International journal of oral and maxillofacial surgery最新文献_第2页

Panoptic evaluation of maxillomandibular stability and quality of life after surgery-first approach versus conventional three-stage method in skeletal Class III orthognathic surgery-systematic review and meta-analysis. 骨科III类正颌手术中手术优先入路与常规三期方法后上颌下颌稳定性和生活质量的全视镜评价——系统回顾和荟萃分析

International journal of oral and maxillofacial surgery Pub Date : 2025-05-13 DOI: 10.1016/j.ijom.2025.04.003

N Jenwanichkul, S Keerativittayanun, S Suttapreyasri, P Pripatnanont

{"title":"Panoptic evaluation of maxillomandibular stability and quality of life after surgery-first approach versus conventional three-stage method in skeletal Class III orthognathic surgery-systematic review and meta-analysis.","authors":"N Jenwanichkul, S Keerativittayanun, S Suttapreyasri, P Pripatnanont","doi":"10.1016/j.ijom.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.003","url":null,"abstract":"This study was performed to comprehensively evaluate the outcomes of the surgery-first approach (SFA) compared to the conventional three-stage method (CTM) in skeletal Class III deformity patients, in terms of stability, quality of life, and treatment time. The search covered the period 2010-2022. Heterogeneity was assessed and the stability was subgroup analysed into two-jaw and one-jaw surgery. Thirty-three studies were identified, 29 were included in the meta-analyses. Overall anteroposterior stability of the maxilla and mandible did not differ significantly between CTM and SFA groups (maxilla, P = 0.77; mandible, P = 0.072). In two-dimensional radiographs, the results for anteroposterior stability of the mandible were in favour of CTM (P = 0.051); conversely, vertical stability of the mandible showed better results with SFA (P = 0.051). SFA patients showed a significantly shorter treatment time (P < 0.001) and better quality of life (22-item Orthognathic Quality of Life Questionnaire) at 6 months follow-up (P = 0.042). In conclusion, CTM supports better anteroposterior stability. Nevertheless, SFA provides greater vertical stability in the mandible and is associated with a shorter treatment time and better quality of life. However, only six of the 33 included studies were randomized controlled trials, hence in view of the weakness of the evidence, the results should be interpreted with caution.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056388","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

Fibula free flap reconstruction: improving the accuracy of virtual surgical planning using titanium inserts. 腓骨游离皮瓣重建：利用钛植入物提高虚拟手术计划的准确性。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-08 DOI: 10.1016/j.ijom.2025.04.1141

C Coppen, T Verhoeven, T J Snoeijink, W L J Weijs, A Verhulst, J G van Rijssel, T J J Maal, E A Dik

{"title":"Fibula free flap reconstruction: improving the accuracy of virtual surgical planning using titanium inserts.","authors":"C Coppen, T Verhoeven, T J Snoeijink, W L J Weijs, A Verhulst, J G van Rijssel, T J J Maal, E A Dik","doi":"10.1016/j.ijom.2025.04.1141","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.1141","url":null,"abstract":"Although advancements in three-dimensional (3D) modelling techniques have significantly reduced deviations between planned and actual clinical outcomes in fibula free flap reconstructions, discrepancies between the virtual surgical plan (VSP) and postoperative results persist. In this study, three head and neck surgeons performed 10 fibula osteotomies using conventional cutting templates and 10 osteotomies using more rigid cutting templates with titanium inserts. Differences in 3D angles and segment lengths between the planned and achieved osteotomy planes were calculated. The use of the titanium inserts resulted in a decrease in 3D angular deviation by 0.5° and a reduction in fibula segment length deviation by 0.2 mm for both the short and long sides. The use of the inserts enhanced guidance of the saw and diminished the risk of creating a false route, resulting in a better alignment with the VSP. This may lead to better reconstructive results, decreased operation times, and a potential reduction in complications in a cost-effective manner.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061054","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

Evaluation of the effect of the neutrophil-to-lymphocyte ratio on facial oedema after orthognathic surgery: a 12-month follow-up study. 评价中性粒细胞与淋巴细胞比例对正颌手术后面部水肿的影响：一项12个月的随访研究。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-29 DOI: 10.1016/j.ijom.2025.04.004

C Varol, Y Fındık, T Baykul

{"title":"Evaluation of the effect of the neutrophil-to-lymphocyte ratio on facial oedema after orthognathic surgery: a 12-month follow-up study.","authors":"C Varol, Y Fındık, T Baykul","doi":"10.1016/j.ijom.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.004","url":null,"abstract":"Orthognathic surgery to correct dentofacial deformities has been performed safely for many years. Postoperative facial oedema occurs to varying degrees in almost all patients. The aim of this study was to evaluate the relationship between the preoperative neutrophil-to-lymphocyte ratio (NLR) and the severity of postoperative facial oedema using 3D stereophotogrammetry. Thirty patients (Le Fort I + BSSO) were included in this study. They were divided into two groups according to their NLR: ≥2.00 (n = 13) and <2.00 (n = 17). Patients were followed for 12 months and facial oedema was measured on days 1, 2, 3 and 10, and months 1 and 6, using the 12-month image as the reference. Postoperative facial oedema was significantly greater in the NLR ≥2.00 group in the first 10 days (days 1, 2, 3, 10: P = 0.011, P = 0.010, P = 0.040, P = 0.032), while no significant difference was observed for the long-term measurements (months 1, 6: P = 0.693, P = 0.374). The results of this study suggest that NLR may serve as a potential biomarker to predict the severity of postoperative facial oedema and may assist clinicians in their decision-making process when managing the postoperative inflammatory response.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012155","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

Comment on "The prognostic value of pre-treatment sarcopenia in overall survival in head and neck cancer patients: a systematic review". 评论“治疗前肌肉减少症对头颈癌患者总生存期的预后价值：一项系统综述”。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-28 DOI: 10.1016/j.ijom.2025.04.1140

E Topkan, E Somay, U Selek

引用次数: 0

Comparison of a third surgical protocol for the treatment of unilateral cleft lip and palate: a multidisciplinary systematic review and meta-analysis. 第三种手术方案治疗单侧唇腭裂的比较：多学科系统回顾和荟萃分析。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-26 DOI: 10.1016/j.ijom.2025.04.008

V L van Roey, S L Versnel, A Heliövaara, S Alaluusua, S T H Tjoa, E B Wolvius, A B Mink van der Molen, I M J Mathijssen

{"title":"Comparison of a third surgical protocol for the treatment of unilateral cleft lip and palate: a multidisciplinary systematic review and meta-analysis.","authors":"V L van Roey, S L Versnel, A Heliövaara, S Alaluusua, S T H Tjoa, E B Wolvius, A B Mink van der Molen, I M J Mathijssen","doi":"10.1016/j.ijom.2025.04.008","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.008","url":null,"abstract":"This systematic review and meta-analysis builds upon our previous publication on the outcomes of patients with unilateral cleft lip and palate (UCLP) treated with Oslo protocols (OP; vomerplasty during lip closure vs delayed hard palate closure protocols (DHPCP), comparing the outcomes of these two protocols with those of one-stage palatoplasty protocols (OSPP). A systematic search of the Embase, MEDLINE/PubMed, Web of Science, Cochrane, and Google Scholar databases was conducted until August 2024. In total, 162 articles (156 study groups) were reviewed, including 4040 UCLP patients following OSPP, 1632 following OP, and 791 following DHPCP. The results suggest that intrinsic maxillofacial growth disturbances are common in UCLP patients, regardless of the timing or type of palatal closure. The incidence of velopharyngeal insufficiency was significantly higher in OP (24%) when compared to DHPCP (9%), with OSPP showing an intermediate incidence (14%). However, these findings are of very low certainty due to evident non-reporting bias and limited data. In contrast, OP and OSPP showed lower oronasal fistula (ONF) rates (7% for OP, 10% for OSPP) compared to DHPCP (20%). Altogether, OSPP and OP are favoured over DHPCP due to the lower incidences of ONF, better overall speech outcomes, and fewer primary surgeries.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061285","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

Low-dose tranexamic acid in orthognathic surgery: two-dose protocol-a double-blind randomized controlled trial on oedema, bleeding, and visibility of the surgical field. 低剂量氨甲环酸在正颌手术中的应用：双剂量方案——一项关于水肿、出血和手术视野可见度的双盲随机对照试验。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-25 DOI: 10.1016/j.ijom.2025.04.010

G Kaşarcıoğlu, T Pergel, E F Akkoyun, D Dolanmaz

{"title":"Low-dose tranexamic acid in orthognathic surgery: two-dose protocol-a double-blind randomized controlled trial on oedema, bleeding, and visibility of the surgical field.","authors":"G Kaşarcıoğlu, T Pergel, E F Akkoyun, D Dolanmaz","doi":"10.1016/j.ijom.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.010","url":null,"abstract":"The aim of this double-blind randomized controlled trial was to evaluate the effects of a two-dose tranexamic acid (TXA) protocol on oedema, bleeding, and surgical field visibility during orthognathic surgery. 72 patients participated and were assigned to three groups: the TXA250 group received a single intravenous dose of 250 mg TXA prior to incision; the TXA500 group received 250 mg TXA before incision and 250 mg after the first jaw surgery was completed; the control group received no TXA. Oedema was measured preoperatively and on postoperative days 1, 3, and 7. Sixty-four patients completed the study. Bleeding was significantly higher and Fromme scale scores for surgical field visibility were significantly lower in the control group compared to the TXA groups (all P < 0.001). The TXA500 group demonstrated significantly reduced oedema compared to the control group (day 3: P = 0.037, day 7: P = 0.002), while the comparison of the TXA250 and control groups showed no significant difference. However, there was no significant difference in oedema between the two TXA groups. Hence, no firm conclusions can be drawn about the superiority of two-dose TXA over the single dose; this needs further investigation in a future study.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048579","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

Indications and limitations of CAD/CAM splints in Le Fort I osteotomy. CAD/CAM夹板在Le Fort I型截骨术中的适应症和局限性。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-22 DOI: 10.1016/j.ijom.2025.04.007

S Yamamoto, R Iwadate, K Maeda, N Taniike

{"title":"Indications and limitations of CAD/CAM splints in Le Fort I osteotomy.","authors":"S Yamamoto, R Iwadate, K Maeda, N Taniike","doi":"10.1016/j.ijom.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.007","url":null,"abstract":"The surgical outcome of planned Le Fort I osteotomy (LFI) is important for successful orthognathic surgery. The aim of this study was to evaluate the accuracy of LFI using a CAD/CAM intermediate splint by performing a three-dimensional (3D) comparison of the planned and postoperative maxillary positions. This retrospective study evaluated 31 patients who underwent LFI with a CAD/CAM intermediate splint. The patients were classified into three skeletal malocclusion types: Class III, Class II, and facial asymmetry. Five maxillary reference points and two axes were measured using computed tomography obtained pre-surgery and at 4 days post-surgery and on the preoperative virtual operation 3D images. The 'movement by simulation' and 'deviation from simulation' of the maxilla were analysed by surface superimposition of the virtual LFI osteotomy segments. The deviation from simulation of Class II in the anteroposterior direction, ranging from 1.11 ± 1.05 mm (at PNS) to 3.24 ± 1.09 mm (at U1) (mean ± standard deviation values for the reference points), was significantly more forwards than that of Class III (P < 0.001). A detailed 3D study of the accuracy of LFI using CAD/CAM splints revealed high accuracy and good indication for Class III, but low accuracy, with deviation that exceeded the clinically acceptable range, in Class II and facial asymmetry.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065484","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

Virtual surgical planning and customized subperiosteal implants: a systematic review. 虚拟手术计划和定制骨膜下植入物：系统回顾。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-21 DOI: 10.1016/j.ijom.2025.04.001

B Al-Nawas, A-K Bär

{"title":"Virtual surgical planning and customized subperiosteal implants: a systematic review.","authors":"B Al-Nawas, A-K Bär","doi":"10.1016/j.ijom.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.001","url":null,"abstract":"This systematic review was performed to evaluate the use of subperiosteal implants (SPIs) manufactured using digital workflows, focusing on their indications, performance, osseointegration, and safety by categorizing early and late biological and mechanical complications. The PubMed and Embase databases were searched, covering the years 2018-2023. The PRISMA guidelines were followed. Quality was assessed using JBI and NIH tools. Twenty-four articles (six cohort studies, six case series, 12 case reports) reporting 246 implants were analysed. After a mean follow-up of 17 months, 97.6% of implants were functional, with well-fitting results. Implants were primarily used for full-arch dentures in the maxilla and bridge prostheses in both jaws, with high survival rates (94.1-100%). Early complications included pain (25%) and swelling (24%), while late complications requiring SPI removal were infrequent (five reported failures). Partial exposure occurred in 37% of implants. Success rates, patient satisfaction, and aesthetics were reported positively, although rarely. Methods to enhance osseointegration included additively manufactured titanium, acid-etching, grit-blasting, and polyether ether ketone, but no clear superiority was found. Study heterogeneity precluded meta-analysis. The results indicate that digitally manufactured SPIs are a viable option for severely atrophic jaws, especially in elderly or compromised patients. More research with larger cohorts and longer follow-ups is needed to confirm their long-term safety and effectiveness.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035084","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

Implant failure of facial prostheses: systematic review and meta-analysis. 面部假体植入失败：系统回顾和荟萃分析。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-14 DOI: 10.1016/j.ijom.2025.03.016

M Ureel, S Corthals, R Coopman, Hubert Vermeersch, N Brusselaers

{"title":"Implant failure of facial prostheses: systematic review and meta-analysis.","authors":"M Ureel, S Corthals, R Coopman, Hubert Vermeersch, N Brusselaers","doi":"10.1016/j.ijom.2025.03.016","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.03.016","url":null,"abstract":"The aim of this systematic review was to evaluate craniofacial implant failure in the auricular, orbital, and nasal regions, including the impact of radiotherapy and evaluation of early (<1 year) and late (>1 year) implant failure. Five electronic databases were searched for articles reporting studies on implant failure in auricular, nasal, and/or orbital prostheses. The PRISMA guidelines were followed. Sixteen studies (3630 implants in 1127 patients) were included. The pooled implant failure rate was 3.5% in the auricular region, 18.7% in the orbital region, and 8.8% in the nasal region. Compared to the auricular region, implants inserted in the orbital (risk ratio (RR) 4.54) and nasal (RR 3.00) regions had a significantly higher risk of failure. Auricular (RR 2.17) and orbital (RR 2.07) implants had an increased risk of failure in irradiated bone. Regarding early failure (<1 year), 79.8% of nasal implants that failed were found to fail early, compared to 21.4% and 35.4% of failed auricular and orbital implants, respectively. This meta-analysis is novel in studying the timing of implant failure. Future studies should cover long observation periods and adequately report failure rates. There is a lack of high-quality studies and well-defined standardized outcome parameters. Results should be interpreted with caution due to low levels of evidence. DATA AVAILABILITY: This review has been registered with the Open Science Framework (doi:10.17605/OSF.IO/EBUC4). The study protocol and data files are publicly accessible.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056384","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

Retrospective 3D analysis of changes in the masseter muscles and soft tissues following orthognathic surgery for patients with maxillomandibular asymmetry: 12-month CBCT study. 上颌骨不对称患者正颌手术后咬肌和软组织变化的回顾性3D分析：12个月的CBCT研究

International journal of oral and maxillofacial surgery Pub Date : 2025-04-14 DOI: 10.1016/j.ijom.2025.04.002

C Avağ, M B Kirişci, E Tosun, H H Tüz

{"title":"Retrospective 3D analysis of changes in the masseter muscles and soft tissues following orthognathic surgery for patients with maxillomandibular asymmetry: 12-month CBCT study.","authors":"C Avağ, M B Kirişci, E Tosun, H H Tüz","doi":"10.1016/j.ijom.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.002","url":null,"abstract":"This retrospective study was performed to evaluate changes in the masseter muscles (MM) and gonial area soft tissues (GAST) in 20 patients with severe asymmetry (7 female, 13 male; age 19-45 years) who underwent bimaxillary orthognathic surgery. Preoperative and 1-year postoperative cone beam computed tomography scans were analysed for changes in the MM and GAST. No statistically significant difference in MM measurements (linear, cross-sectional, and volumetric) was observed between the preoperative and postoperative periods, or between the deviation side (side to which menton deviated) and non-deviation side. GAST measurements showed no significant difference between the sides, except for higher total soft tissue volume on the deviation side preoperatively (P = 0.028). Comparing the pre- and postoperative measurements, soft tissue thickness was significantly greater postoperatively at three points on the deviation side (Go5, P = 0.040; Go6, P = 0.023; Go7, P = 0.010) and one on the non-deviation side (Go3, P = 0.007). Skin volume was significantly greater postoperatively on the non-deviation side (P = 0.044). In conclusion, soft tissues may not fully compensate for underlying skeletal asymmetry. MM and GAST exhibit distinct morphological changes, underscoring the importance of considering both hard and soft tissue factors in treatment planning.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048568","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