Pub Date : 2025-09-30DOI: 10.1016/j.ijom.2025.07.014
D. Li , T. Li , Z. Cai , X. Qin
Congenital cleft earlobe is rare, but earlobe clefts are nevertheless the most common lower auricular malformations. There are various types of earlobe clefts and there is no universally recognized classification scheme. Different techniques have been reported for the correction of the various types of anomaly. This paper presents a complex subtype cleft that has not previously been reported in the literature and describes the technique used to achieve a three-dimensional reconstruction with a satisfactory result.
{"title":"Subcutaneous pedicle island flap for complex congenital earlobe cleft correction","authors":"D. Li , T. Li , Z. Cai , X. Qin","doi":"10.1016/j.ijom.2025.07.014","DOIUrl":"10.1016/j.ijom.2025.07.014","url":null,"abstract":"<div><div>Congenital cleft earlobe is rare, but earlobe clefts are nevertheless the most common lower auricular malformations. There are various types of earlobe clefts and there is no universally recognized classification scheme. Different techniques have been reported for the correction of the various types of anomaly. This paper presents a complex subtype cleft that has not previously been reported in the literature and describes the technique used to achieve a three-dimensional reconstruction with a satisfactory result.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1152-1155"},"PeriodicalIF":2.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-15DOI: 10.1016/j.ijom.2025.09.003
A. Shammout , A. Yussuf , K. McMillan , R. Williams , R. Harrison , Y. Liang
Paediatric maxillofacial surgeons infrequently encounter primary life-limiting conditions with escalating symptoms, contributing to the underutilization of palliative care services. This paper highlights two rare life-limiting oral and maxillofacial conditions – infantile osteopetrosis and osteosclerotic metaphyseal dysplasia – and proposes a collaborative framework integrating palliative care. The cases illustrate the multidisciplinary approach needed for complex symptom management, including end-of-life care in one case.The collaboration involved anaesthesia, surgery, pharmacy, dietetics, endocrinology, haematology, respiratory, microbiology, psychology, and community and hospital palliative care teams. Management included analgesia, multiple surgeries, use of enteral nutrition, frequent blood transfusions, and terminal seizure management, addressing ethical and practical challenges to ensure comprehensive care delivery. A traffic light referral pathway to enhance collaboration was developed and is presented. It categorizes patient vulnerability into three tiers to streamline joint management between maxillofacial and palliative care teams. This pathway is currently being piloted to support early referrals and improve care coordination. The illustrative cases underscore the critical role of maxillofacial surgeons in initiating timely referrals and highlight the need for continued education to foster awareness and enhance multidisciplinary collaboration in paediatric palliative care. The novel traffic light system algorithm may support earlier integration of palliative care in this setting.
{"title":"Early palliative care collaboration for paediatric patients with inherited jaw conditions—a traffic light system","authors":"A. Shammout , A. Yussuf , K. McMillan , R. Williams , R. Harrison , Y. Liang","doi":"10.1016/j.ijom.2025.09.003","DOIUrl":"10.1016/j.ijom.2025.09.003","url":null,"abstract":"<div><div>Paediatric maxillofacial surgeons infrequently encounter primary life-limiting conditions with escalating symptoms, contributing to the underutilization of palliative care services. This paper highlights two rare life-limiting oral and maxillofacial conditions – infantile osteopetrosis and osteosclerotic metaphyseal dysplasia – and proposes a collaborative framework integrating palliative care. The cases illustrate the multidisciplinary approach needed for complex symptom management, including end-of-life care in one case.The collaboration involved anaesthesia, surgery, pharmacy, dietetics, endocrinology, haematology, respiratory, microbiology, psychology, and community and hospital palliative care teams. Management included analgesia, multiple surgeries, use of enteral nutrition, frequent blood transfusions, and terminal seizure management, addressing ethical and practical challenges to ensure comprehensive care delivery. A traffic light referral pathway to enhance collaboration was developed and is presented. It categorizes patient vulnerability into three tiers to streamline joint management between maxillofacial and palliative care teams. This pathway is currently being piloted to support early referrals and improve care coordination. The illustrative cases underscore the critical role of maxillofacial surgeons in initiating timely referrals and highlight the need for continued education to foster awareness and enhance multidisciplinary collaboration in paediatric palliative care. The novel traffic light system algorithm may support earlier integration of palliative care in this setting.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1177-1181"},"PeriodicalIF":2.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145077043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-08DOI: 10.1016/j.ijom.2025.07.013
F. Melhem-Elias, B.A.Q. Reis, N.K. de Oliveira, R. Grillo
Eminectomy has been a well-established surgical procedure for the management of recurrent temporomandibular joint (TMJ) dislocation for over seven decades. This paper presents a digital workflow designed to enhance the surgical precision and safety of eminectomy. A 22-year-old female patient with recurrent TMJ dislocation underwent bilateral eminectomy. The patient’s medical history included myasthenia gravis, which was considered in the surgical planning. A digitally designed cutting guide and depth template were created using Dolphin Imaging 11.95 software and subsequently produced via 3D-printing. The eminectomy was performed using a piezoelectric device, with the cutting guide ensuring a precise osteotomy and the depth template limiting bone removal to the necessary extent. The use of these digitally planned instruments facilitated a more efficient procedure compared to previous eminectomies performed by the same surgeon. Furthermore, the preoperative digital workflow enhanced the surgical safety by protecting the adjacent neurovascular structures through the customized cutting guide and depth template. In conclusion, digitally planned and 3D-printed surgical guides are valuable tools that may significantly improve the precision, efficiency, and safety of eminectomy.
{"title":"Eminectomy performed through an innovative digital workflow","authors":"F. Melhem-Elias, B.A.Q. Reis, N.K. de Oliveira, R. Grillo","doi":"10.1016/j.ijom.2025.07.013","DOIUrl":"10.1016/j.ijom.2025.07.013","url":null,"abstract":"<div><div>Eminectomy has been a well-established surgical procedure for the management of recurrent temporomandibular joint (TMJ) dislocation for over seven decades. This paper presents a digital workflow designed to enhance the surgical precision and safety of eminectomy. A 22-year-old female patient with recurrent TMJ dislocation underwent bilateral eminectomy. The patient’s medical history included myasthenia gravis, which was considered in the surgical planning. A digitally designed cutting guide and depth template were created using Dolphin Imaging 11.95 software and subsequently produced via 3D-printing. The eminectomy was performed using a piezoelectric device, with the cutting guide ensuring a precise osteotomy and the depth template limiting bone removal to the necessary extent. The use of these digitally planned instruments facilitated a more efficient procedure compared to previous eminectomies performed by the same surgeon. Furthermore, the preoperative digital workflow enhanced the surgical safety by protecting the adjacent neurovascular structures through the customized cutting guide and depth template. In conclusion, digitally planned and 3D-printed surgical guides are valuable tools that may significantly improve the precision, efficiency, and safety of eminectomy.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1204-1207"},"PeriodicalIF":2.7,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-06DOI: 10.1016/j.ijom.2025.07.012
J. Wang , F. Lin , Y. Liu , X. Guan
Multiple oral mucoceles, in contrast to a solitary mucocele, often present with significant foreign body sensations and pain. This rare clinical manifestation is a challenge to clinicians regarding treatment options. This report describes a rare case characterized by the presence of more than 100 painful mucoceles on the oral mucosa. The patient showed a substantial improvement following treatment including oral prednisone and topical tacrolimus and triamcinolone acetonide. Notably, no noticeable recurrence was observed at the 1-year follow-up. To date, there are no similar documented cases displaying such a favourable therapeutic outcome. These findings emphasize the importance of delivering symptomatic treatment for challenging and persistent diseases.
{"title":"Effective treatment of multiple oral mucoceles","authors":"J. Wang , F. Lin , Y. Liu , X. Guan","doi":"10.1016/j.ijom.2025.07.012","DOIUrl":"10.1016/j.ijom.2025.07.012","url":null,"abstract":"<div><div>Multiple oral mucoceles, in contrast to a solitary mucocele, often present with significant foreign body sensations and pain. This rare clinical manifestation is a challenge to clinicians regarding treatment options. This report describes a rare case characterized by the presence of more than 100 painful mucoceles on the oral mucosa. The patient showed a substantial improvement following treatment including oral prednisone and topical tacrolimus and triamcinolone acetonide. Notably, no noticeable recurrence was observed at the 1-year follow-up. To date, there are no similar documented cases displaying such a favourable therapeutic outcome. These findings emphasize the importance of delivering symptomatic treatment for challenging and persistent diseases.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1182-1186"},"PeriodicalIF":2.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-05DOI: 10.1016/j.ijom.2025.07.006
A.B. Urs , J. Augustine , P. Kumar , S. Mohanty , S. Jha
Ameloblastoma is the most common benign odontogenic tumour of the jaw bones and it exhibits a wide range of histopathological patterns. Papilliferous keratoameloblastoma (PKA), a rare variant of ameloblastoma, is characterized by the presence of papilliferous proliferations of the odontogenic epithelium, along with surface keratinization and keratin accumulation that may occur within the stroma. This report presents a rare case of PKA in a 44-year-old male patient who presented due to a recurrent exophytic growth in the right posterior mandible. A panoramic radiograph showed a well-defined multilocular radiolucency extending from the right body of the mandible to the anterior two-thirds of the ramus of the mandible. Analysis of an incisional biopsy of the cauliflower-like growth revealed a plexiform ameloblastoma with extraosseous extension. The growth enlarged again during the next 3 months and the patient was then operated on. The patient underwent resection of the right posterior mandible involving the second molar and ramus up to the coronoid, followed by stabilization of the mandible with a titanium plate. The final diagnosis of PKA was made on the basis of the unique histopathological features. A review of the literature on cases of PKA is included.
{"title":"Papilliferous keratoameloblastoma: a case report with review of the literature","authors":"A.B. Urs , J. Augustine , P. Kumar , S. Mohanty , S. Jha","doi":"10.1016/j.ijom.2025.07.006","DOIUrl":"10.1016/j.ijom.2025.07.006","url":null,"abstract":"<div><div>Ameloblastoma is the most common benign odontogenic tumour of the jaw bones and it exhibits a wide range of histopathological patterns. Papilliferous keratoameloblastoma (PKA), a rare variant of ameloblastoma, is characterized by the presence of papilliferous proliferations of the odontogenic epithelium, along with surface keratinization and keratin accumulation that may occur within the stroma. This report presents a rare case of PKA in a 44-year-old male patient who presented due to a recurrent exophytic growth in the right posterior mandible. A panoramic radiograph showed a well-defined multilocular radiolucency extending from the right body of the mandible to the anterior two-thirds of the ramus of the mandible. Analysis of an incisional biopsy of the cauliflower-like growth revealed a plexiform ameloblastoma with extraosseous extension. The growth enlarged again during the next 3 months and the patient was then operated on. The patient underwent resection of the right posterior mandible involving the second molar and ramus up to the coronoid, followed by stabilization of the mandible with a titanium plate. The final diagnosis of PKA was made on the basis of the unique histopathological features. A review of the literature on cases of PKA is included.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1171-1176"},"PeriodicalIF":2.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-24DOI: 10.1016/j.ijom.2025.07.005
Y. Wang , T. Wu , Z. Shang , Z. Shao
Reconstruction of the mandible in growing patients following mandibulectomy is crucial for minimizing deformities and disabilities. Surgeons have been exploring various methods for mandibular reconstruction in growing patients. This case report describes the use of a custom-made CAD/CAM porous titanium prosthesis for mandibular reconstruction after the resection of ameloblastoma in a growing child, where the condylar process on the affected side was preserved. This approach avoided harvesting from a secondary donor site, such as the fibula or iliac crest. Preoperative virtual surgical planning was utilized to design the mandibular osteotomy and titanium prosthesis placement. The prosthesis featured a lightweight design with cellular lattice structures and was fabricated using 3D printing. The lesion was excised through a segmental mandibulectomy, preserving the neck and head of the condyle. Simultaneous reconstruction with the titanium prosthesis was performed. Postoperative follow-up for 45 months revealed no titanium prosthesis-related complications. The growth of the condyle on the affected side was significant, and the bilateral mandibular rami were nearly symmetrical. The patient’s facial appearance was satisfactory. Oral functions, including speech and mastication, were satisfactory, and the occlusion was maintained without interference.
{"title":"Mandibular reconstruction with a custom-made CAD/CAM porous titanium prosthesis in a 10-year-old patient and the long-term prognosis","authors":"Y. Wang , T. Wu , Z. Shang , Z. Shao","doi":"10.1016/j.ijom.2025.07.005","DOIUrl":"10.1016/j.ijom.2025.07.005","url":null,"abstract":"<div><div>Reconstruction of the mandible in growing patients following mandibulectomy is crucial for minimizing deformities and disabilities. Surgeons have been exploring various methods for mandibular reconstruction in growing patients. This case report describes the use of a custom-made CAD/CAM porous titanium prosthesis for mandibular reconstruction after the resection of ameloblastoma in a growing child, where the condylar process on the affected side was preserved. This approach avoided harvesting from a secondary donor site, such as the fibula or iliac crest. Preoperative virtual surgical planning was utilized to design the mandibular osteotomy and titanium prosthesis placement. The prosthesis featured a lightweight design with cellular lattice structures and was fabricated using 3D printing. The lesion was excised through a segmental mandibulectomy, preserving the neck and head of the condyle. Simultaneous reconstruction with the titanium prosthesis was performed. Postoperative follow-up for 45 months revealed no titanium prosthesis-related complications. The growth of the condyle on the affected side was significant, and the bilateral mandibular rami were nearly symmetrical. The patient’s facial appearance was satisfactory. Oral functions, including speech and mastication, were satisfactory, and the occlusion was maintained without interference.</div></div>","PeriodicalId":14332,"journal":{"name":"International journal of oral and maxillofacial surgery","volume":"54 12","pages":"Pages 1147-1151"},"PeriodicalIF":2.7,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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