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

Novel approach for the treatment of temporomandibular joint disc displacement: eminectomy associated with a soft anchor meniscopexy technique. 治疗颞下颌关节盘移位的新方法：软性锚定半月板固定术联合行股骨切除术。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-05-06 DOI: 10.1016/j.ijom.2026.04.024

R Labrador Carrillo, M F Muñoz Guerra, R J Sánchez Moreno

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In Reply to the comment on "Ten-year-plus follow-up study on coronectomy of the mandibular third molar-methodological considerations and future directions". 回复“下颌第三磨牙冠切除术10年以上随访研究——方法学思考与未来发展方向”的评论。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-05-05 DOI: 10.1016/j.ijom.2026.03.032

J T W Li, Y Y Leung

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Clinical outcomes of internal oblique muscle free flap reconstruction following oral cancer resection. 口腔癌切除术后内斜肌游离皮瓣重建的临床效果。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-05-05 DOI: 10.1016/j.ijom.2026.04.013

H-J Kim, J-S Oh, K-W Kim, J-S Kim, J Kim, S-Y Moon

{"title":"Clinical outcomes of internal oblique muscle free flap reconstruction following oral cancer resection.","authors":"H-J Kim, J-S Oh, K-W Kim, J-S Kim, J Kim, S-Y Moon","doi":"10.1016/j.ijom.2026.04.013","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.04.013","url":null,"abstract":"The internal oblique muscle free flap, based on the deep circumflex iliac artery, has emerged as a valuable option for oral reconstruction, due to its flexibility and the option to use it as a composite flap with iliac crest bone, for simultaneous bone and soft tissue reconstruction. However, clinical studies on the epithelialization process and factors influencing healing are limited. This retrospective study was performed to analyse the healing process in 29 patients who underwent reconstruction using internal oblique muscle free flaps following oral cancer resection at Chosun University Dental Hospital, between 2013 and 2022. Clinical photographs were evaluated to determine the times to epithelialization and surface maturation. The mean time to epithelialization was 5.6 ± 1.6 weeks, while surface maturation required 19.4 ± 10.9 weeks. Tongue defects showed the longest surface maturation period (30.3 weeks) and floor of the mouth defects the shortest (11.3 weeks), although there was no significant difference in this period between the various lesion sites. Pearson correlation revealed a strong positive relationship between time to epithelialization and time to surface maturation (r = 0.530, P = 0.003). Secondary trimming procedures were necessary in eight (27.6%) patients and significantly prolonged both epithelialization (P = 0.016) and surface maturation (P = 0.003). Age, lesion size, and other clinical variables did not significantly affect healing. The internal oblique muscle free flap demonstrated excellent outcomes with a 97.2% success rate and predictable healing patterns. This study established important healing benchmarks for patient counselling in oral reconstruction.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848001","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}

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In reply to the comment on: "An exploratory study on the effectiveness of AI detection tools in identifying AI-generated articles". 回复关于“AI检测工具在识别AI生成文章中的有效性的探索性研究”的评论。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-05-04 DOI: 10.1016/j.ijom.2026.04.020

R Grillo, L S C Neto, L Bottura, A H Llanos, S Samieirad, F Melhem-Elias

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Comment on "Free forearm flaps for head and neck reconstruction: fewer revisions and flap failures with two venous anastomoses-a 25-year prospective study". 评论“自由前臂皮瓣用于头颈部重建：较少的修复和皮瓣失败与两个静脉吻合术-一个25年的前瞻性研究”。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-05-04 DOI: 10.1016/j.ijom.2026.04.022

L Gou

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Comment on "Surgical management of mandibular osteoradionecrosis: risk factors, timeline and surgical outcomes". 对“下颌骨放射性骨坏死的外科治疗：危险因素、时间和手术结果”的评论。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-05-04 DOI: 10.1016/j.ijom.2026.04.025

E Somay, E Topkan, U Selek

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Comment on: "An exploratory study on the effectiveness of AI detection tools in identifying AI-generated articles". 评论：“人工智能检测工具在识别人工智能生成文章中的有效性的探索性研究”。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-05-04 DOI: 10.1016/j.ijom.2026.04.017

C F Mourão, L E Juliasse, R Dos Santos Pereira

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Impact of line-field optical coherence tomography in preoperative margin assessment of head and neck basal cell carcinoma: a cohort study. 线场光学相干断层扫描对头颈部基底细胞癌术前边缘评估的影响：一项队列研究。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-04-27 DOI: 10.1016/j.ijom.2026.04.014

A Frosolini, V Chiantini, G Gabriele, A Cartocci, L Tognetti, O Massarelli, P Rubegni, P Gennaro, E Cinotti

{"title":"Impact of line-field optical coherence tomography in preoperative margin assessment of head and neck basal cell carcinoma: a cohort study.","authors":"A Frosolini, V Chiantini, G Gabriele, A Cartocci, L Tognetti, O Massarelli, P Rubegni, P Gennaro, E Cinotti","doi":"10.1016/j.ijom.2026.04.014","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.04.014","url":null,"abstract":"In head-and-neck basal cell carcinoma (BCC), accurate preoperative delineation of lateral tumour margins remains challenging. Line-field confocal-optical coherence tomography (LC-OCT) offers real-time, high-resolution imaging that may improve surgical planning. This study evaluated the impact of preoperative LC-OCT on oncologic and procedural outcomes, focusing on lateral positive margins.A mixed prospective-retrospective cohort study was conducted, comparing BCC cases treated after LC-OCT implementation (2023-2024) with historical controls (2018-2021). Lesions with unclear clinical or dermoscopic margins underwent LC-OCT-guided mapping. Primary outcomes were positive histological margins and recurrence; secondary outcomes included time to surgery, operative time, frozen section use, reconstruction, and minimum lateral margin distance. Multivariable logistic regression adjusted for group, age, tumour size, H-zone location, presentation, histologic subtype, and pT stage.A total of 102 patients were included (LC-OCT n = 23; controls n = 79). H-zone distribution was comparable between groups (69.5% vs 53.2%, P = 0.50). Positive margins occurred in 19.0% vs 24.6% (P = 0.772), and recurrence in 0% vs 5.2% (P = 0.573). Median time to surgery was longer with LC-OCT (48 vs 34 days, P = 0.016), while operative time was shorter (55 vs 95 minutes, P = 0.013).In multivariable analysis, H-zone location (aOR 3.96, P = 0.041) and aggressive histology (aOR 6.39, P = 0.015) predicted lateral positivity, whereas LC-OCT did not (aOR 1.61, P = 0.565; AUC 0.774).LC-OCT did not independently reduce lateral positive margins but may support precision mapping, at the cost of longer treatment timelines. Prospective studies with standardized workflows are warranted.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793067","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

Arthroscope-guided intra-articular injection of chitosan-hyaluronate gel mixture vs hyaluronic acid in the treatment of temporomandibular joint internal derangement: a randomized controlled clinical trial. 关节镜引导下关节内注射壳聚糖-透明质酸凝胶混合物与透明质酸治疗颞下颌关节内紊乱的随机对照临床试验

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-04-27 DOI: 10.1016/j.ijom.2026.04.008

M A Elfarmawy, A A A Al-Saadi, M H Alkhatib, M A Alsaadi, N I Shobair

{"title":"Arthroscope-guided intra-articular injection of chitosan-hyaluronate gel mixture vs hyaluronic acid in the treatment of temporomandibular joint internal derangement: a randomized controlled clinical trial.","authors":"M A Elfarmawy, A A A Al-Saadi, M H Alkhatib, M A Alsaadi, N I Shobair","doi":"10.1016/j.ijom.2026.04.008","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.04.008","url":null,"abstract":"This study compares the effectiveness of arthroscope-guided intra-articular injections of sodium hyaluronic acid (HA) and chitosan-hyaluronate (CH) hybrid gel for patients with anterior disc displacement without reduction (ADDw/oR) of the temporomandibular joint (TMJ). A randomized controlled trial was conducted on 20 patients with symptomatic ADDw/oR. The study protocol was registered in the ClinicalTrials.gov (NCT06426199). Patients were randomly assigned in a 1:1 ratio to receive HA or CH injections following arthroscopic lavage. Randomization was computer-generated, allocation was concealed in sealed opaque envelopes, and outcome assessors were blinded. Outcomes (pain by VAS, maximum mouth opening (MMO), and lateral excursions) were assessed at baseline, 3 months, and 6 months. Both groups showed significant improvements in pain and joint function, while the CH group demonstrated superior outcomes, with greater increases in MMO (42.3 vs 33.6 mm at 3 months; 44.9 vs 37.1 mm at 6 months) and significantly lower pain scores (median 2 vs 3.5 at 6 months; P = 0.032). Lateral excursions improved in both groups, with the CH group showing more consistent progress. Joint clicking showed no significant differences. The CH gel provided more significant and sustained improvements in MMO and pain relief compared to HA. Its regenerative properties, prolonged therapeutic effects, and ability to enhance joint lubrication suggest CH as a promising alternative for managing TMJ internal derangements.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793106","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

Does concentrated growth factor provide better outcomes than platelet-rich fibrin or arthrocentesis in the management of temporomandibular disorders? 浓缩生长因子比富血小板纤维蛋白或关节置换术治疗颞下颌疾病的效果更好吗？

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2026-04-27 DOI: 10.1016/j.ijom.2026.04.012

S Mohanty, P Sharma, Z Chaudhary, J Kumar, S Hemavathy, A Verma, R Subhiksha, K Rawat

{"title":"Does concentrated growth factor provide better outcomes than platelet-rich fibrin or arthrocentesis in the management of temporomandibular disorders?","authors":"S Mohanty, P Sharma, Z Chaudhary, J Kumar, S Hemavathy, A Verma, R Subhiksha, K Rawat","doi":"10.1016/j.ijom.2026.04.012","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.04.012","url":null,"abstract":"The purpose of this study was to compare and evaluate the efficacy of intra-articular injection of liquid platelet-rich fibrin (liquid-PRF) or liquid phase concentrated growth factors (LPCGF) with arthrocentesis for temporomandibular disorders. This randomized controlled trial included 60 patients with internal disc derangement who were randomly assigned to three groups: liquid-PRF injection, LPCGF injection, and arthrocentesis. The clinical parameters evaluated were pain on function, tenderness on palpation, temporomandibular joint sounds, jaw deviation, maximum mouth opening (MMO), and maximum protrusive and laterotrusive (ipsilateral and contralateral) jaw movements. Radiographic parameters included vertical joint space height (measured on panoramic radiographs) and articular disc position, disc shape, and total joint space (assessed on magnetic resonance imaging). Treatment outcomes were compared between the groups using ANOVA for continuous variables and the χ2 test for categorical variables. LPCGF patients reported significantly lower mean ± standard deviation pain scores at 6 months than the liquid-PRF and arthrocentesis patients (LPCGF 1.80 ± 0.83, liquid-PRF 2.60 ± 0.94, arthrocentesis 3.30 ± 0.65; P < 0.001). Furthermore, the LPCGF patients had significantly higher MMO (LPCGF 37.60 ± 3.20 mm, liquid-PRF 32.65 ± 1.81 mm, arthrocentesis 31.05 ± 1.31 mm; P < 0.001), as well as mean protrusive and contralateral movements (all P < 0.001), than the liquid-PRF and arthrocentesis patients. Overall, LPCGF demonstrated superior performance for the clinical outcomes analysed when compared with liquid-PRF and arthrocentesis; however, radiographic outcomes did not differ significantly.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793125","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