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

Systematic review of soft-to-hard tissue ratios in orthognathic surgery: 3D analysis-update of scientific evidence. 正颌手术中软硬组织比例的系统回顾：三维分析-科学证据的更新。

International journal of oral and maxillofacial surgery Pub Date : 2025-03-17 DOI: 10.1016/j.ijom.2025.02.008

V Ravelo, S Olate, G Bravo-Soto, C Zaror, M Mommaerts

{"title":"Systematic review of soft-to-hard tissue ratios in orthognathic surgery: 3D analysis-update of scientific evidence.","authors":"V Ravelo, S Olate, G Bravo-Soto, C Zaror, M Mommaerts","doi":"10.1016/j.ijom.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.008","url":null,"abstract":"The aim of this research was to determine the soft-to-hard tissue ratio using three-dimensional (3D) analysis in different types of orthognathic surgery and to update the most recent scientific evidence provided in 2017. A systematic search covering the period January 2017-December 2023 was performed in the MEDLINE, Embase, LILACS, Scopus, and Science Direct databases to identify relevant studies. The methodological quality of the included studies was assessed using the method proposed by the Effective Public Health Practice Project. Of 897 articles identified in the database search, 10 were included in this review. These articles included analyses of points or anatomical areas of the face, and all of them used image superimposition for the analysis. The clinical analyses of the perinasal region, upper lip, and chin region produced ambiguous results. The bias in methods and variables, such as the types of surgery, patient variables, and differences in diagnosis may limit the use of the information obtained. There are no data that can be applied to daily clinical practice; the limited evidence that was previously published in 2017 remains.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659521","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

Differences in the surgical and financial burden of four protocols for unilateral cleft lip and palate. 单侧唇腭裂四种治疗方案在手术和经济负担上的差异。

International journal of oral and maxillofacial surgery Pub Date : 2025-03-15 DOI: 10.1016/j.ijom.2025.03.001

V L van Roey, A Rezaee, S C M Heemskerk, I Apon, M M Pleumeekers, I M J Mathijssen, S L Versnel

{"title":"Differences in the surgical and financial burden of four protocols for unilateral cleft lip and palate.","authors":"V L van Roey, A Rezaee, S C M Heemskerk, I Apon, M M Pleumeekers, I M J Mathijssen, S L Versnel","doi":"10.1016/j.ijom.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.03.001","url":null,"abstract":"The treatment of unilateral cleft lip and palate (UCLP) involves up to four primary surgeries to restore oral function. This study was performed to evaluate the surgical burden and direct healthcare costs of four UCLP surgical protocols at Erasmus University Medical Centre, Rotterdam, to guide optimal protocol selection. This retrospective cohort study included UCLP patients treated during 1990-2024. The patients were categorized into groups based on the hard palate closure timing: Oslo protocol (OP), one-stage palatoplasty protocol (OSPP), early delayed hard palate closure protocol (E-DHPCP), and late delayed hard palate closure protocol (L-DHPCP). Primary surgeries were analysed for operative duration (OD) and length of hospital stay (LOS), and their associated costs were estimated. Overall, 331 patients were included. Mean cumulative OD was significantly shorter for L-DHPCP and OSPP when compared to E-DHPCP and OP, while mean cumulative LOS was significantly longer for E-DHPCP compared to the other protocols. Mean cumulative OD was 408, 465, 425, and 507 min, and mean cumulative LOS was 3.95, 4.84, 4.07, and 4.11 nights for L-DHPCP, E-DHPCP, OSPP, and OP, respectively. Mean total costs were estimated at €17,858, €20,791, €18,545, and €21,158, respectively. L-DHPCP and OSPP demonstrated the lowest surgical burden and direct healthcare costs, although differences were minor. Therefore, the choice between these four surgical protocols should continue to be based on clinical outcomes, rather than differences in burden and costs.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639870","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

Efficacy of adjunctive injectable platelet-rich fibrin as a first-line treatment in temporomandibular joint osteoarthritis: a retrospective cohort study. 辅助注射富血小板纤维蛋白作为一线治疗颞下颌关节骨关节炎的疗效：一项回顾性队列研究。

International journal of oral and maxillofacial surgery Pub Date : 2025-03-12 DOI: 10.1016/j.ijom.2025.02.012

T Tepecik, E Gedik

{"title":"Efficacy of adjunctive injectable platelet-rich fibrin as a first-line treatment in temporomandibular joint osteoarthritis: a retrospective cohort study.","authors":"T Tepecik, E Gedik","doi":"10.1016/j.ijom.2025.02.012","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.012","url":null,"abstract":"This study was performed to compare the outcomes of adjunctive injections (injectable platelet-rich fibrin (iPRF), hyaluronic acid (HA)) and arthrocentesis only (AO) in the treatment of temporomandibular joint osteoarthritis. The study included 127 female patients (mean age 52.3 years). None of them had undergone prior occlusal splint therapy. The pain reduction (visual analogue scale) at 12 months post-treatment was the primary outcome variable, while maximum inter-incisal opening (MIO) at all follow-ups and pain at 1 and 6 months of follow-up were secondary outcome variables. All treatment groups showed significant improvements in pain and MIO at all postoperative follow-ups compared to baseline (P < 0.001). iPRF and HA resulted in significantly better pain relief than AO at all follow-ups (P < 0.01). There was no significant difference in pain alleviation between iPRF and HA. No differences were observed among the three groups in jaw mobility (MIO) at any follow-up. Since iPRF did not provide additional benefits over HA, the two treatments may be considered as alternatives, depending on cost considerations. Of note, the treatment objectives were achieved even without previous occlusal splint use.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626630","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

Validation of a fully automatic assessment of volume changes in the mandibular condyles following bimaxillary surgery. 双颌手术后下颌髁体积变化全自动评估的验证。

International journal of oral and maxillofacial surgery Pub Date : 2025-03-06 DOI: 10.1016/j.ijom.2025.02.009

M B Holte, N van Nistelrooij, S Vinayahalingam, S Bergé, T Xi, E M Pinholt

{"title":"Validation of a fully automatic assessment of volume changes in the mandibular condyles following bimaxillary surgery.","authors":"M B Holte, N van Nistelrooij, S Vinayahalingam, S Bergé, T Xi, E M Pinholt","doi":"10.1016/j.ijom.2025.02.009","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.009","url":null,"abstract":"This study was performed to propose and validate a fully automatic assessment of volume changes in the mandibular condyles following orthognathic surgery. Two sets of cone beam computed tomography scans were included: one with segmentations of complete mandibles and the other with pre- and postoperative segmentations of the mandibular rami. Two convolutional neural networks predicted a segmentation of the mandible and its ramus segments. Each preoperative ramus segment was registered to the postoperative mandible, and the pre- and postoperative condylar volumes were determined. For validation, the agreement between the fully automatic assessment and a validated semi-automated method was calculated using mean absolute differences (MAD) and intraclass correlation coefficients (ICC). Forty condyles in 20 patients (16 female, four male; mean age 27.6 years) with maxillomandibular retrognathia, who underwent bimaxillary surgery, were assessed. A small difference in condylar volume change measurements was observed between the two methods (MAD 2.7%); the ICC, at 0.993, was excellent. The fully automatic method was considerably faster than the semi-automated method (3 min vs 30 min) and demonstrated high precision and excellent reliability for quantifying condylar volume changes. A fast and reliable assessment of condylar changes can identify volume changes sooner, leading to improved personalized patient care.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588687","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

The superficial radial artery-a cautionary tale of two pedicles. 桡动脉浅动脉——两个蒂的警世故事。

International journal of oral and maxillofacial surgery Pub Date : 2025-03-05 DOI: 10.1016/j.ijom.2025.02.011

I Davies, R M S H B Medawela, A Jenkinson, K Shah

引用次数: 0

Intraosseous spindle cell lipoma of the maxilla: case report and review of the literature. 上颌骨骨内纺锤形细胞脂肪瘤：病例报告和文献综述。

International journal of oral and maxillofacial surgery Pub Date : 2025-02-27 DOI: 10.1016/j.ijom.2025.02.007

L Wiener, D Nassimi, E Clarkson, S M Peters, D Vasilyeva

{"title":"Intraosseous spindle cell lipoma of the maxilla: case report and review of the literature.","authors":"L Wiener, D Nassimi, E Clarkson, S M Peters, D Vasilyeva","doi":"10.1016/j.ijom.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.007","url":null,"abstract":"Intraosseous lipomas are rare benign tumors of mesenchymal origin, particularly unusual in the maxilla. Spindle cell lipomas, a histological subtype, are even more uncommon, with limited cases reported in the literature. This report documents a rare case of intraosseous spindle cell lipoma in the anterior maxilla of a 66-year-old male and presents a review of 39 gnathic lipoma cases from the literature published between 1976 and 2024. The majority of the gnathic intraosseous lipomas (32/39, 82%) occurred in the mandible. The posterior region was more frequently affected than the anterior region (24/39, 62%), in both maxilla and mandible cases (86% and 56%, respectively). Most lesions presented as a well-defined radiolucency; however, the lesions may appear multilocular and may range from radiolucent to mixed radiolucent-radiopaque to 'ground glass'. Surgical excision or enucleation was the most common treatment. Intraosseous spindle cell lipomas are exceedingly rare. Based on the available evidence, surgical excision is the recommended treatment with a favorable prognosis and low recurrence rate.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532271","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

Innovative technique for inferior compartment arthroscopy of the temporomandibular joint: a safe and reproducible approach. 颞下颌关节下腔室关节镜检查的创新技术：一种安全、可重复的方法。

International journal of oral and maxillofacial surgery Pub Date : 2025-02-25 DOI: 10.1016/j.ijom.2025.02.001

L Del Santo, T M M Ramos, B da Silva Gaspar, M A A de Castro, E Januzzi

引用次数: 0

Evaluation of the success rate, prosthesis-related quality of life, and satisfaction in patients undergoing rehabilitation with an implant-supported auricular prosthesis. 评估人工耳廓假体康复患者的成功率、假体相关生活质量和满意度。

International journal of oral and maxillofacial surgery Pub Date : 2025-02-24 DOI: 10.1016/j.ijom.2025.02.006

H M Hashemi, S K Aval, A M Hashemi

{"title":"Evaluation of the success rate, prosthesis-related quality of life, and satisfaction in patients undergoing rehabilitation with an implant-supported auricular prosthesis.","authors":"H M Hashemi, S K Aval, A M Hashemi","doi":"10.1016/j.ijom.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.006","url":null,"abstract":"The aim of this study was to evaluate the success rate, prosthesis-related quality of life (QoL), and satisfaction of patients undergoing rehabilitation with endosseous implants in the auricular region. This was a retrospective mixed cohort study involving 22 consecutive eligible patients (11 female, 11 male) with ear defects, treated during 1999-2019. The variables analysed were sex, age at the time of implant placement, date of last prosthesis delivery, level of education, aetiology of the deformity, and radiation history. The questionnaire results were analysed using IBM SPSS Statistics software. The correlation between QoL and satisfaction was evaluated using the Pearson correlation coefficient. Implant success was calculated clinically using the number of integrated implants, mobility, and presence of a purulent discharge. For the 22 patients, the mean duration since prosthesis placement was 10.2 ± 5.2 years. Among 47 implants inserted, one failed because of osseointegration failure. Hence, the overall success rate of the auricular implants was 97.9%. The mean ± standard deviation total QoL score and satisfaction score were 52.5 ± 7.10 (maximum possible score 80) and 42.1 ± 6.29 (maximum possible score 55), respectively. The results demonstrate the importance of prosthetic rehabilitation for improved patient QoL and satisfaction.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506661","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 dynamic navigation systems in dental implantology: a systematic literature review of in vitro studies. 牙科种植中动态导航系统的比较：体外研究的系统性文献综述。

International journal of oral and maxillofacial surgery Pub Date : 2025-02-19 DOI: 10.1016/j.ijom.2025.02.005

K Matvijenko, R Borusevičius

{"title":"Comparison of dynamic navigation systems in dental implantology: a systematic literature review of in vitro studies.","authors":"K Matvijenko, R Borusevičius","doi":"10.1016/j.ijom.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.005","url":null,"abstract":"Dynamic navigation is an innovative technology in implant surgery that enhances the precision of implant placement through real-time guidance for clinicians. This technology allows on-the-spot adjustments during surgery, reducing the risk of complications and improving implant outcomes. The aim of this systematic review was to assess the accuracy of various dynamic navigation systems in implant placement using in vitro models. A comprehensive literature search was performed across several databases, focusing on studies published between 2016 and 2024 that reported three-dimensional (3D) and angular deviations. Seven in vitro studies were included, analysing five dynamic navigation systems (ImplaNav, Navident, Denacam, X-Guide, and DCARER), with 649 implants evaluated. Results showed mean coronal 3D deviations between 0.46 mm and 1.58 mm, while apical deviations ranged from 0.48 mm to 2.12 mm. Angular deviations varied between 1.01° and 4.24°. Maximum deviations reached up to 4.80 mm for coronal 3D deviation and 10.70° for angular deviation. All systems demonstrated high accuracy within clinically acceptable limits, with X-Guide showing the lowest numerical errors. Factors like tracking technology, calibration methods, and user experience were found to influence accuracy. Overall, dynamic navigation significantly improves implant placement accuracy compared to freehand methods but remains dependent on technical factors.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470434","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

Multimodal approaches to postoperative pain management in orthognathic surgery: a comprehensive review. 正颌手术术后疼痛管理的多模式方法：全面回顾。

International journal of oral and maxillofacial surgery Pub Date : 2025-02-17 DOI: 10.1016/j.ijom.2025.02.004

M V Joachim, M Miloro

{"title":"Multimodal approaches to postoperative pain management in orthognathic surgery: a comprehensive review.","authors":"M V Joachim, M Miloro","doi":"10.1016/j.ijom.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.02.004","url":null,"abstract":"Effective postoperative pain management in orthognathic surgery is essential for optimizing recovery and patient comfort. This comprehensive review was performed to examine multimodal strategies for managing post-orthognathic surgery pain. A literature search identified 13 studies (with 430 patients); 11 of them were randomized controlled trials. The interventions for pain were categorized into four approaches: cooling therapies, light-based treatments, enhanced recovery protocols, and targeted techniques. A narrative synthesis was performed due to the considerable heterogeneity across the studies. Hilotherapy demonstrated superior pain and swelling reduction compared to conventional cooling methods. Light-based therapies, including low-level laser therapy and photobiomodulation, improved early postoperative pain control and functional recovery. Enhanced Recovery After Surgery (ERAS) protocols were associated with lower pain scores and opioid requirements. Targeted analgesic approaches, such as ultrasound-guided trigeminal nerve blocks and acupoint stimulation, showed promise for acute pain relief. The findings highlight the importance of combining multiple modalities to optimize pain management while minimizing opioid use. The quality of the evidence varied, with some studies limited by small sample sizes and short follow-up periods. The synthesis of results was structured into an evidence-based recommendations table, suggesting that an individualized multimodal approach may provide the most effective pain control in orthognathic surgery.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451190","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