Journal of Stomatology Oral and Maxillofacial Surgery最新文献

{"title":"A growing concern: Predatory submissions and publication spam","authors":"Poramate Pitak-Arnnop","doi":"10.1016/j.jormas.2025.102328","DOIUrl":"10.1016/j.jormas.2025.102328","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 3","pages":"Article 102328"},"PeriodicalIF":1.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874183","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":"Retrospective study of morphological and functional analysis of mandibular reconstructions using iliac and fibular flaps","authors":"Drissa Diarra ,&nbsp;Jialiang Chen ,&nbsp;Hao Lin ,&nbsp;Bang Zeng ,&nbsp;Qiwen Man ,&nbsp;Weiwei Deng ,&nbsp;Bushabu Fidele Nyimi ,&nbsp;Tianfu Wu ,&nbsp;Bing Liu","doi":"10.1016/j.jormas.2025.102322","DOIUrl":"10.1016/j.jormas.2025.102322","url":null,"abstract":"<div><h3>Objective</h3><div>This retrospective study aims to evaluate and compare the morphological and functional characteristics of mandibular reconstructions performed using iliac and fibular flaps to determine their respective effectiveness and identify the technique that offers the best patient outcomes.</div></div><div><h3>Methods</h3><div>Medical and imaging data were analysed from pre- and post-operative scans of 121 patients (84 with iliac flaps and 37 with fibular flaps). Mandibular reconstructions were assessed by comparing morphometric parameters (distances and angles) and symmetry between the affected and unaffected sides using Mimics software. The quality of life of patients was assessed using a modified version of the University of Washington Quality of Life Questionnaire (UW-QOL), version 4, which evaluates functional and psychosocial outcomes in head and neck cancer treatment</div></div><div><h3>Results</h3><div>The results show that the iliac group demonstrates significantly superior performance for distances D2 and D3 and for the CA angle on the unaffected side. In contrast, the fibular group shows no significant advantage in these parameters. Regarding symmetry, the iliac group achieves better results for distance D3, whereas the fibular group excels in angular measurements. Additionally, the iliac group maintains better stability for angle B. Regarding bone dimensions, the iliac flap better preserves alveolar base height (ABH) and width (ABW), providing more consistent and favorable outcomes than the fibular flap.No overall difference was observed between the two groups regarding quality of life (assessed using the UW-QOL questionnaire). However, specific variations were noted: the fibular group scores higher for pain, activity, and recreation, while the iliac group achieves better results in appearance and speech.</div></div><div><h3>Conclusion</h3><div>The iliac flaps are the preferred option for mandibular reconstruction, offering superior morphometric stability, better preservation of bone dimensions, and more robust structural consistency than fibular flaps. Although both techniques yield comparable overall quality-of-life results, iliac flaps demonstrate more pronounced clinical benefits, leading to optimal postoperative outcomes.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 3","pages":"Article 102322"},"PeriodicalIF":1.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733323","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":"Microvascular reconstruction of complicated nasal defects using the novel temporal artery-based preauricular composite free flap: A report of two cases, critical aspects and a review of the literature","authors":"Christian Soemmer ,&nbsp;Lars Bonitz ,&nbsp;Akos Bicsak ,&nbsp;Stefan Haßfeld ,&nbsp;Evangelos N. Vitkos","doi":"10.1016/j.jormas.2025.102319","DOIUrl":"10.1016/j.jormas.2025.102319","url":null,"abstract":"<div><h3>Introduction</h3><div>The nose's anatomy, structure, and positioning play a pivotal role in defining facial aesthetics. As the most common site for non-melanoma skin cancer, restoring the nose's natural appearance after ablative surgery poses significant challenges in the ever-evolving field of reconstructive surgery. By adhering to the principles of reconstructive surgery and the facial subunit division theory, numerous techniques have been developed, with local and regional flaps remaining key tools for surgeons.</div></div><div><h3>Observation</h3><div>The advent of free tissue transplantation has transformed facial reconstructive surgery by enabling complex restorations that preserve local anatomy while minimizing donor and recipient site morbidity. This study reports two cases of complex nasal defects involving skin and cartilage. A novel temporal artery-based preauricular composite free flap was used for reconstruction. While one patient achieved successful reconstruction, the other experienced delayed flap necrosis.</div></div><div><h3>Discussion</h3><div>These cases underscore the potential and surgical utility of \"like-to-like\" free flap facial reconstruction. The use of composite free flaps expands the surgeon's ability to address complex nasal defects while striving for functional and aesthetic outcomes. This report seeks to highlight this approach's capabilities and contribute to the limited literature available.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 3","pages":"Article 102319"},"PeriodicalIF":1.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733311","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":"Vascularized iliac crest free flap in maxillofacial reconstruction: Pearls and pitfalls from 437 clinical application","authors":"Hao Lin ,&nbsp;Bang Zeng ,&nbsp;Linzhou Zhang ,&nbsp;Xuepeng Xiong ,&nbsp;Zhe Shao ,&nbsp;Linlin Bu ,&nbsp;Yanfang Sun ,&nbsp;Sirui Ma ,&nbsp;Chunyue Ma ,&nbsp;Zhengjun Shang ,&nbsp;Jun Jia ,&nbsp;Tianfu Wu ,&nbsp;Bing Liu","doi":"10.1016/j.jormas.2025.102318","DOIUrl":"10.1016/j.jormas.2025.102318","url":null,"abstract":"<div><h3>Objective</h3><div>The vascularized iliac crest free (VICF) flap has been a cornerstone in maxillofacial reconstruction for decades. This study aims to provide a framework for guiding and managing maxillofacial reconstruction using the VICF flap, highlighting key techniques and potential pitfalls to optimize outcomes and reduce practice variability.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted on 437 patients (439 flaps) who underwent maxillofacial reconstruction with VICF flaps. The study summarized current practices, challenges, and strategies for successful flap application. Data were collected from electronic medical records and postoperative follow-ups.</div></div><div><h3>Results</h3><div>The overall success rate of VICF flap transplantation was 98.4 %. Of the 439 VICF flaps, 37 were myo-osteocutaneous, 47 were myo-osseous, and 355 were osseous. Computer-assisted techniques (CATs) were used in 64.5 % (282/437) of cases. The average University of Washington Quality of Life score was 83.38, and the Harris Hip Score averaged 93.34. The incidence of serious complications was low, with 6 % (17/285) of patients reporting moderate-to-severe pain and 8.4 % (24/285) experiencing incisional hernia. Additionally, 11.9 % (34/285) of patients have completed implant-supported restoration.</div></div><div><h3>Conclusion</h3><div>VICF flaps offer significant morphological advantages and ample bone quantity for reconstruction; however, they are associated with some postoperative complications. With advancements in CAT and the application of chimeric perforator flaps, VICF can be successfully used to address most maxillofacial defects, including those caused by benign and malignant tumors in the neck, especially in cases with good vascular supply.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 3","pages":"Article 102318"},"PeriodicalIF":1.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694539","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":"Treatment approaches in cases of mandibular osteoradionecrosis: A systematic meta-analysis","authors":"Nida Geçkil","doi":"10.1016/j.jormas.2025.102316","DOIUrl":"10.1016/j.jormas.2025.102316","url":null,"abstract":"<div><h3>Background</h3><div>Osteoradionecrosis (ORN) refers to necrotic bone that remains unhealed for a minimum of 3 months following radiotherapy in an irradiated region. The aim of this systematic meta-analysis was to evaluate the efficacy of hyperbaric oxygen therapy and surgery alone or in combination in the treatment of patients with ORN.</div></div><div><h3>Methods</h3><div>A systematic review and analysis of literature were performed to ascertain the role of surgery and HBO in the treatment of ORN. In May 2024 we updated the searches of the Cochrane Central Register of Controlled Trials (CENTRAL), (The Cochrane Library, Issue 1), MEDLINE, EMBASE, DORCTIHM and reference lists of articles.</div></div><div><h3>Results</h3><div>Among patients who underwent both HBO and surgery, the success rate of the treatment was 69 % (95 % Confidence Interval [CI]: 0.47-0.85, df = 9). Patients who solely received HBO had a success rate of 38 % (CI: 0.20-0.61, df = 4), while those who only had surgery had a success rate of 36 % (CI: 0.19-0.58, df = 3). The statistical analysis showed no significant difference in the results between patients who received only hyperbaric oxygen therapy or surgical treatment (z=0.139, p=0.889). The analysis indicated significant disparities in treatment success rates among patients receiving a combination of HBO and surgery compared to those treated solely with HBO or surgery alone (z = 2.428, p = 0.015 for HBO vs HBO+surgery, z = 2.655, p = 0.008 for surgery vs HBO+surgery).</div></div><div><h3>Conclusion</h3><div>The findings of this study indicate that the combination of HBO and surgery is a more effective approach for managing ORN, with better results observed when treatments are combined rather than used individually.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 3","pages":"Article 102316"},"PeriodicalIF":1.8,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652035","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":"Alternative to the cervical approach for total temporomandibular joint prosthesis: A case series","authors":"Edouard Lange ,&nbsp;Sanela Morand ,&nbsp;Camille Lambert ,&nbsp;Julie Chauvel-Picard ,&nbsp;Arnaud Gleizal","doi":"10.1016/j.jormas.2025.102314","DOIUrl":"10.1016/j.jormas.2025.102314","url":null,"abstract":"<div><h3>Purpose</h3><div>New-generation total temporomandibular joint prostheses have demonstrated their efficacy and low morbidity. However, their implantation requires a dual external approach, which can result in significant aesthetic and functional sequelae. The authors have therefore developed an alternative technique that avoids the cervical route.</div></div><div><h3>Materials and methods</h3><div>The authors describe their technique for implanting a temporomandibular joint prosthesis using a combination of pre-auricular and intraoral approaches. They share the outcomes from a series of 16 patients treated with this technique, reporting complications as well as improvements in range of motion (ROM) and patient-reported outcomes regarding pain, eating ability, and overall satisfaction.</div></div><div><h3>Results</h3><div>A total of 16 patients and 22 prostheses were included. The functional results demonstrated a significant average increase in ROM of 34.4 mm (<em>p</em> &lt; 0.001), a one-point reduction on the visual analogue scale (VAS) for pain (<em>p</em> = 0.19), and a 1.1-point improvement in feeding ability on our scale of 1 to 4 (<em>p</em> &lt; 0.001). Complications included one case of transient facial paralysis with complete recovery, and one case of implant-related infection requiring removal of the prosthesis.</div></div><div><h3>Discussion</h3><div>this technique appears to provide comparable functional outcomes, with less scarring, and avoids the risk of facial nerve injury associated with the traditional approach. However, a potential disadvantage that needs further evaluation on a larger scale is the risk of infection, which does not appear to be increased in this series.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102314"},"PeriodicalIF":1.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639705","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":"Ki67 as a proliferation marker: A study on odontogenic keratocysts and radicular cysts","authors":"Maurizio D'Amario ,&nbsp;Tommaso Pizzolante ,&nbsp;Claudio Magnacca ,&nbsp;Ilaria Mariani ,&nbsp;Mario Capogreco ,&nbsp;Ettore Lupi","doi":"10.1016/j.jormas.2025.102313","DOIUrl":"10.1016/j.jormas.2025.102313","url":null,"abstract":"<div><div>Ki67 as a proliferation marker plays a critical role in assessing cellular activity in various pathological tissues, including cystic lesions. Odontogenic keratocysts (OKCs) and radicular cysts (RCs) are two common types of jaw cysts that exhibit distinct biological behaviors, particularly in their proliferative patterns. OKCs are known for their aggressive nature and high recurrence rate, while RCs are typically less aggressive and exhibit lower recurrence risk. By evaluating the expression of Ki67, a nuclear protein linked to cell proliferation, researchers can gain valuable insights into the growth potential and recurrence tendencies of these cysts.</div><div>The study involved analyzing 32 biopsy samples from patients with OKCs and RCs, using immunohistochemical techniques to assess Ki67 expression levels. These samples were surgically removed and prepared for histological examination, with Ki67-positive cells quantified in both basal and suprabasal layers of the cystic epithelium. The findings revealed that OKCs exhibited a higher concentration of Ki67-positive cells in the basal layers, while RCs showed proliferative activity in both basal and suprabasal layers. This differential pattern highlights the more aggressive proliferative behavior of OKCs.</div><div>The statistical analysis confirmed significant differences in Ki67 expression between the two cyst types, underscoring the importance of this marker in differentiating OKCs from RCs. The confined expression of Ki67 in the basal layer of OKCs, as opposed to the broader distribution in RCs, suggests that OKCs have a higher proliferative potential, contributing to their increased recurrence rates.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 3","pages":"Article 102313"},"PeriodicalIF":1.8,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617914","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":"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":"Submental island flap reconstruction in oral cavity cancer patients with pathological level I lymph node metastasis: Flap site recurrence and survival analysis","authors":"Donyarat Ruenmarkkaew,&nbsp;Orapan Sangiamporn,&nbsp;Hanpon Klibngern,&nbsp;Tapanut Ariyanon,&nbsp;Weerachai Watcharatsiriyuth,&nbsp;Pichit Sittitrai","doi":"10.1016/j.jormas.2025.102309","DOIUrl":"10.1016/j.jormas.2025.102309","url":null,"abstract":"<div><h3>Objectives</h3><div>The study aimed to determine flap site recurrence rate in oral squamous cell carcinoma patients who had undergone reconstruction with submental island flap, to evaluate factors affecting flap site recurrence, particularly pathological level I lymph node status, and assess survival outcomes.</div></div><div><h3>Methods</h3><div>Fifty-six patients with squamous cell carcinoma of the oral cavity who underwent surgical resection and submental island flap reconstruction between October 2012 and February 2024 were enrolled onto the study. Tumor recurrence and survival outcomes were analyzed. A Kaplan-Meier estimate of locoregional recurrence-free survival (LRRFS), disease-specific survival (DSS), and overall survival (OS) was calculated. Factors affecting flap site recurrence and survival outcomes were assessed.</div></div><div><h3>Results</h3><div>Most patients (78.57 %) were in the advanced stage (stage III-IV), and 21.43 % had pathological level I lymph node metastasis. Flap site recurrence rate was observed in 5.36 % of cases, without any identifiable factors predicting the recurrence, including pathological level I lymph node metastasis. The 5-year LRRFS, DSS, and OS rates were 60.28 %, 84.55 %, and 67.38 %, respectively. Positive resection margin, perineural invasion, and extranodal extension adversely affected LRRFS.</div></div><div><h3>Conclusions</h3><div>Submental island flap reconstruction in selected oral squamous cell carcinoma patients is oncologically safe regarding low flap site recurrence rate, satisfactory survival outcomes, and pathological level I lymph node metastasis did not affect the flap site recurrence.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 3","pages":"Article 102309"},"PeriodicalIF":1.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568850","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":"Impaction of third molars and localized cancer of the oral cavity: A simple occasional finding? A retrospective case series and literature review","authors":"Matteo Zotti,&nbsp;Rossana Bussani,&nbsp;Michele Maglione","doi":"10.1016/j.jormas.2025.102307","DOIUrl":"10.1016/j.jormas.2025.102307","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study is to analyze, through a literature review and the description of four clinical cases, whether prolonged tooth impaction may represent a trigger for the onset of oral carcinoma.</div></div><div><h3>Materials e methods</h3><div>In this report, four cases of patients needing the extraction of third molars in complete mucosal or bone impaction are described, which, due to the presence of an unusual radiographic and/or clinical aspect, were found to represent cases of oral carcinomas on histologic analysis. Patients were then referred to the ENT department for further care. A review of the literature has been performed as well.</div></div><div><h3>Results</h3><div>Literature analysis revealed the presence of only few case reports on the topic, suggesting therefore a lack of evidence on the correlation between tooth impaction and the onset of oral carcinomas.</div></div><div><h3>Conclusions</h3><div>Further studies are needed in order to give valid hypotheses. The concept of inflammation, that is at the base of oral carcinogenesis mechanism and tooth-related pathologies, such as pericoronitis, may be a common substrate to link these two phenomena.</div></div><div><h3>Clinical relevance</h3><div>A thorough analysis of the radiographic and clinical signs is strongly recommended prior and during surgical procedures, such as tooth extraction.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 3","pages":"Article 102307"},"PeriodicalIF":1.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568359","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}