British Journal of Oral & Maxillofacial Surgery最新文献

{"title":"How common is the extended temporomandibular joint replacement (eTMJR)? Output data from a single global producer","authors":"Daanesh Zakai ,&nbsp;Jim Higginson ,&nbsp;Ross Elledge ,&nbsp;Louis G. Mercuri ,&nbsp;Bernie Speculand","doi":"10.1016/j.bjoms.2025.03.014","DOIUrl":"10.1016/j.bjoms.2025.03.014","url":null,"abstract":"<div><div>This cohort study focuses on establishing volumes and subclassifications of extended temporomandibular joint replacement (eTMJR) prostheses that are presently being produced compared to the production of standard TMJR devices. The reports of the use of eTMJR devices in the management of large segmental mandibular defects that also involve the temporomandibular joint (TMJ) are increasing in the literature. Data received from Stryker/TMJ Concepts reveals that eTMJR prostheses account for 13.5% of TMJR devices produced. The literature reports eTMJR adverse event issues such as infection, mechanical failures, and heterotopic bone formation. The aim of this study is to provide insights into the use of eTMJR prostheses to guide clinicians and researchers in advancing their use as a management option for complex mandibular reconstructions. Future research directions, focusing on the elements of device embodiments (materials, design, manufacturing), regenerative medicine, and predictive tools to enhance eTMJR longevity and success, are discussed.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 435-440"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113138","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":"In reply to the Letter to Editor regarding: Surgical management of bilateral mandibular angle fractures: a systematic review","authors":"Samuel R. Bullis,&nbsp;Elizabeth Z. Goh,&nbsp;Nigel R. Johnson","doi":"10.1016/j.bjoms.2025.05.006","DOIUrl":"10.1016/j.bjoms.2025.05.006","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 473-474"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303685","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":"Three-dimensional anatomical model of the facial nerve in 100 parotid tumours: improved planning and personalised surgery","authors":"M. McGurk ,&nbsp;I. Sassoon ,&nbsp;S. Morley","doi":"10.1016/j.bjoms.2025.05.001","DOIUrl":"10.1016/j.bjoms.2025.05.001","url":null,"abstract":"<div><div>Surgeons currently operate blind to the facial nerve and can encounter unexpected events during surgery. The ability to track the facial nerve through the parotid gland prior to surgery would aid surgical planning and ideally improve outcomes. An audit was undertaken of 100 patients with parotid tumours. Each had a 3 Tesla magnetic resonance imaging (MRI) scan, with the DICOM data segmented into three-dimensional (3D) models of the facial nerve, tumour, and surrounding anatomy. The objective was to assess the value of 3D models in the management of parotid tumours. Of the 86/100 patients who proceeded to surgery, the 3D models were accurate in 98% of cases. The scale of surgical complexity predicted by the models correlated with operative duration and complications (p = 0.01). There was concordance (p = 0.01) between surgeons on the value of 3D models in different patients. 3D images from 3T MRI scans provide accurate visualisation of the facial nerve in parotid surgery. This novel technique facilitates improved preoperative planning, the prospect of improved outcomes, and a personalised approach to parotid surgery.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 455-461"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295416","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":"Outcomes of selective neck dissection in node positive oral cavity squamous cell carcinoma","authors":"Rakesh Katna ,&nbsp;Priyal Patil ,&nbsp;Parth Patni ,&nbsp;Aastha Maini ,&nbsp;Bharat Bhosale ,&nbsp;Ashay Karpe ,&nbsp;Vijay Patil ,&nbsp;Nikhil Kalyani ,&nbsp;Mumbai Oncology Group – Head and Neck","doi":"10.1016/j.bjoms.2025.05.007","DOIUrl":"10.1016/j.bjoms.2025.05.007","url":null,"abstract":"<div><div>Management of the neck in oral cavity squamous carcinoma is debatable. The role of selective neck dissection (SND) in node positive neck in oral SCC is controversial. The aim of this study was to determine the efficacy of SND for the node positive neck in patients with oral cancer. A retrospective chart review was done of 424 oral cancer patients undergoing SND, who had pathologically node positive disease on histopathology treated from January 2017 to September 2024. A total of 424 patients were analysed with 82% male predominance. The median age was 49 years. The commonest primary site was the bucco-alveolar complex (60%). A total of 520 SNDs were done in 424 patients. At median follow up of 29 months, 59 patients (13.9%) had neck recurrence among which 15 patients had recurrence at level V, along with recurrence at other nodal levels. Three-year regional control was 82%, while DFS and OS were 65% and 81%, respectively. For oral cancer with a pathologically node positive neck, SND is an effective and oncologically safe treatment. Outcomes are similar to modified neck dissection, as reported in the literature.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 429-434"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334436","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":"Red, Amber, Green, rating (RAG) of oral and maxillofacial surgery (OMFS) training programmes in Europe – a pilot by OMFS trainers demonstrating a practical route to improve OMFS training","authors":"Patrick Magennis ,&nbsp;Frank Hölzle ,&nbsp;Hans-Peter Ulrich ,&nbsp;Anastasios Kanatas ,&nbsp;Behrus Puladi ,&nbsp;Dirk Stephanus Brandsma ,&nbsp;Iain Hutchison","doi":"10.1016/j.bjoms.2025.05.002","DOIUrl":"10.1016/j.bjoms.2025.05.002","url":null,"abstract":"<div><div>The European Oral and Maxillofacial Surgery (OMFS) Trainee Forum of the Union of European Medical Specialists (UEMS) used a Delphi process to define Red, Amber, Green, (RAG) criteria within key domains of OMFS training in Europe. The aim of this project was to assess the practicality for OMFS trainers of apply these criteria to their training programmes. The OMFS Section of UEMS shared the tables from the British Journal of Oral and Maxillofacial Surgery paper and asked the head of delegation for each nation with medical OMFS training programme to complete a rating for each domain and return them. The tables were: 1: National Domains of OMFS Training; 2: Training Programme/Rotation; 3: Teaching and Education; 4: Training Placement; 5: Records of Training Progression; 6: External Assessment of Training. The returned tables were transferred onto Excel© and processed with Winstat©. Forms were returned from 24 of the 26 UEMS nations with OMFS training programmes. There was no difficulty in completing the forms. No nation was Green in all domains. Replacing the colours with numerical values, Red=1, Amber=2, Green=3 to allow statistical analysis with a maximum possible score of 100% and a minimum possible score of 33%. Combining the scores from all tables, the scores ranged between 67% to 98% with a mean of 80%. Histograms for each table showed ‘normal’ curves except for external assessment, which was trimodal, with some nations having none, others some, and a few nations comprehensive external assessment. Collecting and publishing the results of RAG rating OMFS training across Europe allows nations, rotations and programmes to identify their strengths and address their weaknesses and may generate improvement.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 462-468"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337213","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":"Role of MSX1 in the development of non-syndromic clefts in the sub-Himalayan region of India","authors":"Madhubari Vathulya ,&nbsp;Neetu Singh ,&nbsp;Manisha Naithani ,&nbsp;Sanjay Dvivedi ,&nbsp;Mohit Jadli ,&nbsp;Nilotpal Chowdhary ,&nbsp;Konstanze Scheller ,&nbsp;Peter Kessler","doi":"10.1016/j.bjoms.2025.04.003","DOIUrl":"10.1016/j.bjoms.2025.04.003","url":null,"abstract":"<div><div>Non-syndromic cleft lip and palate (NSCL/P) is a prevalent congenital anomaly influenced by genetic and environmental factors. The role of the MSX1 gene in NSCL/P has been explored in various populations, with conflicting results. This study investigates the association between MSX1 single nucleotide polymorphisms (SNPs) rs11726039 and rs3821949 and NSCL/P in a sub-Himalayan population of India. A total of 395 subjects, including 216 patients and 179 controls, were genotyped using TaqMan assays. The study also considered environmental factors, such as maternal smoking and folic acid intake. Statistical analysis, including odds ratios (OR), Fisher’s exact test, and Hardy-Weinberg equilibrium, was used to assess the association between the SNPs (single nuclear polymorphisms) and NSCL/P. While rs11726039 showed no significant association in either patient or parental samples, rs3821949 indicated a protective effect in fathers (OR = 0.44, p = 0.001) but not in patients. The findings highlight population-specific variations in the genetic aetiology of NSCL/P and the need for larger studies to confirm the role of MSX1 SNPs in the sub-Himalayan region. Despite being located in the same country, differences in genetic associations were noted between the sub-Himalayan and South Indian populations, underscoring the complexity of genetic interactions in NSCL/P.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 441-446"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227782","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":"Clinical, histopathological, and epidemiological characterisation of accessory parotid gland tumours in relation to parotid and submandibular gland tumours: observations based on 2653 cases of the Polish Salivary Network Database","authors":"Małgorzata Wierzbicka ,&nbsp;Patrycja Gazinska ,&nbsp;Heng-Chang Chen ,&nbsp;Pawel Burduk ,&nbsp;Ewelina Bartkowiak ,&nbsp;Wioleta Pietruszewska ,&nbsp;Dominik Stodulski ,&nbsp;Agata Leduchowska ,&nbsp;Jarosław Markowski ,&nbsp;Aleksandra Piernicka-Dybich ,&nbsp;Małgorzata Wierzchowska ,&nbsp;Joanna Czech ,&nbsp;Katarzyna Amernik ,&nbsp;Alicja Chańko ,&nbsp;Daniel Majszyk ,&nbsp;Antonii Bruzgielewicz ,&nbsp;Bogusław Mikaszewski","doi":"10.1016/j.bjoms.2024.09.014","DOIUrl":"10.1016/j.bjoms.2024.09.014","url":null,"abstract":"<div><div>Salivary gland tumours comprise one of the most complex and rare groups of heterogeneous lesions encountered in oral pathology. Large clinical and population-based epidemiological studies are inherently limited. This multicentre prospective study was conducted between 2017 and 2021 using the Polish Salivary Network Database (PSND). A dataset of 2653 cases of salivary gland tumours was analysed, focusing on the submandibular gland (n = 173), accessory parotid gland (n = 100), and parotid gland (n = 2375). Epidemiological and pathological factors were considered to identify the risk of malignancy and differences between tumours of the submandibular, parotid, and accessory parotid glands. A significant difference was observed in the median age of patients with tumours of the submandibular (50.5 years) and accessory parotid glands (51.5 years) compared with that of patients with parotid gland tumours (60.0 years) (p &lt; 0.001). Factors such as tobacco usage (p &lt; 0.001) and place of residence (p = 0.015) were associated with these differences. Sex was not a differentiating factor in the risk of malignancy. In females, 106/173 patients had tumours in the submandibular gland, 61/100 had tumours in the accessory parotid, and 1282/2375 had tumours in the parotid. In males, 67/173 had tumours in the submandibular gland, 39/100 had tumours in the accessory parotid, and 1093/2375 had tumours in the parotid. Significant differences were found in submandibular and parotid tumour locations between village and city inhabitants (p = 0.016). The nature of tumours located in the parotid, comprising the superficial and deep lobes, was distinct in relation to accessory parotid tumours. Accessory parotid tumours exhibited more similarities to those originating in the submandibular region. These findings have the potential to impact future clinical approaches. However, additional validation studies are needed.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 447-454"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303683","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":"Do the existing quality-of-life tools appropriately measure oral health-related quality of life in head and neck cancer? A scoping review","authors":"Jaymit Patel (Consultant Restorative Dentistry) ,&nbsp;Julia Csikar (Associate Professor Dental Public Health) ,&nbsp;Anke Korfage (Dentist- Maxillofacial Prosthodontist) ,&nbsp;Max Witjes (Professor Dental Public Health) ,&nbsp;Gail Douglas (Professor Dental Public Health) ,&nbsp;Anastasios Kanatas (Professor Oral and Maxillofacial Surgery)","doi":"10.1016/j.bjoms.2025.05.004","DOIUrl":"10.1016/j.bjoms.2025.05.004","url":null,"abstract":"<div><div>Head and neck cancers and their respective treatments have a profound impact on quality of life. Many oropharyngeal and oral cancers are likely to have implications for oral health-related quality of life (OHRQoL), but research investigating tools to measure this are lacking. We conducted a scoping review to ascertain the available tools for measuring OHRQoL in head and neck cancer patients. The primary objective was to compile a summary of the existing tools and determine their completeness, validity, and reliability. The literature search yielded 1239 articles. Thirty-one studies were included in the review and multiple tools were identified. None of the tools assessed all potential OHRQoL impacts, and none had undergone comprehensive testing using a range of assessments. Most of the tools did not adhere to published guidance, with only the European Organisation for Research and Treatment of Cancer (EORTC) citing methodological guidance in their survey tool development protocols. All tools achieved recommended readability scores in English. Due to methodological flaws in the evidence base, it was not possible to definitively establish the completeness of any available tool. There was discordance between tools regarding the relevant OHRQoL impacts. Several tools failed to assess accepted domains of OHRQoL, calling into question their concordance with the construct of OHRQoL. In addition, there was a lack of adherence to published standards regarding both the construction and testing methods for quality-of-life instruments. Studies reporting on OHRQoL in head and neck cancer may, therefore, not comprehensively assess the actual impacts of the disease and its treatment.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 415-422"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499410","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)00159-7","DOIUrl":"10.1016/S0266-4356(25)00159-7","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Page IBC"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631844","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":"What are the oral health implications of using snus? A systematic review","authors":"Tom Bray ,&nbsp;Charlie Rose ,&nbsp;Lyndon Meehan ,&nbsp;Liam Addy ,&nbsp;Petros Mylonas","doi":"10.1016/j.bjoms.2025.03.015","DOIUrl":"10.1016/j.bjoms.2025.03.015","url":null,"abstract":"<div><div>Many consider the consumption of smokeless tobacco (SLT) a risk to oral health. Snus is being increasingly used, and the aim of this systematic review was to determine the oral health effects of this. Medline, Web of Science, and Scopus were searched using oral health related terms and the term snus. Studies concerning SLT products other than snus were excluded. The literature search identified 47 studies suitable for inclusion. Five out of six epidemiological studies did not report an elevated risk of oral cancer in users of snus. However, three observational studies presented cases of oral cancer at the site of snus placement. Snus was consistently associated with the development of oral mucosal lesions, or snuff dipper’s lesions (SDLs). Studies indicate that quitting the habit leads to rapid SDL regression, and that taking up the habit leads to its rapid initiation. Evidence in this review suggests that snus may not increase the risk of oral cancer. Further research is required to supplement the current evidence in this area, and to investigate the range of snus products now available.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 423-428"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295417","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}