Journal of Oral and Maxillofacial Surgery最新文献

{"title":"RE: What Is Your Preferred Pro(fessional) Noun?","authors":"Basavaraj Katakol MDS","doi":"10.1016/j.joms.2025.10.006","DOIUrl":"10.1016/j.joms.2025.10.006","url":null,"abstract":"","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 2","pages":"Pages 156-157"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090778","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}

{"title":"Social Media for Surgeons: Tool, Trap, or Trophy Cabinet?","authors":"Anuj Jain MDS","doi":"10.1016/j.joms.2025.08.020","DOIUrl":"10.1016/j.joms.2025.08.020","url":null,"abstract":"<div><div>Social media has become central to how oral and maxillofacial surgeons educate patients, communicate with peers, and promote their practices. However, the rapid rise of influencer-style content, informal consultations, and curated before-after posts raises critical concerns regarding professionalism, patient privacy, and clinical accuracy. This perspective explores how social media can serve as a tool, a trap, or a trophy cabinet in surgical practice, urging the need for clear institutional guidelines and ethical boundaries. With the profession's credibility at stake, oral surgeons must lead the conversation on responsible digital engagement.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 2","pages":"Pages 153-154"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090743","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}

{"title":"Patient-Specific Implants in Post-traumatic Orbital Reconstruction: A Systematic Review","authors":"Michael V. Joachim DMD, MSc, MHA ,&nbsp;Farangis Farsio DDS, MD ,&nbsp;Michael R. Markiewicz DDS, MD, MPH ,&nbsp;Michael Miloro DMD, MD","doi":"10.1016/j.joms.2025.10.003","DOIUrl":"10.1016/j.joms.2025.10.003","url":null,"abstract":"<div><h3>Background</h3><div>Orbital fractures commonly result in functional and esthetic deficits, demanding precise reconstruction of orbital volume and globe position. Patient-specific implants (PSIs) have emerged as promising solutions, yet their definitive clinical and cost-effectiveness benefits remain debated.</div></div><div><h3>Purpose</h3><div>The study purpose was to estimate and compare orbital volume restoration, globe position, functional outcomes, and complications between PSI versus conventional orbital reconstruction.</div></div><div><h3>Study Selection</h3><div>A systematic search of PubMed, Embase, Cochrane Library, and Web of Science from inception to May 2025 identified studies comparing PSIs with conventional orbital reconstruction techniques in adults with post-traumatic orbital defects. Studies exclusively reporting technical aspects, pediatric samples, or nontraumatic defects were excluded. Of 385 identified studies, 23 met the inclusion criteria.</div></div><div><h3>Results</h3><div>The included studies involved 1,222 subjects. PSIs demonstrated significantly better orbital volume restoration compared to conventional methods (mean volume difference: PSI, 0.73 ± 0.28 cm³; conventional, 1.54 ± 0.38 cm³, <em>P</em> &lt; .05). Globe position outcomes were also consistently better in PSI groups, with significantly reduced persistent enophthalmos (PSI 7.3% vs conventional 18.2%, <em>P</em> = .03). Functional outcomes, specifically persistent diplopia, were significantly lower with PSI (PSI 11.7% vs conventional 30.1%, <em>P</em> = .01). Revision rates were also significantly reduced with PSI usage (PSI 5.9% vs conventional 13.7%, <em>P</em> = .01). Despite higher initial costs, PSI reduced operative times by an average of 15.7 minutes, which may offset overall treatment expenses.</div></div><div><h3>Conclusions and Relevance</h3><div>PSIs offer superior outcomes in orbital volume restoration, globe positioning, and reduced complication and revision rates compared to conventional reconstruction. These findings strongly support PSI utilization in complex post-traumatic orbital reconstruction, particularly when integrated with intraoperative navigation systems. Further research, especially prospective randomized studies with long-term follow-up, is needed to strengthen these recommendations.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 2","pages":"Pages 197-213.e4"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431387","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}

{"title":"Is Resident Participation Associated With Complications in Isolated Maxillofacial Fracture Repair?","authors":"Lang Liang BS ,&nbsp;Tim T. Wang DMD, MD ,&nbsp;Nicholas Wilken DDS, MD ,&nbsp;Gary Warburton DMD, MD ,&nbsp;John Caccamese DMD, MD ,&nbsp;Cameron Lee DMD, MD","doi":"10.1016/j.joms.2025.09.015","DOIUrl":"10.1016/j.joms.2025.09.015","url":null,"abstract":"<div><h3>Background</h3><div>Resident participation in surgery has been associated with longer operative times, but its impact on clinical outcomes is mixed. While this relationship has been explored in other surgical subspecialties, it remains understudied in maxillofacial trauma--a core component of oral and maxillofacial surgery training.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to measure the association between resident participation and perioperative outcomes in patients undergoing open reduction and internal fixation of a single maxillofacial fracture.</div></div><div><h3>Study Design, Setting, Sample</h3><div>This was a retrospective cohort study using the American College of Surgeons National Surgical Quality Improvement Program database, 2005–2012. Patients undergoing open reduction and internal fixation of a single maxillofacial fracture were included. Patients under 18 years old or with missing data were excluded.</div></div><div><h3>Predictor Variable</h3><div>The predictor was resident participation in the surgical case (yes/no).</div></div><div><h3>Main Outcome Variable</h3><div>The primary outcome was the presence of any complication within 30 days postoperatively. Secondary outcomes included operative time (minutes), return to the operating room, and presence of any surgical complication.</div></div><div><h3>Covariates</h3><div>Covariates were categorized as demographic (age, sex), medical (body mass index, comorbidities) and operative (wound classification, fracture location).</div></div><div><h3>Analyses</h3><div>Descriptive and bivariate statistics were calculated. Relative risks and 95% CIs were computed to measure the association between resident participation and complications.</div></div><div><h3>Results</h3><div>There were 746 subjects with a mean age of 38.5 ± 16.7 years (79.2% male, n = 591). Of these subjects, 454 (60.9%) underwent surgery with resident participation and 292 (39.1%) without. The overall complication rate was 3.6% (n = 27), with no significant difference between cases with (4.4%, n = 20) and without (2.4%, n = 7) residents (relative risk 1.84; 95% CI 0.82–4.64; <em>P</em> = .1). Resident involvement was not associated with increased surgical complications or return to the operating room. Mean operative time was 45% longer with resident participation (136 vs 94 minutes, <em>P</em> &lt; .001).</div></div><div><h3>Conclusion and Relevance</h3><div>Resident participation was not associated with higher complication rates, but was associated with longer operative time. These findings support the continued role of surgical trainees while identifying opportunities to improve operative efficiency in academic settings.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 2","pages":"Pages 188-196"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313106","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}

{"title":"A Novel Nomogram Based on the Fibrinogen and Platelet-to-Lymphocyte Ratio Is Associated With Overall Survival in Oral Squamous Cell Carcinoma","authors":"Shan Jin DDS ,&nbsp;Ying He DDS, MD ,&nbsp;Tianqi Huo DDS ,&nbsp;Fubo Xu DDS ,&nbsp;Lizheng Qin DDS, MD","doi":"10.1016/j.joms.2025.10.007","DOIUrl":"10.1016/j.joms.2025.10.007","url":null,"abstract":"<div><h3>Background</h3><div>Previous studies suggested inflammation and coagulation were associated with cancer prognosis.</div></div><div><h3>Purpose</h3><div>The purpose was to measure the association between the combining inflammation and coagulation (CIC) index and the prognosis for oral squamous cell carcinoma (OSCC) patients, and to construct a nomogram to estimate the survival estimation capability of CIC index on the overall survival (OS).</div></div><div><h3>Study design, setting, and sample</h3><div>A retrospective cohort study was performed at the Beijing Stomatological Hospital, Capital Medical University, including OSCC patients treated between 2017 and 2019 who underwent at least 5-year follow-up. Patients with history of radiotherapy/recurrence, other malignancies, preoperative infection/hematopoietic diseases, or unmet surgical indications were excluded.</div></div><div><h3>Predictor variable</h3><div>The predictor variable was the CIC index, calculated by multiplying the platelet-to-lymphocyte ratio by fibrinogen level before treatment.</div></div><div><h3>Main outcome variable</h3><div>The primary outcome variable was 3-year and 5-year OS. Secondary outcome variable was disease recurrence during the follow-up period.</div></div><div><h3>Covariates</h3><div>Covariates included age, sex, tumor, node, metastatis (TNM) stage, smoking and drinking history, postoperative radiotherapy, Eastern Cooperative Oncology Group performance status, flap repair and oral cavity sites.</div></div><div><h3>Analyses</h3><div>All subjects were divided into the training cohort and the validation cohort. The training cohort was used to perform univariate and multivariate Cox regression analyses, and constructed the nomogram. The validation cohort was used to verify the survival estimation ability of the nomogram through area under the receiver operating curve.</div></div><div><h3>Results</h3><div>The sample included 160 subjects, the mean ± SD of age was 58 ± 10.92 years and 84 (52.5%) was males. The median (interquartile range) for follow-up was 62 (35 to 75) months. Multivariate Cox regression model showed CIC (hazard ratio (HR):3.19, <em>P</em> &lt; .05, 95% CI: 1.43 to 7.12) and TNM stage (HR: 1.86, <em>P</em> &lt; .01,95% CI: 1.36 to 2.54) were associated the OS of OSCC. Additionally, CIC was associated with OSCC recurrence (HR: 2.38, <em>P</em> &lt; .05, 95% CI: 1.17 to 4.83). The area under the receiver operating characteristic curve value for OS in the training and validation cohorts were 0.75 and 0.80, respectively, indicating excellent discriminatory ability. Calibration curves confirmed the nomogram's accuracy, and decision curve analysis showed good clinical applicability of the nomogram.</div></div><div><h3>Conclusions and relevance</h3><div>CIC is a promising OSCC prognostic index, and the nomogram may assist physicians with individualized treatment to improve patient survival in the future.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 2","pages":"Pages 257-269"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458974","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}

{"title":"Development and Validation of a Clinically Applicable Nomogram for Predicting Inferior Alveolar Nerve Injury After Mandibular Cystectomy","authors":"Mouyuan Sun PhD ,&nbsp;Lining Lin MDS ,&nbsp;Lianjie Peng BDS ,&nbsp;Tao Qiu PhD ,&nbsp;Yaxian Luo BDS ,&nbsp;Mengfei Yu PhD","doi":"10.1016/j.joms.2025.09.019","DOIUrl":"10.1016/j.joms.2025.09.019","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Mandibular cystectomy carries a considerable risk of inferior alveolar nerve injury (IANI); however, current evidence on modifiable preoperative imaging-based risk predictors remains limited. This knowledge gap underscores the critical need for developing advanced risk stratification models to optimize surgical decision-making.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;The purpose of this study was to systematically identify key imaging-derived risk factors for IANI following mandibular cystectomy, quantify their associations, and construct/validate a predictive nomogram for personalized preoperative risk assessment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study design, setting, sample&lt;/h3&gt;&lt;div&gt;The authors conducted a retrospective cohort study from 306 patients undergoing mandibular cystectomy from July 2022 to October 2023, at Department of Oral and Maxillofacial Surgery, Stomatology Hospital, Zhejiang University School of Medicine. Exclusion criteria encompassed pre-existing neurological conditions, preoperative sensory deficits, intraoperative nerve transection, and recurrent cysts.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Predictor variables&lt;/h3&gt;&lt;div&gt;The predictor variable was a set of imaging parameters including: cyst volume, mandibular canal (MC) deviation, canal cross-sectional shape, and cyst–canal spatial relationship (including cyst-to-MC contact, relative position, contact distance, destruction distance).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main outcome variable&lt;/h3&gt;&lt;div&gt;The primary outcome was postoperative neurosensory disturbance within the IAN distribution during hospitalization.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Covariates&lt;/h3&gt;&lt;div&gt;The covariates were demographic factors (age, sex), surgical variables (filling material used in the cyst cavity), and histopathological diagnosis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Analyses&lt;/h3&gt;&lt;div&gt;Statistical analysis was done with the χ&lt;sup&gt;2&lt;/sup&gt; test, Fisher's exact test, Mann–Whitney U rank-sum test, Poisson regression, generalized estimating equations analysis (statistical significance: &lt;em&gt;P&lt;/em&gt; &lt; .05), as appropriate. A nomogram was constructed using R software, with validation by receiver operating characteristic curves, calibration curves, Hosmer-Lemeshow χ&lt;sup&gt;2&lt;/sup&gt; test, and decision curve analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The study sample consisted of 306 patients with an average age of 36.77 ± 15.07 years, and a sex distribution of 58.8% (180) male and 41.2% (126) female, totally 315 cysts. IANI occurred in 20.95% (66) cases. Independent risk factors including MC deviation (odds ratio (OR) = 2.99; 95% CI = 1.04 to .60; &lt;em&gt;P&lt;/em&gt; = .042), cyst-to-MC contact (OR = 11.57; 95% CI = 1.15 to 116.70; &lt;em&gt;P&lt;/em&gt; = .038), and destruction distance (OR = 1.23; 95% CI = 1.13 to 1.33; &lt;em&gt;P&lt;/em&gt; &lt; .001), along with contact distance (OR = 0.93; 95% CI = 0.86 to 1.00; &lt;em&gt;P&lt;/em&gt; = .051), were incorporated into construction of nomogram model. The model achieved an area under the curve of 0.898 (95% CI = 0.856 to 0.939). The calibration c","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 2","pages":"Pages 244-256"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145370274","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}

{"title":"The Role of Kinesio Tape Application on Blood Flow and Morbidity After Third Molar Tooth Extraction","authors":"Mehmet Turhan Teke DDS ,&nbsp;Betül Taş Özyurtseven DDS","doi":"10.1016/j.joms.2025.08.001","DOIUrl":"10.1016/j.joms.2025.08.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The most common side effects of mandibular third molar operations are pain, edema, and trismus. Postoperative application of the kinesio tape (KT) may improve these side effects more rapidly by increasing blood flow.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;The aim of this study was to measure the effect of KT application on blood flow after mandibular third molar operation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study design, setting, sample&lt;/h3&gt;&lt;div&gt;This study was conducted as a single-center, parallel-arm, randomized study at Gaziantep University Faculty of Dentistry in 2023. Healthy patients who underwent mandibular third molar surgery were included in the study. Patients with chronic systemic diseases, pregnant women, and patients who did not attend the postoperative control appointment were excluded from the study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Predictor variable&lt;/h3&gt;&lt;div&gt;The predictor variable was postoperative management. Patients were randomly assigned to the KT applied group or the control group.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main outcome variables&lt;/h3&gt;&lt;div&gt;The primary outcome variable was the assessment of blood flow. Secondary outcome variables were the assessment of pain, edema, and trismus, which are side effects of mandibular third molar tooth extraction. Blood flow was measured using the laser Doppler flowmetry device, pain was measured using the visual analog scale, edema was measured by averaging 5 lengths between 6 points determined on the face, and mouth opening was measured with calipers. Patients were evaluated preoperatively, postoperatively, on the second day, fourth day, and seventh day.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Covariates&lt;/h3&gt;&lt;div&gt;Covariates were age, sex, and operation time.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Analyses&lt;/h3&gt;&lt;div&gt;The conformity of numerical variables to normal distribution was evaluated by Shapiro–Wilk test. Although the change of the groups within themselves over time was tested by repeated measures analysis of variance, the comparison of the groups with each other at different time intervals was evaluated by student &lt;em&gt;t&lt;/em&gt;-test. &lt;em&gt;P&lt;/em&gt; &lt; .05 was considered significant.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The sample consisted of 87 subjects with a mean age of 23.33 years. Of the subjects, 44 (50.6%) were female and 43 (49.4%) were male, with 43 (49.4%) subjects in the KT group and 44 (50.6%) subjects in the control group. It was statistically significant that blood flow measurements were higher in the KT group at postoperative, day 2 and day 4 (&lt;em&gt;P&lt;/em&gt; &lt; .05). Pain scores were also lower and statistically significant in the KT group on days 2, 4, and 7 (&lt;em&gt;P&lt;/em&gt; &lt; .05). Edema measurements were lower on the fourth and seventh day in the KT group and showed a statistically significant difference (&lt;em&gt;P&lt;/em&gt; &lt; .05). Mouth opening was measured more on the second, fourth, and seventh days in the KT group and was found to be statistically significant (&lt;em&gt;P&lt;/em&gt; &lt; .05).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions and relevance&lt;","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 2","pages":"Pages 233-243"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957789","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}

{"title":"Mesiodens Removal: Resolving the Early Versus Late Intervention Dilemma","authors":"Makoto Adachi DDS, PhD","doi":"10.1016/j.joms.2025.09.014","DOIUrl":"10.1016/j.joms.2025.09.014","url":null,"abstract":"<div><h3>Background</h3><div>This narrative review examines the surgical timing dilemma for impacted mesiodens removal. Early intervention risks iatrogenic damage to developing tooth structures, while delayed surgery may permit irreversible damage to adjacent permanent teeth including impaired root development and eruption disturbances.</div></div><div><h3>Findings</h3><div>Current evidence supports early surgical intervention around 6 to 7 years of age. Recent cone-beam computed tomography (CBCT) studies demonstrate shorter root lengths and delayed formation stages in teeth adjacent to impacted mesiodens. Large-scale studies show tuberculate and germ-type mesiodens and pose highest risk for adjacent tooth damage. Early removal prevents root development impairment and reduces need for complex orthodontic intervention, while delayed removal necessitates secondary procedures and orthodontic traction.</div></div><div><h3>Conclusions and Relevance</h3><div>Evidence favors early intervention before this age threshold when benefits of preserving normal root development outweigh surgical risks. Risk-stratified management of mesiodens based on morphology, position, and patient age provides optimal outcomes and reduces treatment complexity.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 2","pages":"Pages 225-232"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318320","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}

{"title":"Evaluation of Surgical Approaches to Condylar Fractures: A Systematic Review and Network Meta-Analysis","authors":"Yanan Ma MM ,&nbsp;Yuxin Yang MM ,&nbsp;Xinghua Yang MM ,&nbsp;Ziang Zhao MM ,&nbsp;Yafeng Yang MM ,&nbsp;Ruimin Li MD","doi":"10.1016/j.joms.2025.09.013","DOIUrl":"10.1016/j.joms.2025.09.013","url":null,"abstract":"<div><h3>Background</h3><div>Condylar fractures are common maxillofacial injuries. Although both open and closed treatments are used, the optimal strategy remains debated due to variable functional outcomes and complication rates.</div></div><div><h3>Purpose</h3><div>This network meta-analysis compared the functional outcomes and complications of closed treatment versus various open approaches for mandibular condyle fractures. We evaluated and ranked 6 distinct open approaches: mandibular angle approach (MAA), retromandibular anteroparotid approach (RMAA), endoscopic transoral approach (ETOA), retromandibular through parotid approach (RMPA), preauricular approach (PAA), and submandibular approach (SMA).</div></div><div><h3>Data Sources</h3><div>PubMed, Embase, Web of Science, Cochrane Library, and China National Knowledge Infrastructure (CNKI) were systematically searched for randomized controlled trials (RCTs) published through March 2024, without language restrictions.</div></div><div><h3>Study Selection</h3><div>RCTs comparing closed treatment with at least one open approach and reporting relevant functional or safety outcomes were included. Two reviewers independently performed selection, resolving discrepancies by consensus.</div></div><div><h3>Data Extraction and Synthesis</h3><div>Data extraction followed the PRISMA guidelines. Methodological quality was assessed using the Cochrane risk of bias tool. Random-effects models were applied for both pairwise and network meta-analyses to estimate standardized mean differences (SMDs) and 95% confidence intervals (CIs).</div></div><div><h3>Main Outcomes and Measures</h3><div>Primary outcomes were mouth-opening capacity and lateral excursion. Secondary outcomes included deviation in mouth opening and incidence of facial nerve injury.</div></div><div><h3>Results</h3><div>Fourteen RCTs (3.2% of initial records) were included. Compared with the preauricular approach, RMAA, MAA, and ETOA significantly improved mouth opening [SMD, −2.31; 95% CI, −3.66 to −0.96], [SMD, 2.22; 95% CI, 0.66 to 3.97], and [SMD, 1.93; 95% CI, −0.14 to 3.72]. MAA, RMAA, and retromandibular through parotid approach achieved greater lateral excursion than closed treatment ([SMD, −2.13; 95% CI, −3.68 to −0.58], [SMD, −1.58; 95% CI, −2.91 to −0.25], and [SMD, −1.14; 95% CI, −1.94 to −0.34], respectively). MAA, RMAA, and ETOA were associated with fewer complications. No serious adverse events were reported.</div></div><div><h3>Conclusions and Relevance</h3><div>Compared with closed treatment, specific open approaches—particularly RMAA, MAA, and ETOA—provided superior functional recovery and lower complication rates for condylar fractures. Further high-quality RCTs are warranted to confirm these findings.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 2","pages":"Pages 214-224"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313175","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}

{"title":"Mixed Reality-Guided System for Patient-Specific Implants in Orthognathic Surgery","authors":"Haoning Li MM ,&nbsp;Liwei Huang MD ,&nbsp;Vicky Yau DDS ,&nbsp;En Luo MD, PhD","doi":"10.1016/j.joms.2025.08.018","DOIUrl":"10.1016/j.joms.2025.08.018","url":null,"abstract":"<div><div>Patient-specific implants and cutting guides in orthognathic surgery have demonstrated improved surgical precision in maxillary positioning. We present a mixed reality–assisted technique for using patient-specific implants (PSI) and dynamically transferring drilling holes and osteotomy lines, eliminating cutting guide fabrication and enhancing the efficiency of maxillary positioning during surgery. Postoperative computed tomography (CT) analysis revealed clinically acceptable maxillary deviations of less than 1.2 mm. The mixed reality-guided technique provides a novel, cutting guide-free approach to maxillary positioning, enhancing surgical accuracy, workflow efficiency, and intraoperative adaptability.</div></div>","PeriodicalId":16612,"journal":{"name":"Journal of Oral and Maxillofacial Surgery","volume":"84 2","pages":"Pages 182-187"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124870","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}