Journal of Cranio-Maxillofacial Surgery最新文献

{"title":"A benign tumor of substantial size: Mandibular epithelioid osteoblastoma in a socioeconomically challenged patient","authors":"Daniel P. Caruso ,&nbsp;Rui P. Fernandes ,&nbsp;Marina Morante Silva ,&nbsp;Anthony Bunnell","doi":"10.1016/j.jcms.2024.10.006","DOIUrl":"10.1016/j.jcms.2024.10.006","url":null,"abstract":"<div><div>Epithelioid osteoblastoma (EOB) is a rare, benign bone tumor characterized by the proliferation of atypical epithelioid osteoblasts within a vascular stroma. It typically presents as a slow-growing painful mass and requires careful differentiation from more aggressive lesions like osteosarcoma for appropriate management. We present a case of an otherwise healthy 30-year-old man who presented with a mandibular EOB measuring 23 cm × 17 cm x 19 cm, causing significant disfigurement and functional impairment. Surgical management involved radical resection and immediate reconstruction using an osteocutaneous fibula free flap. The case emphasizes the importance of multidisciplinary care, advanced surgical planning, and the impact of socioeconomic factors on healthcare access and outcomes.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"53 1","pages":"Pages 44-51"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513219","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}

{"title":"Evaluation of the use of an advanced platelet-rich fibrin (A-PRF+) membrane in children undergoing primary palatoplasty-- a prospective randomized clinical pilot-study","authors":"Marie Sophie Katz,&nbsp;Mark Ooms,&nbsp;Philipp Winnand,&nbsp;Marius Heitzer,&nbsp;Anna Bock,&nbsp;Katharina Schaffrath,&nbsp;Frank Hölzle,&nbsp;Ali Modabber","doi":"10.1016/j.jcms.2024.10.005","DOIUrl":"10.1016/j.jcms.2024.10.005","url":null,"abstract":"<div><div>The aim of this study was to evaluate whether an A-PRF + membrane can lower the fistula rate in patients undergoing primary palatoplasty. A total of 20 children were included: 10 were randomized and included in the platelet-rich fibrin (PRF) group, and 10 were assigned to the control group. Before two-flap palatoplasty was performed, the cleft's width was measured. The patients in the PRF group underwent an intraoperative collection of 5 ml venous blood, which was centrifugated and pressed onto an A-PRF + membrane. Subsequently, the membrane was placed between the oral and nasal mucosal layers. The control group underwent the same procedure without the addition of A-PRF+. The need for transfusions or postoperative intensive care was registered. All children were followed up at 10 days, 1, 2, 3, and 6 months, and after more than 6 months and the occurrence of fistulae and need for a second palatal operation was then evaluated. After more than six months postoperatively, only two fistulae (10%) remained and had to undergo secondary palatoplasty (p = 1.00). Moreover, the blood transfusion rate did not differ significantly (p = 1.00). A-PRF + might be beneficial in cleft closure, but further randomized studies with larger patient cohort are needed.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"53 1","pages":"Pages 37-43"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513220","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}

{"title":"Evaluating AI-Generated informed consent documents in oral surgery: A comparative study of ChatGPT-4, Bard gemini advanced, and human-written consents","authors":"Luigi Angelo Vaira ,&nbsp;Jerome R. Lechien ,&nbsp;Antonino Maniaci ,&nbsp;Giuseppe Tanda ,&nbsp;Vincenzo Abbate ,&nbsp;Fabiana Allevi ,&nbsp;Antonio Arena ,&nbsp;Giada Anna Beltramini ,&nbsp;Michela Bergonzani ,&nbsp;Alessandro Remigio Bolzoni ,&nbsp;Salvatore Crimi ,&nbsp;Andrea Frosolini ,&nbsp;Guido Gabriele ,&nbsp;Fabio Maglitto ,&nbsp;Miguel Mayo-Yáñez ,&nbsp;Ludovica Orrù ,&nbsp;Marzia Petrocelli ,&nbsp;Resi Pucci ,&nbsp;Alberto Maria Saibene ,&nbsp;Stefania Troise ,&nbsp;Giacomo De Riu","doi":"10.1016/j.jcms.2024.10.002","DOIUrl":"10.1016/j.jcms.2024.10.002","url":null,"abstract":"<div><div>This study evaluates the quality and readability of informed consent documents generated by AI platforms ChatGPT-4 and Bard Gemini Advanced compared to those written by a first-year oral surgery resident for common oral surgery procedures. The evaluation, conducted by 18 experienced oral and maxillofacial surgeons, assessed consents for accuracy, completeness, readability, and overall quality.</div><div>ChatGPT-4 consistently outperformed both Bard and human-written consents. ChatGPT-4 consents had a median accuracy score of 4 [IQR 4-4], compared to Bard's 3 [IQR 3–4] and human's 4 [IQR 3–4]. Completeness scores were higher for ChatGPT-4 (4 [IQR 4–5]) than Bard (3 [IQR 3–4]) and human (4 [IQR 3–4]). Readability was also superior for ChatGPT-4, with a median score of 4 [IQR 4–5] compared to Bard and human consents, both at 4 [IQR 4-4] and 4 [IQR 3–4], respectively. The Gunning Fog Index for ChatGPT-4 was 17.2 [IQR 16.5–18.2], better than Bard's 23.1 [IQR 20.5–24.7] and the human consents' 20 [IQR 19.2–20.9].</div><div>Overall, ChatGPT-4's consents received the highest quality ratings, underscoring AI's potential in enhancing patient communication and the informed consent process. The study suggests AI can reduce misinformation risks and improve patient understanding, but continuous evaluation, oversight, and patient feedback integration are crucial to ensure the effectiveness and appropriateness of AI-generated content in clinical practice.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"53 1","pages":"Pages 18-23"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570386","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}

{"title":"Validation of a training simulator for temporomandibular joint arthroscopy","authors":"José Luis Moyano-Cuevas ,&nbsp;J. Blas Pagador ,&nbsp;Nadeem Saeed ,&nbsp;Francisco M. Sánchez-Margallo ,&nbsp;Florencio Monje-Gil","doi":"10.1016/j.jcms.2024.10.007","DOIUrl":"10.1016/j.jcms.2024.10.007","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to evaluate a temporomandibular joint (TMJ) arthroscopy simulator using construct and face analyses.</div></div><div><h3>Methods</h3><div>Thirty participants attending a TMJ training course were divided into novice and expert surgeons (more than 100 procedures) and performed two arthroscopic tasks (cavity access/cavity exploration) during which the surgical tool movements were tracked. Five objective metrics were used to measure surgeon ability and construct validity was assessed by comparing novel and expert performance. Face validity was assessed by subjective questionnaires rating simulator realism and utility (1–5 scale) and tissue consistency (1–4 scale).</div></div><div><h3>Results</h3><div>Expert surgeons spent less <em>total time</em> (76.58 ± 47.40 vs. 27.60 ± 5.52; novices vs. experts) with higher <em>average speed</em> (7.40 ± 5.32 vs. 12.65 ± 5.37) and <em>average acceleration</em> (198.33 ± 2.42 vs. 325.93 ± 87.36). <em>Movement smoothness</em> revealed lower values in novice surgeons (3638.33 ± 1083.95 mm/s³; 2553.70 ± 768.01 mm/s³) than in expert surgeons (4655.63 ± 837.05 mm/s³; 4172.08 ± 1098.61 mm/s³). All these outcomes reached statistical significance (p ≤ 0.05) but in contrast <em>total path</em> of the instruments did not. Face validity scores averaged 4.75/5 for utility and over 4/5 for realism except for watertightness. Tissue consistency was regarded as lower than human tissue but without impact on the training experience. There were no statistically significant differences between the two groups.</div></div><div><h3>Conclusions</h3><div>Both the construct and face validity analyses confirmed the TMJ simulator can be regarded as a valuable, safe, economic adjunctive tool to train TMJ arthroscopy.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"53 1","pages":"Pages 52-56"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734815","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}

{"title":"A recent algorithm for management of orbital floor fractures with the application of a novel minimally invasive endoscopic surgery","authors":"Mohamed Elkahwagi,&nbsp;Eman H. Salem,&nbsp;Ahmed Sakr,&nbsp;Ahmed Eldegwi","doi":"10.1016/j.jcms.2024.10.001","DOIUrl":"10.1016/j.jcms.2024.10.001","url":null,"abstract":"<div><div>Orbital floor (OF) fractures present a dilemma, with controversies surrounding surgical indication, approach, and ideal material for reconstruction. Our study was conducted on cases of (OF) fracture admitted to a tertiary referral centre. Cases of (OF) associated with zygomaticomaxillary complex (ZMC) fracture were managed as follows: those with ophthalmological problems were subjected to endoscopically assisted transorbital reconstruction of the floor; cases without ophthalmological problems were subjected to reduction and fixation of the ZMC fracture only. The recently developed endoscopic endonasal transmaxillary approach was used to manage cases with pure OF fracture, while the same approach with added endoscopic transethmoidal reconstruction of the medial orbital wall (MOW) was applied to cases with associated MOW fracture. Outcome measurements were the correction of diplopia and enophthalmos, along with the restoration of normal globe function. The study included 80 patients, who were divided into four groups according to the proposed algorithm. OF reconstruction was performed in 32 cases with either septal cartilage (<em>n</em> = 4), titanium plate (<em>n</em> = 11), or porous polyethylene mesh (<em>n</em> = 17). Our study presents the novel role of minimally invasive endoscopic surgery in the management of (OF) fracture, together with a recently developed management plan that could maximize positive outcomes and decrease morbidity.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"53 1","pages":"Pages 10-17"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570383","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}

{"title":"Effect of maxillary advancement on velopharyngeal function in cleft lip and palate: 20 years of experience","authors":"Sérgio Éberson da Silva Maia ,&nbsp;Déborah Rocha Seixas ,&nbsp;Ana Paula Fukushiro ,&nbsp;Inge Elly Kiemle Trindade ,&nbsp;Andressa Sharllene Carneiro da Silva ,&nbsp;Bruna Mara Adorno Marmontel Araújo ,&nbsp;Renata Paciello Yamashita","doi":"10.1016/j.jcms.2024.10.004","DOIUrl":"10.1016/j.jcms.2024.10.004","url":null,"abstract":"<div><div>This retrospective study aimed to investigate the impact of orthognathic surgery with maxillary advancement (MA) on the velopharyngeal function (VF) in individuals with cleft lip and palate (CLP).</div><div>The study included 651 patients with repaired CLP, both sexes, aged over 18 years who underwent MA alone or in combination with nasal procedures and/or mandibular osteotomy, operated between 2000 and 2019. The main outcome measures were nasalance (nasal text-NT and oral text-OT) and velopharyngeal orifice area measurement (VA), determined by nasometry and pressure-flow technique, respectively.</div><div>Preoperatively, mean nasalance scores for NT and OT indicated normality, and VA demonstrated borderline-inadequate velopharyngeal closure in all patients. Following MA, a significant increase in nasalance scores for NT and OT occurred (p &lt; 0.001), revealing hypernasality in those undergoing MA combined with nasal procedure (MAN, N = 191), bimaxillary orthognathic surgery with nasal procedure (BON, N = 227) and bimaxillary orthognathic surgery (BO, N = 151). Conversely, nasalance scores remained within the normal range for those undergoing isolated maxillary advancement (IMA, N = 82). VA exhibited a significant increase leading to the classification of VF as inadequate in the BON and MAN groups. Overall, MA contributed to VF deterioration, resulting in the appearance of hypernasality and increased VA, particularly when combined with nasal procedures.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"53 1","pages":"Pages 30-36"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570384","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}

{"title":"Are we ready for virtually planned, 3D printed titanium plates for zygoma fractures? - A feasibility study of 16 post-mortem fractures.","authors":"Jürgen Lichtenstein, Sebastian Heinzel, Bodo Kurz, Jörg Wiltfang, Johannes Spille, Jan-Tobias Weitkamp, Adrian Kilian, Burkhard Kunzendorf","doi":"10.1016/j.jcms.2024.11.004","DOIUrl":"https://doi.org/10.1016/j.jcms.2024.11.004","url":null,"abstract":"<p><p>The state-of-the-art approach to open reduction and fixation (ORIF) of zygoma fracture fragments is based on manual skills. Achieving high accuracy can be challenging. Our feasibility study on deceased body donors with artificial zygomatic fractures investigated whether virtual repositioning of the fractures and the use of customised 3D-printed titanium osteosynthesis plates was similar in accuracy to the conventional manual procedure, and whether the method was applicable in a clinical setting. The accuracy of the different workflows was evaluated. Eight cadaver skulls from the body donation program of Kiel University, with 16 zygomatic bones, were scanned using cone-beam computed tomography before and after artificial fracturing. Virtual reconstruction of the skull was performed and 3D-printed, individualized titanium plates were used to fix the bone fragments. Using a postoperative CBCT scan, the deviation of bone fragments from the original position was detected and the accuracy of the planning was measured within a 3D coordinate system using algorithmically matched reference points. The statistical analysis was performed with SPSS, applying paired and unpaired t-tests. Although the virtual planning demonstrated some imprecision (p = 0.002), this did not lead to postoperative inaccuracies. There was a positive correlation between the degree of dislocation of the fractures and postoperative inaccuracy if regular plates were used (p = 0.02). This was not the case when 3D-printed plates were used, suggesting that 3D-printed plates offer an advantage in heavily dislocated fractures. The workflow to implement 3D-printed titanium plates for trauma cases seems to be applicable to clinical routine. In this study using a limited number of cheek bones, most of which were not heavily dislocated, 3D-printed plates were similar in accuracy to regular plates. The possible advantages for heavily dislocated fractures need further investigation.</p>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911181","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}

{"title":"Digital planning and decision making for severe congenital oligodontia with Angle class-III malocclusion.","authors":"Omri Emodi, Nidal Zeineh, Adi Katz Biton, Andrei Krasovsky, Tal Capucha, Amir Bilder, Dekel Shilo, Ori Blanc, Chaim Ohayon, Amin Boukhari, Shiran Barsheshet-Karif, Adi Rachmiel","doi":"10.1016/j.jcms.2024.12.003","DOIUrl":"10.1016/j.jcms.2024.12.003","url":null,"abstract":"<p><p>As maxillofacial surgery becomes increasingly digitized and the transformative impact of pre-surgical scanning and computer simulation is recognized, this clinical paper presents an algorithm for the selection of interventions in severe congenital oligodontia with Angle class-III malocclusion (OCIII) utilizing such technologies. A complex, multifactorial condition with varying degrees of craniofacial involvement, OCIII is associated with edentulous facial appearance, mandibular prognathism and deep underbite, as well as malocclusion. Our methodology involves the integration of CBCT imaging, intra- and extra- oral scanning, and 3D planning with the assessment of bone volume, number of missing teeth, skeletal discrepancies, and patient compliance in the selection of suitable treatments. This approach accounts for unique patient characteristics by promoting personalized medicine and facilitating the development of predictable treatment modality results by offering a decision-tree for standardized treatment selection in cases of OCIII. This study unequivocally establishes the importance of digital treatment planning for OCIII, enabling the adaptation of surgical protocol for specific concerns and underlying limitations, thereby orchestrating successful treatments, improving patient satisfaction, and surpassing conventional methods.</p>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904052","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}

{"title":"Is the orthodontics-first method more stable than the surgery-first approach for orthognathic correction of maxillary deficiency?","authors":"Hamideh Saghafi, Philip Benington, Xiangyang Ju, Ashraf Ayoub","doi":"10.1016/j.jcms.2024.12.011","DOIUrl":"https://doi.org/10.1016/j.jcms.2024.12.011","url":null,"abstract":"<p><p>This study was carried out to compare the stability of Le Fort I maxillary advancement between the surgery-first approach (SFA) and the orthodontics-first approach (OFA), and to evaluate the impact of the quality of postoperative occlusion on maxillary stability. In total, 26 patients (13 SFA and 13 OFA) were included in this study. Cone beam computed tomography (CBCT) scans taken at T0 (1 week before surgery), T1 (1 week after surgery), and T2 (6 months after surgery) were used for the assessment of maxillary stability. The defective dentitions of the T0 and T1 scans were replaced with 3D-scanned dental models to assess the postoperative occlusions. The study was powered at 80%, with statistical significance for p < 0.05. No statistically significant differences in stability were found between the two groups. The mean posterior maxillary relapse was 0.68 ± 0.48 mm in the SFA group and 0.48 ± 0.38 mm in the OFA group. Quality of occlusal contact was poorly correlated with maxillary relapse in both groups. The stability of Le Fort I maxillary advancement was similar in the SFA and OFA patients at 6 months following surgery. This was independent of the quality of the immediate postoperative occlusion.</p>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900508","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}

{"title":"Accuracy of freehand surgery, static and dynamic computer assisted surgery on zygomatic implant placement: A systematic review and meta-analyses.","authors":"Bassel Traboulsi-Garet, Adrià Jorba-García, Javier Bara-Casaus, Octavi Camps-Font, Eduard Valmaseda-Castellón, Rui Figueiredo, Ma Àngels Sánchez-Garcés","doi":"10.1016/j.jcms.2024.12.002","DOIUrl":"https://doi.org/10.1016/j.jcms.2024.12.002","url":null,"abstract":"<p><p>Real-time surgical navigation systems (dynamic computer-aided surgery, d-CAIS) and static guided surgery (static computer-aided surgery, s-CAIS) have been shown to enhance the accuracy of zygomatic implant (ZI) placement. The objective of this systematic review was to evaluate and compare the accuracy and risk of complications associated with d-CAIS and s-CAIS in ZI placement. A systematic review of published studies involving more than 4 patients was conducted to assess and compare the accuracy of d-CAIS and s-CAIS in zygomatic implant placement. Only one study included freehand ZI placement as a control. The primary outcomes measured were the accuracy of implant placement relative to preoperative planning, with a secondary focus on evaluating any potential complications. Out of 903 screened studies, 14 met the inclusion criteria. Freehand zygomatic implant placement was used as a control in only 1 study. The results revealed a mean apex deviation of 2.07 mm (95% CI: 2.01 to 2.13; I² = 83.14%) for d-CAIS, 1.29 mm (95% CI: 1.15 to 1.43; I² = 94.5%) for s-CAIS, and 4.98 mm (95% CI: 3.59 to 6.37; I² = not assessable) for freehand placement. Reported complications included mucositis, reversible bilateral sinusitis, oroantral fistula, unspecified reversible postoperative complications, and fracture of the anterior wall of the zygoma. Both CAIS systems demonstrated high accuracy and safety in ZI placement, with a nearly 99% success rate at 6 months of follow-up. These findings suggest that both d-CAIS and s-CAIS are reliable methods for improving the precision and reducing the risks associated with ZI procedures.</p>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873459","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}