British Journal of Oral & Maxillofacial Surgery最新文献_第10页

Temperature variations during bone removal procedures similar to third molar extraction using different instruments 使用不同器械进行类似于第三磨牙拔除术的去骨过程中的温度变化

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.01.011

G.B. Bisson, I.M. Sanches, N.O. Ciaramicolo, O. Ferreira Junior

{"title":"Temperature variations during bone removal procedures similar to third molar extraction using different instruments","authors":"G.B. Bisson, I.M. Sanches, N.O. Ciaramicolo, O. Ferreira Junior","doi":"10.1016/j.bjoms.2024.01.011","DOIUrl":"10.1016/j.bjoms.2024.01.011","url":null,"abstract":"<div><p>Bone removal is commonly used in the extraction of third molars and the heat generated during the process can interfere with the repair of bone. The aim of this study was to evaluate the temperature variation presented in bone removal performed with a high-speed turbine (400000 rpm), implant motor with straight piece (100000 rpm), low-speed micromotor (20000 rpm) and piezoelectric saw (30 kHz) in pig mandibles. For this, bone removal was carried out around 20 posterior teeth, under constant saline solution irrigation with a syringe and needle. In addition, the time required to perform bone removal was recorded. The results indicated a mean (SD) temperature variation of 0.96 °C (0.6 °C) for the high-speed turbine, 1.38 °C (0.5 °C) with the implant motor, 2.22 °C (0.7 °C) for the low-speed micromotor and 2.90 °C (1.3 °C) for the piezoelectric saw. The conventional variance was calculated discounting the variation of time used for bone removal around the teeth. There was a statistically significant difference in temperature variation between the high-speed turbine vs the micromotor (<em>p</em> = 0.009) and the high speed micromotor vs the piezoelectric saw (<em>p</em> = 0.04). We conclude that there is a statistically significant difference in temperature variation between the instruments used in oral and maxillofacial surgery, with higher rotation speeds resulting in the lowest temperature variations and a reduced surgical time.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139669699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Role of procalcitonin, interleukin-6 and interleukin-10 as a predictive marker for the use of perioperative steroid in maxillofacial trauma patients 降钙素原、白细胞介素-6 和白细胞介素-10 作为颌面部创伤患者围手术期使用类固醇的预测指标的作用

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.01.009

Preeti Tiwari , Rathindra Nath Bera , Nishtha Chauhan , Chandresh Jaiswara , Ragini Srivastava , Bikram Kumar Gupta

{"title":"Role of procalcitonin, interleukin-6 and interleukin-10 as a predictive marker for the use of perioperative steroid in maxillofacial trauma patients","authors":"Preeti Tiwari , Rathindra Nath Bera , Nishtha Chauhan , Chandresh Jaiswara , Ragini Srivastava , Bikram Kumar Gupta","doi":"10.1016/j.bjoms.2024.01.009","DOIUrl":"10.1016/j.bjoms.2024.01.009","url":null,"abstract":"<div><p>Maxillofacial trauma often brings significant challenges for surgeons in terms of preoperative oedema. Steroids offer oedema reduction, yet potentially increase the risks of postoperative infection. This study explores procalcitonin (PCT), as a marker for bacterial infection risk, and interleukins IL-6 and IL-10, which respectively signify pro-inflammatory and anti-inflammatory responses, as potential indicators of infection and inflammation in these trauma cases and thereby aid in refining perioperative guidelines for the use of steroids. A prospective study was conducted at a tertiary public hospital in India from 2019 to 2022 on patients >18 years with facial trauma. After specific exclusions, patients were randomised into steroid (Group A) and non-steroid (Group B) groups. Various parameters including oedema, PCT, IL-6, and IL-10 levels were measured and analysed using SPSS software. Out of 80 patients, 44 were in Group A and 36 in Group B. Post-24 hours, Group A showed significant oedema reduction, with 25 patients displaying a decline to mild oedema, versus 10 patients in Group B (p = 0.034). However, Group A witnessed a higher infection risk, with 20 patients showing positive wound cultures versus three in Group B. Subgroup analysis revealed a link between higher PCT levels and infections (p = 0.039). Additionally, Group A showed less intraoperative bleeding and reduced operating time. While perioperative steroids mitigate swelling, they might increase postoperative infection risk. Elevated PCT levels indicate potential wound infections, suggesting those patients should avoid perioperative steroids. IL-6 and IL-10 trends during perioperative phases can predict pronounced oedema outcomes.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139647651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Biomechanical analysis and comparison between ‘Zeta’ miniplate design and conventional miniplate system for fixation of fracture segments in transition zone of parasymphysis body region of mandible – an in vitro study 用于固定下颌骨干骺端过渡区骨折段的 "Zeta "微型钢板设计与传统微型钢板系统的生物力学分析与比较 - 体外研究

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.01.008

Manish Kumar , Jitender Kumar Aurora , K.N. Dubey , Parul Tandon , Preeti Sharma

{"title":"Biomechanical analysis and comparison between ‘Zeta’ miniplate design and conventional miniplate system for fixation of fracture segments in transition zone of parasymphysis body region of mandible – an in vitro study","authors":"Manish Kumar , Jitender Kumar Aurora , K.N. Dubey , Parul Tandon , Preeti Sharma","doi":"10.1016/j.bjoms.2024.01.008","DOIUrl":"10.1016/j.bjoms.2024.01.008","url":null,"abstract":"<div><p>The parasymphysis area of the mandible is highly dynamic because it is subjected to both occlusal and muscular forces. As a result, the fractures in this transition zone have a special pattern, posing a challenge for surgeons whether to use one miniplate versus two miniplates, as per Champy's recommendations. The commonest complication resulting to treat this area is mental nerve paraesthesia due to the dissection and stretching of the nerve. Hence, an in vitro research study of a newly designed ‘Zeta’ miniplate is performed, to evaluate the biomechanical behaviour using finite element (FE) analysis and biomechanical analysis along with a comparison study with the conventional miniplate configurations. The results showed that the Zeta miniplate produces the lowest stresses 17.511 MPa and the least total structural deformation of 0.0011 mm after applying the maximum occlusal bite force. On application of torsional load, total structural deformation was 0.0004 mm and von Mises (VM) stress value was 0.24 MPa which was lowest when compared with the two miniplate system. Hence, the newly developed Zeta miniplate is superior in terms of stability. Another benefit of its design is that it helps in preventing mental nerve paraesthesia and tooth root damage while fixing and stabilising the fractured bony segments.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139647653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Comment on ‘Effective strategies in the management of anterior mandibular fractures: a comprehensive systematic review’ 就 "下颌骨前骨折治疗的有效策略：一项全面的系统性综述 "发表评论

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.03.005

Vaibhav Sahni

引用次数: 0

Retrospective analysis of odontogenic myxoma and odontogenic myxofibroma in the oral and maxillofacial region: a fibrous tissue-related differentiation 口腔颌面部牙源性肌瘤和牙源性肌纤维瘤的回顾性分析：纤维组织相关分化

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.02.003

Takuya Iwasaki , Yosuke Harazono , Yuki Fukawa , Atsushi Kaida , Kou Kayamori , Yoshiyuki Sasaki , Hiroyuki Harada , Tetsuya Yoda

{"title":"Retrospective analysis of odontogenic myxoma and odontogenic myxofibroma in the oral and maxillofacial region: a fibrous tissue-related differentiation","authors":"Takuya Iwasaki , Yosuke Harazono , Yuki Fukawa , Atsushi Kaida , Kou Kayamori , Yoshiyuki Sasaki , Hiroyuki Harada , Tetsuya Yoda","doi":"10.1016/j.bjoms.2024.02.003","DOIUrl":"10.1016/j.bjoms.2024.02.003","url":null,"abstract":"<div><p>The clinical differences between odontogenic myxoma (OM) and odontogenic myxofibroma (OMF), and the clinical significance of their classifications, remain unclear. This study reviewed the clinicopathological characteristics of patients with OM or OMF and evaluated the fibrous component of the specimens. Medical records of 21 patients with OM or OMF who underwent tumour resection were reviewed. The percentage of fibrous tissue on the representative sections was evaluated using haematoxylin and eosin- and Masson’s trichrome-stained specimens. Histopathological diagnoses included 11 OMs and 10 OMFs with no tumour recurrence except for two cases in which the dredging method was applied. More cortical bone perforation was observed in OM than in OMF cases, without significant differences. Location-locularity and apparent diffusion coefficient value (ADC)-cortical bone perforation were significantly correlated in all OM and OMF cases. The percentage of fibrous tissue in specimens showed bimodal distribution bordered by 45%. There was a significant association between diagnosis based on 45% fibrous tissue criterion and the final pathological diagnosis. Our study showed a tendency for cortical bone perforation in OM compared to OMF and correlation between ADC and cortical bone perforation. According to the histopathological analyses, the fibrous component of each case was bimodal with 45%, which may be a criterion to distinguish between OM and OMF. Accumulating knowledge, such as significant differences in prognosis, may allow for minimal surgical treatment options based on the diagnosis according to this novel histopathological criterion.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139948528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Effect of tranexamic acid on postoperative blood loss 氨甲环酸对术后失血的影响

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.04.002

Benxing Wu , Kun Lv

引用次数: 0

Do we still need Crile or Hayes Martin approach for cervical lymphadenectomy? A retrospective study of 56 patients with minimal access neck dissection 我们还需要 Crile 或 Hayes Martin 方法进行颈淋巴结切除术吗？对 56 例颈部微创切除术患者的回顾性研究

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.01.016

Anna Sayan, Thirilosanan Ganesarajah, Nall Baheerathan, Velupillai Ilankovan

{"title":"Do we still need Crile or Hayes Martin approach for cervical lymphadenectomy? A retrospective study of 56 patients with minimal access neck dissection","authors":"Anna Sayan, Thirilosanan Ganesarajah, Nall Baheerathan, Velupillai Ilankovan","doi":"10.1016/j.bjoms.2024.01.016","DOIUrl":"10.1016/j.bjoms.2024.01.016","url":null,"abstract":"<div><p>The concept of neck dissection was introduced by Crile more than a century ago. Since then, multiple modifications have been adopted to ensure the preservation of vital structures. With the new era of minimal access surgery, the incorporation of laparoscopic, endoscopic, and robotic surgery is becoming the new normal. Over the years we have carried out neck dissections using minimal access incisions. Although there is no definitive answer about the average nodal yield required in selective or modified neck dissections, it has been reported that the average nodal yield of more than 18 is associated with better survival rate. In this publication we share the results of our three-year retrospective study of 56 patients who underwent minimal access neck dissection. We look at the nodal yield, assess operating duration, complications, outcome with a three-year follow up from a single unit. Our results demonstrate that minimal access neck dissection should be considered in head and neck lymphadenectomies.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139948530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

New generation vehicles: the impact of electric scooter trauma on the severity of facial fractures assessed by FISS score. A multicentre study 新一代车辆：电动滑板车创伤对以 FISS 评分评估的面部骨折严重程度的影响。多中心研究

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-05-24 DOI: 10.1016/j.bjoms.2024.05.007

{"title":"New generation vehicles: the impact of electric scooter trauma on the severity of facial fractures assessed by FISS score. A multicentre study","authors":"","doi":"10.1016/j.bjoms.2024.05.007","DOIUrl":"10.1016/j.bjoms.2024.05.007","url":null,"abstract":"<div><p><span>With the increasing use of sustainable energy sources, the electric scooter has become a widely used vehicle. The aim of the study is to analyse the types of facial fracture<span> related to road traffic accidents to outline the need for dedicated road rules. An observational, retrospective, multicentre study was carried out at the Maxillofacial Surgery<span> Units of six Italian hospitals. Fifty patients (mean age was 34.76 years) from January 2020 to January 2024 were enrolled. The severity of trauma was evaluated by the Facial </span></span></span>Injury Severity<span><span><span> Scale (FISS) by Bagheri et al. Most of the accidents occurred during the day and the weekend in spring or summer; 24 drivers collided with infrastructures or pedestrians, while 26 involved other vehicles. A total of 33 vehicles were rented, and 17 were privately owned. A total of 43 subjects were not wearing helmets, five patients were drunk, and three patients took drugs. In order of frequency, the facial fractures involved: zygomatico-maxillary-orbital complex (ZMOC) (n = 16), mandibular condyle (n = 13), nasal bone (n = 11), orbit floor (n = 8), and mandibular body (n = 7). Fractures such as Le Fort I (n = 4), naso-orbito-ethmoidal NOE (n = 4) and mandibular ramus (n = 4) were less common. Other types of </span>facial fracture were rare. Thirty patients reported multiple facial fractures. The vast majority of the cases showed a low severity grade FISS score. Fifteen patients suffered </span>polytrauma. The mean hospitalisation time was 8.3 days. As accidents with electric scooters are increasing, it is important to characterise the most frequent facial fractures to improve patient management and encourage the introduction of new road rules.</span></p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141132331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Impact of childhood/adolescent cancer history on prognosis in parotid mucoepidermoid carcinoma 儿童/青少年癌症史对腮腺粘液表皮样癌预后的影响

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-05-23 DOI: 10.1016/j.bjoms.2024.04.018

{"title":"Impact of childhood/adolescent cancer history on prognosis in parotid mucoepidermoid carcinoma","authors":"","doi":"10.1016/j.bjoms.2024.04.018","DOIUrl":"10.1016/j.bjoms.2024.04.018","url":null,"abstract":"<div><p>Our goal was to assess the impact of childhood/adolescent cancer history on overall survival<span><span><span> (OS) and disease-specific survival (DSS) in patients with parotid mucoepidermoid carcinoma (MEC). Patients who underwent surgical treatment for primary parotid MEC and those with a </span>second malignancy<span><span> of parotid MEC were retrospectively identified from the Surveillance, Epidemiology, and End Results (SEER) database. The primary outcome variables were OS and DSS. The hazard ratios (HRs) of these survival rates associated with cancer history were analysed using </span>Cox regression<span> models. In total, 2681 patients were included, 263 of whom had a second malignancy. The 10-year OS rates in the primary (72%) and second malignancy groups (59%) were significantly different. Cox regression confirmed that a history of cancer tended to decrease OS (p = 0.062, HR: 1.28, 95% confidence interval: 0.99 to 1.64). Subgroup analyses showed that a history of </span></span></span>solid tumour<span> as opposed to haematological cancer<span> predicted worse OS, with central nervous system tumours exhibiting a more significant influence than others (p = 0.030 vs p = 0.088). Cancer history was not related to DSS. A history of childhood/adolescent cancer negatively influenced the prognosis of patients with parotid MEC, and this effect was primarily driven by a history of solid malignancy.</span></span></span></p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 outcomes of implants placed with transcrestal maxillary sinus elevation: a systematic review and meta-analysis 经骨上颌窦抬高种植体的临床效果：系统回顾与元分析

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-05-23 DOI: 10.1016/j.bjoms.2024.05.006

{"title":"Clinical outcomes of implants placed with transcrestal maxillary sinus elevation: a systematic review and meta-analysis","authors":"","doi":"10.1016/j.bjoms.2024.05.006","DOIUrl":"10.1016/j.bjoms.2024.05.006","url":null,"abstract":"<div><p>This systematic review and meta-analysis assesses the clinical outcomes of implants inserted during or following transcrestal sinus lifts. The study protocol was prospectively registered on PROSPERO (CRD42024504513). PubMed, Web of Science, Embase, and Scopus databases were searched up to 21 February 2024, and randomised clinical trials utilising transcrestal sinus lifts were included. Qualitative and quantitative syntheses were conducted. A random effects model was used to pool the survival rate of implants placed with transcrestal sinus lifts using hand osteotomes without grafting, along with meta-regression and subgroup analyses. Funnel plots and Egger’s linear regression were used to explore possible publication bias. Probabilities of less than 0.05 were considered significant. A total of 1807 records were identified after the initial search. Seventeen studies were included with 10 of them considered for meta-analysis. Studies used hand osteotomes, a combination of piezoelectric and hand osteotomes, drills, and smart lifts for sinus elevation. Only studies that used hand osteotomes reported subsequent vertigo and dizziness in patients. The meta-analysis showed a 100% (95% CI: 99% to 100%) survival rate for both grafted and non-grafted transcrestal sinus lifts using hand osteotomes. Meta-regression showed that follow-up time did not significantly affect the implants’ survival. Subgroup analyses showed no significant difference between bone-level and tissue-level implants and one-stage or two-stage implants. On considering the limitations of this study it can be concluded that closed maxillary sinus elevation can be considered a relatively safe technique that is associated with a high survival rate. However, caution should be taken when using hand osteotomes because of a higher rate of sinus lining perforation and reported patient vertigo.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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