Journal of Stomatology Oral and Maxillofacial Surgery最新文献

{"title":"Rood & Shehab’s radiographic features associated with inferior alveolar nerve paraesthesia: A pooled analysis of 15,000 cases","authors":"Jonas Hue","doi":"10.1016/j.jormas.2025.102648","DOIUrl":"10.1016/j.jormas.2025.102648","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 2","pages":"Article 102648"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524931","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":"Can large language models perform clinical anamnesis? Comparative evaluation of ChatGPT, Claude, and Gemini in diagnostic reasoning through case-based questioning in oral and maxillofacial disorders","authors":"Birkan Eyup Yilmaz ,&nbsp;Furkan Ozbey ,&nbsp;Busra Nur Gokkurt Yilmaz ,&nbsp;Hasan Akpinar","doi":"10.1016/j.jormas.2025.102644","DOIUrl":"10.1016/j.jormas.2025.102644","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to evaluate whether large language models (LLMs) can emulate the clinical anamnesis process and diagnostic reasoning of oral and maxillofacial surgeons.</div></div><div><h3>Materials and methods</h3><div>Twenty-five real clinical cases from five diagnostic categories maxillary sinus diseases, periapical pathologies, orofacial pain disorders and neuropathic pain syndromes, odontogenic cysts and tumors, and temporomandibular joint disorders were simulated. Three LLMs (ChatGPT 4o, Claude 4, and Gemini 2.5) were each provided only the patient’s chief complaint and instructed to ask up to ten sequential questions to reach a diagnosis. One independent evaluators scored model performances on a 100 point scale, deducting 10 points for each additional question asked. Statistical comparisons were conducted using Kruskal–Wallis and Bonferroni post-hoc tests.</div></div><div><h3>Results</h3><div>No statistically significant difference was found among the models (<em>p</em> = 0.431). Gemini achieved the highest mean diagnostic score (43.6 ± 40.71), followed by ChatGPT-4o (37.2 ± 36.8) and Claude (31.6 ± 33.0). Diagnostic accuracy was highest in moderately difficult cases (<em>p</em> = 0.021) and markedly decreased in difficult ones (<em>p</em> = 0.016).</div></div><div><h3>Conclusion</h3><div>LLMs demonstrated the ability to perform structured anamnesis and reach clinically meaningful diagnostic conclusions using limited information. Although no significant difference was observed among the models, Gemini achieved the highest overall mean score. These findings indicate that LLMs hold potential as complementary tools for diagnostic reasoning and as simulation-based educational resources in oral and maxillofacial surgery.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 2","pages":"Article 102644"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490756","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":"When authorship ethics falter: Lessons from South Korea and reflections for our journal and specialist community","authors":"Poramate Pitak-Arnnop","doi":"10.1016/j.jormas.2025.102620","DOIUrl":"10.1016/j.jormas.2025.102620","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 2","pages":"Article 102620"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318834","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":"Changes in resting saliva volume induced by transcutaneous electrical stimulation of the submandibular gland in adult Japanese women","authors":"Yoko Kobayashi-Mizumura ,&nbsp;Miwa Matsuyama","doi":"10.1016/j.jormas.2025.102617","DOIUrl":"10.1016/j.jormas.2025.102617","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the resting saliva volume following transcutaneous electrical stimulation of the submandibular gland.</div></div><div><h3>Methods</h3><div>Thirty healthy women aged 20–64 years with no underlying diseases underwent 10 minutes of transcutaneous electrical stimulation (intervention) targeting the submandibular gland. Saliva volume at baseline, immediately post-intervention, and 10 min post-intervention were compared in three age groups, and also in two groups by baseline resting saliva volume. Subjective alterations in local and systemic symptoms were also evaluated via a questionnaire.</div></div><div><h3>Results</h3><div>The results showed no interaction between age and time factors, and no differences in changes in saliva volume according to age group. When the subjects were divided into two groups (low volume group [group L] and above-average volume group [group A]) according to their baseline resting saliva volume, group L showed a significant increase in saliva volume immediately post-intervention and maintained it for 10 min post-intervention. However, group A recorded no change in saliva volume immediately post-intervention, and saliva volume 10 min post-intervention was significantly lower than that immediately post-intervention. The significant difference in saliva volume between the two groups observed at baseline and immediately post-intervention was not observed 10 min post-intervention.</div><div>There were no subjective changes in local and systemic symptoms, including discomfort or fatigue, due to transcutaneous electrical stimulation. However, more than 70 % of subjects reported subjective improvement in dry mouth.</div></div><div><h3>Conclusions</h3><div>These results suggest that 10 min of transcutaneous electrical stimulation targeting the submandibular gland may have different effects depending on the subject's resting saliva volume.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 2","pages":"Article 102617"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276803","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":"Malignant transformation of a thyroglossal duct cyst located in the preepiglottic space: A case report and literature review","authors":"Shucong Yao ,&nbsp;Li Tian,&nbsp;Leitao Zhang","doi":"10.1016/j.jormas.2025.102611","DOIUrl":"10.1016/j.jormas.2025.102611","url":null,"abstract":"<div><h3>Objective</h3><div>Thyroglossal duct cysts (TDC) are the most common tumors occurring in the midline and anterior neck regions and may affect swallowing function, infection, and even malignant transformation. The incidence of malignant transformation in thyroglossal duct cysts is very low, at approximately 1 %. Thyroglossal duct cysts extending into or occupying the pre-epiglottic space are extremely rare.</div></div><div><h3>Case series presentation</h3><div>A 37-year-old male developed papillary thyroid carcinoma originating from thyroglossal duct cysts that occupied the pre-epiglottic space. The tumor was successfully resected using a modified Sistrunk procedure. The relevant literature was reviewed.</div></div><div><h3>Conclusion</h3><div>Malignant transformation of thyroglossal duct cysts may occur at any site. Malignancy can be suggested by preoperative ultrasound and imaging examinations, thereby necessitating clinical vigilance.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 2","pages":"Article 102611"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260096","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 role of photon-counting CT in next-generation craniofacial diagnostics","authors":"Weihao Cheng","doi":"10.1016/j.jormas.2025.102642","DOIUrl":"10.1016/j.jormas.2025.102642","url":null,"abstract":"","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 2","pages":"Article 102642"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460715","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":"Refractory oral manifestations of Crohn's disease","authors":"A. Khemis ,&nbsp;R. Lan ,&nbsp;F. Amatore ,&nbsp;JM. Reimund ,&nbsp;F. Campana ,&nbsp;A. Falguière","doi":"10.1016/j.jormas.2025.102625","DOIUrl":"10.1016/j.jormas.2025.102625","url":null,"abstract":"<div><h3>Introduction</h3><div>Persistent oral manifestations of Crohn's disease (CD), despite intestinal remission, remain a therapeutic challenge. This study aimed to describe two such cases and review available literature on management strategies.</div></div><div><h3>Case reports</h3><div>Despite infliximab and methotrexate, the first patient developed progressive oral lesions with only partial improvement under upadacitinib. The second achieved digestive remission under golimumab and successfully controlled oral lesions with intralesional corticosteroids.</div></div><div><h3>Discussion</h3><div>A literature review (Pubmed, ScienceDirect; up to January 2025) identified 17 articles involving 75 patients. Oral lesions appeared independently (54 %), concomitantly with digestive disease (20 %), or preceded it (26 %). Therapeutic responses were variable, with limited efficacy of anti-TNF antibodies, immunosuppressants, and corticosteroids. Anti-IL12/23 antibodies showed promising results in isolated cases, while data on anti-IL-23 antibodies and JAK inhibitors remain lacking.</div></div><div><h3>Conclusion</h3><div>Due to the absence of standardized therapeutic protocols, a personalized, multidisciplinary approach is essential. Further studies are needed to better define effective treatments.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 2","pages":"Article 102625"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318913","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":"Non-surgical management of Ameloblastoma: A proof of concept study exploring the immunohistochemical expression of immune checkpoint Programmed Death Ligand- 1 in Ameloblastoma","authors":"Revathi Krishna ,&nbsp;Aadithya B. Urs ,&nbsp;Jeyaseelan Augustine ,&nbsp;Priya Kumar","doi":"10.1016/j.jormas.2025.102656","DOIUrl":"10.1016/j.jormas.2025.102656","url":null,"abstract":"<div><h3>Objectives</h3><div>Ameloblastoma (AM) is the most common odontogenic tumour. Non-surgical and conservative treatment approaches are rising in popularity which traditionally involve segmental jaw resection with wide margins. The current study aims to assess the immunohistochemical expression of immune checkpoint Programmed death ligand – 1 (PDL-1) in AM when compared to normal dental follicle (DF).</div></div><div><h3>Methods</h3><div>Immunohistochemical staining of AM (<em>n</em> = 25) and DF (<em>n</em> = 12) using PDL-1 antibody was performed on tissue blocks retrieved retrospectively from the archives. The PDL-1 Total Positive Score (TPS), staining intensity score and H score were calculated. These were statistically compared and p value ≤ 0.05 was considered significant.</div></div><div><h3>Results</h3><div>We observed statistically significant increase in the expression of PDL-1 in AM (80 %) when compared to DF (58.4 %) in terms of TPS score (<em>p</em> &lt; 0.001), H score (<em>p</em> = 0.022) and staining intensity (<em>p</em> &lt; 0.001). PDL-1 positivity was seen in both peripheral and central odontogenic epithelial tumour cells with increased staining in the stellate reticulum like areas.</div></div><div><h3>Conclusions</h3><div>This study highlights the evidence of immune checkpoint alteration in AM which is a benign but aggressive odontogenic neoplasm. The preliminary results encourage more research in the terrain of immunotherapy for odontogenic neoplasms.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 2","pages":"Article 102656"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145535011","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":"Effect of multidisciplinary ERAS-based nursing model on postoperative recovery in patients undergoing radical resection for oral cancer","authors":"Xin Lin ,&nbsp;Yi Wang ,&nbsp;Yue Deng ,&nbsp;Yan Mao ,&nbsp;Yu Pu ,&nbsp;Ying Chen","doi":"10.1016/j.jormas.2025.102643","DOIUrl":"10.1016/j.jormas.2025.102643","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the efficacy of multidisciplinary enhanced recovery after surgery (ERAS)-based nursing model in patients undergoing radical oral cancer resection and its impact on postoperative recovery.</div></div><div><h3>Methods</h3><div>A total of 288 patients undergoing radical oral cancer resection during December 2023-August 2025 were randomized to ERAS (<em>n</em> = 144) or control group (<em>n</em> = 144). Outcome measures included time to first feeding, length of hospital stay (LOS), complications, pain (Visual Analog Scale, VAS), inflammatory cytokines [interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α)], and quality of life (QoL) [36-Item Short Form Health Survey (SF-36), Functional Assessment of Cancer Therapy-General (FACT-G), Satisfaction With Life Scale (SWLS)]. Subgroup analyses were based on age, tumor stage, and preoperative nutrition.</div></div><div><h3>Results</h3><div>At day 7, RAS significantly reduced time to first feeding (17.93 ± 1.13 h vs. 26.56 ± 1.23 h) and LOS (8.35 ± 0.62 d vs. 12.18 ± 0.55 d; <em>P</em> &lt; 0.001). ERAS also lowered VAS scores, IL-6, and TNF-α, while elevated SF-36, FACT-G, and SWLS scores (<em>P</em> &lt; 0.001). Complications decreased in the ERAS group for infection (0.7 % vs. 27.8 %) and dysphagia (20.1 % vs. 67.4 %; <em>P</em> &lt; 0.001). The ERAS group showed superior QoL trajectories and reduced adverse outcome risks (RR &lt; 1, 95 % CI excluding 1). Subgroups with greatest benefit included age ≥ 60 years, malnutrition, and early-stage disease (interaction <em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Multidisciplinary ERAS-based nursing accelerates recovery, reduces complications, and improves QoL post oral cancer surgery, with enhanced efficacy in elderly, malnourished, and early-stage patients.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 2","pages":"Article 102643"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484004","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":"Effects of mandibular protrusion on the structural features of the masticatory muscles and upper airway space – a pilot study","authors":"Daria Madanchi ,&nbsp;Catherine M. Paverd ,&nbsp;Constantin von Deuster ,&nbsp;Stefan Sommer ,&nbsp;Marga B. Rominger ,&nbsp;Dominik A. Ettlin ,&nbsp;Luigi M. Gallo ,&nbsp;Vera Colombo","doi":"10.1016/j.jormas.2025.102598","DOIUrl":"10.1016/j.jormas.2025.102598","url":null,"abstract":"<div><h3>Objectives</h3><div>Obstructive Sleep Apnea (OSA) is the most common sleep breathing disorder. Treatment of mild to moderate OSA includes mandibular advancement devices (MAD). The varying degrees of mandibular protrusion induced by MADs affect the 3-dimensional arrangement of masticatory muscles. This pilot study aimed to observe the effects of different mandibular protrusions on masticatory muscle features and upper airways in one healthy participant.</div></div><div><h3>Study Design</h3><div>Anatomical and diffusion tensor imaging (DTI) magnetic resonance imaging (MRI) scans of the cephalic region of one 24-years-old healthy male subject were obtained with the mandible held stable by a personalized MAD in three positions: habitual bite position (P_R=0 mm), middle protrusion (P_MID=3.5 mm), maximum protrusion (P_MAX=7 mm). Streamline tractography (ST) based on Spherical Deconvolution (SD) was performed. Anatomical masks for the masseter (superficial/deep), medial and lateral pterygoid, and temporalis muscles were manually drawn. The angles formed by each detected muscle fiber projected on coronal, sagittal, and axial planes were computed, and their distribution was calculated. Furthermore, airway volume and minimum cross-sectional area (CSA_MIN) for each position were determined.</div></div><div><h3>Results</h3><div>ST method captured the fiber orientation of all masticatory muscles. Variations in muscle fiber angles and airway space were observed across mandibular positions. Both airway volume and CSA_MIN increased with increasing protrusion.</div></div><div><h3>Conclusions</h3><div>Mandibular protrusion affected the orientation and distribution of the masticatory muscle fibers and the upper airway space in the observed subject. These preliminary findings support further investigations into OSA patients.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"127 2","pages":"Article 102598"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253767","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}