International journal of oral and maxillofacial surgery最新文献_第5页

Implant failure of facial prostheses: systematic review and meta-analysis. 面部假体植入失败：系统回顾和荟萃分析。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-14 DOI: 10.1016/j.ijom.2025.03.016

M Ureel, S Corthals, R Coopman, Hubert Vermeersch, N Brusselaers

{"title":"Implant failure of facial prostheses: systematic review and meta-analysis.","authors":"M Ureel, S Corthals, R Coopman, Hubert Vermeersch, N Brusselaers","doi":"10.1016/j.ijom.2025.03.016","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.03.016","url":null,"abstract":"The aim of this systematic review was to evaluate craniofacial implant failure in the auricular, orbital, and nasal regions, including the impact of radiotherapy and evaluation of early (<1 year) and late (>1 year) implant failure. Five electronic databases were searched for articles reporting studies on implant failure in auricular, nasal, and/or orbital prostheses. The PRISMA guidelines were followed. Sixteen studies (3630 implants in 1127 patients) were included. The pooled implant failure rate was 3.5% in the auricular region, 18.7% in the orbital region, and 8.8% in the nasal region. Compared to the auricular region, implants inserted in the orbital (risk ratio (RR) 4.54) and nasal (RR 3.00) regions had a significantly higher risk of failure. Auricular (RR 2.17) and orbital (RR 2.07) implants had an increased risk of failure in irradiated bone. Regarding early failure (<1 year), 79.8% of nasal implants that failed were found to fail early, compared to 21.4% and 35.4% of failed auricular and orbital implants, respectively. This meta-analysis is novel in studying the timing of implant failure. Future studies should cover long observation periods and adequately report failure rates. There is a lack of high-quality studies and well-defined standardized outcome parameters. Results should be interpreted with caution due to low levels of evidence. DATA AVAILABILITY: This review has been registered with the Open Science Framework (doi:10.17605/OSF.IO/EBUC4). The study protocol and data files are publicly accessible.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056384","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

Retrospective 3D analysis of changes in the masseter muscles and soft tissues following orthognathic surgery for patients with maxillomandibular asymmetry: 12-month CBCT study. 上颌骨不对称患者正颌手术后咬肌和软组织变化的回顾性3D分析：12个月的CBCT研究

International journal of oral and maxillofacial surgery Pub Date : 2025-04-14 DOI: 10.1016/j.ijom.2025.04.002

C Avağ, M B Kirişci, E Tosun, H H Tüz

{"title":"Retrospective 3D analysis of changes in the masseter muscles and soft tissues following orthognathic surgery for patients with maxillomandibular asymmetry: 12-month CBCT study.","authors":"C Avağ, M B Kirişci, E Tosun, H H Tüz","doi":"10.1016/j.ijom.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.002","url":null,"abstract":"This retrospective study was performed to evaluate changes in the masseter muscles (MM) and gonial area soft tissues (GAST) in 20 patients with severe asymmetry (7 female, 13 male; age 19-45 years) who underwent bimaxillary orthognathic surgery. Preoperative and 1-year postoperative cone beam computed tomography scans were analysed for changes in the MM and GAST. No statistically significant difference in MM measurements (linear, cross-sectional, and volumetric) was observed between the preoperative and postoperative periods, or between the deviation side (side to which menton deviated) and non-deviation side. GAST measurements showed no significant difference between the sides, except for higher total soft tissue volume on the deviation side preoperatively (P = 0.028). Comparing the pre- and postoperative measurements, soft tissue thickness was significantly greater postoperatively at three points on the deviation side (Go5, P = 0.040; Go6, P = 0.023; Go7, P = 0.010) and one on the non-deviation side (Go3, P = 0.007). Skin volume was significantly greater postoperatively on the non-deviation side (P = 0.044). In conclusion, soft tissues may not fully compensate for underlying skeletal asymmetry. MM and GAST exhibit distinct morphological changes, underscoring the importance of considering both hard and soft tissue factors in treatment planning.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048568","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

Sudden sensorineural hearing loss and vertigo following temporomandibular joint arthroscopy: a case report and literature review. 颞下颌关节镜检查后突发性感音神经性听力损失及眩晕1例报告及文献复习。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-14 DOI: 10.1016/j.ijom.2025.03.015

F J Amarista, D Digioia, D Z Erwin, B P Perry

引用次数: 0

Morphological factors influencing the progression of temporomandibular joint anterior disc displacement with reduction to without reduction after contralateral joint arthroscopic discopexy: a retrospective study. 形态学因素影响对侧关节镜下关节脱位术后颞下颌关节前盘移位由复位到不复位的进展：一项回顾性研究。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-10 DOI: 10.1016/j.ijom.2025.03.012

S Wu, Z Jiao, Y Luo, C Yang

{"title":"Morphological factors influencing the progression of temporomandibular joint anterior disc displacement with reduction to without reduction after contralateral joint arthroscopic discopexy: a retrospective study.","authors":"S Wu, Z Jiao, Y Luo, C Yang","doi":"10.1016/j.ijom.2025.03.012","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.03.012","url":null,"abstract":"The aim of this retrospective cohort study was to identify morphological risk factors associated with the progression of temporomandibular joint (TMJ) anterior disc displacement with reduction (ADDwR) to without reduction (ADDwoR) in the contralateral joint following arthroscopic discopexy. Among 80 patients, 26 divided into a 'progression' group versus 54 without progression based on the disc position in the contralateral joint at postoperative follow-up. Patient characteristics and the disc length, disc folding angle, anterior distance of the disc relative to the condyle, and angle between the disc and condyle were analysed. Univariate analysis revealed that longer anterior distance and greater angle between the disc and condyle increased ADDwoR risk(both P < 0.001), while a longer disc length (P < 0.001) and a greater disc folding angle (P = 0.034) reduced progression likelihood. Multivariable logistic regression and receiver operating characteristic curves confirmed disc length and anterior distance to be significantly associated with progression to ADDwoR. In conclusion, following unilateral arthroscopic discopexy, patients with contralateral ADDwR are at risk of progression to ADDwoR, with disc length and anterior distance relative to the condyle being key morphological risk factors.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055828","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

Remote access sentinel lymph node biopsy in oral cancer. 口腔癌前哨淋巴结远程活检。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-10 DOI: 10.1016/j.ijom.2025.03.010

S Koerdt, A Sofroniou, C Doll, M Heiland, K Kreutzer

引用次数: 0

Melanotan II nasal spray: a possible risk factor for oral mucosal malignant melanoma? 黑素酸II鼻喷雾剂：口腔黏膜恶性黑色素瘤的可能危险因素？

International journal of oral and maxillofacial surgery Pub Date : 2025-04-09 DOI: 10.1016/j.ijom.2025.03.014

A Yassin Alsabbagh, N Bhujel, R P Singh

引用次数: 0

Risk factors for prolonged postoperative mechanical ventilation following head and neck microvascular free flap reconstruction and its association with patient outcomes. 头颈部微血管游离皮瓣重建术后延长机械通气的危险因素及其与患者预后的关系。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-08 DOI: 10.1016/j.ijom.2025.03.005

C Mosquera, R Velazquez, A M Weyh, T Cass, J Angulo, C A Ramirez

{"title":"Risk factors for prolonged postoperative mechanical ventilation following head and neck microvascular free flap reconstruction and its association with patient outcomes.","authors":"C Mosquera, R Velazquez, A M Weyh, T Cass, J Angulo, C A Ramirez","doi":"10.1016/j.ijom.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.03.005","url":null,"abstract":"Prolonged mechanical ventilation is associated with increased mortality rates and longer hospital and intensive care unit (ICU) stays. The literature identifying risk factors for prolonged postoperative mechanical ventilation in patients undergoing head and neck microvascular reconstruction is limited. The aim of this retrospective cohort study was to identify risk factors for prolonged mechanical ventilation. The primary outcome was the duration of ventilation, categorized as early extubation (≤48 h) and prolonged ventilation (>48 h). Secondary outcomes were return to the operating room, the patient's estimated risk for postoperative respiratory failure, length of stay (LOS), and need for post-discharge rehabilitation. P-values <0.05 were considered statistically significant. Overall,144 patients were included: 51 (35.4%) with early extubation and 93 (64.6%) with prolonged ventilation; the mean duration of ventilation was 36.2 h vs 249 h, respectively. The prolonged ventilation group had an increased rate of return to the operating room, LOS (ICU and total), and rate of discharge to rehabilitation facilities (all P < 0.001). Tongue reconstructions had the longest mean hospital stay (P = 0.003). Current smoking (P = 0.011) and ASA score 3 (P = 0.025) and 4 (P = 0.006) were significant risk factors for prolonged mechanical ventilation.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063553","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

Congenital cranial fasciitis of the ethmoid bone with extensive intracranial and facial involvement: a case report and review of the literature. 先天性筛骨颅筋膜炎伴广泛颅内及面部受累：1例报告及文献复习。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-07 DOI: 10.1016/j.ijom.2025.03.009

A Di Rita, F Zerini, A M Buccoliero, V Zanchi, F Giordano, G Spinelli

引用次数: 0

A semi-automated design workflow for patient-specific implants in orthognathic surgery using generative design. 使用生成设计的正颌手术中患者特定植入物的半自动化设计工作流程。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-07 DOI: 10.1016/j.ijom.2025.03.011

M Cheng, A Nayak, Y Y Leung

{"title":"A semi-automated design workflow for patient-specific implants in orthognathic surgery using generative design.","authors":"M Cheng, A Nayak, Y Y Leung","doi":"10.1016/j.ijom.2025.03.011","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.03.011","url":null,"abstract":"Patient-specific implants (PSIs) have demonstrated improved outcomes and have reduced the complexity of surgery in orthognathic surgery. However, the design process for PSIs is time-consuming and complicated, leading to high costs that hinder its widespread adoption. The aim of this study was to develop a novel workflow for designing PSIs using generative design (GD) techniques to streamline the process. The proposed workflow was implemented using GD-embedded software, Fusion (Autodesk Inc.), and tested by designing PSIs for one Le Fort I osteotomy case and one genioplasty case. The performance of the GD workflow was assessed through the time required for design and the basic properties of the GD PSIs. The hands-on time for the design was 94 min for the Le Fort I fixation plate and 45 min for the genioplasty plate. The maximum von Mises stress was 227.63 MPa for the Le Fort I fixation plate and 237.31 MPa for the genioplasty fixation plate. The GD-based workflow simplified and accelerated the design of PSIs for orthognathic surgery. Biomechanical analysis indicated the feasibility of generative designed patient-specific implants for clinical practice.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813257","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

Splintless maxillomandibular advancement for edentulous sleep apnoea patients: surgical accuracy and efficacy. 无牙睡眠呼吸暂停患者无夹板上颌下颌前移手术的准确性和有效性。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-07 DOI: 10.1016/j.ijom.2025.03.013

J P T F Ho, N Zhou, T C T van Riet, C Klop, R Schreurs, A G Becking, J de Lange

{"title":"Splintless maxillomandibular advancement for edentulous sleep apnoea patients: surgical accuracy and efficacy.","authors":"J P T F Ho, N Zhou, T C T van Riet, C Klop, R Schreurs, A G Becking, J de Lange","doi":"10.1016/j.ijom.2025.03.013","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.03.013","url":null,"abstract":"The primary aim of this study was to assess the accuracy and predictability of a splintless treatment protocol for edentulous patients with moderate to severe obstructive sleep apnoea (OSA) undergoing maxillomandibular advancement (MMA). Ten consecutive edentulous patients treated with MMA were enrolled in this retrospective study. All cases were virtually planned, followed by computer-aided design of individual osteotomy cutting guides and patient-specific implants. For the maxilla, the mean discrepancy between the planned and achieved right to left, posterior to anterior, and cranial to caudal translations was 0.3 ± 0.2 mm, 1.0 ± 0.6 mm, and 0.8 ± 0.6 mm, respectively. There was a mean discrepancy of 0.5° ± 0.5°, 2.5° ± 2.0°, and 0.3° ± 0.4° for roll, pitch, and yaw of the maxilla, respectively. The mean discrepancy of the mandible osteotomy gap was 1.2 ± 1.0 mm on the right side and 0.8 ± 0.5 mm on the left. Surgical success was achieved in nine patients, one of whom met the criteria for surgical cure. On average, the apnoea-hypopnea index was reduced by 72%. The results of this study indicate that the splintless treatment protocol for MMA applied in edentulous OSA patients is highly accurate, predictable, and effective in the treatment of OSA.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813259","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