International journal of oral and maxillofacial surgery最新文献_第7页

Re-evaluating fistula management in cleft palate: longitudinal changes and risk determinants after double-opposing Z-plasty. 重新评估腭裂瘘管管理：双对Z成形术后的纵向变化和风险决定因素。

International journal of oral and maxillofacial surgery Pub Date : 2024-10-14 DOI: 10.1016/j.ijom.2024.09.008

S Jeon, S-H Baek, J Jang, A K Oh, J H Chung, S Kim

{"title":"Re-evaluating fistula management in cleft palate: longitudinal changes and risk determinants after double-opposing Z-plasty.","authors":"S Jeon, S-H Baek, J Jang, A K Oh, J H Chung, S Kim","doi":"10.1016/j.ijom.2024.09.008","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.09.008","url":null,"abstract":"Longitudinal follow-up data of 1557 patients with cleft palate (CP) was used to identify risk factors for palatal fistula (PF) formation after double-opposing Z-plasty (DOZ), performed by a single surgeon. Overall, 104 (6.7%) of the patients developed PF, all of which were identified within the first month following DOZ. The incidence of PF for clefts of Veau class 1, 2, 3, and 4 was 0%, 6.5%, 4.4%, and 20.3%, respectively. The PFs were pinpoint-shaped in 38.5% of cases, slit-shaped in 40.4% (2-8 mm), and other (10-96 mm2) in 21.1% . Among patients with PF, 14 (13.5%) chose surgical repair; recurrence was observed in four patients, of whom two showed secondary healing. Among the 90 unrepaired cases, 68 (75.6%) showed symptom resolution, mostly within 1-3 years. Recovery varied by PF size category: 81.1% of pinpoint, 71.4% of slit-shaped, and 100% of other fistulas healed spontaneously over a median 9, 3, and 21.5 months, respectively. Multivariate logistic regression analysis identified cleft width as the most significant predictor of PF development (odds ratio 1.25, P < 0.001), while the Veau classification was not a significant determinant. This study identified cleft width as a critical determinant of the risk of PF following DOZ. A conservative strategy that prioritizes symptomatology over PF size (for PFs <1 cm2) is worthy of consideration.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484195","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 "Permanent lingual nerve injury after dental procedures: a retrospective study of 228 patients". 对 "牙科手术后的永久性舌神经损伤：对 228 名患者的回顾性研究 "评论的回复。

International journal of oral and maxillofacial surgery Pub Date : 2024-10-10 DOI: 10.1016/j.ijom.2024.09.010

D P Møller-Hansen, L Baad-Hansen, S S Jensen

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

Comment on "Permanent lingual nerve injury after dental procedures: a retrospective study of 228 patients". 就 "牙科手术后的永久性舌神经损伤：对 228 名患者的回顾性研究 "发表评论。

International journal of oral and maxillofacial surgery Pub Date : 2024-10-04 DOI: 10.1016/j.ijom.2024.09.012

W Jerjes

引用次数: 0

A cadaveric study of induced isolated orbital floor fractures and implications for surgical decision-making: comparison of two preoperative imaging modalities. 诱发孤立性眶底骨折的尸体研究及其对手术决策的影响：两种术前成像模式的比较。

International journal of oral and maxillofacial surgery Pub Date : 2024-10-03 DOI: 10.1016/j.ijom.2024.09.005

P Winnand, M Ooms, N Ayoub, M Heitzer, F Paulßen von Beck, F Hölzle, T Mücke, A Modabber

{"title":"A cadaveric study of induced isolated orbital floor fractures and implications for surgical decision-making: comparison of two preoperative imaging modalities.","authors":"P Winnand, M Ooms, N Ayoub, M Heitzer, F Paulßen von Beck, F Hölzle, T Mücke, A Modabber","doi":"10.1016/j.ijom.2024.09.005","DOIUrl":"10.1016/j.ijom.2024.09.005","url":null,"abstract":"Computed tomography (CT) is the gold standard for the diagnosis of isolated orbital floor fractures, while cone beam computed tomography (CBCT) is an alternative. The aim of this study was to compare the diagnostic accuracy of CT and CBCT for isolated orbital floor fractures. Forty-eight isolated orbital floor fractures were systematically induced in cadaver orbits. CBCT and CT scans of each cadaver head were performed and the image data imported into ProPlan CMF for analysis. The orbital floor area (OFA), orbital defect area (ODA), and peri-orbital tissue herniation were evaluated. Surgical decision-making differed significantly according to the imaging modality (P = 0.031). The odds of decision discrepancy between CBCT and CT were higher with increasing ODA/OFA ratios, when adjusted for peri-orbital tissue herniation and fracture localization (P = 0.026). An ODA/OFA ratio cut-off value of >36.25% had a sensitivity of 100% and specificity of 71% (area under the curve 0.83, P = 0.011) for predicting discrepancies between CBCT and CT in surgical decision-making. In this cadaveric study, CT and CBCT were diagnostically equivalent for isolated orbital floor fractures with an ODA/OFA ratio ≤36.25%. However, fractures exceeding this threshold may be better evaluated by CT to avoid discrepancies in surgical decision-making.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376407","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

Prevalence and risk factors of suicidal ideation in oral cancer: a systematic review and meta-analysis. 口腔癌患者自杀倾向的发生率和风险因素：系统回顾和荟萃分析。

International journal of oral and maxillofacial surgery Pub Date : 2024-09-24 DOI: 10.1016/j.ijom.2024.09.003

S M Gondivkar, G S Sarode, A Warhekar, M Yuwanati, R Ingole, A R Gadbail, S C Sarode, P Motghare

{"title":"Prevalence and risk factors of suicidal ideation in oral cancer: a systematic review and meta-analysis.","authors":"S M Gondivkar, G S Sarode, A Warhekar, M Yuwanati, R Ingole, A R Gadbail, S C Sarode, P Motghare","doi":"10.1016/j.ijom.2024.09.003","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.09.003","url":null,"abstract":"The objective was to estimate the pooled prevalence of suicidal ideation (SI) and related risk factors in oral cancer (OC). Studies that specified SI in OC patients were considered eligible. SI prevalence and associated risk factors were extracted from the included studies for qualitative analysis and meta-analysis. Five studies (two retrospective, two cross-sectional, and one prospective longitudinal) were included in this review. Out of a total 15,475 OC patients, SI was reported in 117. The pooled prevalence of SI was 6% (95% confidence interval 1-22%). The prevalence of SI varied widely across the included studies, from 0.26% to 18.7%. Four studies described SI assessment methods, which were DS-MV, PHQ-9, Beck Scale for Suicidal Ideation, and psychiatric interviews. Older age, depression, demoralization, previous cancer history, psychiatric history, alcohol dependence, anxiety, living alone, and poor quality of life were frequently mentioned as risk factors of SI. The prevalence of SI varied across studies and was probably affected by the method of assessment, treatment, and postoperative care. SI was consistently predicted with psychological distress. It is essential to raise awareness of demographic, clinical, and psychological associations with SI in order to assess risks and design interventions for this cohort.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335218","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

Multimodal image-guided surgical robot versus 3D-printed template for brachytherapy of malignant tumours in the skull base and deep facial region: a clinical comparative study. 用于颅底和面部深部恶性肿瘤近距离放射治疗的多模态图像引导手术机器人与三维打印模板：一项临床比较研究。

International journal of oral and maxillofacial surgery Pub Date : 2024-09-23 DOI: 10.1016/j.ijom.2024.09.002

N Jin, F Meng, L Zhu, L Xing, Q Lin, H Zhang

{"title":"Multimodal image-guided surgical robot versus 3D-printed template for brachytherapy of malignant tumours in the skull base and deep facial region: a clinical comparative study.","authors":"N Jin, F Meng, L Zhu, L Xing, Q Lin, H Zhang","doi":"10.1016/j.ijom.2024.09.002","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.09.002","url":null,"abstract":"This study compared a multimodal image-guided robot and three-dimensionally (3D) printed templates for implanting iodine-125 (I125) radioactive seeds in patients with malignant tumours in the skull base and deep facial region. Seventeen patients who underwent I125 radioactive seed implantation between December 2018 and December 2019 were included. The operation time, intraoperative blood loss, and accuracy of seed implantation were compared between the multimodal image-guided robot-assisted implantation (experimental) group (n = 7) and 3D-printed template-assisted implantation (control) group (n = 10). In total, 291 seeds were implanted in the experimental group and 436 in the control group; the mean error of seed implantation accuracy was 1.95 ± 0.13 mm and 1.90 ± 0.08 mm, respectively (P = 0.309). The preparation time was 26.13 ± 5.28 min in the experimental group and 0 min in the control group, while the average operation time was 34.44 ± 6.39 min versus 43.70 ± 6.06 min, respectively. The intraoperative blood loss was 4.96 ± 1.76 ml (experimental) versus 8.97 ± 2.99 ml (control) (P = 0.123). Multimodal image-guided robot-assisted I125 radioactive seed implantation met the clinical requirements for treating malignant tumours in the skull base and deep facial regions.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335217","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

Postoperative maxillary stability after Le Fort I osteotomy using a u-HA/PLLA system: three-dimensional analysis by surface superimposition based on virtual Le Fort I osteotomy. 使用 u-HA/PLLA 系统进行 Le Fort I 截骨术后的上颌骨稳定性：基于虚拟 Le Fort I 截骨术的表面叠加三维分析。

International journal of oral and maxillofacial surgery Pub Date : 2024-09-20 DOI: 10.1016/j.ijom.2024.09.001

S Yamamoto, R Iwadate, K Maeda, N Taniike

{"title":"Postoperative maxillary stability after Le Fort I osteotomy using a u-HA/PLLA system: three-dimensional analysis by surface superimposition based on virtual Le Fort I osteotomy.","authors":"S Yamamoto, R Iwadate, K Maeda, N Taniike","doi":"10.1016/j.ijom.2024.09.001","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.09.001","url":null,"abstract":"The postoperative stability achieved with Le Fort I osteotomy (LFI) using bioabsorbable systems remains controversial. A new method - multipoint measurement method - was devised for detailed three-dimensional examination of postoperative stability following LFI, and the stability after LFI when using SuperFIXSORB-MX made of u-HA/PLLA was investigated. Thirty-one patients who underwent LFI using SuperFIXSORB-MX were evaluated retrospectively. The patients were divided into four malocclusion types: open bite, mandibular retrognathia, mandibular protrusion, and facial asymmetry. Seven maxillary reference points were measured three-dimensionally using computed tomography scans obtained preoperatively (T0), 4 days post-surgery (T1), and 1 year post-surgery (T2). Surgical changes (T1-T0) and the postoperative discrepancy (T2-T1) of the maxilla were analysed to evaluate postoperative stability by surface superimposition of the virtual LFI segments. Postoperative discrepancy was the largest for the facial asymmetry type, ranging from 0.75 ± 0.45 mm to 0.98 ± 0.52 mm in three-dimensional distance (minimum to maximum mean ± standard deviation values for the individual reference points). The relapse at U1 was 16% in the transverse axis, and the anterior nasal spine moved further upward by 17% of the amount of movement of the maxilla. Fixation with SuperFIXSORB-MX was considered to be within clinically acceptable limits.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304881","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

Improved stability of open bite deformities: taking control of the transverse width using digital technology and robotic archwire bending. 提高开放性咬合畸形的稳定性：利用数字技术和机器人弓丝弯曲技术控制横向宽度。

International journal of oral and maxillofacial surgery Pub Date : 2024-09-03 DOI: 10.1016/j.ijom.2024.08.036

G A Millesi, G R De Fazio, M Zimmermann, M Eltz

{"title":"Improved stability of open bite deformities: taking control of the transverse width using digital technology and robotic archwire bending.","authors":"G A Millesi, G R De Fazio, M Zimmermann, M Eltz","doi":"10.1016/j.ijom.2024.08.036","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.08.036","url":null,"abstract":"Many factors need to be considered when selecting treatment protocol for surgical correction of skeletal open bite deformities. In order to achieve stable long-term results, it is essential to explore the origin of the open bite, including dysfunction of the temporomandibular joint, tongue and compromised nasal breathing, in addition to the skeletal deformity. Recurrence of skeletal open bite is associated with relapse of the expanded transverse width. Three-dimensional virtual planning allows different treatment options to be explored and final decisions to be made together with the orthodontist. This study presents a treatment protocol for predictable and stable widening of the maxillary transverse width over the long term, involving premolar extraction and rounding and shortening of the upper dental arch by advancing the molar segments. The stability of inter-canine, inter-premolar, and inter-molar distances, as well as overjet and overbite, were measured in 16 patients treated with this technique; measurements were obtained pre- and post-surgery, and the mean follow-up was 43 months. Orthodontic treatment was designed digitally and finished with robotically bent wires (SureSmile), which allowed exact planning of the overall treatment, thus making orthognathic surgery more predictable for the patient. The changes in transverse width were significant and stable over time.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134911","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

Factors predicting neurosensory disturbance after bilateral sagittal split ramus osteotomy: a retrospective cohort study. 预测双侧矢状劈裂臼齿截骨术后神经感觉障碍的因素：一项回顾性队列研究。

International journal of oral and maxillofacial surgery Pub Date : 2024-08-28 DOI: 10.1016/j.ijom.2024.08.029

K Shinozaki, T Kobayashi, N Seki, J Iwanaga, J Kusukawa

{"title":"Factors predicting neurosensory disturbance after bilateral sagittal split ramus osteotomy: a retrospective cohort study.","authors":"K Shinozaki, T Kobayashi, N Seki, J Iwanaga, J Kusukawa","doi":"10.1016/j.ijom.2024.08.029","DOIUrl":"https://doi.org/10.1016/j.ijom.2024.08.029","url":null,"abstract":"Neurosensory disturbances (NSD) are the most widely recognized complication of bilateral sagittal split ramus osteotomy (BSSRO), but predictors of NSD remain unclear. The aim of this study was to identify factors predicting NSD following BSSRO. A retrospective cohort study of 129 consecutive patients with dentofacial deformities (median age 24.0 years; 76.0% female), who underwent BSSRO (95 without genioplasty, 34 with genioplasty), was conducted. The presence of NSD was evaluated at 6 months postoperatively and was found in 97 patients (absent in 32 patients). Potential NSD-related factors investigated were age, sex, genioplasty, mandibular canal type, inferior alveolar nerve (IAN) exposure, mandibular movement, and laterality. Multivariate binary logistic regression analysis was conducted to elucidate factors predicting NSD, with calculation of odds ratios (OR) and 95% confidence intervals (CI). The dependent variable was defined as NSD after BSSRO. Independent variables were those with P < 0.100 in the univariate analysis. In the multivariate binary logistic regression analysis, NSD showed a significant association with BSSRO with genioplasty (adjusted OR 3.87, 95% CI 1.21-12.26; P = 0.022) and left IAN exposure (adjusted OR 4.69, 95% CI 1.49-14.73; P = 0.008). The study findings may lead to enhanced clinical outcomes for BSSRO.","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116479","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