Advances in Oral and Maxillofacial Surgery最新文献

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Odontogenic cervical necrotizing fasciitis in diabetic patients – A case series highlighting critical complications and surgical management 糖尿病患者牙源性颈椎病坏死性筋膜炎-一个突出关键并发症和外科治疗的病例系列

Advances in Oral and Maxillofacial Surgery

Pub Date : 2025-12-24 DOI: 10.1016/j.adoms.2025.100617

Ali S. Albandar, Bander Y. Alkarri

Cervical necrotizing fasciitis (CNF) is a rapidly progressive and potentially fatal soft-tissue infection that may arise from odontogenic sources, particularly in patients with uncontrolled diabetes mellitus. This series describes two patients with diabetes presenting with acute cervical swelling and marked leukocytosis. Computed tomography demonstrated extensive subcutaneous emphysema tracking along multiple cervical fascial planes, highly suggestive of CNF, with findings supporting an odontogenic origin. Both patients underwent urgent, repeated surgical debridement until healthy, viable tissue margins were obtained, followed by definitive reconstruction using a rotation flap in the first case and a split-thickness skin graft in the second. Broad-spectrum intravenous antibiotics, intensive wound care, and frequent laboratory monitoring were performed. Despite complications including transient pancytopenia and septic shock, both patients achieved successful healing and demonstrated stable outcomes at 3-month follow-up. These cases highlight the importance of early recognition, aggressive surgical intervention, and timely reconstruction to optimize survival and reduce morbidity in odontogenic CNF.

宫颈坏死性筋膜炎（CNF）是一种快速进展和潜在致命的软组织感染，可能由牙源性来源引起，特别是在未控制的糖尿病患者中。这个系列描述了两例糖尿病患者表现为急性宫颈肿胀和明显的白细胞增多。计算机断层扫描显示广泛的皮下肺气肿沿着多个颈筋膜平面，高度提示CNF，结果支持牙源性起源。两例患者均接受了紧急、反复的手术清创，直到获得健康、可存活的组织边缘，随后使用旋转皮瓣进行最终重建，第二例使用裂厚皮肤移植物。进行了广谱静脉注射抗生素，加强伤口护理和频繁的实验室监测。尽管出现了短暂性全血细胞减少症和感染性休克等并发症，但在3个月的随访中，两名患者均成功治愈并表现出稳定的结果。这些病例强调了早期识别、积极的手术干预和及时重建的重要性，以优化牙源性CNF的生存率和降低发病率。

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引用次数: 0

Squamous odontogenic tumor: Diagnostic challenges and surgical considerations 牙源性鳞状肿瘤：诊断挑战和手术考虑

Advances in Oral and Maxillofacial Surgery

Pub Date : 2025-12-15 DOI: 10.1016/j.adoms.2025.100613

María Fernanda Cabrera del Cid , Cinthya María Quisiguiña-Salem , Francisco Díaz Ayala , Juan José Guifarro Sierra , Hugo Romero Alvarenga , James Philippe Jerez Robalino

The squamous odontogenic tumor (SOT) is a benign lesion that mostly presents at the fourth decade of life, with a higher male incidence (1.2:1). It is a rare neoplasm that occurs in less than 1 % of head and neck neoplasms, and there are only approximately 100 published cases in the literature. This article reports a 26-year-old male patient presented to the Oral and Maxillofacial Surgery Department of the Hospital Escuela in Tegucigalpa, Honduras, complaining of a painful swelling located at the right mandibular region. The histopathological study resulted in a SOT, so a resection was performed with 1-cm margins on pathology free bone and a 2.4 reconstruction plate was placed. The patient is currently free of neoplasia and progressing satisfactorily.

鳞状牙源性肿瘤（SOT）是一种良性病变，多出现在40岁左右，男性发病率较高（1.2:1）。这是一种罕见的肿瘤，发生在头颈部肿瘤的不到1%，文献中只有大约100例已发表的病例。本文报告一名26岁男性患者到洪都拉斯特古西加尔巴Escuela医院口腔颌面外科就诊，主诉右侧下颌区域疼痛肿胀。组织病理学检查结果为SOT，因此在无病理骨上切除1厘米边缘，放置2.4重建板。患者目前无瘤变，进展令人满意。

引用次数: 0

Functional outcomes of primary closure versus free flap reconstruction for T1 tongue cancer: A systematic review 初步闭合与游离皮瓣重建治疗T1舌癌的功能结果：一项系统综述

Advances in Oral and Maxillofacial Surgery

Pub Date : 2025-12-11 DOI: 10.1016/j.adoms.2025.100614

Faris Ghafoor , Mohammed Bux , Massimo Maranzano , Simrah Farooqui

Objective

To review evidence comparing functional outcomes of primary closure and free flap reconstruction in T1 oral tongue squamous cell carcinoma (OTSCC).

Methods

PRISMA 2020 guidelines were followed (PROSPERO CRD420251121360). Ovid MEDLINE was searched for studies reporting validated outcomes (speech, swallowing, QoL) in T1 OTSCC treated by primary closure or free flaps. Comparative studies were eligible; case series, abstracts, and non–stage-specific reports were excluded.

Results

Of 767 records screened, four underwent full-text review; none met eligibility due to pooled staging, lack of a free flap arm, or absence of comparators. ROBINS-I assessment of the closest study (El-Shabrawi et al.) indicated serious bias. Excluded studies suggested primary closure often yielded better speech, while flap bulk aided swallowing but impaired articulation. QoL outcomes appeared more influenced by adjuvant therapy than reconstruction.

Conclusion

No eligible studies were found, underscoring an evidence gap. Current literature suggests no functional advantage of free flaps in T1 OTSCC. Stage-stratified, multicentre studies with standardised measures are needed to guide practice.

目的对T1例口腔舌鳞癌（OTSCC）一期闭合与游离皮瓣重建的功能结局进行回顾性分析。方法遵循sprisma 2020指南（PROSPERO CRD420251121360）。在Ovid MEDLINE检索报告经初步闭合或游离皮瓣治疗的T1期OTSCC的有效结果（言语、吞咽、生活质量）的研究。比较研究是合格的；排除了病例系列、摘要和非特定阶段的报告。结果在筛选的767份记录中，4份进行了全文审查；由于合并分期、缺乏自由皮瓣臂或缺乏比较物，没有人符合资格。robis - i对最近的研究（El-Shabrawi等人）的评估显示严重偏倚。排除的研究表明，初级闭合通常产生更好的语言，而皮瓣的体积有助于吞咽，但损害了发音。辅助治疗对生活质量的影响大于重建。结论未发现符合条件的研究，存在证据缺口。目前的文献表明，自由皮瓣在T1 OTSCC中没有功能优势。需要采用标准化措施的阶段分层、多中心研究来指导实践。

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引用次数: 0

Mandibular schwannoma: A rare case of root-resorbing interosseous tumour 下颌骨神经鞘瘤：一罕见的根吸收性骨间肿瘤

Advances in Oral and Maxillofacial Surgery

Pub Date : 2025-12-09 DOI: 10.1016/j.adoms.2025.100615

Mariam Jawad , Ahmed Jassim , Andreas Oliver Cofrè Espinoza , Bhavin G. Visavadia

Schwannomas are rare mesenchymal tumours derived from Schwann cells, typically found in soft tissues with few cases of mandibular interosseous manifestation. A 56-year-old male presented with incidental finding of radiolucency of the right mandible. An.

Orthopantomogram (OPG) revealed a well-circumscribed, radiolucent lesion extending from the mental foramen to the lingula, with cortical expansion and root resorption of teeth. Despite originating from the Schwann cells of the right inferior dental nerve (IDN), there was no preoperative paraesthesia or hypoesthesia. The tumour was removed via intraoral approach, and histopathology confirmed Schwannoma-defining Antoni A and B patterns, Verocay bodies, and diffuse S-100 positivity. This case highlights the diagnostic and treatment challenges intraosseous schwannomas present.

神经鞘瘤是一种罕见的源自雪旺细胞的间充质肿瘤，通常见于软组织，很少有下颌骨间表现。一个56岁的男性提出偶然发现的放射透光的右下颌骨。一个。骨断层扫描（OPG）显示一个边界清晰，放射性病变，从颏孔延伸到舌，伴有皮质扩张和牙根吸收。尽管起源于右下牙神经（IDN）的雪旺细胞，但术前没有感觉异常或感觉减退。经口内入路切除肿瘤，组织病理学证实神经鞘瘤定义Antoni A和B型，Verocay小体，弥漫性S-100阳性。本病例强调了骨内神经鞘瘤目前的诊断和治疗挑战。

引用次数: 0

Rethink your orthognathic toolbox: Adopt OSAgnathic surgery for sleep apnea 重新考虑你的正颌手术工具箱：采用osnathic手术治疗睡眠呼吸暂停

Advances in Oral and Maxillofacial Surgery

Pub Date : 2025-12-06 DOI: 10.1016/j.adoms.2025.100612

引用次数: 0

Erratum regarding missing “Declaration of Competing Interest” statements in previously published articles 关于先前发表的文章中缺少“竞争利益声明”声明的勘误表

Advances in Oral and Maxillofacial Surgery

Pub Date : 2025-12-01 DOI: 10.1016/j.adoms.2025.100590

引用次数: 0

Erratum to “Maxillo-orbital gunshot trauma in a pediatric patient” [Advan Oral Maxillofacial Surg 16 (2024) 100497] “儿科患者上眶枪伤”的勘误[Advan口腔颌面外科16 (2024)100497]

Advances in Oral and Maxillofacial Surgery

Pub Date : 2025-12-01 DOI: 10.1016/j.adoms.2025.100592

Maram Adil Mansour , Elnagar E. Elgasim , Esameldin Adam Nagi , Ibtisam Hussein , Malaz Mansour

引用次数: 0

Erratum to “Atypical case of Lemierre's syndrome secondary to cellulitis of the orofacial region” [Advan Oral Maxillofacial Surg 17 (2025) 100506] “继发于口面部蜂窝织炎的Lemierre综合征非典型病例”的勘误[Advan口腔颌面外科17 (2025)100506]

Advances in Oral and Maxillofacial Surgery

Pub Date : 2025-12-01 DOI: 10.1016/j.adoms.2025.100593

Vishal N. Mepani , Bhavin G. Visavadia

引用次数: 0

Sliding staircase osteotomy: Stability and symmetry for transverse augmentation of the chin 滑动楼梯截骨术：稳定和对称的横向增加下巴

Advances in Oral and Maxillofacial Surgery

Pub Date : 2025-11-27 DOI: 10.1016/j.adoms.2025.100609

A. Zarpellon , B. Motta , M. Raffaini , S. Grybauskas , A. Bim

引用次数: 0

A novel scarless intraoral approach for the excision of large submental epidermoid cysts: A minimally invasive innovation 一种新的无瘢痕口内入路用于切除大型颏下表皮样囊肿：一种微创创新

Advances in Oral and Maxillofacial Surgery

Pub Date : 2025-11-24 DOI: 10.1016/j.adoms.2025.100610

Anjani Kumar Jha, Akash Ganguly, Ashish Kumar, Tauseef Fazal, Soumalya Das, Sajid Qureshi

引用次数: 0

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