International journal of oral and maxillofacial surgery最新文献

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Effect of binaural beats and isochronic tones on anxiety during impacted mandibular third molar surgery: a randomized controlled trial. 双耳节拍和等时音调对下颌阻生第三磨牙手术中焦虑的影响:一项随机对照试验。
IF 2.7
International journal of oral and maxillofacial surgery Pub Date : 2026-07-18 DOI: 10.1016/j.ijom.2026.07.006
O Akkurt, Ö Ekici
{"title":"Effect of binaural beats and isochronic tones on anxiety during impacted mandibular third molar surgery: a randomized controlled trial.","authors":"O Akkurt, Ö Ekici","doi":"10.1016/j.ijom.2026.07.006","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.07.006","url":null,"abstract":"<p><p>Dental anxiety is a common problem in oral surgery practices. Recently, interest has increased in non-pharmacological methods to reduce anxiety, such as auditory stimulation. This randomized controlled trial evaluated the effects of binaural beats (BB) and isochronic tones (IT), two forms of auditory stimulation, on dental anxiety and physiological parameters during impacted mandibular third molar surgery. Ninety patients were assigned equally to BB, IT, and control (no intraoperative auditory stimulation) groups. Anxiety levels were assessed using the MDAS, DFS, STAI-S, and a visual analogue scale pre- and postoperatively. The BB and IT group patients also completed a satisfaction questionnaire. Physiological parameters (respiratory rate, pulse rate, blood pressure [SBP, DBP], oxygen saturation) were recorded at eight surgical stages. No significant between-group differences were observed in the pre- or postoperative anxiety questionnaire scores. Isolated between-group differences in physiological parameters were observed: mean SBP at incision was lowest in the BB group (P = 0.041), while mean respiratory rate at anaesthesia was lowest in the IT group (P = 0.015). The majority of BB and IT group patients (78.3%) reported that they would prefer auditory stimulation in future dental treatments. The findings indicate that BB and IT have a limited effect on reducing dental anxiety during impacted mandibular third molar surgery and do not support a definitive anxiolytic benefit. Auditory stimulation may transiently influence certain stress-related physiological responses; however, further studies using objective neurophysiological measures and standardized protocols are required to clarify their role in oral surgery.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498590","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 imaging features of temporal bone pneumatization on cone-beam computed tomography: a systematic review and meta-analysis. 锥形束计算机断层扫描颞骨气肺的患病率和影像学特征:系统回顾和荟萃分析。
IF 2.7
International journal of oral and maxillofacial surgery Pub Date : 2026-07-15 DOI: 10.1016/j.ijom.2026.07.005
B L A Abrante, L Munhoz, C F de Freitas
{"title":"Prevalence and imaging features of temporal bone pneumatization on cone-beam computed tomography: a systematic review and meta-analysis.","authors":"B L A Abrante, L Munhoz, C F de Freitas","doi":"10.1016/j.ijom.2026.07.005","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.07.005","url":null,"abstract":"<p><p>The aim of this systematic review and meta-analysis was to estimate the prevalence of temporal bone pneumatization (TBP), including pneumatization of the articular tubercle (PAT) and glenoid fossa (PGF), based on cone-beam computed tomography (CBCT) studies. The laterality, pattern, and extension of the TBP, as well as the sex distribution and age range of the patients are also described. A systematic search was performed in the PubMed, Embase, Scopus, Web of Science, and Google Scholar databases up to May 2025 . Studies reporting TBP prevalence on CBCT were included. The data extraction followed the PRISMA guidelines, and risk of bias was assessed using the JBI checklist for prevalence studies. Meta-analyses were performed using a random-effects model to calculate pooled prevalence rates. The pooled prevalence of TBP was 62.5% (95% confidence interval (CI) 53.6-70.7%), while the prevalence rates of PAT and PGF were 26.1% (95% CI 15.4-40.6%) and 28.6% (95% CI 18.7-41.2%), respectively. Multilocular patterns predominated over unilocular, and grade 2 extension (pneumatization between the glenoid fossa and crest of the articular eminence) was the most frequent extension type in PAT. In conclusion, due to the anatomical risks associated with TBP, CBCT assessment is recommended before surgical procedures involving the temporomandibular joint to reduce the risk of complications, such as perforation of the middle cranial fossa.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148458144","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
Three-dimensional virtual planning and custom polyetheretherketone reconstruction for spheno-orbital meningiomas: a case series and proposed new classification system. 蝶眶脑膜瘤的三维虚拟规划和定制聚醚醚酮重建:一个病例系列和提出的新的分类系统。
IF 2.7
International journal of oral and maxillofacial surgery Pub Date : 2026-07-14 DOI: 10.1016/j.ijom.2026.07.001
T M Austin, C Y Akhunbay-Fudge, E T Walker, D Warren, J Parmar, A J Sheikh
{"title":"Three-dimensional virtual planning and custom polyetheretherketone reconstruction for spheno-orbital meningiomas: a case series and proposed new classification system.","authors":"T M Austin, C Y Akhunbay-Fudge, E T Walker, D Warren, J Parmar, A J Sheikh","doi":"10.1016/j.ijom.2026.07.001","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.07.001","url":null,"abstract":"<p><p>Spheno-orbital meningioma (SOM) resections pose significant reconstructive challenges. Presented here is a case series of orbital and functional outcomes using polyetheretherketone (PEEK) implants and cutting guides to describe a tertiary centre's practice of using custom reconstruction to assist in improving orbital symmetry with the aim of functional improvement in symptomatic diplopia. Between June 2020 and October 2023, 13 consecutive adult patients with SOM were managed surgically by resection and custom reconstruction. Retrospectively, for each patient, clinical data including Hertel difference (HD) and orbital volume difference (OVD, the comparison of affected and unaffected orbital volumes) were collected and compared preoperatively and postoperatively. The series had a mean follow-up of 21 months. Preoperatively, 10 patients had proptosis or diplopia, and nine patients had improvement postoperatively. The mean Hertel differences improved from 4.3 mm (range 0-7 mm) preoperatively to 2.1 mm (range 0-5) postoperatively (P = 0.01). The mean OVDs increased from 1.9 cm<sup>3</sup> (range 0.3-4.1 cm<sup>3</sup>) preoperatively to 2.4 cm<sup>3</sup> (range 0.3-4.8) postoperatively (P = 0.30). In the authors' experience, using PEEK for custom reconstruction is a safe and effective way to improve globe position, measurable using a Hertel exophthalmometer and visual symptoms. The authors aim to propose a classification system for surgical planning, particularly where there may be benefit in utilizing virtual planning and custom reconstruction for cases with extensive bone involvement.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148451099","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
Facial asymmetry in unicoronal craniosynostosis: automated three-dimensional quantification of surgical outcomes. 单冠状颅缝闭闭患者面部不对称:手术结果的自动三维量化。
IF 2.7
International journal of oral and maxillofacial surgery Pub Date : 2026-07-14 DOI: 10.1016/j.ijom.2026.07.003
F Bielevelt, S Tekinerdogan, N Chargi, H H K Delye, E J van Lindert, M Aalbers, J T Dormaar, M Nienhuijs, T J J Maal
{"title":"Facial asymmetry in unicoronal craniosynostosis: automated three-dimensional quantification of surgical outcomes.","authors":"F Bielevelt, S Tekinerdogan, N Chargi, H H K Delye, E J van Lindert, M Aalbers, J T Dormaar, M Nienhuijs, T J J Maal","doi":"10.1016/j.ijom.2026.07.003","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.07.003","url":null,"abstract":"<p><p>Craniosynostosis is the premature closure of one or more cranial sutures which may result in functional and aesthetic complications. Non-syndromic unicoronal craniosynostosis commonly leads to facial asymmetry. This study aimed to quantify changes in facial asymmetry before and after surgical treatment using an automated 3D technique. A retrospective study was performed including 32 patients treated at Radboud University Medical Center Nijmegen between 2011 and 2024. Pre- and postoperative three-dimensional facial photographs were analysed, and asymmetry was quantified using regional root-mean-square (RMS) values. Patients were treated with either minimally invasive endoscopic-assisted craniosynostosis surgery (EACS) or open cranial vault reconstruction (OCVR). In the EACS group, the mean ages at preoperative and postoperative imaging were 4.4 ± 2.0 and 14.4 ± 3.3 months, respectively, while in the OCVR group these were 9.0 ± 3.2 and 21.3 ± 5.5 months. Facial asymmetry significantly decreased after surgery across all regions (P < 0.001). Overall RMS values decreased from 3.36 mm preoperatively to 2.44 mm postoperatively after EACS and from 3.33 mm to 2.46 mm after OCVR, corresponding to a reduction of 27-29% (P < 0.001). The greatest improvement was observed in the upper facial region, with a mean reduction of 1.47 mm (P < 0.001). In conclusion, surgical treatment of unicoronal craniosynostosis results in a substantial reduction of facial asymmetry, particularly in the upper face, with comparable improvements for both surgery groups.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148451062","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
Morphological changes in the upper airway following mandibular distraction osteogenesis in craniofacial microsomia patients with obstructive sleep apnoea. 颅面小畸型伴阻塞性睡眠呼吸暂停患者下颌牵张成骨后上呼吸道形态学改变。
IF 2.7
International journal of oral and maxillofacial surgery Pub Date : 2026-07-13 DOI: 10.1016/j.ijom.2026.07.002
L Ma, Z Zhang, X Tang, W Liu
{"title":"Morphological changes in the upper airway following mandibular distraction osteogenesis in craniofacial microsomia patients with obstructive sleep apnoea.","authors":"L Ma, Z Zhang, X Tang, W Liu","doi":"10.1016/j.ijom.2026.07.002","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.07.002","url":null,"abstract":"<p><p>This retrospective study aimed to determine the morphology of the upper airway of craniofacial microsomia (CFM) patients with obstructive sleep apnoea (OSA) both pre- and post-mandibular distraction osteogenesis (MDO), and to compare differences in airway changes according to the therapeutic efficacy for OSA. The CFM patients with OSA were divided into 'effective' and 'ineffective' groups based on the therapeutic efficacy of MDO for OSA. Pre- and post-MDO craniofacial CT data were imported into Mimics software for three-dimensional upper airway reconstruction, which was further segmented into the nasal cavity, nasopharynx, velopharynx, glossopharynx, and laryngopharynx. The volume, surface area, length, mean cross-sectional area, and minimum cross-sectional area (minCSA) were measured. Intra-group comparisons of pre- and post-MDO data were performed, and the percentage changes (pre- to post-MDO) were compared between the two groups. Twenty-five patients were included, 10 in the ineffective group and 15 in the effective group. In both groups, the minCSA (P = 0.002, P = 0.015) and volumes of the nasopharynx (P = 0.018, P = 0.018), velopharynx (P = 0.006, P = 0.012), and glossopharynx (P = 0.007, P = 0.004) increased significantly after MDO. There were no statistically significant differences in the percentage changes in upper airway measurements between the two groups (all P > 0.05). The upper airway of CFM patients with OSA increased post-MDO, but the difference in therapeutic efficacy of MDO for OSA was not solely due to differences in the changes in morphology of the upper airway.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148440364","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
Facial fractures and the long-term risk of mental health complications. 面部骨折和心理健康并发症的长期风险。
IF 2.7
International journal of oral and maxillofacial surgery Pub Date : 2026-07-10 DOI: 10.1016/j.ijom.2026.06.029
G Kang-Auger, D E Borsuk, S Buteau, A Ayoub, D Panagiotoglou, G Paradis
{"title":"Facial fractures and the long-term risk of mental health complications.","authors":"G Kang-Auger, D E Borsuk, S Buteau, A Ayoub, D Panagiotoglou, G Paradis","doi":"10.1016/j.ijom.2026.06.029","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.029","url":null,"abstract":"<p><p>The psychosocial implications of facial fractures are unclear. The aim of the study was to identify any association between facial fractures and the long-term risk of hospitalization for mental health disorders. The study followed a cohort of 64,089 patients aged ≥10 years who were hospitalized for facial fractures between 1989 and 2023 in Quebec, Canada. Patients with facial fractures were matched to 318,520 controls based on age, sex, and year, and facial fractures were classified by site, type, and cause. The outcomes were hospitalizations for psychiatric disorders, substance use disorders, and suicide attempts up to 34 years later. Stratified Cox regression models were used to estimate adjusted hazard ratio (HR) and 95% confidence interval (CI) for the association between facial fractures and mental health hospitalization. Compared with matched controls, patients with facial fractures were 1.58 times more likely to be hospitalized for a mental health disorder over time (95% CI 1.55-1.61). Mandible (HR 1.89, 95% CI 1.81-1.96), open (HR 1.75, 95% CI 1.63-1.88), and assault-related facial fractures (HR 2.43, 95% CI 2.33-2.54) were most strongly associated with subsequent mental health hospitalization. Patients with facial fractures were at risk of admission for psychiatric disorders (HR 1.35, 95% CI 1.32-1.38), substance use disorders (HR 2.12, 95% CI 2.07-2.18), and suicide attempts (HR 1.69, 95% CI 1.58-1.80). Risk of mental health admission was greatest within 5 years of injury but persisted throughout follow-up. Overall, this study suggests that facial fractures are associated with the long-term risk of hospitalization for mental health disorders.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427686","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
Nasopalatine canal and dental implant placement in the anterior maxilla: a scoping review of clinical studies. 鼻腭管与前上颌种植体的临床研究综述。
IF 2.7
International journal of oral and maxillofacial surgery Pub Date : 2026-07-09 DOI: 10.1016/j.ijom.2026.06.024
X H Yeo, J Schofield, K S Fakhruddin, A Pimkhaokham
{"title":"Nasopalatine canal and dental implant placement in the anterior maxilla: a scoping review of clinical studies.","authors":"X H Yeo, J Schofield, K S Fakhruddin, A Pimkhaokham","doi":"10.1016/j.ijom.2026.06.024","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.024","url":null,"abstract":"<p><p>Implant placement in the anterior maxilla may be complicated by proximity to the nasopalatine canal (NPC), particularly following post-extraction ridge remodelling. The aim of this scoping review was to map reported management strategies when the NPC interferes with implant placement and synthesize associated clinical outcomes. A comprehensive search was conducted across Ovid MEDLINE, Embase, Scopus, Web of Science, Cochrane Library, and hand-searched sources up to December 31, 2025. Eligible studies included human clinical reports describing implant placement in proximity to, or involving manipulation of, the NPC. Twenty-nine studies met the inclusion criteria. Sixteen studies described NPC obliteration (83 patients; 92 implants) and three described NPC repositioning (26 patients; 57 implants). Implant survival was reported as 100% (57/57 implants) in the repositioning subgroup and 95.6% (88/92 implants) in the obliteration subgroup. Neurosensory disturbances affecting the palatal mucosa of the anterior maxilla were reported in 34.6% (9/26; 95% confidence interval 19.4-53.8%) of repositioning cases and 9.6% (8/83; 95% confidence interval 5.0-17.9%) of obliteration cases; persistent altered sensation was reported only in repositioning studies. Follow-up duration and assessment methods varied considerably across studies. The available literature is characterized by small sample sizes, heterogeneous techniques, and inconsistent outcome reporting. Within these limitations, both NPC obliteration and repositioning have been described with high short- to mid-term implant survival, although neurosensory outcomes were variably reported. Standardized prospective studies with consistent definitions and objective sensory assessment are required to better characterize risks and outcomes.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427665","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 nasal soft tissue morphology following Le Fort I osteotomy of the maxilla: evaluation using a three-dimensional camera. 上颌骨Le Fort I型截骨术后鼻软组织形态的变化:三维相机评价。
IF 2.7
International journal of oral and maxillofacial surgery Pub Date : 2026-07-09 DOI: 10.1016/j.ijom.2026.06.020
M Tomimatsu, S Hasegawa, J Sasaki, S Watanabe, H Miyachi, M Goto
{"title":"Changes in nasal soft tissue morphology following Le Fort I osteotomy of the maxilla: evaluation using a three-dimensional camera.","authors":"M Tomimatsu, S Hasegawa, J Sasaki, S Watanabe, H Miyachi, M Goto","doi":"10.1016/j.ijom.2026.06.020","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.020","url":null,"abstract":"<p><p>This study aimed to investigate the factors affecting alar width after Le Fort I osteotomy. A prospective observational study was conducted on 84 patients who underwent orthodontic treatment followed by Le Fort I osteotomy, with or without bilateral sagittal split ramus osteotomy. Measurements of alar width, alar base width, and nasal tip protrusion were obtained using a three-dimensional camera before surgery and on postoperative days 3, 7, 60, and 90. The sella-nasion-A point (SNA) angle was assessed from lateral cephalometric radiographs to evaluate maxillary movement. Postoperatively, alar width increased by 2.33 ± 1.24 mm. Significant correlations were observed between alar width increase and preoperative alar width (P = 0.002), facial changes (P < 0.001), and SNA angle (P = 0.003). Although previous studies have emphasized bony segment movement as the main factor influencing nasal width, multivariate analysis in the present study revealed that preoperative alar width (P = 0.003) and facial changes (P = 0.002) had a stronger correlation with alar width expansion than with SNA angle (P = 0.027). In conclusion, postoperative alar widening is influenced by multiple factors, including nasal morphology and bone movement. Further studies are needed to clarify these mechanisms to improve the control of nasal morphological changes following Le Fort I osteotomy.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427605","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
Are condylar head and neck inclinations associated with condylar volume changes following maxillomandibular advancement surgery? 下颌前突手术后,髁突头颈倾斜是否与髁突体积变化有关?
IF 2.7
International journal of oral and maxillofacial surgery Pub Date : 2026-07-09 DOI: 10.1016/j.ijom.2026.06.028
T W Nielsen, M B Holte, G Berg-Beckhoff, J J Thorn, J Ingerslev, E M Pinholt
{"title":"Are condylar head and neck inclinations associated with condylar volume changes following maxillomandibular advancement surgery?","authors":"T W Nielsen, M B Holte, G Berg-Beckhoff, J J Thorn, J Ingerslev, E M Pinholt","doi":"10.1016/j.ijom.2026.06.028","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.028","url":null,"abstract":"<p><p>The aim of this study was to analyse the association of condylar head and condylar neck inclination with condylar volume changes 2 years following maxillomandibular advancement surgery (MMA) for prediction purposes. A novel method for assessment of the condylar head and neck inclination from cone-beam computed tomography (CBCT) was proposed and its reliability was assessed. The intra- and inter-observer reliability of the method was excellent, intraclass correlation coefficient >0.99, with mean absolute differences ranging from 0.7 to 1.5°. Pre- and postoperative CBCT (2 weeks and 2 years) of 47 patients (31 female, 16 male; mean age 21.72 years) was assessed. The mean preoperative condylar head inclination in the right and left sides was 9.55 ± 9.62° (anterior) and 9.23 ± 10.51° (anterior), respectively, while the mean preoperative condylar neck inclination was -10.62 ± 6.81° (posterior) and -8.33 ± 8.07° (posterior), respectively. The condylar volumes showed a mean decrease in the right and left sides of 9.98 ± 21.14% and 11.14 ± 20.96%, respectively. Condylar neck inclination was identified as a statistically significant prediction factor for condylar volume loss (P = 0.004), while condylar head inclination was not (P = 0.42). Mandibular condyles with progressive condylar resorption had a significantly more posterior condylar neck inclination preoperatively compared to those without (P < 0.001). In conclusion, a more posteriorly inclined neck preoperatively was statistically significantly associated with a larger condylar volume loss 2 years following MMA. No statistically significant association between condylar head inclination and condylar volume loss was found.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427643","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
Alloplastic temporomandibular joint replacement: historical perspective and future objectives. 同种异体颞下颌关节置换术:历史观点和未来目标。
IF 2.7
International journal of oral and maxillofacial surgery Pub Date : 2026-07-03 DOI: 10.1016/j.ijom.2026.06.027
L G Mercuri, D Samartzis, R Pourzal
{"title":"Alloplastic temporomandibular joint replacement: historical perspective and future objectives.","authors":"L G Mercuri, D Samartzis, R Pourzal","doi":"10.1016/j.ijom.2026.06.027","DOIUrl":"https://doi.org/10.1016/j.ijom.2026.06.027","url":null,"abstract":"<p><p>Alloplastic temporomandibular joint (TMJ) replacement (TMJR) is a viable treatment option for endstage TMJ disorders unresponsive to conservative management options, as well as for reconstruction of congenital or acquired TMJ defects. The authors provide a historical perspective of TMJR development and provide suggested future considerations to assure that the reported successful clinical outcomes continue as new and improved devices come to market.</p>","PeriodicalId":94053,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383426","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
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