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

Three-dimensional evaluation of upper airway changes following maxillomandibular surgery for Class III deformity with or without advancement genioplasty. 上颌下颌骨手术治疗III类畸形伴或不伴提前颏成形术后上呼吸道变化的三维评价。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-09-12 DOI: 10.1016/j.ijom.2025.08.013

G Taşkıran, S E Meral, H El, H H Tüz

{"title":"Three-dimensional evaluation of upper airway changes following maxillomandibular surgery for Class III deformity with or without advancement genioplasty.","authors":"G Taşkıran, S E Meral, H El, H H Tüz","doi":"10.1016/j.ijom.2025.08.013","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.08.013","url":null,"abstract":"This retrospective study was performed to evaluate the effect of maxillomandibular surgery on upper airway volumes and hyoid bone positioning in patients with Class III skeletal deformities, treated with maxillary advancement and mandibular setback, with/without a concomitant genioplasty. The study involved 43 patients, divided into two groups: BiMax (bimaxillary surgery with Le Fort I osteotomy and mandibular setback) and BiMax + G (the same surgery with an advancement genioplasty). Changes in nasopharynx, oropharynx, and hypopharynx volumes and position of the hyoid bone were assessed using pre- and postoperative CBCT scans. The data were analysed using t-tests, the Mann-Whitney U-test, and the Wilcoxon signed rank test. The patients in both groups showed a significant increase in nasopharyngeal volume post-surgery (BiMax, P = 0.009; BiMax + G, P = 0.001); however, the change in volume did not differ significantly between the groups. Furthermore, the hypopharyngeal volume increased significantly in the BiMax + G group (P = 0.025), but there was no statistically significant difference in volume change between the groups. There was no statistically significant between-group difference in the change in oropharyngeal or total pharyngeal volume. However, a significant difference was observed in the change in H-RGn distance between the groups (P = 0.021), indicating a differential effect on this hyoid-related parameter. Further exploration of the effects of genioplasty on the upper airway is necessary in future studies.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058810","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 fate of the TMJ metal fossa implant: a long-term follow-up. TMJ金属窝种植体的命运：长期随访。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-09-12 DOI: 10.1016/j.ijom.2025.08.010

C Wroclawski, Y Petukhova, W J Fillmore

{"title":"The fate of the TMJ metal fossa implant: a long-term follow-up.","authors":"C Wroclawski, Y Petukhova, W J Fillmore","doi":"10.1016/j.ijom.2025.08.010","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.08.010","url":null,"abstract":"The temporomandibular joint (TMJ) metal fossa (hemijoint) prosthesis was a treatment modality for select TMJ disorders starting in the 1960s, but was taken off the market in 2015. While many were placed, and some medium-term follow-up has been reported, there is a paucity of long-term follow-up on this prosthesis to guide current clinical decision-making. A cross-sectional survey of 200 Mayo Clinic patients documented to have had a hemijoint implant placed between 2000 and 2015 was performed. The primary outcome measure was the length of time the hemijoint prosthesis was retained. Secondary outcomes were quality-of-life measures (reasons for removal, patient satisfaction, range of motion or dietary restrictions, pain, occlusion, and related secondary interventions performed). At the time of survey collection, 148 (74%) of the surveyed patients still had a hemijoint in place, of whom 119 (80.4%) reported satisfaction with the prosthesis and their current level of function. Pain was the most frequent reason for hemijoint removal (30/52, 57.7%). The mean lifespan of the removed hemijoints was 7.5 years. This study suggests that many hemijoint recipients have retained their prosthesis in the long term with acceptable outcomes and it may not be necessary to remove these prostheses simply due to their presence.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056555","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

In vivo Doppler sonographic examination of temperature-related reactions of the facial artery. 面部动脉温度相关反应的体内多普勒超声检查。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-09-12 DOI: 10.1016/j.ijom.2025.09.001

Á Bicsák, A Kurdakova, C Sömmer, L Koch, S Haßfeld, L Bonitz

{"title":"In vivo Doppler sonographic examination of temperature-related reactions of the facial artery.","authors":"Á Bicsák, A Kurdakova, C Sömmer, L Koch, S Haßfeld, L Bonitz","doi":"10.1016/j.ijom.2025.09.001","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.09.001","url":null,"abstract":"This study was performed to investigate the reactions of the facial artery to changes in facial temperature. Healthy volunteers (10 female, 10 male) underwent three 30-min applications of facial cooling at 18 °C (Hilotherm HomeCare) and warming at 42 °C (preheated gel packs) in separate sessions. Colour Doppler ultrasound measurements of artery diameter, blood flow velocity, and blood flow volume were made every 30 min. The measured values were compared with two-sided t-test. After warming, the participants showed an increase in mean artery diameter: males, 0.183-0.217 cm; females, 0.162-0.190 cm. There were increases in mean velocity (4.818-5.011 cm/s in males; 4.580-5.052 cm/s in females) and mean blood flow volume (0.132-0.188 cm3/s in males; 0.099-0.145 cm3/s in females). Cooling reduced the mean diameter: 0.201-0.153 cm in males; 0.190-0.138 cm in females. Mean velocity changed slightly (males, 4.531-4.578 cm/s; females, 4.036-4.390 cm/s), blood flow volume dropped from 0.143 cm3/s to 0.090 cm3/s in males and from 0.111 cm3/s to 0.067 cm3/s in females. Approximately two-fold difference between the blood flow volume at 18 °C and 42 °C was observed, highlighting the significance of the facial artery in microvascular surgery and supportive therapies.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058719","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

Surgical management of the enlarged sublingual gland in mandibular posterior dental implant rehabilitation. 下颌后牙种植康复中舌下腺肿大的手术处理。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-09-08 DOI: 10.1016/j.ijom.2025.08.011

A Totry, A Kasem, I Slutzky, F Kablan, S Srouji, O Nahlieli

{"title":"Surgical management of the enlarged sublingual gland in mandibular posterior dental implant rehabilitation.","authors":"A Totry, A Kasem, I Slutzky, F Kablan, S Srouji, O Nahlieli","doi":"10.1016/j.ijom.2025.08.011","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.08.011","url":null,"abstract":"A series of enlarged sublingual glands (SLG) that affected dental implantation procedures and prosthodontic rehabilitation is presented, along with their management. All patients were referred by their treating prosthodontists due to swelling in the floor of the mouth that caused difficulties in fitting dental implants or rehabilitation. Sixteen patients aged 27-80 years (12 female, 4 male), treated between 2015 and 2022, were included in this study. Thirteen patients had unilateral enlargement and three had bilateral enlargement of the SLG. Four patients refused to undergo surgical removal of the SLG, while 12 patients suffering from pain and discomfort around the implant underwent this procedure. All patients who underwent the surgery completed their dental rehabilitation by prosthodontists, while the patients who refused to undergo the surgery did not proceed with rehabilitation, leaving the implants submerged. Considerable difficulty is often encountered when performing implant-based mandible rehabilitation in the presence of SLG enlargement . In such cases, careful gland excision is safe and eliminates this problem. Thus, removal of the enlarged SLG can be considered before dental implantation procedures in relevant cases.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031639","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

Three-dimensional assessment of the malar bone implant engagement of 100 zygomatic implants: a retrospective study. 100个颧骨植入体颧骨植入体接合的三维评估：回顾性研究。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-09-06 DOI: 10.1016/j.ijom.2025.08.009

F Zingari, F Gallo, A Madonna, S Barone, M Borelli, A Giudice

{"title":"Three-dimensional assessment of the malar bone implant engagement of 100 zygomatic implants: a retrospective study.","authors":"F Zingari, F Gallo, A Madonna, S Barone, M Borelli, A Giudice","doi":"10.1016/j.ijom.2025.08.009","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.08.009","url":null,"abstract":"This study was performed to evaluate the amount of bone implant engagement (BIE) of zygomatic implants (ZIs) at the malar bone level and its correlation with the ZAGA classification (zygoma anatomy-guided approach). One hundred ZIs placed in 32 patients with severe maxillary atrophy using a fully digital protocol were assessed: 80 placed in pairs (40 anterior (AI), 40 posterior (PI)) and 20 as single ZIs (SI). The ZAGA classification was determined preoperatively. Postoperative computed tomography scans were analysed using 3D Slicer to measure medial and lateral BIE, the mean value of these (mvBIE), and the ferrule area. Comparisons of the mean mvBIE of the implants (AI, PI, SI) were made according to the ZAGA categories and within each ZAGA group. Descriptive statistics and a linear mixed-effects model were performed (α = 0.05). The overall mean mvBIE was 12.38 ± 3.53 mm (AI: 12.38 ± 3.85 mm, PI: 11.50 ± 3.01 mm, SI: 14.16 ± 3.32 mm). A significant relationship was found between mvBIE and the ZAGA classification (0.005 <P < 0.008), with the lowest mean mvBIE in ZAGA 0 and ZAGA 4, and progressively increasing from ZAGA 1 to ZAGA 3. The mean mvBIE was significantly lower in PI compared to AI and SI (0.001 <P < 0.011). Three-dimensional analysis provided detailed measurements of mvBIE in ZIs placed using a digitally guided protocol. Considerable mvBIE variation among implant positions between and within ZAGA categories was observed, highlighting the influence of implant location and anatomy on bone engagement.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016956","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

Response to the comment on "Comparison of cone beam computed tomography and panoramic imaging for the detection of pneumatization of the articular eminence". 对“锥束计算机断层扫描与全景成像检测关节隆起气肿的比较”评论的回应。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-09-05 DOI: 10.1016/j.ijom.2025.08.008

E Katı, G Akçiçek, H Y Zengin

引用次数: 0

Volumetric variations in the buccal fat pad, parapharyngeal adipose corpus, and orbital fat according to sex, age, and body mass index: an MRI study with segmentation. 颊脂肪垫、咽旁脂肪体和眶脂肪根据性别、年龄和体重指数的体积变化：一项分割的MRI研究。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-30 DOI: 10.1016/j.ijom.2025.08.001

A Fernandez, L-D Rivière, T Canceill, A Dubuc, G Fournier, F Savall, G de Bonnecaze

{"title":"Volumetric variations in the buccal fat pad, parapharyngeal adipose corpus, and orbital fat according to sex, age, and body mass index: an MRI study with segmentation.","authors":"A Fernandez, L-D Rivière, T Canceill, A Dubuc, G Fournier, F Savall, G de Bonnecaze","doi":"10.1016/j.ijom.2025.08.001","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.08.001","url":null,"abstract":"The buccal fat pad (BFP), pharyngeal adipose corpus (PAC), and orbital fat are deep fatty compartments of the face that are often considered as non-mobilized fat and are excluded from lipid metabolism. There is considerable clinical inter-individual variability in BFP volume. The PAC volume, which is influenced by weight gain, may be involved in obstructive sleep apnoea syndrome. The aim of this study was to (1) establish well-defined segmentation protocols for the deep fat compartments of the midface; (2) study the volumetric variation in the deep fat compartments of the face according to body mass index (BMI), age, and sex; and (3) compare the behaviours of these fat volumes with each other. Volumes were measured using 3D segmentation tools (3D Slicer). This multicentre study investigated 63 MRI obtained retrospectively. Sex, age, and BMI data were collected from the patient files. The facial deep fat volumes were found to be positively correlated with age and BMI, to varying degrees but in the same direction. No difference in volumes was found between males and females: BFP, P = 0.70; PAC, P = 0.19; orbital fat, P = 0.11. A patient's age and BMI may provide clues as to the volumes of the deep fat compartments. These findings provide a strong foundation for further studies.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984015","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

Quantitative and qualitative condylar morphological changes after conservative treatment in adolescents with osteoarthrosis related to anterior disc displacement without reduction. 青少年前椎间盘不复位相关骨关节病保守治疗后定量和定性髁突形态改变。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-29 DOI: 10.1016/j.ijom.2025.08.002

M-H Huang, J-R Zhao, J-T Zhu, W-Y Zhang, Z-P Sun

{"title":"Quantitative and qualitative condylar morphological changes after conservative treatment in adolescents with osteoarthrosis related to anterior disc displacement without reduction.","authors":"M-H Huang, J-R Zhao, J-T Zhu, W-Y Zhang, Z-P Sun","doi":"10.1016/j.ijom.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.08.002","url":null,"abstract":"Anterior disc displacement without reduction (ADDwoR) of the temporomandibular joint often accompanies temporomandibular joint osteoarthrosis, resulting in changes in the morphology of the condyle, especially in adolescents. In this study, 324 condyles of 247 adolescents with ADDwoR, treated conservatively, were analysed through qualitative evaluations and quantitative measurements, in order to assess the process of changes in condylar morphology. The morphology of the condyle with continuous cortex exhibited greater stability in comparison with the whole sample, and the likelihood of bone loss in this category was reduced (P < 0.001). During follow-up (range 12-96 months, mean ± standard deviation 28.9 ± 18.1 months), over half (51.4%) of the condyles in the discontinuous condylar cortex (DCC) group transitioned to continuous condylar cortex (CCC), whereas the majority (85.7%) of the condyles in the CCC group maintained their continuity. Quantitative measurements revealed a significant association between bone loss in the condyle and a decrease in condylar height (stable vs deteriorated, P < 0.001), accompanied by a reduction in condylar volume (stable vs deteriorated, P = 0.034). Furthermore, condyles with bone loss showed restricted growth in both the mediolateral diameter (repaired vs deteriorated, P = 0.001; stable vs deteriorated, P < 0.001) and anteroposterior diameter (repaired vs deteriorated, P = 0.018).","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983979","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 "Comparison of cone beam computed tomography and panoramic imaging for the detection of pneumatization of the articular eminence". 对“锥束计算机断层扫描与全景成像检测关节隆起充气的比较”的评论。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-28 DOI: 10.1016/j.ijom.2025.08.007

A Mathur, R Sah

引用次数: 0

Three-dimensional analysis of condylar displacement and mandibular segment positions following bilateral sagittal split osteotomy advancement surgery planned with virtual surgical planning: a prospective cohort study. 采用虚拟手术计划的双侧矢状面劈开截骨手术后髁突位移和下颌段位置的三维分析：一项前瞻性队列研究。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-25 DOI: 10.1016/j.ijom.2025.07.011

D Lo-Cao, A Heggie, P M Schneider, M A Cornelis, P M Cattaneo

{"title":"Three-dimensional analysis of condylar displacement and mandibular segment positions following bilateral sagittal split osteotomy advancement surgery planned with virtual surgical planning: a prospective cohort study.","authors":"D Lo-Cao, A Heggie, P M Schneider, M A Cornelis, P M Cattaneo","doi":"10.1016/j.ijom.2025.07.011","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.07.011","url":null,"abstract":"The bilateral sagittal split osteotomy (BSSO) is commonly used for mandibular advancement. This study assessed the three-dimensional accuracy of the virtual surgical planning (VSP) in predicting postoperative mandibular segment positions. Furthermore, the impact of surgical manoeuvres on these positions and their correlation with cephalometric measures were explored. Twenty patients undergoing BSSO advancement (in single- or two-jaw procedures) were treated based on VSP by an experienced surgeon using inter-occlusal wafers. Rigid-wise voxel-based registration was used to superimpose pre-surgical (T0) and post-surgical (T1) cone beam computed tomography images in three distinct regions. Results showed that VSP underestimated the posterior movement of the proximal segment by 0.98 mm (95% CI 1.63 mm to 0.33 mm) and its anterior pitch by 1.08° (95% CI 0.37-1.78°). Greater distal segment advancements correlated with increased anterior pitch (β = 0.33, 95% CI 0.17-0.49) and outward torque (yaw) (β = 0.81, 95% CI 0.57-1.05) of proximal segments, while superior displacement and anterior pitch correlated with lateral (β = 0.34, 95% CI 0.18-0.49) and medial (β = -0.44, 95% CI -0.62 to -0.25) movements, respectively. Certain cephalometric measures, particularly changes in mandibular width, correlated with translational and rotational movements. In conclusion, current VSP is not fully accurate in predicting postoperative mandibular segment positions. These findings highlight the need for incorporating dynamic segment behaviour into VSP protocols to improve surgical planning accuracy and postoperative outcomes.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983997","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