Advances in Oral and Maxillofacial Surgery
Latest articles in this journal
Advances in Oral and Maxillofacial Surgery; https://doi.org/10.1016/j.adoms.2021.100170
A polypoid mucosal lesion in the oral cavity generally signifies a soft tissue pathology that is benign. The aetiology can vary from inflammatory conditions to fibrous tumours.
Advances in Oral and Maxillofacial Surgery; https://doi.org/10.1016/j.adoms.2021.100179
Advances in Oral and Maxillofacial Surgery; https://doi.org/10.1016/j.adoms.2021.100171
Mandible is most common bone of the craniofacial skeleton to receive impact from various aetiologies, vehicular mishaps being the most common. The injury to the neurovascular bundle damages the inferior alveolar nerve which manifests as neurosensory deficit. The present study evaluates these changes to assess the outcome and recovery time of such nerve injury.
Advances in Oral and Maxillofacial Surgery, Volume 4; https://doi.org/10.1016/j.adoms.2021.100177
To compare the bone quality histologically and radiologically using two graft materials i.e. demineralized freeze-dried bone allograft (DFDBA) and biphasic calcium phosphate (BCP) along with platelet-rich plasma (PRP) as an adjuvant in both; for bilateral maxillary sinus lift.procedures.
Advances in Oral and Maxillofacial Surgery, Volume 4; https://doi.org/10.1016/j.adoms.2021.100175
Tooth extraction displacement is a rare and serious complication. This article will report a case in which the impacted third molar on the right side of the mandible (#48) was displaced to the pterygomandibular space during tooth extraction. A month ago, the patient underwent the extraction of the impacted #48 at the local clinic. No teeth were removed after the operation, and symptoms such as pain, swelling, and restricted mouth opening in the operation area were subsequently seen. The symptoms were relieved after oral administration of anti-inflammatory drugs. Then came to our hospital for related examinations, preoperative evaluation and treatment.
Advances in Oral and Maxillofacial Surgery, Volume 4; https://doi.org/10.1016/j.adoms.2021.100173
In this paper, we present a modified set-up of a 20 ml syringe in the use of intra-oral sinus lavage via oroantral perforations of patients. With the addition of a smallbore Tport extension, clinicians can easily replenish the syringe with saline without repeatedly re-inserting the non-bevelled needle via the oroantral perforation during multiple rounds of sinus lavage This simple method can potentially improve the efficiency and reduce patient's discomfort during intra-oral sinus lavage.
Advances in Oral and Maxillofacial Surgery; https://doi.org/10.1016/j.adoms.2021.100174
Medication-related osteonecrosis of the jaw is a low prevalence condition in cancer patients which is mainly associated with bisphosphonates and other medication therapies, such as antiresorptive and antiangiogenic therapies. The aim of this paper is to report a severe and rare case of the condition in a 64 years-old edentulous man who has been treated with bisphosphonates and angiogenic medication for a prostate cancer. Treatment involved a total maxillectomy with immediate reconstruction with a customized infra structure of titanium implant for prosthetic rehabilitation of the upper arch dentition aimed to keep the masticatory function. This protocol allowed immediate reestablishment of the masticatory function in cancer patient under bisphosphonates and angiogenic medication which is fundamental for the general health of the patient.
Advances in Oral and Maxillofacial Surgery; https://doi.org/10.1016/j.adoms.2021.100178
Local antibiotic guidelines should comply with national guidelines on perioperative antibiotic prophylaxis to adequately reduce surgical site infections in high-risk oral and maxillofacial (OMF) operations. To inform antibiotic committees on opportunities for improvement, a survey was sent to twenty-one OMF surgery departments in the Netherlands that performed more extensive OMF procedures. We determined (1) the local recommendations on perioperative antibiotic and antiseptic prophylaxis of sixteen elective OMF surgeries and (2) the local compliance with national guidelines. The response rate was 76.1%. Antibiotic prophylaxis was recommended in 78.8% of the OMF procedures and the regimens varied considerably between departments. Postoperative continuation of antibiotic prophylaxis was advised for 39.7% of the procedures and concerned 5-7 days in 81.0%. Antiseptic prophylaxis was recommended in 66.5% of the operations. The mean percentages of local recommendations that fully complied with the three national guidelines were 5.4% (range 0.0-55.6%) for the Dutch Working Party on Antibiotic Policy guideline, 27.7% (20.0-44.4%) for the 2018 guideline of the Dutch OMF Surgery Association (NVMKA) and 25.5% (16.7-44.4%) for the 2019 NVMKA guideline. In conclusion, deviation from national guidelines occurred frequently. Unification of the national guidelines in combination with guideline revisions are warranted, followed by better local implementation.
Advances in Oral and Maxillofacial Surgery, Volume 4; https://doi.org/10.1016/j.adoms.2021.100180
Hyaline ring granuloma is a rare oral lesion with an unclear and controversial etiology, characterized by the presence of rings of palely eosinophilic structure less material (the so-called hyaline rings) with multinucleated giant cells around and within the very same rings. Various theories have been proposed about the pathogenesis of hyaline ring granulomas. Many authors consider a vegetable origin, suggesting that it may represent a reaction to foreign material such as food (and in particular pulses). Instead, other authors deny this possibility, proposing that the hyaline rings might represent degenerated blood vessels, degenerated collagen, or fibrosed extravasated serum proteins. The aim of this article is to present a case of hyaline ring granuloma and to briefly review the literature.
Advances in Oral and Maxillofacial Surgery; https://doi.org/10.1016/j.adoms.2021.100176
The genioplasty is a versatile technique for correcting facial deformities. we have designed an osteotomy that reduces the width of the chin during advancement in order to maintain the delicate proportions of the face and the notch formation in the parasinfisis is avoided. Minimally invasive approach is allowed due to the design of this osteotomy which reduces the risk of nerve injury. We believe that this variation of the original technique can be a very useful alternative for the maxillofacial surgeon.