International journal of oral and maxillofacial surgery最新文献

Endoscopic transcanal repair of temporomandibular joint herniation into the external auditory canal: literature review. 经鼻内镜修复颞下颌关节突出进入外耳道：文献回顾。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-10-19 DOI: 10.1016/j.ijom.2026.10.004

D M Dobrowolska, A Brociek-Piłczyńska, D Jurkiewicz, M A Kwiatkowska

{"title":"Endoscopic transcanal repair of temporomandibular joint herniation into the external auditory canal: literature review.","authors":"D M Dobrowolska, A Brociek-Piłczyńska, D Jurkiewicz, M A Kwiatkowska","doi":"10.1016/j.ijom.2026.10.004","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.10.004","url":null,"abstract":"Temporomandibular joint (TMJ) herniation into the external auditory canal is a rare condition associated with anterior canal wall defects, most commonly due to a patent foramen of Huschke, trauma, or infection. The clinical presentation is variable and often non-specific, which may lead to misdiagnosis. High-resolution computed tomography is crucial for accurate diagnosis and effective surgical planning. While open surgical repair remains standard, minimally invasive approaches have not been widely reported. An 81-year-old male presented with right-sided otalgia exacerbated by mandibular movement and unresponsive to topical and oral antibiotics. He was initially diagnosed with malignant otitis externa. Otoscopic and radiological evaluations revealed a soft-tissue mass protruding through an anterior external auditory canal defect, consistent with TMJ herniation. After acute inflammation resolved, the patient underwent endoscopic transcanal surgical repair under general anaesthesia. The herniated TMJ capsule was dissected, and the osseous defect was reconstructed using layered autologous conchal cartilage and perichondrium. The procedure was completed entirely through the endoscopic approach without external incisions. At the 6-month follow-up, the patient remained asymptomatic, with complete graft integration and no recurrent herniation. Histopathological analysis excluded malignancy. This case illustrates the diagnostic challenge of TMJ herniation mimicking malignant otitis externa and demonstrates the feasibility of a fully endoscopic transcanal surgical approach for defect repair. The described minimally invasive technique offers a promising alternative to traditional open procedures, with reduced morbidity and favourable functional outcomes.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of the aesthetic impact on the mandibular angle of two types of osteotomy. 两种截骨方式对下颌角美学影响的比较。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-10-19 DOI: 10.1016/j.ijom.2026.09.020

J A A Silva, C A P do Lago, G J S Nunes, T F Faro, F A da Costa Araújo, J R Laureano Filho

{"title":"Comparison of the aesthetic impact on the mandibular angle of two types of osteotomy.","authors":"J A A Silva, C A P do Lago, G J S Nunes, T F Faro, F A da Costa Araújo, J R Laureano Filho","doi":"10.1016/j.ijom.2026.09.020","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.09.020","url":null,"abstract":"The growing aesthetic demand for projection and definition of the mandibular angle has challenged oral and maxillofacial surgeons, requiring new approaches to osteotomies during orthognathic surgery. This study was undertaken to compare the conventional sagittal split osteotomy (SSO) with anterior oblique osteotomy (AOO) regarding their effects on the mandibular angle in both bone and soft tissue outcomes. A longitudinal observational cohort study was conducted with patients who underwent orthognathic surgery, including pre- and postoperative computed tomography and photographic examinations with a minimum follow-up interval of 6 months. Measurements were performed using Dolphin Imaging software. No significant differences were observed in the angle and vertical height of the mandible between the techniques. However, AOO was more effective in enhancing the lateral projection of the mandibular angle, with a significant increase in gonial distance (P = 0.004). In the soft tissues, AOO also demonstrated a significant effect on horizontal projection in coronal slices (P < 0.001), whereas three-dimensional reconstructions revealed no significant changes. These findings highlight that anterior oblique osteotomy improves mandibular angle projection when compared to conventional sagittal split osteotomy.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corrigendum to "Pedicled and free latissimus dorsi flaps in oral and oropharyngeal reconstruction: comparison of outcomes" [Int J Oral Maxillofacial Surg (2026) Article in press]. “带蒂和游离背阔肌皮瓣在口腔和口咽重建中的效果比较”的更正[国际口腔颌面外科杂志（2026）出版中的文章]。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-10-19 DOI: 10.1016/j.ijom.2026.10.009

R M Zimmerer, J Häfner, M Salge, P Korn, L Lindhorst, A Eckardt, N-C Gellrich, M T Neuhaus

引用次数: 0

Complications and management of modified custom-made subperiosteal implants in severely atrophic maxilla and mandible: a retrospective cohort of 211 implants. 改良骨膜下种植体治疗严重颌骨萎缩的并发症及处理：211例回顾性研究。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-10-17 DOI: 10.1016/j.ijom.2026.09.018

L A Vaira, A Biglio, V Dessì, G Salzano, J R Lechien, A Maniaci, G De Riu

{"title":"Complications and management of modified custom-made subperiosteal implants in severely atrophic maxilla and mandible: a retrospective cohort of 211 implants.","authors":"L A Vaira, A Biglio, V Dessì, G Salzano, J R Lechien, A Maniaci, G De Riu","doi":"10.1016/j.ijom.2026.09.018","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.09.018","url":null,"abstract":"Modified custom-made, additively manufactured subperiosteal implants incorporating guided crestal boneoplasty for abutment housing have re-emerged as a graftless option for selected patients with severe jaw atrophy. This study evaluated the incidence, timing, severity, and management of complications in a large consecutive cohort. A retrospective analysis was conducted on 124 patients who received 211 titanium custom-made subperiosteal implants between 2018 and 2025 at a single maxillofacial surgery unit. Indications included completely edentulous arches and segmental rehabilitation of atrophic edentulous regions where conventional endosseous implant placement was not feasible without major reconstructive procedures or unfavourable prosthetic compromises. All cases were digitally planned. Clinical and radiological records were reviewed to assess implant survival and intraoperative, early, and late biological or mechanical complications. The median follow-up was 28 months. The overall implant survival rate was 98.1%. Intraoperative and early postoperative complications were uncommon and mostly mild. Late biological events were dominated by limited framework exposure, recorded in 9.5% of implants, almost exclusively grade 1 and usually asymptomatic. A previously under-reported pattern of delayed, non-suppurative oedema was observed mainly in maxillary cases and was generally self-limiting or responsive to conservative treatment. Mechanical complications were rare, with no framework or fixation screw fractures and only two fractures of provisional prostheses. Modified custom-made subperiosteal implants may provide a predictable graftless rehabilitation option for selected patients with severely atrophic jaws, with high survival and a predominantly low-grade, manageable complication profile.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Symptom intensity profiles and inter-symptom correlations across subtypes of burning mouth syndrome. 灼口综合征各亚型的症状强度特征及症状间相关性。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-10-16 DOI: 10.1016/j.ijom.2026.10.007

S M Kim, M-S Kong, M-J Kim, H-S Kho

{"title":"Symptom intensity profiles and inter-symptom correlations across subtypes of burning mouth syndrome.","authors":"S M Kim, M-S Kong, M-J Kim, H-S Kho","doi":"10.1016/j.ijom.2026.10.007","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.10.007","url":null,"abstract":"This study aimed to compare average and maximum symptom intensities and inter-symptom correlation structures across subtypes of burning mouth syndrome (BMS) to clarify their clinical and mechanistic differences. Baseline questionnaire data from our previous prospective cohort were retrospectively analysed. Ninety-eight postmenopausal women with BMS were classified into primary (n = 50), secondary (n = 21), or combined (overlapping primary and secondary features; n = 27) subtypes according to clinical and laboratory criteria. Eight symptom domains (burning, aching, stinging, numbness, taste disturbance, xerostomia, sore throat, and effect on daily life (Eff-life)) were assessed using 0-10 visual analog scales for average and maximum intensities. Primary BMS showed a broader pattern of significant inter-symptom correlations than secondary or combined BMS, particularly among burning, xerostomia, and taste disturbance, suggesting a more closely related symptom profile. Secondary BMS exhibited fewer associations, consistent with localized or peripheral mechanisms, while combined BMS showed intermediate patterns. Overall group differences were observed in average and maximum Eff-life (P = 0.047 and 0.028, respectively) and in maximum burning intensity (P = 0.004). After Bonferroni adjustment, only maximum burning intensity was significantly higher in combined than in primary BMS (adjusted P = 0.003). The within-symptom intensity gap (maximum minus average) did not differ across subtypes. These findings suggest that primary BMS may exhibit a more integrated multi-symptom profile compatible with shared neurologic mechanisms, whereas secondary BMS may show a more circumscribed profile associated with identifiable local or systemic contributors; symptom severity and variability were nevertheless comparable across subtypes.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of malnutrition defined by Global Leadership Initiative on Malnutrition criteria on prognosis in oral squamous cell carcinoma. 全球领导倡议营养不良标准定义的营养不良对口腔鳞状细胞癌预后的影响

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-10-16 DOI: 10.1016/j.ijom.2026.09.025

Y Aiso, J Inada, T Kikuchi, S Sekikawa, K Sakai, T Nomura

{"title":"Impact of malnutrition defined by Global Leadership Initiative on Malnutrition criteria on prognosis in oral squamous cell carcinoma.","authors":"Y Aiso, J Inada, T Kikuchi, S Sekikawa, K Sakai, T Nomura","doi":"10.1016/j.ijom.2026.09.025","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.09.025","url":null,"abstract":"Patients with oral squamous cell carcinoma (OSCC) may present with malnutrition prior to treatment due to oral dysfunction such as pain and dysphagia. However, limited data are available regarding the preoperative malnutrition and its prognostic impact in OSCC patients when assessed using the Global Leadership Initiative on Malnutrition (GLIM) criteria. The purpose of this study was to investigate the association between preoperative malnutrition assessed by the GLIM criteria and overall survival and disease-free survival in patients with OSCC. This retrospective study included 187 patients with OSCC who underwent primary surgical treatment. Preoperative nutritional status was evaluated using the GLIM criteria and classified as non-malnutrition, moderate malnutrition, or severe malnutrition. Overall survival and disease-free survival were analyzed using Cox proportional hazards models. Among the 187 patients included in this study, malnutrition according to the GLIM criteria was diagnosed in 18.2% of the patients, including 11.2% with moderate malnutrition and 7.0% with severe malnutrition. In multivariable Cox proportional hazards analysis, severe malnutrition defined by the GLIM criteria was identified as an independent unfavorable prognostic factor for both overall survival (hazard ratio (HR) 3.09, 95% confidence interval (CI) 1.52-6.31, P < 0.01) and disease-free survival (HR 2.27, 95% CI 1.19-4.32, P = 0.02). Preoperative malnutrition assessed by the GLIM criteria, particularly severe malnutrition, was shown to have a significant impact on prognosis in patients with OSCC. Further studies are required to evaluate nutritional interventions and supportive care aimed at improving survival outcomes in malnourished OSCC patients.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Systemic outcomes following maxillomandibular advancement for obstructive sleep apnea: systematic review and meta-analysis. 阻塞性睡眠呼吸暂停患者上颌下颌进展后的系统结局：系统回顾和荟萃分析。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-10-16 DOI: 10.1016/j.ijom.2026.09.022

C Holmes, A Namavarian, R Malinsky, M Abdelwahab, B Ibrahim

{"title":"Systemic outcomes following maxillomandibular advancement for obstructive sleep apnea: systematic review and meta-analysis.","authors":"C Holmes, A Namavarian, R Malinsky, M Abdelwahab, B Ibrahim","doi":"10.1016/j.ijom.2026.09.022","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.09.022","url":null,"abstract":"Obstructive sleep apnea (OSA) is a common sleep disorder associated with an elevated risk of systemic comorbidities. Maxillomandibular advancement (MMA) surgery can reduce upper airway obstruction and improve sleep parameters, but its systemic health benefits remain less well characterized. This systematic review and meta-analysis was performed to synthesize evidence on the systemic health outcomes associated with MMA in patients with OSA. A comprehensive literature search was conducted in PubMed, Embase, Cochrane CENTRAL, Scopus, and Web of Science from inception through May 20, 2026. Inclusion criteria encompassed original research studies (case series, cohort studies, trials) reporting systemic health outcomes after MMA for OSA. Two reviewers independently screened and extracted data. Risk of bias was assessed using an NIH quality assessment tool. Seven studies (271 patients), with mean follow-up ranging from 5.2 months to 6.6 years, met the inclusion criteria . All studies reported significant reductions in apnea-hypopnea index postoperatively. Four studies included in a meta-analysis demonstrated statistically significant reductions in blood pressure: systolic, mean difference -8.6 mmHg (95% confidence interval -14.2 to -3.0); diastolic, mean difference -5.3 mmHg (95% confidence interval -8.5 to -2.0). MMA for OSA not only improves airway patency and sleep metrics, but is also associated with enduring systemic health benefits, including a blood pressure reduction. Limited evidence also suggests potential improvements in neurocognitive outcomes. Although the evidence suggests a positive impact, further high-quality randomized controlled trials employing rigorous outcome measures (e.g., ambulatory blood pressure monitoring) are needed to fully delineate the persistent systemic effects of maxillomandibular advancement.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical T staging accuracy and its prognostic relevance in oral squamous cell carcinoma. 口腔鳞状细胞癌临床T分期准确性及其与预后的相关性。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-10-15 DOI: 10.1016/j.ijom.2026.10.002

M Richter, V Vertic, L Mödl, E Sprünken, C Doll, M Heiland, S Koerdt, F Mrosk

{"title":"Clinical T staging accuracy and its prognostic relevance in oral squamous cell carcinoma.","authors":"M Richter, V Vertic, L Mödl, E Sprünken, C Doll, M Heiland, S Koerdt, F Mrosk","doi":"10.1016/j.ijom.2026.10.002","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.10.002","url":null,"abstract":"Accurate clinical T-staging is essential for guiding surgical management in oral squamous cell carcinoma (OSCC), particularly when determining treatment escalation or de-escalation. This study evaluated its diagnostic accuracy and impact on potential over- and undertreatment. This retrospective single-center study included patients with histologically confirmed OSCC who underwent primary surgical resection with negative margins between 2012 and 2022. Clinical T-staging based on preoperative contrast-enhanced computed tomography and clinical examination was compared with pathological staging. The primary endpoint was the diagnostic accuracy of clinical T-staging, while secondary endpoints were overall survival and disease-free survival. A total of 637 patients were included in this study, from which 33.9% were inaccurately staged. Clinical stages T1 and T4a yielded the highest accuracy (81.6% and 84.1%), while stages T2 and T3 only had 69.2% and 64.3%. Midline tumors and patients with a clinically unsuspicious neck (cN0) were more frequently staged accurately. In survival analysis, inaccurate T-staging was not independently associated with worse overall survival (hazard ratio 0.91, 95% confidence interval 0.65-1.27, P = 0.59) or disease-free survival (1.02, 0.70-1.49, P = 0.93). Clinical T staging in OSCC was inaccurate in approximately one-third of cases, particularly in cT2-3 tumors, whereas cT1 and cT4a showed higher concordance. Although staging inaccuracies were not linked to survival, they may influence the extent of surgical resection and the overall invasiveness of the procedure.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is technical difficulty associated with the accuracy of patient-specific implants for maxillary repositioning in minimally invasive orthognathic surgery? 在微创正颌手术中，技术困难是否与患者特异性种植体上颌复位的准确性有关？

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-10-14 DOI: 10.1016/j.ijom.2026.09.001

F J Amarista, E Ellis

{"title":"Is technical difficulty associated with the accuracy of patient-specific implants for maxillary repositioning in minimally invasive orthognathic surgery?","authors":"F J Amarista, E Ellis","doi":"10.1016/j.ijom.2026.09.001","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.09.001","url":null,"abstract":"The use of patient-specific implants (PSIs) in minimally invasive orthognathic surgery remains limited due to concerns about technical difficulty and restricted intraoperative exposure. Whether increasing maxillary movement technical difficulty compromises the accuracy of PSI-assisted minimally invasive surgery remains unclear. This retrospective cohort study evaluated the accuracy of maxillary repositioning using PSIs in minimally invasive bimaxillary orthognathic surgery and its relationship to technical difficulty. Consecutive patients treated at the University of Texas Health San Antonio between June 2023 and September 2025 were included if they underwent bimaxillary minimally invasive orthognathic surgery with complete preoperative and postoperative cone-beam computed tomography records. Patients with craniofacial syndromes, comorbidities affecting postsurgical healing, or those undergoing single-jaw surgery were excluded. Technical difficulty was defined by the presence of maxillary advancement >7 mm, maxillary segmentation, or posterior maxillary impaction >1.5 mm. Accuracy was measured as the root mean square linear discrepancy between planned and postoperative maxillary positions. Demographic characteristics and malocclusion type were recorded as covariates. Thirty-six patients were included, with a mean age of 27 years. Comparisons were made across advancement magnitude, segmentation status, and posterior impaction. No statistically significant differences in root mean square discrepancies were observed across landmarks or axes after correction for multiple comparisons, with the lowest observed probability value being 0.02. These findings demonstrate that PSI-assisted minimally invasive orthognathic surgery achieves clinically acceptable accuracy across varying levels of technical difficulty, supporting its reliable use even in technically demanding cases.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Split-thickness skin grafts directly to bone for marginal mandibulectomy reconstruction: a case series. 裂厚皮肤直接移植到骨上用于下颌边缘切除术重建：一个病例系列。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-10-14 DOI: 10.1016/j.ijom.2026.10.003

R Jaa-Kwee, T Ali, G Brierly, S Borgna, M Batstone, D Carluccio, O Breik

{"title":"Split-thickness skin grafts directly to bone for marginal mandibulectomy reconstruction: a case series.","authors":"R Jaa-Kwee, T Ali, G Brierly, S Borgna, M Batstone, D Carluccio, O Breik","doi":"10.1016/j.ijom.2026.10.003","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.10.003","url":null,"abstract":"Oncologic resection of oral cavity malignancies can result in defects requiring epithelial coverage. While microvascular free flaps are considered the gold standard, split-thickness skin grafts (STSGs) offer a simpler alternative for selected marginal mandibulectomy defects and patients. This case series describes the use of STSGs to reconstruct marginal mandibulectomy defects at a tertiary Australian head and neck oncology service between April 2019 and October 2024. Eleven patients underwent resection and immediate reconstruction with STSGs. Bolstering techniques included prefabricated partial dentures and intraoperatively fashioned foam bolsters to support graft take. All patients achieved successful graft take. Minor complications occurred in four patients. This included small areas of bone exposure and donor site discomfort, which were managed conservatively. All patients who desired further dental rehabilitation were able to receive this with either implant-supported or removable prostheses, maintaining functional speech and oral intake. These findings highlight STSGs as a viable primary reconstructive option for marginal mandibulectomy defects. They may also be applicable as a reconstructive alternative in medically compromised patients or where microvascular reconstruction is contraindicated. Integrated within this report is a detailed technical note outlining surgical technique, bolstering strategies, and postoperative care to optimize outcomes.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0