International journal of oral and maxillofacial surgery最新文献_第4页

Objective assessment of the effect of surgery on limb function after medial femoral condyle free flap harvest: biomechanical parameters. 客观评估股骨内侧髁游离皮瓣摘除术后手术对肢体功能的影响：生物力学参数。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-21 DOI: 10.1016/j.ijom.2024.08.028

M Murawa, J Szydłowski, A Andruszko, B O Grabarek, T Sirek, A Fryzowicz, J Kabaciński, A Bernet, J Banaszewski

{"title":"Objective assessment of the effect of surgery on limb function after medial femoral condyle free flap harvest: biomechanical parameters.","authors":"M Murawa, J Szydłowski, A Andruszko, B O Grabarek, T Sirek, A Fryzowicz, J Kabaciński, A Bernet, J Banaszewski","doi":"10.1016/j.ijom.2024.08.028","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.08.028","url":null,"abstract":"The aim of this study was to evaluate the influence of medial femoral condyle (MFC) free flap harvest on donor site muscle strength and kinematic parameters of gait. The study included 30 patients treated for head and neck squamous cell carcinoma who underwent reconstruction with an MFC free flap. In each case, the donor site was the left thigh. A dynamometer was used to measure muscle strength, in isokinetic bilateral mode and with concentric contraction for the extension/flexion knee pattern, at 18 months postoperative. In addition, kinematic data were obtained and evaluated. On statistical analysis, no significant difference in muscle strength of the quadriceps muscle was found between the left involved and right uninvolved lower extremities (P = 0.124). Also, when comparing hamstring strength, no statistically significant difference was found between the left involved and right uninvolved sides (P = 0.210). Moreover, spatiotemporal gait parameters did not differ significantly between the involved and uninvolved legs (all P > 0.05), and no differences in kinematic or kinetic parameters were observed. This study reports the effects of MFC free flap harvest on the knee muscle strength and locomotion of patients. For most biomechanical parameters investigated, there was no effect (positive or negative).","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142038093","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 "Arthroscopy versus arthrocentesis and versus conservative treatments for temporomandibular joint disorders: a systematic review with meta-analysis and trial sequential analysis". 对 "颞下颌关节紊乱症的关节镜手术与关节穿刺术和保守疗法的比较：荟萃分析和试验序列分析的系统性综述 "评论的答复。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-20 DOI: 10.1016/j.ijom.2024.08.031

Y H Tang, N B van Bakelen, B Gareb, F K L Spijkervet

引用次数: 0

Comment on "Arthroscopy versus arthrocentesis and versus conservative treatments for temporomandibular joint disorders: a systematic review with meta-analysis and trial sequential analysis". 关于 "颞下颌关节紊乱的关节镜手术与关节穿刺术和保守疗法的比较：荟萃分析和试验序列分析的系统综述 "的评论。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-20 DOI: 10.1016/j.ijom.2024.08.030

W Jerjes

引用次数: 0

Perforator types and anatomical characteristics of the deep circumflex iliac artery perforator flap with iliac crest: findings based on 40 clinical cases. 带髂嵴的髂深周动脉穿孔器皮瓣的穿孔器类型和解剖特征：基于 40 例临床病例的研究结果。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-16 DOI: 10.1016/j.ijom.2024.07.021

L Wu, L Bu, T Wu, W Deng, K Liu, B Liu, Z Shang, Z Shao

引用次数: 0

Reconsideration of the alar base cinch suture technique involving the perinasal musculature: an in-depth review. 重新考虑涉及肛周肌肉组织的耳廓基底束带缝合技术：深入综述。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-16 DOI: 10.1016/j.ijom.2024.07.019

S Yoshida, M Felix, E Colin, F R Sarhan, S Dakpé

{"title":"Reconsideration of the alar base cinch suture technique involving the perinasal musculature: an in-depth review.","authors":"S Yoshida, M Felix, E Colin, F R Sarhan, S Dakpé","doi":"10.1016/j.ijom.2024.07.019","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.07.019","url":null,"abstract":"Orthognathic surgery affects both function and aesthetics. An important aesthetic complication is the nasal alteration that can result from Le Fort I osteotomy. A common method for countering this complication is the alar base cinch suture technique. Although the method for this suture has been standardized, the results vary and are inconsistent; further improvements are therefore required. The objective of this study was to review the literature data on the alar base cinch suture technique and associated results. In this review, the PubMed, Ovid, and Ichushi-Web electronic databases were searched using logical combinations of keywords related to the perinasal musculature and alar base cinch suture technique. Following screening of the results, 42 publications were included. The review findings prompted several conclusions. The anatomy of the myrtiformis muscle and depressor septi nasalis may differ between ethnicities, and it is essential to take certain factors related to ethnicity into account when implementing the alar base cinch suture technique. It is also important to consider factors such as the patient's aesthetic preferences.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997124","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

Pediatric mandibular malignancies: a comprehensive analysis of SEER data. 小儿下颌骨恶性肿瘤：SEER 数据综合分析。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-15 DOI: 10.1016/j.ijom.2024.08.002

S L Newman, N B Drury, K T Lee, A K Devarakonda, A Ahmed, H K Koehn

{"title":"Pediatric mandibular malignancies: a comprehensive analysis of SEER data.","authors":"S L Newman, N B Drury, K T Lee, A K Devarakonda, A Ahmed, H K Koehn","doi":"10.1016/j.ijom.2024.08.002","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.08.002","url":null,"abstract":"Mandibular malignancies are rare in the pediatric population and subsequently not well characterized. SEER 18 registry data was collected, applying age 0-18 years and ICD-O-3 code C41.1 ('mandible'). Univariate Cox regression analysis was conducted, and hazard ratios (HR) were calculated for overall survival (OS) and disease-specific survival (DSS) according to patient demographics, tumor characteristics, and treatment. Kaplan-Meier survival curves were generated for OS and DSS. Sixty-four patients met the inclusion criteria. The median age at diagnosis was 13.0 years, and median survival was 8.7 years. Osteosarcoma was the most common histological diagnosis (n = 22). Sex, race, age (<13 vs ≥13 years), histological type, odontogenic origin, and treatment modality were found not to be associated with OS or DSS. The SEER stage 'distant' was significantly associated with an elevated HR of 6.28 for DSS (P = 0.027) and 5.29 for OS (P = 0.025). Kaplan-Meier survival curves demonstrated significantly lower 5-year DSS (P<0.001) and OS (P<0.001) for SEER 'distant' stage. This study includes the analysis of a large number of pediatric mandibular malignancies when compared to previous studies. 'Distant' stage was associated with decreased survival. Early clinical suspicion and diagnosis are paramount for improved survival.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997122","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 "Mandibular autorotation: a critical virtual parameter in clinical decision-making regarding maxilla-first versus mandible-first sequence". 就 "下颌自转：上颌先行与下颌先行序列临床决策中的关键虚拟参数 "发表评论。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-13 DOI: 10.1016/j.ijom.2024.07.015

F Melhem-Elias, B A Q Reis

引用次数: 0

Functional outcomes and survival after total glossectomy with laryngectomy: a systematic review. 全喉切除术合并喉切除术后的功能预后和存活率：系统性综述。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-13 DOI: 10.1016/j.ijom.2024.07.005

A M Weyh, C Mosquera, S Nedrud, A Bunnell, R Fernandes

{"title":"Functional outcomes and survival after total glossectomy with laryngectomy: a systematic review.","authors":"A M Weyh, C Mosquera, S Nedrud, A Bunnell, R Fernandes","doi":"10.1016/j.ijom.2024.07.005","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.07.005","url":null,"abstract":"Total glossectomy with laryngectomy (TGL) is a procedure with high morbidity/mortality risks reserved for cases of advanced tongue cancer with laryngeal invasion. This technique is controversial as there are significant impacts on quality of life, including loss of functional speech and swallowing. A systematic review was performed following the PRISMA guidelines with the primary goal of quantifying the functional outcomes and overall survival of patients undergoing TGL. The initial search resulted in 748 studies; seven of these met the inclusion criteria. Five studies evaluated functional speech postoperatively, and 12.1% (8/66) of patients in these studies achieved a form of functional speech. Most studies did not refer to the use of specific postoperative voice rehabilitation. Regarding swallowing function, 53.3% (32/60) of patients in five studies regained their ability to swallow. In six studies reporting gastrostomy tube dependence, 37.7% (29/77) of patients were tube-dependent. Recurrence within 1-year was reported in three studies; 52% (26/50) of the patients had recurrence within 1 year, and the 1-year disease-free survival rate was 48%. TGL is a highly invasive surgery; postoperatively, most patients do not regain the ability to speak, while only half are able to swallow. Despite these extreme efforts and sacrifices by the patient, approximately half of patients have a recurrence within the first year. The decision to perform a TGL should be made only in select and motivated patients after carefully explaining and weighing the oncological and quality of life risks and benefits.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984218","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

An alternative reconstruction for the complex nasal and facial defect with a thinned anterolateral thigh flap. 用减薄的大腿前外侧皮瓣重建复杂的鼻面部缺损。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-12 DOI: 10.1016/j.ijom.2024.07.014

T Thiết Sơn, P Tuấn Nghĩa, P T Việt Dung, T T Hồng Thuý, H Tuấn Anh

{"title":"An alternative reconstruction for the complex nasal and facial defect with a thinned anterolateral thigh flap.","authors":"T Thiết Sơn, P Tuấn Nghĩa, P T Việt Dung, T T Hồng Thuý, H Tuấn Anh","doi":"10.1016/j.ijom.2024.07.014","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.07.014","url":null,"abstract":"Reconstructive surgeons often use a free radial forearm flap for nasal reconstruction when a forehead flap is not an option, but this flap has drawbacks. This article presents a series of patients with complex defects who underwent reconstruction with an anterolateral thigh (ALT) flap. Severe burns and cancer resection may lead to the loss of multiple anatomical units, including the entire nose and nearby structures. Multiple materials are required for reconstruction in those with complex total nasal defects involving adjacent areas. In this series of patients, a chimeric ALT flap was harvested and thinned to recreate the three-dimensional nasal structure and cover the adjacent area. Cartilage and alloplastic materials were used as the nasal framework, and the skin flap was folded for the mucosal lining. The results were good with an excellent contour, and no complications or airway obstruction were observed during follow-up. By thinning the ALT flap, this flap can be an alternative for complex reconstructions that require a facial or three-dimensional nasal structure.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977465","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 "Mandibular autorotation: a critical virtual parameter in clinical decision-making regarding maxilla-first versus mandible-first sequence". 对 "下颌自动旋转：上颌先行与下颌先行序列临床决策中的关键虚拟参数 "评论的回复。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-12 DOI: 10.1016/j.ijom.2024.07.016

F O Andriola, Y Weinberg, L Grosjean, R M Pagnoncelli, L Pottel, G R J Swennen

引用次数: 0