Journal of Cranio-Maxillofacial Surgery最新文献_第9页

Effect of impacted mandibular third molar extraction on periodontal microbiota and clinical parameters of adjacent teeth: A randomized clinical trial 下颌第三磨牙拔除对邻牙牙周微生物群和临床参数的影响：随机临床试验

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jcms.2024.06.001

{"title":"Effect of impacted mandibular third molar extraction on periodontal microbiota and clinical parameters of adjacent teeth: A randomized clinical trial","authors":"","doi":"10.1016/j.jcms.2024.06.001","DOIUrl":"10.1016/j.jcms.2024.06.001","url":null,"abstract":"<div><p>It is urgently necessary to clarify the effect of extraction of impacted mandibular third molar (IMTM) on the periodontal tissue of adjacent second molars (ASMs). In this study, the ASM periodontal condition and pathogenic microbes were assessed before IMTM extraction and at 1, 4, 8 and 12 weeks postoperatively. Based on the inclusion and exclusion criteria, our study revealed that IMTM extractions adversely affected distal － periodontal probing depth (dPPD), attachment loss (dAL), plaque index (dPLI) and bleeding on probing (dBOP) within 8 weeks, but these indices gradually normalize after 12 weeks. The subgingival pathogens near the ASMs distal surface, <em>Porphyromonas and Pseudomonas</em>, were significantly increased postoperatively. Moreover, relevance of ASMs clinical indices and subgingival microbes after IMTM extractions was found. In contrast to the situation in chronic periodontitis, the effects of IMTM extraction on dPPD, dAL, dPLI and dBOP of ASMs were mainly correlated with <em>Pseudomonas</em>. Additionally, while the IMTM extractions have adverse distal periodontal indices of ASMs within 8 weeks and increase subgingival pathogens, the modified triangular flap (MTF) had fewer distal periodontal indices and less <em>Pseudomonas</em>. Compared to the traditional envelope flap and triangular flap, the MTF benefits the periodontal health, which could be considered as the priority option for IMTM extractions.</p></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 8","pages":"Pages 937-947"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141394796","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

Classifications for the temporomandibular joint (TMJ): A systematic review of the literature 颞下颌关节（TMJ）的分类：文献系统回顾。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jcms.2024.04.010

Ross O.C. Elledge

引用次数: 0

The influence of three different primary treatment protocols on 5-year-old maxillary growth in patients with complete unilateral cleft lip and palate 三种不同的初级治疗方案对完全性单侧唇腭裂患者 5 岁时上颌骨生长的影响。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jcms.2024.04.020

{"title":"The influence of three different primary treatment protocols on 5-year-old maxillary growth in patients with complete unilateral cleft lip and palate","authors":"","doi":"10.1016/j.jcms.2024.04.020","DOIUrl":"10.1016/j.jcms.2024.04.020","url":null,"abstract":"<div><p>The study evaluated the effects of three different primary treatment protocols on maxillary growth in patients aged 5 years with complete unilateral cleft lip and palate (UCLP). The secondary objective was to assess the influence of initial cleft severity, family history of class III, and status of permanent lateral incisor on maxillary growth.</p><p>In total, 54 patients with non-syndromic complete UCLP were included and grouped as follows: group An underwent lip adhesion, cheilorhinoplasty associated with tibial periosteal graft for hard palate repair, and finally veloplasty; group B underwent lip adhesion, then cheilorhinoplasty with intravelar veloplasty, and finally a hard-palate repair; group C underwent cheilorhinoplasty with intravelar veloplasty and then a hard-palate repair. Five-year maxillary growth was assessed on dental models, both clinically and digitally.</p><p>No difference was found with GOSLON-Yardstick scoring. Five-year measurements showed that group C tended to have the best maxillary arch morphology (<em>p</em> = 0.012). Initial cleft severity did not impact maxillary growth, but status of permanent lateral incisor and family history of class III did (<em>p</em> = 0.019 and <em>p</em> = 0.004, respectively).</p><p>In patients aged 5 years, the two-stage approach appeared to be the least detrimental to growth development. Predictive factors for growth retardation included the absence of lateral incisor and a family history of class III.</p></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 8","pages":"Pages 922-930"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904523","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

Clinical and social success in epithetic ear rehabilitation – Retrospectively evaluating the long-term survival of auricular implants 人工耳康复的临床和社会成功--回顾性评估耳廓植入物的长期存活率

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jcms.2024.02.003

{"title":"Clinical and social success in epithetic ear rehabilitation – Retrospectively evaluating the long-term survival of auricular implants","authors":"","doi":"10.1016/j.jcms.2024.02.003","DOIUrl":"10.1016/j.jcms.2024.02.003","url":null,"abstract":"<div><h3>Purpose</h3><p>The aim of this study was to evaluate existing staging recommendations for peri-implantitis and its applicability for auricular bone anchoring.</p></div><div><h3>Materials and methods</h3><p>In this cross-sectional study, 44 patients treated with 47 ear epitheses and 128 implants were analyzed over 191.6 months (mean). Peri-implant sulcus depth, sulcus fluid flow rate, and peri-implant skin reaction, as well as cleaning habits and patients’ quality of life, were analyzed. Mixed effect linear and mixed effect ordered logistic regression models were used.</p></div><div><h3>Results</h3><p>Two of the 128 implants were lost (1.6 %). A total of 14.5 % of all patients presented light erythemas, 19.4 % showed stage 2, 4.8 % stage 3, and 12.9 % an acute infection according to Holgers. A correlation between skin reaction and sulcus fluid flow rate was observed, when grouping patients with acute signs of inflammation. Concerning patient satisfaction, 58.1 % of the patients were highly satisfied with their epitheses, 39.5 % very satisfied, and one patient was just satisfied. Younger age correlated with lower satisfaction rates.</p></div><div><h3>Conclusion</h3><p>Implant-retained auricular epitheses are a safe, highly sufficient and satisfying way of extending ear reconstruction. Sulcus depth and skin reaction are quick and valuable assessment tools in auricular implants, but skin reaction alone was clinically insufficient to predict peri-implant pocket inflammation.</p></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 8","pages":"Pages 884-889"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1010518224000490/pdfft?md5=3bc0ed9b2320c9686eef3d7a08826c4a&pid=1-s2.0-S1010518224000490-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139814533","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

EACMFS Prizes & Awards EACMFS 奖项

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-08-01 DOI: 10.1016/S1010-5182(24)00223-3

引用次数: 0

Does the adjunctive use of autologous platelet concentrate during secondary alveolar bone grafting reduce the risk of wound dehiscence? A systematic review and meta-analysis 二次牙槽骨移植过程中辅助使用自体血小板浓缩物是否能降低伤口开裂的风险？系统综述与荟萃分析。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jcms.2024.04.016

{"title":"Does the adjunctive use of autologous platelet concentrate during secondary alveolar bone grafting reduce the risk of wound dehiscence? A systematic review and meta-analysis","authors":"","doi":"10.1016/j.jcms.2024.04.016","DOIUrl":"10.1016/j.jcms.2024.04.016","url":null,"abstract":"<div><p>Wound dehiscence is a common complication after secondary alveolar bone grafting (SABG), leading to unfavourable surgical outcomes. Studies have shown that autologous platelet concentrates (APC) may enhance wound healing and improve outcomes. Therefore, this review aimed to evaluate in patients with alveolar clefts, whether using APC and iliac crest bone graft can mitigate the likelihood of wound dehiscence formation compared with those who underwent iliac bone grafting only following SABG. A comprehensive literature search was conducted using various electronic databases, including PubMed, Embase, Scopus, Web of Science, EBSCOhost, Ovid MEDLINE, LILACS, Cochrane Library, and grey literature, to include studies until July 31, 2023, without any restriction to language and time of publication. Only randomized (RCT) and controlled (CCT) clinical trials were included. Two independent reviewers screened the studies based on the predefined criteria, after which a qualitative and quantitative analysis was conducted. The search yielded 821 studies, of which seven were deemed eligible for systematic review. The risk of bias assessment done using “The Cochrane collaboration tool for risk of bias assessment” for six RCTs and the “Risk of Bias in Non-randomized Studies - of Interventions” for one CCT revealed a moderate to high risk of bias. The meta-analysis of five studies showed that the overall risk of developing wound dehiscence was lower in the APC group (RR = 0.33; 95% CI: 0.16, 0.71; p = 0.005; χ<sup>2</sup> = 0.82; I<sup>2</sup> = 0%). Subgroup analyses based on study design further supported these findings. Although the adjuvant use of APC for alveolar cleft reconstruction reduces the risk of wound dehiscence, more studies with increased scientific rigour and fewer confounding variables are warranted.</p></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 8","pages":"Pages 895-905"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904441","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

Predictors of length of stay following maxillofacial abscess surgery: A 10-year retrospective cohort 颌面部脓肿手术后住院时间的预测因素：10年回顾性队列。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jcms.2024.05.001

{"title":"Predictors of length of stay following maxillofacial abscess surgery: A 10-year retrospective cohort","authors":"","doi":"10.1016/j.jcms.2024.05.001","DOIUrl":"10.1016/j.jcms.2024.05.001","url":null,"abstract":"<div><p>The aim of this study was to identify predictors of length of stay (LOS) after surgical therapy of maxillofacial abscess. Patients diagnosed with a maxillofacial abscess who underwent extraoral incision and drainage under general anesthesia between January 1st, 2012 and January 1st, 2022 were retrospectively reviewed Univariable and multivariable linear regressions were performed to identify the association between pre- and perioperative variables and the LOS. In total, 228 patients were included. In the forward stepwise multivariable analysis, all factors with a <em>p</em>-value <0.2 in the univariable model were included. Ultimately, six independent predictors of increased LOS were identified: female (coef. 0.14, 95% CI 0.03–0.25), immunosuppression (coef. 0.37, 95%CI 0.13–0.61), penicillin allergy (coef. 0.25, 95% CI 0.04–0.46), C-reactive protein (coef. 0.0008, 95% CI 0.0001–0.0014), multiple spaces involvement (coef. 0.36, 95% CI 0.13–0.59), and time to operation (coef. 0.005, 95% CI 0.002–0.008). In conclusion, our study provides new insights into predicting LOS for patients admitted with maxillofacial abscesses. The identification of these markers not only enhances the ability to forecast LOS, but also lays the groundwork for optimizing resource planning and potentially integrating them into a primary prevention algorithm.</p></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 8","pages":"Pages 931-936"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1010518224001720/pdfft?md5=4d3f8079bb4b25f905aa8ccac4d8e495&pid=1-s2.0-S1010518224001720-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321957","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

Transoral endoscopic assisted reduction and internal fixation of mandibular condylar neck fractures with short condylar segment 经口内窥镜辅助下颌髁状突颈部短髁状突骨折的复位和内固定术

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jcms.2024.04.019

{"title":"Transoral endoscopic assisted reduction and internal fixation of mandibular condylar neck fractures with short condylar segment","authors":"","doi":"10.1016/j.jcms.2024.04.019","DOIUrl":"10.1016/j.jcms.2024.04.019","url":null,"abstract":"<div><p>This study aimed to assess the reliability and safety of transoral endoscopic-assisted reduction internal fixation (TERIF) for treating short-segment condylar neck fractures (CNF), including hardware removal.</p><p>Patients with displaced CNF and short condylar segments treated using TERIF were included in the study. Clinical evaluation covered dental occlusion, range of mouth opening, deviation during mouth opening, protrusion, laterotrusion, pain, and chewing. Radiological evaluation was used to assess fracture displacement, angulation, head dislocation, postoperative reduction, fixation stability, and bone healing. The same technique was used to treat 15 patients with 18 CNF and short condylar segments. Hardware removal was performed for nine fractures in eight patients after fracture healing using the same approach.</p><p>All patients regained satisfactory, pain-free mouth opening with no deviation and complete bone healing. Computed tomographic images displayed adequate reduction and stable fixation during the follow-up period for all patients. No temporary or permanent facial nerve impairment occurred in any of the patients.</p><p>TERIF is a reliable and safe treatment for CNF with short condylar segments, even in the presence of head dislocation, medial override, and malunited fractures; hardware can be safely removed after healing using the same approach.</p></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 8","pages":"Pages 914-921"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141054543","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 study of arthrocentesis with concentric-needle cannula with classic concentric needle: A randomized single-blind controlled clinical trial 同心针套管与传统同心针关节腔穿刺术的比较研究：随机单盲对照临床试验。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-07-01 DOI: 10.1016/j.jcms.2024.04.009

{"title":"Comparative study of arthrocentesis with concentric-needle cannula with classic concentric needle: A randomized single-blind controlled clinical trial","authors":"","doi":"10.1016/j.jcms.2024.04.009","DOIUrl":"10.1016/j.jcms.2024.04.009","url":null,"abstract":"<div><p>This study aimed to assess and compare the efficacy of two distinct single-puncture techniques in temporomandibular joint (TMJ) arthrocentesis for managing disk displacement without reduction (DDwoR).</p><p>Sixty patients with DDwoR were randomly and blindly assigned to two treatment groups (<em>n</em> = 30 each): group 1 — TMJ arthrocentesis with the classic concentric needle; and group 2 — TMJ arthrocentesis with the concentric needle-cannula system. The following variables were recorded and compared across the groups: patient's pain perception (visual analog scale — VAS, 0–10); maximal interincisal distance (MID, mm); facial edema (FE, presence or absence); and operation duration (OP, minutes).</p><p>Patients in group 2 presented significantly lower values of VAS score and presence of FE (<em>p</em> < 0.05) when examining the data at 24 and 48 h after the arthrocentesis. They also showed an increase in MID values (<em>p</em> = 0.024) after 6 months. With regard to OP, no significant difference was observed between the groups.</p><p>Performing a single-puncture TMJ arthrocentesis using a concentric needle-cannula system significantly reduced the patients’ pain perception, and mitigated the presence of facial edema during the immediate postoperative period (at 24 and 48 h). Furthermore, it resulted in a notable increase in the MID after 6 months.</p></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 7","pages":"Pages 850-854"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900344","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

Surgical treatment of nasal fractures may benefit from intraoperative 3D imaging 鼻骨骨折的手术治疗可受益于术中三维成像。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-07-01 DOI: 10.1016/j.jcms.2024.04.011

{"title":"Surgical treatment of nasal fractures may benefit from intraoperative 3D imaging","authors":"","doi":"10.1016/j.jcms.2024.04.011","DOIUrl":"10.1016/j.jcms.2024.04.011","url":null,"abstract":"<div><p>This retrospective study aimed to assess the effects of the use of intraoperative three-dimensional (3D) imaging on outcomes in surgical treatment of nasal fractures. Furthermore, we investigated whether the use of intraoperative imaging improves outcomes and decreases the frequency of corrective surgeries compared to published literature. This retrospective descriptive study included patients who underwent operative treatment for nasal fractures with the use of intraoperative 3D imaging between January 2015 and January 2020 at a University Hospital. The primary outcome measure was patient satisfaction, which was assessed through patient charts about subjective esthetic problems and nasal obstruction. The secondary outcome measures were the number of intraoperative images and necessity of intra- and postoperative revisions. All the outcomes were evaluated using regression analysis. Of the 172 patients, secondary rhinoplasty and intraoperative revision were performed in 10 (6 %) and 93 (54 %) patients, respectively. Postoperatively, 19 (11 %) and 12 (7 %) patients complained of subjective esthetic problems and nasal obstruction, respectively. The intraoperative revision rate in patients undergoing surgical treatment of nasal fractures with intraoperative 3D imaging was >50 %. However, the incidence of postoperative secondary revision, nasal obstruction, and subjective esthetic problems was lower than that reported in the literature not having an intraoperative imaging. Our findings suggest that prompt quality control of the operative result enables immediate correction and prevents postoperative revision.</p></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 7","pages":"Pages 855-859"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900345","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