British Journal of Oral & Maxillofacial Surgery最新文献

Citation for the BAOMS Surgery Prize 2024 - Rabin Pratap Singh. 2024年BAOMS外科奖——拉宾·普拉塔普·辛格。

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2026-05-01 Epub Date: 2025-07-18 DOI: 10.1016/j.bjoms.2025.07.006

Peter A Brennan

引用次数: 0

Citation for the Down Surgical Prize 2024 - Simon N Rogers. 2024年唐氏外科奖引文-西蒙·罗杰斯。

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2026-05-01 Epub Date: 2025-08-08 DOI: 10.1016/j.bjoms.2025.08.002

Anastasios Kanatas

引用次数: 0

Comment on "Comparison of large language models in oral and maxillofacial surgery". “口腔颌面外科大语言模型的比较”述评。

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2026-04-16 DOI: 10.1016/j.bjoms.2026.02.017

Carlos Fernando Mourão, Luiz Eduardo Juliasse, Rodrigo Dos Santos Pereira

引用次数: 0

In reply to the Letter to Editor regarding "Risk factors with complications in surgical treatment of mandibular fractures: a retrospective study". 回复关于“下颌骨骨折手术治疗并发症的危险因素：一项回顾性研究”的致编辑信。

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2026-04-10 DOI: 10.1016/j.bjoms.2026.02.014

Christine T J W Lwin, Riya Suleiman, Sajeev Nair, Ayesha J McLennan-Dalal

引用次数: 0

A call for fixed standards: a decade of orthognathic surgery, biting into revision rates and metalwork removal. 对固定标准的呼吁：十年的正颌手术，降低了整形率和金属制品的移除。

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2026-04-06 DOI: 10.1016/j.bjoms.2026.03.011

Masa Shammout, Jeffrey Abdullah, Aya Shammout, Rhodri Williams, Kevin Mcmillan

{"title":"A call for fixed standards: a decade of orthognathic surgery, biting into revision rates and metalwork removal.","authors":"Masa Shammout, Jeffrey Abdullah, Aya Shammout, Rhodri Williams, Kevin Mcmillan","doi":"10.1016/j.bjoms.2026.03.011","DOIUrl":"https://doi.org/10.1016/j.bjoms.2026.03.011","url":null,"abstract":"<p><p>The removal rate of titanium miniplates following orthognathic surgery varies widely (3.2-27.5%) due to inconsistent study designs and mixed samples. Plate removal is not routinely conducted in the UK. A 2019-2020 meta-analysis reported a 13.4% removal rate, though regular audits are uncommon. This study evaluates whether audit of local plate removal rates against established benchmarks merits encouragement. A retrospective review was conducted of orthognathic surgery at a tertiary centre (2014-2024). Procedures included Le Fort osteotomy, bilateral sagittal split osteotomy (BSSO), bimaxillary osteotomy (BIMAX), genioplasty, and other mandibular osteotomies. All patients received two postoperative doses of dexamethasone and intravenous antibiotics. Data collected included demographics, smoking status, surgical site, re-plating, and antibiotic use. The primary outcome was return to theatre (RTT) for plate removal or replacement. Chi squared, Fisher's exact, and binomial tests were used to assess statistical significance. Over 10 years, 417 patients underwent 429 orthognathic procedures, including 12 revisions to achieve the desired skeletal and orthodontic outcome. Overall, metalwork removal/adjustment occurred in 46 cases, predominantly within the first year, with infection identified as the leading cause. The removal rate was 10.7% (46/429), consistent with the 13.4% benchmark (p = 0.12). Yearly rates generally aligned with the benchmark, except in 2021, when deviations were likely to have been influenced by COVID-19-related disruptions. Smoking (p = 1.0) and oral antibiotics on discharge (p = 0.09) were not significantly associated with plate removal rates. These findings validate the 13.4% benchmark for metalwork removal. Routine audit and inter-unit collaboration are vital for refining benchmarks and improving patient care.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789882","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

The Birmingham mandible and midface rules: final data analysis 伯明翰下颌骨和中脸规则：最终数据分析。

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2026-04-01 Epub Date: 2025-10-22 DOI: 10.1016/j.bjoms.2025.09.322

Ross O.C. Elledge , Sarafina Vatharkar , David McNulty , Mudassar Ahmed , Basheer A.S. Ali , Eslam Allam , Babalola Bidmus , Susan Dorrian , Nathan Humphries , Ravina Mandair , Dhruv Parekh

{"title":"The Birmingham mandible and midface rules: final data analysis","authors":"Ross O.C. Elledge , Sarafina Vatharkar , David McNulty , Mudassar Ahmed , Basheer A.S. Ali , Eslam Allam , Babalola Bidmus , Susan Dorrian , Nathan Humphries , Ravina Mandair , Dhruv Parekh","doi":"10.1016/j.bjoms.2025.09.322","DOIUrl":"10.1016/j.bjoms.2025.09.322","url":null,"abstract":"<div><div>Heuristics and predictor rules are a mainstay in the field of emergency medicine where the breadth of knowledge required of frontline staff can be significant. The Birmingham mandible and midface (BruMM) rules were previously developed to streamline decision making concerning plain film radiography in suspected facial fractures. Frontline clinicians within a large NHS foundation trust were asked to apply the BruMM rules to any suspected mandibular or zygomatic fracture, prompting them to consider plain film radiographs as the investigation of choice. Radiographs were then reviewed by members of the BruMM Rules Study Group to determine the presence or absence of fractures. Discriminant analysis was performed whereby binomial fracture outcomes were modelled using cross-validated least absolute shrinkage and selection operator (LASSO) regression. Custom analysis was then performed using a forward stepwise procedure, maximising the Jaccard index of a predictor against the target outcome. A total of 116 patients were recruited, of whom 28 (24.1%) demonstrated a fracture. Combining the results from the LASSO regression analysis and forward stepwise Jaccard procedure yielded a predictor rule with three mandibular and six zygomatic predictors. This composite BruMM-rules score demonstrated maximal sensitivity and specificity of 96.4% and 56.5%, respectively.Implementation of the BruMM rules in the current cohort would have avoided 49 plain film radiograph studies (43.4%), translating into potential cost savings of £8,356.86–£15,440.76 per annum</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"64 3","pages":"Pages 247-252"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745849","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

Performance of large language models in preoperative and postoperative counselling for aesthetic facial procedures 大型语言模型在面部美容手术术前和术后咨询中的表现。

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2026-04-01 Epub Date: 2026-01-07 DOI: 10.1016/j.bjoms.2026.01.002

Bruce Kepler Frutuoso Maia , Everton Freitas de Morais , Thiago de Santana Santos , Luís Eduardo Charles Pagotto

{"title":"Performance of large language models in preoperative and postoperative counselling for aesthetic facial procedures","authors":"Bruce Kepler Frutuoso Maia , Everton Freitas de Morais , Thiago de Santana Santos , Luís Eduardo Charles Pagotto","doi":"10.1016/j.bjoms.2026.01.002","DOIUrl":"10.1016/j.bjoms.2026.01.002","url":null,"abstract":"<div><div>Large language models (LLMs) are increasingly used in healthcare, but their role in aesthetic surgical procedures remains unexplored. These interventions present unique challenges, marked by high patient expectations, emotionally charged decision-making, and subtle yet impactful outcomes on self-perception and psychosocial health. This cross-sectional in silico study evaluated the performance of ChatGPT-4 (OpenAI, 2025), DeepSeek V3 (DeepSeek AI/High-Flyer, 2025), and Gemini 2.5 Pro Experimental (Google, 2025) in preoperative and postoperative counselling for aesthetic facial surgery. Twenty-six standardised patient-oriented questions were submitted, and the anonymised responses of the chatbots were independently assessed by two calibrated oral and maxillofacial surgeons across four domains: accuracy, empathy, readability (Flesch–Kincaid Reading Ease (FKRE) and Grade Level (FKGL)), and referencing reliability (including the identification of fabricated or non-verifiable citations, a phenomenon referred to as “hallucination” in LLM outputs). Statistical tests included Kruskal–Wallis, Mann–Whitney U with Bonferroni correction, Spearman correlation, and chi-squared. DeepSeek achieved the highest accuracy (4.77 (0.51), p = 0.0078) and readability (FKRE 2.92 (0.27), p < 0.00001), while Gemini outperformed in empathy (4.08 (0.89), p < 0.001). GPT-4 produced the most hallucinated citations (36%) compared with Gemini (14%) and DeepSeek (8.8%) (p < 0.00001). A negative correlation between empathy and readability (r = –0.34, p = 0.002) suggested a trade-off between affective tone and accessibility. Overall, LLMs generated satisfactory counselling responses with distinct performance profiles, supporting their potential in patient-centred communication while reinforcing the need for human oversight.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"64 3","pages":"Pages 216-222"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114931","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 “Arthroscopic management and recent advancements in the treatment of temporomandibular joint disorders” 对“关节镜治疗和颞下颌关节疾病的最新进展”的评论。

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2026-04-01 Epub Date: 2025-10-15 DOI: 10.1016/j.bjoms.2025.08.016

Juan Pablo López, María Paula Orjuela , Luis Vicente González , Rafael Martin-Granizo

引用次数: 0

Response to comment on “Deep neck infections – A single centre analysis of 100 cases in the West of Scotland” 对“深颈部感染——苏格兰西部100例病例的单一中心分析”评论的回应。

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2026-04-01 Epub Date: 2025-10-28 DOI: 10.1016/j.bjoms.2025.10.001

Frederick Corp

引用次数: 0

Comment on “Deep neck infections: a single-centre analysis of 100 cases in the West of Scotland” 评论“深颈部感染：苏格兰西部100例病例的单中心分析”。

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2026-04-01 Epub Date: 2025-10-28 DOI: 10.1016/j.bjoms.2025.08.018

Masoud Sahebari , Amirhossein Keshavarz

引用次数: 0