Journal of Stomatology Oral and Maxillofacial Surgery最新文献

英文中文

A growing concern: Predatory submissions and publication spam

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery

Pub Date : 2025-04-10 DOI: 10.1016/j.jormas.2025.102328

Poramate Pitak-Arnnop

引用次数: 0

Alternative to the cervical approach for total temporomandibular joint prosthesis: A case series

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery

Pub Date : 2025-03-14 DOI: 10.1016/j.jormas.2025.102314

Edouard Lange , Sanela Morand , Camille Lambert , Julie Chauvel-Picard , Arnaud Gleizal

Purpose

New-generation total temporomandibular joint prostheses have demonstrated their efficacy and low morbidity. However, their implantation requires a dual external approach, which can result in significant aesthetic and functional sequelae. The authors have therefore developed an alternative technique that avoids the cervical route.

Materials and methods

The authors describe their technique for implanting a temporomandibular joint prosthesis using a combination of pre-auricular and intraoral approaches. They share the outcomes from a series of 16 patients treated with this technique, reporting complications as well as improvements in range of motion (ROM) and patient-reported outcomes regarding pain, eating ability, and overall satisfaction.

Results

A total of 16 patients and 22 prostheses were included. The functional results demonstrated a significant average increase in ROM of 34.4 mm (p < 0.001), a one-point reduction on the visual analogue scale (VAS) for pain (p = 0.19), and a 1.1-point improvement in feeding ability on our scale of 1 to 4 (p < 0.001). Complications included one case of transient facial paralysis with complete recovery, and one case of implant-related infection requiring removal of the prosthesis.

Discussion

this technique appears to provide comparable functional outcomes, with less scarring, and avoids the risk of facial nerve injury associated with the traditional approach. However, a potential disadvantage that needs further evaluation on a larger scale is the risk of infection, which does not appear to be increased in this series.

目的：新一代全颞下颌关节假体已证明其有效性和低发病率。然而，这些假体的植入需要采用双重外部途径，这可能会导致严重的美学和功能性后遗症。因此，作者开发了一种避免颈椎路径的替代技术：作者介绍了他们采用耳前和口内相结合的方法植入颞下颌关节假体的技术。他们分享了一系列采用该技术治疗的 16 名患者的治疗结果，报告了并发症以及活动范围（ROM）的改善情况，以及患者报告的疼痛、进食能力和总体满意度方面的结果：结果：共纳入了 16 名患者和 22 个假体。结果：共纳入 16 名患者和 22 个假体，功能结果表明，假体的平均活动范围显著增加了 34.4 毫米（p 讨论：这种技术似乎可以提供类似的功能结果，疤痕较小，并避免了传统方法带来的面神经损伤风险。不过，需要进一步评估的一个潜在缺点是感染风险，但在该系列手术中，感染风险似乎并未增加。

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引用次数: 0

Quantitative evaluation of trabecular bone density and bone height in different regions of edentulous maxillae according to age and sex

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery

Pub Date : 2025-03-03 DOI: 10.1016/j.jormas.2025.102306

Charlotte Mansuy , Frédéric Silvestri , Léa Mozziconacci , Rémi Esclassan , Olivier Hüe , Michel Ruquet , Chloé Mense

Introduction

In edentulous maxillae, bone quantity and quality are crucial factors for implant treatment planning and success. This study aimed to assess variations in trabecular bone density (TBD) and bone height in different regions of the edentulous maxilla, according to sex and age.

Materials and methods

100 cone beam computed tomography (CBCT) from edentulous maxilla were analyzed. Six virtual implants were planned between the maxillary sinuses at incisor, canine, and premolar sites. Virtual implant lengths were selected according to available bone volume and used to estimate bone height. TBD was recorded in Hounsfield Units (HU) at the center of the apex of each virtual implant. The two-sample t-test compared the mean TBD and the mean virtual implant length between males and females. The Spearman correlation coefficient analyzed the correlation between mean TBD and age, and the correlation between mean TBD and mean virtual implant length. The significance level was set at 5 %.

Results

In males, mean TBD and mean implant length were significantly higher than in females (P = 0.033 and P = 0.003). In females, there was a negative significant correlation between mean TBD and age (rho = -0.352, P = 0.022), and between mean TBD and mean implant length (rho = - 0.425, P = 0.005).

Discussion

Variations in TBD and bone height within the edentulous maxilla are related to sex. Older edentulous women are more susceptible to present low TBD and low bone height in anterior maxilla, which may influence therapeutic choices to achieve implant success.

{"title":"Quantitative evaluation of trabecular bone density and bone height in different regions of edentulous maxillae according to age and sex","authors":"Charlotte Mansuy , Frédéric Silvestri , Léa Mozziconacci , Rémi Esclassan , Olivier Hüe , Michel Ruquet , Chloé Mense","doi":"10.1016/j.jormas.2025.102306","DOIUrl":"10.1016/j.jormas.2025.102306","url":null,"abstract":"<div><h3>Introduction</h3><div>In edentulous maxillae, bone quantity and quality are crucial factors for implant treatment planning and success. This study aimed to assess variations in trabecular bone density (TBD) and bone height in different regions of the edentulous maxilla, according to sex and age.</div></div><div><h3>Materials and methods</h3><div>100 cone beam computed tomography (CBCT) from edentulous maxilla were analyzed. Six virtual implants were planned between the maxillary sinuses at incisor, canine, and premolar sites. Virtual implant lengths were selected according to available bone volume and used to estimate bone height. TBD was recorded in Hounsfield Units (HU) at the center of the apex of each virtual implant. The two-sample t-test compared the mean TBD and the mean virtual implant length between males and females. The Spearman correlation coefficient analyzed the correlation between mean TBD and age, and the correlation between mean TBD and mean virtual implant length. The significance level was set at 5 %.</div></div><div><h3>Results</h3><div>In males, mean TBD and mean implant length were significantly higher than in females (<em>P</em> = 0.033 and <em>P</em> = 0.003). In females, there was a negative significant correlation between mean TBD and age (<em>rho</em> = -0.352, <em>P</em> = 0.022), and between mean TBD and mean implant length (<em>rho</em> = - 0.425, <em>P</em> = 0.005).</div></div><div><h3>Discussion</h3><div>Variations in TBD and bone height within the edentulous maxilla are related to sex. Older edentulous women are more susceptible to present low TBD and low bone height in anterior maxilla, which may influence therapeutic choices to achieve implant success.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102306"},"PeriodicalIF":1.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the aesthetic and functional effectiveness of primary closed rhinoseptoplasty: A study of 189 cases.

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery

Pub Date : 2025-02-21 DOI: 10.1016/j.jormas.2025.102301

Jebrane Bouaoud , Olivier Mathieu , Clémence Mure , Jean-Baptiste Belloc

Background

With the increasing demand for rhinoplasty procedures, evaluating outcomes becomes crucial for improving surgical procedures. Nevertheless, there is a limited number of extensive studies exclusively dedicated to closed rhinoseptoplasty (RSP), emphasizing the evaluation of both aesthetic and functional dimensions. This study aims to assess the aesthetic and functional effectiveness of exclusively closed primary RSP procedures and to identify subgroups at risk of less favorable outcomes, providing valuable insights for preoperative planning. The study incorporates the widely used Nasal Obstruction Symptoms Evaluation (NOSE) and Rhinoplasty Outcome Evaluation (ROE) scores, making it the most comprehensive research to date in terms of sample size and subgroup analysis for closed approaches.

Methods

A total of 189 closed RSPs performed between January 2019 and June 2023 were prospectively evaluated. Follow-ups at 2, 6, and 12 months enabled a comprehensive understanding of the postoperative evolution. Statistical analyses included non-parametric the non-parametric Wilcoxon signed-rank test, Mann Whitney test, Kruskal-Wallis test, and Spearman coefficient, with a significance level of p < 0.05.

Results

The study reveals significant improvements in both aesthetic (ROE) and functional (NOSE) scores postoperatively, emphasizing the positive impact of closed RSP. Subgroup analyses unveiled factors influencing functional and aesthetic outcomes, contributing to a refined understanding of closed RSP.

Conclusions

This study not only reaffirms the effectiveness of closed RSP but also offers valuable insights into various factors influencing outcomes. The findings underscore the importance of considering both aesthetic and functional aspects in rhinoplasty planning, contributing to the evolving landscape of surgical practices.

{"title":"Evaluation of the aesthetic and functional effectiveness of primary closed rhinoseptoplasty: A study of 189 cases.","authors":"Jebrane Bouaoud , Olivier Mathieu , Clémence Mure , Jean-Baptiste Belloc","doi":"10.1016/j.jormas.2025.102301","DOIUrl":"10.1016/j.jormas.2025.102301","url":null,"abstract":"<div><h3>Background</h3><div>With the increasing demand for rhinoplasty procedures, evaluating outcomes becomes crucial for improving surgical procedures. Nevertheless, there is a limited number of extensive studies exclusively dedicated to closed rhinoseptoplasty (RSP), emphasizing the evaluation of both aesthetic and functional dimensions. This study aims to assess the aesthetic and functional effectiveness of exclusively closed primary RSP procedures and to identify subgroups at risk of less favorable outcomes, providing valuable insights for preoperative planning. The study incorporates the widely used Nasal Obstruction Symptoms Evaluation (NOSE) and Rhinoplasty Outcome Evaluation (ROE) scores, making it the most comprehensive research to date in terms of sample size and subgroup analysis for closed approaches.</div></div><div><h3>Methods</h3><div>A total of 189 closed RSPs performed between January 2019 and June 2023 were prospectively evaluated. Follow-ups at 2, 6, and 12 months enabled a comprehensive understanding of the postoperative evolution. Statistical analyses included non-parametric the non-parametric Wilcoxon signed-rank test, Mann Whitney test, Kruskal-Wallis test, and Spearman coefficient, with a significance level of <em>p</em> < 0.05.</div></div><div><h3>Results</h3><div>The study reveals significant improvements in both aesthetic (ROE) and functional (NOSE) scores postoperatively, emphasizing the positive impact of closed RSP. Subgroup analyses unveiled factors influencing functional and aesthetic outcomes, contributing to a refined understanding of closed RSP.</div></div><div><h3>Conclusions</h3><div>This study not only reaffirms the effectiveness of closed RSP but also offers valuable insights into various factors influencing outcomes. The findings underscore the importance of considering both aesthetic and functional aspects in rhinoplasty planning, contributing to the evolving landscape of surgical practices.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102301"},"PeriodicalIF":1.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484795","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}

引用次数: 0

Comment on: "Objectifying aesthetic outcomes following face transplantation - the AI research metrics model."

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery

Pub Date : 2025-02-21 DOI: 10.1016/j.jormas.2025.102300

Elise Lupon

引用次数: 0

Intraoral anastomosis technique as part of the reconstruction strategy following resection of intermediate and low-grade head and neck cancer

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery

Pub Date : 2025-02-13 DOI: 10.1016/j.jormas.2025.102282

Thomas Bondi , Nicolas Walhin , Guillaume Henry , Nadia Benmoussa-Rebibo , Nicolas Leymarie , Jean-François Honart

Introduction

The gold standard for curative treatment of facial, oral, nasal, paranasal and pharyngeal cancers is excision and reconstruction surgery. Patients are increasingly demanding carcinologically effective and minimally invasive surgery with near ad integrum functional and aesthetic reconstruction. In malignant tumors with no indication for lymph node dissection, when the defect size dictates free flap reconstruction, the intrabuccal anastomosis technique comes closest to meeting these requirements.

Material and methods

In this single-center retrospective observational study, we reported a series of 5 patients with intermediate or low-grade head and neck cancer treated by surgery between 2022 and 2023 at the Cervico-facial Surgery Department of the Gustave Roussy Cancer Center. We collected clinical, therapeutic, histologic, and carcinologic data.

Results

All patients underwent tumor resection with fascio-cutaneous free flap reconstruction and dental rehabilitation in accordance with best practice recommendations. None of the patients had an indication for lymph node dissection. The histologic subtypes were glandular, epithelial, and cartilaginous-related. All anastomoses were performed on the facial vessels using an intraoral anastomosis technique.

Conclusion

Free flap with intraoral anastomosis technique may be the first intention reconstruction strategy for large defects following resection of intermediate and low-grade malignant tumors of the face and oral, oropharyngeal, nasal or paranasal cavities.

{"title":"Intraoral anastomosis technique as part of the reconstruction strategy following resection of intermediate and low-grade head and neck cancer","authors":"Thomas Bondi , Nicolas Walhin , Guillaume Henry , Nadia Benmoussa-Rebibo , Nicolas Leymarie , Jean-François Honart","doi":"10.1016/j.jormas.2025.102282","DOIUrl":"10.1016/j.jormas.2025.102282","url":null,"abstract":"<div><h3>Introduction</h3><div>The gold standard for curative treatment of facial, oral, nasal, paranasal and pharyngeal cancers is excision and reconstruction surgery. Patients are increasingly demanding carcinologically effective and minimally invasive surgery with near ad integrum functional and aesthetic reconstruction. In malignant tumors with no indication for lymph node dissection, when the defect size dictates free flap reconstruction, the intrabuccal anastomosis technique comes closest to meeting these requirements.</div></div><div><h3>Material and methods</h3><div>In this single-center retrospective observational study, we reported a series of 5 patients with intermediate or low-grade head and neck cancer treated by surgery between 2022 and 2023 at the Cervico-facial Surgery Department of the Gustave Roussy Cancer Center. We collected clinical, therapeutic, histologic, and carcinologic data.</div></div><div><h3>Results</h3><div>All patients underwent tumor resection with fascio-cutaneous free flap reconstruction and dental rehabilitation in accordance with best practice recommendations. None of the patients had an indication for lymph node dissection. The histologic subtypes were glandular, epithelial, and cartilaginous-related. All anastomoses were performed on the facial vessels using an intraoral anastomosis technique.</div></div><div><h3>Conclusion</h3><div>Free flap with intraoral anastomosis technique may be the first intention reconstruction strategy for large defects following resection of intermediate and low-grade malignant tumors of the face and oral, oropharyngeal, nasal or paranasal cavities.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 5","pages":"Article 102282"},"PeriodicalIF":1.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426737","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}

引用次数: 0

Objectifying aesthetic outcomes following face transplantation – the AI research metrics model (CAARISMA ® ARMM)

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery

Pub Date : 2025-02-12 DOI: 10.1016/j.jormas.2025.102277

Leonard Knoedler , Cosima C. Hoch , Samuel Knoedler , Felix J. Klimitz , Thomas Schaschinger , Tobias Niederegger , Max Heiland , Steffen Koerdt , Rainer Pooth , Martin Kauke-Navarro , Alexandre G. Lellouch

Background

Face transplantation (FT) offers a reconstructive option for patients with severe facial disfigurements by restoring both function and appearance. Aesthetic outcomes, which are crucial to psychological well-being and social reintegration, have historically been evaluated subjectively. This study introduces the AI Research Metrics Model (CAARISMA ® ARMM), a machine learning-based medical device designed to objectively assess aesthetic outcomes in FT patients.

Methods

Overall, 14 FT patients were analyzed using CAARISMA ® ARMM, which evaluates 3 key aesthetic indices: the Facial Youthfulness Index (FYI), Facial Aesthetic Index (FAI), and Skin Quality Index (SQI). Preoperative, postoperative, and pre-trauma images were processed to assess improvements in facial aesthetics. Statistical analysis was performed to compare changes in these indices across the different time points.

Results

Postoperative scores for FYI, FAI, and SQI were significantly higher than preoperative scores (p < 0.0001), indicating substantial aesthetic improvements. No significant differences were found between postoperative and pre-trauma images, suggesting that FT can effectively restore a patient's pre-injury appearance. Aesthetic improvements were consistent across different age and gender groups, with no notable disparities in outcomes.

Conclusion

CAARISMA ® ARMM offers a reliable and objective framework for objectifying aesthetic outcomes following FT, allowing for more standardized assessments. This medical device can potentially improve patient-surgeon communication, enhance surgical planning, and serve as a benchmark for evaluating long-term aesthetic success in FT patients. Future research should focus on expanding CAARISMA ® ARMM's application to larger and more diverse patient populations.

{"title":"Objectifying aesthetic outcomes following face transplantation – the AI research metrics model (CAARISMA ® ARMM)","authors":"Leonard Knoedler , Cosima C. Hoch , Samuel Knoedler , Felix J. Klimitz , Thomas Schaschinger , Tobias Niederegger , Max Heiland , Steffen Koerdt , Rainer Pooth , Martin Kauke-Navarro , Alexandre G. Lellouch","doi":"10.1016/j.jormas.2025.102277","DOIUrl":"10.1016/j.jormas.2025.102277","url":null,"abstract":"<div><h3>Background</h3><div>Face transplantation (FT) offers a reconstructive option for patients with severe facial disfigurements by restoring both function and appearance. Aesthetic outcomes, which are crucial to psychological well-being and social reintegration, have historically been evaluated subjectively. This study introduces the AI Research Metrics Model (CAARISMA ® ARMM), a machine learning-based medical device designed to objectively assess aesthetic outcomes in FT patients.</div></div><div><h3>Methods</h3><div>Overall, 14 FT patients were analyzed using CAARISMA ® ARMM, which evaluates 3 key aesthetic indices: the Facial Youthfulness Index (FYI), Facial Aesthetic Index (FAI), and Skin Quality Index (SQI). Preoperative, postoperative, and pre-trauma images were processed to assess improvements in facial aesthetics. Statistical analysis was performed to compare changes in these indices across the different time points.</div></div><div><h3>Results</h3><div>Postoperative scores for FYI, FAI, and SQI were significantly higher than preoperative scores (<em>p</em> < 0.0001), indicating substantial aesthetic improvements. No significant differences were found between postoperative and pre-trauma images, suggesting that FT can effectively restore a patient's pre-injury appearance. Aesthetic improvements were consistent across different age and gender groups, with no notable disparities in outcomes.</div></div><div><h3>Conclusion</h3><div>CAARISMA ® ARMM offers a reliable and objective framework for objectifying aesthetic outcomes following FT, allowing for more standardized assessments. This medical device can potentially improve patient-surgeon communication, enhance surgical planning, and serve as a benchmark for evaluating long-term aesthetic success in FT patients. Future research should focus on expanding CAARISMA ® ARMM's application to larger and more diverse patient populations.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102277"},"PeriodicalIF":1.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

National survey on implantation practices for free bone flaps: Key findings and insights

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery

Pub Date : 2025-02-04 DOI: 10.1016/j.jormas.2025.102271

Sophie Dugast , Leonor Guilmault , Isabelle Bouhier , Olivier Airaudo , Julie Longis , Helios Bertin

Background

In cervico-facial oncology, reconstructive procedures aim to ensure patient survival, restore orofacial functions, and maintain esthetic outcomes. The ultimate goal of these interventions is to provide functional rehabilitation. However, dental rehabilitation following bone-free flap reconstructions remains underutilized. This study evaluates current practices in France and identify the challenges reconstructive surgeons face in implementing dental implant rehabilitation after free bone flap reconstruction in an oncological setting.

Methods

A nationwide survey was conducted across 52 French hospitals to assess practices related to free bone flap reconstructions and dental implant rehabilitation. An online questionnaire collected data on the epidemiology, rehabilitation practices, team organization, and willingness towards increasing the number of rehabilitated patients following oncological surgeries.

Results

Nineteen centers responded, highlighting diverse practices. While most centers perform over 20 free bone flap reconstructions annually, the number of patients receiving implants post-reconstruction was relatively low, with most centers reporting between one and five implant procedures in the past year. Key obstacles to implant rehabilitation included patient irradiation (61 %), lack of financial support (61 %), absence of a practitioner network (50 %), insufficiently trained team members (33 %), risk of oncological recurrence (28 %), extended operating times for primary implantations (22 %), and difficulties with radiological follow-up due to artifacts (17 %)

Conclusion

Despite its potential to enhance patient quality of life, dental implant rehabilitation in oncological patients remains marginal in France. This study highlights the need for standardized protocols and improved collaboration between reconstructive surgeons and dental specialists to increase the rate of rehabilitation following free bone flap reconstructions.

{"title":"National survey on implantation practices for free bone flaps: Key findings and insights","authors":"Sophie Dugast , Leonor Guilmault , Isabelle Bouhier , Olivier Airaudo , Julie Longis , Helios Bertin","doi":"10.1016/j.jormas.2025.102271","DOIUrl":"10.1016/j.jormas.2025.102271","url":null,"abstract":"<div><h3>Background</h3><div>In cervico-facial oncology, reconstructive procedures aim to ensure patient survival, restore orofacial functions, and maintain esthetic outcomes. The ultimate goal of these interventions is to provide functional rehabilitation. However, dental rehabilitation following bone-free flap reconstructions remains underutilized. This study evaluates current practices in France and identify the challenges reconstructive surgeons face in implementing dental implant rehabilitation after free bone flap reconstruction in an oncological setting.</div></div><div><h3>Methods</h3><div>A nationwide survey was conducted across 52 French hospitals to assess practices related to free bone flap reconstructions and dental implant rehabilitation. An online questionnaire collected data on the epidemiology, rehabilitation practices, team organization, and willingness towards increasing the number of rehabilitated patients following oncological surgeries.</div></div><div><h3>Results</h3><div>Nineteen centers responded, highlighting diverse practices. While most centers perform over 20 free bone flap reconstructions annually, the number of patients receiving implants post-reconstruction was relatively low, with most centers reporting between one and five implant procedures in the past year. Key obstacles to implant rehabilitation included patient irradiation (61 %), lack of financial support (61 %), absence of a practitioner network (50 %), insufficiently trained team members (33 %), risk of oncological recurrence (28 %), extended operating times for primary implantations (22 %), and difficulties with radiological follow-up due to artifacts (17 %)</div></div><div><h3>Conclusion</h3><div>Despite its potential to enhance patient quality of life, dental implant rehabilitation in oncological patients remains marginal in France. This study highlights the need for standardized protocols and improved collaboration between reconstructive surgeons and dental specialists to increase the rate of rehabilitation following free bone flap reconstructions.</div></div>","PeriodicalId":55993,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":"126 6","pages":"Article 102271"},"PeriodicalIF":1.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ChatGPT, and systematic review ideas to oral and maxillofacial surgeons: Comment 口腔颌面外科医生的 ChatGPT 和系统综述观点：评论。

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery

Pub Date : 2025-02-01 DOI: 10.1016/j.jormas.2024.102000

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

The impact of preoperative psychiatric intervention for postoperative delirium after major oral and maxillofacial surgery with free flap reconstruction 采用游离皮瓣重建的大型口腔颌面外科手术后，术前精神干预对术后谵妄的影响。

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery

Pub Date : 2025-02-01 DOI: 10.1016/j.jormas.2024.102026

Yukie Nitta , Takuro Sanuki , Shigekazu Sugino , Masahiro Sugimoto , Kanta Kido

Background

Postoperative delirium (POD) is a severe complication associated with various adverse outcomes, especially in older patients. Although the incidence and risk factors for POD have been explored in general surgery, they have not been fully elucidated. Early identification of high-risk patients and active preoperative intervention are considered essential for the prevention of POD. Recently, psychiatric consultation intervention have been shown to prevent delirium. This study investigated the effect of preoperative psychiatric interventions on preventing POD in our specific surgical context.

Materials and Methods

This retrospective, single-center observational study included 86 patients who underwent major oral and maxillofacial surgery with free flap reconstruction between 2016 and 2023. The effect of psychiatric intervention were compared between patients with and without delirium.

Results

Preoperative psychiatric intervention did not reduce the incidence of POD. The incidence of POD was 29.1 %. Univariate analyses showed no significant associations between POD and any clinical variables.

Conclusion

There was no difference in the incidence of POD between patients who received preoperative psychiatric intervention and those who did not, and further investigation is needed to determine the efficacy of preoperative psychiatric intervention in the prevention of POD.

背景：术后谵妄（POD）是一种严重的并发症，与各种不良后果相关，尤其是在老年患者中。虽然已经对普外科手术中 POD 的发生率和风险因素进行了探讨，但尚未完全阐明。早期识别高危患者并进行积极的术前干预被认为是预防 POD 的关键。最近，精神科咨询干预被证明可以预防谵妄。本研究调查了在我们特定的手术环境中，术前精神干预对预防 POD 的影响：这项回顾性、单中心观察性研究纳入了 2016 年至 2023 年间接受口腔颌面大手术并进行游离皮瓣重建的 86 例患者。比较了有谵妄和无谵妄患者的精神干预效果：术前精神干预并未降低 POD 的发生率。POD发生率为29.1%。单变量分析显示，POD与任何临床变量之间均无明显关联：结论：接受术前精神干预的患者与未接受术前精神干预的患者在 POD 发生率上没有差异，因此需要进一步调查以确定术前精神干预对预防 POD 的有效性。

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全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

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Journal of Stomatology Oral and Maxillofacial Surgery

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