Marianne Henien, Krishantini Mahendran, Mariam Al-Sarraj, Sally Rowe, Anna Maciag
{"title":"Botulinum toxin A for the management of temporomandibular myofascial pain: A cohort study","authors":"Marianne Henien, Krishantini Mahendran, Mariam Al-Sarraj, Sally Rowe, Anna Maciag","doi":"10.1016/j.bjoms.2024.09.012","DOIUrl":"10.1016/j.bjoms.2024.09.012","url":null,"abstract":"<div><div>Myofascial pain represents the largest subgroup of temporomandibular disorders (TMD) that account for a common cause of non-dental orofacial pain. The management of TMD is complex due to the chronic nature of the condition, alongside acute episodes presenting to the clinician. A fundamental part of TMD management is consideration of the biopsychosocial element in its aetiology. First-line treatment of myofascial TMD includes early diagnosis, explanation and education, and conservative self-care measures. Botulinum toxin A (BTX-A) is now being used increasingly as an adjunct to conservative management of muskuloskeletal pain disorders due to its muscle-relaxant and analgesic properties. However, the scientific evidence regarding this is conflicting and it has been suggested that there is insufficient evidence to support the efficacy of BTX-A. To assess the effectiveness of masseteric BTX-A, a mixed methods analysis of a TMD-myofascial pain cohort who underwent BTX-A injections was therefore carried out. A total of 149 patients completed one round of treatment, and 61 of them completed an additional round. In total, 398 masseter muscles were injected. The mean preoperative visual analogue scale (VAS) pain score was 8/10, compared with a postoperative mean score of 3/10 six weeks after treatment. The mean percentage reduction in pain was 50%. Pain scores and quality of life scores improved considerably more in the severe pain group than in the mild group. Complete resolution of symptoms was reported in 21% of patients (n = 31). The treatment significantly improved patients’ reported pain and quality of life scores, highlighting key beneficial effects for the myofascial pain subgroup of TMD.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 53-60"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824612","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}
Rakesh Katna , Aastha Maini , Parth Patni , Bharat Bhosale , Ashay Karpe , Saurabh Chalke , Nikhil Kalyani , Mumbai Oncology Group – Head and Neck
{"title":"Reclassifying cT4b buccal mucosa/gingivobuccal complex cancers: do we need to change?","authors":"Rakesh Katna , Aastha Maini , Parth Patni , Bharat Bhosale , Ashay Karpe , Saurabh Chalke , Nikhil Kalyani , Mumbai Oncology Group – Head and Neck","doi":"10.1016/j.bjoms.2024.08.004","DOIUrl":"10.1016/j.bjoms.2024.08.004","url":null,"abstract":"<div><div>T4b carcinomas are termed as very locally advanced carcinomas of the oral cavity and are deemed borderline resectable or unresectable. The role of surgery for these patients is not well defined. We therefore aimed to relook at the role of surgery for cT4b carcinoma of the oral cavity. We evaluated 596 patients with cT4 oral cancers. A total of 218 patients were staged as cT4b based on clinicoradiological findings. These patients underwent bite composite resection either before or after neoadjuvant chemotherapy. Additional compartmental infratemporal fossa (ITF) clearance was done in patients with involvement of more than two of following structures: medial and lateral pterygoid muscles, pterygoid plates, temporalis at the tip of the coronoid process, high masseter, retroantral fat pad. Oncological outcomes and prognostic factors were estimated. Patients were treated between August 2013 and May 2021. Compartmental ITF clearance was done in 93 patients; the rest had standard surgical clearance. A total of 112 patients had node-positive disease. The median (range) age of the group was 50 (24–84) years. On a median follow up of 54 months (IQR: 1–111 months), 136 (62.4%) were alive and 82 (37.6%) had died. Five-year locoregional control, disease-free survival, and overall survival were 54%, 52%, and 59%, respectively. On multivariate analysis, the presence of nodal disease, perineural invasion, and bone involvement were statistically significant factors affecting overall survival. Surgery for cT4b oral cancer is therefore feasible and associated with acceptable oncological outcomes.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 12-18"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689778","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":"Efficacy of lasers on reduction of post-surgical lip scar in cleft lip and palate patients: A systematic review","authors":"Ayushi Srivastava, Tejraj P. Kale, Radhika Pathak, Akanksha Garg, Rahul Bichile","doi":"10.1016/j.bjoms.2024.09.010","DOIUrl":"10.1016/j.bjoms.2024.09.010","url":null,"abstract":"<div><div>Cleft lip scars, arising from congenital conditions or corrective surgeries, pose unique challenges in scar management, necessitating interventions that balance efficacy with minimally invasive approaches. Laser therapy, with its ability to precisely target scar tissue, has garnered attention for its potential to address hypertrophic scars. The aim of our systematic review is to evaluate the efficacy of lasers in reducing post-surgical cleft lip scar. A systematic search was conducted in PubMed, Google Scholar, Wiley library, Cochrane library databases for the studies published between 1 January 2003 and 1 October 2023. All studies were included in which a laser was used for scar reduction and had a minimum follow-up period of three months. For all study designs the appropriate Joanna Briggs Institute (JBI) critical appraisal tools were used. Primary outcome was to measure reduction in scar using the Vancouver scar scale or total improvement in the scar. From this systematic review we can conclude that lasers have shown better results on post-surgical cleft lip scar. However, more comparative studies are needed with large sample sizes to assess the laser’s pure potential.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 3-11"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645243","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}
Vinay Tumuluri , Emma Charters , Rebecca L. Venchiarutti , David Leinkram , Catriona Froggatt , Masako Dunn , James Wykes , Jasvir Singh , Tsu-Hui Hubert Low , Carsten E. Palme , Dale Howes , Sydney Ch’ng , Jonathan R. Clark
{"title":"Quality of life outcomes in patients receiving dental implants in vascularised bone flaps for mandibular reconstruction","authors":"Vinay Tumuluri , Emma Charters , Rebecca L. Venchiarutti , David Leinkram , Catriona Froggatt , Masako Dunn , James Wykes , Jasvir Singh , Tsu-Hui Hubert Low , Carsten E. Palme , Dale Howes , Sydney Ch’ng , Jonathan R. Clark","doi":"10.1016/j.bjoms.2024.04.017","DOIUrl":"10.1016/j.bjoms.2024.04.017","url":null,"abstract":"<div><div>Resection, reconstruction, and rehabilitation of the mandible impact function and health related quality of life (HRQOL). In this study, we aimed to understand the impact of delayed versus immediate dental implant placement. A cross-sectional and prospective study was conducted including patients who underwent reconstruction of the mandible via osseous vascularised bone flaps and dental implants. The FACE-Q Head and Neck Cancer module and the MD Anderson Dysphagia Inventory and Speech Handicap Index were used to evaluate HRQOL. A total of 187 implants were placed in 52 patients, of which 44 patients (85%) completed questionnaires. Immediate dental implant placement was associated with superior FACE-Q appearance (p = 0.02), oral competence (p = 0.004), smile distress (p = 0.03), and satisfaction with information (p = 0.004). Dentoalveolar rehabilitation through the placement of immediate dental implants at the time of surgery was found to be associated with higher HRQOL scores related to appearance, eating and drinking, oral competence, and smile.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 32-38"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Training groups / Instructions to Authors","authors":"","doi":"10.1016/S0266-4356(24)00556-4","DOIUrl":"10.1016/S0266-4356(24)00556-4","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Page IBC"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143227581","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 ‘Do we consent to change? An evaluation of the Oral and Maxillofacial Outpatient Department Dentoalveolar Consent Forms’","authors":"Vaibhav Sahni","doi":"10.1016/j.bjoms.2024.09.013","DOIUrl":"10.1016/j.bjoms.2024.09.013","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Page 68"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796608","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":"Exposure to and awareness of oral and maxillofacial surgery for first degree dental undergraduates in the United Kingdom","authors":"Raian Jaibaji , Dania Al-zubaidy , Tanisha Patel , Mariam Alkateb , Minhal Al-Khafaji , Sophie Mairead Carroll , Christel Bazoua , Rhea Patel , Daneyah Kenbar , Gruffydd McVeigh , Amina Farouk , Zakia Shah","doi":"10.1016/j.bjoms.2024.10.228","DOIUrl":"10.1016/j.bjoms.2024.10.228","url":null,"abstract":"<div><div>Evidence shows that the majority of OMFS trainees undertook dentistry as their first degree, however, an increasing number of undergraduates undertaking OMFS training have completed medicine first. It is vital that all undergraduates wanting to commit to another degree have adequate exposure to, and understanding of, the specialty. The aim of our study was to evaluate the perspectives of final-year dental students concerning their exposure to, and perceptions of, OMFS during their undergraduate teaching. This is a cross-sectional cohort study that used an online survey to collect data. All final-year dental students at a UK dental school who will graduate in 2024 were included. Regarding the exposure to OMFS, 122 (71.8%) respondents reported that they had been offered OMFS-related clinical placements from their respective dental schools, while 48 (28.2%) had not. Of the 122 who reported receiving placements, the placement lasted a mean of 3.78 days. Participants were then asked if they thought they had adequate experience and information to make an informed choice regarding OMFS as a career, to which 70 (41.2%) responded that they did have that knowledge and experience whilst 100 (58.8%) responded that they did not. Our study overall shows a better understanding of the scope of oral and maxillofacial surgery amongst final-year dental students in the UK compared with their medical student counterparts from previous literature. However, our results reflect areas in which knowledge, exposure to, and perception of, OMFS can be improved amongst dental undergraduates<strong>.</strong></div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 47-52"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640375","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}