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Galli P, Foy JP, Le Roux MK, Goudot P, Lutz JC, Schouman T. Stability of maxillary expansion osteotomy using patient-specific fixation implants without necessitating removable appliances: a retrospective analysis. Clin Oral Investig 2023:10.1007/s00784-023-05082-3. [PMID: 37256431 DOI: 10.1007/s00784-023-05082-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Accepted: 05/18/2023] [Indexed: 06/01/2023]
Abstract
OBJECTIVE This study aimed to evaluate the long-term stability of surgical maxillary expansion using patient-specific fixation implants (PSFIs) without intraoral retention. MATERIALS AND METHODS Fifteen patients who had undergone segmented Le Fort I osteotomy and PSFIs with available preoperative (t0) early (t1) and 1-year follow-up computed tomography (CT) scans (t2) were evaluated. The early and 1-year 3D models were superimposed to transfer the bony landmarks; the distances between each pair of landmarks at the different time points were then measured. The distances between the canines and second molars were also measured directly on the CT scans. RESULTS The achieved maxillary expansions ranged from a median of 4.39 (2.00-6.27) mm at the greater palatine foramina to a median of 2.14 (1.56-2 > 83) mm at the canine level of the palatal bone. One year postoperatively, the changes in skeletal diameters ranged from a median of - 0.53 (- 1.65 to 0.41) mm at the greater palatine foramina (p = 0.12) to 0.17 (- 0.09 to 0.32) mm at the canine level of the palatal bone (p = 0.56). Changes in dental arch diameters ranged from a median of - 0.6 (- 2 to 0.00) mm between the second molars to - 1.3 (- 1.8 to - 0.25) mm between the canines (P < 0.05). CONCLUSION This study showed the stability of maxillary expansion osteotomy using PSFIs, even without postoperative intraoral retention. CLINICAL RELEVANCE PSFIs are a reliable method for the surgical treatment of transverse maxillary discrepancy. PFSIs are easy-to-use and improve surgical accuracy.
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Affiliation(s)
- Philippe Galli
- Sorbonne Université, APHP, Hôpital Pitié-Salpêtrière, Service de Chirurgie Maxillo-Faciale, 75013, Paris, France.
| | - Jean-Philippe Foy
- Sorbonne Université, APHP, Hôpital Pitié-Salpêtrière, Service de Chirurgie Maxillo-Faciale, 75013, Paris, France
| | - Marc-Kevin Le Roux
- Department of Oral and Maxillofacial Surgery, La Conception University Hospital, Assistance Publique Hôpitaux de Marseille, Aix-Marseille Université, 13005, Marseille, France
| | - Patrick Goudot
- Sorbonne Université, APHP, Hôpital Pitié-Salpêtrière, Service de Chirurgie Maxillo-Faciale, 75013, Paris, France
| | - Jean-Christophe Lutz
- Department of Oral and Maxillofacial Surgery, University Hospital, and UFR Medicine, University of Strasbourg, 1, Avenue Molière, 67098, Strasbourg Cedex, France
| | - Thomas Schouman
- Sorbonne Université, APHP, Hôpital Pitié-Salpêtrière, Service de Chirurgie Maxillo-Faciale, 75013, Paris, France
- Arts Et Métiers Sciences Et Technologies, Institut de Biomécanique Humaine Georges Charpak (IBHGC), 75013, Paris, France
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Boussida S, François Y, Heintz A, Saidak Z, Dakpé S, Coutte A, Chauffert B, Devauchelle B, Galmiche A, Testelin S, Goudot P, Constans JM. Evaluation of Proton MR Spectroscopy for the Study of the Tongue Tissue in Healthy Subjects and Patients With Tongue Squamous Cell Carcinoma: Preliminary Findings. Front Oral Health 2022; 3:912803. [PMID: 35924279 PMCID: PMC9339644 DOI: 10.3389/froh.2022.912803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 06/20/2022] [Indexed: 12/24/2022] Open
Abstract
PurposeTo noninvasively assess spectroscopic and metabolic profiles of healthy tongue tissue and in an exploratory objective in nontreated and treated patients with tongue squamous cell carcinoma (SCC).MethodsFourteen healthy subjects (HSs), one patient with nontreated tongue SCC (NT-SCC), and two patients with treated tongue SCC (T-SCC) underwent MRI and single-voxel proton magnetic resonance spectroscopy (1H-MRS) evaluations (3 and 1.5T). Multi-echo-times 1H-MRS was performed at the medial superior part (MSP) and the anterior inferior part (AIP) of the tongue in HS, while 1H-MRS voxel was placed at the most aggressive part of the tumor for patients with tongue SCC. 1H-MRS data analysis yielded spectroscopic metabolite ratios quantified to total creatine.ResultsIn HS, compared to MSP and AIP, 1H-MRS spectra revealed higher levels of creatine, a more prominent and well-identified trimethylamine-choline (TMA-Cho) peak. However, larger prominent lipid peaks were better differentiated in the tongue MSP. Compared to HS, patients with NT-SCC exhibited very high levels of lipids and relatively higher values of TMA-Cho peak. Interestingly, patients with T-SCC showed almost nonproliferation activity. However, high lipids levels were measured, although they were relatively lower than lipids levels measured in patients with NT-SCC.ConclusionThe present study demonstrated the potential use of in-vivo1H-MRS to noninvasively assess spectroscopic and metabolic profiles of the healthy tongue tissue in a spatial location-dependent manner. Preliminary results revealed differences between HS and patients with tongue NT-SCC as well as tongue T-SCC, which should be confirmed with more patients. 1H-MRS could be included, in the future, in the arsenal of tools for treatment response evaluation and noninvasive monitoring of patients with tongue SCC.
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Affiliation(s)
- Salem Boussida
- Radiology Department, University Hospital of Amiens Picardie, Amiens, France
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
| | - Yvener François
- Faculty of Medicine, Assistance Publique - Hôpitaux de Paris (AP-HP), Sorbonne University, Paris, France
| | - Adrien Heintz
- Radiology Department, University Hospital of Amiens Picardie, Amiens, France
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
| | - Zuzana Saidak
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Biochemistry, University Hospital of Amiens, Amiens, France
| | - Stéphanie Dakpé
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Maxillofacial Surgery and Stomatology, University Hospital of Amiens, Amiens, France
| | - Alexandre Coutte
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Radiotherapy, University Hospital of Amiens, Amiens, France
| | - Bruno Chauffert
- Department of Medical Oncology, University Hospital of Amiens, Amiens, France
| | - Bernard Devauchelle
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Maxillofacial Surgery and Stomatology, University Hospital of Amiens, Amiens, France
| | - Antoine Galmiche
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Biochemistry, University Hospital of Amiens, Amiens, France
| | - Sylvie Testelin
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Maxillofacial Surgery and Stomatology, University Hospital of Amiens, Amiens, France
| | - Patrick Goudot
- Faculty of Medicine, Assistance Publique - Hôpitaux de Paris (AP-HP), Sorbonne University, Paris, France
| | - Jean-Marc Constans
- Radiology Department, University Hospital of Amiens Picardie, Amiens, France
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- *Correspondence: Jean-Marc Constans
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Gellee T, Samama M, Goudot P, Davrou J, Schouman T. Intra-sinusal bone ring concomitant with Le Fort 1 osteotomy: description of a technique. J Stomatol Oral Maxillofac Surg 2021; 122:521-523. [PMID: 33011330 DOI: 10.1016/j.jormas.2020.09.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Revised: 08/31/2020] [Accepted: 09/10/2020] [Indexed: 06/11/2023]
Abstract
AIM To present a technical note on intra-sinusal bone ring concomitant with Le Fort 1 osteotomy. MATERIAL AND METHOD A 57-year-old man was referred to our Department for full-mouth rehabilitation. Oral examination identified: uncompensated multiple tooth loss and a class 3 skeletal malocclusion. The treatment plan consisted in a Le Fort 1 osteotomy and short-arch dental implant rehabilitation. Intra-sinusal bone ring technique associated with Le Fort 1 osteotomy were carried out under general anaesthesia. RESULT High primary retention was clinically observed of both the implant and the bone graft. Radiographic follow-up demonstrated satisfactory healing of the graft and implant osseointegration. CONCLUSION Bone ring technique concomitant with Le Fort 1 osteotomy seems to be appropriate to correct jaw discrepancy associated to a single tooth loss of the upper molar region with residual bone height of at least 3 mm to ensure implant primary stability.
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Affiliation(s)
- T Gellee
- Sorbonne Universite, APHP, Hopital Pitie-Salpetriere, Service de Stomatologie et Chirurgie Maxillo-faciale, 75013 Paris, France; Universite Paris-Est Creteil - APHP, Hopital Pitie-Salpetriere, Service de Chirurgie Maxillo-Faciale, F-75013, Paris, France.
| | - M Samama
- Sorbonne Universite, APHP, Hopital Pitie-Salpetriere, Service de Stomatologie et Chirurgie Maxillo-faciale, 75013 Paris, France
| | - P Goudot
- Sorbonne Universite, APHP, Hopital Pitie-Salpetriere, Service de Stomatologie et Chirurgie Maxillo-faciale, 75013 Paris, France
| | - J Davrou
- Sorbonne Universite, APHP, Hopital Pitie-Salpetriere, Service de Stomatologie et Chirurgie Maxillo-faciale, 75013 Paris, France
| | - T Schouman
- Sorbonne Universite, APHP, Hopital Pitie-Salpetriere, Service de Stomatologie et Chirurgie Maxillo-faciale, 75013 Paris, France
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Kerbrat A, Vinuesa O, Lavergne F, Aversenq E, Graml A, Kerbrat JB, Trost O, Goudot P. Clinical impact of two types of mandibular retention devices - A CAD/CAM design and a traditional design - On upper airway volume in obstructive sleep apnea patients. J Stomatol Oral Maxillofac Surg 2021; 122:361-366. [PMID: 34118470 DOI: 10.1016/j.jormas.2021.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 05/16/2021] [Accepted: 06/07/2021] [Indexed: 11/18/2022]
Abstract
OBJECTIVE This pilot randomized crossover study evaluated the outcomes of two custom-made mandibular retention devices (MRDs), a computer-aided design (CAD)/computer-aided manufacturing (CAM) device (Narval CC™) and a non-CAD/CAM device (Narval™), on oropharyngeal airway volume in patients with obstructive sleep apnoea (OSA). METHODS 12 OSA patients were recruited from an University Hospital for MRD therapy with either CAD/CAM or non-CAD/CAM first. A cone-beam computed tomography evaluation (CBCT) and polysomnography assessment was performed during baseline assessment and at the end of each study period. RESULTS Upper airway volume increased significantly with the CAD/CAM device (7725 +/- 6540 mm3, p = 0.008) but not with the non-CAD/CAM device (3805 +/- 7806 mm3, p = 0.13). The CAD/CAM device was also associated with a significant decrease in AHI (mean AHI after treatment 9.4±6.7 events/h, p = 0.003) and oxygen desaturation index (mean ODI of ≥ 3%/h 11.9 ± 6.8, p = 0.011). Changes in AHI (14.7 +/- 11.7 events/h, p = 0.083) and ODI (15.5 +/- 19.2, p = 0.074) were not statistically significant with the non-CAD/CAM device. The vertical dimension of occlusion increased significantly following treatment with both MRD devices (both p = 0.003), but was significantly less pronounced with the CAD/CAM device (mean difference: -2.7 +/- 1.7 mm, p = 0.003). Final mandibular protrusion after titration was the same with both devices (85%, p = 0.317). CONCLUSION The CAD/CAM (Narval CCTM) device was associated with a significant increase in upper airway volume that may be caused by a lower degree of vertical separation between the jaws when compared to the non-CAD/CAM design.
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Affiliation(s)
- A Kerbrat
- Resident, Service de Stomatologie et de Chirurgie Maxillo-faciale de la Pitié Salpétrière, 81 Boulevard de l'hopital, 75013 Paris, France.
| | | | - F Lavergne
- ResMed Science center - Saint-Priest, France
| | - E Aversenq
- ResMed Science center - Saint-Priest, France
| | - A Graml
- ResMed Science center, Munich, Germany
| | - J B Kerbrat
- Chief of the department of Orthodontics, Service de Stomatologie et de Chirurgie Maxillo-faciale de la Pitié Salpétrière, France
| | - O Trost
- Professor,Chief of the Service de Stomatologie et de Chirurgie Maxillo-faciale du CHU de Rouen, France
| | - P Goudot
- Professor, Chief of the Service de Stomatologie et de Chirurgie Maxillo-faciale de la Pitié Salpétrière, France
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Noaillon E, Hajage D, Moreau N, Azogui-Levy S, Descroix V, Goudot P, Rochefort J. Knowledge and perception of the French ANSM recommendations for acute odontogenic cellulitis in French private dental practices: a national survey. J Oral Med Oral Surg 2020. [DOI: 10.1051/mbcb/2020013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Introduction: Caring for acute odontogenic cellulitis involves drainage, treatment of the tooth and the administration of antibiotic therapy (ANSM 2011). The emergence of bacterial resistance mechanisms has led to formulating actions to promote better use of antibiotics, but France stay one of the largest consumers in Europe. Objectives: Evaluate the impact of ANSM's recommendations on dental surgeons in France for treatment of this affection. Methods: We performed a national survey with 12365 practitioners who received the questionnaire by email. Results: On 690 responder practitioners, 13% followed the recommendations to the letter and 70.5% performed a clinical intervention on the day of emergency. Only 1/3 of cases involved the prescription of amoxicillin alone for first line treatment. Conclusion: Few data exist on the evaluation of the impact of recommendations regarding this subject, but it is generally accepted it they are seldom followed. The reasons expressed are many: disagreement between practitioners on the efficiency of recommendations, lack of time and organizational constraints.
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Pérot P, Falguieres M, Arowas L, Laude H, Foy JP, Goudot P, Corre-Catelin N, Ungeheuer MN, Caro V, Heard I, Eloit M, Gessain A, Bertolus C, Berthet N. Investigation of viral etiology in potentially malignant disorders and oral squamous cell carcinomas in non-smoking, non-drinking patients. PLoS One 2020; 15:e0232138. [PMID: 32348362 PMCID: PMC7190135 DOI: 10.1371/journal.pone.0232138] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Accepted: 04/07/2020] [Indexed: 12/11/2022] Open
Abstract
Head and neck squamous cell carcinomas (HNSCC) are the seventh most frequent cancers. Among HNSCCs, oral squamous cell carcinomas (OSCCs) include several anatomical locations of the oral cavity, but exclude the oropharynx. The known risk factors for OSCCs are mainly alcohol consumption and tobacco use for at least 75-80% of cases. In addition to these risk factors, Human papillomavirus (HPV) types 16 and 18, classified as high-risk (HR) HPV genotypes, are considered as risk factors for oropharyngeal cancers, but their role in the development of OSCC remains unclear. We tested the hypothesis of viral etiology in a series of 68 well-characterized OSCCs and 14 potentially malignant disorders (PMD) in non-smoking, non-drinking (NSND) patients using broad-range, sensitive molecular methodologies. Deep-sequencing of the transcriptome did not reveal any vertebrate virus sequences other than HPV transcripts, detected in only one case. In contrast, HPV DNA was detected in 41.2% (28/68) and 35.7% (5/14) of OSCC and PMD cases, respectively. Importantly, 90.9% (30/33) of these belonged to the Betapapillomavirus genus, but no viral transcripts were detected. Finally, high-throughput sequencing revealed reads corresponding to transcripts of the Trichomonas vaginalis virus (TVV), which were confirmed by RT-PCR in two OSCCs. Our results strongly suggest that Alphapapillomavirus genotypes classified as HR are not involved in the development of OSCCs in NSND patients and that known oncogenic infectious agents are absent in these specific OSCCs. Any possible direct or indirect role of Betapapillomavirus genus members and TVV in OSCCs remains speculative and requires further investigation.
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Affiliation(s)
- Philippe Pérot
- Pathogen Discovery Laboratory, Institut Pasteur, Biology of Infection Unit, Paris, France
| | - Michaël Falguieres
- Institut Pasteur, Centre national de référence (CNR) des papillomavirus humains (HPV), Paris, France
| | - Laurence Arowas
- Institut Pasteur, Centre national de référence (CNR) des papillomavirus humains (HPV), Paris, France
| | - Hélène Laude
- Institut Pasteur, Centre national de référence (CNR) des papillomavirus humains (HPV), Paris, France
| | - Jean-Philippe Foy
- Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Université de Lyon, Université Claude Bernard Lyon 1, Lyon, France
| | - Patrick Goudot
- Department of Oral and Maxillo-Facial Surgery, Pitié-Salpêtrière Hospital, Paris, France
| | - Nicole Corre-Catelin
- Institut Pasteur, Clinical Investigation and Acces to Bioresources Department, Paris, France
| | - Marie-Noëlle Ungeheuer
- Institut Pasteur, Clinical Investigation and Acces to Bioresources Department, Paris, France
| | - Valérie Caro
- Institut Pasteur, Unité Environnement et risques infectieux, Cellule d’Intervention Biologique d’Urgence, Paris, France
| | - Isabelle Heard
- Institut Pasteur, Centre national de référence (CNR) des papillomavirus humains (HPV), Paris, France
| | - Marc Eloit
- Pathogen Discovery Laboratory, Institut Pasteur, Biology of Infection Unit, Paris, France
- National Veterinary School of Alfort, Paris-Est University, Maisons-Alfort, France
| | - Antoine Gessain
- Institut Pasteur, Unité d'Epidémiologie et Physiopathologie des Virus Oncogènes, CNRS UMR3569, Paris, France
| | - Chloé Bertolus
- Department of Oral and Maxillo-Facial Surgery, Pitié-Salpêtrière Hospital, Paris, France
- Sorbonne University, Paris, France
| | - Nicolas Berthet
- Institut Pasteur, Unité Environnement et risques infectieux, Cellule d’Intervention Biologique d’Urgence, Paris, France
- Institut Pasteur, Unité d'Epidémiologie et Physiopathologie des Virus Oncogènes, CNRS UMR3569, Paris, France
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Kerbrat A, Kerbrat JB, N'Diaye M, Goudot P, Schouman T. [Benef its of innovation in orthognathic surgery for OSA]. Orthod Fr 2019. [PMID: 34643526 DOI: 10.1051/orthodfr/2019.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Obstructive sleep apnea (OSA) is a common, multifactorial disease resulting in high morbidity and mortality. Gold standard treatment is nocturnal positive airway pressure. Maxillomandibular advancement is a surgical technique used to treat obstructive sleep apnea. Development of guided surgery has modified patient care in cases of maxillomandibular dysgnathia. Two case reports illustrate the impact of new technologies on surgical treatment of this condition. New technologies such as the recent development of surgical guides help surgical management.
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Affiliation(s)
- Adeline Kerbrat
- Hôpital Pitié-Salpétrière, Service de Stomatologie et Chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France
| | - Jean-Baptiste Kerbrat
- Hôpital Pitié-Salpétrière, Service de Stomatologie et Chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France, Faculté de Médecine Sorbonne Université, 91-105 boulevard de l'Hôpital, 75013 Paris, France
| | - Mokhtar N'Diaye
- Hôpital Pitié-Salpétrière, Service de Stomatologie et Chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France
| | - Patrick Goudot
- Hôpital Pitié-Salpétrière, Service de Stomatologie et Chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France, Faculté de Médecine Sorbonne Université, 91-105 boulevard de l'Hôpital, 75013 Paris, France
| | - Thomas Schouman
- Hôpital Pitié-Salpétrière, Service de Stomatologie et Chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France, Faculté de Médecine Sorbonne Université, 91-105 boulevard de l'Hôpital, 75013 Paris, France
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8
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Kerbrat A, Kerbrat JB, N'Diaye M, Goudot P, Schouman T. [Benef its of innovation in orthognathic surgery for OSA]. Orthod Fr 2019; 90:415-422. [PMID: 34643526 DOI: 10.1051/orthodfr/2019026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Obstructive sleep apnea (OSA) is a common, multifactorial disease resulting in high morbidity and mortality. Gold standard treatment is nocturnal positive airway pressure. Maxillomandibular advancement is a surgical technique used to treat obstructive sleep apnea. Development of guided surgery has modified patient care in cases of maxillomandibular dysgnathia. Two case reports illustrate the impact of new technologies on surgical treatment of this condition. New technologies such as the recent development of surgical guides help surgical management.
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Affiliation(s)
- Adeline Kerbrat
- Hôpital Pitié-Salpétrière, Service de Stomatologie et Chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France
| | - Jean-Baptiste Kerbrat
- Hôpital Pitié-Salpétrière, Service de Stomatologie et Chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France, Faculté de Médecine Sorbonne Université, 91-105 boulevard de l'Hôpital, 75013 Paris, France
| | - Mokhtar N'Diaye
- Hôpital Pitié-Salpétrière, Service de Stomatologie et Chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France
| | - Patrick Goudot
- Hôpital Pitié-Salpétrière, Service de Stomatologie et Chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France, Faculté de Médecine Sorbonne Université, 91-105 boulevard de l'Hôpital, 75013 Paris, France
| | - Thomas Schouman
- Hôpital Pitié-Salpétrière, Service de Stomatologie et Chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France, Faculté de Médecine Sorbonne Université, 91-105 boulevard de l'Hôpital, 75013 Paris, France
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Goudot P. [Pathology of the oral mucosa: 10 key messages]. Rev Prat 2019; 69:871. [PMID: 32237650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Patrick Goudot
- Service de stomatologie et chirurgie maxillofaciale, groupe hospitalier La Pitié-Salpêtrière, Paris, France
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10
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Lartizien R, Schouman T, Raux M, Debelmas A, Lanciaux-Lemoine S, Chauvin A, Toutee A, Touitou V, Bourges JL, Goudot P, Bertolus C, Foy JP. Yellow vests protests: facial injuries from rubber bullets. Lancet 2019; 394:469-470. [PMID: 31402026 DOI: 10.1016/s0140-6736(19)31764-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Accepted: 06/20/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Rodolphe Lartizien
- Department of Maxillo-Facial Surgery, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, F-75013, France; Université Grenoble Alpes, Grenoble, France
| | - Thomas Schouman
- Department of Maxillo-Facial Surgery, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, F-75013, France
| | - Mathieu Raux
- Department of Anaesthesiology and Critical Care, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, F-75013, France
| | - Alexandre Debelmas
- Department of Maxillo-Facial Surgery, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, F-75013, France
| | - Sophie Lanciaux-Lemoine
- Department of Maxillo-Facial Surgery, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, F-75013, France
| | - Aurore Chauvin
- Department of Ophthalmology, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, F-75013, France
| | - Adélaide Toutee
- Department of Ophthalmology, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, F-75013, France
| | - Valérie Touitou
- Department of Ophthalmology, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, F-75013, France
| | - Jean-Louis Bourges
- Department of Ophthalmology, Hôpital Cochin, Assistance Publique des Hôpitaux de Paris, Université Paris Descartes, Paris, France
| | - Patrick Goudot
- Department of Maxillo-Facial Surgery, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, F-75013, France
| | - Chloé Bertolus
- Department of Maxillo-Facial Surgery, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, F-75013, France
| | - Jean-Philippe Foy
- Department of Maxillo-Facial Surgery, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, F-75013, France.
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Bouaoud J, Beinse G, Epaillard N, Amor-Sehlil M, Bidault F, Brocheriou I, Hervé G, Spano JP, Janot F, Boudou-Rouquette P, Benassarou M, Schouman T, Goudot P, Malouf G, Goldwasser F, Bertolus C. Lack of efficacy of neoadjuvant chemotherapy in adult patients with maxillo-facial high-grade osteosarcomas: A French experience in two reference centers. Oral Oncol 2019; 95:79-86. [DOI: 10.1016/j.oraloncology.2019.06.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2019] [Revised: 05/08/2019] [Accepted: 06/07/2019] [Indexed: 02/07/2023]
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12
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Javelot MJ, Sergheraert J, Agbo-Godeau S, Levy-Weil F, Laurence S, Goudot P, Khonsari RH, Mauprivez C. Rituximab as a trigger factor of medication-related osteonecrosis of the jaw. A case report. J Stomatol Oral Maxillofac Surg 2019; 121:300-304. [PMID: 31301390 DOI: 10.1016/j.jormas.2019.06.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2019] [Revised: 06/16/2019] [Accepted: 06/24/2019] [Indexed: 11/26/2022]
Abstract
Rituximab, an anti-CD20 monoclonal antibody, is an effective treatment for rheumatoid arthritis. Here we report the case of a patient with rheumatoid arthritis, having taken risedronate for 14 months to prevent corticosteroid-induced osteoporosis, more than 2 years ago, who presented osteonecrosis of jaw following herpetic gingivostomatitis two weeks after the beginning of a rituximab treatment associated with her usual anti-rheumatic drugs. Eight weeks later, no bone and/or gum healing was observed and a stage 2 medication-related osteonecrosis of the jaw (MRONJ) was diagnosed. A conservative approach was decided with antiseptic mouth washes, low-level laser treatment (LLLT) and systemic therapy with teriparatide. Complete mucosal coverage was obtained after more two years of follow-up. We suggest that rituximab as immunosuppressant might be a cause or a decompensating factor of MRONJ. Non-surgical periodontal treatment with LLLT and teriparatide are candidates for the treatment of MRONJ.
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Affiliation(s)
- M-J Javelot
- Service d'odontologie, hôpital universitaire, hôpital universitaire Pitié-Salpêtrière, Paris, France
| | - J Sergheraert
- Pôle d'odontologie, laboratoire EA4691 biomatériaux et inflammation en site osseux, université Reims Champagne-Ardennes, hôpital Maison Blanche, centre hospitalier universitaire, Reims, France
| | - S Agbo-Godeau
- Service de chirurgie maxillo-faciale, hôpital universitaire Pitié-Salpêtrière, Paris, France
| | - F Levy-Weil
- Service de rhumatologie, centre hospitalier Victor-Dupouy, Argenteuil, France
| | - S Laurence
- Service de Chirurgie Maxillofaciale et Chirurgie Plastique, filière maladies rares TeteCou, centre de référence maladies rares MAFACE, Hôpital Universitaire Necker-Enfants Malades, Université Sorbonne Paris-Cité, Université Paris-Descartes, AP-HP, 75015 Paris, France
| | - P Goudot
- Service de chirurgie maxillo-faciale, hôpital universitaire Pitié-Salpêtrière, Paris, France
| | - R-H Khonsari
- Service de Chirurgie Maxillofaciale et Chirurgie Plastique, filière maladies rares TeteCou, centre de référence maladies rares MAFACE, Hôpital Universitaire Necker-Enfants Malades, Université Sorbonne Paris-Cité, Université Paris-Descartes, AP-HP, 75015 Paris, France
| | - C Mauprivez
- Pôle d'odontologie, laboratoire EA4691 biomatériaux et inflammation en site osseux, université Reims Champagne-Ardennes, hôpital Maison Blanche, centre hospitalier universitaire, Reims, France.
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13
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De Brauwer F, Bertolus C, Goudot P, Chaine A. Causes for litigation and risk management in facial surgery: A review of 136 cases. Journal of Stomatology, Oral and Maxillofacial Surgery 2019; 120:211-215. [DOI: 10.1016/j.jormas.2018.12.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2018] [Revised: 12/02/2018] [Accepted: 12/05/2018] [Indexed: 10/27/2022]
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14
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Alafaleq M, Roul-Yvonnet F, Schouman T, Goudot P. A retrospective study of pure medial orbital wall fracture management. J Fr Ophtalmol 2019; 42:592-596. [DOI: 10.1016/j.jfo.2019.01.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Accepted: 01/30/2019] [Indexed: 11/13/2022]
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15
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Goudot P. [What evolution for stomatology?]. Rev Prat 2019; 69:485-488. [PMID: 31626449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- Patrick Goudot
- Service de stomatologie et chirurgie maxillofaciale, groupe hospitalier La Pitié-Salpêtrière, Paris, France
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16
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Bardet I, Goudot P, Kerbrat JB, Mauchamp O. [Surgery First : prediction for skeletal objectives through structural analysis. Comparison of Sassouni and Delaire analysis]. Orthod Fr 2019; 90:37-54. [PMID: 30994448 DOI: 10.1051/orthodfr/2019004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2017] [Accepted: 01/11/2019] [Indexed: 11/14/2022]
Abstract
INTRODUCTION The purpose of this study was to compare two structural cephalometric analysis (Delaire and Sassouni) as surgical decision tools. These two analyses do not include dental compensation for skeletal discrepancies and have been proven reliable especially for the Sendai surgery first protocol developed by Sugawara. MATERIAL AND METHOD The two analysis were performed on 20 surgical cases and the proposed skeletal modifications were compared in order to measure the differences and see if those differences varied according to the facial type. For 10 cases the Virtual Surgical Planning (VSP) images obtained from Dolphin 11.95 Premium software (based on the presurgical CBCT and facial photographs) allowed a comparison of the two analyses as surgical decision indicators and to the realised surgical procedure. The VSP photographs obtained were graded by two panels: one professional and the other one non professional. RESULTS Sassouni's analysis favored more forward movements for the maxilla (ENA +5,45) as well as more vertical modifications (Me 1,595). The facial type did not appear to have a significant effect. The quality of Dolphin VSP prediction was judged rather reliable above average (3.7/6) by the panels. The VSP photographs obtained from the two analyses were presented to the panels as well as the VSP obtained from the actual surgery. The three facial outcomes: Sassouni, Delaire and "Surgery Realised" called Dolphin showed some potentially interesting differences. The small size of the sample did not show any significant findings (t test) but a special analysis revealed a valid difference between the three outcomes. The most aesthetic being Dolphin (surgery realised) 17.4 then Sassouni 16.6 (diff 0.8) and finally Delaire 14 (diff 2.6). CONCLUSIONS The two structural analysis Delaire and Sassouni did not give the same surgical objectives. Sassouni favored more forward movements for the maxilla as well as more vertical modifications. The Dolphin software appeared to be the quite reliable software to predict the facial outcomes of the surgery. The VSP photographs obtained using Sassouni's analysis were more balanced than when the Delaire analysis was followed (16.4/14 = +2.6). The VSP based on the actual surgery was judged to be even more aesthetic. This shows that beyond a cephalometric analysis the facial aesthetic details and the functional analysis are very important during the phase of surgical planning.
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Affiliation(s)
| | - Patrick Goudot
- Groupe Hospitalier Pitié Salpétrière - Service Stomatologie et Chirurgie Maxillo-faciale, 47-83 Boulevard de l'Hôpital, 75013 Paris, France
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17
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Schouman T, Ceddaha A, Makhtar N'Diaye M, Goudot P. [Dysfunction of the manducatory apparatus]. Rev Prat 2019; 69:432-437. [PMID: 31626502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Temporo-mandibular disorders -TMD- involve a whole set of anatomical, physiological and clinical disorders that exceed by far the sole temporo-mandibular joint. The main symptom of this condition, most frequent in female patients, is pain. Three syndromes are associated with TMD: a muscular syndrome, not only involving masticatory muscles but also muscles of the neck and pain in seemingly unrelated anatomical regions, which can be misleading; an inflammatory articular syndrome; a mechanical syndrome affecting mouth-opening path. The main treatment of this very common and benign disorder is based on physical therapy. However, physicians should be warned that some patients might exhibit similar symptoms in rare cases of malignant tumor.
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Affiliation(s)
- Thomas Schouman
- Service de stomatologie et chirurgie maxillofaciale, groupe hospitalier La Pitié-Salpêtrière, Paris, France
| | - Anaël Ceddaha
- Service de stomatologie et chirurgie maxillofaciale, groupe hospitalier La Pitié-Salpêtrière, Paris, France
| | - Mouhamadou Makhtar N'Diaye
- Service de stomatologie et chirurgie maxillofaciale, groupe hospitalier La Pitié-Salpêtrière, Paris, France
| | - Patrick Goudot
- Service de stomatologie et chirurgie maxillofaciale, groupe hospitalier La Pitié-Salpêtrière, Paris, France
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18
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Assoumou L, Thormann F, Soulié C, Caby F, Dudoit Y, Marcelin AG, Goudot P, Blanc C, Coriat P, Katlama C, Costagliola D, Pourcher V. Routine screening for HIV, hepatitis B virus and hepatitis C virus in individuals undergoing oral and maxillofacial surgery. HIV Med 2019; 20:353-358. [PMID: 30924598 DOI: 10.1111/hiv.12732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/08/2019] [Indexed: 10/27/2022]
Abstract
OBJECTIVES Given the effectiveness of treatment of HIV, hepatitis B virus (HBV) and hepatitis C virus (HCV) infections, there are considerable benefits associated with determining HIV/HBV/HCV status. We evaluated the feasibility and acceptability of systematic screening and subsequent care in an oral and maxillofacial surgery department. METHODS The anaesthesiologists proposed screening for HIV, HBV and HCV to all individuals of unknown infection status undergoing surgery between 19 April 2016 and 19 April 2017. The endpoints were the rates of test offer, acceptance/refusal and new diagnoses. Seropositive individuals were referred to infectious disease specialists. Associations between age, sex or surgery type and test offer (eligible individuals) or acceptance/refusal (those offered testing) were investigated. RESULTS Of the 1407 individuals attending the department, 1322 were eligible for inclusion in the study. Testing was proposed to 899 individuals [68%; 95% confidence interval (CI) 65-71%], 831 of whom accepted the offer (92.4%; 95% CI 90.5-94.1%). Results were obtained for 787 individuals (41 samples were uncollected and three were invalid). Age was the only factor associated with test offer in multivariable analysis [odds ratio (OR) 0.90; 95% CI 0.84-0.97, per additional 10 years], and no factor was associated with acceptance. Of the five, three and eight individuals testing positive for HIV, HBV and HCV, four, two and one patient, respectively, reported prior knowledge of seropositivity. The new diagnosis rate was 0.13% (95% CI 0-0.7%) for HIV and HBV, and 0.89% (95% CI 0.36-1.82%) for HCV [three positive polymerase chain reaction (PCR) tests]. All individuals newly diagnosed with HIV or HCV infection received specific antiviral treatment. CONCLUSIONS Rates of screening offer and acceptance were high. Substantial screening resources are required to decrease the impact of the hidden epidemics of HIV, HBV and HCV infections.
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Affiliation(s)
- L Assoumou
- Institut Pierre Louis d'épidémiologie et de Santé Publique (iPLESP), INSERM, Sorbonne Université, Paris, France
| | - F Thormann
- Département d'anesthésie-réanimation, AP-HP, Hôpital Pitié Salpêtrière, Paris, France
| | - C Soulié
- Laboratoire de virologie, Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), INSERM, Sorbonne Université, AP-HP, Hôpital Pitié Salpêtrière, Paris, France
| | - F Caby
- Institut Pierre Louis d'épidémiologie et de Santé Publique (iPLESP), INSERM, Sorbonne Université, Paris, France.,Service de Maladies Infectieuses, AP-HP, Hôpital Pitié-Salpêtrière, Paris, France
| | - Y Dudoit
- Service de Maladies Infectieuses, AP-HP, Hôpital Pitié-Salpêtrière, Paris, France
| | - A-G Marcelin
- Laboratoire de virologie, Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), INSERM, Sorbonne Université, AP-HP, Hôpital Pitié Salpêtrière, Paris, France
| | - P Goudot
- Service de Chirurgie orale et Maxillo-faciale, AP-HP, Hôpital Pitié Salpêtrière, Paris, France
| | - C Blanc
- Service de Maladies Infectieuses, AP-HP, Hôpital Pitié-Salpêtrière, Paris, France
| | - P Coriat
- Département d'anesthésie-réanimation, AP-HP, Hôpital Pitié Salpêtrière, Paris, France
| | - C Katlama
- Institut Pierre Louis d'épidémiologie et de Santé Publique (iPLESP), INSERM, Sorbonne Université, Paris, France.,Service de Maladies Infectieuses, AP-HP, Hôpital Pitié-Salpêtrière, Paris, France
| | - D Costagliola
- Institut Pierre Louis d'épidémiologie et de Santé Publique (iPLESP), INSERM, Sorbonne Université, Paris, France
| | - V Pourcher
- Service de Maladies Infectieuses, AP-HP, Hôpital Pitié-Salpêtrière, Paris, France.,HIV Pathogenesis and Immune Aging Team, Immunity and Infectious Diseases Research Center, INSERM, Sorbonne Université, Paris, France
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19
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Attali V, Collet JM, Jacq O, Souchet S, Arnulf I, Rivals I, Kerbrat JB, Goudot P, Morelot-Panzini C, Similowski T. Mandibular advancement reveals long-term suppression of breathing discomfort in patients with obstructive sleep apnea syndrome. Respir Physiol Neurobiol 2019; 263:47-54. [PMID: 30872167 DOI: 10.1016/j.resp.2019.03.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Revised: 03/08/2019] [Accepted: 03/10/2019] [Indexed: 02/07/2023]
Abstract
Obstructive sleep apnoea syndrome (OSAS) patients do not report breathing discomfort in spite of abnormal upper airway mechanics. We studied respiratory sensations in OSAS patients without and with mandibular advancement device (MAD). Fifty-seven moderate to severe non obese OSAS patients were asked about breathing discomfort using visual analogue scales (VAS) in the sitting position (VAS-1), after lying down (VAS-2), then with MAD (VAS-3). Awake critical closing pressure (awake Pcrit) was measured in 15 patients without then with MAD. None of the patients reported breathing discomfort when sitting but 19 patients (33%) did when lying (VAS-2: -20% or less). A feeling of "easier breathing" with MAD was observed and was more marked in patients reporting breathing discomfort when supine (VAS-3: +66.0% [49.0; 89.0]) than in those not doing so (VAS-3: +28.5% [1.0; 56.5], p = 0.007). MAD-induced change in awake Pcrit was correlated to VAS-3. In conclusion, MAD revealed "latent dyspnea" related to the severity of upper airways mechanics abnormalities in OSAS patients.
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Affiliation(s)
- Valérie Attali
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005, Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service des Pathologies du Sommeil (Département "R3S"), F-75013, Paris, France.
| | - Jean-Marc Collet
- AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service des Pathologies du Sommeil (Département "R3S"), F-75013, Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Stomatologie et Chirurgie Maxillo-faciale, F-75013, Paris, France.
| | - Olivier Jacq
- AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service des Pathologies du Sommeil (Département "R3S"), F-75013, Paris, France.
| | - Sandie Souchet
- Université Paris I - Panthéon-Sorbonne, laboratoire SAMM (Statistique, Analyse, Modélisation Multidisciplinaire -EA4543), F-75005, Paris, France.
| | - Isabelle Arnulf
- AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service des Pathologies du Sommeil (Département "R3S"), F-75013, Paris, France.
| | - Isabelle Rivals
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005, Paris, France; Equipe de Statistique Appliquée, ESPCI Paris, PSL Research University F-75005, Paris, France.
| | - Jean-Baptiste Kerbrat
- AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Stomatologie et Chirurgie Maxillo-faciale, F-75013, Paris, France; Sorbonne Université, UMR, 8256 B2A, F-75005, Paris, France.
| | - Patrick Goudot
- AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Stomatologie et Chirurgie Maxillo-faciale, F-75013, Paris, France; Sorbonne Université, UMR, 8256 B2A, F-75005, Paris, France.
| | - Capucine Morelot-Panzini
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005, Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie, Médecine Intensive et Réanimation (Département "R3S"), F-75013, Paris, France.
| | - Thomas Similowski
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005, Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie, Médecine Intensive et Réanimation (Département "R3S"), F-75013, Paris, France.
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20
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Benslama L, Schouman T, Toure S, Chardain J, Goudot P. Synovial chondromatosis of the temporomandibular joint: Report and analysis of 12 cases. J Stomatol Oral Maxillofac Surg 2018; 120:476-479. [PMID: 30557743 DOI: 10.1016/j.jormas.2018.12.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Revised: 10/22/2018] [Accepted: 12/06/2018] [Indexed: 12/29/2022]
Abstract
OBJECTIVE We had for aim to study the clinical manifestations, diagnostic imaging techniques, histopathological and therapeutic findings of patients presenting with synovial chondromatosis (CS) of the temporomandibular joint (TMJ). MATERIAL AND METHODS We reviewed the clinical history of all our patients who were diagnosed with CS between 2009 and 2013. RESULTS We identified 12 cases of TMJ-CS, in 4 male and 8 female patients, with a mean aged of 50.5 years at diagnosis (range: 43-86 years). The average symptom duration prior to diagnosis was 11 months (range: 1-24 months). The most frequent clinical manifestations were joint pain (10 cases), restricted movement (6 cases), and swelling (4 cases). Panoramic radiographs were not contributive. CT scan and MRI findings led to a diagnosis in every case. 2 to 30 foreign bodies with various degrees of aggregation were removed by arthrotomy in our series and synovectomy was performed in all patients. These foreign bodies were in the upper compartment and the articular disk was not affected in 10 cases. A histopathological examination confirmed the diagnosis. The mean postoperative follow-up was 78 months. No case of chondrosarcoma was identified and the recurrence rate was low (1 case). DISCUSSION The clinical manifestations of TMJ-CS are common and conventional imaging is poorly contributive so that the diagnosis is often late. The delay before diagnosis was an average11 months for our patients given our experience; it was almost twice longer in other series. Arthrotomy and excision of the loose bodies led to confirmation by histopathological analysis. Most of the time, this treatment is sufficient but long term clinical and radiological monitoring is required.
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Affiliation(s)
- L Benslama
- Service de stomatologie et chirurgie maxillo-faciale, AP-HP, DHU FAST, GH Pitié-Salpêtrière, Charles-Foix, 75013, Paris, France; Sorbonne universités, UPMC Université Paris 06, UMR 8256 B2A, 75005, Paris, France.
| | - T Schouman
- Service de stomatologie et chirurgie maxillo-faciale, AP-HP, DHU FAST, GH Pitié-Salpêtrière, Charles-Foix, 75013, Paris, France; Sorbonne universités, UPMC Université Paris 06, UMR 8256 B2A, 75005, Paris, France
| | - S Toure
- Service de chirurgie maxillo-faciale, hôpital Le Dantec, Dakar, Senegal
| | - J Chardain
- Service de stomatologie et chirurgie maxillo-faciale, AP-HP, DHU FAST, GH Pitié-Salpêtrière, Charles-Foix, 75013, Paris, France; Sorbonne universités, UPMC Université Paris 06, UMR 8256 B2A, 75005, Paris, France
| | - P Goudot
- Service de stomatologie et chirurgie maxillo-faciale, AP-HP, DHU FAST, GH Pitié-Salpêtrière, Charles-Foix, 75013, Paris, France; Sorbonne universités, UPMC Université Paris 06, UMR 8256 B2A, 75005, Paris, France
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21
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Gaudinat M, Samama M, Guyon A, Razouk O, Goudot P. Unicystic ameloblastoma mimicking a dentigerous cyst: short case report. J Oral Med Oral Surg 2018. [DOI: 10.1051/mbcb/2018011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Observation: This case reports an unusual morphology and localisation of ameloblastoma that imitates a dentigerous cyst on an inclused mandibular canine. Comments: Ameloblastoma is a local odontogenic benign tumour which often relapse. It is usually described in its polycystic form in the posterior mandibular part.
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22
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Gambotti L, Schwob E, Schouman T, Murcier G, Goudot P, Mallet A, Bertolus C. Are elderly patients presenting with squamous cell carcinoma of the oral cavity given the appropriate treatment? Surg Oncol 2018; 27:715-721. [PMID: 30449498 DOI: 10.1016/j.suronc.2018.04.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Revised: 12/11/2017] [Accepted: 04/30/2018] [Indexed: 11/18/2022]
Abstract
OBJECTIVES There is no consensus for the specific management of elderly patients presenting with oral cavity squamous cell carcinomas (OC SCC). We report our findings in the treatment of primary OC SCC, for patients of 70 years of age or more, in a French university hospital center. PATIENTS AND METHODS One hundred and twenty five patients diagnosed between 2000 and 2010, were included retrospectively. Independent risk factors of post-operative complications were identified using a logistic regression. The overall survival (OS) was estimated using the Kaplan Meier method. Independent factors of survival were calculated using a Cox model. RESULTS The patient's median age was 78. Women presented significantly more premalignant lesions, less alcohol intoxication, and less tobacco consumption. Half of the population sample was staged T4 in the TNM classification. Eighty eight percent of the patients received a curative treatment. The independent risk factors for post-operative complications were T3/T4 stages (OR 4.3 [1.3-14.4]), lymph node metastasis (OR 6.9 [2.1-22.7]), and alcohol abuse (OR 3.5 [1.1-11.0]). The median OS was 14.0 months. The independent negative prognostic factors for OS for patients treated curatively were: age >79 years (HR 1.9 [1.2-3.2]), stage T2/T3/T4 tumor vs. T1 (HR = 3.0 [1.5-6.0], P = 0.001) and substandard surgery (HR = 1.8 [1.1-2.9], P = 0.03). CONCLUSIONS The management of OC SCC in elderly patients is complex and requires collaboration among gerontologists, surgeons and oncologists. The treatment choice is related to the disease extent and preoperative morbid conditions.
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Affiliation(s)
- Laetitia Gambotti
- Clinical Research Unit, Universitary Hospital Pitié Salpêtrière, AP-HP, 47-83 boulevard de l'hôpital, 75 651 Paris Cedex 13, France.
| | - Emilie Schwob
- Universitary Hospital Pitié Salpêtrière, AP-HP, Department of Maxillo-facial Surgery, 47-83 boulevard de l'hôpital, 75 651 Paris Cedex 13, France; Pierre & Marie Curie University, 4 Place Jussieu 75252 Paris Cedex 05, France
| | - Thomas Schouman
- Universitary Hospital Pitié Salpêtrière, AP-HP, Department of Maxillo-facial Surgery, 47-83 boulevard de l'hôpital, 75 651 Paris Cedex 13, France
| | - Gregory Murcier
- Universitary Hospital Pitié Salpêtrière, AP-HP, Department of Maxillo-facial Surgery, 47-83 boulevard de l'hôpital, 75 651 Paris Cedex 13, France; Pierre & Marie Curie University, 4 Place Jussieu 75252 Paris Cedex 05, France
| | - Patrick Goudot
- Universitary Hospital Pitié Salpêtrière, AP-HP, Department of Maxillo-facial Surgery, 47-83 boulevard de l'hôpital, 75 651 Paris Cedex 13, France; Pierre & Marie Curie University, 4 Place Jussieu 75252 Paris Cedex 05, France
| | - Alain Mallet
- Clinical Research Unit, Universitary Hospital Pitié Salpêtrière, AP-HP, 47-83 boulevard de l'hôpital, 75 651 Paris Cedex 13, France; Pierre & Marie Curie University, 4 Place Jussieu 75252 Paris Cedex 05, France; Department of Biostatistics, Universitary Hospital Pitié Salpêtrière, AP-HP, 47-83 boulevard de l'hôpital, 75 651 Paris Cedex 13, France
| | - Chloé Bertolus
- Universitary Hospital Pitié Salpêtrière, AP-HP, Department of Maxillo-facial Surgery, 47-83 boulevard de l'hôpital, 75 651 Paris Cedex 13, France; Pierre & Marie Curie University, 4 Place Jussieu 75252 Paris Cedex 05, France
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23
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Vigié du Cayla G, Collet JM, Attali V, Kerbrat JB, Benslama L, Goudot P. Long-term effectiveness and side effects of mandibular advancement devices on dental and skeletal parameters. J Stomatol Oral Maxillofac Surg 2018; 120:7-10. [PMID: 30739641 DOI: 10.1016/j.jormas.2018.09.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Revised: 08/09/2018] [Accepted: 09/22/2018] [Indexed: 10/28/2022]
Abstract
INTRODUCTION Continuous positive airways pressure, generally used to treat obstructive sleep apnea-hypopnea syndrome (OSAHS), is not tolerated well by many patients. An alternative is to treat OSAHS with mandibular advancement devices (MAD). This research assesses the long term (> 2 years) effectiveness and the side effects on dental and skeletal parameters of these devices. MATERIAL AND METHODS We selected 24 patients with moderate to severe OSAHS. All were treated with MADs for at least 2 years. We gathered cephalometric teleradiographs in centric relation and sleep recordings before and after the patients were treated. We evaluated the patients' apnea-hypopnea indexes (AHI) as well as their Epworth sleepiness scale (ESS) scores. We measured the inclination of the central incisors and the positions of the upper and lower jaws. RESULTS Mandibular advancement devices were used for more than 2 years (3.9 ± 1.9 years). We observed a statistically significant decrease of the patients' AHI and their ESS scores. We also observed a modification of the inclination of the lower central incisors (+0.521; P = 0.047) and of the position of the maxilla (-0.287; P = 0.039). DISCUSSION We demonstrated the clinical effectiveness of mandibular advancement devices for treating OSAHS, with a very low rate of side effects on dental and skeletal positions.
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Affiliation(s)
- G Vigié du Cayla
- Service de stomatologie et chirurgie maxillo-faciale, AP-HP, DHU FAST, GH Pitié - Salpêtrière - Charles-Foix, 75013, Paris, France; Sorbonne Universités, UPMC université Paris 06, UMR 8256 B2A, 75005, Paris, France
| | - J M Collet
- Service de stomatologie et chirurgie maxillo-faciale, AP-HP, DHU FAST, GH Pitié - Salpêtrière - Charles-Foix, 75013, Paris, France; Sorbonne Universités, UPMC université Paris 06, UMR 8256 B2A, 75005, Paris, France
| | - V Attali
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France; Service des pathologies du Sommeil (Département ''R3S''), AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles-Foix, 75013 Paris, France
| | - J B Kerbrat
- Service de stomatologie et chirurgie maxillo-faciale, AP-HP, DHU FAST, GH Pitié - Salpêtrière - Charles-Foix, 75013, Paris, France; Sorbonne Universités, UPMC université Paris 06, UMR 8256 B2A, 75005, Paris, France
| | - L Benslama
- Service de stomatologie et chirurgie maxillo-faciale, AP-HP, DHU FAST, GH Pitié - Salpêtrière - Charles-Foix, 75013, Paris, France; Sorbonne Universités, UPMC université Paris 06, UMR 8256 B2A, 75005, Paris, France.
| | - P Goudot
- Service de stomatologie et chirurgie maxillo-faciale, AP-HP, DHU FAST, GH Pitié - Salpêtrière - Charles-Foix, 75013, Paris, France; Sorbonne Universités, UPMC université Paris 06, UMR 8256 B2A, 75005, Paris, France
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24
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Foy JP, Bertolus C, Ortiz-Cuaran S, Albaret MA, Williams WN, Lang W, Destandau S, Souza GD, Sohier E, Kielbassa J, Thomas E, Deneuve S, Goudot P, Puisieux A, Viari A, Mao L, Caux C, Lippman SM, Saintigny P. Immunological and classical subtypes of oral premalignant lesions. Oncoimmunology 2018; 7:e1496880. [PMID: 30524889 PMCID: PMC6279331 DOI: 10.1080/2162402x.2018.1496880] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Revised: 05/20/2018] [Accepted: 06/28/2018] [Indexed: 12/13/2022] Open
Abstract
Oral squamous cell carcinoma (OSCC) is a major cause of cancer-associated morbidity and mortality and may develop from oral premalignant lesions (OPL). An improved molecular classification of OPL may help refining prevention strategies. We identified two main OPL gene-expression subtypes, named immunological and classical, in 86 OPL (discovery dataset). A gene expression-based score was then developed to classify OPL samples from three independent datasets, including 17 (GSE30784),13 (GSE10174) and 15 (GSE85195) OPLs, into either one of the two gene-expression subtypes. Using the single sample gene set enrichment analysis, enrichment scores for immune-related pathways were different between the two OPL subtypes. In OPL from the discovery set, loss of heterozygosities (LOH) at 3p14, 17p13, TP53, 9p21 and 8p22 and miRNA gene expression profiles were analyzed. Deconvolution of the immune infiltrate was performed using the Microenvironment Cell Populations-counter tool. A multivariate analysis revealed that decreased miRNA-142-5p expression (P = 0.0484) and lower T-cell, monocytic and myeloid dendritic cells (MDC) immune infiltration (T-cells, P = 0.0196; CD8 T cells, P = 0.0129; MDC, P = 0.0481; and monocytes, P = 0.0212) were associated with oral cancer development in the immunological subtype only. In contrast, LOH at 3p14 (P = 0.0241), 17p13 (P = 0.0348) and TP53 (P = 0.004) were associated with oral cancer development in the classical subtype only. In conclusion, we identified 2 subtypes of OPLs, namely immune and classical, which may benefit from different and specific personalized prevention interventions.
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Affiliation(s)
- Jean-Philippe Foy
- Univ Lyon, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Lyon, France.,Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, France.,Department of Oral and Maxillofacial Surgery, University of Pierre Marie Curie-Paris 6, Hôpital Pitié-Salpêtrière, Paris, France
| | - Chloé Bertolus
- Department of Oral and Maxillofacial Surgery, University of Pierre Marie Curie-Paris 6, Hôpital Pitié-Salpêtrière, Paris, France
| | - Sandra Ortiz-Cuaran
- Univ Lyon, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Lyon, France.,Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, France
| | - Marie-Alexandra Albaret
- Univ Lyon, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Lyon, France.,Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, France
| | - William N Williams
- MD Anderson Cancer Center, Thoracic/Head and Neck Medical Oncology at the University of Texas M. D., Houston, TX, USA
| | - Wenhua Lang
- MD Anderson Cancer Center, Thoracic/Head and Neck Medical Oncology at the University of Texas M. D., Houston, TX, USA
| | - Solène Destandau
- Univ Lyon, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Lyon, France.,Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, France
| | - Geneviève De Souza
- Univ Lyon, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Lyon, France.,Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, France
| | - Emilie Sohier
- Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, France.,Synergie Lyon Cancer-Platform of Bioinformatics Gilles Thomas, Lyon, France
| | - Janice Kielbassa
- Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, France.,Synergie Lyon Cancer-Platform of Bioinformatics Gilles Thomas, Lyon, France
| | - Emilie Thomas
- Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, France.,Synergie Lyon Cancer-Platform of Bioinformatics Gilles Thomas, Lyon, France
| | | | - Patrick Goudot
- Department of Oral and Maxillofacial Surgery, University of Pierre Marie Curie-Paris 6, Hôpital Pitié-Salpêtrière, Paris, France
| | - Alain Puisieux
- Univ Lyon, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Lyon, France
| | - Alain Viari
- Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, France
| | - Li Mao
- Lung Cancer Center, Johnson & Johnson China
| | - Christophe Caux
- Univ Lyon, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Lyon, France
| | - S M Lippman
- UC San Diego Moores Cancer Center, San Diego, CA, USA
| | - P Saintigny
- Univ Lyon, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Lyon, France.,Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, France.,Department of Medical Oncology, Centre Léon Bérard, Lyon, France
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25
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Foy JP, Bertolus C, Michallet MC, Deneuve S, Incitti R, Bendriss-Vermare N, Albaret MA, Ortiz-Cuaran S, Thomas E, Colombe A, Py C, Gadot N, Michot JP, Fayette J, Viari A, Van den Eynde B, Goudot P, Devouassoux-Shisheboran M, Puisieux A, Caux C, Zrounba P, Lantuejoul S, Saintigny P. The immune microenvironment of HPV-negative oral squamous cell carcinoma from never-smokers and never-drinkers patients suggests higher clinical benefit of IDO1 and PD1/PD-L1 blockade. Ann Oncol 2018; 28:1934-1941. [PMID: 28460011 DOI: 10.1093/annonc/mdx210] [Citation(s) in RCA: 54] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Background Never-smokers and never-drinkers patients (NSND) suffering from oral squamous cell carcinoma (OSCC) are epidemiologically different from smokers drinkers (SD). We therefore hypothesized that they harbored distinct targetable molecular alterations. Patients and methods Data from The Cancer Genome Atlas (TCGA) (discovery set), Gene Expression Omnibus and Centre Léon Bérard (CLB) (three validation sets) with available gene expression profiles of HPV-negative OSCC from NSND and SD were mined. Protein expression profiles and genomic alterations were also analyzed from TCGA, and a functional pathway enrichment analysis was carried out. Formalin-fixed paraffin-embedded samples from 44 OSCC including 20 NSND and 24 SD treated at CLB were retrospectively collected to perform targeted-sequencing of 2559 transcripts (HTG EdgeSeq system), and CD3, CD4, CD8, IDO1, and PD-L1 expression analyses by immunohistochemistry (IHC). Enrichment of a six-gene interferon-γ signature of clinical response to pembrozulimab (PD-1 inhibitor) was evaluated in each sample from all cohorts, using the single sample gene set enrichment analysis method. Results A total of 854 genes and 29 proteins were found to be differentially expressed between NSND and SD in TCGA. Functional pathway analysis highlighted an overall enrichment for immune-related pathways in OSCC from NSND, especially involving T-cell activation. Interferon-γ response and PD1 signaling were strongly enriched in NSND. IDO1 and PD-L1 were overexpressed and the score of response to pembrolizumab was higher in NSND than in SD, although the mutational load was lower in NSND. IHC analyses in the CLB cohort evidenced IDO1 and PD-L1 overexpression in tumor cells that was associated with a higher rate of tumor-infiltrating T-cells in NSND compared with SD. Conclusion The main biological and actionable difference between OSCC from NSND and SD lies in the immune microenvironment, suggesting a higher clinical benefit of PD-L1 and IDO1 inhibition in OSCC from NSND.
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Affiliation(s)
- J-P Foy
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, 69008.,Department of Translational Research and Innovation, Centre Léon Bérard.,Department of Oral and Maxillo-Facial Surgery, University of Paris 6, Pitié-Salpêtriére Hospital, Paris
| | - C Bertolus
- Department of Oral and Maxillo-Facial Surgery, University of Paris 6, Pitié-Salpêtriére Hospital, Paris
| | - M-C Michallet
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, 69008
| | - S Deneuve
- Department of Surgery, Centre Léon Bérard
| | - R Incitti
- Synergie Lyon Cancer-Platform of Bioinformatics-Gilles Thomas, Centre Léon Bérard
| | - N Bendriss-Vermare
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, 69008
| | - M-A Albaret
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, 69008.,Synergie Lyon Cancer-Platform of Bioinformatics-Gilles Thomas, Centre Léon Bérard
| | - S Ortiz-Cuaran
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, 69008.,Synergie Lyon Cancer-Platform of Bioinformatics-Gilles Thomas, Centre Léon Bérard
| | - E Thomas
- Synergie Lyon Cancer-Platform of Bioinformatics-Gilles Thomas, Centre Léon Bérard
| | - A Colombe
- Department of Translational Research and Innovation, Centre Léon Bérard
| | - C Py
- Department of Biopathology, Centre Léon Bérard
| | - N Gadot
- Department of Translational Research and Innovation, Centre Léon Bérard
| | - J-P Michot
- Department of Biopathology, Centre Léon Bérard
| | - J Fayette
- Department of Medicine, Centre Léon Bérard, France
| | - A Viari
- Synergie Lyon Cancer-Platform of Bioinformatics-Gilles Thomas, Centre Léon Bérard
| | - B Van den Eynde
- Ludwig Institute for Cancer Research, Brussels Branch and de Duve Institute, Université catholique de Louvain, B-1200, Brussels, Belgium
| | - P Goudot
- Department of Oral and Maxillo-Facial Surgery, University of Paris 6, Pitié-Salpêtriére Hospital, Paris
| | - M Devouassoux-Shisheboran
- Department of Pathology, Croix-Rousse Hospital, Hospices Civils de Lyon, Claude Bernard University Lyon 1, Lyon, France
| | - A Puisieux
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, 69008
| | - C Caux
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, 69008
| | - P Zrounba
- Department of Surgery, Centre Léon Bérard
| | - S Lantuejoul
- Department of Translational Research and Innovation, Centre Léon Bérard.,Department of Biopathology, Centre Léon Bérard
| | - P Saintigny
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, 69008.,Department of Translational Research and Innovation, Centre Léon Bérard.,Department of Medicine, Centre Léon Bérard, France
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26
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Moreau A, Benassarou MA, Benslama L, Goudot P, Schoumann T. Anterior pedicle temporalis muscle flap interposition in the treatment of TMJ disorders. J Stomatol Oral Maxillofac Surg 2018. [PMID: 29530735 DOI: 10.1016/j.jormas.2018.03.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Temporomandibular joint (TMJ) disorders are a common reason for consultation. Failure of medical treatments sometimes leads to the need for one of many surgical alternatives. Our purpose was to evaluate the results of anterior pedicle temporalis muscle flap interposition in the treatment of TMJ disorders. MATERIAL AND METHODS For this prospective study, we selected 18 patients who underwent TMJ surgery involving the interposition of a temporalis muscle flap according to a standardized technique, between January 1, 2009 and August 31, 2014. CT imaging was performed on all patients prior to surgery. We documented the etiology of TMJ dysfunction, pre and postoperative pain using a visual analogue scale (VAS), pre and postoperative (last consultation) mouth opening, and complications. We used the Wilcoxon test for our statistical analysis. RESULTS We observed a significant variation in preoperative and postoperative pain and mouth opening, with an average decrease in VAS values of 4.9/10 and an average increase of mouth opening of 11.1mm. No major complications were observed. DISCUSSION The interposition of an anterior pedicle temporalis muscle flap in the treatment of temporomandibular joint disorder is a simple and effective technique.
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Affiliation(s)
- A Moreau
- Service de stomatologie et chirurgie maxilla-faciale, GH Pitie-Salpêtrière-Charles Foix, AP-HP, DHU FAST, 75013 Paris, France; Sorbonne universités, UPMC Univ-Paris 06, UMR 8256 B2A, 75005 Paris, France
| | - M-A Benassarou
- Service de stomatologie et chirurgie maxilla-faciale, GH Pitie-Salpêtrière-Charles Foix, AP-HP, DHU FAST, 75013 Paris, France; Sorbonne universités, UPMC Univ-Paris 06, UMR 8256 B2A, 75005 Paris, France
| | - L Benslama
- Service de stomatologie et chirurgie maxilla-faciale, GH Pitie-Salpêtrière-Charles Foix, AP-HP, DHU FAST, 75013 Paris, France; Sorbonne universités, UPMC Univ-Paris 06, UMR 8256 B2A, 75005 Paris, France.
| | - P Goudot
- Service de stomatologie et chirurgie maxilla-faciale, GH Pitie-Salpêtrière-Charles Foix, AP-HP, DHU FAST, 75013 Paris, France; Sorbonne universités, UPMC Univ-Paris 06, UMR 8256 B2A, 75005 Paris, France
| | - T Schoumann
- Service de stomatologie et chirurgie maxilla-faciale, GH Pitie-Salpêtrière-Charles Foix, AP-HP, DHU FAST, 75013 Paris, France; Sorbonne universités, UPMC Univ-Paris 06, UMR 8256 B2A, 75005 Paris, France
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27
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Foy JP, Bertolus C, Goudot P, Deneuve S, Blanc E, Lasset C, Pérol D, Saintigny P. Bibliometric analysis of a century of research on oral erythroplakia and leukoplakia. J Oral Pathol Med 2018; 47:388-395. [DOI: 10.1111/jop.12683] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/13/2018] [Indexed: 12/26/2022]
Affiliation(s)
- Jean-Philippe Foy
- INSERM 1052; CNRS 5286; Centre de Recherche en Cancérologie de Lyon; Centre Léon Bérard, Univ Lyon, Université Claude Bernard Lyon 1; Lyon France
- Department of Translational Research and Innovation; Centre Léon Bérard; Lyon France
- Department of Oral and Maxillo-Facial Surgery; Pitié-Salpêtrière Hospital; University of Paris 6; Paris France
| | - Chloé Bertolus
- Department of Oral and Maxillo-Facial Surgery; Pitié-Salpêtrière Hospital; University of Paris 6; Paris France
| | - Patrick Goudot
- Department of Oral and Maxillo-Facial Surgery; Pitié-Salpêtrière Hospital; University of Paris 6; Paris France
| | | | - Ellen Blanc
- Department of Clinical Research; Centre Léon Bérard; Lyon France
| | - Christine Lasset
- Department of Clinical Research; Centre Léon Bérard; Lyon France
| | - David Pérol
- Department of Clinical Research; Centre Léon Bérard; Lyon France
| | - Pierre Saintigny
- INSERM 1052; CNRS 5286; Centre de Recherche en Cancérologie de Lyon; Centre Léon Bérard, Univ Lyon, Université Claude Bernard Lyon 1; Lyon France
- Department of Translational Research and Innovation; Centre Léon Bérard; Lyon France
- Department of Medicine; Centre Léon Bérard; Lyon France
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28
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Vo Quang S, Sicard L, Samama M, Benslama L, Goudot P. Mandibular lymphoma. Journal of Stomatology, Oral and Maxillofacial Surgery 2018; 119:49-51. [DOI: 10.1016/j.jormas.2017.10.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Revised: 09/04/2017] [Accepted: 10/02/2017] [Indexed: 11/28/2022]
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29
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Haen P, Dubois G, Goudot P, Schouman T. Comparative finite element analysis of skull mechanical properties following parietal bone graft harvesting in adults. J Craniomaxillofac Surg 2018; 46:329-337. [DOI: 10.1016/j.jcms.2017.11.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2017] [Revised: 10/29/2017] [Accepted: 11/20/2017] [Indexed: 10/18/2022] Open
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Foy JP, Tortereau A, Caulin C, Le Texier V, Lavergne E, Thomas E, Chabaud S, Perol D, Lachuer J, Lang W, Hong WK, Goudot P, Lippman SM, Bertolus C, Saintigny P. The dynamics of gene expression changes in a mouse model of oral tumorigenesis may help refine prevention and treatment strategies in patients with oral cancer. Oncotarget 2017; 7:35932-35945. [PMID: 27027432 PMCID: PMC5094973 DOI: 10.18632/oncotarget.8321] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2015] [Accepted: 03/06/2016] [Indexed: 12/24/2022] Open
Abstract
A better understanding of the dynamics of molecular changes occurring during the early stages of oral tumorigenesis may help refine prevention and treatment strategies. We generated genome-wide expression profiles of microdissected normal mucosa, hyperplasia, dysplasia and tumors derived from the 4-NQO mouse model of oral tumorigenesis. Genes differentially expressed between tumor and normal mucosa defined the “tumor gene set” (TGS), including 4 non-overlapping gene subsets that characterize the dynamics of gene expression changes through different stages of disease progression. The majority of gene expression changes occurred early or progressively. The relevance of these mouse gene sets to human disease was tested in multiple datasets including the TCGA and the Genomics of Drug Sensitivity in Cancer project. The TGS was able to discriminate oral squamous cell carcinoma (OSCC) from normal oral mucosa in 3 independent datasets. The OSCC samples enriched in the mouse TGS displayed high frequency of CASP8 mutations, 11q13.3 amplifications and low frequency of PIK3CA mutations. Early changes observed in the 4-NQO model were associated with a trend toward a shorter oral cancer-free survival in patients with oral preneoplasia that was not seen in multivariate analysis. Progressive changes observed in the 4-NQO model were associated with an increased sensitivity to 4 different MEK inhibitors in a panel of 51 squamous cell carcinoma cell lines of the aerodigestive tract. In conclusion, the dynamics of molecular changes in the 4-NQO model reveal that MEK inhibition may be relevant to prevention and treatment of a specific molecularly-defined subgroup of OSCC.
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Affiliation(s)
- Jean-Philippe Foy
- INSERM U1052, Cancer Research Center of Lyon, Lyon, France.,CNRS UMR 5286, Cancer Research Center of Lyon, Lyon, France.,Department of Oral and Maxillofacial Surgery, University of Pierre Marie Curie-Paris 6, Pitié-Salpêtrière Hospital, Paris, France
| | - Antonin Tortereau
- Université de Lyon, VetAgro Sup, UPSP 2011-03-101, ICE, Marcy-l'Étoile, France
| | - Carlos Caulin
- Head and Neck Surgery at The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | | | - Emilie Lavergne
- Department of Biostatistics, Centre Léon Bérard, Lyon, France
| | - Emilie Thomas
- Department of Bioinformatics, Centre Léon Bérard, Lyon, France
| | - Sylvie Chabaud
- Department of Biostatistics, Centre Léon Bérard, Lyon, France
| | - David Perol
- Department of Biostatistics, Centre Léon Bérard, Lyon, France
| | - Joël Lachuer
- INSERM U1052, Cancer Research Center of Lyon, Lyon, France.,CNRS UMR 5286, Cancer Research Center of Lyon, Lyon, France.,Université Lyon 1, Université de Lyon, Lyon, France.,ProfileXpert, SFR-Est, CNRS UMR-S3453, INSERM US7, Lyon, France
| | - Wenhua Lang
- Thoracic/Head and Neck Medical Oncology at The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Waun Ki Hong
- Division of Cancer Medicine at The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Patrick Goudot
- Department of Oral and Maxillofacial Surgery, University of Pierre Marie Curie-Paris 6, Pitié-Salpêtrière Hospital, Paris, France
| | | | - Chloé Bertolus
- Department of Oral and Maxillofacial Surgery, University of Pierre Marie Curie-Paris 6, Pitié-Salpêtrière Hospital, Paris, France
| | - Pierre Saintigny
- INSERM U1052, Cancer Research Center of Lyon, Lyon, France.,CNRS UMR 5286, Cancer Research Center of Lyon, Lyon, France.,Departments of Medicine and Translational Research and Innovation, Centre Leon Berard, Lyon, France.,Centre Léon Bérard, Lyon, France
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31
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Plaisance F, Kerbrat JB, Goudot P. Reconstructions tridimensionnelles de scanners et de cone beam de canines incluses maxillaires afin de localiser des plages d’ankylose avant traction orthodontique. Int Orthod 2017; 15:575-587. [DOI: 10.1016/j.ortho.2017.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Foy JP, Bazire L, Ortiz-Cuaran S, Deneuve S, Kielbassa J, Thomas E, Viari A, Puisieux A, Goudot P, Bertolus C, Foray N, Kirova Y, Verrelle P, Saintigny P. A 13-gene expression-based radioresistance score highlights the heterogeneity in the response to radiation therapy across HPV-negative HNSCC molecular subtypes. BMC Med 2017; 15:165. [PMID: 28859688 PMCID: PMC5580222 DOI: 10.1186/s12916-017-0929-y] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Accepted: 08/10/2017] [Indexed: 01/30/2023] Open
Abstract
BACKGROUND Radiotherapy for head and neck squamous cell carcinomas (HNSCC) is associated with a substantial morbidity and inconsistent efficacy. Human papillomavirus (HPV)-positive status is recognized as a marker of increased radiosensitivity. Our goal was to identify molecular markers associated with benefit to radiotherapy in patients with HPV-negative disease. METHODS Gene expression profiles from public repositories were downloaded for data mining. Training sets included 421 HPV-negative HNSCC tumors from The Cancer Genome Atlas (TCGA) and 32 HNSCC cell lines with available radiosensitivity data (GSE79368). A radioresistance (RadR) score was computed using the single sample Gene Set Enrichment Analysis tool. The validation sets included two panels of cell lines (NCI-60 and GSE21644) and HPV-negative HNSCC tumor datasets, including 44 (GSE6631), 82 (GSE39366), and 179 (GSE65858) patients, respectively. We finally performed an integrated analysis of the RadR score with known recurrent genomic alterations in HNSCC, patterns of protein expression, biological hallmarks, and patterns of drug sensitivity using TCGA and the E-MTAB-3610 dataset (659 pancancer cell lines, 140 drugs). RESULTS We identified 13 genes differentially expressed between tumor and normal head and neck mucosa that were associated with radioresistance in vitro and in patients. The 13-gene expression-based RadR score was associated with recurrence in patients treated with surgery and adjuvant radiotherapy but not with surgery alone. It was significantly different among different molecular subtypes of HPV-negative HNSCC and was significantly lower in the "atypical" molecular subtype. An integrated analysis of RadR score with genomic alterations, protein expression, biological hallmarks and patterns of drug sensitivity showed a significant association with CCND1 amplification, fibronectin expression, seven hallmarks (including epithelial-to-mesenchymal transition and unfolded protein response), and increased sensitivity to elesclomol, an HSP90 inhibitor. CONCLUSIONS Our study highlights the clinical relevance of the molecular classification of HNSCC and the RadR score to refine radiation strategies in HPV-negative disease.
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Affiliation(s)
- Jean-Philippe Foy
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, F-69008, France.,Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, F-69008, France.,Department of Oral and Maxillofacial Surgery, University of Pierre Marie Curie-Paris 6, Pitié-Salpêtrière Hospital, Paris, F-75013, France
| | - Louis Bazire
- Department of Radiation Oncology, Institut Curie, Paris, F-75005, France
| | - Sandra Ortiz-Cuaran
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, F-69008, France.,Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, F-69008, France
| | - Sophie Deneuve
- Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, F-69008, France.,Department of Surgery, Centre Léon Bérard, Lyon, F-69008, France
| | - Janice Kielbassa
- Platform of Bioninformatics-Gilles Thomas, Synergie Lyon Cancer, Lyon, F-69008, France
| | - Emilie Thomas
- Platform of Bioninformatics-Gilles Thomas, Synergie Lyon Cancer, Lyon, F-69008, France
| | - Alain Viari
- Platform of Bioninformatics-Gilles Thomas, Synergie Lyon Cancer, Lyon, F-69008, France
| | - Alain Puisieux
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, F-69008, France
| | - Patrick Goudot
- Department of Oral and Maxillofacial Surgery, University of Pierre Marie Curie-Paris 6, Pitié-Salpêtrière Hospital, Paris, F-75013, France
| | - Chloé Bertolus
- Department of Oral and Maxillofacial Surgery, University of Pierre Marie Curie-Paris 6, Pitié-Salpêtrière Hospital, Paris, F-75013, France
| | - Nicolas Foray
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, F-69008, France
| | - Youlia Kirova
- Department of Radiation Oncology, Institut Curie, Paris, F-75005, France
| | - Pierre Verrelle
- INSERM U 1196 , CNRS UMR 9187, Institut Curie, Orsay, F-91405, France.,Université Clermont Auvergne, Centre Jean-Perrin, Clermont-Ferrand, F-63000, France
| | - Pierre Saintigny
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon, F-69008, France. .,Department of Translational Research and Innovation, Centre Léon Bérard, Lyon, F-69008, France. .,Department of Medical Oncology, Centre Léon Bérard, Lyon, 69008, France.
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Andre CV, Khonsari RH, Ernenwein D, Goudot P, Ruhin B. Osteomyelitis of the jaws: A retrospective series of 40 patients. J Stomatol Oral Maxillofac Surg 2017; 118:261-264. [PMID: 28502763 DOI: 10.1016/j.jormas.2017.04.007] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2016] [Revised: 03/17/2017] [Accepted: 04/14/2017] [Indexed: 11/16/2022]
Abstract
INTRODUCTION The caseload of jaw osteomyelitis seem to have decreased considerably over the last fifty years thanks to the progress of oral hygiene, the appearance and the use of antibiotics, and early screening. 'Limited osteitis' remains frequent in general practice (alveolitis after dental extraction), but osteomyelitis is much rarer as evidenced by the lack of current literature and the low number of reported patients in the published series. The aim of this study was to analyze retrospectively all the cases of maxillo-mandibular osteomyelitis treated in a large academic department of Stomatology and Maxillofacial Surgery over a period of 6 years and to compare the results to data from the literature. MATERIAL AND METHOD All patients diagnosed with maxillo-mandibular osteomyelitis by one of the staff surgeons between January 2009 and December 2015 was included. An epidemiological record (sex, age, ethnic background, risk factors, clinical, origin of disease, imaging and biology, treatments and progression) were collected for each patient. Osteomyelitis cases were classified according to the Zurich Classification System. Results were compared to data from the literature. RESULTS Forty patients were retained. Three presented acute osteomyelitis, 26 secondary chronic osteomyelitis and 11 a primary chronic osteomyelitis. Osteomyelitis affected predominantly the mandible (87%). Dental origin was found in 90% of cases. Nine patients (22.5%) recovered and 29 (90%) were clinically improved. Ten of the 11 patients with primary chronic osteomyelitis were improved. DISCUSSION This cohort study is one of the largest series currently available and presents results comparable to those of the literature of the last 25 years.
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Affiliation(s)
- C-V Andre
- Department of stomatology and maxillofacial surgery, Pierre-et-Marie-Curie university Paris-6, Pitié-Salpêtrière hospital, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.
| | - R-H Khonsari
- Department of stomatology and maxillofacial surgery, Pierre-et-Marie-Curie university Paris-6, Pitié-Salpêtrière hospital, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France
| | | | - P Goudot
- Department of stomatology and maxillofacial surgery, Pierre-et-Marie-Curie university Paris-6, Pitié-Salpêtrière hospital, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France
| | - B Ruhin
- Department of stomatology and maxillofacial surgery, Pierre-et-Marie-Curie university Paris-6, Pitié-Salpêtrière hospital, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France
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Abstract
Xerostomia is a frequent complaint and a real handicap for many patients, often drug-induced. Treatments, even if they are currently unsatisfactory, are aimed at improved oral comfort and quality of life for patients, and to prevent or treat local complications. It consists in humecting buccal mucous membranes with artificial saliva; or in stimulating the glands if functional salivary tissue still exists.
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Affiliation(s)
- Scarlette Agbo-Godeau
- Groupe hospitalier Pitié-Salpêtrière-Charles-Foix, service de stomatologie et de chirurgie maxillo-faciale, consultation de pathologie de la muqueuse buccale, 75013 Paris, France.
| | - Aline Guedj
- Groupe hospitalier Pitié-Salpêtrière-Charles-Foix, service de stomatologie et de chirurgie maxillo-faciale, consultation de pathologie de la muqueuse buccale, 75013 Paris, France
| | - Sabine Marès
- Groupe hospitalier Pitié-Salpêtrière-Charles-Foix, service de stomatologie et de chirurgie maxillo-faciale, consultation de pathologie de la muqueuse buccale, 75013 Paris, France
| | - Patrick Goudot
- Groupe hospitalier Pitié-Salpêtrière-Charles-Foix, service de stomatologie et de chirurgie maxillo-faciale, consultation de pathologie de la muqueuse buccale, 75013 Paris, France; Université Pierre-et-Marie-Curie-Sorbonne, Paris 6, 75013 Paris, France
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Haddad S, Kerbrat JB, Schouman T, Goudot P. [Effect of dental arch length decrease during orthodontic treatment in the upper airway development. A review]. Orthod Fr 2017; 88:25-33. [PMID: 28229850 DOI: 10.1051/orthodfr/2016041] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
INTRODUCTION A possible relation between an upper airway space decrease and the development of obstructive sleep apnea syndrom explains the importance to know the effect of the modification of dental arch length on the upper airway during orthodontic treatment. OBJECTIVES The aim of this article is to expose recent knowledge about upper airway development and dental arch length decrease factors, to determine the influence of this decrease on upper airway development. METHODS A review was done to determine the upper airway normal development, to define dental arch to specify if an ideal position of dental arch on apical base exists. All of the length dental arch decrease factors during orthodontic treatment (dental extraction, dental agenesis and dental malpositions) and their upper airway resounding were searched. RESULTS Some authors found a diminution of upper airway space after premolars extractions while others didn't found this diminution after extractions premolars when incisor retraction is finished. A decrease of transversal maxillary diameter and nasal cavity may be due to absence of permanent teeth. CONCLUSION The effect of dental arch length decrease during orthodontic treatment in the upper airway development was not scientifically proved. However we had to be vigilant and adapt our orthodontic treatment case by case to avoid an upper airway modification.
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Affiliation(s)
| | | | - Thomas Schouman
- Service de chirurgie maxillo-faciale et stomatologie, Hôpital universitaire Pitié Salpêtrière, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France
| | - Patrick Goudot
- Service de chirurgie maxillo-faciale et stomatologie, Hôpital universitaire Pitié Salpêtrière, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France
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Mauprivez C, Khonsari RH, Razouk O, Goudot P, Lesclous P, Descroix V. Management of dental extraction in patients undergoing anticoagulant oral direct treatment: a pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 122:e146-e155. [DOI: 10.1016/j.oooo.2016.06.003] [Citation(s) in RCA: 70] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Accepted: 06/05/2016] [Indexed: 01/18/2023]
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37
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Attali V, Chaumereuil C, Arnulf I, Golmard JL, Tordjman F, Morin L, Goudot P, Similowski T, Collet JM. Predictors of long-term effectiveness to mandibular repositioning device treatment in obstructive sleep apnea patients after 1000 days. Sleep Med 2016; 27-28:107-114. [DOI: 10.1016/j.sleep.2016.10.004] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2016] [Revised: 10/07/2016] [Accepted: 10/14/2016] [Indexed: 11/25/2022]
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38
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Bettega G, Breton P, Goudot P, Saint-Pierre F. Place de l’orthèse d’avancée mandibulaire (OAM) dans le traitement du syndrome d’apnées hypopnées obstructives du sommeil de l’adulte (SAHOS). Juillet 2014. Rev Mal Respir 2016; 33:526-54. [DOI: 10.1016/j.rmr.2015.12.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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39
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Albisetti C, Khonsari RH, Goudot P, Razouk O. [Macrocheilia revealing an acute promyelocytic leukemia]. ACTA ACUST UNITED AC 2016; 117:161-3. [PMID: 27117683 DOI: 10.1016/j.revsto.2016.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Revised: 01/04/2016] [Accepted: 01/20/2016] [Indexed: 11/27/2022]
Abstract
INTRODUCTION Macrocheilia is a rare presentation for acute promyelocytic leukemia (APL). CASE REPORT A 18 year-old man was referred to our department for an acute swollen lower lip, multiple swollen cervical lymph nodes and spontaneous gum bleeding. The diagnosis of APL was made and the treatment was rapidly started in an intensive care unit. DISCUSSION APL is often found because of stomatologic symptoms but macrocheilia is rarely reported. APL is a vital emergency.
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Affiliation(s)
- C Albisetti
- Service de chirurgie maxillofaciale et stomatologie, hôpital Pitié-Salpêtrière, AP-HP, 75013 Paris, France; UPMC université Paris 06, 75005 Paris, France.
| | - R H Khonsari
- Service de chirurgie maxillofaciale et stomatologie, hôpital Pitié-Salpêtrière, AP-HP, 75013 Paris, France; UPMC université Paris 06, 75005 Paris, France
| | - P Goudot
- Service de chirurgie maxillofaciale et stomatologie, hôpital Pitié-Salpêtrière, AP-HP, 75013 Paris, France; UPMC université Paris 06, 75005 Paris, France
| | - O Razouk
- Service de chirurgie maxillofaciale et stomatologie, hôpital Pitié-Salpêtrière, AP-HP, 75013 Paris, France; UPMC université Paris 06, 75005 Paris, France
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Schouman T, Murcier G, Goudot P. The key to accuracy of zygoma repositioning: Suitability of the SynpliciTi customized guide-plates. J Craniomaxillofac Surg 2015; 43:1942-7. [DOI: 10.1016/j.jcms.2014.12.014] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2014] [Revised: 12/19/2014] [Accepted: 12/22/2014] [Indexed: 11/25/2022] Open
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Affiliation(s)
- Joanne Guerlain
- AP-HP, Hopital Pitie-Salpetriere, Service de Chirurgie Maxillo-faciale et de Stomatologie
| | - Patrick Goudot
- AP-HP, Hopital Pitie-Salpetriere, Service de Chirurgie Maxillo-faciale et de Stomatologie, and Sorbonne Universités, UPMC Univ Paris 06
| | - Thomas Schouman
- AP-HP, Hopital Pitie-Salpetriere, Service de Chirurgie Maxillo-faciale et de Stomatologie, Paris, France.
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Schouman T, Khonsari R, Goudot P. Shaping the fibula without fumbling: the SynpliciTi customised guide-plate. Br J Oral Maxillofac Surg 2015; 53:472-3. [DOI: 10.1016/j.bjoms.2015.02.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2014] [Accepted: 02/10/2015] [Indexed: 11/29/2022]
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Devauchelle B, Goudot P, Meyer C. [Tissue engineering and maxillofacial surgery. Report of the scientific meeting held the 10th January 2015 - La Pitié-Salpêtrière - Paris]. ACTA ACUST UNITED AC 2015; 116:121-2. [PMID: 25800966 DOI: 10.1016/j.revsto.2015.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2015] [Accepted: 02/19/2015] [Indexed: 10/23/2022]
Affiliation(s)
- B Devauchelle
- Service de chirurgie maxillofaciale, CHU d'Amiens, Amiens, France
| | - P Goudot
- Service de chirurgie maxillofaciale, hôpital de La-Pitié-Salpêtrière, AP-HP, université Pierre-et-Marie-Curie, Paris, France
| | - C Meyer
- Li4S (EA 4268), service de chirurgie maxillofaciale, de stomatologie et d'odontologie hospitalière, CHU de Besançon, université de Franche-Comté, 25030 Besançon cedex, France.
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Bettega G, Breton P, Goudot P, Saint-Pierre F. [Mandibular advancement device for obstructive sleep apnea treatment in adults. July 2014]. ACTA ACUST UNITED AC 2015; 116:28-57. [PMID: 25593082 DOI: 10.1016/j.revsto.2014.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- G Bettega
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital A.-Michallon, BP 217, 38043 Grenoble cedex 9, France.
| | - P Breton
- Service de stomatologie, chirurgie maxillofaciale et chirurgie plastique de la face, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France
| | - P Goudot
- Service de stomatologie et chirurgie maxillo-faciale, hôpital Pitié-Salpêtrière (AP-HP), 47-83, boulevard de l'Hôpital, 75013 Paris, France
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Attali V, Chaumereuil C, Arnulf I, Morin L, Goudot P, Collet JM. QUOVADIS : étude monocentrique en vie réelle évaluant à long terme le traitement par orthèse d’avancée mandibulaire (OAM) sur mesure dans le syndrome d’apnées obstructives du sommeil (SAOS). Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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46
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Nappée-Miévilly M, Nappée FJ, Kerbrat JB, Goudot P. [The pendulis appliance: a palatal miniscrew supported molar distalization device]. Orthod Fr 2014; 85:265-73. [PMID: 25158749 DOI: 10.1051/orthodfr/2014013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Accepted: 02/13/2014] [Indexed: 11/14/2022]
Abstract
The maxillary molar distalization is a valuable therapeutic option in some clinical cases. Its biomechanics is challenging and difficult to obtain. Historically, various devices have been described offering successful solutions to this problem such as the Hilgers Pendulum Appliance (1992) and variants linked to mini screws which recently have shown interesting clinical potential. This article presents a new Pendulum variant using a miniscrew, the "pendulis". It follows the original concept (titanium-molybdenum alloy distalization springs and polymethyl-methacrylate pellet) but dental support is replaced by a single palatal miniscrew (median adults, para-median in children) to which the device is fixed by means of a metal welded cap easily positioned and removable by the practitioner. This allows for better control of the oral hygiene and completely controlled extraoral activation. Fabrication steps are described and instruction of use is illustrated with clinical documentation.
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Affiliation(s)
- Magali Nappée-Miévilly
- Hôpital Pitié-Salpétrière, Service de stomatologie et chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France
| | | | - Jean-Baptiste Kerbrat
- Hôpital Pitié-Salpétrière, Service de stomatologie et chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France
| | - Patrick Goudot
- Hôpital Pitié-Salpétrière, Service de stomatologie et chirurgie maxillo-faciale, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France
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Khonsari RH, Bertolus C, Corre P, Chaine A, Guerre A, Ménégaud F, Goudot P. [Submandibular swelling four years after total thyroidectomy]. ACTA ACUST UNITED AC 2014; 115:118-20. [PMID: 24456910 DOI: 10.1016/j.revsto.2013.12.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2012] [Accepted: 12/12/2013] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Submandibular swelling most frequently involves the submandibular gland. It is often due to lithiasis or to tumor. Some rare cases of submandibular swelling have been reported such as submandibular localizations of thyroid lesions. Our case study concerns one of these rare occurrences. OBSERVATION A 47-year-old female patient consulted for a right-sided submandibular mass progressively increasing in size during the previous 2 years. The patient had undergone a total thyroidectomy, 4 years before consulting, for a toxic multinodular goiter THAT had been treated by L-thyroxin replacement therapy per os since the surgery. TSH and LT4 levels were normal. A CT scan revealed a large tumor in the right submandibular space with heterogeneous contrast. Fine needle cytopuncture allowed observing follicular cellules suggesting thyroid origin. The cervicotomy confirmed the diagnosis of an ectopic goiter. DISCUSSION Thyroid disorders may in rare cases concern the submandibular space. A history of thyroid disorders should be taken into account for the etiological diagnosis of unusual submandibular masses in maxillo-facial surgery.
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Affiliation(s)
- R-H Khonsari
- Service de chirurgie maxillo-faciale et stomatologie, CHU Pitié-Salpêtrière, université Pierre-et-Marie-Curie Paris 06, 75006 Paris, France.
| | - C Bertolus
- Service de chirurgie maxillo-faciale et stomatologie, CHU Pitié-Salpêtrière, université Pierre-et-Marie-Curie Paris 06, 75006 Paris, France
| | - P Corre
- Service de chirurgie maxillo-faciale et stomatologie, centre hospitalier universitaire Hôtel-Dieu, Nantes, France
| | - A Chaine
- Service de chirurgie maxillo-faciale et stomatologie, CHU Pitié-Salpêtrière, université Pierre-et-Marie-Curie Paris 06, 75006 Paris, France
| | - A Guerre
- Service de chirurgie maxillo-faciale et stomatologie, CHU Pitié-Salpêtrière, université Pierre-et-Marie-Curie Paris 06, 75006 Paris, France
| | - F Ménégaud
- Service de chirurgie générale, CHU Pitié-Salpêtrière, Paris, France
| | - P Goudot
- Service de chirurgie maxillo-faciale et stomatologie, CHU Pitié-Salpêtrière, université Pierre-et-Marie-Curie Paris 06, 75006 Paris, France
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Schouman T, Bertolus C, Chaine C, Ceccaldi J, Goudot P. [Surgery guided by customized devices: reconstruction with a free fibula flap]. ACTA ACUST UNITED AC 2014; 115:28-36. [PMID: 24412037 DOI: 10.1016/j.revsto.2013.09.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2013] [Accepted: 09/17/2013] [Indexed: 11/16/2022]
Abstract
The reconstruction of jaws with a free fibula flap can be anticipated virtually. The simulation can be transferred to the operating theater using customized devices obtained from computer-assisted design and manufacturing in a complete digital workflow. Several alternatives are available, from cutting guides to customized titanium osteosynthesis plates, to obtain the best accuracy and reproducibility of reconstruction. Moreover, these new processes allow integrating prosthetic planning concomitantly with reconstruction. We present the virtual three-dimensional planning method for jaw reconstruction with a free fibula flap and the various alternatives of surgery guided by customized devices provided by this planning.
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Affiliation(s)
- T Schouman
- Service de chirurgie maxillo-faciale et stomatologie, groupe hospitalier Pitié-Salpêtrière, AP-HP, 47-83, boulevard de l'hôpital, 75651 Paris cedex 13, France.
| | - C Bertolus
- Service de chirurgie maxillo-faciale et stomatologie, groupe hospitalier Pitié-Salpêtrière, AP-HP, 47-83, boulevard de l'hôpital, 75651 Paris cedex 13, France
| | - C Chaine
- Service de chirurgie maxillo-faciale et stomatologie, groupe hospitalier Pitié-Salpêtrière, AP-HP, 47-83, boulevard de l'hôpital, 75651 Paris cedex 13, France
| | - J Ceccaldi
- Service de chirurgie maxillo-faciale et stomatologie, groupe hospitalier Pitié-Salpêtrière, AP-HP, 47-83, boulevard de l'hôpital, 75651 Paris cedex 13, France
| | - P Goudot
- Service de chirurgie maxillo-faciale et stomatologie, groupe hospitalier Pitié-Salpêtrière, AP-HP, 47-83, boulevard de l'hôpital, 75651 Paris cedex 13, France
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Lescaille G, Coudert AE, Baaroun V, Ostertag A, Charpentier E, Javelot MJ, Tolédo R, Goudot P, Azérad J, Berdal A, Spano JP, Ruhin B, Descroix V. Clinical study evaluating the effect of bevacizumab on the severity of zoledronic acid-related osteonecrosis of the jaw in cancer patients. Bone 2014; 58:103-7. [PMID: 24120382 DOI: 10.1016/j.bone.2013.10.002] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2013] [Revised: 09/25/2013] [Accepted: 10/02/2013] [Indexed: 11/22/2022]
Abstract
This study aimed to evaluate the effect of bevacizumab (BVZ) on the severity of osteonecrosis of the jaw (ONJ) in a cohort of cancer patients treated with intravenous zoledronic acid (ZA). We reviewed 42 oncologic patients with ONJ between 2007 and 2010. Only patients with solids tumors and who had received ZA were included. Data analyses included age, sex, underlying disease, ZA and BVZ dosages, dental history and ONJ characteristics. Of the 42 ONJ patients treated with ZA, 10 also received BVZ. In the 10 ZA/BVZ patients, the mean duration of ZA treatment at the time of ONJ diagnosis was 12.4 months (±6.8), compared to 22.9 months (±4.8) in the 32 patients who received ZA only (p<0.05). Cox's model analysis of the delay to ONJ diagnosis confirmed the impact of BVZ on ONJ diagnosis. In the ZA/BVZ-treated group, 7 (70%) patients developed spontaneous osteonecrosis. Multiple logistic regression analysis showed that ZA/BVZ is associated with increased risk of developing spontaneous ONJ (OR 6.07; 95% CI, [1.3-28.2], p<0.05). And finally, the number of ONJ lesions was increased in the ZA/BVZ-treated group compared to the ZA group (p<0.01). Other clinical conditions as type of tumor (prostate, breast…), cancer severity or other chemotherapy drugs also could be involved in ONJ evolution. However, this study demonstrates for the first time the potential negative influence of BVZ on the incidence and severity of ONJ in patients receiving ZA. Within the study limits, our results suggest that combination ZA/BVZ treatment may possibly predispose to the development of spontaneous and earlier ONJ.
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Affiliation(s)
- Géraldine Lescaille
- Oral Surgery Department, Pitié-Salpêtrière University Hospital, Paris Diderot University, Paris, France; UMR CNRS 7211/INSERM 959, Pitié-Salpêtrière University Hospital, F-75013 Paris, France.
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Mares S, Ben Slama L, Gruffaz F, Goudot P, Bertolus C. [Potentially malignant character of oral lichen planus and lichenoid lesions]. ACTA ACUST UNITED AC 2013; 114:293-8. [PMID: 23849797 DOI: 10.1016/j.revsto.2013.05.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2013] [Accepted: 05/16/2013] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Many authors have reported the possible malignant transformation of oral lichen. The incidence of this event remains controversial. Many authors make a distinction between the "true" oral lichen planus (OLP) and lichenoid lesions (LL) according to the WHO clinical and histological classification. For these authors an increased risk of development of oral cancer could occur only on LL. Our aim was to check this hypothesis on a cohort followed for 10 years. MATERIAL AND METHODS We included patients who were referred to our team for the first time between 1995 and 1997, still followed in 2010, with a histological diagnosis of buccal lichen planus. We classified lesions as OLP or LL according to the WHO clinical and histological classification: the two clinical criteria for OLP were a reticulated aspect and bilateral and symmetric lesions. Three histological criteria were necessary for the diagnosis: dense inflammatory infiltrate in the upper lamina propria, liquefaction degeneration of basal keratinocytes, and no signs of dysplasia. The final diagnosis was OLP, when all clinical ad histological criteria were met otherwise it was LL. We studied the patient's outcome between their first consultations and May 2010. RESULTS Thirty-two patients, whose data was available, met inclusion criteria. Eight were diagnosed with OLP and 24 with LL. The mean follow-up was 164 months [154-183]. No oral cancer was observed in the OLP group. Two patients in the LL group presented with oral cancer after 45 and 143 months of follow-up. DISCUSSION Malignant transformations were observed only in the LL group. Our results correlate with those of Van Der Meij et al. published in 2006. The strict use of the WHO diagnostic criteria seems to allow identifying patients at risk of developing oral cancer (LL) and others with only a benign course of this chronic oral mucosal disease. These results need to be confirmed by prospective multicentric studies.
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Affiliation(s)
- S Mares
- Service de stomatologie et chirurgie maxillo-faciale, hôpital Pitié-Salpêtrière, AP-HP, 75013 Paris, France; UPMC université Paris 06, 75005 Paris, France
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