Pub Date : 2026-02-13DOI: 10.1016/j.adoms.2026.100636
J. Schortinghuis , F. Mahboobi , A. Vissink
Introduction
Patients are often more anxious than needed when scheduled for third molar removal under local anaesthesia. However, it is unclear what their expectations are beforehand and how these compare to their actual experience.
Materials and methods
The expectations of 38 prospectively included patients (21 males, 17 females, mean age 24 ± 3 years) were assessed preoperatively using a validated 66-item questionnaire covering functional limitations, complications, and recovery. Postoperative experiences were recorded one day and one month after surgery. Each item was scored from 0 (very positive) to 10 (very negative). Pre- and postoperative scores were compared per item and as total scores.
Results
A total of 38 lower in combination with an upper wisdom (n = 23) teeth on the same side was removed. The total expectation score was 3171, compared to a postoperative total of 1868 (p < 0.001). Pre-surgery, patients expected a pain score of 5.0 ± 1.0 during surgery, but the score was in reality 1.0 ± 1.0 (p < 0.001). Post-surgery, patients expected a pain score of 7.3 ± 1.7, but in reality, the mean pain score was 4.7 ± 1.1 (p < 0.0001). The influence of the surgery on going to work or school was expected to be high (score 60), but was in fact low (score 29, p < 0.0001).
Conclusion
Pre-operatively, patients tend to overestimate the negative impact of third molar surgery, but impact of third molar surgery was lower than they expected.
{"title":"Patient expectations on third molar removal","authors":"J. Schortinghuis , F. Mahboobi , A. Vissink","doi":"10.1016/j.adoms.2026.100636","DOIUrl":"10.1016/j.adoms.2026.100636","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients are often more anxious than needed when scheduled for third molar removal under local anaesthesia. However, it is unclear what their expectations are beforehand and how these compare to their actual experience.</div></div><div><h3>Materials and methods</h3><div>The expectations of 38 prospectively included patients (21 males, 17 females, mean age 24 ± 3 years) were assessed preoperatively using a validated 66-item questionnaire covering functional limitations, complications, and recovery. Postoperative experiences were recorded one day and one month after surgery. Each item was scored from 0 (very positive) to 10 (very negative). Pre- and postoperative scores were compared per item and as total scores.</div></div><div><h3>Results</h3><div>A total of 38 lower in combination with an upper wisdom (n = 23) teeth on the same side was removed. The total expectation score was 3171, compared to a postoperative total of 1868 (p < 0.001). Pre-surgery, patients expected a pain score of 5.0 ± 1.0 during surgery, but the score was in reality 1.0 ± 1.0 (p < 0.001). Post-surgery, patients expected a pain score of 7.3 ± 1.7, but in reality, the mean pain score was 4.7 ± 1.1 (p < 0.0001). The influence of the surgery on going to work or school was expected to be high (score 60), but was in fact low (score 29, p < 0.0001).</div></div><div><h3>Conclusion</h3><div>Pre-operatively, patients tend to overestimate the negative impact of third molar surgery, but impact of third molar surgery was lower than they expected.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"22 ","pages":"Article 100636"},"PeriodicalIF":0.0,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193185","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":"The Sushi Roll Technique: A simple non-adherent spacer for dead space management after enucleation of jaw cysts","authors":"Makoto Adachi, Ryoya Eguchi, Eiji Takeda, Kento Nakamura","doi":"10.1016/j.adoms.2026.100640","DOIUrl":"10.1016/j.adoms.2026.100640","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"22 ","pages":"Article 100640"},"PeriodicalIF":0.0,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193184","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}
Pub Date : 2026-01-19DOI: 10.1016/j.adoms.2026.100627
Pedro Henrique de Azambuja Carvalho , Guilherme dos Santos Trento , Nathalia Caetano Marques , Julia Ferrazoli de Oliveira Borges , Marisa Aparecida Cabrini Gabrielli , Roberta Okamoto , Rubens Spin-Neto , Valfrido Antonio Pereira-Filho
Objectives
To evaluate the micro architectural and histological patterns of new bone formation in areas grafted with deproteinized bovine bone block (DBBM) compared to autogenous graft from mandibular ramus (AB).
Materials and methods
Twelve patients with edentulous atrophic maxillary ridges were submitted to maxillary ridge reconstruction surgery. Each side of maxilla received a type of graft, according to randomization: AB or DBBM. Nine months after, cylindrical bone biopsies were obtained using a trephine bur, and then submitted to micro CT to evaluate tissue volume, surface, Bone volume and surface, bone volume percent, bone surface density, specific bone density; trabecular number, separation, thickness and pattern, porosity and connectivity. From each group, six samples were randomly selected for histological analysis. Histological images were qualitatively evaluated for tissue pattern and osteocytes infiltration. Furthermore the areas of new bone formation, vital bone, soft tissue, residual biomaterial, and necrotic bone were defined.
Results
specific bone density was larger for DBBM than for AB (14.69 ± 2.66 vs 12.01 ± 2.16), but trabecular thickness was larger in AB (0.55 ± 0.33 mm) than in DBBM (0.28 ± 0.04 mm). At the histologic analysis, area of mineralized tissue was larger in the AB than in DBBM (55.29 % ± 11.24 vs 37.04 % ± 9.04). All other evaluated criteria did not differ between groups.
Conclusion
DBBM presented suitable incorporation to the grafted site, allied to new bone formation, bone volume, bone density, and soft tissue areas similar to AB.
目的评价脱蛋白牛骨块（DBBM）与自体下颌支（AB）骨块移植区新生骨形成的显微结构和组织学特征。材料与方法对12例无牙上颌嵴萎缩患者行上颌嵴重建术。上颌骨的每侧接受一种类型的移植物，根据随机分配：AB或DBBM。9个月后行环形穿刺取柱状骨活检，然后行显微CT评估组织体积、表面、骨体积和表面、骨体积百分比、骨表面密度、比骨密度；小梁数量，分离，厚度和模式，孔隙度和连通性。每组随机抽取6例标本进行组织学分析。组织学图像定性评价组织模式和骨细胞浸润。此外，还定义了新骨形成、活骨、软组织、残留生物材料和坏死骨的区域。结果DBBM的特异骨密度大于AB(14.69±2.66 vs 12.01±2.16)，但小梁厚度（0.55±0.33 mm）大于DBBM（0.28±0.04 mm）。在组织学分析中，AB组矿化组织面积大于DBBM组（55.29%±11.24 vs 37.04%±9.04）。所有其他评估标准在两组之间没有差异。结论dbbm与移植物部位结合良好，新骨形成、骨体积、骨密度和软组织面积与AB相似。
{"title":"Deproteinized bovine bone block for horizontal ridge augmentation: A clinical split-mouth prospective study – part II, histologic and microtomographic evaluation","authors":"Pedro Henrique de Azambuja Carvalho , Guilherme dos Santos Trento , Nathalia Caetano Marques , Julia Ferrazoli de Oliveira Borges , Marisa Aparecida Cabrini Gabrielli , Roberta Okamoto , Rubens Spin-Neto , Valfrido Antonio Pereira-Filho","doi":"10.1016/j.adoms.2026.100627","DOIUrl":"10.1016/j.adoms.2026.100627","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the micro architectural and histological patterns of new bone formation in areas grafted with deproteinized bovine bone block (DBBM) compared to autogenous graft from mandibular ramus (AB).</div></div><div><h3>Materials and methods</h3><div>Twelve patients with edentulous atrophic maxillary ridges were submitted to maxillary ridge reconstruction surgery. Each side of maxilla received a type of graft, according to randomization: AB or DBBM. Nine months after, cylindrical bone biopsies were obtained using a trephine bur, and then submitted to micro CT to evaluate tissue volume, surface, Bone volume and surface, bone volume percent, bone surface density, specific bone density; trabecular number, separation, thickness and pattern, porosity and connectivity. From each group, six samples were randomly selected for histological analysis. Histological images were qualitatively evaluated for tissue pattern and osteocytes infiltration. Furthermore the areas of new bone formation, vital bone, soft tissue, residual biomaterial, and necrotic bone were defined.</div></div><div><h3>Results</h3><div>specific bone density was larger for DBBM than for AB (14.69 ± 2.66 vs 12.01 ± 2.16), but trabecular thickness was larger in AB (0.55 ± 0.33 mm) than in DBBM (0.28 ± 0.04 mm). At the histologic analysis, area of mineralized tissue was larger in the AB than in DBBM (55.29 % ± 11.24 vs 37.04 % ± 9.04). All other evaluated criteria did not differ between groups.</div></div><div><h3>Conclusion</h3><div>DBBM presented suitable incorporation to the grafted site, allied to new bone formation, bone volume, bone density, and soft tissue areas similar to AB.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100627"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037248","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}
Pub Date : 2026-01-17DOI: 10.1016/j.adoms.2026.100626
Jaymit Patel , Anastasios Kanatas
Background
The cost of head and neck cancer treatment is of interest to clinicians and providers. The aim of this work was to estimate the costs of treating and rehabilitating patients following different head and neck cancer diagnoses.
Design
A single-centre retrospective cohort study using purposive sampling of patient records. Patient-level costing was performed using the hospital's Patient Level Information and Costing System (PLICS), capturing costs across surgical, radiotherapeutic, and oral rehabilitation pathways.
Results
Ten patients were included. Treatment costs ranged from £15,560 to £69,536. Advanced-stage cancers were costly, requiring multi-modality treatment and complex oral rehabilitation. Primary dental implant placement was more cost-effective than delayed placement.
Conclusion
There is substantial variability in the cost of curative treatment and oral rehabilitation for head and neck cancer. Stage at diagnosis and modality of rehabilitation significantly influence total cost. These findings support the economic rationale for early detection and standardised rehabilitation protocols.
{"title":"The secondary care (hospital) cost of treating and rehabilitating patients with head and neck cancer","authors":"Jaymit Patel , Anastasios Kanatas","doi":"10.1016/j.adoms.2026.100626","DOIUrl":"10.1016/j.adoms.2026.100626","url":null,"abstract":"<div><h3>Background</h3><div>The cost of head and neck cancer treatment is of interest to clinicians and providers. The aim of this work was to estimate the costs of treating and rehabilitating patients following different head and neck cancer diagnoses.</div></div><div><h3>Design</h3><div>A single-centre retrospective cohort study using purposive sampling of patient records. Patient-level costing was performed using the hospital's Patient Level Information and Costing System (PLICS), capturing costs across surgical, radiotherapeutic, and oral rehabilitation pathways.</div></div><div><h3>Results</h3><div>Ten patients were included. Treatment costs ranged from £15,560 to £69,536. Advanced-stage cancers were costly, requiring multi-modality treatment and complex oral rehabilitation. Primary dental implant placement was more cost-effective than delayed placement.</div></div><div><h3>Conclusion</h3><div>There is substantial variability in the cost of curative treatment and oral rehabilitation for head and neck cancer. Stage at diagnosis and modality of rehabilitation significantly influence total cost. These findings support the economic rationale for early detection and standardised rehabilitation protocols.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100626"},"PeriodicalIF":0.0,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037318","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}
Pub Date : 2026-01-13DOI: 10.1016/j.adoms.2026.100622
Krishan Goyal , Shreetama Mukherjee
The UK Oral and Maxillofacial Surgery (OMFS) workforce continues to experience significant shortages. A major contributor is attrition during or immediately following the second degree, primarily driven by fragmented training structures and substantial costs for trainees. Despite national recommendations, there is no formal integration of the second degree with speciality training. International models demonstrate that integrated and funded pathways are achievable. This short communication argues that embedding a national funded second degree within OMFS training represents a necessary policy reform and would improve equity of access to support delivery of a sustainable UK OMFS workforce.
{"title":"Integrating a funded second degree into Oral & Maxillofacial Surgery specialty training: addressing the current workforce crisis in the UK","authors":"Krishan Goyal , Shreetama Mukherjee","doi":"10.1016/j.adoms.2026.100622","DOIUrl":"10.1016/j.adoms.2026.100622","url":null,"abstract":"<div><div>The UK Oral and Maxillofacial Surgery (OMFS) workforce continues to experience significant shortages. A major contributor is attrition during or immediately following the second degree, primarily driven by fragmented training structures and substantial costs for trainees. Despite national recommendations, there is no formal integration of the second degree with speciality training. International models demonstrate that integrated and funded pathways are achievable. This short communication argues that embedding a national funded second degree within OMFS training represents a necessary policy reform and would improve equity of access to support delivery of a sustainable UK OMFS workforce.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100622"},"PeriodicalIF":0.0,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037249","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}
Coronoid process hyperplasia (CPH) is a rare developmental condition characterized by abnormal elongation of the coronoid process, resulting in progressive, painless limitation of mandibular opening due to mechanical impingement against the zygomatic arch. Diagnosis is frequently delayed because clinical features overlap with temporomandibular disorders. Minimally invasive approaches, including endoscopic visualization and piezoelectric osteotomy, have improved surgical precision and safety.
Case report
A 25-year-old male presented with a 10-year history of progressive mouth-opening limitation, with a maximal interincisal distance of 18 mm and no history of trauma or temporomandibular joint symptoms. Computed tomography confirmed unilateral hyperplasia of the left coronoid process causing mechanical interference with the zygomatic arch. The patient underwent an endoscopically assisted intraoral coronoidectomy.
Surgical technique and outcome
Using a 30° endoscope and piezoelectric instrumentation, a controlled osteotomy was performed through a minimally invasive intraoral incision. The coronoid process was fully detached under direct endoscopic visualization, allowing safe resection. Intraoperative mouth opening improved to 28 mm. Postoperative physiotherapy was initiated on day seven, contributing to early functional recovery.
Conclusion
Endoscopically assisted intraoral coronoidectomy with piezoelectric osteotomy is a safe, precise, and minimally invasive technique for treating CPH. This approach enhances visualization, reduces soft-tissue trauma, and facilitates reliable osteotomy execution. Early diagnosis, meticulous surgical technique, and structured physiotherapy are essential to achieving stable functional outcomes in patients with CPH.
{"title":"Minimally invasive surgery of hyperplasia of coronoid process of mandible: Endoscopically assisted intra oral coronoidectomy – Case report","authors":"Caio Pazziani , Roger Moreira , Robson Garcia , Juliana Colla , P.H. Robson Denofrio","doi":"10.1016/j.adoms.2026.100623","DOIUrl":"10.1016/j.adoms.2026.100623","url":null,"abstract":"<div><h3>Introduction</h3><div>Coronoid process hyperplasia (CPH) is a rare developmental condition characterized by abnormal elongation of the coronoid process, resulting in progressive, painless limitation of mandibular opening due to mechanical impingement against the zygomatic arch. Diagnosis is frequently delayed because clinical features overlap with temporomandibular disorders. Minimally invasive approaches, including endoscopic visualization and piezoelectric osteotomy, have improved surgical precision and safety.</div></div><div><h3>Case report</h3><div>A 25-year-old male presented with a 10-year history of progressive mouth-opening limitation, with a maximal interincisal distance of 18 mm and no history of trauma or temporomandibular joint symptoms. Computed tomography confirmed unilateral hyperplasia of the left coronoid process causing mechanical interference with the zygomatic arch. The patient underwent an endoscopically assisted intraoral coronoidectomy.</div></div><div><h3>Surgical technique and outcome</h3><div>Using a 30° endoscope and piezoelectric instrumentation, a controlled osteotomy was performed through a minimally invasive intraoral incision. The coronoid process was fully detached under direct endoscopic visualization, allowing safe resection. Intraoperative mouth opening improved to 28 mm. Postoperative physiotherapy was initiated on day seven, contributing to early functional recovery.</div></div><div><h3>Conclusion</h3><div>Endoscopically assisted intraoral coronoidectomy with piezoelectric osteotomy is a safe, precise, and minimally invasive technique for treating CPH. This approach enhances visualization, reduces soft-tissue trauma, and facilitates reliable osteotomy execution. Early diagnosis, meticulous surgical technique, and structured physiotherapy are essential to achieving stable functional outcomes in patients with CPH.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100623"},"PeriodicalIF":0.0,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090464","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}
Pub Date : 2026-01-13DOI: 10.1016/j.adoms.2026.100621
Katherine A. Lowe , Mark F. Devlin
Medical undergraduate teaching of Oral and Maxillofacial Surgery (OMFS) has been shown to be limited compared with other surgical specialties. This has a potential negative impact on informed decision making for future career choices and appropriate specialty referrals. National statistics demonstrate undersubscribed OMFS higher specialty posts, highlighting the importance of early exposure and continued improvements to training to attract, support and retain future trainees. The purpose of this project was to explore OMFS teaching in the Scottish university's medical curricula and to assess final year medical students' understanding of the specialty and training pathway. Four universities were contacted to explore OMFS teaching in the curriculum. Two universities responded; one centre included a 1-hour lecture in second year and a single theatre session in fourth year. The second centre included a 45-minute lecture in third year. Final year students were invited to complete a questionnaire exploring understanding of OMFS scope of practice and the training pathway. 22 responses were collected. 81.8% had poor knowledge of the specialty, 50% had limited understanding of the training pathway and 36.4% described no formal OMFS curriculum teaching. All participants were in favour of additional mandatory undergraduate teaching about OMFS to improve their understanding of the specialty and ability to make appropriate clinical referrals. Our results demonstrate that majority of medical students lack confidence in understanding the scope of practice of OMFS, emphasising the requirement for change in the undergraduate medical curriculum.
{"title":"Oral and Maxillofacial Surgery teaching in the medical undergraduate curriculum: A Scottish perspective and suggestions for future improvement","authors":"Katherine A. Lowe , Mark F. Devlin","doi":"10.1016/j.adoms.2026.100621","DOIUrl":"10.1016/j.adoms.2026.100621","url":null,"abstract":"<div><div>Medical undergraduate teaching of Oral and Maxillofacial Surgery (OMFS) has been shown to be limited compared with other surgical specialties. This has a potential negative impact on informed decision making for future career choices and appropriate specialty referrals. National statistics demonstrate undersubscribed OMFS higher specialty posts, highlighting the importance of early exposure and continued improvements to training to attract, support and retain future trainees. The purpose of this project was to explore OMFS teaching in the Scottish university's medical curricula and to assess final year medical students' understanding of the specialty and training pathway. Four universities were contacted to explore OMFS teaching in the curriculum. Two universities responded; one centre included a 1-hour lecture in second year and a single theatre session in fourth year. The second centre included a 45-minute lecture in third year. Final year students were invited to complete a questionnaire exploring understanding of OMFS scope of practice and the training pathway. 22 responses were collected. 81.8% had poor knowledge of the specialty, 50% had limited understanding of the training pathway and 36.4% described no formal OMFS curriculum teaching. All participants were in favour of additional mandatory undergraduate teaching about OMFS to improve their understanding of the specialty and ability to make appropriate clinical referrals. Our results demonstrate that majority of medical students lack confidence in understanding the scope of practice of OMFS, emphasising the requirement for change in the undergraduate medical curriculum.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100621"},"PeriodicalIF":0.0,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187779","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}
Pub Date : 2026-01-13DOI: 10.1016/j.adoms.2026.100620
Bander Y. Alkarri , Mohammed H. Albodbaij , Jawad H. Alkhalaf
The Adenomatoid Odontogenic Tumor (AOT) is a benign odontogenic neoplasm mostly found in young females in the anterior maxilla, often associated with an impacted canine. We report a rare follicular AOT associated with an impacted maxillary left second premolar in a 35-year-old female. She presented with a slow-growing, asymptomatic enlargement of the left maxilla. Sagittal CT scan showed a 3.3 x 1.8 × 2.0 cm well-defined radiolucency with internal calcifications and associated with an impacted Maxillary left second premolar. Surgical enucleation with removal of the associated tooth was performed, maintaining the integrity of the maxillary sinus. Histopathological examination revealed typical duct-like structures overlaid by low columnar epithelial cells with polarized nuclei and focal eosinophilic enameloid substance. The present case represents a rare manifestation of follicular AOT that is not within the usual age range and anatomical location, highlighting the importance of radiographic and histopathological correlation in determining the proper course of action.
腺瘤样牙源性肿瘤（AOT）是一种良性的牙源性肿瘤，主要发生在年轻女性的上颌前，通常与犬的阻生有关。我们报告一个罕见的滤泡性AOT与阻生上颌左第二前磨牙在35岁的女性。她表现为左上颌骨生长缓慢，无症状肿大。矢状位CT扫描显示3.3 x 1.8 x 2.0 cm清晰的透光度，内部钙化，与上颌左第二前磨牙阻生有关。手术去核并去除相关的牙齿，保持上颌窦的完整性。组织病理学检查显示典型的导管样结构，由低柱状上皮细胞覆盖，细胞核极化，局灶性嗜酸性漆膜样物质。本病例是一种罕见的滤泡性AOT的表现，它不在通常的年龄范围和解剖位置，突出了影像学和组织病理学相关性在确定适当的治疗过程中的重要性。
{"title":"Atypical presentation of a follicular adenomatoid odontogenic tumor in the left posterior Maxilla: a rare case report","authors":"Bander Y. Alkarri , Mohammed H. Albodbaij , Jawad H. Alkhalaf","doi":"10.1016/j.adoms.2026.100620","DOIUrl":"10.1016/j.adoms.2026.100620","url":null,"abstract":"<div><div>The Adenomatoid Odontogenic Tumor (AOT) is a benign odontogenic neoplasm mostly found in young females in the anterior maxilla, often associated with an impacted canine. We report a rare follicular AOT associated with an impacted maxillary left second premolar in a 35-year-old female. She presented with a slow-growing, asymptomatic enlargement of the left maxilla. Sagittal CT scan showed a 3.3 x 1.8 × 2.0 cm well-defined radiolucency with internal calcifications and associated with an impacted Maxillary left second premolar. Surgical enucleation with removal of the associated tooth was performed, maintaining the integrity of the maxillary sinus. Histopathological examination revealed typical duct-like structures overlaid by low columnar epithelial cells with polarized nuclei and focal eosinophilic enameloid substance. The present case represents a rare manifestation of follicular AOT that is not within the usual age range and anatomical location, highlighting the importance of radiographic and histopathological correlation in determining the proper course of action.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100620"},"PeriodicalIF":0.0,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090463","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}
Pub Date : 2026-01-10DOI: 10.1016/j.adoms.2026.100624
Brian Martin , Kumara Ekanayake , David McGoldrick
{"title":"Management of chronic TMJ dislocation via transoral piezoelectric condylectomy: a technical note","authors":"Brian Martin , Kumara Ekanayake , David McGoldrick","doi":"10.1016/j.adoms.2026.100624","DOIUrl":"10.1016/j.adoms.2026.100624","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100624"},"PeriodicalIF":0.0,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976455","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}
Le Fort I osteotomy (LFI) can cause undesirable facial changes, including nasal widening. Alar cinch sutures are commonly used to reduce these effects, with varying efficacy. Herein, a modified cinch suture technique is introduced that integrates cartilage, bone, and soft-tissue sling components through bone anchorage. Existing literature on the topic is reviewed. This study included 31 patients (mean age, 30.6 y) who underwent LFI with modified cinch suture placement at our hospital between 2022 and 2024. The suture passed through the nasal septum and soft-tissue sling and was anchored to the bone at point A. The effectiveness of the technique was evaluated using three-dimensional analysis. Key nasal parameters before and 1-y postoperatively were compared using computed tomography. The mean increases in the nasal and alar-base widths were 2.15 % and 3.32 %, respectively. Nasal tip projection decreased by 6.03 %, whereas the nasolabial angle increased by 5.54 %. Patient satisfaction was assessed using a survey; 100 % and 95 % of participants expressed satisfaction with their facial and nasal aesthetics, respectively. Of the 22 studies retrieved from the PubMed database, 14 were included in the analysis. Compared with previously-reported studies, our technique resulted in lesser nasal widening and offered better morphological control. The method represents a novel combination of Rauso Types I–III that provides more comprehensive anchorage and stability. The modified alar cinch suture technique reduces postoperative nasal widening and offers a reproducible, integrative approach to nasal soft-tissue management in orthognathic surgery.
Le Fort I型截骨术（LFI）会引起不受欢迎的面部变化，包括鼻部变宽。通常使用鼻翼缝合来减少这些影响，但效果不一。本文介绍了一种改良的扣带缝合技术，通过骨锚定整合软骨、骨和软组织吊索组件。本文回顾了有关该主题的现有文献。本研究纳入了31例患者（平均年龄30.6岁），这些患者于2022年至2024年间在我院接受了改良扣带缝线放置的LFI。缝线穿过鼻中隔和软组织吊带，在a点固定在骨上。通过三维分析评估该技术的有效性。术前和术后1-y鼻部主要参数的计算机断层扫描比较。鼻和鼻翼基部宽度的平均增幅分别为2.15%和3.32%。鼻尖突出减少6.03%，鼻唇角增加5.54%。采用问卷调查评估患者满意度；100%和95%的参与者分别对自己的面部和鼻腔美学表示满意。在PubMed数据库检索的22项研究中，有14项被纳入分析。与先前报道的研究相比，我们的技术导致较小的鼻宽和提供更好的形态学控制。该方法代表了Rauso I-III型的新组合，提供了更全面的锚固和稳定性。改良鼻翼夹带缝合技术减少了术后鼻部加宽，为正颌手术中鼻软组织管理提供了一种可重复的综合方法。
{"title":"Modified alar cinch suture technique with Le Fort I osteotomy: A literature review of nasal soft-tissue changes","authors":"Yosuke Harazono , Namiaki Takahara , Huy Thanh Thai , Nobuyoshi Tomomatsu , Hiroyuki Yoshitake","doi":"10.1016/j.adoms.2025.100618","DOIUrl":"10.1016/j.adoms.2025.100618","url":null,"abstract":"<div><div>Le Fort I osteotomy (LFI) can cause undesirable facial changes, including nasal widening. Alar cinch sutures are commonly used to reduce these effects, with varying efficacy. Herein, a modified cinch suture technique is introduced that integrates cartilage, bone, and soft-tissue sling components through bone anchorage. Existing literature on the topic is reviewed. This study included 31 patients (mean age, 30.6 y) who underwent LFI with modified cinch suture placement at our hospital between 2022 and 2024. The suture passed through the nasal septum and soft-tissue sling and was anchored to the bone at point A. The effectiveness of the technique was evaluated using three-dimensional analysis. Key nasal parameters before and 1-y postoperatively were compared using computed tomography. The mean increases in the nasal and alar-base widths were 2.15 % and 3.32 %, respectively. Nasal tip projection decreased by 6.03 %, whereas the nasolabial angle increased by 5.54 %. Patient satisfaction was assessed using a survey; 100 % and 95 % of participants expressed satisfaction with their facial and nasal aesthetics, respectively. Of the 22 studies retrieved from the PubMed database, 14 were included in the analysis. Compared with previously-reported studies, our technique resulted in lesser nasal widening and offered better morphological control. The method represents a novel combination of Rauso Types I–III that provides more comprehensive anchorage and stability. The modified alar cinch suture technique reduces postoperative nasal widening and offers a reproducible, integrative approach to nasal soft-tissue management in orthognathic surgery.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100618"},"PeriodicalIF":0.0,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938684","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}
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