British Journal of Oral & Maxillofacial Surgery最新文献

Training groups / Instructions to Authors 培训小组/作者须知

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-10-26 DOI: 10.1016/S0266-4356(24)00491-1

引用次数: 0

Comment on: Risk prediction of complicated course in patients undergoing major head and neck surgery with free flap reconstruction. 评论游离皮瓣重建头颈部大手术患者复杂病程的风险预测

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-10-19 DOI: 10.1016/j.bjoms.2024.08.012

Erkan Topkan, Efsun Somay, Duriye Ozturk, Sukran Senyurek

引用次数: 0

Extreme and remarkable adaptations of oral cancer survivors in Sri Lanka. 斯里兰卡口腔癌幸存者的极端和非凡适应性。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-10-10 DOI: 10.1016/j.bjoms.2024.10.227

Liyanaarachchige Anushan Hiranya Jayasinghe

引用次数: 0

Impact of parathyroidectomy on quality of life in primary hyperparathyroidism. 甲状旁腺切除术对原发性甲状旁腺功能亢进症患者生活质量的影响

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-09-30 DOI: 10.1016/j.bjoms.2024.09.009

Daniel Shepherd, Keerthi Madhurya Kethireddi, Farzad Borumandi

{"title":"Impact of parathyroidectomy on quality of life in primary hyperparathyroidism.","authors":"Daniel Shepherd, Keerthi Madhurya Kethireddi, Farzad Borumandi","doi":"10.1016/j.bjoms.2024.09.009","DOIUrl":"https://doi.org/10.1016/j.bjoms.2024.09.009","url":null,"abstract":"Patients with primary hyperparathyroidism (PHPT) frequently report symptoms that are associated with the disease and impact on their quality of life (QoL). While parathyroidectomy corrects calcium and PTH levels, its impact on improving patients' QoL is not clear. In this single centre prospective study, we aimed to assess the impact of a parathyroidectomy on PHPT patients' pre and post parathyroidectomy QoL over a period of three years and nine months. PHPT patients, undergoing parathyroidectomy, voluntarily completed a modified Pasieka Parathyroidectomy Assessment Score (PAS), a tool correlating 13 PHPT symptoms to QoL. Sixty patients with PHPT (mean age 64 years, female to male 4:1) were included in the study. Pre parathyroidectomy, the most common symptoms were: feeling tired easily (n = 58); being forgetful (n = 51); pain in the joints (n = 49); feeling irritable (n = 48) bone pain (n = 45); feeling weak (n = 45); mood swings (n = 42); and being thirsty (n = 42). Parathyroidectomy reduced severity of mean total PAS by 44%, improving from 509 to 284 (p < 0.01). A total of 77% (n = 46) of patients experienced some improvement of PAS. The five most severe symptoms (highest reported individual PAS) showed a significant reduction post parathyroidectomy (p < 0.01): feeling tired easily (mean PAS 65 vs 38); pain in the joints (52 vs 31); being thirsty (46 vs 22); being forgetful (45 vs 28); and bone pain (45 vs 27). Patients with PHPT demonstrated impaired QoL as evidenced by the PAS, and assessing this is valuable in treatment planning. Parathyroidectomy impacts the symptoms that most affect QoL and significantly improves overall QoL in these patients.","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549050","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}

引用次数: 0

Outcomes of incidental pulmonary nodules detected in oral and oropharyngeal cancer patients. 口腔癌和口咽癌患者偶发肺结节的治疗结果

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-09-30 DOI: 10.1016/j.bjoms.2024.09.011

Hao-Hsuan Tsai, Mahim Ali, Aneesh Mohindra, Sat Parmar, Omar Breik

{"title":"Outcomes of incidental pulmonary nodules detected in oral and oropharyngeal cancer patients.","authors":"Hao-Hsuan Tsai, Mahim Ali, Aneesh Mohindra, Sat Parmar, Omar Breik","doi":"10.1016/j.bjoms.2024.09.011","DOIUrl":"https://doi.org/10.1016/j.bjoms.2024.09.011","url":null,"abstract":"Computed tomography (CT) of the chest is routinely performed as part of head and neck cancer (HNC) staging. Pulmonary nodules incidentally encountered present a clinical dilemma, as they may indicate early malignancy. Clinically indeterminant nodules are those that cannot be classed as definitively malignant or benign. This study aimed to assess the outcomes of pulmonary nodules detected on initial staging chest CT in a consecutive cohort of patients with oral and oropharyngeal squamous cell carcinoma (SCC). A retrospective cohort study of newly diagnosed oral or oropharyngeal SCC patients with pulmonary nodules identified on staging chest CT at a single institution was conducted. Pulmonary nodules were categorised as benign, indeterminant, or malignant. Indeterminant nodules underwent further investigations with either repeat imaging or needle biopsy to exclude malignancy. Descriptive and bivariate statistics were used to evaluate the association between pulmonary metastasis and patient demographics, disease characteristics, and nodular features. P values of ≤ 0.05 were considered statistically significant. Of 579 patients diagnosed with HNC who had undergone staging chest CT between 2010 and 2015, 154 had pulmonary nodules. Indeterminant pulmonary nodules at staging in 26 patients (16.9%) were later confirmed to be lung metastases. Pulmonary nodules of subsolid type found in patients with N2/N3 disease were significantly more likely to be metastatic. Isolated pulmonary nodules in the right lung were more likely to be benign. A HNC-specific protocol for the management of incidental pulmonary nodules should now be developed to guide the interval and duration of required clinical and radiological surveillance, taking into account the disease characteristics and nodular features.","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481461","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}

引用次数: 0

Current thinking in the management of temporomandibular disorders in children: A narrative review. 儿童颞下颌关节紊乱治疗的当前思路：叙述性综述。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-09-28 DOI: 10.1016/j.bjoms.2024.09.004

Toby Visholm, Nadeem Saeed

{"title":"Current thinking in the management of temporomandibular disorders in children: A narrative review.","authors":"Toby Visholm, Nadeem Saeed","doi":"10.1016/j.bjoms.2024.09.004","DOIUrl":"https://doi.org/10.1016/j.bjoms.2024.09.004","url":null,"abstract":"The aim of this narrative review is to discuss current opinions on paediatric temporomandibular disorders (TMDs) due to their increasing incidence in routine secondary care maxillofacial clinics. A MEDLINE and EMBASE search was performed of the literature published in the past three years concerning paediatric TMD. Of 261 papers identified, 89 were selected for relevance, of which 52 full texts were eligible and 41 included. The narrative of this paper follows three domains: myogenous and arthogenous pain, juvenile idiopathic arthritis (JIA), and reconstruction. The principles of treating mild TMD in children are similar to those in adults, with even more emphasis on the management of psychosocial issues and self-care. The use of medication, however, needs to be more cautious. Symptomatic disc displacement should be treated to reduce inflammation, so early arthrocentesis or arthroscopy is relevant. Controversy exists on disc repositioning to reduce or even reverse condylar degeneration in the growing condyle. If undertaken it should ideally be performed arthroscopically by surgeons with significant experience. Arthritic disease is usually associated with JIA so a multidisciplinary approach is the focus of treatment. The role of arthroscopy in the management of symptoms is increasing but it does not prevent disease progression. Surgical correction may be required for secondary deformity. Reconstruction remains a challenge with no ideal autogenous method. Alloplastic joints are gaining popularity, but the long-term outcomes are unknown. Surgery can be undertaken with minimal morbidity, and the use of joint replacements, even as space maintainers, may therefore be more beneficial than repeated failed autogenous treatments.","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570089","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}

引用次数: 0

Facial feminisation surgery in the UK: A plea to give it serious treatment. 英国的面部女性化手术：恳请认真对待。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-09-28 DOI: 10.1016/j.bjoms.2024.09.008

Keith Altman

引用次数: 0

Factors affecting the risk of trismus following maxillary ablative surgery comparing free flap reconstruction to prosthetic obturation: a retrospective observational study. 上颌消融手术后发生三联症风险的影响因素：一项回顾性观察研究，将游离皮瓣重建术与修复性闭合术进行比较。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-09-27 DOI: 10.1016/j.bjoms.2024.09.005

Glyndwr W Jenkins, Cameron C Lee, Islam Ellabban, Donita Dyalram, Joshua E Lubek

{"title":"Factors affecting the risk of trismus following maxillary ablative surgery comparing free flap reconstruction to prosthetic obturation: a retrospective observational study.","authors":"Glyndwr W Jenkins, Cameron C Lee, Islam Ellabban, Donita Dyalram, Joshua E Lubek","doi":"10.1016/j.bjoms.2024.09.005","DOIUrl":"https://doi.org/10.1016/j.bjoms.2024.09.005","url":null,"abstract":"The reconstruction of post-ablative maxillary defects is controversial. It is accepted that quality of life indicators are poorer for maxillary reconstruction compared with mandibular reconstruction. One factor highlighted is that of post-treatment trismus. Rates of trismus are reviewed comparing free tissue transfer to that of prosthetic obturation. A retrospective review was undertaken comparing rates of trismus at twelve months post-surgery between free tissue transfer and prosthetic obturation. A total of 85 patients were identified who met the inclusion criteria. Both reconstruction techniques were significant for developing trismus, with a higher rate in the free flap reconstruction cohort than the prosthetic obturation cohort by a factor of 2.51. Modern reconstructive head and neck surgery has moved away from 'filling a hole' to a more bespoke, patient-specific reconstruction. The evidence presented here should allow the reconstructive surgeon to better discuss outcomes with patients when considering surgical options for Class II maxillary defects.","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549048","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}

引用次数: 0

Proportionate arthroscopic discopexy (PAD): a new therapeutic approach based on the arthroscopic roofing percentage. 关节镜下椎间盘按比例切除术（PAD）：一种基于关节镜下屋顶比例的新治疗方法。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-09-26 DOI: 10.1016/j.bjoms.2024.09.007

Rafael Martin-Granizo López, Luis Vicente González, Juan Pablo López, Oscar de la Sen

引用次数: 0

Response to ‘Comments on “Clinical effectiveness of polynucleotide TMJ injection compared with physiotherapy: a 3-month randomised clinical trial”’ 对 "多核苷酸颞下颌关节注射与物理治疗的临床效果比较：为期 3 个月的随机临床试验 "的评论 "的回应。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-09-17 DOI: 10.1016/j.bjoms.2024.09.003

N. Cenzato , R. Crispino , A. Russillo , M. Del Fabbro , G.M. Tartaglia

引用次数: 0