Journal of Stomatology Oral and Maxillofacial Surgery最新文献

{"title":"Digital evaluation of the zygomatic buttress intra-oral donor site dimensions in different vertical facial growth types.","authors":"Ronald Younes, Bachar Husseini, Joseph Ryan Younes, Nabil Ghosn, Joe Najjar, Pia El Sayegh, Paul Fawaz, Joseph Bouserhal","doi":"10.1016/j.jormas.2025.102268","DOIUrl":"https://doi.org/10.1016/j.jormas.2025.102268","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigates the influence of vertical facial growth patterns on the morphology of the zygomatic buttress (ZB) donor site and its implications for preoperative planning in bone grafting.</p><p><strong>Materials and methods: </strong>A total of 100 adult Cone beam computed tomography (CBCT) scans were analyzed and categorized into hypodivergent, normodivergent, and hyperdivergent groups based on SN-GoGn angles. Three-dimensional ZB models were created using semi-automatic segmentation, with key parameters-volume, surface area, thickness, and anteroposterior protrusion-measured using stable anatomical landmarks. Statistical analyses included descriptive statistics, one-way analysis of variance (ANOVA), Tukey's post-hoc tests, and Kruskal-Wallis H tests where necessary. A p-value < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>ZB morphology varied significantly across facial growth types. Hypodivergent faces exhibited the highest bone volume (533.25 ± 129.58 mm³), surface area (560.70 ± 99.76 mm²), total thickness (4.68 ± 1.91 mm), and bulge thickness (9.75 ± 2.51 mm). Normodivergent faces showed intermediate values for bone volume (394.39 ± 141.62 mm³), surface area (504.27 ± 108.54 mm²), and thickness (2.79 ± 1.05 mm total, 5.42 ± 2.45 mm bulge). Hyperdivergent faces had the lowest bone volume (259.00 ± 86.28 mm³), surface area (422.64 ± 95.59 mm²), total thickness (1.70 ± 0.49 mm), and bulge thickness (3.57 ± 1.66 mm). Anteroposterior protrusion also differed significantly, with hypodivergent faces showing the largest protrusion (21.56 ± 3.24 mm).</p><p><strong>Conclusion: </strong>The ZB is a reliable donor site with morphology influenced by facial growth patterns. Preoperative radiographic assessment facilitates optimized surgical planning and tailored grafting strategies.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102268"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124146","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":"SURGICALLY ASSISTED MAXILLARY EXPANSION: INFLUENCE OF PIEZOSURGERY ON THE COMPLICATIONS LINKED TO THE MIDLINE OSTEOTOMY.","authors":"Nuffer A, Veyssière A, Chatellier A, Preudhomme R, Benateau H","doi":"10.1016/j.jormas.2025.102258","DOIUrl":"https://doi.org/10.1016/j.jormas.2025.102258","url":null,"abstract":"<p><p>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. 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. 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). 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.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102258"},"PeriodicalIF":2.2,"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":"The Role of Professional Oral Hygiene in Enhancing Outcomes of Maxillofacial Trauma Surgery.","authors":"Giuseppe Consorti, Giulio Cirignaco, Gabriele Monarchi, Lisa Catarzi, Mariagrazia Paglianiti, Enrico Betti, Umberto Committeri, Lucrezia Togni, Marco Mascitti, Paolo Balercia, Andrea Santarelli","doi":"10.1016/j.jormas.2025.102269","DOIUrl":"https://doi.org/10.1016/j.jormas.2025.102269","url":null,"abstract":"<p><strong>Background: </strong>The oral cavity poses challenges in surgical interventions due to its microbial flora. Maxillofacial trauma surgeries are vulnerable to infections, complicating recovery. Traditional methods, including antibiotic prophylaxis, have limitations, highlighting the need for complementary strategies.</p><p><strong>Objective: </strong>This study evaluated the impact of professional oral hygiene protocol on infection rates, mucosal health, and pain levels in maxillofacial trauma patients.</p><p><strong>Material and methods: </strong>A retrospective study analyzed 529 patients treated for maxillofacial trauma at the Maxillo-Facial Surgery Unit of \"Azienda Ospedaliera Ospedali Riuniti\" in Ancona, Italy, from 2018 to 2023. Patients were divided into two groups: Period 1 (2018-2020, no protocol) and Period 2 (2021-2023, protocol implemented). All patients were in good general health, with no systemic diseases compromising immunity or influencing surgical outcomes. The protocol included supragingival scaling 48 hours preoperatively, chlorhexidine 0.20% three times daily postoperatively, and standardized antibiotic and analgesic regimens. Data included infection rates, modified Beck Oral Assessment Scores and Numerical Rating Scale pain scores. Statistical analyses included independent t-tests and Chi-square tests, with significance set at p < 0.05.</p><p><strong>Results: </strong>Period 2 showed significantly lower infection rates (13.44% vs. 19.48%, p = 0.023), reduced pain scores (mean NRS: 4.6 vs. 5.4, p < 0.01) and improved mucosal health (mean BOAS: 2.91 vs. 3.75, p < 0.001).</p><p><strong>Discussion: </strong>The professional oral hygiene protocol reduced postoperative complications, improved oral health, and enhanced patient comfort. These findings support the integration of structured oral hygiene measures into standard maxillofacial surgical care to optimize outcomes and quality of life.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102269"},"PeriodicalIF":2.2,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075695","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":"https://doi.org/10.1016/j.jormas.2025.102266","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Clinical case: </strong>A 51-year-old soldier, victim of a plane crash with more than 40% of his body surface burned, was treated with hair autograft.</p><p><strong>Conclusion: </strong>Hair transplantation could prove to be one of the significant solutions to reconstruct alopecia caused by thermal burns.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102266"},"PeriodicalIF":2.2,"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":"Proposal of staging system and treatment guideline for diagnostically challenging primary intra-osseous carcinoma: A retrospective single-center case series and literature review.","authors":"Dong-Ho Cho, Hoon Myoung, Mi Hyun Seo","doi":"10.1016/j.jormas.2025.102259","DOIUrl":"10.1016/j.jormas.2025.102259","url":null,"abstract":"<p><p>The objective of this retrospective study is to examine the clinical, imaging and pathologic features of 10 patients diagnosed with 'primary intraosseous carcinoma (PIOC)' at a single institution and to identify factors affecting the prognosis of PIOC patients. By proposing a new staging system based on tumor size, cortical bone deformation, neck metastasis and histologic grade, the study aims to address the lack of a distinct staging system, which has led to the mixed use of the classification for oral squamous cell carcinoma (OSCC). Furthermore, the study intends to suggest a treatment guideline based on the newly proposed staging system. By sharing the accumulated experience of treating PIOC patients at a single institution, the study seeks to contribute to more accurate diagnosis and appropriate treatment.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102259"},"PeriodicalIF":2.2,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048621","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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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) (n = 234; 50.4 %). Common manifestations were cleft palate (n = 183; 42.8 %), retrognathia (n = 22; 41.5 %), flat nasal bridge (n = 19; 48.7 %), midface hypoplasia (n = 9; 25.7 %), elongated philtrum (n = 5; 35.7 %), prominent eyes (n = 5; 19.2 %), and high arched palate (n = 3; 11.1 %).</p><p><strong>Discussion: </strong>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.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102261"},"PeriodicalIF":2.2,"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":"NKAP: A new m6A RNA binding protein predicts prognosis and immunotherapy response in head and neck squamous cell carcinoma.","authors":"Paramasivam Arumugam, Jeevitha Manicka Vasagam, Vijayashree Priyadharsini Jayaseelan","doi":"10.1016/j.jormas.2025.102265","DOIUrl":"10.1016/j.jormas.2025.102265","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate whether NKAP (nuclear factor κB activating protein) serves as a prognostic marker and predictive biomarker for immunotherapy response in head and neck squamous cell carcinoma (HNSCC).</p><p><strong>Methods: </strong>A retrospective cohort study combined with in vitro analyses was conducted. NKAP mRNA expression levels were assessed in 520 HNSCC tumor tissues and 44 normal tissues from the TCGA dataset and validated in a clinical cohort (n = 32). Clinical correlations with overall survival and immunotherapy outcomes were analyzed. The key pathological variables included tumor stage, grade, HPV status, and TP53 mutation. Appropriate statistics were calculated at a significant level (P<0.05).</p><p><strong>Results: </strong>In this study, we have collected tissue samples from HNSCC patients (mean age: 52.65 ± 7.76; males 66%, females 34%). NKAP was upregulated in HNSCC tissues compared to adjacent normal tissues (P < 0.001). The high expression of NKAP correlated with advanced tumor stage, grade, and reduced survival (P < 0.05). High expression levels of NKAP were also associated with anti-PD-L1 therapy response (P < 0.05). Functional enrichment analysis revealed NKAP involvement in cell cycle regulation, mRNA processing, and chromatin remodeling pathways critical for cancer progression.</p><p><strong>Conclusion: </strong>NKAP represents a promising prognostic marker and therapeutic target for immunotherapy in HNSCC. Prospective studies are warranted to confirm these findings.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102265"},"PeriodicalIF":2.2,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054137","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":"Additively Manufactured Subperiosteal Implants for the Rehabilitations of Lateral Incisors Agenesis - a case series.","authors":"Marco Roy, Mauro Cerea, Wieslaw Hedzelek, Luigi Angelo Vaira, Barbara Dorocka-Bobkowska","doi":"10.1016/j.jormas.2025.102263","DOIUrl":"https://doi.org/10.1016/j.jormas.2025.102263","url":null,"abstract":"<p><strong>Background: </strong>Tooth agenesis, particularly the absence of upper lateral incisors, presents substantial challenges for clinicians due to the associated bone atrophy, which limits the use of traditional implant solutions. Current options, such as endosseous implants combined with guided bone regeneration (GBR), often fail due to insufficient osseointegration in atrophic bone. This study aims to evaluate the effectiveness of custom-made, additively manufactured subperiosteal implants in addressing these challenges METHODS: This retrospective study assessed 16 custom-made subperiosteal implants used in 12 patients (10 females, 2 males; mean age 25 ± 2.3 years) with lateral incisor agenesis who had previously experienced early implant failure with conventional endosseous implants. The protocol included subperiosteal implants combined with bovine bone grafts and PRF membranes, allowing for immediate loading and correct prosthetic alignment. Clinical evaluations focused on implant stability, peri-implant tissue health and esthetic (including probing depths and bleeding on probing), and prosthetic success over time.</p><p><strong>Results: </strong>During a follow-up period of 18 to 64 months (mean 48 ± 6.7 months), all patients maintained stable implants, with no implant failures reported. Biological outcomes demonstrated stable peri-implant health, with probing depths averaging 3 mm and minimal signs of inflammation. The mean pink esthetic score was 12.3 ± 1.1 (range: 10 to 14). Prosthetic complications were limited to minor adjustments, with two cases requiring recementing of crowns after three years.</p><p><strong>Conclusions: </strong>The results indicate that this new protocol provides a reliable, single-procedure solution for the rehabilitation of lateral incisor agenesis in patients with significant bone atrophy, achieving a 100% success rate in this study. Despite promising outcomes, the study is limited by a small sample size and the need for longer follow-up to assess durability. This approach offers a viable alternative for patients where traditional implants are not feasible due to bone deficiencies.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102263"},"PeriodicalIF":2.2,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054103","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":"Associations of lifestyle factors with oral cancer risk: An umbrella review.","authors":"Haobo Xu, Zhonglan Gao, Hairong Liu, Liya An, Ting Yang, Bojun Zhang, Guobin Liu, Dali Sun","doi":"10.1016/j.jormas.2025.102234","DOIUrl":"10.1016/j.jormas.2025.102234","url":null,"abstract":"<p><strong>Background: </strong>Oral cancer is a common head and neck cancer malignancy that seriously affects patients' quality of life and increases the health care burden. Moreover, there is a lack of comprehensive reviews of previous research on factors associated with oral cancer. The aim of the current umbrella review was to provide a comprehensive and systematic summary of relevant studies, to grade the quality of evidence of relevant studies, and to provide guidance for the prevention of oral cancer.</p><p><strong>Methods: </strong>The PubMed, Web of Science, Medline, Cochrane Library, Embase and CNKI databases were searched for relevant meta-analyses and systematic reviews. Two authors extracted the data separately and assessed the quality of the studies using the AMSTAR-2(A Measurement Tool to Assess Systematic Reviews-2) scale.</p><p><strong>Results: </strong>A total of 28 meta-analyses were included in this review:13 meta-analyses of dietary factors and 8 meta-analyses of behavioural habits and 7 meta-analyses of factors that were difficult to categorise as dietary and behavioural. Alcohol, tobacco (chewing tobacco/secondhand smoke exposure), betel quid , processed meat, periodontal disease, HPV (especially HPV16 and HR-HPV) infection, and chronic mechanical irritation were positively correlated with the risk of oral cancer. Vitamin C-rich citrus fruits were negatively associated with the risk of oral cancer . Fish, milk and dairy products except butter, coffee and tea intake may be negatively associated with the risk of oral cancer, but subgroup analyses of studies of fish and milk revealed significant effects only for European populations. Additionally, green tea showed the strongest protective effect among teas. High and moderate coffee intake was negatively associated with the risk of oral cancer. Oral hygiene maintenance was also negatively associated with the risk of oral cancer.</p><p><strong>Conclusion: </strong>Reducing or eliminating alcohol consumption, refraining from direct or indirect exposure to tobacco products, and reducing betel quid chewing may lead to a reduced risk of oral cancer. Reducing the intake of processed meat, moderate intake of coffee, the consumption of green tea of appropriate temperature and strength, fish and citrus fruit intake, and oral hygiene, preventing periodontal diseases and HPV infections, and reducing mechanical stimulation of the oral mucosa caused by various reasons can exert protective effects against oral cancer.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102234"},"PeriodicalIF":2.2,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043457","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":"Insights into the use of DNA content in head and neck squamous cell carcinoma as a method for patient stratification and targeted therapy: Revisiting old concepts and exploring new possibilities.","authors":"Moisés Willian Aparecido Gonçalves, Tayná Figueiredo Maciel, Luccas Lavareze, Erika Said Abu Egal, Albina Altemani, Marcelo Sperandio, Fernanda Viviane Mariano","doi":"10.1016/j.jormas.2025.102260","DOIUrl":"10.1016/j.jormas.2025.102260","url":null,"abstract":"<p><strong>Background: </strong>This review aimed to emphasize the implications of DNA content in head and neck squamous cell carcinoma (HNSCC), focusing on its predictive value, role in patient stratification, and potential as a therapeutic target for this malignancy.</p><p><strong>Methods: </strong>A narrative review of the literature was conducted through electronic database searches.</p><p><strong>Results: </strong>In conventional HNSCC, aneuploid tumors are associated with increased lymph node metastasis, locoregional recurrences, poor response to radiotherapy and chemotherapy, and worse prognosis. Few studies specifically address the role of DNA content in young HNSCC patients. These studies reveal that young patients exhibit high DNA content abnormalities, suggesting significant genomic instability and potential genetic differences compared to older patients. Regarding HPV and DNA content, no difference was found between HPV-associated and HPV-independent tumors. More research is needed to understand the role of DNA content in histological subtypes, surgical margins, and targeted therapy.</p><p><strong>Conclusion: </strong>This review highlights the findings related to DNA content in HNSCC, suggesting its usefulness in patient stratification and outcome prediction.</p>","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102260"},"PeriodicalIF":2.2,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043460","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}