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| 1 | 下颌骨放射性骨坏死临床诊疗专家共识显示文摘下颌骨放射性骨坏死(osteoradionecrosis,ORN)是头颈部大剂量放疗后的一种严重并发症,常以慢性坏死及感染为主要特征,临床表现为局部红肿、疼痛、吞咽困难、开口受限、咀嚼及语言障碍、面部软组织瘘管经久不愈、死骨暴露,严重者甚至造成病理性骨折,给患者的身心带来巨大痛苦,已成为口腔颌面外科及头颈外科领域棘手的临床难题。迄今为止,国内外对于下颌骨ORN缺乏统一的分类、分期及相关治疗共识或指南,不同单位对于下颌骨ORN的诊治水平参差不齐,缺乏统一科学的诊疗标准与规范,对该疾病的处理仍以个人或单位经验作为治疗依据,同时也缺乏客观有效的下颌骨ORN治疗后评价体系。为进一步统一和规范下颌骨ORN的诊疗标准,减少医疗资源的浪费,提高治疗效果,中华口腔医学会口腔颌面外科专业委员会召集国内颌骨放射性骨坏死研究领域的专家进行反复讨论,汇集全国17家著名医学院校及附属医院专家的诊治意见,同时借鉴和参考国内外近年来对下颌骨ORN的研究成果与诊治经验,最终制订'下颌骨放射性骨坏死临床诊疗专家共识',供临床医师参考。 | 何悦 侯劲松 李晓光 马春跃 彭歆 王慧明 王松灵 刘磊 刘冰 田磊 刘忠龙 刘习强 徐昕 张东升 蒋灿华 王军 姚原 朱国培 白永瑞 王胜资 孙长伏 李劲松 何三纲 王成 Nabil Samman 孙坚 张陈平 张志愿 邱蔚六 | 2017 | 中国口腔颌面外科杂志2017，15，5： | 17 |
| 2 | Systematic review of dynamization vs exchange nailing for delayed/non-union femoral fractures显示文摘AIM To analyze the literature on efficacy of dynamamization vs exchange nailing in treatment of delayed and nonunion femur fractures.METHODS Ultimately, 31 peer-reviewed articles with 644 exchanged nailing patients and 131 dynamization patients were identified and analyzed. The following key words were inputted in different combinations in order to search the field of publications in its entirety: 'nonunion', 'delayed union', 'ununited', 'femur fracture', 'femoral fracture', 'exchange nailing', 'dynaiz(s)ation', 'secondary nailing', 'dynamic', 'static', and 'nail revision'. The initial search yielded over 150 results, and was refined based on the inclusion criteria: Only studies reporting on humans, non-unions and delayed unions, and the usage of exchange nailing and/or dynamization as a secondary treatment after failed IM nailing. The resulting 66 articles were obtained through online journal access. The results were filtered further based on the exclusion criteria: No articles that failed to report overall union rates, differentiate between success rates of their reported techniques, or articles that analyzed less than 5 patients. RESULTS Exchange nailing lead to fracture union in 84.785% of patients compared to the 66.412% of dynamization with statistically comparable durations until union(5.193 ± 2.310 mo and 4.769 ± 1.986 mo respectively). Dynamically locking exchange nails resulted in an average union time of 5.208 ± 2.475 mo compared to 5.149 ± 2.366 mo(P = 0.8682) in statically locked exchange nails. The overall union rate of the two procedures, statically and dynamically locked exchange nailing yielded union rates of 84.259% and 82.381% respectively. Therefore, there was no significant difference between the different locking methods of exchange nailing for union rate or time to union at a significance value of P < 0.05. The analysis showed exchange nailing to be the more successful choice in the treatment of femoral non-unions in respect to its higher success rate(491/567 EN, 24/57 dynam, P < 0.0001). However, there was no significant difference between the success rates of the two procedures for delayed union fractures(25/27 EN, 45/55 dynam, P = 0.3299). Nevertheless, dynamization was more efficient in the treatment of delayed unions(at rates comparable to exchange nailing) than in the treatment of non-unions.CONCLUSION In conclusion, after examination of factors, dynamization is recommended treatment of delayed femur fractures, while exchange nailing is the treatment of choice for non-unions. | Jacob E Vaughn Ronit V Shah Tarek Samman Jacob Stirton Jiayong Liu Nabil A Ebraheim | 2018 | World Journal of Orthopedics2018，9，7： | 5 |
| 3 | Incidence and prevention of osteoradionecrosis after dental extraction in irradiated patients: a systematic review 显示文摘 | Nabil S Samman N | 2011 | lnt J Oral Maxillofac Surg2011，40，3： | 1 |
| 4 | Incidence and prevention of osteoradionecrosis after dental extraction in irradiated patients: a systematic review显示文摘 | Nabil S Samman N | 2011 | Int J Oral Maxillofac Surg2011，40，3： | 1 |
| 5 | Risk factors for osteoradionecrosis after head and neck radiation: a systematic review 显示文摘 | Nabil S Samman N | 2012 | Oral Surg Oral Med Oral Pathol Oral Radiol2012，113，1： | 1 |
| 6 | Incidence and prevention of osteoradionecrosis after dental extraction in irradiated patients: a systematic review显示文摘 | Nabil S Samman N | 2011 | Int J Oral Maxillofac Surg2011，40，3： | 1 |
| 7 | Risk factors for osteoradionecrosis af- ter head and neck radiation: a systematic review 显示文摘 | Nabil S Samman N | 2012 | IntOral Surg Oral Med Oral Pathol Oral Radiol2012，113，1： | 1 |
| 8 | Incidence and prevention ofosteoradionecrosis after dental extraction in irradiated patients:asystematic review 显示文摘 | Nabil S Samman N | 2011 | Int J Oral Maxillofac Surg2011，40，3： | 1 |
| 9 | Threedimensional virtual-reality surgical planning and soft-tissue prediction for orthognathic surgery显示文摘 | JAMES XIA HORACE H.S.LP NABIL SAMMAN | | 0，，02： | 1 |
| 10 | Computer-assisted three-dimensional surgical planning and simulation3D virtual osteotomy显示文摘 | JAMES XIA HORACE H.S.IP NABIL SAMMAN | | 0，，29： | 1 |
| 11 | Incidence and prevention of osteoradio- necrosis after dental extraction in irradiated patients: a sys- tematic review 显示文摘 | Nabil S Samman N | 2011 | Int J Oral Maxillofac Surg2011，40，3： | 1 |
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