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

Outcomes of an enhanced recovery after surgery (ERAS) protocol following head and neck cancer surgery with free flap reconstruction. 头颈癌游离皮瓣重建术后增强恢复（ERAS）方案的结果。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-23 DOI: 10.1016/j.ijom.2025.08.005

G Raj, M Raj, H H M Ng, Jimin Suh, N B Shannon, R H Nagadia, N G Iyer, R Dharmawan

{"title":"Outcomes of an enhanced recovery after surgery (ERAS) protocol following head and neck cancer surgery with free flap reconstruction.","authors":"G Raj, M Raj, H H M Ng, Jimin Suh, N B Shannon, R H Nagadia, N G Iyer, R Dharmawan","doi":"10.1016/j.ijom.2025.08.005","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.08.005","url":null,"abstract":"The aim of this study was to evaluate the effectiveness of an enhanced recovery after surgery (ERAS) protocol following head and neck cancer (HNC) surgery with free flap reconstruction. Primary outcomes measured were length of stay (LOS), days to oral feeds, days to ambulation, complications within 1 month, and 30-day readmission. Secondary outcomes included days to urinary catheter removal (TOC), use and duration of patient-controlled analgesia (PCA), days to decannulation, and days to radiation therapy. Seventy-nine patients were studied: 37 ERAS and 42 pre-ERAS, with comparable baseline demographics. The ERAS group demonstrated significantly shorter median days to oral feeds (8.0 vs 11.0, P = 0.045) and TOC (5.0 vs 11.0, P = 0.007). Respiratory complications were also significantly lower in the ERAS group (0% vs 16.7%, P = 0.009). However, the ERAS group had longer median days to decannulation (8.0 vs 5.0, P < 0.001). No significant differences were observed in LOS, overall complication rate, or 30-day readmission. Adoption of the ERAS protocol in HNC free flap reconstruction is safe and effective, reducing time to oral feeding, respiratory complications, and days to TOC, though with longer decannulation times, without adversely affecting overall complications or readmissions.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983939","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 clockwise rotation of the maxillomandibular complex using the surgery-first approach to correct mandibular prognathism affect the pharyngeal airway? 采用手术先入路矫正下颌前突，顺时针旋转上下颌复合体是否会影响咽道导气管？

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-22 DOI: 10.1016/j.ijom.2025.08.003

S P Sinha, P Wiriphai, T-D Tran-Duy, E W-C Ko, Y-R Chen, C S Huang

{"title":"Does clockwise rotation of the maxillomandibular complex using the surgery-first approach to correct mandibular prognathism affect the pharyngeal airway?","authors":"S P Sinha, P Wiriphai, T-D Tran-Duy, E W-C Ko, Y-R Chen, C S Huang","doi":"10.1016/j.ijom.2025.08.003","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.08.003","url":null,"abstract":"In mandibular prognathism, correction by clockwise rotation (CWR) of the maxillomandibular complex (MMC) can improve the facial appearance and allow greater mandibular setback. However, cohort studies comparing changes in the pharyngeal airway between CWR and control groups are lacking. This prospective cohort study included 70 adults who underwent the correction of skeletal Class III malocclusion with or without CWR. Airway volume changes were compared between preoperative (T0), 1 month postoperative (T1), and 1 year postoperative (T2). The patients were divided into CWR and control groups according to the change in maxillary occlusal plane from T0 to T1 (CWR group >4°; control group ≤4°). Covariates were sex, age, genioplasty, and airway volumes at T0, T1, and T2. The primary outcome variable was whether there was a volume increase or decrease between T1 and T2. The total pharyngeal, nasopharyngeal, oropharyngeal, and hypopharyngeal volumes decreased between T0 and T1 and then increased between T1 and T2 in both groups; there was no significant difference in the changes in volume between the groups. In the volume-increase group, the changes in airway volume (T0-T1 and T1-T2) were similar to those of the control group. Overall, CWR of the MMC did not significantly affect the pharyngeal airway volume changes T0-T1 or T1-T2, as compared with the control group.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983968","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

Impact of dexamethasone-enhanced anaesthetics on postoperative pain, oedema, and trismus following third molar extraction: a systematic review and meta-analysis. 地塞米松增强麻醉剂对第三磨牙拔牙术后疼痛、水肿和牙关紧闭的影响：一项系统回顾和荟萃分析

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-22 DOI: 10.1016/j.ijom.2025.08.004

I A Fernandes, A C R Protásio, I D'Angelis, M R L Lopes, M N L Baracho, S G M Falci, G M de Souza

{"title":"Impact of dexamethasone-enhanced anaesthetics on postoperative pain, oedema, and trismus following third molar extraction: a systematic review and meta-analysis.","authors":"I A Fernandes, A C R Protásio, I D'Angelis, M R L Lopes, M N L Baracho, S G M Falci, G M de Souza","doi":"10.1016/j.ijom.2025.08.004","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.08.004","url":null,"abstract":"The extraction of third molars (3Ms) is frequently associated with postoperative inflammation and discomfort. This systematic review aimed to compare the efficacy of combining local anaesthetics with dexamethasone (treatment group) versus local anaesthetics alone (control group) in 3M surgeries. A comprehensive search of PubMed, Cochrane CENTRAL, Virtual Health Library, and Embase was conducted on June 9, 2025, to identify randomized controlled trials (RCTs) assessing outcomes such as pain, oedema, and trismus. Of 300 studies initially identified, nine met inclusion criteria for qualitative synthesis, and eight were included in the meta-analyses. These studies involved 406 patients and 539 3Ms. The treatment group showed significant improvements in postoperative pain, facial oedema (days 1, 3, and 7), trismus (days 3 and 7), anaesthesia onset time, anaesthesia duration, and pain during anaesthetic injection. Overall, the addition of dexamethasone significantly enhanced clinical outcomes compared to anaesthetics alone. However, the certainty of the evidence remains low due to methodological limitations in the included trials. Further high-quality RCTs, rigorously adhering to standardized protocols, are essential to reduce bias and strengthen the reliability of these findings.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983993","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

Cosmetic and functional survey-based study of unilateral cleft lip nasal deformities. 基于美容和功能调查的单侧唇裂鼻畸形研究。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-13 DOI: 10.1016/j.ijom.2025.07.008

J Zhao, Z Zhai, G Li, H Tang, T Song, D Wu

{"title":"Cosmetic and functional survey-based study of unilateral cleft lip nasal deformities.","authors":"J Zhao, Z Zhai, G Li, H Tang, T Song, D Wu","doi":"10.1016/j.ijom.2025.07.008","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.07.008","url":null,"abstract":"Unilateral cleft lip (UCL) presents some of the most challenging cosmetic and functional nasal deformities. A survey-based study of 231 UCL patients was conducted to evaluate nasal deformities and their impact on cosmetic and functional outcomes. The patients were classified into three groups according to the cleft lip type: occult, incomplete, and complete cleft lip. Nasal morphology and function were assessed using the Nasal Obstruction Symptom Evaluation (NOSE) scale, Rhinoplasty Outcome Evaluation (ROE) questionnaire, and visual analogue scales (VAS) for nasal obstruction and olfactory function. Compared to the complete cleft lip patients, those with occult and incomplete cleft lip reported significantly less nasal obstruction (VAS: both P < 0.001; NOSE: both P < 0.001; ROE nasal breathing satisfaction: P = 0.002 and P < 0.001) and better olfactory function (VAS: both P < 0.001). There were no significant differences in scores for ROE appearance-related items among the groups. Nasal function is related to the severity of the cleft lip, with poorer functional outcomes in complete cleft lips than in incomplete or occult cleft lips. These results highlight the importance of objective nasal functional assessment in all UCL patients and support the need for individualized treatment strategies based on cleft severity.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857258","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

Structured clinical evaluation for rapid identification of temporomandibular joint closed lock. 快速识别颞下颌关节闭锁的结构化临床评价。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-13 DOI: 10.1016/j.ijom.2025.07.009

W Abboud, S Reiter, O Peleg, P Friedman-Rubin, T SellaTunis, D Shamir, M Joachim

{"title":"Structured clinical evaluation for rapid identification of temporomandibular joint closed lock.","authors":"W Abboud, S Reiter, O Peleg, P Friedman-Rubin, T SellaTunis, D Shamir, M Joachim","doi":"10.1016/j.ijom.2025.07.009","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.07.009","url":null,"abstract":"Temporomandibular joint (TMJ) closed lock, corresponding to Wilkes stage 3 internal derangement, is a common cause of restricted mouth opening and functional impairment. Early diagnosis is essential but challenging, particularly when imaging is unavailable. This study analyzed 40 consecutive patients diagnosed with TMJ closed lock. Patients were routinely evaluated using a standardized 11-test assessment format as part of regular practice, and these records were retrospectively analyzed. Statistical analysis compared findings between the affected and non-affected joints and the muscles of mastication. The most frequent clinical findings included tenderness in the affected joint on passive stretch (75%), on palpation (67.5%), on contralateral movement (57.5%), and on contralateral loading (47.5%). On average, the affected joint was tender in 4.1 of 11 tests, while the contralateral joint was positive in only 0.2 tests (P < 0.001). Passive stretch increased mouth opening from 27.1 mm to 31.7 mm, with a hard end feel observed in 85% of patients. Muscular tenderness was observed in 32.5% of patients, most commonly in the ipsilateral masseter (25%) and temporalis (12.5%). These findings support structured clinical evaluation for early recognition of TMJ closed lock, improving diagnostic accuracy and enabling timely intervention.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857259","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

Eminectomy performed through an innovative digital workflow. 通过创新的数字工作流程进行乳房切除术。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-08 DOI: 10.1016/j.ijom.2025.07.013

F Melhem-Elias, B A Q Reis, N K de Oliveira, R Grillo

{"title":"Eminectomy performed through an innovative digital workflow.","authors":"F Melhem-Elias, B A Q Reis, N K de Oliveira, R Grillo","doi":"10.1016/j.ijom.2025.07.013","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.07.013","url":null,"abstract":"Eminectomy has been a well-established surgical procedure for the management of recurrent temporomandibular joint (TMJ) dislocation for over seven decades. This paper presents a digital workflow designed to enhance the surgical precision and safety of eminectomy. A 22-year-old female patient with recurrent TMJ dislocation underwent bilateral eminectomy. The patient's medical history included myasthenia gravis, which was considered in the surgical planning. A digitally designed cutting guide and depth template were created using Dolphin Imaging 11.95 software and subsequently produced via 3D-printing. The eminectomy was performed using a piezoelectric device, with the cutting guide ensuring a precise osteotomy and the depth template limiting bone removal to the necessary extent. The use of these digitally planned instruments facilitated a more efficient procedure compared to previous eminectomies performed by the same surgeon. Furthermore, the preoperative digital workflow enhanced the surgical safety by protecting the adjacent neurovascular structures through the customized cutting guide and depth template. In conclusion, digitally planned and 3D-printed surgical guides are valuable tools that may significantly improve the precision, efficiency, and safety of eminectomy.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812750","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

Photon-counting detector computed tomography meets orthopantomography: a cinematic rendering solution for superior structural visualization. 光子计数检测器计算机断层扫描满足正断层扫描：一个电影渲染解决方案，卓越的结构可视化。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-06 DOI: 10.1016/j.ijom.2025.07.010

B Stadlinger, K Engel, A Al-Haj Husain, H Alkadhi

{"title":"Photon-counting detector computed tomography meets orthopantomography: a cinematic rendering solution for superior structural visualization.","authors":"B Stadlinger, K Engel, A Al-Haj Husain, H Alkadhi","doi":"10.1016/j.ijom.2025.07.010","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.07.010","url":null,"abstract":"This technical note introduces an innovative technique for overlaying photorealistic three-dimensional (3D) visualization cinematic renderings of ultra-high-resolution photon-counting detector computed tomography (PCD-CT) scans onto conventional orthopantomography (OPG) images, enhancing visualization and aiding in the detection of subsurface structures and incidental findings. OPG is commonly used to assess dentomaxillofacial conditions, generating a summation image on a two-dimensional (2D) plane through a circular tomographic path. While useful for the initial evaluation, OPG has limitations, such as overlapping structures and restricted soft tissue visualization. More detailed analysis often requires 3D imaging modalities like cone beam computed tomography or conventional computed tomography. Recently introduced PCD-CT provides high-resolution images with lower noise, enhanced soft tissue contrast, and reduced artefacts. A novel technique of overlaying a photorealistic 3D cinematic rendering of a PCD-CT scan onto a conventional 2D OPG image of the same patient is introduced that enhances OPG by revealing subsurface structures such as blood vessels and improves understanding of the 3D anatomy. By associating the 3D anatomy with this 2D image, the technique enhances the clinician's understanding of three-dimensionality and may potentially aid in the detection of incidental findings in OPGs, such as calcifications in the angle of the jaw.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801342","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

Automated detection of zygomatic fractures on spiral computed tomography using a deep learning model. 利用深度学习模型在螺旋计算机断层扫描上自动检测颧骨骨折。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-06 DOI: 10.1016/j.ijom.2025.07.007

A Yari, P Fasih, L Kamali Hakim, A Asadi

{"title":"Automated detection of zygomatic fractures on spiral computed tomography using a deep learning model.","authors":"A Yari, P Fasih, L Kamali Hakim, A Asadi","doi":"10.1016/j.ijom.2025.07.007","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.07.007","url":null,"abstract":"The aim of this study was to evaluate the performance of the YOLOv8 deep learning model for detecting zygomatic fractures. Computed tomography scans with zygomatic fractures were collected, with all slices annotated to identify fracture lines across seven categories: zygomaticomaxillary suture, zygomatic arch, zygomaticofrontal suture, sphenozygomatic suture, orbital floor, zygomatic body, and maxillary sinus wall. The images were divided into training, validation, and test datasets in a 6:2:2 ratio. Performance metrics were calculated for each category. A total of 13,988 axial and 14,107 coronal slices were retrieved. The trained algorithm achieved accuracy of 94.2-97.9%. Recall exceeded 90% across all categories, with sphenozygomatic suture fractures having the highest value (96.6%). Average precision was highest for zygomatic arch fractures (0.827) and lowest for zygomatic body fractures (0.692). The highest F1 score was 96.7% for zygomaticomaxillary suture fractures, and the lowest was 82.1% for zygomatic body fractures. Area under the curve (AUC) values were also highest for zygomaticomaxillary suture (0.943) and lowest for zygomatic body fractures (0.876). The YOLOv8 model demonstrated promising results in the automated detection of zygomatic fractures, achieving the highest performance in identifying fractures of the zygomaticomaxillary suture and zygomatic arch.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801341","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

Effective treatment of multiple oral mucoceles. 有效治疗多发性口腔黏液囊肿。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-05 DOI: 10.1016/j.ijom.2025.07.012

J Wang, F Lin, Y Liu, X Guan

引用次数: 0

Papilliferous keratoameloblastoma: a case report with review of the literature. 乳头状角膜成釉细胞瘤1例并文献复习。

IF 2.7

International journal of oral and maxillofacial surgery Pub Date : 2025-08-04 DOI: 10.1016/j.ijom.2025.07.006

A B Urs, J Augustine, P Kumar, S Mohanty, S Jha

{"title":"Papilliferous keratoameloblastoma: a case report with review of the literature.","authors":"A B Urs, J Augustine, P Kumar, S Mohanty, S Jha","doi":"10.1016/j.ijom.2025.07.006","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.07.006","url":null,"abstract":"Ameloblastoma is the most common benign odontogenic tumour of the jaw bones and it exhibits a wide range of histopathological patterns. Papilliferous keratoameloblastoma (PKA), a rare variant of ameloblastoma, is characterized by the presence of papilliferous proliferations of the odontogenic epithelium, along with surface keratinization and keratin accumulation that may occur within the stroma. This report presents a rare case of PKA in a 44-year-old male patient who presented due to a recurrent exophytic growth in the right posterior mandible. A panoramic radiograph showed a well-defined multilocular radiolucency extending from the right body of the mandible to the anterior two-thirds of the ramus of the mandible. Analysis of an incisional biopsy of the cauliflower-like growth revealed a plexiform ameloblastoma with extraosseous extension. The growth enlarged again during the next 3 months and the patient was then operated on. The patient underwent resection of the right posterior mandible involving the second molar and ramus up to the coronoid, followed by stabilization of the mandible with a titanium plate. The final diagnosis of PKA was made on the basis of the unique histopathological features. A review of the literature on cases of PKA is included.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791044","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