Currently there is no definite approved guidelines over the treatment and follow-up required for patients with oral epithelial dysplasia (OED). There are ample controversies based on predicting the malignant transformation potential and deciding the management options solely based on the degree of epithelial dysplasia. The objective of this review was to identify an evidence-based management pathway for OED. The systematic review was conducted using PubMed, EMBASE using PRISMA guidelines. Following applications of inclusion and exclusion criteria, only 12 studies were included in the review. Overall, there were a wide variation in the reported recurrence rate (2.5 %–51.4 %) and the malignant transformation rate (MTR) (2.6–27 %). The degree of dysplasia was not significant in malignant transformation. The mainstay of treatment includes observation, laser ablation and excision with no concrete evidence of resolution. Therefore, there is an urgent need for a multidisciplinary conference to create a consensus for treatment pathway for OED.
{"title":"Oral epithelial dysplasia: Do we have a management solution? A systematic review","authors":"Navini Mannapperuma , Chiew Ying Chieng , Velupillai Ilankovan","doi":"10.1016/j.adoms.2025.100533","DOIUrl":"10.1016/j.adoms.2025.100533","url":null,"abstract":"<div><div>Currently there is no definite approved guidelines over the treatment and follow-up required for patients with oral epithelial dysplasia (OED). There are ample controversies based on predicting the malignant transformation potential and deciding the management options solely based on the degree of epithelial dysplasia. The objective of this review was to identify an evidence-based management pathway for OED. The systematic review was conducted using PubMed, EMBASE using PRISMA guidelines. Following applications of inclusion and exclusion criteria, only 12 studies were included in the review. Overall, there were a wide variation in the reported recurrence rate (2.5 %–51.4 %) and the malignant transformation rate (MTR) (2.6–27 %). The degree of dysplasia was not significant in malignant transformation. The mainstay of treatment includes observation, laser ablation and excision with no concrete evidence of resolution. Therefore, there is an urgent need for a multidisciplinary conference to create a consensus for treatment pathway for OED.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100533"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-03-01DOI: 10.1016/j.adoms.2025.100531
Aaron Patel, Suresh Shetty
Patients with Inclusion Body Myositis (IBM) may present with symptoms such as dysarthria and dysphagia, often before a formal diagnosis. Increased awareness and understanding of IBM among clinicians can help identify early signs, leading to timely referrals to specialist teams. Raising awareness of IBMs oral manifestations will empower clinicians to play a key role in the multidisciplinary management of this progressive disease.
{"title":"Inclusion Body Myositis presenting with macroglossia: A diagnostic challenge","authors":"Aaron Patel, Suresh Shetty","doi":"10.1016/j.adoms.2025.100531","DOIUrl":"10.1016/j.adoms.2025.100531","url":null,"abstract":"<div><div>Patients with Inclusion Body Myositis (IBM) may present with symptoms such as dysarthria and dysphagia, often before a formal diagnosis. Increased awareness and understanding of IBM among clinicians can help identify early signs, leading to timely referrals to specialist teams. Raising awareness of IBMs oral manifestations will empower clinicians to play a key role in the multidisciplinary management of this progressive disease.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100531"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-04-18DOI: 10.1016/j.adoms.2025.100546
Clarissa Hjalmarsson , Mark Cairns , William Rohde , Domniki Chatzopoulou , Simon Holmes
Background
Severe cervicofacial abscesses require emergency incision and drainage under general anaesthetic to avoid life-threatening sequelae. There is a well-described association between dental disease and socioeconomic status (SES), and most cervicofacial abscesses are odontogenic.
Methods
We retrospectively reviewed the relationship between severe cervicofacial infection and SES in patients presenting to a tertiary Oral and Maxillofacial Surgery (OMFS) unit.
Results
There were 96 patients with severe cervicofacial abscess in 2019–20, increasing by 11.5 %–107 patients in 2021–22 (t-test = −0.665, p = 0.513). Patients were disproportionately from the most deprived areas, with a majority of patients living in the three most deprived deciles in both datasets (71.9 % and 64.7 % respectively). There was no statistical difference in deprivation indices between the two time periods (X2 = 7.44, p = 0.591). While the cohorts had high indices of deprivation, these were not significantly different to the areas served by the hospital (X2 = 11.42, p = 0.248).
Conclusions
This dataset demonstrates a high incidence of severe cervicofacial abscess in a deprived population. This relationship is likely to reflect a number of factors including access to primary dental care, lifestyle factors including smoking, and background medical comorbidities. Further iterations of data collection and multi-centre collaboration will improve our understanding of the relationship between social deprivation and severe cervicofacial abscess.
背景：严重的颈面脓肿需要在全身麻醉下紧急切开引流，以避免危及生命的后遗症。有一个很好的描述牙病和社会经济地位（SES）之间的联系，大多数颈面脓肿是牙源性的。方法回顾性分析在三级口腔颌面外科（OMFS）就诊的患者严重颈面感染与SES的关系。结果2019-20年度发生严重颈面脓肿96例，比2021-22年度增加11.5% （t检验= - 0.665,p = 0.513）。患者不成比例地来自最贫困地区，在两个数据集中，大多数患者生活在最贫困的三个十分位数（分别为71.9%和64.7%）。两个时间段的剥夺指数比较，差异无统计学意义（X2 = 7.44, p = 0.591）。虽然这些队列的剥夺指数很高，但这些指数与医院服务的地区没有显著差异（X2 = 11.42, p = 0.248）。结论：该数据集表明，在贫困人群中，严重颈面脓肿的发生率很高。这种关系可能反映了许多因素，包括获得初级牙科保健、生活方式因素（包括吸烟）和背景医疗合并症。数据收集和多中心合作的进一步迭代将提高我们对社会剥夺与严重颈面脓肿之间关系的理解。
{"title":"Social deprivation and severe cervicofacial abscess: A retrospective review of patients presenting to a tertiary oral and maxillofacial surgery unit","authors":"Clarissa Hjalmarsson , Mark Cairns , William Rohde , Domniki Chatzopoulou , Simon Holmes","doi":"10.1016/j.adoms.2025.100546","DOIUrl":"10.1016/j.adoms.2025.100546","url":null,"abstract":"<div><h3>Background</h3><div>Severe cervicofacial abscesses require emergency incision and drainage under general anaesthetic to avoid life-threatening sequelae. There is a well-described association between dental disease and socioeconomic status (SES), and most cervicofacial abscesses are odontogenic.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed the relationship between severe cervicofacial infection and SES in patients presenting to a tertiary Oral and Maxillofacial Surgery (OMFS) unit.</div></div><div><h3>Results</h3><div>There were 96 patients with severe cervicofacial abscess in 2019–20, increasing by 11.5 %–107 patients in 2021–22 (<em>t</em>-test = −0.665, p = 0.513). Patients were disproportionately from the most deprived areas, with a majority of patients living in the three most deprived deciles in both datasets (71.9 % and 64.7 % respectively). There was no statistical difference in deprivation indices between the two time periods (X<sup>2</sup> = 7.44, p = 0.591). While the cohorts had high indices of deprivation, these were not significantly different to the areas served by the hospital (X<sup>2</sup> = 11.42, p = 0.248).</div></div><div><h3>Conclusions</h3><div>This dataset demonstrates a high incidence of severe cervicofacial abscess in a deprived population. This relationship is likely to reflect a number of factors including access to primary dental care, lifestyle factors including smoking, and background medical comorbidities. Further iterations of data collection and multi-centre collaboration will improve our understanding of the relationship between social deprivation and severe cervicofacial abscess.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100546"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850482","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 : 2025-06-01Epub Date: 2025-04-18DOI: 10.1016/j.adoms.2025.100547
Alicia Wong, James Davies, Ra'ed Al-Ashqar
Managing epistaxis is a skill encountered by both maxillofacial and ENT trainees. This case report details an incident where a patient's airway was compromised due to the herniation of a Rapid Rhino pack. The airway distress occurred after nasal packing, necessitating emergency intervention. The ENT team assessed the patient, discovering a Rapid Rhino pack obstructing the airway. Immediate A-E assessment was completed and the pack was removed nasally. The cause of the herniation was considered to be anatomical, a defective pack, overinflation, or a combination of these factors.
{"title":"Managing airway emergencies on the Ward: Lessons learned from Rapid Rhino pack herniation","authors":"Alicia Wong, James Davies, Ra'ed Al-Ashqar","doi":"10.1016/j.adoms.2025.100547","DOIUrl":"10.1016/j.adoms.2025.100547","url":null,"abstract":"<div><div>Managing epistaxis is a skill encountered by both maxillofacial and ENT trainees. This case report details an incident where a patient's airway was compromised due to the herniation of a Rapid Rhino pack. The airway distress occurred after nasal packing, necessitating emergency intervention. The ENT team assessed the patient, discovering a Rapid Rhino pack obstructing the airway. Immediate A-E assessment was completed and the pack was removed nasally. The cause of the herniation was considered to be anatomical, a defective pack, overinflation, or a combination of these factors.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100547"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899255","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 : 2025-06-01Epub Date: 2025-04-04DOI: 10.1016/j.adoms.2025.100540
Georges Ziade , Georges Abikanaan , Dayane Daou , Desiree Karam , Elias Keyrouz , Rami Saade
Background and objectives
Surgical rhinoplasty is a challenging aesthetic procedure, where patient satisfaction is the primary measure of success. This study assessed patients' perceptions of their nose shapes before and after a surgical consultation, using the Face-Q questionnaire.
Materials and methods
Patients attending preoperative consultations for primary rhinoplasty completed the Face-Q questionnaire; additional questions included those on nasal symmetry and skin regularity. Subsequently, the same questions were answered after standardized clinical assessment-based photos and measurements. The two sets of answers and demographic data analysis were compared. The study group was stratified by age into younger than or equal to, and older than 21 years, and compared using previously mentioned statistical methods.
Results
Forty patients, predominantly women (65 %), with a mean age of 26.5 years, were included. The Face-Q scores significantly changed after the objective assessment (mean change 3.30, p < 0.001). Stratification by age showed statistically significant differences in all questions for participants above 21, while those below 21 exhibited significant changes in all questions except those on columellar symmetry.
Conclusion
A preoperative review of a rhinoplasty patient's own nasal features through photographs influenced their perception of their nose, highlighting the importance of preoperative counseling in managing patient expectations effectively.
{"title":"Impact of surgical consultation and counseling on patients perspectives regarding nasal shape and expectations from rhinoplasty","authors":"Georges Ziade , Georges Abikanaan , Dayane Daou , Desiree Karam , Elias Keyrouz , Rami Saade","doi":"10.1016/j.adoms.2025.100540","DOIUrl":"10.1016/j.adoms.2025.100540","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Surgical rhinoplasty is a challenging aesthetic procedure, where patient satisfaction is the primary measure of success. This study assessed patients' perceptions of their nose shapes before and after a surgical consultation, using the Face-Q questionnaire.</div></div><div><h3>Materials and methods</h3><div>Patients attending preoperative consultations for primary rhinoplasty completed the Face-Q questionnaire; additional questions included those on nasal symmetry and skin regularity. Subsequently, the same questions were answered after standardized clinical assessment-based photos and measurements. The two sets of answers and demographic data analysis were compared. The study group was stratified by age into younger than or equal to, and older than 21 years, and compared using previously mentioned statistical methods.</div></div><div><h3>Results</h3><div>Forty patients, predominantly women (65 %), with a mean age of 26.5 years, were included. The Face-Q scores significantly changed after the objective assessment (mean change 3.30, p < 0.001). Stratification by age showed statistically significant differences in all questions for participants above 21, while those below 21 exhibited significant changes in all questions except those on columellar symmetry.</div></div><div><h3>Conclusion</h3><div>A preoperative review of a rhinoplasty patient's own nasal features through photographs influenced their perception of their nose, highlighting the importance of preoperative counseling in managing patient expectations effectively.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100540"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Double-cinch suturing during Le Fort Ⅰ osteotomy","authors":"Takuma Watanabe, Kazumasa Nakao, Shigeki Yamanaka, Makoto Hirota","doi":"10.1016/j.adoms.2025.100550","DOIUrl":"10.1016/j.adoms.2025.100550","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100550"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903682","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 : 2025-06-01Epub Date: 2025-04-25DOI: 10.1016/j.adoms.2025.100545
Thair Mahroq , Ahmet Arslan , İbrahim Mutlu , Zakaria Al Joulaji
The purpose of this research is to identify the angle of pterygoid implant that have minimum equivalent stress and minimum equivalent strain using the finite element analysis (FEA) technique, based on the Frankfort Horizontal Plane. A three-dimensional maxilla model was reconstructed from a CT scan of a toothless patient. This model includes the cancellous and cortical bone. The facial region of a 58-year-old male patient with an atrophic maxilla and an angled pterygoid implant was imaged with CT in DICOM format. The raw DICOM data had a 0.3-mm section thickness. The MIMICS program created a three-dimensional model of the sections bone tissue. A dental implant with a diameter of 3.5 mm, a length of 16 mm, a conical shape, and a private thread design was placed in the pterygoid bone using SOLIDWORKS. This study investigated at how to place a pterygoid dental implant using both monocortical (at the end of the crest and cancellous bone) and bicortical (between the crest and basal bone) methods at 45, 55, 65, 75, and 85° relative to the Frankfort Horizontal Plane. Ten models were used for this study. CAD models were sent to ANSYS for loading. Boundaries of maxilla before force application are fixed from the zygomatic region. Human mastication was simulated using three load situations with the following characteristics, 150-N axial loading and 50-N lateral loading separately and 50-N lateral loading and 150-N axial loading simultaneously. Based on our studies and according to the Frankfort Horizontal Plane, placing the pterygoid implant at an 85° angle is the best in terms of bone stress. In terms of bone strain, it was found that placing the implant at 75 and 85° angles monocortically and bicortically respectively has the best outcome. This research concluded that an angle of 85° exhibits the minimum stress and strain effects on the surrounding bone tissue and the implant's structural integrity.
{"title":"Evaluation of lateral and axial forces in atrophic maxilla with angled pterygoid implant using three dimensional finite element analysis","authors":"Thair Mahroq , Ahmet Arslan , İbrahim Mutlu , Zakaria Al Joulaji","doi":"10.1016/j.adoms.2025.100545","DOIUrl":"10.1016/j.adoms.2025.100545","url":null,"abstract":"<div><div>The purpose of this research is to identify the angle of pterygoid implant that have minimum equivalent stress and minimum equivalent strain using the finite element analysis (FEA) technique, based on the Frankfort Horizontal Plane. A three-dimensional maxilla model was reconstructed from a CT scan of a toothless patient. This model includes the cancellous and cortical bone. The facial region of a 58-year-old male patient with an atrophic maxilla and an angled pterygoid implant was imaged with CT in DICOM format. The raw DICOM data had a 0.3-mm section thickness. The MIMICS program created a three-dimensional model of the sections bone tissue. A dental implant with a diameter of 3.5 mm, a length of 16 mm, a conical shape, and a private thread design was placed in the pterygoid bone using SOLIDWORKS. This study investigated at how to place a pterygoid dental implant using both monocortical (at the end of the crest and cancellous bone) and bicortical (between the crest and basal bone) methods at 45, 55, 65, 75, and 85° relative to the Frankfort Horizontal Plane. Ten models were used for this study. CAD models were sent to ANSYS for loading. Boundaries of maxilla before force application are fixed from the zygomatic region. Human mastication was simulated using three load situations with the following characteristics, 150-N axial loading and 50-N lateral loading separately and 50-N lateral loading and 150-N axial loading simultaneously. Based on our studies and according to the Frankfort Horizontal Plane, placing the pterygoid implant at an 85° angle is the best in terms of bone stress. In terms of bone strain, it was found that placing the implant at 75 and 85° angles monocortically and bicortically respectively has the best outcome. This research concluded that an angle of 85° exhibits the minimum stress and strain effects on the surrounding bone tissue and the implant's structural integrity.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100545"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906536","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 : 2025-06-01Epub Date: 2025-02-10DOI: 10.1016/j.adoms.2025.100526
Zilefac Brian Ngokwe , Ntep Ntep David Bienvenue , Nokam Kamdem Stephane , Kouamou Tchiekou Audrey , Atanwo Nita Lise Dongmo , Bengondo Messanga Charles , Sando Zacharie
Introduction
Patients presenting a recurrent benign jaw tumour have many complications, among which increased morbidities and mortalities, malignant degeneration of these benign tumours, aesthetic as well as functional sequalae and high medical bills. Hence, we sought out through a retrospective study to evaluate the patterns of these recurrences to help us appreciate and help predict recurrences to improve the overall wellbeing of these patients.
Methods
We carried out a retrospective study during the period of January 2010 to April 2020 at 3 medical centers in Yaoundé. We obtained the necessary ethical approval and administrative authorizations. All study participants having a histological diagnosis of a benign jaw tumour and presenting with at least one tumour recurrence were included in our study. The histological diagnoses were reconfirmed and we excluded all participants with pathology slides that could not be retrieved or those that could not undergo histological analysis.
Results
We retrieved 19 cases of benign tumour recurrences in this 10-year period and finally retained 14 cases of benign tumour recurrences in our study with a total of 7 different histological diagnoses. Also, all our cases of recurrences were found between the second and fifth decade with ameloblastoma having the most cases of recurrences in our study. The mean duration of recurrence for participants with one recurrence only was 6.31years ± 6.08, while those with ≥2 recurrences was 3.50years ± 2.95. Looking at the histomorphology, the mean duration of first recurrence of ameloblastoma in our study was 5 years, relatively shorter than the combined mean duration of first recurrence for all tumours recurrences which was 5.55years ± 5.49.
Conclusion
The mean duration of first, second and third recurrences were 5.55years ± 5.49, 2.17years ± 1.47 and 2.80years ± 2.88 respectively. These durations and patterns could help as surgical post operative follow up period after jaw tumour recurrences.
{"title":"Time patterns of recurrence and correlating histomorphology to delay of recurrence of benign jaw tumours: A 10-year appreciation","authors":"Zilefac Brian Ngokwe , Ntep Ntep David Bienvenue , Nokam Kamdem Stephane , Kouamou Tchiekou Audrey , Atanwo Nita Lise Dongmo , Bengondo Messanga Charles , Sando Zacharie","doi":"10.1016/j.adoms.2025.100526","DOIUrl":"10.1016/j.adoms.2025.100526","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients presenting a recurrent benign jaw tumour have many complications, among which increased morbidities and mortalities, malignant degeneration of these benign tumours, aesthetic as well as functional sequalae and high medical bills. Hence, we sought out through a retrospective study to evaluate the patterns of these recurrences to help us appreciate and help predict recurrences to improve the overall wellbeing of these patients.</div></div><div><h3>Methods</h3><div>We carried out a retrospective study during the period of January 2010 to April 2020 at 3 medical centers in Yaoundé. We obtained the necessary ethical approval and administrative authorizations. All study participants having a histological diagnosis of a benign jaw tumour and presenting with at least one tumour recurrence were included in our study. The histological diagnoses were reconfirmed and we excluded all participants with pathology slides that could not be retrieved or those that could not undergo histological analysis.</div></div><div><h3>Results</h3><div>We retrieved 19 cases of benign tumour recurrences in this 10-year period and finally retained 14 cases of benign tumour recurrences in our study with a total of 7 different histological diagnoses. Also, all our cases of recurrences were found between the second and fifth decade with ameloblastoma having the most cases of recurrences in our study. The mean duration of recurrence for participants with one recurrence only was 6.31years ± 6.08, while those with ≥2 recurrences was 3.50years ± 2.95. Looking at the histomorphology, the mean duration of first recurrence of ameloblastoma in our study was 5 years, relatively shorter than the combined mean duration of first recurrence for all tumours recurrences which was 5.55years ± 5.49.</div></div><div><h3>Conclusion</h3><div>The mean duration of first, second and third recurrences were 5.55years ± 5.49, 2.17years ± 1.47 and 2.80years ± 2.88 respectively. These durations and patterns could help as surgical post operative follow up period after jaw tumour recurrences.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"18 ","pages":"Article 100526"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2024-12-16DOI: 10.1016/j.adoms.2024.100511
Nelson J. León , Stefanía Requejo , Ronar Gudiño , Henry García , Steven Rodríguez
Minimally invasive orthognathic surgery (MIOS) represents a significant paradigm shift in oral and maxillofacial surgery. The impact of MIOS on the temporomandibular joint (TMJ) remains a topic of debate. This case report aims to evaluate changes in mandibular condylar volume in the TMJ following MIOS and establish a foundation for further research in this area.
{"title":"Condylar volume changes following minimally invasive orthognathic surgery: A case report","authors":"Nelson J. León , Stefanía Requejo , Ronar Gudiño , Henry García , Steven Rodríguez","doi":"10.1016/j.adoms.2024.100511","DOIUrl":"10.1016/j.adoms.2024.100511","url":null,"abstract":"<div><div>Minimally invasive orthognathic surgery (MIOS) represents a significant paradigm shift in oral and maxillofacial surgery. The impact of MIOS on the temporomandibular joint (TMJ) remains a topic of debate. This case report aims to evaluate changes in mandibular condylar volume in the TMJ following MIOS and establish a foundation for further research in this area.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100511"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01Epub Date: 2024-11-30DOI: 10.1016/j.adoms.2024.100507
Atanwo Nita Lise Dongmo, Edouma Bohimbo Jacques, Kwedi Karl, Mboya Marius, Nkollo Francis, Bengondo Messanga Charles
Introduction and general objective
Benign tumours develop locally and remain confined to the tissue in which they originate. They grow slowly. However, they can grow to significant size and weight. They rarely reoccur after surgical removal. Their evolution is generally favourable. In some cases, however, they can cause serious or even morbid complications, due to their location or metabolic disorders.There are two types of management for these tumours: conservative surgery, which consists of removing the tumour with a margin of healthy surrounding tissue, while preserving the role and appearance of the organ in question; and radical surgery, which is the removal of a diseased organ and all surrounding tissues likely to be affected by the disease. These treatments can lead to loss of substance, resulting in both functional and aesthetic sequelae.
The general objective of our study was to: Determine the aesthetic and functional sequelae of patients operated on for benign jaw tumours at the Yaoundé Central Hospital.
Methodology
We conducted a descriptive cross-sectional from January 1, 2013 to January 1, 2023 with prospective data collection in the ENT and Cervico Maxillofacial Surgery Department of the Yaoundé Central Hospital. Patient recruitment was consecutive and non-exhaustive. Epidemiological, clinical and anatomopathological data were collected, as well as the various aesthetic and functional sequelae.
This study concerned all patients operated on for benign tumours presenting anatomopathological evidence and having given their informed consent at the Yaoundé Central Hospital. Patients who were lost to follow-up, deceased or who had not given consent were excluded.
Results
39 patients were recruited; 16 men and 23 women, giving a sex ratio of 0.69. The mean age was 36.18 ± 15.38 years, a minimum of 14 years and a maximum of 71 years. Ameloblastoma was the most common tumour (38.5 %). The most common method of treatment was radical surgery, and the most common material used for reconstruction was the screw-plate (86.9 %). Sequelae were found in 35 patients (89.74 %), the most common functional sequelae being impaired mastication (92.5 %). Aesthetic sequelae were mainly marked by facial asymmetry (66.7 %).
Conclusion
The fourth decade of female gender was the most represented population among patients operated on for benign tumours of the jaws. Radical surgery was more commonly used in our work. Among the aesthetic sequelae in our study, we noted facial asymmetries, scars and their location were predominantly mandibular. The most common functional sequelae were impaired mastication, nerve damage and impaired speech.
{"title":"Aesthetic and functional sequelae of patients operated upon for benign jaw tumours at a tertiary hospital in Cameroon","authors":"Atanwo Nita Lise Dongmo, Edouma Bohimbo Jacques, Kwedi Karl, Mboya Marius, Nkollo Francis, Bengondo Messanga Charles","doi":"10.1016/j.adoms.2024.100507","DOIUrl":"10.1016/j.adoms.2024.100507","url":null,"abstract":"<div><h3>Introduction and general objective</h3><div>Benign tumours develop locally and remain confined to the tissue in which they originate. They grow slowly. However, they can grow to significant size and weight. They rarely reoccur after surgical removal. Their evolution is generally favourable. In some cases, however, they can cause serious or even morbid complications, due to their location or metabolic disorders.There are two types of management for these tumours: conservative surgery, which consists of removing the tumour with a margin of healthy surrounding tissue, while preserving the role and appearance of the organ in question; and radical surgery, which is the removal of a diseased organ and all surrounding tissues likely to be affected by the disease. These treatments can lead to loss of substance, resulting in both functional and aesthetic sequelae.</div><div>The general objective of our study was to: Determine the aesthetic and functional sequelae of patients operated on for benign jaw tumours at the Yaoundé Central Hospital.</div></div><div><h3>Methodology</h3><div>We conducted a descriptive cross-sectional from January 1, 2013 to January 1, 2023 with prospective data collection in the ENT and Cervico Maxillofacial Surgery Department of the Yaoundé Central Hospital. Patient recruitment was consecutive and non-exhaustive. Epidemiological, clinical and anatomopathological data were collected, as well as the various aesthetic and functional sequelae.</div><div>This study concerned all patients operated on for benign tumours presenting anatomopathological evidence and having given their informed consent at the Yaoundé Central Hospital. Patients who were lost to follow-up, deceased or who had not given consent were excluded.</div></div><div><h3>Results</h3><div>39 patients were recruited; 16 men and 23 women, giving a sex ratio of 0.69. The mean age was 36.18 ± 15.38 years, a minimum of 14 years and a maximum of 71 years. Ameloblastoma was the most common tumour (38.5 %). The most common method of treatment was radical surgery, and the most common material used for reconstruction was the screw-plate (86.9 %). Sequelae were found in 35 patients (89.74 %), the most common functional sequelae being impaired mastication (92.5 %). Aesthetic sequelae were mainly marked by facial asymmetry (66.7 %).</div></div><div><h3>Conclusion</h3><div>The fourth decade of female gender was the most represented population among patients operated on for benign tumours of the jaws. Radical surgery was more commonly used in our work. Among the aesthetic sequelae in our study, we noted facial asymmetries, scars and their location were predominantly mandibular. The most common functional sequelae were impaired mastication, nerve damage and impaired speech.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"17 ","pages":"Article 100507"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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