Journal of Stomatology Oral and Maxillofacial Surgery最新文献

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Toward a standardized educational framework in burning mouth syndrome: Implications for clinical practice 对灼口综合征的标准化教育框架:对临床实践的影响。
IF 2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-10-01 DOI: 10.1016/j.jormas.2025.102213
Takayuki Suga, Akira Toyofuku
{"title":"Toward a standardized educational framework in burning mouth syndrome: Implications for clinical practice","authors":"Takayuki Suga, Akira Toyofuku","doi":"10.1016/j.jormas.2025.102213","DOIUrl":"10.1016/j.jormas.2025.102213","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102213"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928651","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}
引用次数: 0
Comment on “Facing a new reality: Significant increase in necrotizing fasciitis in the post-covid era?” 关于 "面对新现实:后科维德时代坏死性筋膜炎病例大幅增加?
IF 2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-10-01 DOI: 10.1016/j.jormas.2024.102163
Lucas Alves da Mota Santana , Gilmagno Amado Santos , Bernardo Ferreira Brasileiro , Rajiv Gandhi Gopalsamy , Lysandro Pinto Borges , Cleverson Luciano Trento
{"title":"Comment on “Facing a new reality: Significant increase in necrotizing fasciitis in the post-covid era?”","authors":"Lucas Alves da Mota Santana , Gilmagno Amado Santos , Bernardo Ferreira Brasileiro , Rajiv Gandhi Gopalsamy , Lysandro Pinto Borges , Cleverson Luciano Trento","doi":"10.1016/j.jormas.2024.102163","DOIUrl":"10.1016/j.jormas.2024.102163","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102163"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711947","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}
引用次数: 0
Comment on “Treatment approaches in cases of mandibular osteoradionecrosis: A systematic meta-analysis” “下颌骨放射性骨坏死的治疗方法:一项系统荟萃分析”评论。
IF 2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-10-01 DOI: 10.1016/j.jormas.2025.102379
Shubham Kumar, Renu Sah
{"title":"Comment on “Treatment approaches in cases of mandibular osteoradionecrosis: A systematic meta-analysis”","authors":"Shubham Kumar, Renu Sah","doi":"10.1016/j.jormas.2025.102379","DOIUrl":"10.1016/j.jormas.2025.102379","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102379"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053347","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}
引用次数: 0
Comparative effectiveness of injecting botulinum toxin type A in the masseter muscle with or without injection in the lateral pterygoid muscle in patients with bruxism: A randomized controlled trial 一项随机对照试验:在磨牙患者的咬肌注射A型肉毒毒素与不注射翼状外侧肌的比较效果。
IF 2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-10-01 DOI: 10.1016/j.jormas.2025.102404
Mohammad Nasoh Alzaeem , Mawia Karkoutly , Ibrahim Haddad , Bassel Brad
{"title":"Comparative effectiveness of injecting botulinum toxin type A in the masseter muscle with or without injection in the lateral pterygoid muscle in patients with bruxism: A randomized controlled trial","authors":"Mohammad Nasoh Alzaeem ,&nbsp;Mawia Karkoutly ,&nbsp;Ibrahim Haddad ,&nbsp;Bassel Brad","doi":"10.1016/j.jormas.2025.102404","DOIUrl":"10.1016/j.jormas.2025.102404","url":null,"abstract":"<div><h3>Introduction</h3><div>Bruxism<span> is a common problem defined by the involuntary grinding or clenching of teeth. This study aimed to compare the treatment outcomes of Botulinum toxin type A<span><span> (BTX/A) injections into the masseter and lateral pterygoid muscles with injections into the </span>masseter muscle only in patients with bruxism.</span></span></div></div><div><h3>Materials and methods</h3><div>Thirty patients with bruxism aged 18–45 years were randomly divided into two groups. Group 1: Bilateral BTX/A injections in the masseter and lateral pterygoid muscle. Group 2: bilateral BTX/A injections in the masseter muscle only. Electromyography (EMG) of the muscles was measured before treatment (t0) and two weeks after treatment (t1). The bruxism questionnaire has four close-ended questions. Patients' answers were recorded five times: t0, t1, six weeks after (t2), three months after (t3), and six months after (t4).</div></div><div><h3>Results</h3><div>Regarding the bruxism questionnaire scores, group 1 was not superior to group 2 (<em>p</em> &gt; 0.05), and there was an improvement over time (<em>p</em> &lt; 0.05). Both groups were equally effective in improving the EMG scores in the masseter muscle (<em>p</em> &gt; 0.05). However, group 1 outperformed group 2 in improving the lateral pterygoid muscle EMG scores (<em>p</em> &lt; 0.05). indicating that injection of BTX/A in the lateral pterygoid muscle could benefit patients with bruxism.</div></div><div><h3>Discussion</h3><div>The bruxism scores were notably decreased when BTX/A was administered to the masseter muscle alone or in conjunction with the lateral pterygoid muscle. It suggests hyperactivity in the lateral pterygoid muscle may occur when the BTX/A is solely injected into the masseter muscle.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102404"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059442","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}
引用次数: 0
Plasma cell gingivitis: A systematic review and guideline to diagnosis 浆细胞性牙龈炎:系统综述及诊断指南。
IF 2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-10-01 DOI: 10.1016/j.jormas.2025.102378
Fazele Atarbashi-Moghadam , Saede Atarbashi-Moghadam , Seyed Amirparsia Marashi , Reza Amid
{"title":"Plasma cell gingivitis: A systematic review and guideline to diagnosis","authors":"Fazele Atarbashi-Moghadam ,&nbsp;Saede Atarbashi-Moghadam ,&nbsp;Seyed Amirparsia Marashi ,&nbsp;Reza Amid","doi":"10.1016/j.jormas.2025.102378","DOIUrl":"10.1016/j.jormas.2025.102378","url":null,"abstract":"<div><h3>Objective</h3><div><span><span>Plasma cell gingivitis is a rare non-dental plaque-induced </span>gingival disease<span> often associated with hypersensitivity reactions. Due to its rarity many questions present around its presentation, etiology, and treatment. Moreover, its </span></span>histopathology<span> has many similarities with other periodontal condition such as periodontitis<span>. The present systematic review<span><span> aimed to assess the cases of plasma cell gingivitis focusing on its </span>clinical features, possible etiologic factors, and treatment modalities.</span></span></span></div></div><div><h3>Methods</h3><div><span>The search was done in The MEDLINE database, Scopus, and Web of Science from January 1999 until August 2024 for English publications using the following terms: (plasma cell gingivitis OR atypical gingivostomatitis<span> OR allergic gingivostomatitis) AND (etiology OR clinical feature OR clinical manifestation OR treatment OR management). Any presented cases with clinical manifestation of plasma cell gingivitis confirmed with histopathologic assessment were included. Studies with unclear data, periodontitis or gingivitis cases which was not first treated for </span></span>periodontal disease or not allowed for proper check-ups were excluded.</div></div><div><h3>Results</h3><div><span>Sixteen articles comprise 19 cases included in this review from them 13 were female (68.420 %) and 6 were male (31.57 %) with wide age range from 9 to 64 years. Anterior of the maxilla were affected in all cases. Erythematous </span>gingiva<span><span> are presented in all cases which were mostly diffuse involvement. Bleeding on slight provocation and lip swelling were another clinical signs. Treatment modalities were different from discontinuing possible etiologic factors, </span>topical drugs, to removing the lesion, and photobiomodulation.</span></div></div><div><h3>Conclusion</h3><div>In cases of gingival inflammation, it is important to first rule out other diseases such as gingivitis, periodontitis, and inflammatory gingival enlargement. The diagnosis of plasma cell gingivitis should be based on a detailed past medical history<span>, accurate clinical evaluation, laboratory, microscopic, and immunohistochemical assessment.</span></div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102378"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011327","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}
引用次数: 0
Cystic teratoma of the head and neck region in the neonate – description of three cases 新生儿头颈部的囊性畸胎瘤——附三例报告。
IF 2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-10-01 DOI: 10.1016/j.jormas.2025.102381
Guilherme Trento , Christian Davila , Johann Ludwig Nafz , Mona Jaber , Susanne Jung , Jacqueline Lisson , Miriam Schulte , Johannes Kleinheinz
{"title":"Cystic teratoma of the head and neck region in the neonate – description of three cases","authors":"Guilherme Trento ,&nbsp;Christian Davila ,&nbsp;Johann Ludwig Nafz ,&nbsp;Mona Jaber ,&nbsp;Susanne Jung ,&nbsp;Jacqueline Lisson ,&nbsp;Miriam Schulte ,&nbsp;Johannes Kleinheinz","doi":"10.1016/j.jormas.2025.102381","DOIUrl":"10.1016/j.jormas.2025.102381","url":null,"abstract":"<div><div>Congenital head and neck malformations frequently pose a significant diagnostic challenge for physicians. Less than 10% of congenital teratomas occur in the head and neck region. The identification of these lesions is often a serendipitous finding on prenatal ultrasound. Surgical intervention may be required immediately post-birth depending on the location and dimensions of the identified teratoma. The objectives of the current study are to present three cases of mature teratoma, diagnosed post-birth, in newborn male patients and to bring attention to the difficulties in the treatment of such a condition. All cases were diagnosed as G0, according to the Gonzalez-Crussi grading system. Following the protocols of the MAKEI study group, the treatment and follow-up plans were established. Based on the results so far achieved, and the experience acquired from these reported cases, it can be suggested that teratomas, primarily located in the nasopharynx region, have surgical resection as the first line of treatment. Additionally, long-term follow-ups should be performed periodically through different types of exams, such as imaging and laboratory exams.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102381"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043232","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}
引用次数: 0
Identification and risk modelling of bacterial lipopolysaccharide-related subtypes in head and neck squamous cell carcinoma to predict prognostic and immunological properties 头颈部鳞状细胞癌中细菌脂多糖相关亚型的鉴定和风险建模以预测预后和免疫学特性。
IF 2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-10-01 DOI: 10.1016/j.jormas.2025.102422
Ling Zhou , Hejing Fang , Meiqin Chen , Shubo Ding
{"title":"Identification and risk modelling of bacterial lipopolysaccharide-related subtypes in head and neck squamous cell carcinoma to predict prognostic and immunological properties","authors":"Ling Zhou ,&nbsp;Hejing Fang ,&nbsp;Meiqin Chen ,&nbsp;Shubo Ding","doi":"10.1016/j.jormas.2025.102422","DOIUrl":"10.1016/j.jormas.2025.102422","url":null,"abstract":"<div><h3>Background</h3><div>Head and neck squamous cell carcinoma (HNSC) is the most common form of head and neck cancer, and lipopolysaccharide<span> (LPS), a component of Gram-negative bacteria, plays a vital role in modulating immune function. The study aimed to uncover bacterial LPS-associated subtype signatures that could predict the prognosis and effectiveness of immunotherapy<span> for HNSC patients.</span></span></div></div><div><h3>Methods</h3><div>First, transcriptome data from patients with HNSC were downloaded from the Cancer Genome Atlas (TCGA) database, and the samples consisted of 522 primary tumour tissues and 44 adjacent normal tissues. Non-Negative Matrix Factorization (NMF) clustering was used to perform cluster analysis on the samples. Univariate, multivariate, and Least Absolute Shrinkage and Selection Operator (LASSO) regression analyses were performed to identify prognostic characteristic genes and develop a risk model. This model was validated in independent Gene Expression Omnibus (GEO) data sets: GSE41613. The receiver operating characteristic (ROC) curves were constructed and the Area Under the Curve (AUC) values were calculated for 1-, 3- and 5-year ROC curves to assess model performanc. In addition, we utilized ssGSEA to explore differences in immune infiltration between risk groups. Finally, drug sensitivity analyses was performed using the pRRophitic algorithm.</div></div><div><h3>Results</h3><div>We identified 2 subtypes and 9 LPS-related biomarkers in HNSC. ROC curves demonstrated that these signature genes were effective in predicting patient prognosis. Compared to the high-risk group, the low-risk group had higher immunologic infiltration levels and greater response to immunotherapy. Finally, we identified potential drugs including 5-Fluorouracil, Bleomycin, Cetuximab, and Vinblastine that might be more suitable for the treatment of low-risk patients.</div></div><div><h3>Conclusion</h3><div>In summary, we identified novel LPS-related molecular subtypes and developed a prognostic model, describing their immunological characteristics that may provide valuable insights for the prognosis of HNSC patients.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102422"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287204","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}
引用次数: 0
Oral cavity myiasis and mouth parasitic infestations: A systematic review 口腔蝇蛆病和口腔寄生虫感染:系统综述。
IF 2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-10-01 DOI: 10.1016/j.jormas.2025.102425
Felice Lorusso , Iris Alla , Sergio Rexhep Tari , Sergio Alexandre Gehrke , Antonio Scarano
{"title":"Oral cavity myiasis and mouth parasitic infestations: A systematic review","authors":"Felice Lorusso ,&nbsp;Iris Alla ,&nbsp;Sergio Rexhep Tari ,&nbsp;Sergio Alexandre Gehrke ,&nbsp;Antonio Scarano","doi":"10.1016/j.jormas.2025.102425","DOIUrl":"10.1016/j.jormas.2025.102425","url":null,"abstract":"<div><h3>Objectives</h3><div><span>Oral Myasis represents a very rare and controversy clinical occurrence in the medical and dental practice. A significant incidence is documented in geo-graphical region with lower socio-economics conditions and poor hygiene levels. The aim of the present review was to evaluate the clinical characteristics, </span>disease progression<span> and treatment protocols of oral cavity<span> myiasis and mouth parasitic infestations through a systematic review of the literature.</span></span></div></div><div><h3>Materials and Methods</h3><div>The literature screening has been conducted on Pub-med/Medline, Google Scholar and EMBASE databases. The risk of bias assessment has been conducted for all studies included in the literature review. The literature analysis has been con-ducted through a descriptive synthesis.</div></div><div><h3>Results</h3><div>The literature screening identified a total of 12,315 articles. After the full text assessment and eligibility process, a total 95 publications were con-sidered for the descriptive synthesis. The literature screened showed that the most common parasites<span> species where represented by flies larvae and nematodes including G. pulchrum, Dirofilaria, Cysticercus spss Parachordodes spss. Wohlfahrtia spss. Diptera spss.</span></div></div><div><h3>Conclusions</h3><div>The oral parasi-tosis represent an insidious clinical condition that needs a complex management in case of severe multiple infestation. The clinical protocol could take advantage from a combination of surgical removal and pharmacological therapy.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102425"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287205","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}
引用次数: 0
An innovative use of the buccal fat pad in parotidectomy for prevention of facial depression and Frey’s syndrome 颊脂肪垫在腮腺切除术中预防面部凹陷和弗雷氏综合征的创新应用。
IF 2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-10-01 DOI: 10.1016/j.jormas.2025.102424
Carlos M. Chiesa-Estomba, Maria Landa-Garmendia, Ehkiñe Larruscain-Sarasola
{"title":"An innovative use of the buccal fat pad in parotidectomy for prevention of facial depression and Frey’s syndrome","authors":"Carlos M. Chiesa-Estomba,&nbsp;Maria Landa-Garmendia,&nbsp;Ehkiñe Larruscain-Sarasola","doi":"10.1016/j.jormas.2025.102424","DOIUrl":"10.1016/j.jormas.2025.102424","url":null,"abstract":"<div><div>The surgical treatment of parotid tumors<span><span> often leads to complications such as facial depression and Frey’s syndrome. Traditional reconstruction techniques, including muscle flaps and dermal-fat grafts, are associated with significant limitations. This technical report explores the innovative use of the buccal fat pad (BFP) as a vascularized graft for restoring facial symmetry and reducing Frey’s syndrome risk. Its proximity to the surgical site, consistent </span>vascularity<span>, and minimal donor morbidity make the BFP an ideal reconstructive material. Surgical application in two patients with accessory lobe tumors demonstrated effective restoration of facial contours and defect coverage without complications. The BFP serves as a versatile, biocompatible solution that addresses both aesthetic and functional outcomes, offering a reliable alternative to traditional methods for managing parotidectomy defects.</span></span></div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102424"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276813","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}
引用次数: 0
Intraoperative repositioning accuracy in transoral endoscopically-assisted mandibular subcondylar fracture repair: A 3-dimensional analysis 经口内镜辅助下下颌髁下骨折修复术中重新定位的准确性:三维分析。
IF 2 3区 医学
Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-10-01 DOI: 10.1016/j.jormas.2025.102441
Andreas Sakkas , Carolin Schulze , Mario Scheurer , Marcel Ebeling , Robin Kasper , Alexander Schramm , Frank Wilde , Johannes Schulze
{"title":"Intraoperative repositioning accuracy in transoral endoscopically-assisted mandibular subcondylar fracture repair: A 3-dimensional analysis","authors":"Andreas Sakkas ,&nbsp;Carolin Schulze ,&nbsp;Mario Scheurer ,&nbsp;Marcel Ebeling ,&nbsp;Robin Kasper ,&nbsp;Alexander Schramm ,&nbsp;Frank Wilde ,&nbsp;Johannes Schulze","doi":"10.1016/j.jormas.2025.102441","DOIUrl":"10.1016/j.jormas.2025.102441","url":null,"abstract":"<div><h3>Introduction</h3><div>To date, no clinical study has compared the preoperative and intraoperative 3D positions of fractured mandibular condyles following transoral endoscopically-assisted reduction and osteosynthesis. The primary aim of this study was to analyze and compare the final intraoperative position of the fractured mandibular condyle with a virtually simulated, idealized condylar position. The secondary aim was to assess the association between patient-, trauma-, and procedure-specific variables and intraoperative surgical accuracy.</div></div><div><h3>Methods</h3><div>In this retrospective cohort study, patients who underwent transoral endoscopically-assisted osteosynthesis of mandibular subcondylar fractures — without the use of transbuccal trocars — over a six-year period were included. Demographic, clinical, radiological, and procedural data were analyzed. The final intraoperative position of the condylar fragment, based on intraoperative 3D C-arm imaging, was compared with the anatomic ideal reduction simulated with the preoperative CT scan. Univariate analyses were performed to identify associations between clinical and surgical variables and intraoperative repositioning accuracy. The primary outcome was the geometric accuracy of reduction, quantified using the Dice coefficient, mean multiplanar deviation, and rotational deviation.</div></div><div><h3>Results</h3><div>A total of 86 patients with 95 subcondylar fractures. Eleven cases were excluded due to incomplete data and insufficient quality for segmentation. The most common mechanism of injury was bicycle trauma (<em>n</em> = 35; 36.8 %), followed by violence (<em>n</em> = 26; 27.4 %) and tripping falls (<em>n</em> = 13; 13.7 %). The mean Dice coefficient was 0.62 ± 0.18, the mean multiplanar deviation was 2.79 ± 1.53 mm, and the average rotational deviation was 10.18° ± 6.17° Univariate analysis revealed that greater preoperative sideward displacement of the condylar fragment was significantly associated with higher multiplanar deviation (<em>p</em> = 0.03) and a lower Dice coefficient (<em>p</em> = 0.05). Moreover, a higher length of the condylar fragment was significantly associated with a lower risk of intraoperative rotational deviation (<em>p</em> = 0.003). There was no association between the time interval from trauma to surgery and the intraoperative surgical accuracy.</div></div><div><h3>Discussion</h3><div>This study confirms that endoscopically-assisted intraoral osteosynthesis enables accurate reduction in most cases. However, complex fracture morphologies—particularly those with significant sideward displacement or short proximal segments—pose a higher risk for positional deviations. These findings support the use of intraoperative 3D imaging and virtual modelling to improve surgical precision and establish new quality benchmarks in maxillofacial trauma surgery.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102441"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512745","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}
引用次数: 0
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