Journal of Cranio-Maxillofacial Surgery最新文献_第3页

The chimeric medial sural artery perforator free flap for individualized and three-dimensional reconstruction in hemiglossectomy defects.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-05 DOI: 10.1016/j.jcms.2025.02.009

Abdo Ahmed Saleh Mohamed, Zhaoyu Lin, Youyuan Wang, Lianxi Mai, Maged Ali Al-Aroomi, Safa Al-Hammadi, Guoxin Huang, Chaobin Pan

{"title":"The chimeric medial sural artery perforator free flap for individualized and three-dimensional reconstruction in hemiglossectomy defects.","authors":"Abdo Ahmed Saleh Mohamed, Zhaoyu Lin, Youyuan Wang, Lianxi Mai, Maged Ali Al-Aroomi, Safa Al-Hammadi, Guoxin Huang, Chaobin Pan","doi":"10.1016/j.jcms.2025.02.009","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.02.009","url":null,"abstract":"<p><p>The objective of this study was to describe the four types of Chimeric Medial Sural Artery Perforator Free Flap (CMSAPFF) in restoring the hemiglossectomy defect. This is a prospective study of patients who underwent hemiglossectomy reconstruction using CMSAPFF between February 2022 and July 2023. Special consideration was given to the distribution of the medial sural artery (MSA) perforators, the design of the chimeric flap, the survival rate, complications and functional outcomes. Flap survival was 94.6%. The CMSAPFF was harvested as the skin paddle and the muscle paddle, with four designs in all flaps. Eighteen CMSAPFFs were reported in this study: Type I (n = 3), Type II (n = 7), Type III (n = 6), and Type IV (n = 2). The number of MSAPs ranged from 1 to 4 (median: 2.0). The MSAP was mostly located between 6 and 13 cm distal to popliteal crease (median: 9.7cm). The skin was used to 3-dimensional reconstruction of the hemiglossectomy defect, whereas the muscle paddle was used either to reconstruct the floor of the mouth (n = 13) or to support the skin paddle (n = 5). The CMSAPFF offers flexibility during flap inset and provides bulk to three-dimensional defect. Furthermore, it provides a good watertight sealing in the floor of the mouth.</p>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility exploration of using CISS sequences to evaluate the relationships between parotid tumors and nerves: A preliminary study. 使用 CISS 序列评估腮腺肿瘤与神经之间关系的可行性探索：初步研究。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-05 DOI: 10.1016/j.jcms.2025.02.023

Xiaoxue Fan, Changwei Ding, Qian Wang, Chen Zhang, Yuanri Li, Guyue Zhao, Xiulan Ma, You Hou

引用次数: 0

Accuracy of magnetic resonance imaging black bone sequence for mandibular fracture diagnosis and dislocation measurement.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-03 DOI: 10.1016/j.jcms.2025.02.028

Lucas M Ritschl, Probst Monika, Maier Lisa, Kehl Victoria, Burian Egon, Probst Florian, Teresa Robl, Wolff Klaus-Dietrich, Grabenhorst Alex, Andreas M Fichter

{"title":"Accuracy of magnetic resonance imaging black bone sequence for mandibular fracture diagnosis and dislocation measurement.","authors":"Lucas M Ritschl, Probst Monika, Maier Lisa, Kehl Victoria, Burian Egon, Probst Florian, Teresa Robl, Wolff Klaus-Dietrich, Grabenhorst Alex, Andreas M Fichter","doi":"10.1016/j.jcms.2025.02.028","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.02.028","url":null,"abstract":"<p><p>This study aims to evaluate the quality of diagnostic assessment of three-dimensional (3D) T1-weighted fast field echo (FFE) \"black bone\" magnetic resonance imaging (MRI) sequences in comparison to the gold standard computed tomography (CT) in patients with mandible fractures. All consecutive patients who presented with mandibular fractures between the mandibular and mental foramen were included and received an MRI in addition to the standard CT (reference). The patient collective's epidemiological data were analyzed, and the images of CT and MRI were assessed regarding the degree of mandibular fracture dislocation in all three planes. In total, 28 patients were included and no statistically significant difference between the measured dislocations between the two modalities were registered. The evaluation of mandibular fracture dislocation using a T1-FFE \"black bone\" sequence was feasible and comparable to standard CT imaging. Non-ionizing imaging methods might become a useful alternative to conventional CT in the assessment of acute traumatic injury of the mandible, providing a valid option to reduce radiation, particularly in young patients.</p>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simultaneous ortho-surgical expansion and protraction of the maxilla in patients with mature midpalatal suture: A technical note 腭中缝成熟患者的上颌同时手术扩张和延伸：一个技术注意事项。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.jcms.2024.11.007

A. Valls-Ontañón , A. Lázaro- Abdulkarim , C. Lorente-Martín , C. Vicente-Martí , T. Starch-Jensen , F. Hernández-Alfaro

引用次数: 0

Clinical course of masticatory function recovery following endoscopic-assisted open reduction and internal fixation in patients with unilateral mandibular condyle fracture 内窥镜辅助下单侧髁突骨折切开复位内固定后咀嚼功能恢复的临床过程。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.jcms.2024.12.005

Shinnosuke Nogami, Yushi Ezoe, Yuri Takeda, Yoshio Otake, Hiromitsu Morishima, Kensuke Yamauchi

{"title":"Clinical course of masticatory function recovery following endoscopic-assisted open reduction and internal fixation in patients with unilateral mandibular condyle fracture","authors":"Shinnosuke Nogami, Yushi Ezoe, Yuri Takeda, Yoshio Otake, Hiromitsu Morishima, Kensuke Yamauchi","doi":"10.1016/j.jcms.2024.12.005","DOIUrl":"10.1016/j.jcms.2024.12.005","url":null,"abstract":"<div><div>The purpose of this study was to investigate the clinical course of masticatory function recovery following an endoscopic-assisted open reduction and internal fixation (EAORIF) procedure. Patients with a unilateral mandibular condylar fracture who underwent EAORIF for therapeutic purposes were evaluated, with comparisons made between those who underwent the procedure for base or neck fractures. At each time point analyzed after treatment, the occlusal contact area and maximum bite force in patients with a base fracture were greater, although the differences between the groups were not significant. Moreover, at 12 months following EAORIF for a base fracture, occlusal contact area and maximum bite force on the fractured and non-fractured sides were nearly equal, whereas these were significantly reduced in the fractured as compared with the non-fractured side in patients who underwent that treatment for a neck fracture. Additionally, after 12 months in the neck fracture cases, both occlusal contact area and maximum bite force on the fractured side were lower as compared with those on the non-fractured side. These findings indicate that EAORIF is an optimal method for base fracture treatment with regard to masticatory function.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"53 3","pages":"Pages 245-249"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of facial profile attractiveness in pattern III patients treated with facial filling or orthognathic surgery III型患者面部填充与正颌手术的面部吸引力比较。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.jcms.2024.11.017

Fernanda Rabelo Cunha , Tiago Fialho , José Eduardo Prado de Souza , Daniel Salvatore Freitas , Paula Cotrin , Celia Regina Maio Pinzan-Vercelino , Karina Maria Salvatore Freitas , Fabrício Pinelli Valarelli

{"title":"Comparison of facial profile attractiveness in pattern III patients treated with facial filling or orthognathic surgery","authors":"Fernanda Rabelo Cunha , Tiago Fialho , José Eduardo Prado de Souza , Daniel Salvatore Freitas , Paula Cotrin , Celia Regina Maio Pinzan-Vercelino , Karina Maria Salvatore Freitas , Fabrício Pinelli Valarelli","doi":"10.1016/j.jcms.2024.11.017","DOIUrl":"10.1016/j.jcms.2024.11.017","url":null,"abstract":"<div><h3>Objective</h3><div>To compare facial profile attractiveness according to orthodontists, dentists, and laypeople in pattern III patients treated with facial filling or orthognathic surgery.</div></div><div><h3>Materials and methods</h3><div>Thirty pattern III patients were retrospectively divided into two groups. Group 1 comprised 15 patients (10 females, five males; mean age 37.40 years, SD = 14.50) treated with a hyaluronic acid facial filling. Group 2 comprised 15 patients (seven females, eight males; mean age 31.76 years, SD = 9.85) treated with dental decompensation and orthognathic surgery. Facial profile silhouettes from photographs were evaluated by laypeople (<em>n</em> = 80), dentists (<em>n</em> = 60), and orthodontists (<em>n</em> = 68), who rated attractiveness on a scale from 0 (least attractive) to 10 (most attractive). Profile attractiveness was compared between groups using independent <em>t</em>-tests. Evaluator group scores were compared using one-way ANOVA and Tukey tests.</div></div><div><h3>Results</h3><div>Both the facial filling and surgery groups significantly improved profile attractiveness. Initially (T1), both groups had similar profile attractiveness. Post-treatment (T2), the surgical group had a significantly more attractive profile than the facial filling group. Orthodontists recorded the highest profile attractiveness ratings, dentists gave intermediate scores, and laypeople recorded the lowest, both before and after treatment. Correct answer percentages were similar across the evaluator groups for both treatments.</div></div><div><h3>Conclusion</h3><div>Both treatments significantly improved profile attractiveness, with the surgical group showing greater improvement.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"53 3","pages":"Pages 239-244"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of task-autonomous dental robot for lateral window preparation in the maxillary sinus 任务自主式牙科机器人在上颌窦侧窗预备中的应用。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.jcms.2024.11.005

Huanze Deng , Jing Xu , Jia Nie , Hongru Wang , Yinxia Sun , Yanfeng Li

{"title":"Application of task-autonomous dental robot for lateral window preparation in the maxillary sinus","authors":"Huanze Deng , Jing Xu , Jia Nie , Hongru Wang , Yinxia Sun , Yanfeng Li","doi":"10.1016/j.jcms.2024.11.005","DOIUrl":"10.1016/j.jcms.2024.11.005","url":null,"abstract":"<div><div>The study aimed to investigate the feasibility and accuracy of task-autonomous dental robots for lateral window preparation in the maxillary sinus, as well as to propose 3 indexes for assessing the accuracy of lateral window preparation.</div><div>Twenty 1:1 resin maxilla models were fabricated, all of which underwent preoperative CBCT and utilized the data to design 40 lateral windows. A task-autonomous dental robot was used to autonomously perform the preparation of 20 lateral windows according to the design under supervision, while another 20 lateral windows were prepared with freehand as control. Morphology of the postoperative lateral windows was obtained using oral scans for accuracy analysis. Three indexes (center displacement, area overlap ratio, and area difference) were used to evaluate the accuracy of lateral window preparation in 2 groups. The Shapiro-Wilk test was used to assess the normal distribution of all variables (α = 0.05), and the values of the 3 indexes were evaluated in both groups using 2 independent samples t-tests or rank sum tests, respectively.</div><div>The lateral window prepared by the robot group had an area overlap ratio of 0.906 ± 0.038, an area difference of 1.65 (0.51, 2.58) mm<sup>2</sup>, and a center displacement of 0.19 ± 0.09 mm, which was better than those in the freehand group (0.730 ± 0.105, 4.86 (1.22, 6.77) mm<sup>2</sup>, and 1.19 ± 0.60 mm). The difference between the 2 groups was statistically significant (<em>P</em> < 0.05).</div><div>The task-autonomous dental robot for maxillary sinus lateral window preparation proposed in this study is feasible, and the indexes used to evaluate the accuracy of window preparation are available. The task-autonomous dental robot prepared the lateral window with higher accuracy than the freehand preparation.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"53 3","pages":"Pages 196-202"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative analysis of cell morphology in patient-paired primary human osteoblasts from the jaw and the fibula 颌骨与腓骨患者配对的人原代成骨细胞细胞形态的比较分析。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.jcms.2024.11.021

M. Selig , R. Rothweiler , C. Gross , C. Rendenbach , S. Preissner , M. Heiland , T. Fretwurst , B. Rolauffs , K. Nelson , S. Nahles , J. Wuester

{"title":"Comparative analysis of cell morphology in patient-paired primary human osteoblasts from the jaw and the fibula","authors":"M. Selig , R. Rothweiler , C. Gross , C. Rendenbach , S. Preissner , M. Heiland , T. Fretwurst , B. Rolauffs , K. Nelson , S. Nahles , J. Wuester","doi":"10.1016/j.jcms.2024.11.021","DOIUrl":"10.1016/j.jcms.2024.11.021","url":null,"abstract":"<div><div>Previous studies hint at possible differences in osteogenic, osteoimmunologic, and angiogenetic potential among primary human osteoblasts (HOBs) from different origins (iliac and alveolar bone) within the same patient. In this study, HOBs from the jaw and the fibula were investigated for the first time to gain further knowledge about the similarities and differences on the cellular morphological level.</div><div>Patient-paired HOB cultures from the jaw and fibula of 14 patients (60.3 ± 11.1 years; male: 9; female: 5) were isolated and further processed. Cells were stained with Calcein and Hoechst 33342, and single-cell morphometric shape analysis was performed. For each osteoblast, the shape descriptors area, length, width, aspect ratio, circularity, roundness, and solidity were determined. A site-specific and a gender-specific comparison were conducted.</div><div>None of the shape descriptors showed any significant differences between HOBs derived from the jaw and the fibula. The same applied to the gender-specific comparison between osteoblasts from female and male patients. Significant correlations between shape descriptors were found.</div><div>HOBs from both bones possess a comparable cell shape, which might positively influence the ossification between the recipient and the donor bone. Since cell morphology often reflects cell function, both bones might exhibit comparable osteoblast behavior, adding to the favorable outcomes observed with free fibula flaps in reconstructive surgery.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"53 3","pages":"Pages 228-237"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the clinical utility of lateral cephalometry reconstructed from computed tomography extracted by artificial intelligence 人工智能提取的计算机断层重建侧位头测量术的临床应用评价。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.jcms.2024.12.004

Kyung-Han Kim , Jin-Hong Min , Jeong-hyun Yun , Jae-Ho Baek , In-Seok Song , Sang-Min Lee , Ho-Kyung Lim , Jee-Ho Lee

{"title":"Evaluation of the clinical utility of lateral cephalometry reconstructed from computed tomography extracted by artificial intelligence","authors":"Kyung-Han Kim , Jin-Hong Min , Jeong-hyun Yun , Jae-Ho Baek , In-Seok Song , Sang-Min Lee , Ho-Kyung Lim , Jee-Ho Lee","doi":"10.1016/j.jcms.2024.12.004","DOIUrl":"10.1016/j.jcms.2024.12.004","url":null,"abstract":"<div><div>This study assessed the accuracy and reliability of artificial intelligence (AI)-reconstructed images of two-dimensional (2D) lateral cephalometric analyses of facial computed tomography (CT) images, which is widely used for the diagnosis of craniofacial deformities and in the planning of their treatment. Facial CT datasets from 40 patients were collected. Original 1 mm slices were reformatted to 3 mm, and then an AI algorithm reconstructed the 3 mm slices and converted them back to 1 mm to generate lateral cephalometric images. Three observers traced the craniofacial landmarks manually and with autotracing. Landmark discrepancies were quantified between the original 1 mm CT slice and the AI-reformatted 1 mm CT slice, as well as between the original 1 mm CT slice and the 3 mm CT slice. Landmark discrepancies were then compared and reliability tests conducted. AI-reconstructed 1 mm CT images showed significantly fewer discrepancies than the 3 mm CT images, particularly in critical landmarks such as the sella, basion, nasion, orbitale, and pogonion (<em>p</em> < 0.05). The greatest discrepancies in the 3 mm images were observed in the sella and basion. Interobserver and intraobserver reliability analyses showed high consistency (Cronbach's <em>α</em> > 0.7 in nearly all cases). These results support the use of AI-reconstructed images for more accurate diagnosis and treatment planning in craniofacial surgery, potentially reducing the need for additional imaging.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"53 3","pages":"Pages 214-221"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EACMFS Prizes & Awards

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-01 DOI: 10.1016/S1010-5182(25)00054-X

引用次数: 0