Annals of Maxillofacial Surgery最新文献

{"title":"Onlay Bone Grafting from Anterior Iliac Crest with Immediate Implant Placement - A Case Report.","authors":"Vikrant Dilip Sane, Vivek Sunil Nair, Rashmi Vikrant Sane, Shandilya Ramanojam, Vikram Shivpujan Singh, Nupoor Sanjaykumar Meher","doi":"10.4103/ams.ams_18_24","DOIUrl":"10.4103/ams.ams_18_24","url":null,"abstract":"<p><strong>Rationale: </strong>Teeth loss raises functional, aesthetic as well as the social concerns affecting the quality of life. Bone loss requires reconstruction of alveolar hard tissues before dental implant placement.</p><p><strong>Patient concerns: </strong>Patient reported with a chief complaint of multiple carious teeth wanting rehabilitation.</p><p><strong>Diagnosis: </strong>This article presents a case of Class V anterior maxillary residual ridge and Class VI posterior maxillary residual ridge with Class I mandibular residual ridge.</p><p><strong>Treatment: </strong>Anterior iliac crest bone grafting was done in the maxilla followed by immediate implant placement in both the arches in the same setting. Prosthesis was delivered after 3 months.</p><p><strong>Outcomes: </strong>Ten-year as well as 14-year follow-up of this case reported a favourable oral health-related quality of life and satisfaction.</p><p><strong>Take-away lessons: </strong>Iliac bone grafting followed by immediate implant placement can give a favourable outcome if the case selection is proper.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"15 2","pages":"248-251"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnetic Resonance Imaging for Temporomandibular Joint Internal Derangement and Osteoarthritis - A Prospective Study.","authors":"Chingiz R Rahimov, Jamila Kamal Ali-Zada, Nurmammad R Rahimov, Ismayil M Farzaliyev","doi":"10.4103/ams.ams_242_24","DOIUrl":"10.4103/ams.ams_242_24","url":null,"abstract":"<p><strong>Introduction: </strong>Management of temporomandibular joint (TMJ) osteoarthritis (OA) is a challenging issue in modern gnathology and maxillofacial surgery. Identifying various signs of TMJ OA, their relationship with internal derangement and studying the features of combined (uni-, bilateral) pathology contribute to an accurate assessment of TMJ condition and appropriate management. Conventionally, besides clinical examination, this state was diagnosed by computed tomography. However, magnetic resonance imaging (MRI) allows the assessment of both bone and soft tissue. The aim of the study was to identify the correlation between degenerative changes in bone structures and various forms of internal TMJ disorders based on MRI data, as well as to assess the morphofunctional changes in the TMJ in cases of uni-, bilateral joint pathology.</p><p><strong>Materials and methods: </strong>Two hundred and twenty-two patients (444 joints) underwent a clinical examination and MRI of the TMJ (Siemens Magnetom Verio MRI scanner Germany 3.0 T). Exclusion criteria included systemic diseases, joint trauma and prior treatments.</p><p><strong>Results: </strong>Osteodegeneration predominated in cases of anterior disc displacement without reduction (ADDWoR): osteophytes on the condylar head (74.8%), flattening (40.2%), erosions (31.8%) and subchondral sclerosis (88.8%). As the degree of disc displacement progressed, the decrease of volume of condyle, changed from 373.8 mm² with normal disc position (NDP) to 251.3 mm² with ADDWoR. In cases with NDP, unilateral OA was present in 2.3% of and bilateral OA in 4.1%. Bilateral displacement is characterised by bilateral OA in 26.1%, whereas unilateral OA in 12.2%. There is a positive correlation between the position of the disc in the sagittal projection and degenerative changes.</p><p><strong>Discussion: </strong>Strong correlation was identified between degenerative changes in the bone structures of the TMJ and various types of internal disorders.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"15 2","pages":"180-185"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Infrahyoid Myocutaneous Flap by Preserving Muscular Attachments to the Hyoid Bone - A Retrospective Study.","authors":"Adit Chotipanich","doi":"10.4103/ams.ams_85_25","DOIUrl":"10.4103/ams.ams_85_25","url":null,"abstract":"<p><strong>Introduction: </strong>The infrahyoid myocutaneous flap (IHF) is one of the flaps used in reconstructive procedures for small- and medium-sized defects in the head and neck. However, the flap has not been widely adopted due to a common perception of unreliability. This study aimed to present a modified technique for IHF reconstruction and to evaluate the outcomes of this modification in comparison with the traditional technique.</p><p><strong>Materials and methods: </strong>A chart review was conducted for all patients who underwent oral reconstruction using the IHF - either by the traditional or modified technique - at a tertiary referral hospital from May 2011 to April 2024. The modified technique involved preserving the muscular insertion to the hyoid bone.</p><p><strong>Results: </strong>The modified technique with preserved muscular insertion was performed in 26 patients. Of these, only 4 (15.4%) patients developed partial flap loss, and none of the patients experienced total flap loss. All complications were minor and resolved with conservative treatments. This complication rate was lower than that observed with the traditional technique. The drawback of the modified technique was a relatively shorter pedicle length and a smaller skin paddle compared with the traditional approach.</p><p><strong>Discussion: </strong>A modification of the IHF that preserves muscular attachments to the hyoid bone may serve as a simplified method to improve surgical reliability.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"15 2","pages":"198-202"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally Invasive Surgical Approach for Zygomatic Implant Placement - A Retrospective Study.","authors":"Guillermo Parisi, Federico Stolbizer, Francisco Arraña, Leandro Fernández, Leandro Févola","doi":"10.4103/ams.ams_174_24","DOIUrl":"10.4103/ams.ams_174_24","url":null,"abstract":"<p><strong>Introduction: </strong>Alveolar process resorption and severe maxillary atrophy pose significant challenges for oral surgeons. In the 1990s, an alternative method emerged using non-alveolar or zygomatic implants (ZI). Originally, this procedure was carried out under general anaesthesia, required extensive flaps and had several complications. This study aims to present a working protocol and assess the complications, success and survival rates associated with ZI surgery. It was developed for placing ZIs through precision surgical guides and a minimally invasive vestibular approach under local anaesthesia.</p><p><strong>Materials and methods: </strong>A retrospective study design was implemented, including all patients who underwent ZI surgery at the Department of Oral and Maxillofacial Surgery of the University of Buenos Aires, Argentina, between March 2021 and May 2023. The sample only included patients who underwent bilateral ZIs. The study variables were medical history, implant success, survival rates and complications.</p><p><strong>Results: </strong>The sample consisted of 52 patients, and 208 implants were inserted. The main complication was implant exposure (2.40%), followed by epistaxis (1.44%). The average follow-up was 18 months.</p><p><strong>Discussion: </strong>This working protocol facilitates implant insertion through a combination of surgical guide and vestibular approach. It minimises the risk of complications and optimises surgical and prosthetic outcomes.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"15 2","pages":"218-222"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Accidental Aspiration of a Broken Luer Slip Needle during Intraoral Irrigation - A Case Report.","authors":"Alagappan Meyyapan, Rajesh Pandiarajan, Ragavi Vijayaragavan, Vishal Ramachandran, J Devika, V Mahalakshmi","doi":"10.4103/ams.ams_19_25","DOIUrl":"10.4103/ams.ams_19_25","url":null,"abstract":"<p><strong>Rationale: </strong>Aspiration of a dental irrigation needle during an intraoral procedure is rare but potentially life-threatening, especially in children. This case emphasises the need for careful instrument handling and prompt intervention.</p><p><strong>Patient concerns: </strong>A 5-year-old child aspirated a broken irrigation needle during a dental procedure. The parents were highly concerned, though the child had no immediate respiratory distress. Imaging confirmed the needle lodged in the hypopharynx.</p><p><strong>Diagnosis: </strong>The primary diagnosis was an aspirated dental needle.</p><p><strong>Treatment and outcome: </strong>Due to airway obstruction risk, the needle was urgently removed under general anaesthesia. The procedure was uneventful, and follow-up for two weeks showed no complications.</p><p><strong>Take-away lessons: </strong>This case highlights the importance of preventing instrument breakage/slippage during dental procedures and the need for early recognition and emergency management of airway foreign bodies to avoid serious complications.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"15 2","pages":"245-247"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maxillofacial Surgery at Transformative Crossroads.","authors":"Jean-Paul Meningaud","doi":"10.4103/ams.ams_9_26","DOIUrl":"https://doi.org/10.4103/ams.ams_9_26","url":null,"abstract":"","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"15 2","pages":"133-134"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Pigmented Botryoid Odontogenic Cyst - A Case Report.","authors":"Gabriela Esperanza Maradiaga Posantes, Marcelo Borges Marques, Magdalena Raquel Torres Reyes, Karina Helen Martins, Brenda Carolina Pattigno Forero, Jorge Esquiche León","doi":"10.4103/ams.ams_4_25","DOIUrl":"10.4103/ams.ams_4_25","url":null,"abstract":"<p><strong>Rationale: </strong>Botryoid odontogenic cyst (BOC) is a rare multilocular odontogenic cyst, considered a subtype of the lateral periodontal cyst (LPC). BOC shows a slight male predominance and most often affects the mandibular body. After enucleation, recurrence rates for BOC are higher (22%) compared to LPC (2%). Pigmented odontogenic cysts and tumours are rare, with only 71 reported cases, and one of them was a pigmented BOC.</p><p><strong>Patient concerns and diagnosis: </strong>This report describes a 62-year-old Afro-Brazilian female patient with a radiolucent lesion in the apical region of mandibular incisors, which, after surgical enucleation, was diagnosed as pigmented BOC. Literature data show that pigmented odontogenic cysts predominantly affect the mandible, without sex predilection. Most cases are found in Asian and Black patients.</p><p><strong>Outcome and take-away lessons: </strong>The presence of melanocytes within epithelial tissue may explain the deposition of melanin, suggesting a possible racial/ethnic predisposition for these lesions.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"15 2","pages":"261-264"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of CBCT and Conventional Radiography in Identifying Bone Invasion in Oral Cancer - A Comparative Systematic Review.","authors":"Vedika Pillai, Shams Ul Nisa, Amit Mhapuskar, Shameeka Thopte, Abhijeet Jadhav, Jikisha Jain","doi":"10.4103/ams.ams_80_25","DOIUrl":"10.4103/ams.ams_80_25","url":null,"abstract":"<p><strong>Background: </strong>Bone invasion critically influences staging and surgical planning in oral squamous cell carcinoma (OSCC). Accurate pre-operative imaging is essential to detect cortical and medullary involvement.</p><p><strong>Objective: </strong>The study was to compare the diagnostic efficacy of cone-beam computed tomography (CBCT) versus conventional radiography for detecting bone invasion in OSCC.</p><p><strong>Data sources: </strong>PubMed, Embase, Scopus, Web of Science and Cochrane Library.</p><p><strong>Study eligibility criteria: </strong>Comparative or observational studies evaluating CBCT and/or conventional radiography for OSCC bone invasion, using histopathology or intraoperative findings.</p><p><strong>Participants and interventions: </strong>Patients with OSCC undergoing preoperative imaging; index tests included CBCT and conventional panoramic/periapical radiography.</p><p><strong>Study appraisal and synthesis methods: </strong>Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-2020 and PRISMA-DTA compliant review with PROSPERO registration. Two reviewers independently screened, extracted data and assessed quality using Quality Assessment of Diagnostic Accuracy Studies-2. Owing to heterogeneity and incomplete 2 × 2 data, findings were narratively synthesised; a summary area under the curve (AUC) was estimated where possible.</p><p><strong>Results: </strong>Nineteen studies (sample sizes 14-197) were included. CBCT showed higher sensitivity (84.8%-100%) and specificity (60%-100%) than conventional radiography (sensitivity 24%-74.1%; specificity 68%-75%). CBCT facilitated earlier detection of cortical and trabecular changes and performed comparably to CT for osseous invasion, while magnetic resonance imaging (MRI) remained superior for soft-tissue and marrow evaluation. Across studies with extractable data, the summary AUC was 0.59, reflecting modest overall discrimination.</p><p><strong>Limitations: </strong>Substantial heterogeneity in methodology and CBCT protocols, observer variability and risk of bias limited pooling and generalisability.</p><p><strong>Conclusions: </strong>CBCT outperforms conventional radiography for detecting OSCC-related bone invasion, which should be considered in pre-operative evaluation, complemented by MRI where soft-tissue involvement is suspected. Standardised protocols and artificial intelligence-driven CBCT analysis warrant future validation.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"15 2","pages":"228-236"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toluidine Blue Test for Early Detection of High-risk Oral Potentially Malignant Disorders and Oral Cancer - An Evaluative Study.","authors":"Ruwan D Jayasinghe, P V K S Hettiarachchi, W M Tilakaratne, K I P Prabani, H Amarasinghe","doi":"10.4103/ams.ams_43_25","DOIUrl":"10.4103/ams.ams_43_25","url":null,"abstract":"<p><strong>Introduction: </strong>Oral cancer (OCa) is the malignancy of the mucosal part of the lip and oral cavity. Toluidine blue (TB) is a non-invasive adjunct screening tool to detect dysplasia. This study aims to validate TB stain as a diagnostic adjunct for early detection of oral potentially malignant disorders (OPMDs) and OCa in the primary healthcare settings in Sri Lanka.</p><p><strong>Materials and methods: </strong>A descriptive cross-sectional study was conducted in the primary healthcare settings. Capacity development workshops were carried out for the dental surgeons working in the primary healthcare settings in Gampaha and Kandy districts. Study materials (questionnaires, TB test-kits and guidebooks) were distributed among the workshop participants. Completed questionnaires and opinion were traced back with histopathological findings. SPSS version 26 was used to analyse the data.</p><p><strong>Results: </strong>A total of 162 patients were recruited from peripheral clinics. Majority (74.1%) of the patients were male. Among the total participants, the TB test was positive for 74 (45.7%) cases. According to the histopathological findings, most TB-positive patients were with moderate/severe epithelial dysplasia followed by oral squamous cell carcinomas and oral submucous fibrosis with epithelial dysplasia. Eighty-eight (54.3%) cases were negative for the TB test. Sex and histopathological categories with TB positivity showed a significant association (<i>P</i> = 0.034) as well as a statistically significant association.</p><p><strong>Discussion: </strong>TB test is a reliable staining method to identify dysplastic lesions in the oral cavity. Further, it helps the clinicians to identify the most appropriate site to perform an incisional biopsy.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"15 2","pages":"159-163"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Photobiomodulation Therapy and Therapeutic Ultrasound in Temporomandibular Joint Disorder Patients - A Prospective Study.","authors":"Akansha Budakoti, Deepankar Misra, Tarun Vyas, Arjit Vihan, Ritu Singh, Nidhi Adarshi","doi":"10.4103/ams.ams_61_25","DOIUrl":"10.4103/ams.ams_61_25","url":null,"abstract":"<p><strong>Introduction: </strong>Temporomandibular disorders (TMDs) are common causes of non-dental pain in the orofacial region, with symptoms such as pain, limited mouth opening and joint sounds like clicking or grinding. Physical therapy is important in treating TMD, aiming to reduce pain and inflammation and restore oral motor function. Recent physical therapies for TMD include photobiomodulation (PBM) therapy, therapeutic ultrasound (Th.US), electrophysical modalities, exercise and manual techniques.</p><p><strong>Materials and methods: </strong>This study evaluated the effectiveness of PBM therapy and Th.US in managing TMDs. Sixty patients were divided with random assignment of patients equally into the two groups: Group I received PBM therapy, and Group II received Th.US. The patients were assessed for pain intensity using the Visual Analogue Scale, tender points and mouth opening using Vernier calipers. Statistical analysis was performed using SPSS software version 21.</p><p><strong>Results: </strong>This study showed a significant reduction in pain, increased mouth opening and fewer tender points in the PBM group (<i>P</i> < 0.005) compared to the Th.US group.</p><p><strong>Discussion: </strong>PBM therapy was found to be effective in reducing pain quickly and improving mouth opening, making it a valuable non-invasive option for managing TMDs.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"15 2","pages":"175-179"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}