{"title":"Quality of life after treatment of dentofacial deformity: a cross-sectional study of 311 patients at various stages of surgical treatment","authors":"Mohammad Ibrahim Zafar , Torbjørn Østvik Pedersen","doi":"10.1016/j.bjoms.2025.02.007","DOIUrl":"10.1016/j.bjoms.2025.02.007","url":null,"abstract":"<div><div>The aim of the study was to investigate self-reported quality of life (QoL) following orthognathic surgery for patients with dentofacial deformities (DFD) correlated to the type of osteotomy performed. Self-reported QoL of 311 patients was evaluated, before preoperative orthodontic treatment (n = 91), before surgical treatment (n = 76), two years (n = 35), five years (n = 56) and eight years after treatment (n = 53), using the validated condition specific Orthognathic Quality of Life Questionnaire (OQLQ). Also, previous experience with orthodontic treatment was evaluated for all patients. Patients who underwent single-jaw mandibular setback surgery and Le Fort I osteotomies had the most pronounced change in global OQLQ scores. Oral function was significantly improved in both groups, and dentofacial aesthetics and awareness of dentofacial deformity was significantly improved in the mandibular setback group. The effect did not significantly change over time for any of the groups. The extent of orthodontic treatment in the preoperative stage did not significantly alter QoL scores. Orthognathic surgery improved self-reported quality of life in a Norwegian population. The type of dentofacial deformity and surgical procedure differed in some aspects, but the global OQLQ scores remained consistent.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Pages 303-309"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712218","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}
Montey Garg , Rabindra P. Singh , Michael Nugent , Robert P. Bentley
{"title":"The BAOMS FlexFacs Programme: Advancing OMFS education and a potential model for online surgical learning across specialties in the United Kingdom","authors":"Montey Garg , Rabindra P. Singh , Michael Nugent , Robert P. Bentley","doi":"10.1016/j.bjoms.2025.03.001","DOIUrl":"10.1016/j.bjoms.2025.03.001","url":null,"abstract":"<div><div>The BAOMS FlexFacs programme (June 2021–June 2024) aimed to transform online education within the UK Oral and Maxillofacial Surgery (OMFS) community, setting a new standard for virtual learning. Over its three-year span, the programme delivered 34 expertly curated sessions, drawing a cumulative live attendance of over 3000 participants and maintaining consistently high engagement. With a focus on innovation, accessibility, and curriculum alignment, the programme covered a wide range of topics. Stand out sessions, such as ‘Orbital Trauma’ and the ‘Head and Neck Cancer Study Day’ achieved record attendance of 148 and 181 participants, respectively, highlighting the programme’s relevance and appeal. Feedback underscored the programme’s success, with attendees rating session organisation an average of 4.7 out of 5 and its impact on clinical practice and educational progress 4.5 out of 5. Interactive elements, such as quizzes and dynamic post-session discussions, encouraged active engagement and reinforced learning. A comprehensive online repository further amplified the programme’s reach, allowing participants to revisit recorded sessions aligned with the OMFS curriculum and supporting FRCS exam (Fellowship of the Royal College of Surgeons - Exit Exam) preparation. The seamless transition of FlexFacs to NHS England in July 2024 ensures its enduring influence on OMFS education. By addressing gaps in traditional training and equipping professionals through flexible, high-quality resources, the programme has established itself as a model for surgical education. Its legacy extends beyond its immediate achievements, offering a potential blueprint for future virtual learning initiatives across all surgical specialties.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Pages 317-323"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755691","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}
Bernardo Olsson , Lidiana dos Santos Cordeiro , Aline Monise Sebastiani , Leandro Eduardo Kluppel , Delson Joao da Costa , Nelson Luis Barbosa Rebellato , Rafaela Scariot
{"title":"Does severity of dentofacial deformity impact oral health-related quality of life in class III cleft lip and palate patients?","authors":"Bernardo Olsson , Lidiana dos Santos Cordeiro , Aline Monise Sebastiani , Leandro Eduardo Kluppel , Delson Joao da Costa , Nelson Luis Barbosa Rebellato , Rafaela Scariot","doi":"10.1016/j.bjoms.2025.02.008","DOIUrl":"10.1016/j.bjoms.2025.02.008","url":null,"abstract":"<div><div>The aim of this cross-sectional study was to correlate the severity of dentofacial deformity and oral health-related quality of life (OHRQoL) in 42 class III patients with cleft lip and palate (CLP). The main outcome measures were clinical evaluations of overjet and overbite. OHRQoL was assessed with the Oral Health Impact Profile-14 questionnaire (OHIP-14). Angular (facial angle, SNA, SNB, ANB) and linear (N-PerpA, N-PerpPog and Wits appraisal) measurements were made using digital lateral teleradiography. No statistical difference was found between clinical variables and OHIP-14 scores (total score and domains, p > 0.05). A moderate positive correlation was found between the SNA angle and the handicap domain (r<sub>s</sub> = 0.428; p = 0.005), between the ANB angle and the handicap domain (r<sub>s</sub> = 0.319; p = 0.040) and psychological disability (r<sub>s</sub> = 0.331; p = 0.032); between N-PerpA and the social disability domain (r<sub>s</sub> = 0.345, p = 0.025); and between Wits appraisal and total OHIP-14 score (r<sub>s</sub> = 0.331; p = 0.032) and psychological disability (r<sub>s</sub> = 0.348; p = 0.024). Some angular and linear measurements of class III patients with CLP correlated with the total OHIP-14 score and the handicap, psychological disability, and social disability domains.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Pages 310-316"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733350","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)00092-0","DOIUrl":"10.1016/S0266-4356(25)00092-0","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Page IBC"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887297","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}
Ioan Davies , Andrew Jenkinson , Lawrence Dovgalski , Peter Llewelyn Evans , Ketan Shah , M.A. Kittur
{"title":"Utilisation of intraoral scanner for construction of immediate nasal prosthesis following total rhinectomy: Technical note","authors":"Ioan Davies , Andrew Jenkinson , Lawrence Dovgalski , Peter Llewelyn Evans , Ketan Shah , M.A. Kittur","doi":"10.1016/j.bjoms.2025.02.009","DOIUrl":"10.1016/j.bjoms.2025.02.009","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Pages 327-329"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813063","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}
Victoria Vincent , Srinivas Gosla Reddy , Anthony Markus
{"title":"Comparing the socio-economic and emotional implications of management of a hypoplastic cleft maxilla with distraction osteogenesis or orthognathic surgery in a developing country","authors":"Victoria Vincent , Srinivas Gosla Reddy , Anthony Markus","doi":"10.1016/j.bjoms.2025.02.006","DOIUrl":"10.1016/j.bjoms.2025.02.006","url":null,"abstract":"<div><div>Management of a hypoplastic maxilla can be addressed through distraction osteogenesis (DO) or orthognathic surgery (OS), with DO being preferred for severe deformity due to the increased stability of its long-term outcomes. This study aims to compare the economic and emotional implications of DO versus OS at an Indian institute. A total of 20 patients who underwent maxillary DO were compared with 20 patients who underwent orthognathic Le Fort I osteotomy. Sourced from the GSR Institute of Craniofacial Surgery database, patients completed a telephone questionnaire, via a translator, which investigated: return travel costs to hospital, length of hospital stay, Likert scales gauging mood and impact on daily life before, during, and after treatment. There was a marked increased mean length of hospital stay associated with rigid external device (RED) in comparison with OS by 70.5%. This is also associated with a greater mean total cost of hospital stay per patient, also by 70.5%. The mean number of visits to hospital postoperatively was over twice the number of visits for RED in comparison with OS, associated with a staggering 859.9% increase in financial burden on RED patients compared with OS with regards to mean total return travel costs to hospital. There was a 36.8% percentage change in impact on daily life scores for RED patients compared with 25.0% percentage change associated with OS. While DO appears advantageous, its economic drawbacks emphasise the necessity for a comprehensive evaluation of clinical and economic outcomes in low-resource settings. Limitations included challenges due to various regional languages and absence of pre-existing maxillary deficiency data.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Pages 298-302"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665418","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 ‘Tranexamic acid reduces blood loss in orthognathic surgery – a systematic review and meta-analysis’","authors":"Vaibhav Sahni (Consultant)","doi":"10.1016/j.bjoms.2024.12.007","DOIUrl":"10.1016/j.bjoms.2024.12.007","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Page 333"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744423","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 response to ‘Comment on: Who let the dogs out? A 10-year review of maxillofacial dog bite injuries’","authors":"Vaibhav Sahni","doi":"10.1016/j.bjoms.2025.01.012","DOIUrl":"10.1016/j.bjoms.2025.01.012","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Page 334"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813061","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}
CY. Chieng , N. Mannapperuma , A. Sayan , V. Ilankovan
{"title":"Actinic cheilitis: Do stem cells have a role in its management? A case series","authors":"CY. Chieng , N. Mannapperuma , A. Sayan , V. Ilankovan","doi":"10.1016/j.bjoms.2025.02.004","DOIUrl":"10.1016/j.bjoms.2025.02.004","url":null,"abstract":"<div><div>Actinic cheilitis (AC) is a premalignant mucosal lip condition that mainly affects the lower lip and has a high propensity of malignant transformation into squamous cell carcinoma. There is no gold standard for its management, but early intervention aims to minimise the risk of malignant transformation. Here we report our experience of utilising nanofat grafting in the management of AC. Retrospective data analysis was carried out between 2020 and 2024. Patients diagnosed with AC were treated with nanofat grafting. The nanofat preparation was harvested from the abdomen and prepared using the PureGraft® filtration system (Bimini Health Tech), and was infiltrated into the lips in two layers. Outcomes were assessed clinically. Seven patients were included in our analysis with a mean follow up of 23 months. All patients had had previous treatment for AC such as topical 5-fluororacil, steroids, laser ablation, and cryotherapy. Five of the seven received simultaneous nanofat grafting followed by erbium laser resurfacing at the same appointment. The others had nanofat grafting after laser resurfacing. Following the procedure all the patients had no further cracks, ulcerations, or erosions of the lips, with a good definition of the vermilion border, and all patients remained symptom free. The combination of nanofat grafting and laser resurfacing provides an alternative minimally invasive solution for patients with persistent AC. We have formulated an algorithm for management based on our experience.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Pages 291-297"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675077","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}