Oral and maxillofacial surgery最新文献

{"title":"Comparison of the effects of ice saline and kangfuxin mouthwash on improving oral infection following buccal mucosa resection.","authors":"Yu Zhang, Chuanrui Yang, Lu Tang, Dandan Xie, Yulong Yi, Lei Lei, Li Xue","doi":"10.1007/s10006-025-01402-x","DOIUrl":"10.1007/s10006-025-01402-x","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the efficacy of ice saline and Kangfuxin mouthwash in reducing oral infection incidence following buccal mucosa resection in patients.</p><p><strong>Methods: </strong>A retrospective analysis was performed on patients who underwent buccal mucosa resection at a tertiary hospital's Urology Department from January 2020 to December 2024. Post-surgery, patients used ice saline and Kangfuxin mouthwash for six mouthwashes before and after meals, with 10 ml per use, gargling for 3 min each time. The incidence of oral infection was compared between the two groups using t-tests, chi-square tests, and non-parametric tests.</p><p><strong>Results: </strong>A total of 228 patients were included, with an overall oral infection incidence of 9.6%. After balancing the baseline characteristics and nutritional indicators between the groups, a statistically significant difference was observed in infection incidence and pain scores on the third postoperative day (p < 0.05).</p><p><strong>Conclusion: </strong>Addressing oral infection in patients following buccal mucosa resection is crucial; postoperative use of Kangfuxin mouthwash shows potential in reducing oral infection incidence.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"115"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201341","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":"Impact of maxillofacial fractures on patients' quality-of-life measures: a systematic review.","authors":"Olga Beatriz Lopes Martins, Ighor Andrade Fernandes, Glaciele Maria de Souza, Patricia Furtado Gonçalves, Saulo Gabriel Moreira Falci, Endi Lanza Galvão","doi":"10.1007/s10006-025-01407-6","DOIUrl":"10.1007/s10006-025-01407-6","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the impact of maxillofacial fractures (MFFs) on health-related quality of life (HRQoL) and oral health-related quality of life (OHRQoL).</p><p><strong>Methodology: </strong>A systematic literature review was carried out following the MOOSE and PRISMA guidelines. The search was conducted in LILACS, Embase, and PubMed databases alongside manual reference checks, with no date restrictions, including observational studies that assessed HRQoL or OHRQoL in patients with MFFs using validated instruments. Methodological quality was assessed using the JBI checklist.</p><p><strong>Results: </strong>Twelve studies were included in the analysis, most with a cohort design and male predominance. The results indicated a negative impact of MFFs on HRQoL, especially in the immediate post-traumatic period/immediately after MFF diagnosis, with impairment in domains such as pain, physical function, mental health, and social aspects. OHRQoL was also affected, mainly regarding pain, chewing difficulty, and dietary changes. Although most studies indicated improved quality of life after treatment and recovery, long-term sequelae, such as infraorbital nerve paresthesia, may persist. The review showed heterogeneity among studies regarding geographical origin, methodological design, follow-up periods, and quality of life assessment instruments. Small sample sizes, lack of detailed analysis of socioeconomic and health factors, inadequate control of variables, and the predominance of male patients in some studies limit the generalizability of the findings.</p><p><strong>Conclusion: </strong>MFFs seem to affect patients' HRQoL and OHRQoL, but further longitudinal studies with larger samples and standardized assessments are needed to deepen the understanding of the long-term impact.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"114"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance of GPT-4 in oral and maxillofacial surgery board exams: challenges in specialized questions.","authors":"Felix Benjamin Warwas, Nils Heim","doi":"10.1007/s10006-025-01412-9","DOIUrl":"https://doi.org/10.1007/s10006-025-01412-9","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate the performance of GPT-4 in answering oral and maxillofacial surgery (OMFS) board exam questions, given its success in other medical specializations.</p><p><strong>Methods: </strong>A total of 250 multiple-choice questions were randomly selected from an established OMFS question bank, covering a broad range of topics such as craniofacial trauma, oncological procedures, orthognathic surgery, and general surgical principles. GPT-4's responses were assessed for accuracy, and statistical analysis was performed to compare its performance across different topics.</p><p><strong>Results: </strong>GPT-4 achieved an overall accuracy of 62% in answering the OMFS board exam questions. The highest accuracies were observed in Pharmacology (92.8%), Anatomy (73.3%), and Mucosal Lesions (70.8%). Conversely, the lowest accuracies were noted in Dental Implants (37.5%), Orthognathic Surgery (38.5%), and Reconstructive Surgery (42.9%). Statistical analysis indicated significant variability in performance across different topics, with GPT-4 performing better in general topics compared to specialized ones.</p><p><strong>Conclusion: </strong>GPT-4 demonstrates a promising ability to answer OMFS board exam questions, particularly in general medical topics. However, its performance in highly specialized areas reveals significant limitations. These findings suggest that while GPT-4 can be a useful tool in medical education, further enhancements are needed for its application in specialized medical fields.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"113"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative evaluation of lag screws and miniplates in the fixation of anterior mandibular fractures- a prospective study.","authors":"Sonal Jawa, G Prathibha, Kavitha Prasad, K Ranganath, Parimala Sagar, Surabhi Chandra","doi":"10.1007/s10006-025-01406-7","DOIUrl":"https://doi.org/10.1007/s10006-025-01406-7","url":null,"abstract":"<p><strong>Introduction: </strong>Mandibular fractures are among the commonest fractures of maxillofacial region with anterior-mandibular fractures accounting for 8-15%. Mini-plates with or without arch bar is the most commonly used fixation method to achieve ORIF. However, the mandible symphysis is uniquely shaped for the application of lag-screws.</p><p><strong>Aim: </strong>This study aims at evaluating the effectiveness of lag-screws in comparison with mini-plates in fixation of anterior mandibular fractures.</p><p><strong>Methodology: </strong>20 patients diagnosed with anterior mandibular fractures were divided into 2 equal groups. Group-A was treated using lag-screws and Group-B was treated using mini-plates. Radiographs were taken for evaluation of fracture site. The results were assessed for mobility of fracture segments, stability of occlusion, paresthesia, and pre-operative, intra-operative and post-operative distances between fracture segments.</p><p><strong>Results: </strong>There was a significant reduction in clinical distance between the reduced fracture fragments in the lag-screw group. A substantial reduction of radiographic distance between fracture segments was observed post-operatively in the lag-screw group, unlike the mini-plate group. A lesser interfragmentary distance was observed in patients treated with the lag-screw technique.</p><p><strong>Conclusion: </strong>While lag screws and miniplate techniques are both stable forms of fixation, there is more interfragmentary bony contact with lag-screws, thus ideal for fixation of anterior mandibular fractures.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"112"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pigmented villonodular synovitis of the temporomandibular joint. evaluation of 12 patients from 2017 to 2023.","authors":"Machoň Vladimír, Vlachopulos Vasilis, Beňo Michal, Foltán René, Michl Petr","doi":"10.1007/s10006-025-01360-4","DOIUrl":"https://doi.org/10.1007/s10006-025-01360-4","url":null,"abstract":"<p><strong>Purpose: </strong>The authors evaluated a cohort of 12 patients with histologically verified pigmented villonodular synovitis of the TMJ between 2018 and 2023.</p><p><strong>Methods: </strong>The authors evaluated 12 patients (12 women). Only unilateral involvement was present in all patients. The mean age of the patients was 49.5 years. The authors focused on the evaluation of clinical symptoms, imaging findings, and arthroscopic findings. They also evaluated the effect of therapy, including the incidence of recurrence. The evaluation of therapy was performed at a minimum of 12 months after therapy and a maximum of 4.5 years after therapy.</p><p><strong>Results: </strong>Pain was the predominant clinical symptom (12 patients, 100%). Therapy consisted of arthroscopy and open surgery. Radiographs were taken in all patients. In 5 patients (42%) the joint structures were without obvious pathological changes, in 7 patients (58%) there was a finding of irregularities on the joint head. Magnetic resonance imaging was performed in all patients, and in 10 cases (83%) there was a finding of joint space enlargement, effusion. Therapy consisted of TMJ arthroscopy with removal of pathological tissue. If the joint was completely filled with pathological tissue, after histological verification, open surgery with complete removal of joint structures and subsequent reconstruction of the TMJ was indicated. Recurrence of PVNS was not reported in the cohort.</p><p><strong>Conclusion: </strong>PVNS is an uncommon benign lesion affecting the TMJ. In the authors' study, pain was the predominant symptom and effusion was the predominant finding on magnetic resonance imaging. Long-term follow-up is appropriate in patients with proven PVNS. This is due to the risk of recurrence, which is also associated with the difficulty of complete repair of the lesion in the anatomically limited space of the TMJ. The authors recommend 1,3,6 months after surgery, and annually for the first 5 years after surgery. One, two, and five years after surgery, they recommend a follow-up MRI. The results of the study support the view that MRI should always be indicated in patients with pain of arthrogenic origin lasting more than 3 months, and if effusion is found, arthroscopy should always be the next step. This procedure will ensure early detection of PVNS.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"111"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of postoperative delirium among patients who underwent head & neck surgery.","authors":"Rezarta Taga Senirli, Deniz Gediz, Yeşim Yüksel, Muhammet Yildiz, Nuray Ensari, N Didem Sonbay Yilmaz, Özer Erdem GüR","doi":"10.1007/s10006-025-01410-x","DOIUrl":"https://doi.org/10.1007/s10006-025-01410-x","url":null,"abstract":"<p><strong>Objective: </strong>Postoperative delirium is a state of confusion and cognitive impairment that can be observed after extensive surgery. This serious complication can lead to longer hospital stays and higher costs. As the global population ages, postoperative delirium has also become a concern for patients undergoing head and neck surgery. In this study, we investigated whether the preoperative recognition of cognitive impairment could help with the prediction of postoperative delirium among patients undergoing head and neck surgery.</p><p><strong>Methods: </strong>We conducted a three-year prospective study in our clinic to analyze 46 patients who underwent surgeries lasting 6 h or longer. Mini-Mental State Examination scores, demographic data, medical history, surgical details and delirium assessments were examined to identify risk factors for postoperative delirium.</p><p><strong>Results: </strong>Our study revealed that 8.7% of the patients developed postoperative delirium. Longer surgery durations, lower serum sodium levels and lower Mini-Mental State Examination scores were risk factors for postoperative delirium.</p><p><strong>Conclusion: </strong>Recognizing cognitive impairment and other potential risk factors during the preoperative period appears to play a critical role in reducing the incidence of postoperative delirium and its associated complications.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"109"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern diversity and prevalence of bifid mandibular canal: a CBCT-based cross-sectional study : Evaluation of Bifid Mandibular Canal via CBCT.","authors":"Ali Altındağ, Hilal Yalın, İbrahim Burak Yüksel","doi":"10.1007/s10006-025-01409-4","DOIUrl":"https://doi.org/10.1007/s10006-025-01409-4","url":null,"abstract":"<p><strong>Background: </strong>Accurate determination of the position and configuration of the inferior alveolar canal is crucial for the planning of oral surgical procedures involving the mandible, such as orthognathic surgery, implant placement, impacted tooth extraction, and fracture treatment, to prevent potential complications. This study aims to evaluate the prevalence and types of bifid mandibular canal (BMC) within a subpopulation from Central Anatolia using cone-beam computed tomography (CBCT) images.</p><p><strong>Methods: </strong>The study examined a total of 300 CBCT images, including 118 male and 182 female patients, resulting in the analysis of 600 inferior alveolar canals on both the right and left sides. The anatomy of these canals was assessed according to Naitoh's (2009) classification of BMC into four types: forward canal, dental canal, retromolar canal, and buccolingual canal. Statistical analysis was conducted using SPSS v21.0 (IBM Corp, Armonk, NY, USA). The frequency of BMC was evaluated based on its occurrence on the right and left sides of the mandible, as well as its association with age and gender, using the Chi-square test.</p><p><strong>Results: </strong>Among the 300 patients whose CBCT images were examined, 68 (22.7%) were found to have BMC, with 31 males and 37 females. No significant differences in the frequency of BMC were observed concerning age and gender. The most frequently observed canal type was the dental canal (36.46%).</p><p><strong>Conclusion: </strong>To minimize the risk of complications, it is essential to understand the anatomy of the inferior alveolar canal and its possible anatomical variations before conducting dental procedures and mandibular surgeries. It is recommended to evaluate BMC using CBCT imaging before surgical interventions.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"110"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"- Comments on 'mapping trends in preemptive analgesia related to oral surgery with the use of ibuprofen: a comprehensive quantitative and qualitative analysis of bibliometric parameters' by Cetira et al.","authors":"Yuh-Shan Ho, Nikolaos Christidis","doi":"10.1007/s10006-025-01411-w","DOIUrl":"https://doi.org/10.1007/s10006-025-01411-w","url":null,"abstract":"","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"108"},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of COVID-19 on facial laceration trends: a comparative analysis of pre- and intra-pandemic data.","authors":"Florian Dudde, Sven Duda, Lawik Revend, Oliver Schuck, Manfred Giese","doi":"10.1007/s10006-025-01403-w","DOIUrl":"https://doi.org/10.1007/s10006-025-01403-w","url":null,"abstract":"<p><strong>Background: </strong>This study explores the impact of the COVID-19 pandemic on the patterns, mechanisms, and clinical management of facial lacerations. By comparing data from pre-pandemic and intra-pandemic periods, it aims to elucidate how COVID 19 influenced maxillofacial trauma care.</p><p><strong>Materials and methods: </strong>A retrospective analysis was conducted on 747 patients treated for facial lacerations at a maxillofacial trauma center. Data were collected for two periods: pre-COVID (February 2019-January 2020) and intra-COVID (February 2020-January 2021). Demographics, injury characteristics, mechanisms, and treatment modalities were analyzed.</p><p><strong>Results: </strong>During the intra-COVID period, the proportion of fall-related facial lacerations nearly doubled (18.6% vs. 39.2%, p < 0.001), while injuries associated with alcohol consumption (43.4% vs. 12.5%, p < 0.001) and interpersonal violence (22.5% vs. 8.3%, p < 0.001) declined markedly. The sex distribution shifted significantly, with female patients comprising a higher proportion of cases during the pandemic (33.3% vs. 45.8%, p < 0.001). Temporal patterns also changed, as morning injuries became substantially more frequent (11.6% vs. 40.0%, p < 0.001). Syncopal events linked to viral infections increased significantly (3.9% vs. 15.0%, p < 0.001). In terms of clinical management, the use of radiographic imaging (69.8% vs. 60.0%, p = 0.005) and tetanus booster administration (42.6% vs. 28.3%, p < 0.001) both declined during the pandemic period.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic significantly altered the epidemiology and clinical management of facial lacerations, as evidenced by shifts in trauma mechanisms, patient demographics, and resource use. These findings highlight the need for adaptive trauma care strategies during public health crises.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"107"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-traumatic and iatrogenic silent sinus syndrome: a case series.","authors":"E M Strabbing, O Engin, M A J Telleman, A P Nagtegaal, E B Wolvius","doi":"10.1007/s10006-025-01391-x","DOIUrl":"10.1007/s10006-025-01391-x","url":null,"abstract":"<p><strong>Objectives: </strong>Silent sinus syndrome (SSS) is a rare condition characterized by progressive maxillary sinus collapse, causing enophthalmos and hypoglobus without sinusitis symptoms. Secondary SSS arises from trauma or surgery disrupting mucociliary clearance. This study aims to analyze CT scan features, evaluate the timeline of SSS development, and identify contributing factors.</p><p><strong>Materials and methods: </strong>Patients diagnosed with secondary (post-traumatic or iatrogenic) SSS between January 2015 and January 2024 at the Erasmus Medical Center were reviewed. Characteristics from pre-SSS (T1) and post-SSS (T2) stages, management, and clinical outcomes were recorded. Data on patient demographics, symptoms, orthoptic findings, and the time interval between trauma or surgery and SSS onset were also collected.</p><p><strong>Results: </strong>Nine patients (six males and three females) met the inclusion criteria. The time from trauma or surgery to SSS onset ranged from one to thirty-six months, with a median of three months in the posttraumatic group. All patients presented with unilateral enophthalmos or hypoglobus; eight reported diplopia. Surgical management, including retrograde uncinectomy and orbital reconstruction, restored orbital anatomy and resolved symptoms.</p><p><strong>Conclusion: </strong>Secondary SSS is a rare but significant condition requiring early recognition to prevent severe cosmetic and functional complications.</p><p><strong>Clinical relevance: </strong>Secondary SSS should be considered when patients present with unexplained orbital changes following trauma or surgery. Regular follow-up is recommended, especially in patients with orbital trauma or surgery involving the inferomedial strut. Further studies are necessary to clarify risk factors associated with secondary SSS.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"106"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121992","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}