A Salinas Fredricson, C Krüger Weiner, M Ulmner, A Naimi-Akbar
{"title":"Craniomaxillofacial trauma increases the risk of temporomandibular joint disorders and days of work disability-a SWEREG-TMD registry-based study.","authors":"A Salinas Fredricson, C Krüger Weiner, M Ulmner, A Naimi-Akbar","doi":"10.1016/j.ijom.2024.11.011","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.11.011","url":null,"abstract":"<p><p>Although craniomaxillofacial (CMF) trauma is a factor recognized as contributing to the development of temporomandibular joint disorders (TMJD), large population-based research on CMF trauma and subsequent TMJD is lacking. Additionally, it is unknown how previous CMF trauma affects work disability reimbursements for patients with TMJD (pwTMJD). This Swedish registry-based study included 33,315 pwTMJD matched to 333,122 individuals from the general population. Both a case-control design and a cohort design were used in this study to evaluate the association between CMF trauma and TMJD, and to investigate how CMF trauma impacts the number of days on work disability among pwTMJD. The main study finding was that many types of previous CMF trauma were strongly associated with TMJD, with mandibular fractures having the strongest association (adjusted odds ratio 11.4). Furthermore, the strongest association for an increased number of annual days on work disability was found for pwTMJD with a history of CMF trauma. These results suggest that CMF trauma influences the developmental path of TMJD, even in a population-based sample.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808845","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}
{"title":"Comparison of a non-grafted socket shield technique with guided bone regeneration in immediate implant placement: a randomized clinical trial.","authors":"E Gurbuz, E Ceylan","doi":"10.1016/j.ijom.2024.11.009","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.11.009","url":null,"abstract":"<p><p>The aim of this randomized clinical trial was to compare a non-grafted socket shield technique (SST) with simultaneous guided bone regeneration (GBR) in immediate implant placement in terms of clinical, aesthetic, and radiographic parameters. Patients with an unrestorable tooth in the maxillary aesthetic region were included. The patients were randomized to SST and GBR groups. While the buccal gap was untreated in the SST group, a xenograft and membrane were applied in the GBR. Peri-implant pocket depth (PD), modified plaque (mPI) and bleeding index (mBI), keratinized mucosa width (KMW), and mucosal thickness (MT) were recorded at the permanent restoration and at 1 year postoperative. The horizontal bone level (HBL), vertical bone level (VBL), and pink aesthetic score (PES) were assessed before surgery and at 1 year postoperative. The 1-year analysis included 24 patients, 12 in each group. There was no significant difference in 1-year measurements of mPI, PD, mBI, MT, HBL, or VBL between the groups. However, KMW was significantly greater in the SST (P = 0.013). The PES evaluation showed significantly higher scores in the SST (P = 0.004). SST and GBR demonstrated similar effectiveness at the hard tissue level in single-tooth immediate implant placement in the aesthetic region.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796536","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}
T Chindanuruks, T Jindanil, C Cumpim, P Sinpitaksakul, S Arunjaroensuk, N Mattheos, A Pimkhaokham
{"title":"Development and validation of a deep learning algorithm for the classification of the level of surgical difficulty in impacted mandibular third molar surgery.","authors":"T Chindanuruks, T Jindanil, C Cumpim, P Sinpitaksakul, S Arunjaroensuk, N Mattheos, A Pimkhaokham","doi":"10.1016/j.ijom.2024.11.008","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.11.008","url":null,"abstract":"<p><p>The aim of this study was to develop and validate a convolutional neural network (CNN) algorithm for the detection of impacted mandibular third molars in panoramic radiographs and the classification of the surgical extraction difficulty level. A dataset of 1730 panoramic radiographs was collected; 1300 images were allocated to training and 430 to testing. The performance of the model was evaluated using the confusion matrix for multiclass classification, and the actual scores were compared to those of two human experts. The area under the precision-recall curve of the YOLOv5 model ranged from 72% to 89% across the variables in the surgical difficulty index. The area under the receiver operating characteristic curve showed promising results of the YOLOv5 model for classifying third molars into three surgical difficulty levels (micro-average AUC 87%). Furthermore, the algorithm scores demonstrated good agreement with the human experts. In conclusion, the YOLOv5 model has the potential to accurately detect and classify the position of mandibular third molars, with high performance for every criterion in radiographic images. The proposed model could serve as an aid in improving clinician performance and could be integrated into a screening system.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782180","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}
{"title":"Application of mixed reality bone registration and positioning technology in orthognathic surgery.","authors":"L Huang, Y Liu, Z Zhu, E Luo","doi":"10.1016/j.ijom.2024.09.007","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.09.007","url":null,"abstract":"<p><p>In orthognathic surgery, the positioning of the bone segments has a significant impact on the postoperative occlusion, temporomandibular joint, and facial morphology. Within the field of digital surgical planning, the placement of these bone segments represents the transfer of the virtual surgical plan (VSP). Computer-aided design/computer-aided manufacturing-assisted bone segment positioning devices have demonstrated high localization accuracy, but they require complex guide systems. The mixed reality technique described here, based on pre-bent titanium plates, facilitates the transfer of the VSP without the need for complex guide systems and enables dynamic intraoperative navigation under direct vision. This technique could replace 3D-printed tooth-supported guide plates for surgical navigation. The observed registration error was approximately 1 mm and the registration delay was 0.3 s. Application of this technique in the clinical case demonstrated good accuracy, and postoperative stability was achieved.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776001","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}
J Bendersky, S Zapata, M Uribe, J Villanueva, X Bonfill, R Souper
{"title":"Evidence gaps in orthognathic surgery: an international Delphi study.","authors":"J Bendersky, S Zapata, M Uribe, J Villanueva, X Bonfill, R Souper","doi":"10.1016/j.ijom.2024.11.001","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.11.001","url":null,"abstract":"<p><p>The aim of this study was to assess the evidence gaps identified in a recent mapping review of orthognathic surgery by evaluating them through consultation with maxillofacial surgeons. Using the Delphi technique, a panel of surgeons who regularly perform orthognathic surgery was engaged. Potential participants were identified through articles included in the mapping review, peer nominations, and social media platforms . Two rounds of surveys, incorporating Likert-type and open-ended questions, were conducted to gauge the clinical relevance of evidence gaps. Questions were refined based on responses from the initial round, with a consensus threshold set at 60%. Seventy-four surgeons participated in the first round and 55 in the second round (retention rate of 74%) . The intra-class correlation analysis revealed 'almost perfect' agreement in each round. Participants in the first round proposed 11 new evidence gaps. A list of 15 potentially clinically relevant research questions was compiled to guide future investigations in orthognathic surgery. This collaborative Delphi study between researchers and clinicians has explored the existing understanding of the clinical relevance of potential evidence gaps in orthognathic surgery. The study findings offer others a pathway to address information gaps and guide future research endeavours.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741864","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}
{"title":"Comment on \"The effect of the COVID-19 pandemic on the diagnosis and progression of oral cancer\".","authors":"M Faizan","doi":"10.1016/j.ijom.2024.11.007","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.11.007","url":null,"abstract":"","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741863","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}
{"title":"Aggressive primary salivary gland-type carcinoma of the thyroid: a case report.","authors":"J Chen, J Zhang, K Sun, T Liu","doi":"10.1016/j.ijom.2024.11.005","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.11.005","url":null,"abstract":"<p><p>Primary salivary gland-like malignancies in the thyroid are rare. For this reason, both their diagnosis and treatment pose challenges. This report presents a unique case of primary thyroid salivary gland-like carcinoma diagnosed in a 68-year-old male patient. Despite the patient undergoing surgery and adjuvant radiotherapy, the disease progressed rapidly. The clinical, morphological, and immunohistochemical features of this rare entity are described.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693953","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}
{"title":"Food texture modification in head and neck cancer patients: a scoping review.","authors":"C Yang, Y Zhu, J Zhang, J Xu, H Wu, Y Yang","doi":"10.1016/j.ijom.2024.11.004","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.11.004","url":null,"abstract":"<p><p>The aim of this study was to provide an overview of food texture modification to address dysphagia in patients with head and neck cancer, and the current application of these methods. A comprehensive search strategy was developed across five databases: PubMed, Embase, Web of Science Core Collection, CINAHL, and the Cochrane Library. The JBI guidance for scoping reviews was used to conduct a descriptive analysis of the literature and extract data. Thirteen studies were included; 11 evaluated swallowing function in patients undergoing treatment for HNC, while two directly investigated modified food in relation to swallowing function in patients treated for HNC. Most of the studies used thin liquids for assessment, and the evaluation process often transitioned from thin or thick liquids to solids/semi-solids. Adverse outcomes occurred regardless of the treatment. However, dysphagia seemed to get worse in the short term after surgery. In terms of interventions, thickeners might have a positive effect on the patient's swallowing function. In the studies investigating food texture modification, there was an increased incidence of adverse swallowing outcomes after therapeutic treatment. Further intervention with thickener could be considered in this patient population, and a comprehensive approach needs to be taken throughout the treatment process.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690099","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}
P Sadr-Eshkevari, C McGowan, M Sekula, R K Sumner, D Seligson, R L Flint
{"title":"Is weight-bearing as tolerated safe after proximal tibial metaphyseal autogenous bone harvest? A systematic review and meta-analysis.","authors":"P Sadr-Eshkevari, C McGowan, M Sekula, R K Sumner, D Seligson, R L Flint","doi":"10.1016/j.ijom.2024.10.014","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.10.014","url":null,"abstract":"<p><p>Evidence was reviewed to assess the decrease in compressive strength postoperatively. The PRISMA guidelines were followed. PubMed, Embase, Web of Science, Google Scholar, and ProQuest were searched. Five cadaver studies met the inclusion criteria (49 cadavers). Three reported force leading to fracture (FLF), which ranged between 1034 N and 9962 N consistently higher than three times cadaver body weight. Only one reported statistically significant lower FLF in decancellated tibias compared to the contralateral tibias (mean 3766.9 N vs 5126.4; stability reduction 26.5%). The overall estimate of FLF in decancellated tibias was 4321.6 N (95% confidence interval 3434.4-5208.8 N. Meta-analysis estimated a significant difference in force leading to fracture (ΔFLF) 1098.1 N, 95% confidence interval 547.8-1648.5 N. While mean FLF in all studies and the pooled data was above a force three times the body weight of an average adult (70 kg x 3 = 2100 N), three cadavers showed FLF values below this threshold. Increasing the threshold to 2400 N (roughly relating to a body weight of 80 kg, increased this number to six. Normal weight-bearing after decancellation seems to be statistically safe. Clinically, however, the authors are not able to generalize this assumption.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683988","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}
M Fernandez-Pose, M Rojas-Hernández, I Cardoso-López, C Colmenero-Ruiz, C Teuber-Lobos
{"title":"Surgical treatment for uncommon malignancies of the paranasal sinuses and anterior cranial fossa: report of two cases and literature review.","authors":"M Fernandez-Pose, M Rojas-Hernández, I Cardoso-López, C Colmenero-Ruiz, C Teuber-Lobos","doi":"10.1016/j.ijom.2024.10.009","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.10.009","url":null,"abstract":"<p><p>Malignant tumors of the nasal and paranasal cavities account for only 3-5% of all head and neck neoplasms. Among these tumors, rare instances of human papillomavirus (HPV)-positive multiphenotypic carcinomas and biphenotypic sarcomas have been documented. Two such cases are reported here, along with the respective treatment approaches. The first involved a 39-year-old male patient diagnosed with HPV-positive multiphenotypic carcinoma. Surgical treatment was performed through a craniofacial and transfacial approach, en bloc resection, and reconstruction of the anterior cranial base with a fascia lata graft and pericranial flap. The second involved a 41-year-old female patient diagnosed with biphenotypic sarcoma. Surgical treatment was performed through centripetal endoscopic tumour resection. In both cases, adjuvant radiotherapy was performed after obtaining the histopathological result and negative margins. Both patients were free of disease during postoperative follow-up. Given the rarity of these cases, there are no established guidelines outlining specific treatments. It is recommended that such tumours are assessed in interdisciplinary committees to determine the optimal treatment options. Typically, this will involve surgical resection via craniofacial and transfacial approaches or endoscopic surgery, depending on the diagnosis, extent of anatomical involvement, and tumour aggressiveness. Additionally, the potential benefits of adjuvant radiotherapy should be evaluated, as it has demonstrated promising outcomes, even in cases with positive margins.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635005","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}