International journal of oral and maxillofacial surgery最新文献_第6页

Development and validation of a deep learning algorithm for the classification of the level of surgical difficulty in impacted mandibular third molar surgery. 下颌阻生第三磨牙手术难度分类的深度学习算法的开发与验证。

International journal of oral and maxillofacial surgery Pub Date : 2024-12-03 DOI: 10.1016/j.ijom.2024.11.008

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":"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.","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}

引用次数: 0

Evidence gaps in orthognathic surgery: an international Delphi study. 正颌外科的证据差距：一项国际德尔菲研究。

International journal of oral and maxillofacial surgery Pub Date : 2024-11-26 DOI: 10.1016/j.ijom.2024.11.001

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":"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.","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}

引用次数: 0

Food texture modification in head and neck cancer patients: a scoping review. 头颈部癌症患者的食物质地调整：范围综述。

International journal of oral and maxillofacial surgery Pub Date : 2024-11-20 DOI: 10.1016/j.ijom.2024.11.004

C Yang, Y Zhu, J Zhang, J Xu, H Wu, Y Yang

{"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":"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.","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}

引用次数: 0

Surgical treatment for uncommon malignancies of the paranasal sinuses and anterior cranial fossa: report of two cases and literature review. 鼻旁窦和前颅窝不常见恶性肿瘤的手术治疗：两例病例报告和文献综述。

International journal of oral and maxillofacial surgery Pub Date : 2024-11-08 DOI: 10.1016/j.ijom.2024.10.009

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":"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.","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}

引用次数: 0

Safety of vertical osteotomies in segmental Le Fort I procedures: a one-year radiological follow-up study. 节段性 Le Fort I 手术中垂直截骨的安全性：为期一年的放射学随访研究。

International journal of oral and maxillofacial surgery Pub Date : 2024-11-04 DOI: 10.1016/j.ijom.2024.10.013

N Sharba, A Buch, D-M Beek, S E Nørholt, T Xi, K Stokbro

{"title":"Safety of vertical osteotomies in segmental Le Fort I procedures: a one-year radiological follow-up study.","authors":"N Sharba, A Buch, D-M Beek, S E Nørholt, T Xi, K Stokbro","doi":"10.1016/j.ijom.2024.10.013","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.10.013","url":null,"abstract":"The aim of this study was to evaluate dental and periodontal injuries and radiological bone healing at vertical osteotomies in patients treated with segmental Le Fort I (LFI) osteotomy, using cone beam computed tomography (CBCT) scans. This retrospective study analyzed 105 patients who underwent segmental LFI osteotomy. Vertical osteotomies were performed between the lateral incisor and canine using a bur and osteotome. CBCT scans were taken preoperatively and at 1-week and 1-year follow-ups. Measurements at 1-week included interdental distances, root injuries, and periodontal detachment, while 1-year follow-up assessed endodontic treatment and osteotomy healing. Results showed no damage to the 420 roots at risk, though 38 roots had osteotomy extensions into the periodontal ligament. The mean preoperative minimum distance between roots was significantly different between sites with intact and detached periodontal ligaments (P < 0.001). One tooth required endodontic treatment at 1-year follow-up. Incomplete healing of vertical osteotomies was more frequent in female patients (P = 0.012). The findings suggest that segmental LFI osteotomy is safe when performed with a bur and osteotome, provided a minimum distance of 2.5 mm between roots is maintained.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585428","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

Nomogram for predicting postoperative temporomandibular joint degeneration after mandibulectomy for oral cavity cancer: a study on patients using CT and MRI data. 预测口腔癌下颌骨切除术后颞下颌关节退化的提名图：利用 CT 和 MRI 数据对患者进行的研究。

International journal of oral and maxillofacial surgery Pub Date : 2024-11-01 DOI: 10.1016/j.ijom.2024.10.010

T-Y Tseng, A Y-H Lin, P-Y Chou, C-H Toh, Y-M Wu, C-H Yeh

{"title":"Nomogram for predicting postoperative temporomandibular joint degeneration after mandibulectomy for oral cavity cancer: a study on patients using CT and MRI data.","authors":"T-Y Tseng, A Y-H Lin, P-Y Chou, C-H Toh, Y-M Wu, C-H Yeh","doi":"10.1016/j.ijom.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.10.010","url":null,"abstract":"The aim of this study was to develop a model for predicting the risk of postoperative temporomandibular joint osteoarthritis (TMJOA) in patients receiving a segmental or marginal mandibulectomy for oral cavity cancer . A total of 371 patients with buccal or gingival cancer who underwent mandibulectomy were included in this retrospective cohort study. Demographic data, computed tomography, and magnetic resonance images were reviewed. Univariate and multivariate Cox regression analyses were performed to develop a nomogram to predict post-mandibulectomy TMJOA. TMJOA was identified in 81 of the 371 patients at 2 years and 107 at 4 years. The predictors of post-mandibulectomy TMJOA were segmental mandibulectomy (hazard ratio (HR) 2.51, 95% confidence interval (CI) 1.64-3.83, P < 0.001), age ≥ 62.5 years (HR 2.28, 95% CI 1.53-3.40, P < 0.001), BMI < 24.1 kg/m2 (HR 2.13, 95% CI 1.45-3.13, P < 0.001), and American Joint Committee on Cancer stage IVa/IVb (HR 2.21, 95% CI 1.38-3.56, P = 0.001). The nomogram developed in this study exhibited good predictive capacity (area under the curve 0.742, 95% CI 0.679-0.804). The proposed model for predicting post-mandibulectomy TMJOA in patients with buccal or gingival cancer can identify high-risk individuals for early preventive oral rehabilitation.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565363","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

Extended temporomandibular joint prostheses: a retrospective analysis of feasibility, outcomes, and complications. 加长型颞下颌关节假体：对可行性、效果和并发症的回顾性分析。

International journal of oral and maxillofacial surgery Pub Date : 2024-10-31 DOI: 10.1016/j.ijom.2024.10.007

G Gerbino, F Sobrero, R Poelaert, C Borbon, G Ramieri, M Mommaerts

{"title":"Extended temporomandibular joint prostheses: a retrospective analysis of feasibility, outcomes, and complications.","authors":"G Gerbino, F Sobrero, R Poelaert, C Borbon, G Ramieri, M Mommaerts","doi":"10.1016/j.ijom.2024.10.007","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.10.007","url":null,"abstract":"Prostheses for extended total temporomandibular joint replacement (eTJR) include modifications to the traditional alloplastic fossa-condyle joint that extend to adjacent bone defects. The aim of this retrospective study was to assess the feasibility, postoperative complications, and functional and aesthetic outcomes after eTJR. Patients aged ≥18 years undergoing eTJR between 2013 and 2022 were included. Data recorded were age, sex, comorbidities, indication for eTJR, prosthesis brand, classification, concomitant surgical procedures, postoperative complications, maximum inter-incisal opening (MIO), pain, quality of life (QoL), and aesthetic outcome. Twenty-five patients (mean age 40 years), with a total of 30 joint prostheses, were included. Over a median follow-up of 42 months, there was a significant improvement in MIO in patients with reduced mouth opening at baseline (P = 0.003), as well as in pain (P = 0.007) and QoL (P = 0.004). Both patients and surgeons judged facial appearance as improved or unchanged in 88% of cases. Postoperative complications included permanent trigeminal nerve hypoesthesia (44%), permanent facial nerve dysfunction (35%), infection (8%), salivary leak (4%), and lingual nerve impairment (4%). The findings suggest that eTJR is a safe and effective treatment for temporomandibular joint deficits extending to adjacent structures, yielding satisfactory functional and aesthetic outcomes.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565362","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

Changes in mandibular angle and intergonial width after bilateral sagittal split ramus osteotomy or bimaxillary surgery with/without counterclockwise rotation. 双侧矢状劈裂颌骨截骨术或双颌手术后下颌角和颌间宽的变化（有/无逆时针旋转）。

International journal of oral and maxillofacial surgery Pub Date : 2024-10-26 DOI: 10.1016/j.ijom.2024.09.014

D Bi, H Gao, M Q H Al-Watary, X Sun, Q Zhao, J Li

{"title":"Changes in mandibular angle and intergonial width after bilateral sagittal split ramus osteotomy or bimaxillary surgery with/without counterclockwise rotation.","authors":"D Bi, H Gao, M Q H Al-Watary, X Sun, Q Zhao, J Li","doi":"10.1016/j.ijom.2024.09.014","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.09.014","url":null,"abstract":"The aim of this retrospective study was to evaluate the morphological changes in the mandibular angle area after orthognathic surgery with or without mandibular counterclockwise rotation in Class II deformity patients, and to investigate the associated factors. Computed tomography scans obtained preoperatively (T0), within 1 month postoperatively (T1), and 6 months postoperatively (T2) were collected from 58 patients who underwent either bilateral sagittal split ramus osteotomy (group I), bimaxillary surgery with mandibular counterclockwise rotation (group II), or bimaxillary surgery without mandibular counterclockwise rotation (group III). The intergonial width increased after surgery, by 2.78 ± 2.02 mm in group I, 2.86 ± 2.81 mm in group II, and 2.53 ± 2.42 mm in group III (all P < 0.001). The mandibular angle (MA) increased in group I (ΔMA 4.76 ± 2.79°; P < 0.001) and group III (ΔMA 3.50 ± 2.58°; P < 0.001); however no significant increase was observed in group II. The increase in intergonial width was positively correlated with the lateral displacement of the proximal segment. Counterclockwise rotation of the proximal segment resulted in an increase in MA, while counterclockwise rotation resulted in a reduction in this increasing trend. The results indicate that reducing the displacement and rotation of the proximal segments is key to minimizing changes in the mandibular angle area.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515313","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

Validation of 'total face approach' (TFA) three-dimensional cephalometry for the diagnosis of dentofacial dysmorphisms and correlation with clinical diagnosis. 验证 "全脸法"（TFA）三维头颅测量法在牙面畸形诊断中的应用以及与临床诊断的相关性。

International journal of oral and maxillofacial surgery Pub Date : 2024-10-10 DOI: 10.1016/j.ijom.2024.10.002

C Zilio, A Tel, G Perrotti, T Testori, S Sembronio, M Robiony

{"title":"Validation of 'total face approach' (TFA) three-dimensional cephalometry for the diagnosis of dentofacial dysmorphisms and correlation with clinical diagnosis.","authors":"C Zilio, A Tel, G Perrotti, T Testori, S Sembronio, M Robiony","doi":"10.1016/j.ijom.2024.10.002","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.10.002","url":null,"abstract":"The last decades have witnessed significant improvements in orthognathic surgery, but a true standardization of cephalometric analysis to guide clinical assessment in three-dimensional (3D) virtual planning is still lacking. Therefore, the aim of this study was to validate the 'total face approach' (TFA) 3D cephalometric model for the diagnosis of dysmorphia and to analyse its correlation with the clinical diagnosis and virtual surgical planning performed in the Maxillofacial Surgery Clinic in Udine. This model was validated by studying different cephalometric points in three modules (vertical dimensions, sagittal dimensions, and symmetry) and their sections. Each section of the different modules evaluates the range of the studied patient according to the TFA analysis executed in Planmeca Romexis software and compares it with the ProPlan CMF data. The results of the statistical analysis defined the degree of concordance for each point studied. An overall high correlation was demonstrated for each of the cephalometric categories (weighted kappa between 0.442 and 0.642 in vertical dimension, between 0.587 and 1 in sagittal dimension, and between 0.773 and 1 in symmetry). The TFA model can be considered a valuable guide for the diagnosis of dysmorphia and 3D virtual planning of orthognathic maxillofacial surgery.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407402","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