.10 to 4.32 mm at the first to third molar regions. In the horizontal plane, 19.9% (95% CI, 0.0%-62.7%) and 35.2% (95% CI, 13.0%-61.1%) of the lingual nerves were in contact with the lingual plate at the retromolar and third molar regions.</p><p><strong>Conclusion: </strong>This systematic review mapped out the anatomical location of the lingual nerve in the posterior mandible, highlighting regions that warrant additional caution during surgeries to avoid iatrogenic lingual nerve injuries.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/95/jkaoms-49-4-171.PMC10466020.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129890","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":"ChatGPT and scientific paper.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.5125/jkaoms.2023.49.4.239","DOIUrl":"https://doi.org/10.5125/jkaoms.2023.49.4.239","url":null,"abstract":"Dear Editor, We found the article “Could ChatGPT help you to write your next scientific paper?: concerns on research ethics related to usage of artificial intelligence tools” of interest. Park advises authors and readers to use the large language model (LLM) Chatbot carefully and assure that the tool could provide a clear result according tot he intention. Additionally, scientists should refrain from including any artificial intelligence (AI) tools in the author list. Regarding the future application of LLM tools in scientific writing, Journal of the Korean Association of Oral and Maxillofacial Surgeons aims to change its stance and maintain an open mind. Basically, sensitive material should not be created, modified, or approved by AI without human review. There are various other challenges that have been brought up in addition to the ethical considerations regarding the use of AI technologies like ChatGPT in scientific writing. The possibility that an AI tool will produce subpar or even malicious information is a big cause for concern. For instance, ChatGPT can create study abstracts that are difficult for scientists to discern from abstracts written by people, but such writing can also produce spam or contain misleading information. Due to the lack of reliable screening, problem might occur and this could compromise the integrity of published work. ChatGPT requires a lot of data to respond to and learn from. The results of ChatGPT show that these datasets may contain presumptions or assumptions that ultimately turn out to be incorrect. AI should not be used to create, change, or approve sensitive content without human oversight. As a result, the ChatGPT user might be given inaccurate or misleading information. The use of AI chatbots in academic research must also consider any potential ethical concerns. A thorough investigation should cover all relevant issues, including authorship attribution, intellectual property rights, and any biases in the data or algorithms. A number of high-impact journal publishers have begun disclosing their guidelines for the use of AI tools in submitted articles in an effort to allay these worries. Some have made it clear that they will not accept works that include ChatGPT or any other AI program as authors. However, LLM techniques can be disclosed in the methods or acknowledgement sections of manuscripts submitted to Nature. Some might allow the use of AI technologies to enhance the readability and language of research articles, but emphasize that crucial duties like evaluating data and coming to scientific conclusions should still be carried out by the authors. Conclusively, it is a challenge to have a good corresponding practice towards the emerging new AI technologies. Due to the rapid change, it is necessary to have a continuous monitoring and proper adjustment.","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/30/15/jkaoms-49-4-239.PMC10466016.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10147775","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":"Could ChatGPT help you to write your next scientific paper?: concerns on research ethics related to usage of artificial intelligence tools.","authors":"Joo-Young Park","doi":"10.5125/jkaoms.2023.49.3.105","DOIUrl":"https://doi.org/10.5125/jkaoms.2023.49.3.105","url":null,"abstract":"","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/f5/jkaoms-49-3-105.PMC10318315.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9754060","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":"Facial hematoma induced spontaneously or by minimal trauma in a facial plexiform neurofibroma: a case report and literature review.","authors":"Sang Min Lee, Dae Ho Leem","doi":"10.5125/jkaoms.2023.49.3.152","DOIUrl":"https://doi.org/10.5125/jkaoms.2023.49.3.152","url":null,"abstract":"<p><p>Plexiform neurofibroma is a rare benign tumor and a special subtype of neurofibromatosis 1. This report is a literature review with a case of patient with facial hemorrhage observed at the site of neurofibroma removal in the right lower face due to minor trauma. Through PubMed search, using terms ((facial hematoma) OR (facial bleeding)) AND (neurofibromatosis), 86 articles were identified, and five related articles (six patients) were finally selected. Of the six patients, two had previously undergone embolization. However, as a result, all patients received open surgery to remove hematomas. The hemostatic methods mentioned were vascular ligation (five patients), hypotensive anesthesia (two patients), and postoperative blood transfusion (four patients). In conclusion, spontaneous or minimally traumatic bleeding is possible in neurofibromatosis patients. In most cases, it can be resolved by vascular ligation under hypotensive anesthesia. Optionally, prior embolization and supplementary tissue adhesive may be used.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/ab/jkaoms-49-3-152.PMC10318308.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9754059","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}