International journal of oral and maxillofacial surgery最新文献_第10页

Multisystem Langerhans cell histiocytosis presenting with parotid gland involvement in an adult: literature review. 成人多系统朗格汉斯细胞组织细胞增多症伴腮腺受累：文献回顾。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-07-03 DOI: 10.1016/j.ijom.2026.04.049

A Wei, D Chen, S Yao, K Wu

引用次数: 0

Postoperative auditory outcomes in total temporomandibular joint replacement: fossa-canal proximity and tinnitus risk. 全颞下颌关节置换术的术后听觉结果：窝管接近和耳鸣风险。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-07-02 DOI: 10.1016/j.ijom.2026.06.026

V Baskar, N Evelyn R, S S Agrawal, D Sahu, V Galhotra, S Rao

{"title":"Postoperative auditory outcomes in total temporomandibular joint replacement: fossa-canal proximity and tinnitus risk.","authors":"V Baskar, N Evelyn R, S S Agrawal, D Sahu, V Galhotra, S Rao","doi":"10.1016/j.ijom.2026.06.026","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.026","url":null,"abstract":"Total temporomandibular joint replacement (TMJR) is an established treatment for advanced ankylosis; however, postoperative auditory complications, such as tinnitus, remain poorly characterized. This post-hoc observational analysis evaluated whether postoperative prosthetic fossa-external auditory meatus (EAM) distance is associated with postoperative tinnitus after TMJR for ankylosis, and explored preoperative ankylosis-EAM proximity and tinnitus resolution. Patients aged 18-40 years undergoing TMJR with orthognathic surgery with ≥12 months follow-up and postoperative cone-beam computed tomography were evaluated. The unit of analysis was the individual joint. Postoperative and preoperative EAM distances were measured on multiplanar reconstructions by blinded observers. A total of 24 joints from 17 patients were analysed (10 unilateral and seven bilateral). Postoperative tinnitus occurred in two joints (8.3%), both unilateral events in patients undergoing bilateral TMJR. Mean postoperative fossa-EAM distances were significantly shorter in tinnitus joints compared with non-tinnitus joints (1.38 ± 0.17 mm vs 5.18 ± 2.08 mm; mean difference 3.80 mm, 95% confidence interval 0.68-6.92; P = 0.019; Cohen's d = 1.87). Preoperative ankylosis-EAM distance showed no significant difference between groups (P = 0.123). Both tinnitus cases occurred at postoperative clearances below ∼3.5 mm. Symptoms were mild to moderate, resolved within 12 months, and were not associated with audiometric hearing loss. Shorter postoperative fossa-EAM distance was associated with transient postoperative tinnitus in this exploratory cohort. The observed 3.5 mm clearance should be regarded as hypothesis-generating rather than a validated clinical threshold. Larger studies with standardized tinnitus assessment are required.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378881","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

Intraoperative ultrasound-guided resection of buccal mucosa cancer. 术中超声引导下颊粘膜癌切除术。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-07-02 DOI: 10.1016/j.ijom.2026.06.022

C M E M Adriaansens, K J de Koning, G E Breimer, R J J van Es, N P A Zuithoff, R de Bree, R Noorlag

{"title":"Intraoperative ultrasound-guided resection of buccal mucosa cancer.","authors":"C M E M Adriaansens, K J de Koning, G E Breimer, R J J van Es, N P A Zuithoff, R de Bree, R Noorlag","doi":"10.1016/j.ijom.2026.06.022","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.022","url":null,"abstract":"Positive margins (<1.0 mm) are frequently observed during the resection of buccal mucosa squamous cell carcinoma (BMSCC) (reported incidence 5-43%). Intraoral ultrasound (US)-guided surgery could improve margin status. This study included 25 patients with BMSCC treated by US-guided resection. Tumour thickness (TT) and narrowest tumour-free margin for five locations per specimen were measured on US and final histology. The US-guided cohort was compared to a historical cohort for margin status and local adjuvant treatment. Good agreement was observed between the histological TT and in vivo US TT (intra-class correlation coefficient 0.90; mean difference 1.3 mm). Margins were positive in seven patients, close in 17, and clear in one. For histological margins <5.0 mm, the receiver operating characteristic (ROC) curve (area under the curve (AUC) 0.73; P < 0.001) showed a sensitivity of 90% and specificity of 26% at margin 7.5 mm on ex vivo US. The mean difference between ex vivo US margins and histology was 1.2 mm. There was no significant difference between the US-guided and historical cohorts for positive margins, free margins, re-resections, or local radiotherapy (all P > 0.05). US seems able to accurately measure TT with a slight overestimation and could be useful for in vivo and ex vivo margin assessment of the specimen. However, there remains room for improvement in achieving adequate resection margins, particularly by achieving US margins of at least 7.5 mm and following the margin information obtained by US during tumour resection. More research is needed to optimize the outcome.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378869","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

Systematic review of autologous midface reconstruction methods: subtotal maxillary defects. 上颌次全缺损自体中面重建方法的系统回顾。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-07-02 DOI: 10.1016/j.ijom.2026.06.025

D Dadjam, J Acero-Sanz, R Coopman, R Willaert, M Y Mommaerts

{"title":"Systematic review of autologous midface reconstruction methods: subtotal maxillary defects.","authors":"D Dadjam, J Acero-Sanz, R Coopman, R Willaert, M Y Mommaerts","doi":"10.1016/j.ijom.2026.06.025","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.025","url":null,"abstract":"Subtotal midfacial defects, commonly resulting from oncological resection, pose a rare but complex reconstructive challenge. Loss of the palate and dentoalveolar complex severely impairs speech, swallowing, mastication, and the facial contour, while imposing a substantial psychosocial burden. Despite surgical advances, standardized reconstructive strategies remain lacking, partly due to anatomical complexity and inconsistent terminology. This systematic review forms part of a broader series analysing autologous reconstruction for specific midfacial defect types, aiming to identify commonly used flap-based methods per classification. The present study focused on subtotal defects classified as A2H2-H5 according to the Mommaerts classification. A comprehensive search of PubMed, Embase, and Wiley Library (through January 2026) identified 27 eligible clinical studies with patient-level data. Methodological quality was assessed using the MINORS tool, with scores indicating generally low quality (range 4-12 out of 16). Pedicled regional flaps were not frequently reported for A2 defects; reconstruction relied on free flaps. Small osteocutaneous flaps and, in selected cases, soft tissue-only flaps were used for unilateral defects (A2H2-H3), typically in staged or medically compromised settings. Bilateral defects (A2H4-H5) consistently required vascularized bone flaps to restore skeletal projection and support dental rehabilitation. Functional outcomes were associated with defect size. Patient-reported outcomes were rarely documented but suggested overall satisfaction. Due to study heterogeneity and limited quality, a formal statistical analysis was not feasible. In conclusion, subtotal midfacial reconstruction must be tailored to the horizontal extent, with vascularized bone flaps essential in bilateral cases. Functional rehabilitation and long-term prosthodontic planning remain critical needs.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378885","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

Automated true vertical line determination for orthognathic surgery virtual planning using smartphone photography and open-source applications. 使用智能手机摄影和开源应用程序进行正颌手术虚拟规划的自动真实垂直线确定。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-07-01 DOI: 10.1016/j.ijom.2026.06.023

L da Silva Caixeta Neto, R Grillo, F Melhem-Elias

{"title":"Automated true vertical line determination for orthognathic surgery virtual planning using smartphone photography and open-source applications.","authors":"L da Silva Caixeta Neto, R Grillo, F Melhem-Elias","doi":"10.1016/j.ijom.2026.06.023","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.023","url":null,"abstract":"This technical note describes a novel method for recording the natural head position (NHP) for virtual surgical planning (VSP) in orthognathic surgery using a smartphone and open-source software. The authors utilize the OpenCamera application on standard smartphones to capture clinical photographs. This app embeds critical device orientation data, including roll, pitch, and yaw from the built-in accelerometer, directly into the image metadata. These photographs are then imported into a custom module (MaxiSlicer) developed for the open-source 3DSlicer platform. The module automatically reads the orientation data to calculate and incorporate the true vertical line into the image, subsequently aligning the photograph to this digital reference. This approach eliminates the need for physical references such as plumb lines or laser levels, reducing operational variables and potential human error. The integration of smartphone sensor data with digital planning tools offers a practical, accessible, and low-cost solution for achieving accurate and reproducible NHP registration in VSP workflows.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371481","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

Differential fibular bone mineral density changes following maxillary versus mandibular reconstruction: a cohort study. 上颌与下颌骨重建后腓骨不同骨密度的变化：一项队列研究。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-06-29 DOI: 10.1016/j.ijom.2026.06.021

Y Yang, Y Zeng, H Chen, X Shan

{"title":"Differential fibular bone mineral density changes following maxillary versus mandibular reconstruction: a cohort study.","authors":"Y Yang, Y Zeng, H Chen, X Shan","doi":"10.1016/j.ijom.2026.06.021","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.021","url":null,"abstract":"The aim of this study was to compare the changes in fibular bone mineral density (BMD) in flaps used for maxillary and mandibular reconstruction, using quantitative computed tomography (QCT). Patients who underwent jaw reconstruction with a fibula flap at Peking University Hospital of Stomatology between September 2021 and September 2024 were included retrospectively. QCT performed at 1 week, 3, 6, and 12 months postoperatively was used to measure and assess BMD, and corresponding resorption amounts were calculated (percentage decrease in BMD relative to the value at 1 week after surgery). Changes in BMD were compared between flaps used in the mandible and maxilla. A total of 151 patients met the eligibility criteria and were included in this study. At 12 months postoperative, fibular BMD had decreased from 1098.6 ± 62.9 mg/cm3 to 696.6 ± 233.9 mg/cm3 in the maxilla group (P < 0.001) and from 1050.1 ± 138.3 mg/cm3 to 953.7 ± 150.1 mg/cm3 in the mandible group (P < 0.001). Generalized estimating equation analysis demonstrated a significantly faster reduction in fibular BMD in the maxilla group when compared with the mandible group (P < 0.001). Within the first postoperative year, fibular BMD declined more markedly following maxillary reconstruction than mandibular reconstruction. Temporally, BMD in the maxilla group showed a continuous decrease, whereas BMD in the mandible group tended to stabilize from 6 months after surgery. TRIAL REGISTRATION: ChiCTR2300069661 (March 22, 2023).","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355286","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

CAD/CAM-guided total condylar remodelling for the management of active mandibular condylar hyperplasia. CAD/ cam引导下全髁重构治疗活动性下颌髁突增生。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-06-29 DOI: 10.1016/j.ijom.2026.06.017

L Villanueva-Alcojol, F Monje-Gil, D Gonzalez-Ballester

{"title":"CAD/CAM-guided total condylar remodelling for the management of active mandibular condylar hyperplasia.","authors":"L Villanueva-Alcojol, F Monje-Gil, D Gonzalez-Ballester","doi":"10.1016/j.ijom.2026.06.017","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.017","url":null,"abstract":"The purpose was to describe a novel computer-aided design/computer-aided manufacturing (CAD/CAM)-guided surgical technique for the management of active mandibular condylar hyperplasia (CH) based on virtual surgical planning (VSP), incorporating combined proximal and lateral condylar remodelling to optimise condyle-fossa adaptation, occlusal relationships, and facial symmetry. The proposed technique integrates three-dimensional imaging, VSP, and patient-specific CAD/CAM cutting guides. Unlike conventional high or proportional condylectomy, the approach includes a planned lateral reduction of condylar width in addition to proximal condylar resection. Surgical planning follows principles analogous to orthognathic surgery, prioritising functional joint congruency over symmetry alone. CAD/CAM-guided total condylar remodelling allows precise three-dimensional modification of condylar height and transverse width, resulting in improved immediate condyle-fossa congruency and elimination of intra-articular dead space. In selected patients, improved immediate symmetry may facilitate postoperative orthodontic-only management. CAD/CAM-guided total condylar remodelling expands the surgical armamentarium for active CH by addressing transverse condylar discrepancies that are not corrected by traditional condylectomy techniques. This anatomically driven approach may improve immediate joint adaptation and optimise treatment options in patients with active unilateral condylar hyperplasia.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355331","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

Effect of platelet-rich fibrin derivatives on tissue healing and postoperative complications following mandibular third molar surgery: a systematic review and meta-analysis of randomized controlled trials. 富血小板纤维蛋白衍生物对下颌第三磨牙手术后组织愈合和术后并发症的影响：随机对照试验的系统回顾和荟萃分析。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-06-27 DOI: 10.1016/j.ijom.2026.06.018

M Davarpanah, P Bakhshaie, S S Mousavi, M R Azizi, S Khodaie, A A Baghban, R Tabrizi

{"title":"Effect of platelet-rich fibrin derivatives on tissue healing and postoperative complications following mandibular third molar surgery: a systematic review and meta-analysis of randomized controlled trials.","authors":"M Davarpanah, P Bakhshaie, S S Mousavi, M R Azizi, S Khodaie, A A Baghban, R Tabrizi","doi":"10.1016/j.ijom.2026.06.018","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.018","url":null,"abstract":"This systematic review and meta-analysis evaluated the impact of platelet-rich fibrin (PRF) and its derivatives on postoperative complications following mandibular third molar extraction, drawing from 28 randomized controlled trials. Outcomes assessed included pain, swelling, trismus, alveolar osteitis (AO), soft tissue healing, bone healing, and probing depth, with meta-analyses performed for individual postoperative days or follow-up intervals. PRF was associated with a significant reduction in pain on postoperative days 2, 3, and 7. There was significantly less swelling in the PRF group on days 1-3 using the two-line measurement method and on day 2 using the three-line method. Mouth opening (trismus) was significantly better in the PRF group on day 1, while no significant improvements were shown on subsequent days. The odds of developing AO were significantly higher in the control group compared to the PRF group (odds ratio 2.69, 95% confidence interval 1.55-4.68, P < 0.001; I2 = 0.00%). PRF did not have a significant effect on soft tissue or bone healing. While there was no significant difference in probing depth at 1 week, there were statistically significant improvements at 3 and 6 months in favor of PRF. The analysis identified positive effects of PRF on pain and trismus, although the certainty of the evidence was moderate for trismus and low for pain. Overall, PRF may offer benefits for pain, swelling, trismus, and AO, and may improve probing depth at longer follow-up intervals, while its impacts on soft tissue and bone healing remain uncertain.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341759","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

Gender disparities in research trial leadership within oral and maxillofacial surgery. 口腔颌面外科研究试验领导中的性别差异。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-06-26 DOI: 10.1016/j.ijom.2026.06.007

A Danesh, A I Janati, J Gigliotti

{"title":"Gender disparities in research trial leadership within oral and maxillofacial surgery.","authors":"A Danesh, A I Janati, J Gigliotti","doi":"10.1016/j.ijom.2026.06.007","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.007","url":null,"abstract":"Gender disparities in research trial leadership have been reported in nearly every medical specialty. The true extent of women's involvement as principal investigators (PIs) in oral and maxillofacial surgery (OMS) research trials remains unknown. The current study aims to address this knowledge gap through analyzing relevant trials registered on ClinicalTrials.gov in the 21st century. A validated search strategy, comprising procedure names and field-specific terms, was utilized to identify OMS research trials. The analysis was limited to trials where at least one PI was an oral and maxillofacial surgeon or an OMS department-affiliated researcher. Trial characteristics, including study type, phase, funding status, and investigator details were extracted from records. PI gender was determined using Genderize.io. Overall, men occupied 73.7% of PI positions for OMS research trials, and women 26.3%. Linear regression analysis revealed a significant yearly increase in proportion of women PIs over time. Geographically, women PI representation was highest in African (predominantly Egypt) and Asian institutions, and lowest in European and North American institutions. Relative to other phases, women PIs were significantly more likely to lead Phase 3 trials and less likely to lead Phase 2 trials compared to men PIs. While government funding patterns were similar between genders, women PIs were significantly less likely to lead industry-funded trials. Despite recent improvements, women remain underrepresented in OMS research trial leadership, especially in North American institutions. Targeted interventions and cultural shift are essential to fostering gender-based parity in this domain.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341724","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

Factors that worsen nasal ventilation after Le Fort I osteotomy with superior repositioning. Le Fort I型截骨复位后鼻通气恶化的因素。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-06-25 DOI: 10.1016/j.ijom.2026.06.019

T Nakamura, N Tomomatsu, N Takahara, Y Kurasawa, H Kachi, T Iwasaki, H Kamochi

{"title":"Factors that worsen nasal ventilation after Le Fort I osteotomy with superior repositioning.","authors":"T Nakamura, N Tomomatsu, N Takahara, Y Kurasawa, H Kachi, T Iwasaki, H Kamochi","doi":"10.1016/j.ijom.2026.06.019","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.019","url":null,"abstract":"This study aimed to assess nasal ventilation after Le Fort I osteotomy with superior maxillary repositioning, using nasal resistance and the nasal obstruction symptom evaluation (NOSE) score, and to identify factors contributing to its deterioration. Of the 86 patients who underwent Le Fort I osteotomy, those in whom nasal resistance and NOSE scores could be measured were included. Patients were divided into a conventional group (Conv) with low superior repositioning (<3.5 mm at the maxillary first molar), a superior group (Supe) with high superior repositioning (≥3.5 mm), and an additional group (Add) with high superior repositioning plus horseshoe osteotomy or partial turbinectomy. Additionally, binomial logistic regression was performed to identify the factors that worsen nasal ventilation. The change in NOSE scores from preoperative to 1 year postoperative was significantly greater in the Supe group than in the Conv and Add groups (P = 0.004). The results of the binomial logistic regression showed that the major factors that worsened nasal ventilation were the high superior repositioning (P = 0.042) and the presence of nasal septal curvature (P = 0.002). Additional surgical procedures such as horseshoe osteotomy or partial turbinectomy were a factor inhibiting the deterioration of nasal ventilation (P = 0.043). In cases where high superior maxillary repositioning is planned, preoperative evaluation of the nasal septum for curvature would be helpful. In addition, it is important to consider additional surgical procedures such as horseshoe osteotomy or partial turbinectomy to avoid narrowing the lower nasal passage as needed.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148335264","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