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

Comment on "Permanent lingual nerve injury after dental procedures: a retrospective study of 228 patients". 就 "牙科手术后的永久性舌神经损伤：对 228 名患者的回顾性研究 "发表评论。

International journal of oral and maxillofacial surgery Pub Date : 2024-10-04 DOI: 10.1016/j.ijom.2024.09.012

W Jerjes

引用次数: 0

A cadaveric study of induced isolated orbital floor fractures and implications for surgical decision-making: comparison of two preoperative imaging modalities. 诱发孤立性眶底骨折的尸体研究及其对手术决策的影响：两种术前成像模式的比较。

International journal of oral and maxillofacial surgery Pub Date : 2024-10-03 DOI: 10.1016/j.ijom.2024.09.005

P Winnand, M Ooms, N Ayoub, M Heitzer, F Paulßen von Beck, F Hölzle, T Mücke, A Modabber

{"title":"A cadaveric study of induced isolated orbital floor fractures and implications for surgical decision-making: comparison of two preoperative imaging modalities.","authors":"P Winnand, M Ooms, N Ayoub, M Heitzer, F Paulßen von Beck, F Hölzle, T Mücke, A Modabber","doi":"10.1016/j.ijom.2024.09.005","DOIUrl":"10.1016/j.ijom.2024.09.005","url":null,"abstract":"Computed tomography (CT) is the gold standard for the diagnosis of isolated orbital floor fractures, while cone beam computed tomography (CBCT) is an alternative. The aim of this study was to compare the diagnostic accuracy of CT and CBCT for isolated orbital floor fractures. Forty-eight isolated orbital floor fractures were systematically induced in cadaver orbits. CBCT and CT scans of each cadaver head were performed and the image data imported into ProPlan CMF for analysis. The orbital floor area (OFA), orbital defect area (ODA), and peri-orbital tissue herniation were evaluated. Surgical decision-making differed significantly according to the imaging modality (P = 0.031). The odds of decision discrepancy between CBCT and CT were higher with increasing ODA/OFA ratios, when adjusted for peri-orbital tissue herniation and fracture localization (P = 0.026). An ODA/OFA ratio cut-off value of >36.25% had a sensitivity of 100% and specificity of 71% (area under the curve 0.83, P = 0.011) for predicting discrepancies between CBCT and CT in surgical decision-making. In this cadaveric study, CT and CBCT were diagnostically equivalent for isolated orbital floor fractures with an ODA/OFA ratio ≤36.25%. However, fractures exceeding this threshold may be better evaluated by CT to avoid discrepancies in surgical decision-making.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376407","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

Clinical and in vitro application of robotic computer-assisted implant surgery: a scoping review. 机器人计算机辅助植入手术的临床和体外应用：范围综述。

International journal of oral and maxillofacial surgery Pub Date : 2024-10-03 DOI: 10.1016/j.ijom.2024.09.006

W K Zhou, J J Wang, Y H Jiang, L Yang, Y L Luo, Y Man, J Wang

引用次数: 0

Empowering surgeons: will artificial intelligence change oral and maxillofacial surgery? 增强外科医生的能力：人工智能会改变口腔颌面外科吗？

International journal of oral and maxillofacial surgery Pub Date : 2024-09-27 DOI: 10.1016/j.ijom.2024.09.004

Y M Sillmann, J L G C Monteiro, P Eber, A M P Baggio, Z S Peacock, F P S Guastaldi

{"title":"Empowering surgeons: will artificial intelligence change oral and maxillofacial surgery?","authors":"Y M Sillmann, J L G C Monteiro, P Eber, A M P Baggio, Z S Peacock, F P S Guastaldi","doi":"10.1016/j.ijom.2024.09.004","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.09.004","url":null,"abstract":"Artificial Intelligence (AI) can enhance the precision and efficiency of diagnostics and treatments in oral and maxillofacial surgery (OMS), leveraging advanced computational technologies to mimic intelligent human behaviors. The study aimed to examine the current state of AI in the OMS literature and highlight the urgent need for further research to optimize AI integration in clinical practice and enhance patient outcomes. A scoping review of journals related to OMS focused on OMS-related applications. PubMed was searched using terms \"artificial intelligence\", \"convolutional networks\", \"neural networks\", \"machine learning\", \"deep learning\", and \"automation\". Ninety articles were analyzed and classified into the following subcategories: pathology, orthognathic surgery, facial trauma, temporomandibular joint disorders, dentoalveolar surgery, dental implants, craniofacial deformities, reconstructive surgery, aesthetic surgery, and complications. There was a significant increase in AI-related studies published after 2019, 95.6% of the total reviewed. This surge in research reflects growing interest in AI and its potential in OMS. Among the studies, the primary uses of AI in OMS were in pathology (e.g., lesion detection, lymph node metastasis detection) and orthognathic surgery (e.g., surgical planning through facial bone segmentation). The studies predominantly employed convolutional neural networks (CNNs) and artificial neural networks (ANNs) for classification tasks, potentially improving clinical outcomes.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335216","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

Prevalence and risk factors of suicidal ideation in oral cancer: a systematic review and meta-analysis. 口腔癌患者自杀倾向的发生率和风险因素：系统回顾和荟萃分析。

International journal of oral and maxillofacial surgery Pub Date : 2024-09-24 DOI: 10.1016/j.ijom.2024.09.003

S M Gondivkar, G S Sarode, A Warhekar, M Yuwanati, R Ingole, A R Gadbail, S C Sarode, P Motghare

{"title":"Prevalence and risk factors of suicidal ideation in oral cancer: a systematic review and meta-analysis.","authors":"S M Gondivkar, G S Sarode, A Warhekar, M Yuwanati, R Ingole, A R Gadbail, S C Sarode, P Motghare","doi":"10.1016/j.ijom.2024.09.003","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.09.003","url":null,"abstract":"The objective was to estimate the pooled prevalence of suicidal ideation (SI) and related risk factors in oral cancer (OC). Studies that specified SI in OC patients were considered eligible. SI prevalence and associated risk factors were extracted from the included studies for qualitative analysis and meta-analysis. Five studies (two retrospective, two cross-sectional, and one prospective longitudinal) were included in this review. Out of a total 15,475 OC patients, SI was reported in 117. The pooled prevalence of SI was 6% (95% confidence interval 1-22%). The prevalence of SI varied widely across the included studies, from 0.26% to 18.7%. Four studies described SI assessment methods, which were DS-MV, PHQ-9, Beck Scale for Suicidal Ideation, and psychiatric interviews. Older age, depression, demoralization, previous cancer history, psychiatric history, alcohol dependence, anxiety, living alone, and poor quality of life were frequently mentioned as risk factors of SI. The prevalence of SI varied across studies and was probably affected by the method of assessment, treatment, and postoperative care. SI was consistently predicted with psychological distress. It is essential to raise awareness of demographic, clinical, and psychological associations with SI in order to assess risks and design interventions for this cohort.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335218","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 image-guided surgical robot versus 3D-printed template for brachytherapy of malignant tumours in the skull base and deep facial region: a clinical comparative study. 用于颅底和面部深部恶性肿瘤近距离放射治疗的多模态图像引导手术机器人与三维打印模板：一项临床比较研究。

International journal of oral and maxillofacial surgery Pub Date : 2024-09-23 DOI: 10.1016/j.ijom.2024.09.002

N Jin, F Meng, L Zhu, L Xing, Q Lin, H Zhang

{"title":"Multimodal image-guided surgical robot versus 3D-printed template for brachytherapy of malignant tumours in the skull base and deep facial region: a clinical comparative study.","authors":"N Jin, F Meng, L Zhu, L Xing, Q Lin, H Zhang","doi":"10.1016/j.ijom.2024.09.002","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.09.002","url":null,"abstract":"This study compared a multimodal image-guided robot and three-dimensionally (3D) printed templates for implanting iodine-125 (I125) radioactive seeds in patients with malignant tumours in the skull base and deep facial region. Seventeen patients who underwent I125 radioactive seed implantation between December 2018 and December 2019 were included. The operation time, intraoperative blood loss, and accuracy of seed implantation were compared between the multimodal image-guided robot-assisted implantation (experimental) group (n = 7) and 3D-printed template-assisted implantation (control) group (n = 10). In total, 291 seeds were implanted in the experimental group and 436 in the control group; the mean error of seed implantation accuracy was 1.95 ± 0.13 mm and 1.90 ± 0.08 mm, respectively (P = 0.309). The preparation time was 26.13 ± 5.28 min in the experimental group and 0 min in the control group, while the average operation time was 34.44 ± 6.39 min versus 43.70 ± 6.06 min, respectively. The intraoperative blood loss was 4.96 ± 1.76 ml (experimental) versus 8.97 ± 2.99 ml (control) (P = 0.123). Multimodal image-guided robot-assisted I125 radioactive seed implantation met the clinical requirements for treating malignant tumours in the skull base and deep facial regions.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335217","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

Postoperative maxillary stability after Le Fort I osteotomy using a u-HA/PLLA system: three-dimensional analysis by surface superimposition based on virtual Le Fort I osteotomy. 使用 u-HA/PLLA 系统进行 Le Fort I 截骨术后的上颌骨稳定性：基于虚拟 Le Fort I 截骨术的表面叠加三维分析。

International journal of oral and maxillofacial surgery Pub Date : 2024-09-20 DOI: 10.1016/j.ijom.2024.09.001

S Yamamoto, R Iwadate, K Maeda, N Taniike

{"title":"Postoperative maxillary stability after Le Fort I osteotomy using a u-HA/PLLA system: three-dimensional analysis by surface superimposition based on virtual Le Fort I osteotomy.","authors":"S Yamamoto, R Iwadate, K Maeda, N Taniike","doi":"10.1016/j.ijom.2024.09.001","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.09.001","url":null,"abstract":"The postoperative stability achieved with Le Fort I osteotomy (LFI) using bioabsorbable systems remains controversial. A new method - multipoint measurement method - was devised for detailed three-dimensional examination of postoperative stability following LFI, and the stability after LFI when using SuperFIXSORB-MX made of u-HA/PLLA was investigated. Thirty-one patients who underwent LFI using SuperFIXSORB-MX were evaluated retrospectively. The patients were divided into four malocclusion types: open bite, mandibular retrognathia, mandibular protrusion, and facial asymmetry. Seven maxillary reference points were measured three-dimensionally using computed tomography scans obtained preoperatively (T0), 4 days post-surgery (T1), and 1 year post-surgery (T2). Surgical changes (T1-T0) and the postoperative discrepancy (T2-T1) of the maxilla were analysed to evaluate postoperative stability by surface superimposition of the virtual LFI segments. Postoperative discrepancy was the largest for the facial asymmetry type, ranging from 0.75 ± 0.45 mm to 0.98 ± 0.52 mm in three-dimensional distance (minimum to maximum mean ± standard deviation values for the individual reference points). The relapse at U1 was 16% in the transverse axis, and the anterior nasal spine moved further upward by 17% of the amount of movement of the maxilla. Fixation with SuperFIXSORB-MX was considered to be within clinically acceptable limits.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304881","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

Persistent pain after total temporomandibular joint replacement surgery: clinical characteristics, comorbidities, and risk factors. 全颞下颌关节置换手术后的持续疼痛：临床特征、合并症和风险因素。

International journal of oral and maxillofacial surgery Pub Date : 2024-09-04 DOI: 10.1016/j.ijom.2024.08.038

S Handa, M Youness, D A Keith, A Rosén

{"title":"Persistent pain after total temporomandibular joint replacement surgery: clinical characteristics, comorbidities, and risk factors.","authors":"S Handa, M Youness, D A Keith, A Rosén","doi":"10.1016/j.ijom.2024.08.038","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.08.038","url":null,"abstract":"Chronic post-surgical pain (CPSP) after temporomandibular joint (TMJ) surgery is an under-recognized problem. The aim of this study was to document the characteristics of CPSP and identify patient risk factors and comorbidities associated with the development of CPSP after total TMJ replacement (TJR). This was a retrospective cohort study of patients who underwent TJR between 2000 and 2018 at Massachusetts General Hospital, Boston, USA. The primary outcome was the presence of CPSP and use of pain medications after TJR. The secondary outcome was the risk factors associated with the development of CPSP. A total 88 patients were included (79 females, 9 males). The mean follow-up was 4.2 years. Overall, 68 (77.3%) had CPSP and 20 (22.7%) had no CPSP. Of those with CPSP, 32.4% had severe pain and 45.6% continued to take pain medications. Of the 27 patients with data available on the characteristics of the pain, the majority had myofascial pain, while some developed neuropathic pain. A significant difference was noted between the CPSP and non-CPSP groups in terms of preoperative pain, smoking behavior, and use of opioids, non-steroidal anti-inflammatory drugs, muscle relaxants, and neuropathic pain medications.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142142184","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

Improved stability of open bite deformities: taking control of the transverse width using digital technology and robotic archwire bending. 提高开放性咬合畸形的稳定性：利用数字技术和机器人弓丝弯曲技术控制横向宽度。

International journal of oral and maxillofacial surgery Pub Date : 2024-09-03 DOI: 10.1016/j.ijom.2024.08.036

G A Millesi, G R De Fazio, M Zimmermann, M Eltz

{"title":"Improved stability of open bite deformities: taking control of the transverse width using digital technology and robotic archwire bending.","authors":"G A Millesi, G R De Fazio, M Zimmermann, M Eltz","doi":"10.1016/j.ijom.2024.08.036","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.08.036","url":null,"abstract":"Many factors need to be considered when selecting treatment protocol for surgical correction of skeletal open bite deformities. In order to achieve stable long-term results, it is essential to explore the origin of the open bite, including dysfunction of the temporomandibular joint, tongue and compromised nasal breathing, in addition to the skeletal deformity. Recurrence of skeletal open bite is associated with relapse of the expanded transverse width. Three-dimensional virtual planning allows different treatment options to be explored and final decisions to be made together with the orthodontist. This study presents a treatment protocol for predictable and stable widening of the maxillary transverse width over the long term, involving premolar extraction and rounding and shortening of the upper dental arch by advancing the molar segments. The stability of inter-canine, inter-premolar, and inter-molar distances, as well as overjet and overbite, were measured in 16 patients treated with this technique; measurements were obtained pre- and post-surgery, and the mean follow-up was 43 months. Orthodontic treatment was designed digitally and finished with robotically bent wires (SureSmile), which allowed exact planning of the overall treatment, thus making orthognathic surgery more predictable for the patient. The changes in transverse width were significant and stable over time.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134911","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

Factors predicting neurosensory disturbance after bilateral sagittal split ramus osteotomy: a retrospective cohort study. 预测双侧矢状劈裂臼齿截骨术后神经感觉障碍的因素：一项回顾性队列研究。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-28 DOI: 10.1016/j.ijom.2024.08.029

K Shinozaki, T Kobayashi, N Seki, J Iwanaga, J Kusukawa

{"title":"Factors predicting neurosensory disturbance after bilateral sagittal split ramus osteotomy: a retrospective cohort study.","authors":"K Shinozaki, T Kobayashi, N Seki, J Iwanaga, J Kusukawa","doi":"10.1016/j.ijom.2024.08.029","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.08.029","url":null,"abstract":"Neurosensory disturbances (NSD) are the most widely recognized complication of bilateral sagittal split ramus osteotomy (BSSRO), but predictors of NSD remain unclear. The aim of this study was to identify factors predicting NSD following BSSRO. A retrospective cohort study of 129 consecutive patients with dentofacial deformities (median age 24.0 years; 76.0% female), who underwent BSSRO (95 without genioplasty, 34 with genioplasty), was conducted. The presence of NSD was evaluated at 6 months postoperatively and was found in 97 patients (absent in 32 patients). Potential NSD-related factors investigated were age, sex, genioplasty, mandibular canal type, inferior alveolar nerve (IAN) exposure, mandibular movement, and laterality. Multivariate binary logistic regression analysis was conducted to elucidate factors predicting NSD, with calculation of odds ratios (OR) and 95% confidence intervals (CI). The dependent variable was defined as NSD after BSSRO. Independent variables were those with P < 0.100 in the univariate analysis. In the multivariate binary logistic regression analysis, NSD showed a significant association with BSSRO with genioplasty (adjusted OR 3.87, 95% CI 1.21-12.26; P = 0.022) and left IAN exposure (adjusted OR 4.69, 95% CI 1.49-14.73; P = 0.008). The study findings may lead to enhanced clinical outcomes for BSSRO.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116479","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