British Journal of Oral & Maxillofacial Surgery最新文献

Training groups / Instructions to Authors 培训小组/对作者的指导

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/S0266-4356(25)00126-3

引用次数: 0

The impact of the large language model ChatGPT in oral and maxillofacial surgery: a systematic review 大语言模型ChatGPT在口腔颌面外科中的影响：系统综述。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.03.006

Lucas Mariz de Menezes Torres , Everton Freitas de Morais , Dennys Ramon de Melo Fernandes Almeida , Luís Eduardo Charles Pagotto , Thiago de Santana Santos

{"title":"The impact of the large language model ChatGPT in oral and maxillofacial surgery: a systematic review","authors":"Lucas Mariz de Menezes Torres , Everton Freitas de Morais , Dennys Ramon de Melo Fernandes Almeida , Luís Eduardo Charles Pagotto , Thiago de Santana Santos","doi":"10.1016/j.bjoms.2025.03.006","DOIUrl":"10.1016/j.bjoms.2025.03.006","url":null,"abstract":"<div><div>This systematic review evaluates the impact of the large language model (LLM) ChatGPT in oral and maxillofacial surgery. Following PRISMA guidelines and registered in PROSPERO (CRD42024625882), the study involved a comprehensive search across PubMed/Medline, Embase, Scopus, and Science Direct. Inclusion criteria focused on ChatGPT’s use in clinical decision-making, surgical planning, patient education, and research. Ten studies were reviewed, assessing ChatGPT’s performance in diagnostic accuracy, surgical efficiency, and patient satisfaction. GPT-4 achieved the highest accuracy (76.8%) in multiple-choice questions but showed variability, with lower performance in pharmacology and complex clinical scenarios. It excelled in generating informed consent documents, outperforming other AI models and human residents in accuracy, completeness, and readability. It also provided accurate and supportive responses in postoperative follow up. However, limitations were noted in handling complex clinical decisions and providing personalised advice for cases such as oral cancer and orthognathic surgery. While ChatGPT shows potential in improving patient communication, reducing healthcare workloads, and providing up-to-date information, its current limitations in accuracy and personalisation underscore the need for human supervision and integration with clinical databases. AI tools like ChatGPT can complement, but should not replace, human judgment in specialised fields such as oral and maxillofacial surgery.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 5","pages":"Pages 357-362"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027031","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

Does the application of counter-clockwise rotation in mandibular advancement increase the stress on the inferior alveolar nerve? 下颌前进时逆时针旋转是否会增加对下牙槽神经的压力？

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.03.007

Şebnem Akkülah Duygulu, Alparslan Esen

{"title":"Does the application of counter-clockwise rotation in mandibular advancement increase the stress on the inferior alveolar nerve?","authors":"Şebnem Akkülah Duygulu, Alparslan Esen","doi":"10.1016/j.bjoms.2025.03.007","DOIUrl":"10.1016/j.bjoms.2025.03.007","url":null,"abstract":"<div><div>Sagittal split ramus osteotomy (SSRO) is a reliable surgical procedure for the correction of maxillofacial deformities. However, the most common complication that occurs after the procedure is a neurosensorial disturbance of the inferior alveolar nerve (IAN). Especially in individuals with retrognathic mandible or sleep apnoea, it may be necessary to perform a large amount of mandibular advancement and counter-clockwise (CCW) rotation depending on the angle of the mandibular plane. The likelihood of prolonged neurosensorial disturbance is increased in such patients. The objective of this experimental study was to evaluate the accumulation of stress on the IAN caused by different amounts of advancement and CCW rotation using finite element analysis. The mandibular models with SSRO were advanced 6, 9, and 12 mm and rotated 10 degrees CCW. According to the data obtained, a slight increase in stress values was observed when 10 degrees CCW rotation was applied. However, it was found that significant increases in stress values were directly proportional to the amount of advancement. This experimental study showed that the main cause of stresses on the inferior alveolar nerve after SSRO is the amount of advancement rather than the amount of CCW rotation.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 5","pages":"Pages 379-384"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034013","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

Response to: Comment on: Outcomes of incidental pulmonary nodules detected in oral and oropharyngeal cancer patients 评论：在口腔和口咽癌患者中发现偶发肺结节的结局。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.03.012

Hao-Hsuan Tsai , Omar Breik

引用次数: 0

The state of play report 比赛状态报告。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.03.011

引用次数: 0

Bimaxillary osteotomies as a less than 24-hour stay procedure 双腋截骨术是一种少于24小时的手术。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.02.015

Laurie A. Davies, Simon D. Jones, Divya Priya Ramkumar

{"title":"Bimaxillary osteotomies as a less than 24-hour stay procedure","authors":"Laurie A. Davies, Simon D. Jones, Divya Priya Ramkumar","doi":"10.1016/j.bjoms.2025.02.015","DOIUrl":"10.1016/j.bjoms.2025.02.015","url":null,"abstract":"<div><div>Historically, Le Fort I bimaxillary osteotomy (BMO) in the UK has generally been regarded as a surgical procedure requiring a full day of operating with subsequent hospital stay for several days, including potential intensive care admission and blood transfusions. Following the introduction of the national standards on day case surgery in the UK in 2011, the authors have routinely and successfully performed bilateral sagittal split osteotomy surgery (BSSO) as a day-case procedure, whilst achieving excellent patient satisfaction since 2015. The desire to improve efficiency in the management of patients requiring short-term surgical admission, was also applied to BMO procedures, with aims for a short, less than 24 h (<24-hour) stay admission, for patients with appropriate medical and social circumstances. With day surgery and short stay admission considered fundamental to modern care, this presents multiple benefits for both patients and the National Health Service (NHS). Our aim was to demonstrate that our BMOs conform to current national standards, and could be carried out both successfully and safely, as a <24-hour stay procedure. All patients undergoing BMOs (n = 165) were planned as a <24-hour stay procedure between 2012 and 2023 by the same consultant. Demographic details, operative time, length of stay, and re-admittance rates were reviewed retrospectively. Of these patients, 96.4% (n = 159) were discharged within 24 h of the procedure. Four patients (2.4%) were discharged within 24–48 h, and two (1.2%) within 48–72 h. There were no re-admissions within 48 h of discharge. We concluded that BMOs, along with concurrent wisdom tooth removal, can be carried out successfully and routinely as a single, short stay procedure. However, to reduce the rate of prolonged admission, it is recommended that a strict perioperative protocol be followed.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 5","pages":"Pages 368-372"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993004","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

Comment on: Outcomes of incidental pulmonary nodules detected in oral and oropharyngeal cancer patients 评论：在口腔癌和口咽癌患者中发现偶发肺结节的结果。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.01.014

Joseph C. Lee, Jia Wen Chong, Gerard N. Olive

引用次数: 0

In reply to the Letter to Editor regarding Comment on: Role of artificial intelligence in magnetic resonance imaging-based detection of temporomandibular joint disorder: a systematic review 回复关于“人工智能在基于磁共振成像的颞下颌关节疾病检测中的作用：系统综述”评论的致编辑的信。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.03.008

Hariram Sankar , Ragavi Alagarsamy , Babu Lal , Shailendra Singh Rana , Ajoy Roychoudhury , Arivarasan Barathi , Ankush Ankush

引用次数: 0

The efficacy of indocyanine green fluorescence in facilitating thoracic duct visualisation and mitigating injury in cervicothoracic surgery: a systematic review and meta-analysis 吲哚菁绿荧光在颈胸外科手术中促进胸导管显像和减轻损伤的疗效：一项系统综述和荟萃分析。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.03.013

Martin J. Evans , Elena E. Bunola-Hadfield , Jeevith Shetty Sowkoor , Tahira Y. Malik , Hussain Master , Emiko Sultana , Abdiqadir O. Mohamed , Abdullah M. Alqaseer , Ahmed T. Ismail , Pouya Mafi , Shafiq Rahman

{"title":"The efficacy of indocyanine green fluorescence in facilitating thoracic duct visualisation and mitigating injury in cervicothoracic surgery: a systematic review and meta-analysis","authors":"Martin J. Evans , Elena E. Bunola-Hadfield , Jeevith Shetty Sowkoor , Tahira Y. Malik , Hussain Master , Emiko Sultana , Abdiqadir O. Mohamed , Abdullah M. Alqaseer , Ahmed T. Ismail , Pouya Mafi , Shafiq Rahman","doi":"10.1016/j.bjoms.2025.03.013","DOIUrl":"10.1016/j.bjoms.2025.03.013","url":null,"abstract":"<div><div>Chyle leak following injury to the thoracic duct (TD) is an uncommon but serious complication of cervicothoracic procedures, including neck dissection and oesophagectomy, and has significant morbidity and mortality. We aimed to investigate the efficacy of indocyanine green (ICG) fluorescence in facilitating intraoperative TD visualisation and preventing chyle leaks. A systematic review and meta-analysis was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards for studies that assessed ICG for TD visualisation in cervicothoracic procedures. The primary outcome measure was TD visualisation using ICG. Secondary outcomes included rates of chyle leak detection, visualisation rate in white light, and time from injection to visualisation. Twelve studies enrolling 475 subjects met the inclusion criteria. The TD visualisation rate with ICG was 93.3% (SE 0.013, p < 0.001) compared with 54.3% (SE 0.065, p < 0.001) in white light. Detection rates for intraoperative chyle leak were higher using ICG compared with no ICG use: 74% (SE 0.047, p < 0.001) vs 17.5% (SE 0.086, p = 0.043), respectively. ICG reduced rates of postoperative chyle leak from 10.1% (untransformed proportion metric: 0.101 (0.045, 0.157), p < 0.001) to 3.9% (SE 0.021, p = 0.061). Mean time from ICG injection to TD visualisation was 83.94 minutes (p < 0.001). ICG offers an effective method of TD visualisation in cervicothoracic surgery. It can reduce rates of chyle leak and mitigate adverse sequelae from inadvertent duct injury. High-quality randomised controlled trials are required to improve the evidence base.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 5","pages":"Pages 349-356"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082245","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

Comment On: “Role of artificial intelligence in magnetic resonance imaging-based detection of temporomandibular joint disorder: a systematic review” 评论：“人工智能在基于磁共振成像的颞下颌关节疾病检测中的作用：系统综述”。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.01.013

Malika Mostafavi, Ali Malik, Harun Arain, Sukruth Kundur, Hamid Reza Khademi Mansour

引用次数: 0