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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 2582

Special Issue Editors


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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

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

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Keywords

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

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Published Papers (2 papers)

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Research

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
Viewed by 612
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
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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
Viewed by 1500
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
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