International journal of oral and maxillofacial surgery最新文献_第3页

Development and validation of a predictive scoring system for excessive intraoperative blood loss in orthognathic surgery. 正颌手术术中失血过多的预测评分系统的开发和验证。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-30 DOI: 10.1016/j.ijom.2025.05.007

B Kampeera, N Sriyaranya, Y Aschaitrakool, W Powcharoen

{"title":"Development and validation of a predictive scoring system for excessive intraoperative blood loss in orthognathic surgery.","authors":"B Kampeera, N Sriyaranya, Y Aschaitrakool, W Powcharoen","doi":"10.1016/j.ijom.2025.05.007","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.05.007","url":null,"abstract":"Risk stratification for excessive bleeding prior to orthognathic surgery is necessary for optimizing patient safety and enhancing postoperative recovery. The aim of this study was to develop and validate a simplified scoring system for predicting excessive intraoperative blood loss (IBL) during orthognathic surgery. This retrospective cohort study included 361 patients who underwent orthognathic surgery. Factors related to excessive IBL were analysed. The candidate predictors for excessive IBL were determined by logistic regression analysis. The performance of the model was assessed through its discrimination ability and a calibration plot. Internal validation was done by bootstrap resampling technique. The regression coefficients were transformed into a scoring system. Excessive IBL occurred in 32.7% of patients (118/361). The predictive scoring system included three predictors: body mass index (score 0, 1.5, 2: overweight, normal weight, underweight), systolic blood pressure (score 0, 1: <130, ≥130 mmHg), and operative time (score 0, 2.5: ≤4, >4 h). The area under the receiver operating characteristic curve (AUROC) for discrimination ability was 0.828 (internal validation: C-statistic 0.812). Risk was then classified as low (0-2.5 points) or high (3-5.5 points). The prognostic ability of this simplified scoring system was found to be clinically acceptable for predicting excessive IBL during orthognathic surgery.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144228068","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 role of artificial intelligence in implant dentistry: a systematic review. 人工智能在种植牙科中的作用：系统综述。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-28 DOI: 10.1016/j.ijom.2025.04.005

G Vázquez-Sebrango, E Anitua, I Macía, I Arganda-Carreras

{"title":"The role of artificial intelligence in implant dentistry: a systematic review.","authors":"G Vázquez-Sebrango, E Anitua, I Macía, I Arganda-Carreras","doi":"10.1016/j.ijom.2025.04.005","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.005","url":null,"abstract":"The aim of this systematic review was to comprehensively analyse recent studies on the application of artificial intelligence (AI) in dental implantology. The PRISMA guidelines were followed. Five databases were accessed: Scopus, Web of Science, MEDLINE/PubMed, IEEE Xplore, and JSTOR. Documents published between 2018 and October 15, 2024 relating to AI and implantology were considered. Exclusions encompassed reviews, opinion articles, books, conference references, studies using AI as a supplementary method, AI for teaching implant dentistry, and AI for implant fabrication, prothesis, or design. A total of 120 relevant papers were included. Risk of bias was assessed using PROBAST. Findings demonstrated extensive utilization of AI in various aspects of dental implantology: guided surgery, diagnosis, classification of oral structures, bone classification, classification of dental restorations, implant classification, implant planning, and implant prognosis. Deep learning algorithms were employed in 89.2% of studies, predominantly utilizing image data (72.0% two-dimensional images and 28.0% three-dimensional images). Publications doubled in 2022 compared to the previous year and have remained consistent since. Despite growth, the field remains relatively underdeveloped. However, with advancements in technology and data quality, substantial progress is anticipated in forthcoming years. Remarkably, 11 studies were found to have a high risk of bias.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176306","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

Temporomandibular joint synovial chondromatosis with a giant cell component. 伴有巨细胞成分的颞下颌关节滑膜软骨瘤病。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-27 DOI: 10.1016/j.ijom.2025.05.003

R M Moraes, C M Lescura, E M I Amstalden, A L Anbinder

引用次数: 0

Fully guided, flapless zygomatic implants for oncological rehabilitation-a technical note. 用于肿瘤康复的全引导、无皮瓣颧骨植入物——技术说明。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-23 DOI: 10.1016/j.ijom.2025.05.001

M J Yap, T Singh, M Williams, B Fu

{"title":"Fully guided, flapless zygomatic implants for oncological rehabilitation-a technical note.","authors":"M J Yap, T Singh, M Williams, B Fu","doi":"10.1016/j.ijom.2025.05.001","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.05.001","url":null,"abstract":"Midface defects following head and neck cancer surgery present significant functional and aesthetic challenges. While free-tissue transfer is a favoured reconstructive approach, it may be contraindicated in the medically comorbid and failure may be catastrophic, resulting in significant morbidity. In such cases, zygomatic implant-retained prosthetic obturators provide an effective alternative. However, traditional zygomatic implant placement often requires the elevation of large full-thickness mucoperiosteal flaps, risking osteoradionecrosis in irradiated bone following postoperative radiotherapy. This technical note describes a novel method for fully guided, flapless zygomatic implant placement that was applied in a 74-year-old with a Brown Class IId maxillary defect following hemi-maxillectomy of a pT4aN0M0 right maxillary squamous cell carcinoma. Using virtual surgical planning, two zygomatic implants were placed utilizing 3D-printed tissue-borne drill guides based on the patient's obturator. These guides were designed with low tolerance flutes to minimize angular deviation and utilized hard and soft tissue undercuts to ensure stability. By using a flapless technique, trauma to the irradiated tissues was minimized, whilst achieving accurate zygomatic implant placement. This case highlights the importance of a multidisciplinary approach between the surgical, prosthetic, and engineering teams. Further studies are needed to validate the accuracy and predictability of this innovative approach.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145251","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

Long-term outcomes after primary osteomyelitis of the mandibular condyle occurring in early infancy: a case report and literature review. 婴幼儿早期发生的下颌髁原发性骨髓炎后的长期预后：1例报告和文献回顾。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-23 DOI: 10.1016/j.ijom.2025.05.004

N Kogane, G Diallo-Hornez, S O'Rourke, A Picard, A Morice

引用次数: 0

Materials, design, manufacturing, and regulatory status of alloplastic temporomandibular joint prostheses: insights from Brazil. 同种异体颞下颌关节假体的材料、设计、制造和监管状况：来自巴西的见解。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-23 DOI: 10.1016/j.ijom.2025.05.002

R A G Pierri, L G Mercuri, D S Cassano, L R da Cunha, J R Gonçalves

{"title":"Materials, design, manufacturing, and regulatory status of alloplastic temporomandibular joint prostheses: insights from Brazil.","authors":"R A G Pierri, L G Mercuri, D S Cassano, L R da Cunha, J R Gonçalves","doi":"10.1016/j.ijom.2025.05.002","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.05.002","url":null,"abstract":"End-stage temporomandibular joint (TMJ) disorders are commonly managed with alloplastic joint replacement prostheses (TMJR). However, concerns about the quality of TMJR materials, their design, and manufacturing persist in the literature. A large variety of TMJR systems are available in Brazil; however only two, Zimmer/Biomet and Stryker/TMJ Concepts, are supported by long-term safety and effectiveness studies. Despite the lack of such studies, various TMJR devices are registered with Anvisa, the Brazilian Health Regulatory Agency, and are clinically available. This study identified 11 TMJR systems available on the Brazilian market, nine of which are produced domestically. None of these Brazilian-manufactured systems have published laboratory, pre-clinical testing, or follow-up data, despite all being on the market for over 5 years. Using the Brazilian TMJR experience as an example, the aim of this narrative review is to urge that these elements are addressed by developers, manufacturers, and regulatory bodies worldwide for currently available TMJRs and future TMJRs, before they reach the marketplace.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145227","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

Comparative analysis of different dilution methods in botulinum toxin application. 不同稀释方法在肉毒毒素应用中的比较分析。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-23 DOI: 10.1016/j.ijom.2025.04.1144

T Develi, M G Akgök, E I Sağlam

{"title":"Comparative analysis of different dilution methods in botulinum toxin application.","authors":"T Develi, M G Akgök, E I Sağlam","doi":"10.1016/j.ijom.2025.04.1144","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.1144","url":null,"abstract":"Myofascial pain syndrome is a chronic condition causing muscle pain and trigger points, which can greatly affect a person's quality of life. Botulinum toxin type A may be an effective treatment for myofascial pain syndrome, providing long-lasting pain relief. However, the pain from injections can impact patient comfort and their willingness to continue treatment. This study was performed to compare pain levels in patients receiving BTX-A diluted with either lidocaine or saline. The study involved 90 patients with chronic myofascial pain syndrome. Thirty-seven received BTX-A diluted with 2% lidocaine without epinephrine, while 53 received BTX-A diluted with saline. Pain was measured using a visual analogue scale (VAS 0-10) at three time points: before, during, and 1 month after the injections. Patients in the lidocaine group experienced significantly more pain during the injections than those in the saline group (mean VAS score 4.59 vs 3.15; P = 0.002). Nevertheless, both groups showed a significant reduction in pain over time, from pre-injection to post-injection (lidocaine group, P < 0.001; saline group, P < 0.001), indicating effective long-term pain relief for both treatments. BTX-A was demonstrated to be an effective and safe treatment for myofascial pain syndrome, regardless of the dilution solution used.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145250","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 cone beam computed tomography and panoramic imaging for the detection of pneumatization of the articular eminence. 圆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。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-22 DOI: 10.1016/j.ijom.2025.04.1145

E Katı, G Akçiçek, H Y Zengin

{"title":"Comparison of cone beam computed tomography and panoramic imaging for the detection of pneumatization of the articular eminence.","authors":"E Katı, G Akçiçek, H Y Zengin","doi":"10.1016/j.ijom.2025.04.1145","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.1145","url":null,"abstract":"Pneumatization of the articular eminence (PAE) and pneumatization of the glenoid fossa (PGF) refer to the presence of air cells in the zygomatic process of the temporal bone, according to their location. These air cells are asymptomatic and do not necessitate treatment; however, their identification is crucial in specific situations, particularly during temporomandibular joint (TMJ) surgery. The aim of this study was to assess the diagnostic efficacy of panoramic radiography in detecting PAE compared to cone beam computed tomography (CBCT). The study included 400 individuals who underwent panoramic and CBCT imaging in the same calendar year. The examination of PAE was first conducted using CBCT, and this was followed by a comparative analysis with panoramic imaging. The prevalence of PAE was determined to be 17.3% on CBCT and 9.8% on panoramic imaging. Compared to CBCT imaging, the specificity of panoramic images to identify cases without PAE was 99.5% for the right side and 98% for the left side; sensitivity, on the other hand, was only 40.6% and 49.1% for the right and left sides, respectively. In comparison to CBCT imaging, panoramic imaging demonstrated a low sensitivity, despite its high specificity. Therefore, a three-dimensional examination is recommended prior to TMJ surgery.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133170","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

Neck dissection in cN0 oral squamous cell carcinoma: a chance for immunotherapy. 颈部清扫在cN0口腔鳞状细胞癌：免疫治疗的机会。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-20 DOI: 10.1016/j.ijom.2025.04.1143

L-L Bu, Z-Y Xu, Z-Y Kuo, L-Y Wei, B Liu, J Jia

{"title":"Neck dissection in cN0 oral squamous cell carcinoma: a chance for immunotherapy.","authors":"L-L Bu, Z-Y Xu, Z-Y Kuo, L-Y Wei, B Liu, J Jia","doi":"10.1016/j.ijom.2025.04.1143","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.1143","url":null,"abstract":"Elective neck dissection is the standard neck management for cT1-T2N0 oral squamous cell carcinoma (OSCC), but it carries a high risk of complications and overtreatment. Neoadjuvant immunotherapy has been less studied in early-stage OSCC, but recent evidence has emphasized that the absence of healthy lymph nodes may compromise the immune response, suggesting that the introduction of neoadjuvant immunotherapy in early-stage patients with healthier lymph nodes may be beneficial for treatment outcomes. This review explores the potential of neoadjuvant immunotherapy combinations and the watch-and-wait strategy as alternative approaches to neck management in early-stage OSCC, with the aim of achieving both optimal survival and quality of life. The current landscape of neck management and the immune function of lymph nodes are summarized, and the current evidence and potential advantages of neoadjuvant immunotherapy combinations in the treatment of early-stage OSCC are highlighted. Further evaluation of the efficacy of neoadjuvant immunotherapy combination in controlling occult metastases is needed to determine the potential survival benefits. In addition, the effectiveness of neoadjuvant immunotherapy in early-stage OSCC may be enhanced by the development of non-invasive lymph node diagnostics, clinical risk decision systems, and lymph node drug delivery systems.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121878","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

Management of arthroscopic perforation of the middle cranial fossa: a case report. 关节镜下颅中窝穿孔1例。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-20 DOI: 10.1016/j.ijom.2025.04.1146

R Martin-Granizo, L V González, C Mazo, J P López

引用次数: 0