A. Nuffer, A. Veyssière, A. Chatellier, R. Preud'homme, H. Bénateau
{"title":"Surgically assisted maxillary expansion: Influence of piezosurgery on the complications linked to the midline osteotomy","authors":"A. Nuffer, A. Veyssière, A. Chatellier, R. Preud'homme, H. Bénateau","doi":"10.1016/j.jormas.2025.102258","DOIUrl":"10.1016/j.jormas.2025.102258","url":null,"abstract":"<div><div>Transverse maxillary deficiency requires surgical maxillary expansion when the midpalatal suture is closed. The midline osteotomy of the maxilla can lead to significant dental, gingival and bone complications. Technically, this osteotomy is usually performed using osteotomes, a burr or an oscillating saw, but is increasingly being replaced by piezosurgery. There are no published studies on the impact of piezoelectric devices on complications.</div><div>This study tries to evaluate complications after median inter-incisors osteotomy (gingival recession, tooth loss, bone loss) with piezosurgery, and then to compare them with complications associated with osteotomes.</div><div>A single-center retrospective study of 57 patients who underwent surgical maxillary expansion was conducted. Dental complications (mobility, color and loss), gingival and papilla recession and bone defect were assessed before and at least 6 months after surgery. Two groups were compared: the piezosurgery P group (49 patients) and the osteotomes O group (8 patients).</div><div>In piezosurgery group, 16.3 % of patients developed central papilla recession and 8 % bone defect, against 12.5 % and 0 % respectively in osteotomes group. No statistically significant difference was found between both groups in the incidence of gingival or bone complications.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102258"},"PeriodicalIF":1.8,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076607","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":"Reconstruction of large thermal burn areas by hair transplantation","authors":"Lotfi Benslama","doi":"10.1016/j.jormas.2025.102266","DOIUrl":"10.1016/j.jormas.2025.102266","url":null,"abstract":"<div><h3>Introduction</h3><div>Alopecia resulting from burns represents a surgical challenge, with significant functional, physical, psychological and social consequences. Current management is based on various techniques. However, the results are most often very disappointing. Hair transplantation could be an option.</div></div><div><h3>Clinical case</h3><div>A 51-year-old soldier, victim of a plane crash with more than 40% of his body surface burned, was treated with hair autograft.</div></div><div><h3>Conclusion</h3><div>Hair transplantation could prove to be one of the significant solutions to reconstruct alopecia caused by thermal burns.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102266"},"PeriodicalIF":1.8,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069803","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 oral and maxillofacial manifestations of Stickler syndrome: A systematic review","authors":"Théo Meurice , Florent Barry , Sandrine Touzet-Roumazeille , Matthias Schlund , Joël Ferri","doi":"10.1016/j.jormas.2025.102261","DOIUrl":"10.1016/j.jormas.2025.102261","url":null,"abstract":"<div><h3>Introduction</h3><div>Stickler syndrome is a rare genetic collagen disorder known for its ophthalmological abnormalities. However, there are several other associated facial features. The aim of this study is to review the literature on the various oral and maxillofacial manifestations of Stickler syndrome.</div></div><div><h3>Methods</h3><div>This systematic review follow PRISMA guidelines. The search was performed on Pubmed and Web of Science databases, using the following search terms: [“stickler syndrome” AND (“maxillofacial” OR “orofacial” OR “craniofacial”)] up to September 2024. All articles describing oral and maxillofacial manifestation in Stickler syndrome were eligible.</div></div><div><h3>Results</h3><div>Fifteen articles with a total of 1037 patients were included. In these 15 studies, 500 patients had Stickler syndrome. The most frequent clinical manifestation found was the Pierre Robin sequence (PRS) (<em>n</em> = 234; 50.4 %). Common manifestations were cleft palate (<em>n</em> = 183; 42.8 %), retrognathia (<em>n</em> = 22; 41.5 %), flat nasal bridge (<em>n</em> = 19; 48.7 %), midface hypoplasia (<em>n</em> = 9; 25.7 %), elongated philtrum (<em>n</em> = 5; 35.7 %), prominent eyes (<em>n</em> = 5; 19.2 %), and high arched palate (<em>n</em> = 3; 11.1 %).</div></div><div><h3>Discussion</h3><div>Stickler syndrome should be investigated in all patients with suggestive symptoms, particularly those with a cleft palate or PRS. Precise diagnosis and early referral to an oral and maxillofacial surgeon and an orthodontist are necessary to manage facial growth and maxillomandibular relationships.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102261"},"PeriodicalIF":1.8,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054144","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":"Should there be ethics in health organizations?","authors":"Joël Ferri","doi":"10.1016/j.jormas.2025.102226","DOIUrl":"10.1016/j.jormas.2025.102226","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102226"},"PeriodicalIF":1.8,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017021","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}
Noémie Vanden Haute , Emma Bach , Pierre Bouletreau , Alice Prevost , Pierre Corre , Louis Brochet , Nicolas Graillon , Andrea Varazzani
{"title":"An updated overview of orthognathic surgery practices in France","authors":"Noémie Vanden Haute , Emma Bach , Pierre Bouletreau , Alice Prevost , Pierre Corre , Louis Brochet , Nicolas Graillon , Andrea Varazzani","doi":"10.1016/j.jormas.2024.102210","DOIUrl":"10.1016/j.jormas.2024.102210","url":null,"abstract":"<div><h3>Introduction</h3><div>Orthognathic surgery is a fundamental component of a maxillofacial surgeon's practice. In France, 510 specialists actively practice oral and maxillofacial surgery. In OMFs, despite the existence of evidence-based recommendation that address diagnosis, treatment planning, and operating methods, each surgeon/institution has developed an individual approach towards clinical management. This study comprehensively overviews the current practices of French orthognathic surgeons.</div></div><div><h3>Methods</h3><div>A questionnaire was electronically sent to 500 oral and maxillofacial surgeons in France, some of whom practiced orthognathic surgery and some of whom did not. The answers were anonymous.</div></div><div><h3>Results</h3><div>We obtained 52 responses. With consensus on 12 of the practical, economic, and peri-operative questions. We didn't find difference on any topics where the surgeon has his residence or the age of the surgeon. Management and correction of occlusal disorders were the primary indications for osteotomy. Of all responders, 42 % were in private practice. Both virtual and conventional planning methods were used, with no clear preference for either method. During bimaxillary surgery, 76 % of surgeons initially osteotomised and stabilised the maxilla; 69 % used an intermediate splint. ERAS protocols are not used.</div></div><div><h3>Conclusion</h3><div>This study is an update and it provides new information compared a 2002 report on orthognathic surgery in France. It highlights a consensus on conventional planning but no significant influence from academic centers, age, or experience on surgical practices. New technologies and ERAS protocols are underused despite their benefits for safer surgeries. There is a lack of standardized procedures, leading to varied practices despite a national teaching program. More data and practitioner involvement are needed to develop French and European guidelines.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102210"},"PeriodicalIF":1.8,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923995","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}
A. Kerbrat , I. Rivals , P. Rouch , R. Valentin , V. Attali , T. Schouman
{"title":"Specific postural alignment alterations due to long-face deformity in patients with maxillo-mandibular deformities","authors":"A. Kerbrat , I. Rivals , P. Rouch , R. Valentin , V. Attali , T. Schouman","doi":"10.1016/j.jormas.2024.102200","DOIUrl":"10.1016/j.jormas.2024.102200","url":null,"abstract":"<div><h3>Background</h3><div>A specific pathological postural adaptation is suspected in patients exhibiting maxillo-mandibular deformity (MMD); however, none study reported a correlation between facial dimensions and posture.</div><div>In this study, we hypothesized that pathological postural adaptations are related to long-face deformity and subsequent oral breathing in patients with MMD</div></div><div><h3>Methods</h3><div>Thirty patients with MMD and 20 healthy subjects. Breathing mode, postural alignment and cephalometry were analyzed through a biplanar X-ray (EOS imaging®) of the skeleton in an upright position, followed by three-dimensional reconstruction.</div></div><div><h3>Results</h3><div>Patients with MMD exhibited hyperkyphosis of the lower region of the cervical spine (C3-C7 angle: 10.6° [3.9; 17.5] vs. 3.2° [-6.4; 7.6], <em>p</em> < 0.01), forward head posture (OD-C7 angle: 10.5° [8.5; 15.1] vs. 6.2° [3.0; 8.4], <em>p</em> < 0.01), and backward sagittal balance compared with controls (sagittal vertical axis:15.7 mm [-25.9; -5.2] vs. -1.4 mm [-17.8; 7.0], <em>p</em> = 0.014). Cervical hyperkyphosis, the forward head posture, and the backward sagittal balance were related to higher values of the Frankfort-mandibular plane angle (a cephalometric variable used to assess face length). In patient with MMD, oral breathing was correlated to the FMA angle.</div></div><div><h3>Conclusion</h3><div>MMD is associated with a specific pathological postural adaptation which is correlated with Long-face deformity and oral breathing. Our results suggest that the altered posture originates from the upper airways.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102200"},"PeriodicalIF":1.8,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873577","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}
Hugo Poncet, Franck Delanoë, Frédéric Lauwers, Chris Passalboni, Pierre Molla-de-Testa, Alice Prevost
{"title":"Immediate oral feeding after free-flap reconstruction of the oral cavity","authors":"Hugo Poncet, Franck Delanoë, Frédéric Lauwers, Chris Passalboni, Pierre Molla-de-Testa, Alice Prevost","doi":"10.1016/j.jormas.2024.102196","DOIUrl":"10.1016/j.jormas.2024.102196","url":null,"abstract":"<div><h3>Aim</h3><div>There remains no consensus on the definition or value of early oral feeding after head and neck surgery. The main objective of this study was to determine how immediate oral feeding (IOF) with soft diet within 2 days following free-flap reconstruction of the oral cavity affected severe post-operative morbidity within 30 days and length of hospital stay (LoS).</div></div><div><h3>Methods</h3><div>A retrospective cohort study was carried out in 2021–2023 in our tertiary hospital center. The associations between severe post-operative morbidity and LoS with the independent variable of IOF were analyzed by multivariate regression analysis. We also examined the factors associated with delayed oral feeding (DOF); lack of oral feeding within 10 post-operative days. The confounding variables adjusted for were demographic-related (age, sex), comorbidity-related (ASA score, undernutrition, prior history), and surgery-related (substance loss type/location, flap type).</div></div><div><h3>Results</h3><div>Inclusion was 132 patients: <em>n</em> = 29/132 (22 %) IOF patients versus <em>n</em> = 103/132 (78 %) patients undergoing oral feeding after ≥3 post-operative days. IOF was found independently associated with reduced severe post-operative morbidity within 30 days (AOR 0.3[0.1–0.8], <em>p</em> = 0.01) and shorter length of stay (AEE -6.7 [-11.8–-1.6], <em>p</em> = 0.01) compared to oral feeding after ≥3 post-operative days. DOF was found positively associated with cardiovascular history (AOR 2.7[1.1–7.3], <em>p</em> = 0.04) but negatively associated with a history of head and neck surgery with radiotherapy (AOR 0.4[0.1–0.8], <em>p</em> = 0.05).</div></div><div><h3>Conclusion</h3><div>Protocols for post-operative oral feeding should consider IOF. Criteria for good candidates for IOF require further definition for surgeons to implement IOF more widely.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102196"},"PeriodicalIF":1.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820356","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}
Blandine Gautier , Sophie Dugast , Pierre Guyonvarc'h , Julie Longis , Pierre Corre , Hélios Bertin
{"title":"Ossifying fibroma and juvenile ossifying fibroma: A systematic review on clinical and radiological parameters, treatment modalities and recurrence","authors":"Blandine Gautier , Sophie Dugast , Pierre Guyonvarc'h , Julie Longis , Pierre Corre , Hélios Bertin","doi":"10.1016/j.jormas.2024.102185","DOIUrl":"10.1016/j.jormas.2024.102185","url":null,"abstract":"<div><div>Ossifying fibroma (OF) is a rare benign fibro-osseous neoplasm developing mostly in maxillo-facial bones. OF is divided in cemento-ossifying fibroma (COF), juvenile trabecular ossifying fibroma (JTOF) and psammomatoid ossifying fibroma (PSOF). The aim of this systematic review was to synthetize the existing literature on OF, investigating the clinical and radiological parameters related to the different forms of the disease, and to compare the treatment modalities according to their associated recurrence rate. Three databases were searched in March 2024, with an update in September 2024. Eligibility criteria included studies reporting on patients with OF, surgical treatment and follow-up data. Of the 2016 studies identified, 22 were retained after eligibility assessment. A total of 492 patients were included. Most OF presented with painless swelling. COF affected 61.1 % of women with a mean age of 29.5, JTOF presented in 55.7 % of male children, and PSOF had no predilection for sex with a mean age of 19.5 years. Enucleation and curettage were associated with an elevated recurrence rate in JTOF (12/30) and PSOF (10/16). PSOF (6 cases) and JTOF (15 cases) showed no recurrence with radical surgery. Same recurrence rates in COF were seen for conservative and radical surgery. Although radical surgery seemed to avoid recurrence in JTOF and PSOF, conservative surgery such as enucleation and curettage with additional peripheral ostectomy should be considered primarily to lessen the morbidity induced by radical resection. Close clinical and radiological follow-up should be undertaken to diagnose early recurrence.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 4","pages":"Article 102185"},"PeriodicalIF":1.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781983","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}
C. Debortoli , F. Afota , B. Lerhe , G. d’ Andrea , S. Latreche , O. Rios , C. Savoldelli
{"title":"Buccal fat pad lift: A technical note","authors":"C. Debortoli , F. Afota , B. Lerhe , G. d’ Andrea , S. Latreche , O. Rios , C. Savoldelli","doi":"10.1016/j.jormas.2024.102161","DOIUrl":"10.1016/j.jormas.2024.102161","url":null,"abstract":"<div><h3>Introduction</h3><div>The buccal fat pad is largely involved to close oro-antral communication (OAC) . The implant rehabilitation of the maxillary posterior area after OAC is a surgical challenge. The difficulty of this rehabilitation remains in the absence of a lateral and crestal bone wall.</div></div><div><h3>Technical note</h3><div>The buccal fat pad lift was performed under general anaesthesia. This involved lifting the buccal fat pad and the sinus mucosa, which they were fused and filled the gap with a biomaterial. The osteogenic properties of the environment will enable osseointegration of the biomaterial.</div></div><div><h3>Conclusion</h3><div>This technique requires a relevant surgical experience. It is a reliable and valid surgical solution to rehabilitate the maxillary posterior area for dental implant placement.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 4","pages":"Article 102161"},"PeriodicalIF":1.8,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775116","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}