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

Comment on "Outcomes of implants placed in sites of previously failed implants: a systematic review and meta-analysis". 评论“将植入物放置在先前失败植入物的位置的结果：系统回顾和荟萃分析”。

International journal of oral and maxillofacial surgery Pub Date : 2025-06-07 DOI: 10.1016/j.ijom.2025.06.002

S Kumar, R Mehta, R Sah

引用次数: 0

Craniomaxillofacial osteolipoma: a rare case and review of the literature. 颅颌面部骨脂肪瘤一例及文献复习。

International journal of oral and maxillofacial surgery Pub Date : 2025-06-05 DOI: 10.1016/j.ijom.2025.05.009

A Sayed, S Salam, M Lubbad, A I Al-Jalahma, M A AlMuharraqi, G Sivaramakrishnan

引用次数: 0

Development and validation of a predictive scoring system for excessive intraoperative blood loss in orthognathic surgery. 正颌手术术中失血过多的预测评分系统的开发和验证。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-30 DOI: 10.1016/j.ijom.2025.05.007

B Kampeera, N Sriyaranya, Y Aschaitrakool, W Powcharoen

{"title":"Development and validation of a predictive scoring system for excessive intraoperative blood loss in orthognathic surgery.","authors":"B Kampeera, N Sriyaranya, Y Aschaitrakool, W Powcharoen","doi":"10.1016/j.ijom.2025.05.007","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.05.007","url":null,"abstract":"Risk stratification for excessive bleeding prior to orthognathic surgery is necessary for optimizing patient safety and enhancing postoperative recovery. The aim of this study was to develop and validate a simplified scoring system for predicting excessive intraoperative blood loss (IBL) during orthognathic surgery. This retrospective cohort study included 361 patients who underwent orthognathic surgery. Factors related to excessive IBL were analysed. The candidate predictors for excessive IBL were determined by logistic regression analysis. The performance of the model was assessed through its discrimination ability and a calibration plot. Internal validation was done by bootstrap resampling technique. The regression coefficients were transformed into a scoring system. Excessive IBL occurred in 32.7% of patients (118/361). The predictive scoring system included three predictors: body mass index (score 0, 1.5, 2: overweight, normal weight, underweight), systolic blood pressure (score 0, 1: <130, ≥130 mmHg), and operative time (score 0, 2.5: ≤4, >4 h). The area under the receiver operating characteristic curve (AUROC) for discrimination ability was 0.828 (internal validation: C-statistic 0.812). Risk was then classified as low (0-2.5 points) or high (3-5.5 points). The prognostic ability of this simplified scoring system was found to be clinically acceptable for predicting excessive IBL during orthognathic surgery.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144228068","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

Temporomandibular joint synovial chondromatosis with a giant cell component. 伴有巨细胞成分的颞下颌关节滑膜软骨瘤病。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-27 DOI: 10.1016/j.ijom.2025.05.003

R M Moraes, C M Lescura, E M I Amstalden, A L Anbinder

引用次数: 0

Fully guided, flapless zygomatic implants for oncological rehabilitation-a technical note. 用于肿瘤康复的全引导、无皮瓣颧骨植入物——技术说明。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-23 DOI: 10.1016/j.ijom.2025.05.001

M J Yap, T Singh, M Williams, B Fu

{"title":"Fully guided, flapless zygomatic implants for oncological rehabilitation-a technical note.","authors":"M J Yap, T Singh, M Williams, B Fu","doi":"10.1016/j.ijom.2025.05.001","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.05.001","url":null,"abstract":"Midface defects following head and neck cancer surgery present significant functional and aesthetic challenges. While free-tissue transfer is a favoured reconstructive approach, it may be contraindicated in the medically comorbid and failure may be catastrophic, resulting in significant morbidity. In such cases, zygomatic implant-retained prosthetic obturators provide an effective alternative. However, traditional zygomatic implant placement often requires the elevation of large full-thickness mucoperiosteal flaps, risking osteoradionecrosis in irradiated bone following postoperative radiotherapy. This technical note describes a novel method for fully guided, flapless zygomatic implant placement that was applied in a 74-year-old with a Brown Class IId maxillary defect following hemi-maxillectomy of a pT4aN0M0 right maxillary squamous cell carcinoma. Using virtual surgical planning, two zygomatic implants were placed utilizing 3D-printed tissue-borne drill guides based on the patient's obturator. These guides were designed with low tolerance flutes to minimize angular deviation and utilized hard and soft tissue undercuts to ensure stability. By using a flapless technique, trauma to the irradiated tissues was minimized, whilst achieving accurate zygomatic implant placement. This case highlights the importance of a multidisciplinary approach between the surgical, prosthetic, and engineering teams. Further studies are needed to validate the accuracy and predictability of this innovative approach.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145251","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

Long-term outcomes after primary osteomyelitis of the mandibular condyle occurring in early infancy: a case report and literature review. 婴幼儿早期发生的下颌髁原发性骨髓炎后的长期预后：1例报告和文献回顾。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-23 DOI: 10.1016/j.ijom.2025.05.004

N Kogane, G Diallo-Hornez, S O'Rourke, A Picard, A Morice

引用次数: 0

Management of arthroscopic perforation of the middle cranial fossa: a case report. 关节镜下颅中窝穿孔1例。

International journal of oral and maxillofacial surgery Pub Date : 2025-05-20 DOI: 10.1016/j.ijom.2025.04.1146

R Martin-Granizo, L V González, C Mazo, J P López

引用次数: 0

Panoptic evaluation of maxillomandibular stability and quality of life after surgery-first approach versus conventional three-stage method in skeletal Class III orthognathic surgery-systematic review and meta-analysis. 骨科III类正颌手术中手术优先入路与常规三期方法后上颌下颌稳定性和生活质量的全视镜评价——系统回顾和荟萃分析

International journal of oral and maxillofacial surgery Pub Date : 2025-05-13 DOI: 10.1016/j.ijom.2025.04.003

N Jenwanichkul, S Keerativittayanun, S Suttapreyasri, P Pripatnanont

{"title":"Panoptic evaluation of maxillomandibular stability and quality of life after surgery-first approach versus conventional three-stage method in skeletal Class III orthognathic surgery-systematic review and meta-analysis.","authors":"N Jenwanichkul, S Keerativittayanun, S Suttapreyasri, P Pripatnanont","doi":"10.1016/j.ijom.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.003","url":null,"abstract":"This study was performed to comprehensively evaluate the outcomes of the surgery-first approach (SFA) compared to the conventional three-stage method (CTM) in skeletal Class III deformity patients, in terms of stability, quality of life, and treatment time. The search covered the period 2010-2022. Heterogeneity was assessed and the stability was subgroup analysed into two-jaw and one-jaw surgery. Thirty-three studies were identified, 29 were included in the meta-analyses. Overall anteroposterior stability of the maxilla and mandible did not differ significantly between CTM and SFA groups (maxilla, P = 0.77; mandible, P = 0.072). In two-dimensional radiographs, the results for anteroposterior stability of the mandible were in favour of CTM (P = 0.051); conversely, vertical stability of the mandible showed better results with SFA (P = 0.051). SFA patients showed a significantly shorter treatment time (P < 0.001) and better quality of life (22-item Orthognathic Quality of Life Questionnaire) at 6 months follow-up (P = 0.042). In conclusion, CTM supports better anteroposterior stability. Nevertheless, SFA provides greater vertical stability in the mandible and is associated with a shorter treatment time and better quality of life. However, only six of the 33 included studies were randomized controlled trials, hence in view of the weakness of the evidence, the results should be interpreted with caution.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056388","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

Evaluation of the effect of the neutrophil-to-lymphocyte ratio on facial oedema after orthognathic surgery: a 12-month follow-up study. 评价中性粒细胞与淋巴细胞比例对正颌手术后面部水肿的影响：一项12个月的随访研究。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-29 DOI: 10.1016/j.ijom.2025.04.004

C Varol, Y Fındık, T Baykul

{"title":"Evaluation of the effect of the neutrophil-to-lymphocyte ratio on facial oedema after orthognathic surgery: a 12-month follow-up study.","authors":"C Varol, Y Fındık, T Baykul","doi":"10.1016/j.ijom.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.ijom.2025.04.004","url":null,"abstract":"Orthognathic surgery to correct dentofacial deformities has been performed safely for many years. Postoperative facial oedema occurs to varying degrees in almost all patients. The aim of this study was to evaluate the relationship between the preoperative neutrophil-to-lymphocyte ratio (NLR) and the severity of postoperative facial oedema using 3D stereophotogrammetry. Thirty patients (Le Fort I + BSSO) were included in this study. They were divided into two groups according to their NLR: ≥2.00 (n = 13) and <2.00 (n = 17). Patients were followed for 12 months and facial oedema was measured on days 1, 2, 3 and 10, and months 1 and 6, using the 12-month image as the reference. Postoperative facial oedema was significantly greater in the NLR ≥2.00 group in the first 10 days (days 1, 2, 3, 10: P = 0.011, P = 0.010, P = 0.040, P = 0.032), while no significant difference was observed for the long-term measurements (months 1, 6: P = 0.693, P = 0.374). The results of this study suggest that NLR may serve as a potential biomarker to predict the severity of postoperative facial oedema and may assist clinicians in their decision-making process when managing the postoperative inflammatory response.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012155","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 "The prognostic value of pre-treatment sarcopenia in overall survival in head and neck cancer patients: a systematic review". 评论“治疗前肌肉减少症对头颈癌患者总生存期的预后价值：一项系统综述”。

International journal of oral and maxillofacial surgery Pub Date : 2025-04-28 DOI: 10.1016/j.ijom.2025.04.1140

E Topkan, E Somay, U Selek

引用次数: 0