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Oral and Craniomaxillofacial Surgery: Clinical Advances and Innovations
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Oral and Craniomaxillofacial Surgery: Clinical Advances and Innovations

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: closed (30 September 2024) | Viewed by 8790

Special Issue Editors

Prof. Dr. Majeed Rana

E-Mail Website
Guest Editor
Department of Oral and Maxillofacial Surgery, University of Duesseldorf, Moorenstr 5, D-40225 Dusseldorf, Germany
Interests: computer-aided design (CAD) and manufacturing (CAM); computer assisted surgery (CAS); patient specific implants (PSI)
Special Issues, Collections and Topics in MDPI journals
Dr. Max Wilkat

E-Mail Website
Guest Editor
Department of Oral and Maxillofacial Surgery, University of Duesseldorf, Moorenstr 5, D-40225 Dusseldorf, Germany
Interests: maxillofacial surgery

Special Issue Information

Dear Colleagues,

Oral and craniomaxillofacial surgery stands at the intersection of medicine, surgery, and dentistry, focusing on the diagnosis and treatment of a wide range of conditions affecting the oral cavity, jaw, face, and skull. With advancements in surgical techniques, technology, and interdisciplinary collaboration, this field has witnessed remarkable clinical advances and innovations in recent years.

This Special Issue of the Journal of Clinical Medicine aims to highlight the latest scientific content and groundbreaking research contributing to the evolution of oral and craniomaxillofacial surgery. From novel treatment modalities to innovative surgical approaches, the articles featured in this Special Issue provide valuable insights into improving patient outcomes, enhancing surgical precision, and addressing complex anatomical challenges.

Prof. Dr. Majeed Rana
Dr. Max Wilkat
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • craniomaxillofacial surgery
  • oral surgery
  • clinical advances
  • surgical innovations
  • interdisciplinary collaboration
  • patient outcomes

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (4 papers)

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Research

20 pages, 2095 KiB  
Article
Facial Foramen Diagnostic and Surgical Role as Reference Points in Asymmetries—Cone-Beam Computed Tomography Preliminary Study
by Kamil Nelke, Maciej Janeczek, Agata Małyszek, Marceli Łukaszewski, Marta Frydrych, Michał Kulus, Paweł Dąbrowski, Klaudiusz Łuczak, Wojciech Pawlak, Grzegorz Gogolewski and Maciej Dobrzyński
J. Clin. Med. 2025, 14(2), 463; https://doi.org/10.3390/jcm14020463 - 13 Jan 2025
Viewed by 775
Abstract
Introduction: Facial asymmetry can be attributed to a multitude of underlying causes. Multiple reference points can be utilized for guidance in surgery planning. The scope of mandibular overgrowth and asymmetry should always be measured on CBCT radiographs (cone-beam computed tomography). The assessment of [...] Read more.
Introduction: Facial asymmetry can be attributed to a multitude of underlying causes. Multiple reference points can be utilized for guidance in surgery planning. The scope of mandibular overgrowth and asymmetry should always be measured on CBCT radiographs (cone-beam computed tomography). The assessment of the mental foramen, and the supra and infraorbital foramina is crucial in surgical procedures. Their potential as reference points for predicting specific conditions has never been studied before. The authors explored if the mentioned foramina can be used for diagnostic purposes to distinguish the type of asymmetry or perhaps could improve any surgery planning in those skeletal asymmetry cases. Material and methods: Evaluation of 30 CBCT radiographs in the present preliminary study based on three study groups consisting of patients with normal skeletal features without any skeletal malocclusion (n = 10), and those compared with hemimandibular elongation (HE = 10) and hyperplasia (CH/HH = 10). For the evaluation of asymmetry, fluctuating asymmetry indices were calculated. Results: The fluctuating asymmetry indices did not differ between both sexes; however, they were remarkably higher in the CH groups than in HE or control. Some of the indices showing the highest differences show some potential as promising predictors for early detection of CH. Conclusions: The condylar hyperplasia shows the highest facial asymmetry among study groups and metric traits. The supraorbital-mental foramina measurement may be used for initial screening for the occurrence of condylar hyperplasia Additional measurements could increase the predictive value of this indicator. Further study on improved samples could confirm the hypothesis of facial foramina displacement influence on jaw osteotomy planning. Full article
(This article belongs to the Special Issue Oral and Craniomaxillofacial Surgery: Clinical Advances and Innovations)
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18 pages, 10437 KiB  
Article
Outcomes of Elongated Styloid Process Syndrome Treated with Minimally Invasive Cervical Styloidectomy (MICS)—A Single-Center Retrospective Study
by Jakub Bargiel, Michał Gontarz, Krzysztof Gąsiorowski, Tomasz Marecik and Grażyna Wyszyńska-Pawelec
J. Clin. Med. 2024, 13(21), 6409; https://doi.org/10.3390/jcm13216409 - 25 Oct 2024
Viewed by 2306
Abstract
Background: Stylohyoid syndrome, also known as classical Eagle syndrome (ES), is a rare condition characterized by elongation of the styloid process (SP) or calcification of the stylohyoid chain, presenting numerous non-specific symptoms. Most papers concerning this rare condition are case reports, case studies, [...] Read more.
Background: Stylohyoid syndrome, also known as classical Eagle syndrome (ES), is a rare condition characterized by elongation of the styloid process (SP) or calcification of the stylohyoid chain, presenting numerous non-specific symptoms. Most papers concerning this rare condition are case reports, case studies, or retrospective studies. This retrospective study delves into the intricacies of Eagle syndrome and evaluates surgical outcomes in patients treated with minimally invasive cervical styloidectomy (MICS). Methods: We conducted a retrospective study of patients treated due to ES between September 2021 and August 2023. Ninety-seven patients were qualified for MICS. Evaluation before and after surgical treatment was conducted during follow-up visits and by a questionnaire that included various data, such as symptoms, pain intensity, evaluation of healing period, and overall patient satisfaction. The minimum follow-up period was six months. Results: After applying inclusion and exclusion criteria, eighty-four patients were qualified for further assessment. The most common symptoms that subsided completely after treatment were pharyngeal foreign body sensation and pain with dysphagia or odynophagia. The MICS procedure proved to be highly effective, with 94.2% of patients experiencing a significant reduction in pain intensity and 97.1% reporting overall success. All patients were satisfied with the aesthetic outcome of the scar. The length of SP and time onset from the first symptoms to treatment positively correlated with the number, intensity, and time required for symptoms to subside. Conclusions: Eagle syndrome should be considered in diagnosing patients with orofacial and cervical pain symptoms, as the time from occurrence of the first symptoms to treatment is crucial. MICS is highly effective and has a low rate of complications in treating ES. Potential scar formation should not be a significant factor when deciding between the intraoral and external approaches. Full article
(This article belongs to the Special Issue Oral and Craniomaxillofacial Surgery: Clinical Advances and Innovations)
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12 pages, 3459 KiB  
Article
Retrospective Analysis of Clinicopathological Characteristics of Surgically Treated Basal Cell Carcinomas of the Face: A Single-Centre Maxillofacial Surgery Experience
by Abdullah Saeidi, Aydin Gülses, Maryam Jamil, Albraa Alolayan, Shadia Elsayed, Jörg Wiltfang and Christian Flörke
J. Clin. Med. 2024, 13(18), 5470; https://doi.org/10.3390/jcm13185470 - 14 Sep 2024
Cited by 1 | Viewed by 1307
Abstract
Background: Basal cell carcinoma is the most common nonmelanoma skin cancer, followed by cutaneous squamous cell carcinoma. The objective of the current study was to retrospectively evaluate the epidemiology, characteristic variations, histological aspects, and prognosis of basal cell carcinoma of the facial [...] Read more.
Background: Basal cell carcinoma is the most common nonmelanoma skin cancer, followed by cutaneous squamous cell carcinoma. The objective of the current study was to retrospectively evaluate the epidemiology, characteristic variations, histological aspects, and prognosis of basal cell carcinoma of the facial region based on a single-centre experience. Methods: Data from 125 patients admitted to the Department of Oral and Maxillofacial Surgery, University Medical Center Schleswig-Holstein (UKSH), Kiel, for surgical treatment of basal cell carcinomas of the face between January 2015 and April 2021 were evaluated. Results: The mean patient age was 79.58 years, 60.5% were male and 39.5% were female. Six patients (4.8%) had tumour recurrence with no regional metastasis. Seventy-nine patients (63%) were classified as T1. The nose and the temporal region were the most common areas. The mean tumour thickness was 3.20 mm. Conclusions: Micronodular, sclerosing/morphoeic, nodular, and superficial growth patterns of basal cell carcinoma are highly correlated to recurrence, so an excision safety margin is recommended. There is a strong correlation between tumour thickness and recurrence among basal cell carcinoma cases. When completely excised, the recurrence rate for basal cell carcinoma is relatively low. Full article
(This article belongs to the Special Issue Oral and Craniomaxillofacial Surgery: Clinical Advances and Innovations)
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19 pages, 6573 KiB  
Article
Hanna’s Modified Sagittal Split Osteotomy (HSSO): An Alternative to Inverted L Osteotomy—Merging Function and Aesthetics for Enhanced Stability, Attractiveness, and Nerve Protection
by Todd Hanna, Ketan Bansal, Robert Radu Ilesan and Daniel Buchbinder
J. Clin. Med. 2024, 13(12), 3438; https://doi.org/10.3390/jcm13123438 - 12 Jun 2024
Cited by 1 | Viewed by 3629
Abstract
Background: The current high standards in orthognathic surgery demand surgical solutions that are both ⁠ functionally ⁠ effective and aesthetically pleasing. Our approach offers one for enhanced stability, attractiveness, and nerve protection ⁠ with improved accessibility ⁠ in the majority of orthognathic [...] Read more.
Background: The current high standards in orthognathic surgery demand surgical solutions that are both ⁠ functionally ⁠ effective and aesthetically pleasing. Our approach offers one for enhanced stability, attractiveness, and nerve protection ⁠ with improved accessibility ⁠ in the majority of orthognathic scenarios ⁠ compared to an inverted L osteotomy. Methods: A case series is presented to illustrate the application and outcomes of HSSO, an optimised approach that combines the advantages of a transoral inverted L osteotomy with specific enhancements and increased versatility, ⁠ with accessibility and exposure similar to a BSSO. Results: HSSO as a completely transoral technique, demonstrate the ability to perform significant counterclockwise rotations of the mandible, eliminating the need for trocars or skin incisions. We experinced high postoperative stability when HSSO was performed in conjunction with a three-piece LeFort 1 osteotomy on a dynamic opposing arch. In comparison to an inverted L approach, we postulated that HSSO offers advantages in stability, due to the increased segmental overlap of the proximal and distal segments of the mandible. This approach is designed to enhance the safety of the inferior alveolar nerve compared to traditional sagittal split methods. Furthermore, HSSO represents an alternative to total joint replacement in select cases of idiopathic condylar resorption and is effective for correcting mandibular asymmetries while maintaining jawline aesthetics. This is achieved through the manipulation of the mandibular angle, ramus height, and inferior border without creating a step deformity in the soft tissue. Conclusions: The outcomes of HSSO highlight its capacity to deliver predictable, functional, and aesthetically pleasing results, offering a viable alternative to more traditional orthognathic techniques. Full article
(This article belongs to the Special Issue Oral and Craniomaxillofacial Surgery: Clinical Advances and Innovations)
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