Oral and maxillofacial surgery最新文献

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Comparative evaluation of V-Loc knotless closure system and silk sutures in impacted mandibular third molar surgery: a split-mouth randomized controlled trial. V-Loc无结缝合系统与丝线缝合在下颌阻生第三磨牙手术中的比较评价:一项裂口随机对照试验。
IF 1.8
Oral and maxillofacial surgery Pub Date : 2025-08-11 DOI: 10.1007/s10006-025-01438-z
Krithic Chithra Banu Vijayakumar, Geetha Sridharan, Tangutur Srinivasa Prasad, Megarasu Deepanjali, Bhuvaneshwari Parthasarathy, Nissi Evelyn R
{"title":"Comparative evaluation of V-Loc knotless closure system and silk sutures in impacted mandibular third molar surgery: a split-mouth randomized controlled trial.","authors":"Krithic Chithra Banu Vijayakumar, Geetha Sridharan, Tangutur Srinivasa Prasad, Megarasu Deepanjali, Bhuvaneshwari Parthasarathy, Nissi Evelyn R","doi":"10.1007/s10006-025-01438-z","DOIUrl":"10.1007/s10006-025-01438-z","url":null,"abstract":"<p><strong>Purpose: </strong>Sutures are the most frequently utilized to ensure a watertight seal, reposition the flap to its natural alignment, provide mechanical stability to secure tissues during the early healing phase, and reduce the risk of postoperative complications. This study aimed to evaluate and compare the effectiveness of the V-Loc Poly (p-dioxanone) knotless Tissue Control Device wound closure system and conventional silk suture in intra-oral closure following surgical removal of impacted mandibular third molar.</p><p><strong>Methods: </strong>This is a prospective randomized split-mouth study involving 17 patients with bilateral mirror image third molars, one side received V- Loc unidirectional knotless barbed sutures while the other received silk sutures for the study and control group on a week's interval accordingly. The primary outcome parameter measured was wound closure time. Secondary outcome parameters measured were mouth opening, swelling, wound healing (Landry's index), and pain. The secondary outcome parameters were assessed on the 3rd, 5th, 7th, and 14th postoperative days.</p><p><strong>Results: </strong>The closure time showed a statistically significant difference, with an average time difference of 1.3 min. Additionally, wound healing was significantly different between the study and control groups on postoperative day 3 (p = 0.019) and day 14 (p < 0.001).</p><p><strong>Conclusion: </strong>This absorbable knotless suture promotes efficient wound healing and prevents postoperative complications like infections or dry socket. The time taken for the closure of the socket is longer when a knotless suture is placed, though this technique has a learning curve that is generally short to moderate, which takes an average of 3-5 cases for the clinicians to adapt, and with a brief demonstration or by watching a technique video.</p><p><strong>Trial registration: </strong>Clinical Trial Registry, India, (ICMRNIMS) (registration No CTRI/2024/04/065383).</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"141"},"PeriodicalIF":1.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144819067","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}
引用次数: 0
Variation of mandibular radiomorphometric indices in metastatic bone cancer patients undergoing antiresorptive treatment: a prospective study. 接受抗骨吸收治疗的转移性骨癌患者下颌放射形态学指标的变化:一项前瞻性研究。
IF 1.8
Oral and maxillofacial surgery Pub Date : 2025-08-06 DOI: 10.1007/s10006-025-01437-0
Paolo Boffano, Elena Canciani, Giovanni Galetta, Francesca Boccafoschi, Matteo Brucoli
{"title":"Variation of mandibular radiomorphometric indices in metastatic bone cancer patients undergoing antiresorptive treatment: a prospective study.","authors":"Paolo Boffano, Elena Canciani, Giovanni Galetta, Francesca Boccafoschi, Matteo Brucoli","doi":"10.1007/s10006-025-01437-0","DOIUrl":"https://doi.org/10.1007/s10006-025-01437-0","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to identify and evaluate the changes of oral health and panoramic radiograph indexes in cancer patients that have been administered antiresorptive drugs.</p><p><strong>Materials and methods: </strong>Subjects who had a diagnosis of cancer with bone metastasis that were about to start antiresorptive therapy with denosumab or zoledronic acid were included. A preliminary dental clinical assessment, together with a panoramic radiograph, was performed at T0 to prevent the onset of Medication related osteonecrosis of the jaw (MRONJ) and T1 (1 year follow up). In order to calculate at both T0 and T1 the mandibular cortical width (MCW), the panoramic mandibular index (PMI), and the mandibular cortical index (MCI), panoramic radiographs were analyzed by a single operator.</p><p><strong>Results: </strong>Thirty-three subjects with a mean age of 59.9 years were included in the study. A significant reduction in the PMI value from T0 to T1 (p = 0.00236) and a significant variation from T0 to T1 for MCI (p < 0.05) were observed.</p><p><strong>Conclusions: </strong>Radiomorphometric indices could represent a promising field of research that can take advantage from the easy detectability in dental panoramic radiographs. Further research is needed to explore the possible role of PMI and MCI in bone cancer patients.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"138"},"PeriodicalIF":1.8,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791812","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}
引用次数: 0
"Mandibular subluxation using a putty splint: a strategy to optimize access to the distal internal carotid artery in a minimally invasive manner". “下颌骨半脱位使用夹板:一种以微创方式优化进入颈动脉远端通路的策略”。
IF 1.8
Oral and maxillofacial surgery Pub Date : 2025-08-06 DOI: 10.1007/s10006-025-01440-5
Daniela María Del Río de la Vega, Gonzalo Botella Casas, Mariano Marques Mateo, Miguel Puche Torres
{"title":"\"Mandibular subluxation using a putty splint: a strategy to optimize access to the distal internal carotid artery in a minimally invasive manner\".","authors":"Daniela María Del Río de la Vega, Gonzalo Botella Casas, Mariano Marques Mateo, Miguel Puche Torres","doi":"10.1007/s10006-025-01440-5","DOIUrl":"https://doi.org/10.1007/s10006-025-01440-5","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to describe and evaluate a minimally invasive technique to improve surgical access to the distal cervical segment of the extracranial internal carotid artery (DCSICA) by performing a controlled mandibular subluxation assisted by a prefabricated occlusal splint.</p><p><strong>Methods: </strong>Seven patients requiring surgical exposure of DCSICA were selected. Diagnoses included five Shamblin III carotid body tumors, one internal carotid artery (ICA) aneurysm, and one case of ICA stenosis. Preoperatively, patients were instructed to protrude the mandible to the maximum extent within their physiological range. An occlusal registration was taken using putty pad material in this position to fabricate a splint guiding the mandible into a controlled subluxation position. Intraoperatively, the splint was placed and stabilized using maxillomandibular fixation (MMF) with titanium miniscrews and wire.</p><p><strong>Results: </strong>This technique was successfully performed in all seven patients. Intraoperatively, an estimated increase of 15-20 mm in surgical exposure of the DCSICA was achieved, allowing improved access to the artery. No intraoperative or postoperative complications were observed. None of the patients exhibited signs or symptoms of temporomandibular joint dysfunction, malocclusion, or issues related to the splint or fixation technique during the postoperative follow-up.</p><p><strong>Conclusion: </strong>Controlled mandibular subluxation using a prefabricated occlusal splint stabilized with maxillomandibular fixation is a safe, effective and minimally invasive technique to increase surgical exposure of the DCSICA. It offers a less invasive alternative to traditional bone-resection methods, reducing operative morbidity while preserving temporomandibular joint integrity. Its implementation can facilitate complex cervical vascular procedures while minimizing patient morbidity.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"139"},"PeriodicalIF":1.8,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791811","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}
引用次数: 0
Evaluating von mises stress distribution and deformation patterns in zygomaticomaxillary complex fractures- a finite element analysis study. 评估颧颌复合体骨折的von mises应力分布和变形模式-一项有限元分析研究。
IF 1.8
Oral and maxillofacial surgery Pub Date : 2025-08-04 DOI: 10.1007/s10006-025-01435-2
Sathish Radhakrishna, Sonakshi Prakash, Sundar S Shyam
{"title":"Evaluating von mises stress distribution and deformation patterns in zygomaticomaxillary complex fractures- a finite element analysis study.","authors":"Sathish Radhakrishna, Sonakshi Prakash, Sundar S Shyam","doi":"10.1007/s10006-025-01435-2","DOIUrl":"https://doi.org/10.1007/s10006-025-01435-2","url":null,"abstract":"<p><strong>Purpose: </strong>The ZMC provides essential midfacial support through its tetrapod configuration and current clinical practice lacks consensus on optimal fixation techniques for displaced fractures. This study compared stress distribution and deformation patterns across different ZMC fracture fixation methods to provide biomechanical guidance for clinical decision-making.</p><p><strong>Methods: </strong>This finite element analysis (FEA) study was conducted using computer-generated ZMC models derived from CBCT scans of normal anatomy. Four distinct configurations were tested: intact ZMC (control), two-point fixation at frontozygomatic suture and buttress (FZ + buttress), two-point fixation at infraorbital rim and frontozygomatic suture (IOR + FZ), and three-point fixation incorporating all three sites. Standardized loading conditions (450 N occlusal force perpendicular to maxillary first molar and 150 N masticatory muscle force) were applied and material properties were defined by Young's modulus and Poisson's ratio for bone and titanium components. Comparative analysis of von Mises stress (MPa) and maximum deformation (mm) values was performed using Ansys (2019) software.</p><p><strong>Results: </strong>The intact ZMC established a baseline. Two-point FZ + IOR fixation demonstrated the lowest stress values (0.25 MPa), while both two-point fixation. methods showed less deformation than three-point fixation. Three-point fixation exhibited the highest deformation (0.0066 mm) with elevated stress values (0.26 MPa), offering no significant advantage over two-point approaches.</p><p><strong>Conclusion: </strong>FZ + Buttress fixation provides optimal stability against masticatory forces, while FZ + Infraorbital fixation offers balanced stability for minimally displaced fractures. Three-point fixation showed no advantage over two-point approaches despite additional hardware. These findings support a conservative surgical approach with minimal hardware for stable reduction, potentially reducing operative time, soft tissue dissection, and complications.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"137"},"PeriodicalIF":1.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777660","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}
引用次数: 0
Black bone and CT-like MRI-based delineation of fracture-prone regions in oral and maxillofacial trauma. 基于黑骨和ct样mri的口腔颌面外伤骨折易发区域的描绘。
IF 1.8
Oral and maxillofacial surgery Pub Date : 2025-07-28 DOI: 10.1007/s10006-025-01431-6
Adib Al-Haj Husain, Peter Kessler, Suen An Nynke Lie, Samuel Drack, Egon Burian, Sameena Sandhu, Maximilian Eberhard Hermann Wagner, Bernd Stadlinger, Thomas Frauenfelder, Giovanni Colacicco, Rubens Spin-Neto, Harald Essig
{"title":"Black bone and CT-like MRI-based delineation of fracture-prone regions in oral and maxillofacial trauma.","authors":"Adib Al-Haj Husain, Peter Kessler, Suen An Nynke Lie, Samuel Drack, Egon Burian, Sameena Sandhu, Maximilian Eberhard Hermann Wagner, Bernd Stadlinger, Thomas Frauenfelder, Giovanni Colacicco, Rubens Spin-Neto, Harald Essig","doi":"10.1007/s10006-025-01431-6","DOIUrl":"10.1007/s10006-025-01431-6","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the effectiveness and feasibility of MRI-based delineation of fracture-prone regions in the oral and maxillofacial region using Black Bone and CT-like MRI protocols optimized for dentomaxillofacial imaging with a dedicated 15-channel mandibular coil.</p><p><strong>Methods: </strong>In this prospective study, healthy volunteers underwent 3T MRI using five protocols: DESS, SPACE STIR, SPACE SPAIR, T1-VIBE Dixon, and UTE. Eight trauma-prone regions, including the nasal septum, orbit, naso-orbito-ethmoidal (NOE) complex, zygomaticomaxillary complex, Le Fort regions, mandible, condyle, and dentoalveolar complex, were assessed. Image quality, artifacts, anatomical delineation, and bone-to-soft-tissue contrast were rated on a five-point Likert scale by three independent observers. Descriptive statistics and inter-rater agreement (intraclass correlation coefficients (ICCs)) were calculated.</p><p><strong>Results: </strong>Sixteen participants (37.2 ± 12.9 years; 12 males, 4 females) were included, resulting in 80 MRI volumes and 640 regions for evaluation. UTE and VIBE-DIXON sequences achieved the highest ratings for image quality, artifact susceptibility, and anatomical delineation across most fracture-prone regions (ICC: 0.793-1; all p < 0.001). UTE excelled in visualizing NOE and Le Fort regions, while VIBE-DIXON performed best in mandibular and orbital imaging. Bone-to-soft-tissue contrast was highest in UTE and VIBE-DIXON, highlighting their diagnostic potential in simultaneous soft and hard tissue imaging. Inter-rater agreement was consistently high (ICC: 0.772-0.976; all p < 0.001).</p><p><strong>Conclusion: </strong>Dedicated trauma-specific MRI protocols show promising potential as a radiation-free modality for maxillofacial trauma imaging, particularly in young adults and pediatric patients. The strengths of each protocol highlight the need for tailored sequence selection to optimize diagnostic accuracy and personalized care.</p><p><strong>Trial registration number: </strong>Swiss National Clinical Trials Portal: SNCTP000005246.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"136"},"PeriodicalIF":1.8,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736670","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
Fractal analysis of the mandibular ramus in class II and III patients undergoing orthognathic surgery: retrospective study trough cone-beam computed tomography. 接受正颌手术的II类和III类患者下颌分支的分形分析:通过锥束计算机断层扫描的回顾性研究。
Oral and maxillofacial surgery Pub Date : 2025-07-17 DOI: 10.1007/s10006-025-01430-7
Isabela Inoue Kussaba, Beatriz Caio Felipe, Rodrigo Lorenzi Poluha, Liogi Iwaki Filho, Mariliani Chicarelli da Silva, Lilian Cristina Vessoni Iwaki
{"title":"Fractal analysis of the mandibular ramus in class II and III patients undergoing orthognathic surgery: retrospective study trough cone-beam computed tomography.","authors":"Isabela Inoue Kussaba, Beatriz Caio Felipe, Rodrigo Lorenzi Poluha, Liogi Iwaki Filho, Mariliani Chicarelli da Silva, Lilian Cristina Vessoni Iwaki","doi":"10.1007/s10006-025-01430-7","DOIUrl":"https://doi.org/10.1007/s10006-025-01430-7","url":null,"abstract":"<p><strong>Introduction: </strong>One of the challenges of orthognathic surgery (OS) is maintaining condylar position during osteosynthesis. It is believed that the post-surgical condylar position is related to postoperative morphological changes in the temporomandibular joint (TMJ), as well as surgical stability.</p><p><strong>Objective: </strong>The aim of this study is to perform fractal analysis of the mandibular ramus in class II and class III patients undergoing OS, analyzing cone beam computed tomography (CBCT) images one month before surgery (T0), one month after surgery (T1), and six to eight months after surgery (T2).</p><p><strong>Materials and methods: </strong>Fractal analysis was performed on coronal and sagittal reconstructions. Regions of interest (ROIs) were selected for each patient and evaluated region. The ROIs underwent a processing method described by White & Rudolph in 1999. After processing, fractal analysis calculation was performed using the box-counting method by the \"Fractal Box Count\" function of the ImageJ software.</p><p><strong>Results: </strong>When examining the different periods (T0, T1, and T2) among class II and class III patients, no statistically significant differences were identified (p > 0.05). This finding suggests stability in the fractal characteristics of the analyzed region, regardless of skeletal class.</p><p><strong>Conclusion: </strong>OS for correction of Class II and Class III malocclusions did not demonstrate a significant impact on the microstructure of the mandibular ramus over time.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"135"},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144652077","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}
引用次数: 0
Occurrence and outcomes of retrobulbar haematoma in 2149 orbital fracture patients. 2149例眼眶骨折患者球后血肿的发生及预后。
Oral and maxillofacial surgery Pub Date : 2025-07-10 DOI: 10.1007/s10006-025-01427-2
Matilda Narjus-Sterba, Tero Puolakkainen, Linda Kokko, Hanna Thorén, Johanna Snäll
{"title":"Occurrence and outcomes of retrobulbar haematoma in 2149 orbital fracture patients.","authors":"Matilda Narjus-Sterba, Tero Puolakkainen, Linda Kokko, Hanna Thorén, Johanna Snäll","doi":"10.1007/s10006-025-01427-2","DOIUrl":"10.1007/s10006-025-01427-2","url":null,"abstract":"<p><strong>Purpose: </strong>We identified the occurrence of acute retrobulbar haematoma (RBH) across a complete range of orbital fractures and determined clinical and radiological findings that could predict permanent vision loss associated with RBH.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on data from facial trauma patients, encompassing a comprehensive range of orbital fractures. The primary outcome variable was the presence of acute RBH that required surgical or medical treatment. The main predictor variables were the types of orbital fractures. We collected data on symptoms, clinical and radiological findings, treatment, and instances of vision loss to assess the relationship between these factors and vision impairment.</p><p><strong>Results: </strong>Of the 2149 patients with orbital fractures, 28 (1.3%) presented with acute RBH, including two bilateral haematomas, bringing the total number of RBHs to 30. Specific injury mechanisms were statistically associated with RBH (p = 0.005), with high-energy injuries being the most frequent cause. The prevalence of RBH was higher in bilateral than unilateral fractures (3.1% vs. 1.1%) (p = 0.023). Among unilateral fractures, RBH was most strongly linked to orbital roof and rim fractures. Tenting or tuliped-like appearance on computed tomography and absence of pupillary light reflex were more common in patients with permanent vision loss. Type of surgical approach did not affect visual outcome.</p><p><strong>Conclusion: </strong>Acute RBH appears to occur more frequently in patients with orbital fractures than previously reported. Clinicians managing facial fractures need to be trained to diagnose RBH promptly and identify indicators of potential vision loss, particularly tenting on radiological images and changes in pupillary reflex.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"134"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602818","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
Effects of nutritional intervention on total protein and albumin levels in patients with maxillofacial trauma receiving intermaxillary fixation: a randomized controlled trial. 营养干预对接受颌间固定的颌面部创伤患者总蛋白和白蛋白水平的影响:一项随机对照试验。
Oral and maxillofacial surgery Pub Date : 2025-07-09 DOI: 10.1007/s10006-025-01429-0
Mohamed Azharudeen, Ravindran V, Shahina Kt, Ikram Bin Ismail, Midhun Sai E, Jaslin P A
{"title":"Effects of nutritional intervention on total protein and albumin levels in patients with maxillofacial trauma receiving intermaxillary fixation: a randomized controlled trial.","authors":"Mohamed Azharudeen, Ravindran V, Shahina Kt, Ikram Bin Ismail, Midhun Sai E, Jaslin P A","doi":"10.1007/s10006-025-01429-0","DOIUrl":"10.1007/s10006-025-01429-0","url":null,"abstract":"<p><strong>Background and objective: </strong>Maxillomandibular fixation (MMF) serves as a conventional approach for immobilizing jaws in the treatment of maxillofacial fractures. However, intermaxillary fixation poses challenges to nutritional status in the immediate postoperative phase, resulting in the depletion of water, fat, and protein reserves. The objective is to evaluate the variations in total protein and albumin levels at distinct intervals throughout the treatment duration, aiming to elucidate the impact of intermaxillary fixation on nutritional markers.</p><p><strong>Methodology: </strong>A total of 144 patients with jaw fractures presenting to the Oral and Maxillofacial Surgery Department of Govt. Dental College, Calicut, necessitating maxillomandibular fixation, were enrolled irrespective of etiology. They were randomly allocated into two groups: the Nutrition Intervention Group (GROUP 1) and the Nutrition Non-intervention Group (GROUP 2). Biochemical parameters including total protein and serum albumin were assessed. Measurements were conducted on the day of MMF initiation, as well as after the 2nd and 4th weeks thereafter.</p><p><strong>Results: </strong>Significant variations were observed in the protein and albumin levels, with an increase in group 1 and a decrease in group 2 patients following maxillomandibular fixation (MMF).</p><p><strong>Conclusion: </strong>This study highlights the significant impact of personalized nutritional intervention on total protein and albumin levels in patients undergoing maxillomandibular fixation (MMF) for jaw fractures. Compared to the non-intervention group, those receiving tailored dietary counselling showed marked improvements in both protein and albumin levels. This emphasizes the importance of individualized nutritional support during MMF, essential for tissue repair, immune function, and overall recovery.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"133"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593724","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}
引用次数: 0
Advancing precision in bilateral sagittal split osteotomy: a pioneering perspective on minimizing inferior alveolar nerve injury through endoscopic visualization. 提高双侧矢状面劈开截骨术的精确性:通过内窥镜可视化最小化下牙槽神经损伤的开创性视角。
Oral and maxillofacial surgery Pub Date : 2025-07-07 DOI: 10.1007/s10006-025-01428-1
Venkatesh Anehosur, Sai Meera Thotamsetty
{"title":"Advancing precision in bilateral sagittal split osteotomy: a pioneering perspective on minimizing inferior alveolar nerve injury through endoscopic visualization.","authors":"Venkatesh Anehosur, Sai Meera Thotamsetty","doi":"10.1007/s10006-025-01428-1","DOIUrl":"https://doi.org/10.1007/s10006-025-01428-1","url":null,"abstract":"<p><strong>Background: </strong>Minimal invasive surgical procedures are popularized in various surgical fields, the utilization of endoscopic assisted techniques continues to grow across in the field of Maxillofacial Surgery. Orthognathic surgery is a commonly employed procedure for skeletal deformities. Bilateral sagittal split osteotomy(BSSO) is a versatile, result oriented procedure and its utility are well documented. The main pitfall is injury to the neurovascular bundle. Although various methods and modified instrumentation are advocated to minimize the injury to IAN.</p><p><strong>Purpose: </strong>The primary objective is to study the efficacy of innovative endoscopic assisted procedure for locating the nerve and preventing its injury during the BSSO.</p><p><strong>Material and methodology: </strong>This initial prospective study involving 10 patients undergoing BSSO ( advancement / setback) has explored the role of endoscopic assisted to precisely identify and safeguard the nerve during osteotomy cuts, identification and releasing of IAN while splitting the proximal and distal fragments of BSSO.</p><p><strong>Results and conclusion: </strong>Integration of the endoscopy in BSSO protocols showed more than 50% reduction in injury to Neurovascular bundle and offers a promising advancement for achieving favourable results.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"132"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144586206","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}
引用次数: 0
Correction to: Pain control and adverse effects of parecoxib after wisdom teeth surgery: a quantitative systematic review. 纠正:智齿手术后帕瑞昔布的疼痛控制和不良反应:定量系统评价。
Oral and maxillofacial surgery Pub Date : 2025-07-04 DOI: 10.1007/s10006-025-01426-3
Othoniel Hugo Aragon-Martinez, Eduardo Gómez-Sánchez, Ronell Bologna-Molina, Nelly Molina-Frechero, Sandra López-Verdín, Nicolás Serafín-Higuera, Juan Manuel Guzmán-Flores, Maikel Hermida-Rojas, Mario Alberto Isiordia-Espinoza
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