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Rare and challenging; diagnosing lip myiasis in the UK 稀有且具有挑战性;在英国诊断唇蝇病
Pub Date : 2025-06-01 Epub Date: 2025-02-03 DOI: 10.1016/j.adoms.2025.100525
Victoria Mellish, Mehad Ahmed, Aghiad Yassin Alsabbagh, Manahel Osman, Ian Downie
Myiasis, an infestation of human tissue by fly larvae, can occur in travellers returning from endemic regions such as Africa and the Americas. In the head and neck, myiasis can result from infected periodontal disease, wounds or tumours, affecting both children and adults. Due to its rarity in the UK and slow progression, myiasis is often diagnosed late and can easily be misdiagnosed. We present a case of a 75-year-old woman who was stung by a venomous caterpillar, Lanomia Obliqua, whilst volunteering in Brazil. She developed non-healing wounds, initially thought to be a reaction to the caterpillar's toxic spines, but was later diagnosed with myiasis. This case highlights the presentation, management, and potential diagnostic challenges associated with myiasis.
蝇蛆病是蝇幼虫侵染人体组织,可发生在从非洲和美洲等流行地区返回的旅行者身上。在头颈部,蝇蛆病可由受感染的牙周病、伤口或肿瘤引起,儿童和成人均可感染。由于其在英国的罕见性和缓慢的进展,蝇蛆病通常诊断较晚,很容易被误诊。我们提出了一个75岁的妇女谁是由一个有毒的毛虫,拉诺米亚Obliqua蜇伤,而在巴西志愿服务。她出现了无法愈合的伤口,最初被认为是对毛虫有毒刺的反应,但后来被诊断为蝇蛆病。本病例强调了与蝇蛆病相关的表现、管理和潜在的诊断挑战。
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引用次数: 0
Postoperative nasal airway resistance is correlated with changes in anterior nasal cavity volume following posterior and superior movement caused by Le Fort I osteotomy 术后鼻气道阻力与Le Fort I型截骨术后后上、后运动引起的前鼻腔容积变化相关
Pub Date : 2025-06-01 Epub Date: 2025-04-18 DOI: 10.1016/j.adoms.2025.100548
Jing Yuan , Kazuya Haraguchi , Taishi Ohtani , Kikuo Sakamoto , Manabu Habu , Izumi Yoshioka

Purpose

This study aimed to analyse the relationship between changes in the anterior nasal cavity volume and nasal airway resistance following posterosuperior movement of the maxilla.

Materials and methods

We studied 16 patients (13 female, 3 male) who underwent Le Fort I osteotomy combined with horseshoe osteotomy at Kyushu Dental University Hospital. Rhinomanometry was used to measure nasal airway resistance, and Pro Plan software was used to calculate the anterior nasal cavity volume from computed tomography images taken before and three months after surgery. We analysed the relationship between changes in anterior nasal cavity volume and nasal airway resistance before and three months after surgery. Additionally, we examined the relationship between maxillary superior and posterior movements and nasal airway resistance.

Results

Nasal airway resistance is generally correlated with the anterior nasal cavity volume. When the maxilla is moved posterosuperiorly, the anterior nasal cavity volume increases, decreasing the nasal airway resistance.

Conclusion

When the maxilla is moved posterosuperiorly, nasal airway resistance generally correlates with anterior nasal cavity volume. While posterosuperior movement of the maxilla can enhance nasal patency, patency stabilises at the optimal level for each patient.
目的分析上颌后上运动后鼻腔前腔容积变化与鼻气道阻力的关系。材料与方法我们对在九州牙科大学医院行Le Fort I型截骨联合马蹄截骨术的16例患者(女13例,男3例)进行了研究。采用鼻压测量法测量鼻气道阻力,采用Pro Plan软件根据术前和术后3个月的计算机断层扫描图像计算前鼻腔容积。我们分析了术前和术后3个月前鼻腔容积变化与鼻气道阻力的关系。此外,我们研究了上颌上、后运动与鼻气道阻力的关系。结果鼻气道阻力一般与前鼻腔容积相关。当上颌骨向后上移动时,前鼻腔体积增大,鼻导气管阻力减小。结论上颌骨后上移时,鼻导气管阻力与前鼻腔容积呈正相关。虽然上颌骨的后上运动可以增强鼻通畅,但对于每个患者来说,通畅稳定在最佳水平。
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引用次数: 0
Endotracheal tube damage during Le Fort I osteotomy: Diagnosis and management Le Fort I型截骨术中气管管损伤的诊断与处理
Pub Date : 2025-06-01 Epub Date: 2025-02-14 DOI: 10.1016/j.adoms.2025.100524
S. Kilgarriff, A. Ogunbowale, M. Gilbride
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引用次数: 0
Parotid sialolithiasis: a case report 腮腺涎石症1例
Pub Date : 2025-06-01 Epub Date: 2025-04-27 DOI: 10.1016/j.adoms.2025.100549
Fahim Oumaima, Lachkar Amal, Haitami Sofia, Ben Yahya Ihsane
Sialolithiasis is one of the most common condition affecting the major salivary glands. This benign disorder is characterized by a partial or complete obstruction of the salivary glands or their ducts.
More than 80 % of salivary calculi occur in the submandibular ductal system. Parotid gland involvement is relatively rare, accounting for 5–10 % of cases. Its diagnosis is particularly challenging for the practitioners, which can lead to delayed diagnosis.
The aim of this article is to report a case of parotid sialolithiasis in Stenon's duct, diagnosed late after four years of recurrent acute sialadenitis episodes.
涎石症是影响主要唾液腺的最常见疾病之一。这种良性疾病的特征是部分或完全阻塞唾液腺或其导管。超过80%的唾液结石发生在下颌下导管系统。腮腺受累是相对罕见的,占病例的5 - 10%。它的诊断是特别具有挑战性的从业人员,这可能导致延误诊断。这篇文章的目的是报告一个病例腮腺涎石结石在斯顿管,诊断晚期后四年复发急性涎腺炎发作。
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引用次数: 0
Pseudoankylosis as a complication of reanimation with neuro-vascular anastomosed gracilis muscle: A case report 假性强直是神经血管吻合股薄肌复生的并发症:1例报告
Pub Date : 2025-06-01 Epub Date: 2025-03-17 DOI: 10.1016/j.adoms.2025.100532
Vladimir Machon , Michal Beno , Petr Michl
Pseudoankylosis is an uncommon condition characterized by painless restriction of jaw mobility. It is a pathological condition outside the temporomandibular joint (TMJ) articular structure, with myogenic, osteologic, neurogenic, and psychogenic etiologies. The authors present a case of pseudoankylosis arising as an isolated complication of reanimation with neuro-vascular anastomosed gracilis muscle.
假性强直是一种罕见的疾病,其特征是无痛限制下颌活动。它是颞下颌关节(TMJ)关节结构外的一种病理状况,具有肌源性、骨源性、神经源性和心因性病因。作者提出一个病例的假性强直作为一个孤立的并发症的复苏与神经血管吻合股薄肌。
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引用次数: 0
Case report: Mysterious neck metastasis – Role of the dental clinician 病例报告:神秘的颈部转移-牙科临床医生的作用
Pub Date : 2025-06-01 Epub Date: 2025-03-17 DOI: 10.1016/j.adoms.2025.100535
Paula Lancaster , Brian Hogan , Eldo Verghese , Alasdair McKechnie
This report presents an unusual neck lesion, initially seen by a dental surgeon. The lesion had been present for more than 4 weeks, was asymptomatic, slowly increasing in size and proved to be diagnostically challenging from a clinical, radiological and histopathology perspective. Following excision and full histopathological analysis, a definitive diagnosis remains elusive.
This demonstrates the importance of the dental surgeon as the first point of patient-contact and the patient's relationship with numerous multidisciplinary teams. Promotion of healthy living, screening for abnormal lesions and early referrals by dental surgeons improves prognosis and patients' quality of life. All clinicians need to be vigilant.
这个报告提出了一个不寻常的颈部病变,最初是由牙科医生看到的。病变已存在超过4周,无症状,大小缓慢增加,从临床,放射学和组织病理学角度证明诊断具有挑战性。在切除和充分的组织病理学分析后,明确的诊断仍然难以捉摸。这证明了牙科医生作为患者接触的第一个点以及患者与众多多学科团队的关系的重要性。促进健康生活、筛查异常病变和由牙科外科医生早期转诊可改善预后和患者的生活质量。所有临床医生都需要保持警惕。
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引用次数: 0
Neurovascular hamartoma of the tongue: Case report and current concepts 舌神经血管错构瘤:病例报告和当前概念
Pub Date : 2025-06-01 Epub Date: 2025-04-04 DOI: 10.1016/j.adoms.2025.100541
Estévez-González Gabriel Levi , Gómez-Hernandez Andrew Kevin , Salgado-Chavarría Fabiola , Cruz-Tapia Roberto Onner , Nuñez-Toro Erick
Neurovascular hamartoma (NVH) is a hamartomatous proliferation of neural, perineural, and vascular tissue, typically solitary, superficial, or deep. While odontomas are the most common hamartomas in the head and neck region, NVH is a rare pathology in the oral cavity. Due to its histological components and anatomical location, it presents a diagnostic and therapeutic challenge. We report a case of multiple asymptomatic soft nodules on the dorsal tongue diagnosed as multinodular NVH. Surgical excision and sclerosing therapy were performed. The aim is to present a low-frequency case and discuss current concepts for its diagnosis and treatment.
神经血管错构瘤(NVH)是一种神经、神经周围和血管组织错构瘤增生,通常为孤立、浅表或深部。虽然齿瘤是最常见的错构瘤在头颈部区域,NVH是一种罕见的病理在口腔。由于其组织学成分和解剖位置,它提出了诊断和治疗的挑战。我们报告一个在舌背有多个无症状软结节的病例,诊断为多结节性NVH。进行手术切除和硬化治疗。目的是提出一个低频的情况下,并讨论目前的概念,为其诊断和治疗。
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引用次数: 0
Is alginate obsolete? 海藻酸盐过时了吗?
Pub Date : 2025-06-01 Epub Date: 2025-04-07 DOI: 10.1016/j.adoms.2025.100542
Eleanor Baldock, Halima Torofdar, Adam Holden, Chris Keating, Andrew Felstead
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引用次数: 0
Psychological and quality of life outcomes following orthognathic surgery: A comprehensive systematic review 正颌手术后的心理和生活质量:一项全面的系统回顾
Pub Date : 2025-06-01 Epub Date: 2025-02-04 DOI: 10.1016/j.adoms.2025.100522
Alkaabi S , Alsabri G , Alyammahi A , Aljamani S , Maningky M , Helder M
Orthognathic surgery (OGS) corrects functional malocclusions and enhances facial profiles. It is suitable for patients with dentofacial deformities, facial asymmetries, and craniofacial anomalies. OGS has significant psychological implications, making the assessment of patient satisfaction and quality of life (QoL) vital for optimal outcomes.
This study evaluates the psychological context of patient satisfaction and QoL improvements post-OGS. A systematic review of 29 studies, following PRISMA guidelines, included databases like Cochrane, MEDLINE, and others. Results showed 25/29 studies reporting improved outcomes: OHIP (12/29), OQLQ (10/29), and SF-36 (7/29). Overall, OGS positively impacted QoL, emphasizing its effectiveness in psychological well-being and aesthetic transformation. Understanding limitations and exploring psychological impacts further can optimize patient outcomes.
正颌手术(OGS)纠正功能性错颌和改善面部轮廓。适用于牙面畸形、面部不对称、颅面畸形等患者。OGS具有重要的心理意义,使患者满意度和生活质量(QoL)的评估对最佳结果至关重要。本研究评估ogs后患者满意度和生活质量改善的心理环境。遵循PRISMA指南,对29项研究进行了系统回顾,包括Cochrane, MEDLINE等数据库。结果显示,25/29的研究报告了改善的结果:OHIP(12/29)、OQLQ(10/29)和SF-36(7/29)。总体而言,OGS积极影响生活质量,强调其在心理健康和审美转变方面的有效性。了解局限性和进一步探索心理影响可以优化患者的治疗效果。
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引用次数: 0
Management of restricted mouth opening due to Temporomandibular joint disorders 颞下颌关节紊乱所致限制性开口的治疗
Pub Date : 2025-06-01 Epub Date: 2025-04-04 DOI: 10.1016/j.adoms.2025.100543
Ayman F. Hegab , Wael Elmohandes , Bahaaeldin Abdrabbo Tawfik , Abdullah Ahmed Ali Hasan , Ahmed mohammed mostafa elfar , AbdElKader Hyder

Background

Restricted mouth opening, which is also known as Limited mouth opening, trismus, or lockjaw, has several causes and Temporomandibular joint disorders are considered as the main cause.

Purpose

This study aimed to retrospectively review the causes of restricted mouth opening due to TMJ and its management.

Study design

A retrospective cohort study of subjects who underwent Management of locked jaw Due to TMJ. A total of 879 consecutive patients with locked jaw in the period from 2016 to 2022 were reviewed for the causative factor and its management.

Main outcome variable(s)

maximum inter-incisal opening (MIO in mm), pain in the TMJ (Yes/No) using the visual analogue score (VAS).

Results

the final sample consisted of 409 patients. Irreducible disc displacement represented 60 % of the total cases (245 patients with mean age 31.7 ± 5.5). Followed by TMJ osteoarthritis which represented 12 % (48 patients with mean age 38.4 ± 8.3), Joint adhesion Secondary to Immobilization (9 %), post-surgical represented 8.5 %, Anchored disc phenomenon (7.5 %). While ankylosis, coronoid hyperplasia, radiotherapy, were represented only 3 % (14 patients). Arthrocentesis with joint injection successfully used in treatment of 394 (96 %). Out of them, 21 patients didn't respond to the arthrocentesis and treated by second intervention with TMJ arthroscopy level II. 6 patients with TMJ ankylosis treated with Hegab protocol while one patient with failed joint prosthesis was treated with Total joint replacement.

Conclusions

Arthrocentesis with joint injection could be used effectively in most cases of locked jaw secondary to TMJ. While TMJ arthroscopy could be used in un-responded cases.
背景张嘴受限,也被称为张嘴受限、牙关紧闭或上颌紧闭,有多种原因,颞下颌关节疾病被认为是主要原因。目的回顾性分析颞下颌关节所致开口受限的原因及处理方法。研究设计一项回顾性队列研究,研究对象为因颞下颌关节而接受锁颌治疗的患者。回顾性分析2016 - 2022年连续879例颌锁患者的病因及处理方法。主要结果变量为最大切间开口(MIO,单位mm)、颞下颌关节疼痛(视觉模拟评分(VAS))。结果最终样本包括409例患者。不可复位椎间盘移位占全部病例的60%(245例,平均年龄31.7±5.5岁)。其次是TMJ骨性关节炎,占12%(48例,平均年龄38.4±8.3岁),继发性关节粘连(9%),术后粘连(8.5%),椎间盘固定现象(7.5%)。而强直、冠状增生、放疗仅占3%(14例)。关节穿刺联合关节注射成功治疗394例(96%)。其中21例患者对关节穿刺无反应,采用TMJ关节镜第二级干预治疗。6例颞下颌关节强直患者采用Hegab方案治疗,1例假体失败患者采用全关节置换术治疗。结论关节注射吸入术可有效治疗继发性颞下颌关节闭锁。而对无应答的病例可采用TMJ关节镜检查。
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Advances in Oral and Maxillofacial Surgery
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