Pub Date : 2026-06-01Epub Date: 2026-02-13DOI: 10.1016/j.adoms.2026.100636
J. Schortinghuis , F. Mahboobi , A. Vissink
Introduction
Patients are often more anxious than needed when scheduled for third molar removal under local anaesthesia. However, it is unclear what their expectations are beforehand and how these compare to their actual experience.
Materials and methods
The expectations of 38 prospectively included patients (21 males, 17 females, mean age 24 ± 3 years) were assessed preoperatively using a validated 66-item questionnaire covering functional limitations, complications, and recovery. Postoperative experiences were recorded one day and one month after surgery. Each item was scored from 0 (very positive) to 10 (very negative). Pre- and postoperative scores were compared per item and as total scores.
Results
A total of 38 lower in combination with an upper wisdom (n = 23) teeth on the same side was removed. The total expectation score was 3171, compared to a postoperative total of 1868 (p < 0.001). Pre-surgery, patients expected a pain score of 5.0 ± 1.0 during surgery, but the score was in reality 1.0 ± 1.0 (p < 0.001). Post-surgery, patients expected a pain score of 7.3 ± 1.7, but in reality, the mean pain score was 4.7 ± 1.1 (p < 0.0001). The influence of the surgery on going to work or school was expected to be high (score 60), but was in fact low (score 29, p < 0.0001).
Conclusion
Pre-operatively, patients tend to overestimate the negative impact of third molar surgery, but impact of third molar surgery was lower than they expected.
{"title":"Patient expectations on third molar removal","authors":"J. Schortinghuis , F. Mahboobi , A. Vissink","doi":"10.1016/j.adoms.2026.100636","DOIUrl":"10.1016/j.adoms.2026.100636","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients are often more anxious than needed when scheduled for third molar removal under local anaesthesia. However, it is unclear what their expectations are beforehand and how these compare to their actual experience.</div></div><div><h3>Materials and methods</h3><div>The expectations of 38 prospectively included patients (21 males, 17 females, mean age 24 ± 3 years) were assessed preoperatively using a validated 66-item questionnaire covering functional limitations, complications, and recovery. Postoperative experiences were recorded one day and one month after surgery. Each item was scored from 0 (very positive) to 10 (very negative). Pre- and postoperative scores were compared per item and as total scores.</div></div><div><h3>Results</h3><div>A total of 38 lower in combination with an upper wisdom (n = 23) teeth on the same side was removed. The total expectation score was 3171, compared to a postoperative total of 1868 (p < 0.001). Pre-surgery, patients expected a pain score of 5.0 ± 1.0 during surgery, but the score was in reality 1.0 ± 1.0 (p < 0.001). Post-surgery, patients expected a pain score of 7.3 ± 1.7, but in reality, the mean pain score was 4.7 ± 1.1 (p < 0.0001). The influence of the surgery on going to work or school was expected to be high (score 60), but was in fact low (score 29, p < 0.0001).</div></div><div><h3>Conclusion</h3><div>Pre-operatively, patients tend to overestimate the negative impact of third molar surgery, but impact of third molar surgery was lower than they expected.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"22 ","pages":"Article 100636"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Sushi Roll Technique: A simple non-adherent spacer for dead space management after enucleation of jaw cysts","authors":"Makoto Adachi, Ryoya Eguchi, Eiji Takeda, Kento Nakamura","doi":"10.1016/j.adoms.2026.100640","DOIUrl":"10.1016/j.adoms.2026.100640","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"22 ","pages":"Article 100640"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-01-10DOI: 10.1016/j.adoms.2026.100624
Brian Martin , Kumara Ekanayake , David McGoldrick
{"title":"Management of chronic TMJ dislocation via transoral piezoelectric condylectomy: a technical note","authors":"Brian Martin , Kumara Ekanayake , David McGoldrick","doi":"10.1016/j.adoms.2026.100624","DOIUrl":"10.1016/j.adoms.2026.100624","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100624"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2025-11-27DOI: 10.1016/j.adoms.2025.100609
A. Zarpellon , B. Motta , M. Raffaini , S. Grybauskas , A. Bim
{"title":"Sliding staircase osteotomy: Stability and symmetry for transverse augmentation of the chin","authors":"A. Zarpellon , B. Motta , M. Raffaini , S. Grybauskas , A. Bim","doi":"10.1016/j.adoms.2025.100609","DOIUrl":"10.1016/j.adoms.2025.100609","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100609"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145747959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2025-12-11DOI: 10.1016/j.adoms.2025.100614
Faris Ghafoor , Mohammed Bux , Massimo Maranzano , Simrah Farooqui
Objective
To review evidence comparing functional outcomes of primary closure and free flap reconstruction in T1 oral tongue squamous cell carcinoma (OTSCC).
Methods
PRISMA 2020 guidelines were followed (PROSPERO CRD420251121360). Ovid MEDLINE was searched for studies reporting validated outcomes (speech, swallowing, QoL) in T1 OTSCC treated by primary closure or free flaps. Comparative studies were eligible; case series, abstracts, and non–stage-specific reports were excluded.
Results
Of 767 records screened, four underwent full-text review; none met eligibility due to pooled staging, lack of a free flap arm, or absence of comparators. ROBINS-I assessment of the closest study (El-Shabrawi et al.) indicated serious bias. Excluded studies suggested primary closure often yielded better speech, while flap bulk aided swallowing but impaired articulation. QoL outcomes appeared more influenced by adjuvant therapy than reconstruction.
Conclusion
No eligible studies were found, underscoring an evidence gap. Current literature suggests no functional advantage of free flaps in T1 OTSCC. Stage-stratified, multicentre studies with standardised measures are needed to guide practice.
{"title":"Functional outcomes of primary closure versus free flap reconstruction for T1 tongue cancer: A systematic review","authors":"Faris Ghafoor , Mohammed Bux , Massimo Maranzano , Simrah Farooqui","doi":"10.1016/j.adoms.2025.100614","DOIUrl":"10.1016/j.adoms.2025.100614","url":null,"abstract":"<div><h3>Objective</h3><div>To review evidence comparing functional outcomes of primary closure and free flap reconstruction in T1 oral tongue squamous cell carcinoma (OTSCC).</div></div><div><h3>Methods</h3><div>PRISMA 2020 guidelines were followed (PROSPERO CRD420251121360). Ovid MEDLINE was searched for studies reporting validated outcomes (speech, swallowing, QoL) in T1 OTSCC treated by primary closure or free flaps. Comparative studies were eligible; case series, abstracts, and non–stage-specific reports were excluded.</div></div><div><h3>Results</h3><div>Of 767 records screened, four underwent full-text review; none met eligibility due to pooled staging, lack of a free flap arm, or absence of comparators. ROBINS-I assessment of the closest study (El-Shabrawi et al.) indicated serious bias. Excluded studies suggested primary closure often yielded better speech, while flap bulk aided swallowing but impaired articulation. QoL outcomes appeared more influenced by adjuvant therapy than reconstruction.</div></div><div><h3>Conclusion</h3><div>No eligible studies were found, underscoring an evidence gap. Current literature suggests no functional advantage of free flaps in T1 OTSCC. Stage-stratified, multicentre studies with standardised measures are needed to guide practice.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100614"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145840157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2025-11-15DOI: 10.1016/j.adoms.2025.100604
Mohammed H. Albodbaij , Bander Y. Alkarri , Kawthar M. Almumatin , Ahmad M. Alramil
A peripheral calcifying odontogenic cyst (PCOC) is an uncommon extraosseous variant of a calcifying odontogenic cyst, characterized by the presence of ghost cell and focal calcifications within the cystic lining. Here, we report a rare case of a PCOC occurring in the anterior maxilla of a 39-year-old female. The patient presented with painless, slowly enlarging swelling that had recurred twice following prior incision and evacuation procedures. Clinical and radiographic evaluation revealed a well-circumscribed soft-tissue lesion confined to the labial mucosa without any osseous involvement. The lesion was surgically managed under general anesthesia through conservative excision. The patient was prescribed amoxicillin 500 mg cap q8h, metronidazole 500 mg tab q8h, and paracetamol 1 g q6h as needed for 5 days. Histopathologic examination demonstrated a cystic cavity lined by ameloblastoma-like odontogenic epithelium containing numerous ghost cells with the absence of focal dystrophic calcifications, consistent with a PCOC. The postoperative course was uneventful, and no recurrence was noted during a 30-month follow-up. A review of the current literature highlights the consistent clinicopathologic behaviour of PCOCs and their favourable prognosis with conservative treatment.
外周钙化性牙源性囊肿（PCOC）是一种罕见的骨外钙化性牙源性囊肿，其特征是囊壁内有鬼影细胞和局灶性钙化。在此，我们报告一个罕见的PCOC病例发生在前上颌骨的39岁女性。患者表现为无痛，缓慢扩大的肿胀，在先前的切口和疏散手术后复发了两次。临床和影像学检查显示一界限清楚的软组织病变局限于唇黏膜，没有任何骨的累及。病变在全麻下保守切除手术处理。患者根据需要给予阿莫西林500 mg cap q8h，甲硝唑500 mg tab q8h，扑热息痛1 g q6h，连用5 d。组织病理学检查显示囊性腔内排列成釉细胞瘤样牙源性上皮，内含大量鬼影细胞，无局灶性营养不良钙化，符合PCOC。术后过程平稳，在30个月的随访中未见复发。对当前文献的回顾强调了PCOCs的一致的临床病理行为和保守治疗的良好预后。
{"title":"Atypical peripheral calcifying odontogenic cyst — Case report and updated review of the literature","authors":"Mohammed H. Albodbaij , Bander Y. Alkarri , Kawthar M. Almumatin , Ahmad M. Alramil","doi":"10.1016/j.adoms.2025.100604","DOIUrl":"10.1016/j.adoms.2025.100604","url":null,"abstract":"<div><div>A peripheral calcifying odontogenic cyst (PCOC) is an uncommon extraosseous variant of a calcifying odontogenic cyst, characterized by the presence of ghost cell and focal calcifications within the cystic lining. Here, we report a rare case of a PCOC occurring in the anterior maxilla of a 39-year-old female. The patient presented with painless, slowly enlarging swelling that had recurred twice following prior incision and evacuation procedures. Clinical and radiographic evaluation revealed a well-circumscribed soft-tissue lesion confined to the labial mucosa without any osseous involvement. The lesion was surgically managed under general anesthesia through conservative excision. The patient was prescribed amoxicillin 500 mg cap q8h, metronidazole 500 mg tab q8h, and paracetamol 1 g q6h as needed for 5 days. Histopathologic examination demonstrated a cystic cavity lined by ameloblastoma-like odontogenic epithelium containing numerous ghost cells with the absence of focal dystrophic calcifications, consistent with a PCOC. The postoperative course was uneventful, and no recurrence was noted during a 30-month follow-up. A review of the current literature highlights the consistent clinicopathologic behaviour of PCOCs and their favourable prognosis with conservative treatment.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100604"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145594507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2025-11-19DOI: 10.1016/j.adoms.2025.100605
Maïa Vitoratos , Maryam Ejaz , Sina Hashemi
Central giant cell granuloma of the temporomandibular joint is rare occurrence, with less than 40 documented cases in the literature. We present the case of a 12 year old girl with a central giant cell granuloma of the mandibular condyle, along with its presentation, pathway to diagnosis, and treatment. The case was followed up at 6 months post-operatively, with favourable clinical outcomes. The patient is asymptomatic and has a full range of motion of the temporomandibular joint. The next follow-up is planned at 12 months post-operatively. This case was initially seen, diagnosed, and treated at the McGill University Health Center, department of Oral and Maxillofacial surgery.
{"title":"Central giant cell granuloma of the temporomandibular joint: A case report","authors":"Maïa Vitoratos , Maryam Ejaz , Sina Hashemi","doi":"10.1016/j.adoms.2025.100605","DOIUrl":"10.1016/j.adoms.2025.100605","url":null,"abstract":"<div><div>Central giant cell granuloma of the temporomandibular joint is rare occurrence, with less than 40 documented cases in the literature. We present the case of a 12 year old girl with a central giant cell granuloma of the mandibular condyle, along with its presentation, pathway to diagnosis, and treatment. The case was followed up at 6 months post-operatively, with favourable clinical outcomes. The patient is asymptomatic and has a full range of motion of the temporomandibular joint. The next follow-up is planned at 12 months post-operatively. This case was initially seen, diagnosed, and treated at the McGill University Health Center, department of Oral and Maxillofacial surgery.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100605"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A novel scarless intraoral approach for the excision of large submental epidermoid cysts: A minimally invasive innovation","authors":"Anjani Kumar Jha, Akash Ganguly, Ashish Kumar, Tauseef Fazal, Soumalya Das, Sajid Qureshi","doi":"10.1016/j.adoms.2025.100610","DOIUrl":"10.1016/j.adoms.2025.100610","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100610"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145694475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-01-19DOI: 10.1016/j.adoms.2026.100627
Pedro Henrique de Azambuja Carvalho , Guilherme dos Santos Trento , Nathalia Caetano Marques , Julia Ferrazoli de Oliveira Borges , Marisa Aparecida Cabrini Gabrielli , Roberta Okamoto , Rubens Spin-Neto , Valfrido Antonio Pereira-Filho
Objectives
To evaluate the micro architectural and histological patterns of new bone formation in areas grafted with deproteinized bovine bone block (DBBM) compared to autogenous graft from mandibular ramus (AB).
Materials and methods
Twelve patients with edentulous atrophic maxillary ridges were submitted to maxillary ridge reconstruction surgery. Each side of maxilla received a type of graft, according to randomization: AB or DBBM. Nine months after, cylindrical bone biopsies were obtained using a trephine bur, and then submitted to micro CT to evaluate tissue volume, surface, Bone volume and surface, bone volume percent, bone surface density, specific bone density; trabecular number, separation, thickness and pattern, porosity and connectivity. From each group, six samples were randomly selected for histological analysis. Histological images were qualitatively evaluated for tissue pattern and osteocytes infiltration. Furthermore the areas of new bone formation, vital bone, soft tissue, residual biomaterial, and necrotic bone were defined.
Results
specific bone density was larger for DBBM than for AB (14.69 ± 2.66 vs 12.01 ± 2.16), but trabecular thickness was larger in AB (0.55 ± 0.33 mm) than in DBBM (0.28 ± 0.04 mm). At the histologic analysis, area of mineralized tissue was larger in the AB than in DBBM (55.29 % ± 11.24 vs 37.04 % ± 9.04). All other evaluated criteria did not differ between groups.
Conclusion
DBBM presented suitable incorporation to the grafted site, allied to new bone formation, bone volume, bone density, and soft tissue areas similar to AB.
目的评价脱蛋白牛骨块（DBBM）与自体下颌支（AB）骨块移植区新生骨形成的显微结构和组织学特征。材料与方法对12例无牙上颌嵴萎缩患者行上颌嵴重建术。上颌骨的每侧接受一种类型的移植物，根据随机分配：AB或DBBM。9个月后行环形穿刺取柱状骨活检，然后行显微CT评估组织体积、表面、骨体积和表面、骨体积百分比、骨表面密度、比骨密度；小梁数量，分离，厚度和模式，孔隙度和连通性。每组随机抽取6例标本进行组织学分析。组织学图像定性评价组织模式和骨细胞浸润。此外，还定义了新骨形成、活骨、软组织、残留生物材料和坏死骨的区域。结果DBBM的特异骨密度大于AB(14.69±2.66 vs 12.01±2.16)，但小梁厚度（0.55±0.33 mm）大于DBBM（0.28±0.04 mm）。在组织学分析中，AB组矿化组织面积大于DBBM组（55.29%±11.24 vs 37.04%±9.04）。所有其他评估标准在两组之间没有差异。结论dbbm与移植物部位结合良好，新骨形成、骨体积、骨密度和软组织面积与AB相似。
{"title":"Deproteinized bovine bone block for horizontal ridge augmentation: A clinical split-mouth prospective study – part II, histologic and microtomographic evaluation","authors":"Pedro Henrique de Azambuja Carvalho , Guilherme dos Santos Trento , Nathalia Caetano Marques , Julia Ferrazoli de Oliveira Borges , Marisa Aparecida Cabrini Gabrielli , Roberta Okamoto , Rubens Spin-Neto , Valfrido Antonio Pereira-Filho","doi":"10.1016/j.adoms.2026.100627","DOIUrl":"10.1016/j.adoms.2026.100627","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the micro architectural and histological patterns of new bone formation in areas grafted with deproteinized bovine bone block (DBBM) compared to autogenous graft from mandibular ramus (AB).</div></div><div><h3>Materials and methods</h3><div>Twelve patients with edentulous atrophic maxillary ridges were submitted to maxillary ridge reconstruction surgery. Each side of maxilla received a type of graft, according to randomization: AB or DBBM. Nine months after, cylindrical bone biopsies were obtained using a trephine bur, and then submitted to micro CT to evaluate tissue volume, surface, Bone volume and surface, bone volume percent, bone surface density, specific bone density; trabecular number, separation, thickness and pattern, porosity and connectivity. From each group, six samples were randomly selected for histological analysis. Histological images were qualitatively evaluated for tissue pattern and osteocytes infiltration. Furthermore the areas of new bone formation, vital bone, soft tissue, residual biomaterial, and necrotic bone were defined.</div></div><div><h3>Results</h3><div>specific bone density was larger for DBBM than for AB (14.69 ± 2.66 vs 12.01 ± 2.16), but trabecular thickness was larger in AB (0.55 ± 0.33 mm) than in DBBM (0.28 ± 0.04 mm). At the histologic analysis, area of mineralized tissue was larger in the AB than in DBBM (55.29 % ± 11.24 vs 37.04 % ± 9.04). All other evaluated criteria did not differ between groups.</div></div><div><h3>Conclusion</h3><div>DBBM presented suitable incorporation to the grafted site, allied to new bone formation, bone volume, bone density, and soft tissue areas similar to AB.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100627"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2025-11-07DOI: 10.1016/j.adoms.2025.100600
Roisin Kerlin , Nikolaos Fanaras , Richard Parkin
Bilateral subcutaneous emphysema of the head and neck region is a potentially life-threatening condition. We report a unique case of a patient who presented emergently to the on-call oral and maxillofacial surgery team with extensive bilateral emphysema extending into the mediastinum. It was identified that the use of an air-powder polisher during a routine scale of periodontal pockets of dental implants the previous day was the iatrogenic cause of the extensive emphysema. The patient was admitted for three days with anaesthetic-led airway management, intravenous antibiotics, and corticosteroids until full resolution of the emphysema. This case highlights a rare but severe complication of a routine dental procedure and the importance of urgent interdisciplinary intervention to prevent airway compromise.
{"title":"Extensive bilateral cervical and mediastinal emphysema following dental implant scaling: The unexpected airway risk","authors":"Roisin Kerlin , Nikolaos Fanaras , Richard Parkin","doi":"10.1016/j.adoms.2025.100600","DOIUrl":"10.1016/j.adoms.2025.100600","url":null,"abstract":"<div><div>Bilateral subcutaneous emphysema of the head and neck region is a potentially life-threatening condition. We report a unique case of a patient who presented emergently to the on-call oral and maxillofacial surgery team with extensive bilateral emphysema extending into the mediastinum. It was identified that the use of an air-powder polisher during a routine scale of periodontal pockets of dental implants the previous day was the iatrogenic cause of the extensive emphysema. The patient was admitted for three days with anaesthetic-led airway management, intravenous antibiotics, and corticosteroids until full resolution of the emphysema. This case highlights a rare but severe complication of a routine dental procedure and the importance of urgent interdisciplinary intervention to prevent airway compromise.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"21 ","pages":"Article 100600"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145594793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号