Journal of Oral and Maxillofacial Surgery

What Factors Influence Hospital Admission for Mandible Fractures in Emergency Departments Across the United States?

Brendan W. Wu, Mia M. Joseph, Vasiliki Karlis, Kim E. Goldman — 2026-05-21

Facial trauma surgeons consulted by emergency departments (EDs) for mandible fractures must decide whether hospital admission is warranted. While admission may allow for closer monitoring and expedited surgery, many patients present with clinically stable injuries for which outpatient management is feasible.

ADVERSE EVENTS RELATED TO SUBMENTAL AESTHETIC LIPOSUCTION: A SYSTEMATIC REVIEW

2026-05-21

Aesthetic submental liposuction (ASL) is a widely performed procedure for lower facial and anterior neck contouring. Despite its clinical acceptance, there is no clear consensus regarding the frequency and characteristics of ASL-related adverse events.

Does a brochure reduce dental anxiety in patients undergoing third molar extraction? A randomized clinical trial

2026-05-20

Dental anxiety frequently compromises patient cooperation and outcomes during third molar extraction prompting use of non-pharmacological strategies such as detailed written information. Evidence on reducing preoperative anxiety remains inconsistent warranting further randomized studies.

Nd:YAG and Diode Laser Biostimulation in Infraorbital and Inferior Alveolar Neurosensory Recovery After Orthognathic Surgery: A Randomized Clinical Study

Yaşar Tolga KAYIM, Nilüfer ÖZKAN, Nihat AKBULUT, Tuğrul KIRTILOĞLU — 2026-05-20

Neurosensory deficits affecting inferior alveolar nerve (IAN) and infraorbital nerve (ION) are expected side effects of bimaxillary orthognathic surgery. Photobiomodulation using neodymium-doped yttrium aluminum garnet (Nd:YAG) and diode lasers has been proposed to accelerate nerve regeneration; however, evidence with standardized functional outcome measures remains limited.

Factors Affecting Prolonged Intubation and Difficult Airway After Odontogenic Infection

2026-05-14

Odontogenic infections can rapidly become life threatening as a result of airway obstruction. This is further complicated by severe trismus and postoperative edema.

American Association of Oral and Maxillofacial Surgeons’ Position Paper on the Management of the Clinically Negative Neck (cN0) in cT1N0 and cT2N0 Oral Squamous Cell Carcinoma

2026-05-14

Management of the N0 neck is a challenging clinical decision. Most of the literature relied upon for clinical decision-making are studies with subjects being treated for cT1/cT2 N0 disease.

The Pre-DIT Technique: A Fascicle-Specific Dual-Plane Approach for Correcting and Preventing Paradoxical Masseteric Bulging After BoNT-A Injection

2026-05-14

Paradoxical masseteric bulging (PMB) is an uncommon but clinically relevant complication following masseter BoNT-A injection. From mid-2024 onward, four cases of PMB were identified among patients treated at our department, with onset typically occurring within the first week after injection. Dynamic ultrasonography consistently demonstrated persistent contraction of the superficial fascicle while the deep fascicle remained fully inhibited, challenging the prevailing assumption that PMB results from insufficient deep-plane diffusion across the deep inferior tendon (DIT).

Vertical Maxillary Movement is Associated with Incisal Display in Orthognathic Surgery

Michael D. Han, Andy Shimchuk, Emilie Dosoudil, Michael Miloro — 2026-05-14

Maxillary incisal display (MID) is a key feature in orthodontic and orthognathic surgical planning that critically impacts esthetics, and forms the basis for the vertical positioning of the maxilla. In orthognathic surgical planning, several approaches are taken to position the maxilla to determine the MID, but little evidence exists in the relationship between maxillary movement and MID.

Risk factors for postoperative complications and mortality in deep neck infections

2026-05-13

Complications of infections in maxillofacial surgery are correlated with the spread of infection to deep neck spaces.

Is Music an Alternative to Diazepam for Reducing Anxiety in Third Molar Surgery? A Randomized Split-Mouth Clinical Trial

2026-05-13

Preoperative anxiety is common in patients undergoing third molar surgery, and is associated with increased stress and discomfort. Controlling anxiety during dental procedures is an important clinical goal.

Comparative Efficacy of Intra-Articular Adjuvants Following Double-Needle Arthrocentesis for Intra-Articular Pain and Dysfunction: A Network Meta-Analysis

Gowri Sivaramakrishnan, Kannan Sridharan, Mohammed Abdulla AlMuharraqi — 2026-05-13

Double-needle arthrocentesis (DA) is an established minimally invasive treatment; however, the additional clinical benefit of intra-articular injection (IAI) adjuvants remains uncertain.

Prevalence and Risk Factors for Severe Complications of Odontogenic Infections

Brendan W. Wu, Wilson Li, Peter Rekawek, Vasiliki Karlis, Kenneth Fleisher — 2026-05-13

Odontogenic infections can spread beyond the oral cavity into potential spaces of the head, neck, and thorax. Identifying predictors for these severe complications can improve early risk stratification and guide timely intervention.

Do Patients with Cleft Lip and/or Cleft Palate Require More Postoperative Opioids Following Le Fort I Osteotomy?

2026-05-12

Le Fort I (LFI) osteotomies in patients with cleft lip and/or palate (CL/P) present unique challenges. It is unclear if these patients require distinct postoperative pain management.

Are Patient Specific Implants Accurate in Bimaxillary Advancement Surgery entailing Three-piece Le Fort I? A Randomized Controlled Trial

2026-05-11

The use of patient-specific implants (PSI) in orthognathic surgery was shown to produce accurate results for single-piece Le Fort I. However, the literature lacks evidence on the accuracy of PSI for segmental Le Fort I.

Temporomandibular Joint Replacement is Associated with Improved Quality of Life: A Retrospective Cohort Study

Arshi Munjal, Russell Williams, Taylor DeLaura, Peter Quinn, Eric Granquist — 2026-05-08

Total temporomandibular joint replacement (TMJR) is indicated for patients with advanced joint pathology or ankylosis who have failed non-operative therapies. Although TMJR is known to improve pain and function, its impact on quality of life (QoL) remains incompletely characterized.

Association of Total and Bioavailable Vitamin D with Medication-Related Osteonecrosis of the Jaws: A Case–Control Study

Gulsum Feyza Turkes, Dilara Nur Sengun, Omer Faruk Kocamaz — 2026-05-07

Antiresorptive agent (ARA) therapy may cause medication-related osteonecrosis of the jaw (MRONJ), following dentoalveolar surgery. Vitamin D, an essential element for bone metabolism, may be a risk factor associated with MRONJ.

Decompression Fails to Achieve Clinically Meaningful Volumetric Reduction in Glandular Odontogenic Cysts

2026-05-07

Glandular odontogenic cysts (GOCs) are rare, aggressive lesions, and the effect of decompression on their volume has not been systematically studied.

Factors Associated With Surgical Outcomes in Medial Orbital Wall Fracture Reconstruction With Absorbable Plates

Bei Li — 2026-05-07

Preoperative imaging factors associated with absorbable plate reconstruction outcomes for medial orbital wall fractures are not well-established. The role of muscle cone integrity on computed tomography (CT) has not been systematically evaluated.

Predictors of New-Onset Anxiety or Depression Following Open Reduction and Internal Fixation of Mandible Fractures

2026-05-07

Maxillofacial trauma may result in psychosocial morbidity.

SlicerOrbitSurgerySim: An Open-Source Platform for Virtual Registration and Quantitative Comparison of Preformed Orbital Plates

Chi Zhang, Braedon Gunn, Andrew M. Read-Fuller — 2026-05-05

Poor adaptation of orbital implants remains a major contributor to postoperative complications and revision surgery. Although preformed orbital plates are widely used to reduce cost and operative time compared with customized implants, surgeons currently lack publicly available tools and standardized metrics to quantitatively compare plate fit across vendors, sizes, and patient anatomy. We developed SlicerOrbitSurgerySim, an open-source extension for the 3-dimensional Slicer platform that enables interactive virtual registration, evaluation, and comparison of multiple preformed orbital plates in a patient-specific virtual planning environment.

How Often is Speech Surgery Recommended After Le Fort I Advancement in Patients With Preoperative Borderline Velopharyngeal Insufficiency?

David L. Best, David C. Thean, Roseanne E. Clark, Bonnie L. Padwa — 2026-05-04

Children with repaired cleft lip and palate (CLP) often develop maxillary hypoplasia requiring Le Fort I (LF1) advancement. Patients with preoperative velopharyngeal insufficiency (VPI) are at high risk for worsening velopharyngeal function after LF1 advancement, while those with normal preoperative function are at low risk. However, speech outcomes in patients with preoperative borderline VPI are poorly understood.

Is Oral and Maxillofacial Surgeon Experience Associated With Antibiotic Prescribing to Medicare Beneficiaries?

2026-05-04

Oral and maxillofacial surgeons prescribe antibiotics for a spectrum of procedures and clinical indications. However, it is unclear whether surgeon experience is related to antibiotic prescribing patterns.

Simultaneous Orthognathic Surgery and Condylectomy for Active Unilateral Condylar Hyperplasia: Indications and Outcomes of a Single-Stage Protocol

2026-05-04

Active unilateral condylar hyperplasia (AUCH) leads to progressive facial asymmetry and occlusal imbalance and may coexist with preexisting skeletal discrepancies. In such cases, a single-stage approach combining condylectomy and orthognathic surgery can address both pathological growth and the associated dentofacial deformity.

Articaine in Oral and Maxillofacial Anesthesia: What Does High-Level Evidence Reveal About Nerve Block and Infiltration Strategies?

Rafael Dascanio, Francisco Groppo, Mutlu Özcan, Camila Batista da Silva Candido — 2026-05-04

Local anesthesia is a cornerstone of office-based oral and maxillofacial surgical practice, but achieving predictable anesthesia in mandibular procedures remains a persistent clinical challenge.

Cystic and Neoplastic Lesions in Pericoronal Follicles of Asymptomatic Third Molars: A Systematic Review and Meta-Analysis

2026-04-30

The management of fully impacted and asymptomatic third molars remains a matter of debate. Significant histological alterations have been reported in follicles with a normal pericoronal space on radiographic examination.

Percutaneous Minimal Access Approach for Open Reduction and Internal Fixation of Zygomatic Arch in Zygomatic Complex Fractures: A Simple and Effective Technique

Anand Gupta, Anish Poorna T, Viraj Nitin Khismatrao, Gurvanit Kaur Lehl — 2026-04-21

Fixation of the zygomatic arch (ZA) in zygomatic complex fractures is often avoided because traditional approaches are extensive and pose a risk to the facial nerve. The percutaneous minimal-access approach for open reduction and internal fixation of ZA offers a simple, effective alternative, while ensuring stable fixation. Unlike conventional hemicoronal or preauricular techniques, it avoids large incisions, reduces scarring, and preserves the facial nerve. Key advantages include shorter operative time, reduced hospital stay, improved cosmetic outcomes, and minimal additional equipment, making it cost-effective.

Effect of Biopsy on MRI Accuracy in Preoperative Assessment of Tongue Squamous Cell Carcinoma

2026-04-21

The effect of biopsy on magnetic resonance imaging (MRI) measurement accuracy in preoperative assessment of tongue squamous cell carcinoma (TSCC) remains unclear.

Efficacy of Custom-Made Zirconia Sheet Versus Polytetrafluoroethylene as a Non-resorbable Barrier in Maxillary Alveolar Ridge Augmentation: A Randomized Clinical Trial

2026-04-19

While titanium-reinforced expanded polytetrafluoroethylene (Ti-ePTFE) represents the most widely used nonresorbable barrier for large alveolar defects in guided bone regeneration (GBR), custom-designed zirconia membranes present a viable alternative.

Redundant Computed Tomography in Maxillofacial Trauma: A National Analysis of Frequency and Predictors Following Interfacility Transfer

2026-04-19

Duplication of computed tomography (CT) imaging following interfacility transfer for trauma is a well-established systems level inefficiency. However, the incidence and drivers of repeat imaging have not been examined within the maxillofacial trauma demographic.

Sensory Outcomes Following Nerve Tape Sutureless Neurorrhaphy for Reconstruction of Lingual and Inferior Alveolar Nerve Discontinuities

Timothy W. Neal, Yotom Rabinowitz, John R. Zuniga — 2026-04-18

Trigeminal nerve repair with microsuture techniques provides predictable functional sensory recovery (FSR) outcomes. Recently, Nerve Tape (Biocircuit Technologies, Inc., Atlanta, Georgia), a new sutureless peripheral nerve repair device, has been introduced.

Differentiation Between Dental Follicle and Dentigerous Cyst in Impacted Mandibular Third Molars: A Prospective Cohort Study

Nazife Tuba Telcioğlu, Mehtap Muğlali, Rabia Tül Adeviye Çankaya — 2026-04-18

Impacted mandibular third molars may be associated with pericoronal tissues that can undergo cystic transformation. Distinguishing dental follicles (DFs) from dentigerous cysts (DCs) based solely on radiographic findings is often unreliable, highlighting the importance of histopathological evaluation for accurate diagnosis and management.

Relationship Between Expansion Magnitude and Relapse in Multi-Segment Le Fort I Osteotomy: A Retrospective Cohort Study

Rachel Macdonald, Melih Motro, Michael Gunson, Leslie Will — 2026-04-18

Maxillary transverse deficiency is commonly addressed through multisegment Le Fort I osteotomies. Whether greater expansion magnitudes result in greater relapse remains uncertain, because the existing literature primarily reports relapse of procedures with dental expansion of <4 mm.

Can Disc Perforation in Subjects With Intra-Articular Pain and Dysfunction Be Managed Arthroscopically?

2026-04-17

Disc perforation represents an advanced stage of temporomandibular joint degeneration, and the optimal arthroscopic treatment remains controversial.

Clinical Factors Influencing Postoperative Airway and Nutritional Management After Microvascular Tongue Reconstruction for Oral Cancer

2026-04-13

Microvascular free flap reconstruction is a standard approach after oncologic tongue resection, but postoperative airway and nutritional support can delay recovery and impair quality of life. Risk factors for prolonged tracheostomy dependence and percutaneous endoscopic gastrostomy (PEG) tube requirement after isolated tongue reconstruction remain poorly defined.

Mandibular Interforaminal Ridge Reorientation for Osteogenic Reinforcement for Knife-Edge and Hourglass Mandibles in the Anterior Region: A Technical Note

2026-04-13

Severely narrow interforaminal mandibular ridges with knife-edge or hourglass morphology may compromise implant placement despite preserved vertical height. This technical note describes the Mandibular Interforaminal Ridge Reorientation for Osteogenic Reinforcement technique, a same-site approach in which a crestal cortical segment is mobilized and reoriented outward to create a contained tunnel for particulate grafting under a titanium-reinforced dense polytetrafluoroethylene membrane. The surgical workflow includes controlled osteotomies, stabilization of the mirrored segment, tunnel grafting, and tension-free closure.

Poor Compliance With Radiotherapy Was Associated With Worse Survival Outcome in Patients With Head and Neck Cancer

Jing Li Leong, Wan-Tsun Tsai, Ching-Chih Lee — 2026-04-10

Compliance with radiotherapy (RT) is associated with therapeutic efficacy and long-term prognosis in patients with head and neck squamous cell carcinoma (HNSCC).

Is Endoscopic Treatment of Sagittal Craniosynostosis in Children Aged 6 to 9 Months an Effective Approach for Delayed Presentations?

Vincent Aquino, Alondra Arias, Caleb Morales, David Yates, Ziyad Makoshi — 2026-04-10

Endoscopic approaches to sagittal craniosynostosis are typically used in children <6 months because of more predictable outcomes with postoperative helmet therapy. For children presenting at 6 months or older, surgeons usually opt for open repair for more predictable correction.

Liposomal Bupivacaine Reduces Opioid Use Following Third Molar Surgery: A Randomized Controlled Trial

Karen He, Michael R. Delong, Mia Joseph, Brent Whiting, Wayne H. Ozaki — 2026-04-09

Third molar extraction is one of the most common procedures associated with initial opioid exposure in adolescents. Exparel (liposomal bupivacaine) offers a potential strategy to reduce opioid use.

Do Patient-Specific Distractors and Cutting Guides Reduce Operative Time in Infants Undergoing Mandibular Distraction Osteogenesis?

2026-04-09

Mandibular distraction osteogenesis (MDO) is a surgical treatment for upper airway obstruction in infants with micrognathia. Recent advances in computer aided design and manufacturing (CAD/CAM) have enabled the use of patient-specific cutting guides and distractors; however, limited data exist regarding the effect of patient specific hardware on MDO operative time.

Closed Reconstruction of Depressed Frontal Sinus Fractures: An Innovative Technique

Mohsen Naraghi, Jazmin Kazravan, Amirhossein Babaei — 2026-04-09

This article describes a novel technique for reconstructing a frontal sinus fracture that minimizes the risks associated with conventional approaches. In this study, we report a patient presented with a depressed frontal sinus fracture following a car accident. Through a small (5 mm) sub-brow incision, a freer elevator was inserted beneath the fractured fragments to elevate them. A 16-gauge venous catheter was then introduced horizontally from the medial aspect of the bone, exiting at the lateral side.

What is the Revision Rate for Alloplastic Total Joint Replacement? A Systematic Review and Meta-Analysis

2026-04-09

Alloplastic temporomandibular joint replacement (TMJR) is a reliable option for end-stage temporomandibular joint (TMJ) disease, yet revision surgery may still be required for infection, loosening, or heterotopic ossification. As each surgical intervention adds exponentially to the risk of facial nerve injury, assessing risk of revision is essential for surgical planning and patient counseling.

The Effectiveness of Decompression in Ameloblastoma Treatment: A Systematic Review and Meta-Analysis

2026-03-31

There is a critical trade-off in ameloblastoma management: balancing the significant tissue-preserving benefits of decompression treatment against its potential for higher recurrence compared to radical resection.

Use of Mesenchymal Stem Cells in Facial Bone Tissue Regeneration: An Overview of the Present

2026-03-25

Tissue engineering, particularly utilizing mesenchymal stem cells (MSCs), represents a rapidly advancing strategy for craniofacial bone regeneration. While traditional autologous bone grafting remains the standard, its widespread application is severely limited by donor site morbidity, prolonged recovery, and inconsistent results.

Quantifying 3-Dimensional Soft-to-Hard Tissue Response After Class III Orthognathic Surgery: A Hybrid Cone-Beam Computed Tomography–Stereophotogrammetric Analysis

Alaz Enez, Nur Altıparmak, Berat Serdar Akdeniz, Sıdıka Sinem Akdeniz — 2026-03-24

Accurate prediction of postoperative soft tissue behavior remains a critical challenge in Class III orthognathic surgery. However, existing estimates of soft-to-hard tissue correspondence are largely derived from 2-dimensional analyses or single-modality imaging, limiting their ability to characterize region-specific soft tissue responses after bimaxillary correction.

Risk Factors for Survival in Pediatric Maxillofacial Rhabdomyosarcoma: A Single-Center Retrospective Cohort Study

Ge Zhang, Shengcai Wang, Guoxia Yu, Yan Su, Zhikai Liu, Xin Ni — 2026-03-20

Maxillofacial rhabdomyosarcoma (RMS) is a rare and poorly defined subset of pediatric head and neck RMS. Its anatomical complexity and overlap between parameningeal and nonparameningeal sites pose significant challenges in risk stratification and treatment.

Area Deprivation Index and Social Determinants of Health: Association With Loss to Follow-Up After Facial Trauma Surgery

2026-03-19

Postoperative loss to follow-up in facial trauma patients is a persistent challenge potentially linked to adverse outcomes. However, factors associated with loss to follow-up remain poorly characterized.

Antidepressant Prescription Use Correlated With Increased Complications Following Mandibular Fracture Surgery

2026-03-17

Mental health factors are increasingly recognized as contributors to postoperative outcomes.

Risk of Postsurgical Inferior Alveolar Nerve Injury in At-Risk Patients Based on Tomographic Imaging Features: Systematic Review and Meta-Analysis

2026-03-13

Reported risk of inferior alveolar nerve (IAN) injury following mandibular third molar surgery varies widely and is typically presented without stratification by tomographic risk factors, limiting individualized risk assessment and surgical planning.

Preoperative Etoricoxib Reduces Postoperative Pain and Improves Functional Recovery in Third Molar Extraction: A Systematic Review and Meta-Analysis

2026-03-13

Though postoperative acute pain following third molar extraction impairs patient satisfaction and increases health care costs, evidence regarding the efficacy of the highly selective cyclooxygenase-2 inhibitor etoricoxib for preemptive analgesia in this setting remains unclear.

Pediatric Maxillofacial Fractures: A 10-Year Retrospective Analysis of 549 Cases With Emphasis on Facial Injury Severity Score Validation and COVID-19 Impact

Süleyman Çeçen, Menekşe Kastamoni Başkan, Güzin Yeşim Özgenel, Selçuk Akin — 2026-03-12

Pediatric maxillofacial fractures (PMFs) represent a distinct clinical entity due to their unique features. However, objective tools that inform surgical decision-making and stratify risk in PMF remain limited. In particular, the clinical utility of the Facial Injury Severity Score (FISS) in predicting management strategies and outcomes, as well as its behavior during extraordinary periods such as the COVID-19 pandemic, remains unclear.

Time to Functional Sensory Recovery Following Mental Nerve Skeletonization

Frijo Xavier, Manish J. Raghani, Santhosh Rao — 2026-03-11

Mental nerve skeletonization is commonly required during intraoral open reduction and internal fixation (ORIF) of mandibular parasymphysis and body fractures, yet objective, time-based data on functional sensory recovery (FSR) remain limited.

Is Same-Day Discharge Safe Following Orthognathic Surgery?

2026-03-10

Outpatient orthognathic surgery has garnered increasing interest amid rising health care costs and the growing adoption of enhanced recovery after surgery protocols. However, the safety of same-day discharge remains unclear.

Implementation of an Enhanced Recovery After Surgery Protocol for Temporomandibular Joint Replacement: A Retrospective Cohort Study

Arshi Munjal, Russell Williams, Peter Quinn, Eric Granquist — 2026-03-10

Enhanced recovery after surgery (ERAS) protocols are guidelines designed to improve postoperative outcomes for patients. Although ERAS protocols are associated with improved outcomes in orthognathic, head and neck cancer, and maxillofacial trauma surgeries, their utility following temporomandibular joint replacement (TMJR) remains unclear.

Digital Planning and Patient-Specific Implants Facilitate Accurate Conventional Sub-Cranial Le Fort III Advancement

Jeffrey S. Marschall — 2026-03-10

Syndromic craniosynostosis is characterized by multisuture fusion, midface hypoplasia, and, frequently, extracranial anomalies. In these patients, transcranial monobloc/facial bipartition or subcranial Le Fort III osteotomy is typically used to achieve total midface advancement. Presented here is a case of conventional subcranial Le Fort III osteotomy in a 15-year-old patient with Apert syndrome using digital planning and patient-specific implants. The accuracy of this procedure was assessed by digitally overlaying the postoperative computed tomography scan onto the preoperative surgical plan.

Did the Affordable Care Act Increase Medicaid Coverage for Isolated Facial Trauma? A National Cohort Study

2026-03-02

Patients with facial fractures are disproportionately uninsured or underinsured, creating a substantial economic burden for trauma systems. Although the Affordable Care Act (ACA) significantly expanded Medicaid eligibility, its effect on insurance coverage among adults with facial trauma remains poorly defined.

Pregnancy and Motherhood During Oral and Maxillofacial Surgery Residency

Dongdan Guo, Vicky Yau, Hunter Martin — 2026-03-02

Despite increasing gender diversity across health care, disparities persist in surgical subspecialties. Women comprise 19% of surgeons in the United States, yet represent 11% of the nearly 8,000 active members of the American Association of Oral and Maxillofacial Surgeons (AAOMS), excluding retired or candidate fellows. One potential deterrent to pursuing a career in oral and maxillofacial surgery (OMS) and completing residency training is the perception that OMS demands are incompatible with pregnancy and early parenthood.

Outcome of Concomitant Maxillary Sinusitis Following Surgical Treatment for Maxillary Medication-Related Osteonecrosis of the Jaw

Huixia Xu, Ting Cao, Jinyuan He, Jiahao Kou, Chenxi Jiang, Guowen Sun — 2026-03-02

The incidence of medication-related osteonecrosis of the jaw (MRONJ) is increasing, and maxillary MRONJ is frequently complicated by maxillary sinusitis, which may lead to severe complications if not adequately controlled.

The Presence of Temporomandibular Disorder is Associated With an Elevated Risk of Concomitant Sleep Apnea

Ali Moradi, Sahand Samieirad, Reza Shakiba, Saleh Dadmehr, Ricardo Grillo — 2026-03-01

Temporomandibular disorders (TMDs) and obstructive sleep apnea (OSA) are prevalent conditions that frequently co-occur. It remains unclear if the presence of TMD is more likely to be associated with an increased risk of OSA.

Does Pain Localization in Patients With Temporomandibular Disorders Discriminate Between Myogenous and Arthrogenous Sources?

2026-02-25

Temporomandibular disorders (TMDs) are common, yet distinguishing myogenous from arthrogenous pain remains challenging.

Prosthodontic Rehabilitation After Fibula-Free Flap Reconstruction of the Jaws

2026-02-25

Prosthodontic rehabilitation (PR) after fibula-free flap (FFF) reconstruction of maxillomandibular defects remains clinically challenging, and understanding factors that enhance or detract from achieving PR is critical to improving outcomes.

Minimally Invasive Resection of a Compound Odontoma Assisted by an Autonomous Oral Robot: A Case Report of Technical Innovation

Xinzhao Chen, Yue Wang, Guang Zeng, Kai Jiao — 2026-02-23

This report describes the first clinical application of an autonomous oral robot for minimally invasive resection of a compound odontoma in a 16-year-old female, thereby filling a gap in both reported cases and standardized protocols. Oral examination and cone-beam computed tomography of the right mandible revealed a retained second deciduous molar, a congenitally missing first premolar, and a compound odontoma. The results of pulp vitality tests for the right mandibular second premolar and first molar were consistent with control teeth.

Clinical Outcomes, Survival, and Complications of Customized Computer-Aided Design and Manufacturing 3-Dimensional–Printed Titanium Subperiosteal Implants

2026-02-23

Rehabilitation of severely atrophic jaws remains a clinical challenge. Customized CAD/CAM 3D-printed titanium subperiosteal implants have re-emerged as an alternative to extensive bone augmentation.

Effect of Sagittal Maxillary Rotation on Inferior Scleral Exposure in Class III Maxillary Deficiency

Muazzez Suzen, Abdullah Ozel, Mine Cihan Munevveroglu, Sina Uckan — 2026-02-23

Inferior scleral exposure (ISE) is an important determinant of periorbital esthetics and overall facial harmony. While effects of linear maxillary movements are documented, influence of sagittal-plane maxillary rotational vectors on ISE remains insufficiently investigated.

Surgical Management of Relative Chin Prominence in Class II Malocclusions

2026-02-23

Relative chin prominence is commonly observed in certain Class II malocclusion morphotypes, particularly in deep bite and Class II Division 2 patterns. Despite mandibular retrusion, soft tissue volume and anterior mandibular rotation can produce a prominent chin appearance. This esthetic paradox presents a challenge for surgical planning and is currently not addressed by standardized management protocols.

The Prognostic Value of Preoperative Fibrinogen and Its Combination With Platelet-Lymphocyte Ratio in Oral Squamous Cell Carcinoma

Wulikaixi Yasen, Wen Jiang, Kuang He, Yi-Ning He, Rong-Hui Xia, Xiang-Zhen Yan — 2026-02-20

Oral squamous cell carcinoma (OSCC) has a poor prognosis. The prognostic value of fibrinogen (Fib), platelet-lymphocyte ratio (PLR), and their combined F-PLR (Fibrinogen-PLR) score in OSCC remains uncertain.

Factors Associated With Oral Epithelial Dysplasia in Oral Potentially Malignant Disorders

2026-02-18

Potentially malignant disorders (PMDs) carry an increased risk of malignant transformation, which may vary according to patient-specific characteristics.

Presence of Air in Odontogenic Infections: Implications and Outcomes

2026-02-16

With early surgical intervention and targeted antibiotics, most head and neck odontogenic infections resolve with low morbidity and mortality. However, these infections can be life-threatening due to airway obstruction, necrotizing fasciitis, mediastinitis, cerebral abscess, and sepsis among other severe complications.

Impact of Quad-Helix Expansion and Bone Grafting on Speech in Children With Unilateral Cleft Lip and Palate

2026-02-16

Cleft lip and palate (CLP) affect maxillofacial growth, dentoalveolar development, and speech outcomes. Interventions like maxillary arch expansion using a bonded quad-helix (xBQH) and secondary alveolar bone grafting (SABG) are common. Still, their specific impact on speech outcomes, independent of speech therapy, remains underexplored.

Computed Tomography–Based Custom Cutting Guide Enables Safe Buccal Corticotomy in the Presence of a Buccal Neurovascular Bundle

Akinori Takeshita, Sho Katsura, Yoshihiro Morita, Narikazu Uzawa — 2026-02-16

Conventional extraction of deeply impacted mandibular teeth often requires extensive bone removal, increasing the risk of nerve injury when the neurovascular bundle is positioned buccally. Although buccal corticotomy can enhance access and visibility, it is typically contraindicated in such cases due to the high risk of nerve damage. We present the successful extraction of a deeply impacted mandibular third molar with a buccally positioned inferior alveolar neurovascular bundle using a computed tomography–based custom cutting guide.

Identifying Malignant Transformation Risk of Dysplastic Oral Lesions Using the S100A7 Biomarker Signature–Based Assay

2026-02-16

Despite the progression and acceptance of personalized tests in other disease indications, no clinically adopted, personalized molecular tests exist to manage and/or treat oral epithelial dysplasia. An emerging digital prognostic platform shows promise in estimating the risk of malignant transformation of dysplastic oral lesions.

Foundations for Long-Term Implant Success

Michael S. Block — 2026-02-13

Patients receiving implant-borne prostheses require functional, esthetic, and long-term success. The importance of this review is to document with literature-based evidence, 6 core determinants that are associated with long-term success, and minimize the risks for implant failure. The objective is to provide surgeons with a list to clinically achieve that can be implemented to provide long-term functional and esthetic results.

New In-Continuity Neck Dissection Technique for Locally Advanced Oral Squamous Cell Carcinoma: A Retrospective Case Series

Xuewei Jia, Xiaomeng Wang, Fayu Liu, Changfu Sun — 2026-02-10

For advanced-stage oral squamous cell carcinoma (OSCC), in-continuity neck dissection should be the recommended treatment approach. However, when the primary lesion within the oral cavity is large, or even involves portions of the alveolar process necessitating marginal mandibulectomy, the traditional technique presents relative operational difficulties. Moreover, there is a high risk that cancer cells may be left behind in the neck and surrounding areas during retraction. We describe an in-continuity neck dissection technique that delivers cervical lymph nodes through a tunnel within the mandible into the oral cavity.

Establishment and External Validation of a Nomogram for Predicting In-Hospital Mortality in Patients With Maxillary Fractures Combined With Basilar Skull Fractures

Yutong Sun, Meng Wu, Wei Zhang, Jiawu Liu — 2026-02-10

Maxillary fractures rarely cause death alone; when combined with basilar skull fractures, they indicate high-energy craniofacial trauma and are often accompanied by severe intracranial, airway, and systemic injuries.

Stereophotogrammetry as a Precise and Accurate Method for Facial Analysis in Patients With Cleft Lip and Palate Undergoing Orthognathic Surgery

2026-02-10

Stereophotogrammetry is a promising tool for orthognathic surgical planning. However, its application in patients with cleft lip and palate (CLP) still requires validation.

Is Osteotome Type Associated With Lateral Nasal Wall Separation and Nasal Mucosal Integrity in Le Fort I Osteotomy?

Emine Fulya Akkoyun, Taha Pergel, Doğan Dolanmaz — 2026-02-05

Le Fort I maxillary osteotomy involves surgical manipulation near critical anatomical structures, including the lateral nasal wall (LNW), which may lead to complications such as improper bone separation and nasal mucosal perforation.

Age and Risk of Inferior Alveolar Nerve Injury After Removal of Lower Third Molars Close to the Mandibular Nerve

2026-02-03

Extraction of lower third molars (3 Ms) carries a risk of inferior alveolar nerve (IAN) injury. Anatomical proximity is a well-known risk factor, although the effect of patient age remains insufficiently explored.

Three-Dimensional Morphological Evaluation of the Maxillary Sinus in Individuals With Cleft Lip and Palate and Skeletal Malocclusion

Elif Betül Yıldırım, Çağrı Erdoğdu, Gülsün Akay, Yeliz Kılınç — 2026-02-02

Maxillary sinus morphology plays a crucial role in surgical planning and postoperative outcomes in patients with cleft lip and palate (CLP). Anatomical variations may affect sinus development and may differ from non-CLP.

Histopathological Margins and Recurrence Risk in Oral Squamous Cell Carcinoma: Is 3 mm Enough?

2026-02-02

Among patients with oral squamous cell carcinoma (OSCC), achieving adequate histopathological resection margins is critical to reduce recurrence risk. Although a ≥5 mm margin is the accepted standard, recent discussions suggest that smaller margins, such as ≥3 mm, may offer comparable oncologic outcomes.

Epidemiology of Facial Fractures Encountered in the Emergency Department Setting in the United States: An Update of Nationwide Estimates

2026-01-22

Facial fractures cause morbidity and involve intense resource use. Over the last two decades, several societal developments such as enactment of the Affordable Care Act and the COVID-19 pandemic occurred that could have potentially impacted facial fracture care.

Evaluation of the Association Between Body Mass Index and Facial Anthropometric Measurements: A Cross-Sectional Study

Rishika Chopra, Shruti Gupta, Anita Hooda — 2026-01-22

There are notable differences in facial morphology between obese individuals and those of normal weight. A person's body mass index (BMI) is a key factor, affecting the thickness of facial soft tissues.

Among Patients With Oral Cavity Squamous Cell Carcinoma Does Timing of Adjuvant Radiation Therapy Affect Survival?

Aaron Hui, Bita Fathipour, Mohamed El-Rabbany, Kevin C. Lee, Jasjit K. Dillon — 2026-01-20

Prior studies have investigated postoperative radiation therapy (PORT) timing and its impact on head and neck squamous cell carcinoma (HNSCC) patients. However, the effect of timely initiation of PORT among the subset of oral cavity squamous cell carcinoma (OCSCC) patients has not been reported.

Successful Treatment of Proliferative Verrucous Leukoplakia With Topical Imiquimod

Luke Tzagournis, Rekha Reddy — 2026-01-19

Proliferative verrucous leukoplakia (PVL) is a rare and clinically aggressive form of oral leukoplakia with a high rate of malignant transformation and recurrence. Given its aggressive clinical behavior, surgical excision has traditionally been the primary treatment modality. The effectiveness of topical chemotherapeutics in treating potentially malignant oral lesions has recently become a topic of considerable debate. Herein, we report the treatment outcome of a middle-aged female patient who declined surgical intervention and was instead managed solely with topical imiquimod, a Toll-like receptor 7 (TLR7) agonist.

Comparison of Curettage and Active Surveillance in the Treatment of Idiopathic Bone Cavities of the Jaw

Yu-Ju Huang, Shi-Tong Liu, Mu-Qing Liu, Yang Liu, Masih Safa, Jia-Zeng Su — 2026-01-14

Idiopathic bone cavities (IBCs) of the jaw may resolve spontaneously, creating controversy over optimal management (curettage vs active surveillance).

Prognostic Value of Pretreatment Neutrophil-to-Lymphocyte Ratio in Osteoradionecrosis

2026-01-05

Osteoradionecrosis (ORN) is a severe adverse effect of radiation therapy for head and neck cancers. Despite advances in radiation techniques and surgical management, reliable predictors of ORN prognosis remain lacking.

The Kindred Reference Form: A New Paradigm for Assessing Facial Morphology in Patients With Deformities

Yasmine Soubra, Rohan Dharia, Daeseung Kim, Jaime Gateno — 2025-12-29

Normative reference models are essential for assessing facial form, yet existing databases, stratified by ethnicity, age, and sex, have significant limitations, including incompleteness and lack of applicability for mixed-heritage patients. We propose a new paradigm, the Kindred Reference Form, which derives personalized reference morphology from a patient's nondeformed relatives. This framework provides an individualized normative standard overcoming the limitations of population datasets and proposing a new direction for patient-specific surgical planning in facial deformities.

Clinical Application of Augmented Reality in TMJ Arthroscopy: A Case Series

David Ahn, Brandon Strong, Shae Bryant, Darin Johnston — 2025-12-12

This case series evaluates the clinical application of augmented reality (AR) in temporomandibular joint arthroscopy, with a focus on improving accuracy in initial and secondary portal placement. Five patients underwent AR-assisted arthroscopy using preoperative CT-based virtual planning and intraoperative holographic visualization with the Microsoft HoloLens 2 and Xironetic's IntraOpVSP system. The AR interface enabled real-time alignment of surgical instruments with planned trajectories, resulting in successful joint access and completion of all intended procedures.

Several Immune Checkpoint Regulators Are Associated With Poor Prognosis in Salivary Duct Carcinoma Patients

Yuan Feng, Kai Qian, Kai Guo, Mengjia Fei, Tuanqi Sun, Zhuoying Wang — 2025-11-28

Salivary duct carcinoma (SDC) is an aggressive malignancy with limited treatment options, and immune checkpoint inhibitors may offer novel therapeutic alternatives.

RETRACTED: Quadrangular Cartilage Disarticulation Septoplasty: A Biomechanical Approach to Nasal Septal Deviation

Khaled Al Tabaa, Benoît Faucon, Benjamin Verillaud, Florian Chatelet — 2025-09-10

This article has been retracted: please see Elsevier policy on Article Correction, Retraction and Removal (https://www.elsevier.com/about/policies-and-standards/article-withdrawal).This article has been retracted at the request of the Editor-in-Chief.The article is a duplicate of a paper that has already been published in Annales de Chirurgie Plastique Esthétique, volume 70 (2025) in press. DOI 10.1016/j.anplas.2025.09.007. Redundant publications overweigh the relative importance of published findings and distort the academic record of the authors.