Modified Lip Revision Surgery For The Severe Whistle Lip Deformity In Bilateral Cleft Lip
Whistle deformity is a sequela of primary surgical repair of the bilateral cleft lip that leads to a vertical tissue deficiency and a non-functional orbicularis oris muscle in the medial portion of the upper lip. This sequel is significantly limiting functionally and esthetically. We propose a complete labial revision with a secondary cheiloplasty of Mulliken and a submucosal inferiorly based flap in the central tubercle to increase the volume at this usually deficient area. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 23, 2021 Category: ENT & OMF Authors: MI Falguera-Uceda, Sanjuan-SanjuanA, A Dean-Ferrer, FJ Alamillos, S. Heredero Source Type: research

Can Patients with Metal Hypersensitivity Requiring TMJ Total Joint Prostheses be Successfully Treated with All-Titanium Alloy Mandibular Components?
This study aimed to determine if these patients can be successfully treated by eliminating CoCrMo alloy and constructing the mandibular components of all-titanium (Ti) alloy. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 23, 2021 Category: ENT & OMF Authors: Larry M. Wolford, Pilar Amaya, Matthew Kesterke, Lecio Pitombeira Pinto, Pedro Franco Source Type: research

AAOMS Officers and Trustees elected
(Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 20, 2021 Category: ENT & OMF Source Type: research

Efficacy and safety of CGF on the extraction of mandibular third molars: a prospective, randomized, double-blind controlled clinical study
To investigate the efficacy and safety of concentrated growth factor fibrin (CGF) for the extraction of mandibular third molars. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 19, 2021 Category: ENT & OMF Authors: Dongdong Fang, Dan Li, Chengjing Li, Wenyu Yang, Feng Xiao, Zhangbiao Long Source Type: research

Is the Er:YAG laser effective in reducing pain, edema and trismus after removal of impacted mandibular third molars? A meta-analysis.
: Removal of impacted third molars, can be associated with complications such as pain, edema, trismus, that can increase the morbidity of this procedure. The purpose of this study is to determine whether the Er:YAG laser is effective in reducing pain, swelling and trismus compared to rotary instruments in removing impacted lower third molars (3 LM`s). (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 19, 2021 Category: ENT & OMF Authors: Pedro Henrique da Hora SALES, Ana Waleska Pessoa BARROS, Paulo Goberl ânio de Barros SILVA, Paolo VESCOVI, Jair Carneiro LEÃO Tags: Review Article Source Type: research

“ROAAOMS Women in Oral and Maxillofacial Surgery Mentorship Program: The First Year”
In 2018, the number of female dental students surpassed males, 51% to 49%. This tiny tip of the scales is symbolically huge in our historically male-dominated profession. Although women now account for over half of dental trainees, there remains a large disparity in oral and maxillofacial surgery residents, with women only accounting for 12% of graduates in 2019.1 Various theories about this sharp drop-off exist, however ia lack of mentorship is a major barrier. A survey of attendees, a large portion of which were dental students, of the 2019 Women in Oral and Maxillofacial Surgery Symposium found that 46% lacked a mentor,...
Source: Journal of Oral and Maxillofacial Surgery - October 19, 2021 Category: ENT & OMF Authors: Lindsay Graves, Ashleigh Weyh Tags: Perspectives Source Type: research

Virtual Externship Programs Can Serve as a Viable Alternative to In-Person Externship Experiences in Oral and Maxillofacial Surgery
: The purpose of this study is to describe a model for a virtual externship program in oral and maxillofacial surgery; to quantify the value of a virtual externship in increasing understanding of the program structure, scope, and commitment to diversity; and to offer qualitative feedback on structural components. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 19, 2021 Category: ENT & OMF Authors: Catherine Haviland, Corey Powell, Justine Moe Tags: OTH Source Type: research

Response to the Letter to the Editor: Medication-Related Osteonecrosis of the Jaw (MRONJ)
To the Editor: I thank the authors for their insightful commentary in response to my manuscript titled “Medication-Related Osteonecrosis of the Jaw (MRONJ).”1 (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 16, 2021 Category: ENT & OMF Authors: Elie M. Ferneini Tags: Letters to the Editor Source Type: research

Comment on “Medication-Related Osteonecrosis of the Jaw (MRONJ)” by Elie M. Ferneini in the Section “Simply Put: JOMS Information for Patients”
We read with great interest the contribute to the section “Simply Put: JOMS Information for Patients” named “Medication-Related Osteonecrosis of the Jaw (MRONJ)” by Elie M. Ferneini.1 (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 16, 2021 Category: ENT & OMF Authors: Alberto Bedogni, Vittorio Fusco, Olga Di Fede, Giordana Bettini, Vera Panzarella, Rodolfo Mauceri, Giorgia Saia, Giuseppina Campisi Tags: Letters to the Editor Source Type: research

Multifocal “CEOT”: Possible “MCHDF”?
We have read with interest the recent article by McCloy et al1 describing 13 synchronous multifocal calcifying epithelial odontogenic tumors (CEOT) in a 30-year-old man. The patient had 15 small mixed radiolucent/radiopaque lesions in dentigerous relationships with impacted teeth (3 canines, 6 premolars, 4 second molars, and 2 third molars) in all 4 quadrants. A careful review of the pantographic and cone-beam computed tomography images provided suggests that multiple calcifying hyperplastic dental follicles (MCHDF) should also have been considered. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 14, 2021 Category: ENT & OMF Authors: Fumio Ide, Yumi Ito, Takashi Muramatsu, Kentaro Kikuchi Tags: LETTER TO THE EDITOR Source Type: research

Response to Letter to the Editor
We thank Drs Ide et al for their interest in our case report of a patient with numerous CEOTs (calcifying epithelial odontogenic tumors, Pindborg tumors).1,2 They believe, based on the multiplicity of lesions, photomicrographic features and special staining characteristics that the proper diagnosis for our case is multiple calcifying hyperplastic dental follicles (MCHDF).1,3,4 We had similar concerns but concluded, based on these same features, that it was not MCHDF, a conclusion reached by virtually every other case report of multiple CEOTs; they do not even mention MCHDF. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 14, 2021 Category: ENT & OMF Authors: Jerry E. Bouquot Tags: Letter to the Editor Source Type: research

Is inferior alveolar nerve block needed to perform implant surgery in the posterior mandible? A randomized controlled trial.
This study aimed to compare the efficacy of the 2 techniques using articaine 4% with epinephrine 1:100,000. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 10, 2021 Category: ENT & OMF Authors: De-Larriva E. DDS, Salgado A. DDS, Bernabeu-Esclapez A. DDS, Bardaji JA. DDS, Esteve-Colomina L. DDS Source Type: research

What do we know beyond reliability in voxel-based registration? Validation of the accuracy of regional voxel-based registration (R-VBR) techniques for orthognathic surgery analysis.
: Despite having excellent reproducibility, the accuracy of regional voxel-based registration (R-VBR) techniques used for postoperative orthognathic surgical analysis has not been validated. The purpose of this study was to validate the accuracy of R-VBR. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 10, 2021 Category: ENT & OMF Authors: Michael D. Han, Sebastian Graca, Tae-Geon Kwon, Alexandre M. Borba, Fernando Antonini, Michael Miloro Source Type: research

Long-term outcome of surgical treatments for nontuberculous mycobacterial cervicofacial lymphadenitis in children
Information on long-term treatment outcome for nontuberculous mycobacterial (NTM) cervicofacial lymphadenitis in children is scarce. The purpose of this study is to evaluate long-term outcome for surgical treatment, which is the mainstay treatment modality. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 9, 2021 Category: ENT & OMF Authors: Samuel H. Willemse, Willem H Schreuder, Ruben C. Apperloo, Jerome A. Lindeboom Tags: Pathology Source Type: research

What are the risk factors of incurring maxillofacial fractures from unarmed hand-to-hand combat?
The purpose of our study was to determine the risk factors of incurring maxillofacial fractures among individuals who engage in unarmed hand-to-hand combat. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 7, 2021 Category: ENT & OMF Authors: Dani Stanbouly, Sung-Kiang Chuang Tags: Craniomaxillofacial Trauma Source Type: research

Commentary: Squamous Cell Carcinoma of the Tongue in Young Patients: A Case Series and Literature Review
The recent article by Best et al provided a broad analysis of the complexities of treating squamous cell carcinoma and oral mucosal dysplasia in young patients.1 One of the major questions that exist in treating these patients is when to excise a dysplastic lesion. While the recommendations in treating moderate to severe dysplasia is excision, there is a gray area that exists when treating mild dysplasia: do we monitor the lesion closely for signs of progression, or go directly for excision? The transformation of mild dysplasia is around 5% from the reported literature, well below the extremes for moderate (up to 15%) and ...
Source: Journal of Oral and Maxillofacial Surgery - October 6, 2021 Category: ENT & OMF Authors: Brian R. Carr, Joseph A. Gulko, Timothy W. Neal, Thomas Schlieve Tags: Letters to the Editor Source Type: research

Does the Modified Frailty Index (mFI-5) Predict Adverse Outcomes in Maxillofacial Fracture Repair?
Frailty has been recognized as a predictor of postoperative adverse outcomes in many surgical subspecialties. The purpose of this study was to evaluate the relationship between frailty and complications in patients undergoing operative repair of facial fractures. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 4, 2021 Category: ENT & OMF Authors: Cameron C. Lee, William P. Hunter, Jeffrey T. Hajibandeh, Zachary S. Peacock Tags: Craniomaxillofacial Trauma Source Type: research

Evaluation of Auditory Changes in Patients Undergoing Temporomandibular Joint Discectomy
Discectomy is 1 of the preferred TMJ surgical procedure for the treatment of internal derangements when conservative and minimally invasive treatments have failed. The purpose of the current study is to investigate whether a TMJ discectomy operation influences auditory function and clinical variables. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 3, 2021 Category: ENT & OMF Authors: Onur Yilmaz, Celal Candirli, Goksel Timarcioglu, Bengu Cobanoglu, Mehmet Demirkol Tags: Anesthesia/TMJ Dysfunction/Facial Pain Source Type: research

A Modified Zygomatic Implant Placement Technique: A Prospective Study up to 6-year Follow-up
This study proposed a new modified technique for zygomatic implant placement and evaluated the up-to-6-year survival rate of endosseous zygomatic implants of the technique and its effects in preventing related complications, such as peri-implantitis, sinusitis, and implant failure. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: Tu Nguyen, Nhan Vo Source Type: research

Is Bone Grafting during Implant Placement a Protective Factor against the Development of Peri-implantitis? A Retrospective Cohort Analysis
This study aims to identify if the use of bone grafting at time of implant placement is a protective factor against the development of peri-implantitis. A retrospective cohort study was conducted at the Philadelphia Veterans Affairs Medical Center from 2006 to 2013. Physician encounter notes within three months of implant placement were used to gather data about patients ’ health status. Operative report notes were used to assess the use of bone grafting at time of implant placement. Implant status was assessed using dental encounter notes and radiographs from follow-up appointments at one, three, five and 10 years. ...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: Peter Rekawek, Tamar Rogoszinski, Brian R. Carr, John F. Coburn, Sung-Kiang Chuang, Neeraj Panchal, Brian P. Ford Source Type: research

The Burden of Head and Neck Cancer in the United States: 1990-2017
Head and neck cancers (HNC) are among the most common malignancies in the United States and are a significant cause of morbidity and mortality. Traditional risk factors for HNC include tobacco, alcohol, and Human Papillomavirus (HPV) infection. Geographic location has also been shown to play a role, whether directly or indirectly.1,2 The purpose of this study was to describe the incidence, mortality, and geographic variability of HNC within the United States between 1990 and 2017. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: D.C. Ludwig, S.D. Morrison, J.K. Dillon Tags: HEAD AND NECK PLENARY: OROPHARYNGEAL CANCER FOR THE OMSTHURSDAY, SEPTEMBER 30, 2021 Source Type: research

The Influence of Dental Rehabilitation on the Detection and Rate of Cancer Recurrence after Oral Cavity Malignant Tumor Ablation
Immediate microvascular tissue reconstruction is the reconstructive modality of choice after head and neck malignant tumor ablation. Although delayed reconstruction allows for definitive analysis of pathologic margins, studies have shown that immediate reconstruction does not yield higher rates of recurrence.1 Immediate reconstruction is associated with less financial burden, decrease in treatment time, and improved quality of life.1 The use of an implant-retained or -supported prosthetics furthers this improvement in quality of life. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: D.C. McMillan, K. McMillan, K. Ettinger, K. Arce Source Type: research

What Predictors Reduce Quality of Life in Head and Neck Cancer Patients?
Head and neck cancers (HNCA) encompasses about 4% of all cancers in the U.S. However, the disease has a disproportionate impact on patients ’ quality of life (QOL). Surgical and medical therapies can result in deformities of the head and neck, leading to severe impairment in speech, swallowing, and psychosocial problems. There is a primary focus on disease-specific treatment and survival, but QOL is a treatment outcome that has been i ncreasingly recognized as an important outcome parameter in HNCA. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: K. Huang, C.A. Ramirez Source Type: research

Primary Palatoplasty: Prevalence of Velopharyngeal Insufficiency at a Single Institution
Velopharyngeal insufficiency (VPI) and hypernasality have a high prevalence in patients following cleft palate repair. The presence of hypernasality is even higher in syndromic cleft palate patients. This is a retrospective cohort study of patients who underwent primary palatoplasty at a Carle Foundation Hospital. The purpose is to evaluate the postoperative prevalence of hypernasality and VPI following primary palatoplasties looking at syndromic versus nonsyndromic patients as well as the type of repair performed. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: A. Linnebur, A. Manlove Tags: PEDIATRICS AND CLEFT PLENARY: MULTIDISCIPLINARY TEAMS - HOW DO YOU START AND KEEP IT GOING? THURSDAY, SEPTEMBER 30, 2021 Source Type: research

Effectiveness and Pitfalls of Intraoral Distraction in Wide Alveolar Clefts: An Experience
Restoration of alveolar cleft defects is both essential and challenging for the craniofacial team. The technique of distraction is useful in large alveolar clefts, especially after the failure of conventional grafting procedures. The study aimed to analyze the effectiveness and problems of an intraoral tooth-borne distraction device. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: S. Mohanty, A. Rathaur Source Type: research

Novel Classification System and Surgical Algorithm for Facial Congenital Melanocytic Nevi
This study proposes a facial CMN classification scheme that can help guide management decisions. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: T.J. Ibelli, E. Kleinman, A. Scope Source Type: research

Mandibular Advancement with Bilateral Vertical Ramus Osteotomies in an Infant: A Novel Technique for Addressing Airway Distress in Patients with Craniofacial Anomalies
Patients with craniofacial syndromes that affect mandibular conformation and growth may face significant airway difficulties. Mandibular distraction osteogenesis is a favored surgical approach for addressing micrognathia or retrognathia, in which bone is generated at distracted osteotomized segments in order to advance the mandible and improve airway patency1. Patients with severe craniofacial anomalies, including Goldenhar Syndrome, may have unfavorable mandibular anatomy for distraction, and it has been shown that patients with Goldenhar Syndrome have lower success rates with mandibular distraction and more often require...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: K. Agari, L. Jacob, J. Hammoudeh Source Type: research

Detection of Pathology in Panoramic Radiographs via Machine Learning Using Neural Networks for Dataset Size Augmentation
Recently, Artificial Intelligence (AI) has been applied to a variety of fields in medicine and dentistry, particularly when it comes to radiographic image analysis.1 One subset of AI that has proven most adept at analysis and classification of images is convolutional neural networks (CNNs). CNNs require vast amounts of data or images to be trained to recognize or classify radiographs in disease categories, but traditional types of augmentation do not contribute a great degree of variance to the dataset. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: N. Mehandru, W.L. Hicks, A.K. Singh, L. Hsu, M.R. Markiewicz, M. Seshadri Tags: PATHOLOGY PLENARY: CONTEMPORARY MANAGEMENT OF ODONTOGENIC CYSTS, TUMORS AND RELATED SYNDROMES THURSDAY, SEPTEMBER 30, 2021 Source Type: research

Are Oral Antibiotics an Effective Alternative to Intravenous Antibiotics in Treatment of Osteomyelitis of the Jaw?
Osteomyelitis of the jaw (OMJ) is unlike osteomyelitis of long bone. It presents unique challenges to treatment due to odontogenic pathways of infection, polymicrobial nature, and need to preserve facial form and function. The majority of osteomyelitis research comes from orthopedic literature. Thus, there is limited guidance for antibiotic administration in OMJ when treated with surgical management1. Current recommendations suggest 6 weeks of intravenous (IV) antibiotics are necessary for resolution of infection2. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: R.B. Lim, C. Mills, A.B. Burke, S. Dhanireddy, A. Beiler, J.K. Dillon Source Type: research

MRRead: A Novel Approach to Training Residents in MRI TMJ Interpretation
Oral and maxillofacial surgeons (OMSs) are often tasked with diagnosing TMD in referred patients with persistent symptoms, for whom first-line therapies, such as rest and soft diet, have not provided relief. While a variety of imaging modalities are available to assess the TMJ, MRI is the most commonly used and the optimal method of TMJ evaluation. MRI scans display high resolution and excellent tissue contrast and allow for evaluation of joint biomechanics through dynamic imaging.2 Diagnosis of TMD using MRI is a critical step in the treatment process, yet it is still considered to be challenging and controversial. (Sourc...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: W. Mascarenhas, D.N. Richmond, G. Chiasson Tags: TMJ PLENARY: EDUCATION OF THE OMS IN TMJ DISEASE THURSDAY, SEPTEMBER 30, 2021 Source Type: research

Outcomes of Minimally Invasive TMJ Procedures: A New Quantitative Assessment Applied to 9 Published Studies
In the last 4 decades, the effectiveness of minimally invasive TMJ surgery has been demonstrated in dozens of peer-reviewed articles, with typical success rates of 70-90%.1-4 However, a definition of “success” for TMJ surgery lacks standardization. Important parameters that are used to determine outcomes include changes in maximal incisal opening (MIO), an objective measure, and changes in pain (VAS), a subjective, patient-reported measure. Potential flaws in measuring surgical outcomes incl ude the following: a) an increase in a patient's MIO may not occur with a decrease in pain, and conversely, reduction in ...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: O.S. Insel, G. Reeve, H. Israel Source Type: research

Assessment of Clinical Outcomes in Open Reduction and Internal Fixation of Mandibular Condyle Fractures Compared to Closed Treatment
The clinical decision to pursue open reduction and internal fixation (ORIF) vs. closed treatment (CT) to treat mandibular condyle fractures has been long contested but predicated on understanding of absolute and relative indications and contraindications. This meta-analysis critically appraised the literature to compare and contrast clinical outcomes following these interventions. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: H.E. Jazayeri, J. Lopez, H. Xun, U.K. Lee, D.L. Best, A. Reategui, S.J. Phillips, M.M. Urata, A.H. Dorafshar Tags: TRAUMA PLENARY: CRANIOMAXILLOFACIAL TRAUMA MANAGEMENT IN THE COVID-19 ERA THURSDAY, SEPTEMBER 30, 2021 Source Type: research

Incidence of Gunshot Wounds to Head and Neck Increased during COVID-19 Pandemic
COVID-19 was declared a pandemic by the World Health Organization on March 2020. Since then, there was an increase in the number of firearm purchases. The purpose of this study was to investigate whether the incidence of gunshot wounds (GSWs) to the head and neck increased during the COVID-19 pandemic. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: D. Amin, A. Manhan, R. Smith, S.M. Roser, S. Abramowicz Source Type: research

Is Outpatient Management of Mandibular Fractures Associated with Inflammatory Complications? An ACS NSQIP Study
The timing of mandibular fracture repair has long been debated. Prior studies have suggested that expedited treatment with inpatient admission and repair may improve surgical outcomes, though at an increased cost of care. The purpose of this study was to compare the rates of postoperative inflammatory complications (POICs) in patients with isolated mandibular fractures treated non-urgently using an outpatient protocol versus an urgent inpatient protocol. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: C. Lee, J. Hajibandeh, J.John Tannyhill, Z.S. Peacock Source Type: research

Prevalence of Obstructive Sleep Apnea Risk according to the STOP-BANG Questionnaire in an Oral Surgery Office-based Anesthesia Patient Population
Patients with obstructive sleep apnea (OSA) are at an increased risk for perioperative and postoperative complications after receiving intravenous (IV) sedation or postoperative analgesia. The researchers previously showed that most oral and maxillofacial surgery (OMS) providers do not screen for OSA using a quantifiable method. The purpose of this study was to determine the prevalence of OSA risk in the OMS office-based anesthesia patient population using the snoring, tiredness, observed apnea, high blood pressure, body-mass index, age, neck circumference, and gender (STOP-BANG) questionnaire. (Source: Journal of Oral and...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: M. Silver, J. Goldberg Tags: ANESTHESIA PLENARY FRIDAY, OCTOBER 1, 2021 Source Type: research

The Effects of Dexmedetomidine on Anesthetic Outcomes following Maxillomandibular Advancement Surgery
Research supports that maxillomandibular advancement (MMA) surgery is an effective treatment modality for severe obstructive sleep apnea (OSA). In a systematic review, Ankichetty, et al, found that the use of alpha 2 agonists in OSA patients reduces the requirement of perioperative analgesics, but no randomized clinical trials with the use of dexmedetomidine (DEX) in OSA patients exist.1 Furthermore, while there are several studies evaluating peri-operative parameters in patients who have undergone Stanford Protocol's Phase I OSA surgeries, published studies regarding the usage of intra-operative DEX and anesthetic outcome...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: A.D. Congiusta, A.F. Champion, D.I. Taub, Y.J. Lee Source Type: research

Perceived Age, Health, Attractiveness, and Likeability following Submental Liposuction and Associated Anthropometric Changes
Patients seek submental liposuction to remove excess fat and fullness under the jawline and achieve a more youthful appearance. However, few studies have examined the effect of neck liposuction on perceived age, health, attractiveness, and likeability. The purpose of this study was to quantify the changes in these perceived parameters following submental liposuction and to identify anthropometric changes that correlate with perceived ratings. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: S.J. Phillips, Y. Parsaei, C.J. Peck, A. Gowda, H.E. Jazayeri, A. Reategui, J. Lopez, D. Steinbacher Tags: COSMETIC PLENARY: PERIORAL AND LOWER FACIAL REJUVENATION - MINIMALLY INVASIVE AND SURGICAL STRATEGIES FRIDAY, OCTOBER 1, 2021 Source Type: research

Satisfaction with Facial Appearance following Bimaxillary Orthognathic Surgery
Patient-reported outcomes (PRO) questionnaires allow clinicians to collect data reflecting the healthcare experience directly from the patient's perspective. PRO can be used to collect information about outcomes that matter to patients such as quality of life or satisfaction with appearance after a cosmetic procedure. That information is relevant to patients with dentofacial deformities treated with orthognathic surgery because primary outcomes for such procedures include improved occlusion and facial harmony. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: C. Aubry, C. Bouchard, M. Paris, C. Sauv é Source Type: research

Comparative Evaluation of Preoperative Local and Systemic Intramuscular Administration of Dexamethasone Injection in Mandibular Third Molar Impaction Surgery
The study aimed to evaluate the effect of systemic and local intramuscular administration of dexamethasone on pain and mouth opening and postoperative swelling following mandibular third molar impaction surgery and to verify its effect on functional outcome. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: A. Verma, S. Mohanty, A. Gupta Tags: DENTOALVEOLAR PLENARY: POSTOPERATIVE PAIN CONTROL FRIDAY, OCTOBER 1, 2021 Source Type: research

Do Oral and Maxillofacial Surgeons Prescribe More Opioids after Third Molar Removal for Patients with Substance Use History?
In 2018, an estimated 53.2 million (19.4%) people 12 years or older in the United States (US) used an illicit drug within the previous year. As such, oral and maxillofacial surgeons (OMSs) must be prepared to recognize patients with a substance abuse history (SUH) and may need to be prepared to adjust analgesic management for these patients. Although substance use may be associated with increased opioid requirements and delayed recovery, few recommendations exist to guide postoperative pain management in this population. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: J.T. Han, I.D. So, T.B. Dodson, A.B. Burke Source Type: research

Mortality and Associated Variables of Full-mouth Extractions
Full-mouth extractions (FMEs) are common procedures that are classically performed electively due to caries and periodontal disease. Up to 17% of adults over the age of 65 and 2% of adults aged 20-64 in the United States are edentulous. At the University of Cincinnati Medical Center, approximately 250 FMEs are performed annually with nearly half performed on adults over the age of 50. There is currently an absence of data on this patient population and their overall outcomes. The authors hypothesize that FMEs are often performed on socioeconomically and medically vulnerable populations, thereby further compromising their c...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: Y. Rabinowitz, J.A. Phero, W. McLaurin, D.G. Krishnan, D. Hanseman, K. Hooker Source Type: research

Clinical Accuracy of Bimaxillary Surgery Completed with Custom Prefabricated Splints vs. Patient-specific Surgical Guides and Plates
Abstract Purpose Virtual surgical planning (VSP) has improved outcomes in bimaxillary orthognathic surgery when compared to traditional cephalometric analysis and model surgery. However, several studies have shown discrepancies between the planned and post-operative position of the maxilla with the use of VSP and splints. Patient-specific Implants (PSIs) have the maxillary movement and final position built into them as dictated by the virtual surgical plan, completely independent of the mandibular position and have shown promising results, but are limited in number and by sample size and no study to date has directly compa...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: J.P. Jones, D. Szalay, E.E. Ellis Tags: ORTHOGNATHIC PLENARY: ORTHOGNATHIC SURGERY - BEST AND WORST CASE FRIDAY, OCTOBER 1, 2021 Source Type: research

Is There a Difference in Postsurgical Complications between Alloplastic and Allogeneic Bone Grafting following Le Fort I Osteotomy?
Widening, advancing, and/or inferiorly repositioning the maxilla during Le Fort I osteotomy provides challenges to the surgeon secondary to interpositional bony gaps created across the osteotomy. Although several studies investigate the use of autogenous and non-autogenous bone graft materials to help overcome such challenges, there is a scarcity in the literature regarding the use of allogeneic bone as a bone graft substitute. The aim of the present study is to evaluate differences in postsurgical complications following use of allogeneic and alloplastic bone graft substitutes during Le Fort I osteotomy. (Source: Journal ...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: J.H. Shapiro, P. Mehra Source Type: research

Pseudoaneurysms after Le Fort I Osteotomy at a Single High-surgical-volume Institution
The Le Fort I maxillary osteotomy remains a workhorse surgical technique for addressing dentofacial deformities; however, significant complications can arise. One of the most serious complications is a pseudoaneurysm that results from injury to a terminal branch of the internal maxillary artery. The bleeding episodes normally develop 10 days to 4 weeks post-hospital discharge. Typically, these are minor sentinel bleeding preceding a hemorrhagic episode that results in an emergency room visit. While rare, significant morbidity has been reported, and bleeding can be rapid and in some instances mortal. (Source: Journal of Ora...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: K.S. Chan, C. Holewa, T.A. Turvey Source Type: research

Readmission after Orthognathic Surgery
The purpose of this study is to evaluate the overall readmission rate and identify the associated risk factors. Although studies have documented complications after orthognathic surgery,1,2 there is very limited information regarding specific reasons for readmission after such procedures. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: J. Kim, J. LeClair, A. Henry, P. Mehra Source Type: research

Characteristics of Skeletal Archial Analysis Facial Patterns in Adult Obstructive Sleep Apnea
Skeletal archial analysis in adult OSA has not been characterized. The specific aim of this study was to characterize archial analyses of adult subjects with known OSA. The primary research question of this study was: “What is the frequency of skeletal patterns from archial analysis in adult OSA subjects?” The authors hypothesized that adult subjects with OSA will follow a retrusive pattern skeletal archial analysis with high correlation with OSA severity. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: D.J. Kirkpatrick, B. Matthews, D.J. Dattilo, J.E. Cillo Tags: OSA PLENARY: WHAT IS KNOWN AND WHAT IS UNKNOWN? FRIDAY, OCTOBER 1, 2021 Source Type: research

Archial Skeletal Analysis is not a Significant Predictor of Adult OSA Syndrome Severity
Archial analyses may be a useful tool in the diagnosis and treatment planning of adult OSA. The purpose of this study was to evaluate the association of vertical and horizontal archial analyses on predictors of the severity of OSA. The primary research question of this study was: “Does facial skeletal archial analysis predict severity of OSA?” The authors hypothesize that archial analyses will predict severity of adult OSA. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: D.J. Kirkpatrick, B. Matthews, D.J. Dattilo, J.E. Cillo Source Type: research

Oral Adverse Outcomes Associated with the Buccal Mucosa Graft for Urethroplasty
This study sought to ask the following research question: In subjects undergoing urethroplasty with BMG, does the method of donor site management (closure, non-closure, or xenograft-assisted closure) have an association with long-term postoperative oral adverse outcomes?A retrospective cohort study was conducted, enrolling a sample of patients treated at Harborview Medical Center, Seattle, WA, between January 2012 and December 2018. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: B. Bhaskar, J.K. Dillon, T. Ellingsen, C. Panah, A. Humbert, A.B. Burke Tags: RECONSTRUCTION PLENARY: ADVANCED MAXILLOFACIAL RECONSTRUCTIVE TECHNIQUES FRIDAY, OCTOBER 1, 2021 Source Type: research

Risk Factors and Complications Associated with Early Oral Intake in Patients Undergoing Microvascular Free Flap Reconstruction of the Oral Cavity: A Single-institution, Retrospective Study
The objective of the study is to assess postoperative complications associated with early PO after free flap reconstruction of the oral cavity and to define clinical predictors for early PO. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: J.M. Le, C. Seri, H.J. Deatherage, G. Bourne, Y.P. Ying, A.B. Morlandt Source Type: research

Clinical Outcomes of Arthroscopic Management in the Treatment of Advanced End-stage Internal Derangement Wilkes V Cases of the Temporomandibular Joint
Internal derangement of the temporomandibular joint (TMJ) is 1 of the most common forms of temporomandibular joint disorders. The clinical efficacy and patient outcomes associated with TMJ arthroscopy have been well-documented for articular disorders (I-IV) of internal derangement.1,2 No studies to date, however, have focused specifically on patient outcomes of arthroscopic management of end-stage articular disorder Wilkes V cases. The purpose of the present study was to evaluate the clinical outcomes of operative arthroscopic management of end-stage cases of internal derangement of the TMJ. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2021 Category: ENT & OMF Authors: C.A. Fanelli, J.P. McCain Source Type: research