{"title":"Second victim syndrome in OMFS in the UK: supporting the silent sufferers: BAOMS Student Bursary Project 2025.","authors":"Danielle Britton, Connor A Fox","doi":"10.1016/j.bjoms.2025.09.002","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.09.002","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Training groups / Instructions to Authors","authors":"","doi":"10.1016/S0266-4356(25)00225-6","DOIUrl":"10.1016/S0266-4356(25)00225-6","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 8","pages":"Page IBC"},"PeriodicalIF":1.9,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on: Role of MSX1 in the development of non-syndromic clefts in the sub-Himalayan region of India.","authors":"Parth Aphale, Himanshu Shekhar, Shashank Dokania","doi":"10.1016/j.bjoms.2025.07.018","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.07.018","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pooled patient transport services for the head and neck multi-disciplinary team clinic.","authors":"Michael Goodfellow, Andrew Burns","doi":"10.1016/j.bjoms.2025.08.011","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.08.011","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luis Vicente González, Juan Pablo López, María Paula Orjuela, Enrique Ter Horst
{"title":"Are there differences among TMJ arthroscopy discopexy techniques for pain and oral opening? A systematic review and Bayesian analysis.","authors":"Luis Vicente González, Juan Pablo López, María Paula Orjuela, Enrique Ter Horst","doi":"10.1016/j.bjoms.2025.08.010","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.08.010","url":null,"abstract":"<p><p>This study aims to determine which of the main arthroscopic discopexy techniques yields the best outcomes. A systematic review was conducted following the PRISMA guidelines. The inclusion criteria comprised studies reporting Visual Analogue Scale (VAS) scores and maximum interincisal opening (MIO) in patients who underwent temporomandibular joint (TMJ) discopexy. A Bayesian linear regression analysis was performed, considering pain reduction and increased mouth opening as dependent variables. The three primary technique groups were classified as rigid, semi-rigid, and non-rigid. A total of 1.400 discopexies performed were assessed on 849 female and 204 male patients. The most common diagnosis was Wilkes stage III, observed in 257 joints. The rigid technique resulted in a pain reduction of -56.07 (VAS), the semi-rigid technique reduced pain by -41.17 (VAS) and the non-rigid technique by -51.47 (VAS). Regarding MIO improvement, the semi-rigid technique showed the greatest increase, with a mean gain of 9.84 mm (7.06 ± 2.78 mm), followed by the non-rigid technique with 8.41 mm (7.06 ± 1.35 mm), and the rigid technique with 7.06 mm. All techniques demonstrated improvements in both pain reduction and mouth opening. However, the rigid technique achieved the best pain reduction, while the semi-rigid technique resulted in the most significant improvement in MIO.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shireen S Gohari, Agata J Baczynska, Valentin Weber, Mohammad S Sarwar, Umar Rehman, Peter A Brennan
{"title":"Online patient information on temporomandibular disorders provided by UK NHS hospitals: assessment and improvement of readability standards using AI-chatbots.","authors":"Shireen S Gohari, Agata J Baczynska, Valentin Weber, Mohammad S Sarwar, Umar Rehman, Peter A Brennan","doi":"10.1016/j.bjoms.2025.08.008","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.08.008","url":null,"abstract":"<p><p>Temporomandibular disorders (TMD) are complex conditions that burden patients and healthcare systems. Disparities in health literacy may hinder patient comprehension of online educational materials, potentially influencing outcomes. Artificial intelligence (AI)-driven chatbots offer a promising solution to improve the readability of patient information materials. We assessed the readability of available online materials on TMD in the United Kingdom (UK) and evaluate the ability of three AI-chatbots to improve readability. A search was done of all UK public hospital websites with Oral and Maxillofacial Surgery (OMFS) or Ear, Nose, and Throat (ENT) units for TMD-related patient information. Readability was assessed using five standard scoring systems. Three AI-chatbots (ChatGPT, Claude, and Google Gemini) were used to revise the content to an 11-year-old (sixth-grade) reading level. A total of 31 out of 122 of UK hospital Trusts provided online TMD materials. Of these, 12/31 and 1/31 met the target readability according to the Flesch-Kincaid Grade Level (FKGL), and the Gunning Fog Index/Coleman-Liau Index (GFI/CLI), respectively, with mean (SD) readability at 64.68 (6.79) for Flesch Reading Ease Score (FRES). After AI modification by Gemini, 96.8% met the target readability per FKGL, 54.8% per GFI, and 29.0% per CLI. Gemini improved the mean (SD) score significantly to 82.59 (5.73) (p < 0.001) for FRES, meeting the target readability level. Online patient information on TMD exceeds the recommended Year Six (sixth grade in the US) reading level. AI chatbots, particularly Gemini, can significantly enhance the readability of these materials, enabling them to meet health literacy standards according to certain readability tools.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yao Zhang, Jun Guo, Delong Ren, Tiantian Liu, Yufei Wu, Hui Li, Bing Liu, Hui Zhang
{"title":"Prediction of postoperative complications in patients undergoing head and neck surgery with free-flap reconstruction.","authors":"Yao Zhang, Jun Guo, Delong Ren, Tiantian Liu, Yufei Wu, Hui Li, Bing Liu, Hui Zhang","doi":"10.1016/j.bjoms.2024.10.240","DOIUrl":"10.1016/j.bjoms.2024.10.240","url":null,"abstract":"<p><p>Head and neck surgery with free-flap reconstruction (FFR) is associated with postoperative complications (PCs), which may affect the short and long-term prognosis of patients. This study aimed to propose a new model to predict the risk of PCs after head and neck surgery with FFR. A retrospective analysis was performed on 528 patients undergoing head and neck surgery with FFR between March 2020 and June 2022 in a tertiary head and neck centre. All information assessed included patient characteristics, tumour, laboratory, and surgical and anaesthetic factors. The primary outcome was a composite of severe non-surgical PCs during hospitalisation. All patients were grouped into those with PCs and those without PCs. Based on univariate and multivariate logistic regression analysis, a model to predict the risk of PCs was constructed and validated with bootstrap resampling. The incidence of PCs was 23.30% (123/528). Five predictors of PCs were identified: age, flap size, blood loss, maximum lactic acid value, and type of airway. The model incorporating these variables had moderate predictive discrimination, with an area under the receiver-operating characteristic curve (AUC) of 0.74 (95% CI: 0.69 to 0.79) for PCs, and maintained satisfactory calibration performance (Brier score of 0.157). Meanwhile, the model demonstrated satisfactory clinical significance. We propose a new simple PCs prediction model that shows promise for the guiding of perioperative management after head and neck surgery with FFR.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":"486-495"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of intravelar veloplasty and Furlow palatoplasty in submucous cleft palate: a meta-analysis.","authors":"Krittika Aggarwal, Anshu Tiwari, Aditi Sharma","doi":"10.1016/j.bjoms.2025.03.005","DOIUrl":"10.1016/j.bjoms.2025.03.005","url":null,"abstract":"<p><p>The submucous cleft palate is a known entity. The two most common techniques are intravelar veloplasty and Furlow palatoplasty. However, a standard technique has not yet been defined and, to our knowledge, there are no systematic reviews on the topic. This study therefore was undertaken to compare these two surgical techniques in terms of improvements in speech and velopharyngeal closure. We used Google Scholar, PubMed Central, Medline, and Cochrane databases. Reference checking and citation searching was done to identify studies to be included. Outcomes measured were speech improvement, objective improvement in velopharyngeal insufficiency, and adverse effects (wound dehiscence, palatal fistula, sleep apnoea, or hyponasal speech).Results were synthesised for each outcome using meta-analysis where possible (inverse variance with random effects analysis model). Four studies were included in the meta-analysis with a total of 170 participants. The comparison between intravelar veloplasty and Furlow palatoplasty in terms of speech was in favour of Furlow palatoplasty (odds ratio: 1.32; 95% confidence interval (CI): 0.55 to 3.18). For velopharyngeal closure, the result was in favour of Furlow palatoplasty (odds ratio: 2.11; 95% CI: 0.54 to 8.23). The rate of fistula formation was lower with intravelar veloplasty (odds ratio: 0.54; 95% CI: 0.11 to 2.71). Furlow palatoplasty may reduce the risk of incomprehensible speech and velopharyngeal insufficiency in comparison with intravelar veloplasty. There is less risk of fistula formation after intravelar veloplasty.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":"477-485"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Panayiotis Kyzas, Vinidh Paleri, Stuart Winter, Clare Schilling, Andrew Schache, Leandros Vassiliou, Brian Bisase, Helen Cocks, Chris Nutting
{"title":"Immunotherapy for locally advanced head and neck cancer.","authors":"Panayiotis Kyzas, Vinidh Paleri, Stuart Winter, Clare Schilling, Andrew Schache, Leandros Vassiliou, Brian Bisase, Helen Cocks, Chris Nutting","doi":"10.1016/j.bjoms.2025.06.007","DOIUrl":"10.1016/j.bjoms.2025.06.007","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":"475-476"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}