Journal of Stomatology Oral and Maxillofacial Surgery最新文献

{"title":"Quantitative evaluation of trabecular bone density and bone height in different regions of edentulous maxillae according to age and sex","authors":"Charlotte Mansuy ,&nbsp;Frédéric Silvestri ,&nbsp;Léa Mozziconacci ,&nbsp;Rémi Esclassan ,&nbsp;Olivier Hüe ,&nbsp;Michel Ruquet ,&nbsp;Chloé Mense","doi":"10.1016/j.jormas.2025.102306","DOIUrl":"10.1016/j.jormas.2025.102306","url":null,"abstract":"<div><h3>Introduction</h3><div>In edentulous maxillae, bone quantity and quality are crucial factors for implant treatment planning and success. This study aimed to assess variations in trabecular bone density (TBD) and bone height in different regions of the edentulous maxilla, according to sex and age.</div></div><div><h3>Materials and methods</h3><div>100 cone beam computed tomography (CBCT) from edentulous maxilla were analyzed. Six virtual implants were planned between the maxillary sinuses at incisor, canine, and premolar sites. Virtual implant lengths were selected according to available bone volume and used to estimate bone height. TBD was recorded in Hounsfield Units (HU) at the center of the apex of each virtual implant. The two-sample t-test compared the mean TBD and the mean virtual implant length between males and females. The Spearman correlation coefficient analyzed the correlation between mean TBD and age, and the correlation between mean TBD and mean virtual implant length. The significance level was set at 5 %.</div></div><div><h3>Results</h3><div>In males, mean TBD and mean implant length were significantly higher than in females (<em>P</em> = 0.033 and <em>P</em> = 0.003). In females, there was a negative significant correlation between mean TBD and age (<em>rho</em> = -0.352, <em>P</em> = 0.022), and between mean TBD and mean implant length (<em>rho</em> = - 0.425, <em>P</em> = 0.005).</div></div><div><h3>Discussion</h3><div>Variations in TBD and bone height within the edentulous maxilla are related to sex. Older edentulous women are more susceptible to present low TBD and low bone height in anterior maxilla, which may influence therapeutic choices to achieve implant success.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102306"},"PeriodicalIF":1.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the aesthetic and functional effectiveness of primary closed rhinoseptoplasty: A study of 189 cases.","authors":"Jebrane Bouaoud ,&nbsp;Olivier Mathieu ,&nbsp;Clémence Mure ,&nbsp;Jean-Baptiste Belloc","doi":"10.1016/j.jormas.2025.102301","DOIUrl":"10.1016/j.jormas.2025.102301","url":null,"abstract":"<div><h3>Background</h3><div>With the increasing demand for rhinoplasty procedures, evaluating outcomes becomes crucial for improving surgical procedures. Nevertheless, there is a limited number of extensive studies exclusively dedicated to closed rhinoseptoplasty (RSP), emphasizing the evaluation of both aesthetic and functional dimensions. This study aims to assess the aesthetic and functional effectiveness of exclusively closed primary RSP procedures and to identify subgroups at risk of less favorable outcomes, providing valuable insights for preoperative planning. The study incorporates the widely used Nasal Obstruction Symptoms Evaluation (NOSE) and Rhinoplasty Outcome Evaluation (ROE) scores, making it the most comprehensive research to date in terms of sample size and subgroup analysis for closed approaches.</div></div><div><h3>Methods</h3><div>A total of 189 closed RSPs performed between January 2019 and June 2023 were prospectively evaluated. Follow-ups at 2, 6, and 12 months enabled a comprehensive understanding of the postoperative evolution. Statistical analyses included non-parametric the non-parametric Wilcoxon signed-rank test, Mann Whitney test, Kruskal-Wallis test, and Spearman coefficient, with a significance level of <em>p</em> &lt; 0.05.</div></div><div><h3>Results</h3><div>The study reveals significant improvements in both aesthetic (ROE) and functional (NOSE) scores postoperatively, emphasizing the positive impact of closed RSP. Subgroup analyses unveiled factors influencing functional and aesthetic outcomes, contributing to a refined understanding of closed RSP.</div></div><div><h3>Conclusions</h3><div>This study not only reaffirms the effectiveness of closed RSP but also offers valuable insights into various factors influencing outcomes. The findings underscore the importance of considering both aesthetic and functional aspects in rhinoplasty planning, contributing to the evolving landscape of surgical practices.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102301"},"PeriodicalIF":1.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: \"Objectifying aesthetic outcomes following face transplantation - the AI research metrics model.\"","authors":"Elise Lupon","doi":"10.1016/j.jormas.2025.102300","DOIUrl":"10.1016/j.jormas.2025.102300","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102300"},"PeriodicalIF":1.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoral anastomosis technique as part of the reconstruction strategy following resection of intermediate and low-grade head and neck cancer","authors":"Thomas Bondi ,&nbsp;Nicolas Walhin ,&nbsp;Guillaume Henry ,&nbsp;Nadia Benmoussa-Rebibo ,&nbsp;Nicolas Leymarie ,&nbsp;Jean-François Honart","doi":"10.1016/j.jormas.2025.102282","DOIUrl":"10.1016/j.jormas.2025.102282","url":null,"abstract":"<div><h3>Introduction</h3><div>The gold standard for curative treatment of facial, oral, nasal, paranasal and pharyngeal cancers is excision and reconstruction surgery. Patients are increasingly demanding carcinologically effective and minimally invasive surgery with near ad integrum functional and aesthetic reconstruction. In malignant tumors with no indication for lymph node dissection, when the defect size dictates free flap reconstruction, the intrabuccal anastomosis technique comes closest to meeting these requirements.</div></div><div><h3>Material and methods</h3><div>In this single-center retrospective observational study, we reported a series of 5 patients with intermediate or low-grade head and neck cancer treated by surgery between 2022 and 2023 at the Cervico-facial Surgery Department of the Gustave Roussy Cancer Center. We collected clinical, therapeutic, histologic, and carcinologic data.</div></div><div><h3>Results</h3><div>All patients underwent tumor resection with fascio-cutaneous free flap reconstruction and dental rehabilitation in accordance with best practice recommendations. None of the patients had an indication for lymph node dissection. The histologic subtypes were glandular, epithelial, and cartilaginous-related. All anastomoses were performed on the facial vessels using an intraoral anastomosis technique.</div></div><div><h3>Conclusion</h3><div>Free flap with intraoral anastomosis technique may be the first intention reconstruction strategy for large defects following resection of intermediate and low-grade malignant tumors of the face and oral, oropharyngeal, nasal or paranasal cavities.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102282"},"PeriodicalIF":1.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Objectifying aesthetic outcomes following face transplantation – the AI research metrics model (CAARISMA ® ARMM)","authors":"Leonard Knoedler ,&nbsp;Cosima C. Hoch ,&nbsp;Samuel Knoedler ,&nbsp;Felix J. Klimitz ,&nbsp;Thomas Schaschinger ,&nbsp;Tobias Niederegger ,&nbsp;Max Heiland ,&nbsp;Steffen Koerdt ,&nbsp;Rainer Pooth ,&nbsp;Martin Kauke-Navarro ,&nbsp;Alexandre G. Lellouch","doi":"10.1016/j.jormas.2025.102277","DOIUrl":"10.1016/j.jormas.2025.102277","url":null,"abstract":"<div><h3>Background</h3><div>Face transplantation (FT) offers a reconstructive option for patients with severe facial disfigurements by restoring both function and appearance. Aesthetic outcomes, which are crucial to psychological well-being and social reintegration, have historically been evaluated subjectively. This study introduces the AI Research Metrics Model (CAARISMA ® ARMM), a machine learning-based medical device designed to objectively assess aesthetic outcomes in FT patients.</div></div><div><h3>Methods</h3><div>Overall, 14 FT patients were analyzed using CAARISMA ® ARMM, which evaluates 3 key aesthetic indices: the Facial Youthfulness Index (FYI), Facial Aesthetic Index (FAI), and Skin Quality Index (SQI). Preoperative, postoperative, and pre-trauma images were processed to assess improvements in facial aesthetics. Statistical analysis was performed to compare changes in these indices across the different time points.</div></div><div><h3>Results</h3><div>Postoperative scores for FYI, FAI, and SQI were significantly higher than preoperative scores (<em>p</em> &lt; 0.0001), indicating substantial aesthetic improvements. No significant differences were found between postoperative and pre-trauma images, suggesting that FT can effectively restore a patient's pre-injury appearance. Aesthetic improvements were consistent across different age and gender groups, with no notable disparities in outcomes.</div></div><div><h3>Conclusion</h3><div>CAARISMA ® ARMM offers a reliable and objective framework for objectifying aesthetic outcomes following FT, allowing for more standardized assessments. This medical device can potentially improve patient-surgeon communication, enhance surgical planning, and serve as a benchmark for evaluating long-term aesthetic success in FT patients. Future research should focus on expanding CAARISMA ® ARMM's application to larger and more diverse patient populations.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102277"},"PeriodicalIF":1.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ChatGPT, and systematic review ideas to oral and maxillofacial surgeons: Comment","authors":"Hinpetch Daungsupawong,&nbsp;Viroj Wiwanitkit","doi":"10.1016/j.jormas.2024.102000","DOIUrl":"10.1016/j.jormas.2024.102000","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 1","pages":"Article 102000"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of preoperative psychiatric intervention for postoperative delirium after major oral and maxillofacial surgery with free flap reconstruction","authors":"Yukie Nitta ,&nbsp;Takuro Sanuki ,&nbsp;Shigekazu Sugino ,&nbsp;Masahiro Sugimoto ,&nbsp;Kanta Kido","doi":"10.1016/j.jormas.2024.102026","DOIUrl":"10.1016/j.jormas.2024.102026","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative delirium (POD) is a severe complication associated with various adverse outcomes, especially in older patients. Although the incidence and risk factors for POD have been explored in general surgery, they have not been fully elucidated. Early identification of high-risk patients and active preoperative intervention are considered essential for the prevention of POD. Recently, psychiatric consultation intervention have been shown to prevent delirium. This study investigated the effect of preoperative psychiatric interventions on preventing POD in our specific surgical context.</div></div><div><h3>Materials and Methods</h3><div>This retrospective, single-center observational study included 86 patients who underwent major oral and maxillofacial surgery with free flap reconstruction between 2016 and 2023. The effect of psychiatric intervention were compared between patients with and without delirium.</div></div><div><h3>Results</h3><div>Preoperative psychiatric intervention did not reduce the incidence of POD. The incidence of POD was 29.1 %. Univariate analyses showed no significant associations between POD and any clinical variables.</div></div><div><h3>Conclusion</h3><div>There was no difference in the incidence of POD between patients who received preoperative psychiatric intervention and those who did not, and further investigation is needed to determine the efficacy of preoperative psychiatric intervention in the prevention of POD.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 1","pages":"Article 102026"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An 11-year multicentric surgical experience on pediatric orbital floor trapdoor fracture: A World Oral Maxillofacial Trauma (WORMAT) project","authors":"Paolo Cena ,&nbsp;Immacolata Raco ,&nbsp;Fabio Roccia ,&nbsp;Sobrero Federica ,&nbsp;Emil Dediol ,&nbsp;Boris Kos ,&nbsp;Gian Battista Bottini ,&nbsp;Maximilian Goetzinger ,&nbsp;Sahand Samieirad ,&nbsp;Luis Fernando de Oliveira Gorla ,&nbsp;Valfrido Antonio Pereira-Filho ,&nbsp;Petia Pechalova ,&nbsp;Angel Sapundzhiev ,&nbsp;Marko Lazíc ,&nbsp;Vitomir S. Konstantinovic ,&nbsp;Emanuele Zavattero ,&nbsp;Anamaria Sivrić ,&nbsp;Mario Kordić ,&nbsp;Sajjad Abdur Rahman ,&nbsp;Tabishur Rahman ,&nbsp;Kathia Dubron","doi":"10.1016/j.jormas.2024.102033","DOIUrl":"10.1016/j.jormas.2024.102033","url":null,"abstract":"<div><h3>Introduction</h3><div>Trapdoor fractures of the orbital floor occur almost exclusively in the paediatric population. Despite being widely discussed in the literature, their management remains controversial. The objective of this retrospective study was to analyse the surgical experiences on paediatric trapdoor fractures in the maxillofacial centres participating in the WORMAT project.</div></div><div><h3>Materials and methods</h3><div>14 centres collected data for patients aged ≤16 years operated between January 2011 and December 2022. The demographic, cause and type of fracture, timing from injury to surgery, surgical approach, type of floor repair and outcomes were recorded. Diplopia, surgical wound infection, hardware loosening and dysesthesia in the infraorbital nerve area were recorded at follow-up.</div></div><div><h3>Results</h3><div>43 patients were included: 25 children (0–12 y) and 18 adolescents (13–16 y) (mean age, 11.1 years). Surgical treatment was performed within 24 h in 51 % of the patients, within 24–72 h in 33 %, and beyond 72 h in the remaining. The orbital floor was repaired with a resorbable implant/membrane in 63 % of the patients, open reduction without an implant in 30 %, a titanium mesh implant in 3 adolescent patients. At follow-up (mean 16.3 months), 14 patients had residual diplopia in the upper fields, only two of these resolved within 6 months.</div></div><div><h3>Discussion</h3><div>A tendency toward an increased incidence of postoperative diplopia with longer intervals between trauma and surgery was observed. This study showed different choices regarding the material placed on the floor, with a preference for open reduction without implants in children, compared to the use of resorbable implants or membranes in adolescents.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 1","pages":"Article 102033"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of concentrated growth factor on wound healing, side effects, and postoperative complications following third molar surgery","authors":"Jingwen Lin ,&nbsp;Jiaming Liu ,&nbsp;Zhexuan Liu ,&nbsp;Wu Fu ,&nbsp;Hongfu Cai","doi":"10.1016/j.jormas.2024.102031","DOIUrl":"10.1016/j.jormas.2024.102031","url":null,"abstract":"<div><h3>Background</h3><div>Third molar surgery often results in postoperative complications such as pain, trismus, and facial swelling due to surgical trauma. Concentrated Growth Factor (CGF), a third-generation platelet concentrate, is believed to enhance wound healing due to its rich content of growth factors and fibrin.</div></div><div><h3>Methods</h3><div>This systematic review followed PRISMA guidelines and included a search of PubMed, Embase, and Cochrane Library up to April 18, 2024. Randomized controlled trials involving CGF-treated versus non-CGF-treated patients undergoing third molar surgery were included. Risk of bias was assessed using the Cochrane Collaboration RoB 2.0.</div></div><div><h3>Results</h3><div>Ten studies were included. CGF significantly improved wound healing, with enhanced soft and hard tissue recovery. Pain relief was notable on postoperative days 3 and 7, although results varied. CGF reduced facial swelling significantly on days 3 and 7 post-surgery. Trismus outcomes were mixed, with some studies reporting significant alleviation and others showing no advantage. CGF showed potential in reducing dry socket incidence, though evidence was not robust.</div></div><div><h3>Conclusions</h3><div>CGF appears to promote wound healing and reduce postoperative complications such as pain and swelling after third molar surgery. However, its effects on trismus and dry socket incidence remain controversial. Further research with standardized measures is needed to confirm these findings.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 1","pages":"Article 102031"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fatal giant craniofacial fibrous dysplasia in a very young child","authors":"Kevin Perge ,&nbsp;Sara Cabet ,&nbsp;Solene Bergignat ,&nbsp;Deborah Gensburger ,&nbsp;Roland Chapurlat ,&nbsp;Marc Nicolino","doi":"10.1016/j.jormas.2024.101996","DOIUrl":"10.1016/j.jormas.2024.101996","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 1","pages":"Article 101996"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}