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ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • P-ISSN2234-7550
  • E-ISSN2234-5930
  • SCOPUS, KCI, ESCI
Bu-Kyu Lee(Department of Oral and Maxillofacial Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea) pp.121-122 https://doi.org/10.5125/jkaoms.2024.50.3.121
Samriddhi Burman(Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal) ; Babu Lal(Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal) ; Ragavi Alagarsamy(Department of Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung Hospital, New Delhi) ; Jitendra Kumar(Department of Dentistry, All India Institute of Medical Sciences, Bhopal) ; Ankush Ankush(Department of Radio-Diagnosis, LN Medical College and JK Hospital, Bhopal) ; Anshul J. Rai(Department of Dentistry, All India Institute of Medical Sciences, Bhopal) ; Md Yunus(Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal) pp.123-133 https://doi.org/10.5125/jkaoms.2024.50.3.123
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Dentoalveolar (DA) trauma, which can involve tooth, alveolar bone, and surrounding soft tissues, is a significant dentofacial emergency. In emergency settings, physicians might lack comprehensive knowledge of timely procedures, causing delays for specialist referral. This systematic review assesses the literature on isolated DA fractures, emphasizing intervention timing and splinting techniques and duration in both children and adults. This systematic review adhered to PRISMA guidelines and involved a thorough search across PubMed, Google Scholar, Semantic Scholar, and the Cochrane Library from January 1980 to December 2022. Inclusion and exclusion criteria guided study selection, with data extraction and analysis centered on demographics, etiology, injury site, diagnostics, treatment timelines, and outcomes in pediatric (2-12 years) and adult (>12 years) populations. This review analyzed 26 studies, categorized by age into pediatrics (2-12 years) and adults (>12 years). Falls were a common etiology, primarily affecting the anterior maxilla. Immediate management involved replantation, repositioning, and splinting within 24 hours (pediatric) or 48 hours (adult). Composite resin-bonded splints were common. Endodontic treatment was done within a timeframe of 3 days to 12 weeks for children and 2-12 weeks for adults. Tailored management based on patient age, tooth development stage, time elapsed, and resource availability is essential.

Gibum Shin(Yonsei University College of Dentistry, Seoul) ; Hyounmin Kim(Yonsei University College of Dentistry, Seoul) ; Mikyung Gong(Yonsei University College of Dentistry, Seoul) ; Seung-Yong Han(Yonsei University College of Dentistry, Seoul) ; Eunae Sandra Cho(Yonsei University College of Dentistry, Seoul) ; Hyung Jun Kim(Yonsei University College of Dentistry, Seoul) pp.134-139 https://doi.org/10.5125/jkaoms.2024.50.3.134
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We systematically reviewed the literature on the co-occurrence of squamous cell carcinoma (SCC) and Warthin’s tumor (WT), thought to be quite rare, to help reduce misdiagnosis and improve treatment planning. For this systematic review, we searched for articles in the Web of Science and PubMed databases, analyzed relevant studies for forward and backward citations, and identified only articles reporting on the “co-occurrence” of WT and SCC. Of the 237 studies identified, 12 comprising 18 patients met the inclusion criteria, to which we added one study from our institution. Most WTs were associated with SCC in the parotid gland or cervical lymph nodes. Most patients (89.5%) underwent selective or radical neck dissection due to identification of lesions separate from the primary SCC. Despite its frequent co-occurrence with other neoplasms, WT in the parotid or cervical lymph nodes tends to be misdiagnosed as a metastatic node when SCC is observed as the primary tumor. Factors to consider in diagnosis and neck management include identification of an association other than growth or development by lymphangiogenesis and whether the patient is a smoker, a strong risk factor.

Jeong-Kui Ku(Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital) ; Woo-Young Jeon(Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital) ; Seung-O Ko(Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital) ; Ji-Young Yoon(Department of Conservative Dentistry, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam) pp.140-145 https://doi.org/10.5125/jkaoms.2024.50.3.140
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Objectives: The necessity of retrograde filling after apicoectomy is controversial in cases of non-inflammatory cysts as opposed to bacteria-related periapical abscesses. This study aims to investigate whether the presence or absence of retrograde filling during apicoectomy has differential long-term prognostic implications between inflammatory and non-inflammatory cysts. Materials and Methods: This retrospective study included patients who underwent tooth apicoectomy during jaw cyst enucleation between 2013 and 2022, and who underwent follow-up cone-beam computed tomography for at least 6 months. The prognosis of the tooth was evaluated during the follow-up period according to the cyst type, the presence or absence of retrograde filling, mandible or maxilla, and location. Results: A total of 147 teeth was included in this study. All the operated teeth underwent preoperative root canal treatment by an endodontic specialist. Apicoectomy was performed for 119 inflammatory cysts and 28 non-inflammatory cysts. Retrograde filling was performed on 22 teeth with inflammatory cysts and 3 teeth with non-inflammatory cysts. All teeth survived the 3.5-year follow-up (range, 1.0-9.1 years). However, 1 tooth with an inflammatory cyst developed complications 1 year after surgery that required re-endodontic treatment. Conclusion: The prognosis of a tooth treated by apicoectomy without retrograde filling during cyst enucleation is favorable, regardless of the cyst type.

Souvik Mukherjee(Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, India) ; Anuj Jain(Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, India) ; Seema S(Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, India) ; Vaishali Waindeskar(Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, India) pp.146-152 https://doi.org/10.5125/jkaoms.2024.50.3.146
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Objectives: This prospective observational study aimed to assess the clinical outcomes of perioperative airway and ventilatory management in patients undergoing surgery for oral cavity cancer. The study described the frequencies and types of procedures for securing the airway and the duration and types of postoperative ventilatory support. We compared the findings with those of the TRACHY study. Patients and Methods: One hundred patients undergoing oral cavity oncological surgeries were included. Airway assessment included inter-incisor gap, Mallampati class, neck movements, and radiological features. Surgical parameters, postoperative ventilatory support, and complications were documented. Results: The buccal mucosa was the most common cancer site (48.0%), and direct laryngoscopy was deemed difficult in 58.0% of patients. Awake fibreoptic intubation or elective tracheostomy was required in 43.0% of cases. Thirty-three patients were extubated on the table, and 34 patients were successfully managed with a delayed extubation strategy. In comparison with the TRACHY study, variations were observed in demographic parameters, tumour characteristics, and surgical interventions. Our mean TRACHY score was 1.38, and only five patients had a score ≥4. Prophylactic tracheostomy was performed in 2.0% of cases, in contrast to the TRACHY study in which 42.0% of patients underwent the procedure. Conclusion: The study emphasizes the challenges in airway management for oral cavity cancer surgery. While prophylactic tracheostomy may be necessary in specific cases, individualized approaches, including delayed extubation, are preferrable to maximize safety. Our findings contribute to better understanding and managing perioperative challenges in oral cancer patients and highlight the need for personalized strategies. Scoring systems like TRACHY should not be accepted as universally applicable.

Dong-Min Lee(Department of Oral and Maxillofacial Surgery, Pusan National University Dental Hospital) ; Jihye Ryu(Department of Oral and Maxillofacial Surgery, Pusan National University Dental Hospital) ; Hyeonjin Kim(Department of Oral and Maxillofacial Surgery, Pusan National University Dental Hospital) ; Jae-Yeol Lee(Department of Oral and Maxillofacial Surgery, Pusan National University Dental Hospital) pp.153-160 https://doi.org/10.5125/jkaoms.2024.50.3.153
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Objectives: This study identifies factors for differential diagnosis among lesions by retrospectively comparing panoramic and cone-beam computed tomography images and analyzing the characteristics of lesions associated with impacted mandibular third molars (IMTs). Materials and Methods: A retrospective cohort study was conducted in patients who simultaneously underwent IMT extraction surgery and related benign tumor resection or cyst enucleation at our institution from 2017 to 2021. To compare the characteristics of each group, two comparative analyses were conducted. The first comparison considered the most frequently observed lesions associated with IMTs: dentigerous cysts, odontogenic keratocysts (OKCs), and ameloblastoma. The second comparison involved placing dentigerous cysts, which have a relatively low recurrence rate, into group A and placing OKC, ameloblastoma, and odontogenic myxoma, which have high recurrence rates, into group B. Results: Significant differences in the size of the lesion were found in the order of ameloblastoma, OKC, and dentigerous cyst (P<0.05). The buccolingual width of ameloblastoma differed significantly from that of the other groups, with no significant difference observed between the OKCs and dentigerous cysts (P=0.083). Conclusion: Patient age and lesion size differed significantly among lesion types associated with IMTs, with younger age and larger lesions for OKCs and odontogenic tumors. OKCs are likely to have a larger mesiodistal width than dentigerous cysts. The buccolingual width of ameloblastomas was larger than those of dentigerous cysts and OKCs.

Rosa María Acevedo Ocaña(Department of Oral Surgery, Implantology and Periodontics, Faculty of Dentistry, Universidad Alfonso X el Sabio) ; Jorge Cortes-Bretón Brinkmann(Department of Dental Clinical Specialties, Faculty of Dentistry, Universidad Complutense de Madrid) ; Carolina Valle Rodríguez(Department of Oral Surgery, Implantology and Periodontics, Faculty of Dentistry, Universidad Alfonso X el Sabio) ; Norberto Quispe López(Department of Oral Surgery, Implantology and Periodontics, Faculty of Dentistry, Universidad Alfonso X el Sabio) ; María Isabel Sánchez Jorge(Department of Oral Surgery, Implantology and Periodontics, Faculty of Dentistry, Universidad Alfonso X el Sabio) pp.161-165 https://doi.org/10.5125/jkaoms.2024.50.3.161
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Peripheral ameloblastoma (PA) is believed to be the rarest variant of ameloblastoma and only has been described in isolated case reports. PA is usually confined to the soft tissues surrounding the supporting tissues of the teeth. Although it manifests nonaggressive behavior and can be treated with complete removal by local surgical excision, long term follow up is mandatory to prevent future recurrence and possible malignant transformation.

Caio Augusto Munuera Ueti(Oral and Maxillofacial Surgery Residency Program, Hospital Governador Celso Ramos) ; Felipe Búrigo Daniel Dos Santos(Oral and Maxillofacial Surgery Residency Program, Hospital Governador Celso Ramos) ; Murillo Chiarelli(Oral and Maxillofacial Surgery Residency Program, Hospital Governador Celso Ramos) ; Luiza Brum Porto(Oral and Maxillofacial Surgery Residency Program, Hospital Governador Celso Ramos) ; Matheus Brum Marques Bianchi Savi(LabMAIS (Additive Manufacturing and Health Innovation Laboratory), IFSC (Federal Institute of Santa Catarina)) pp.166-169 https://doi.org/10.5125/jkaoms.2024.50.3.166
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Ankylosis of the temporomandibular joint (TMJ) is a condition in which the mandibular condyle fuses with the mandibular fossa through fibrous or bone tissue. It is a debilitating pathology that interferes with chewing, speaking, and oral hygiene. Currently, alloplastic reconstruction is considered the gold standard for treating severely compromised TMJs, such as in ankylosis. The article describes a patient with a history of facial trauma, with bilateral ankylosis of the TMJs, inability to open his mouth, and poor dental condition. Due to a long period of immobilization of approximately 40 years, the initial treatment plan was to remove the ankylosis bilaterally and install customized PMMA (polymethylmethacrylate) spacers. The patient gained mouth opening and improved chewing quality with one year of customized spacer use prior to definitive alloplastic replacement with stock-type TMJ prostheses. Customized joint spacers are a provisional treatment option when definitive alloplastic reconstruction is not indicated. Spacers provide the patient with progressive jaw function and mobility gains.

Kezia Rachellea Mustakim(Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea) ; Mi Young Eo(Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea) ; Hye-Jung Yoon(Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea) ; Soung Min Kim(Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea) pp.170-174 https://doi.org/10.5125/jkaoms.2024.50.3.170
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Adenomatoid odontogenic tumor (AOT) is a rare, asymptomatic, slow-growing benign tumor that can be divided into three variants: follicular, extrafollicular, and peripheral. By treating AOT using an enucleation and curettage approach, recurrence can be avoided. We report a case of a 24-year-old female who presented with a lump in the right mandibular premolar area along with diastema between displaced teeth #43 and #44 and was diagnosed with extrafollicular AOT. The patient was managed with enucleation-curettage surgery without additional bone graft procedure along with routine follow-up. A successful outcome without recurrence was achieved, and diastema closure with repositioning of the displaced teeth did not require orthodontic treatment. AOT should be managed via enucleation and curettage to obtain successful outcomes without recurrence. Spontaneous bone regeneration following enucleation can be achieved without guided bone regeneration. Also, diastema closure and repositioning of displaced teeth can occur without orthodontic interventions through physiologic drift.

Journal of the Korean Association of Oral and Maxillofacial Surgeons