British Journal of Oral & Maxillofacial Surgery最新文献_第10页

Role of artificial intelligence in magnetic resonance imaging-based detection of temporomandibular joint disorder: a systematic review 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 : 2025-04-01 DOI: 10.1016/j.bjoms.2024.12.004

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

{"title":"Role of artificial intelligence in magnetic resonance imaging-based detection of temporomandibular joint disorder: a systematic review","authors":"Hariram Sankar , Ragavi Alagarsamy , Babu Lal , Shailendra Singh Rana , Ajoy Roychoudhury , Arivarasan Barathi , Ankush Ankush","doi":"10.1016/j.bjoms.2024.12.004","DOIUrl":"10.1016/j.bjoms.2024.12.004","url":null,"abstract":"<div><div>This systematic review aimed to evaluate the application of artificial intelligence (AI) in the identification of temporomandibular joint (TMJ) disc position in normal or temporomandibular joint disorder (TMD) individuals using magnetic resonance imaging (MRI). Database search was done in Pub med, Google scholar, Semantic scholar and Cochrane for studies on AI application to detect TMJ disc position in MRI till September 2023 adhering PRISMA guidelines. Data extraction included number of patients, number of TMJ/MRI, AI algorithm and performance metrics. Risk of bias was done with modified PROBAST tool. Seven studies were included (deep learning = 6, machine learning = 1). Sensitivity values (n = 7) ranged from 0.735 to 1, while specificity values (n = 4) ranged from 0.68 to 0.961. AI achieves accuracy levels exceeding 83%. MobileNetV2 and ResNet have revealed better performance metrics. Machine learning demonstrated the lowest accuracy 74.2%. Risk of bias was low (n = 6) and high (n = 1). Deep learning models showed reliable performance metrics for AI based detection of temporomandibular joint disc position in MRI. Future research is warranted with better standardisation of design and consistent reporting.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 3","pages":"Pages 174-181"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630723","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

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 : 2025-04-01 DOI: 10.1016/S0266-4356(25)00066-X

引用次数: 0

Oral and maxillofacial surgery accelerated dental programme for medical graduates: a review of fourteen graduating years (2010–2023) 口腔颌面外科加速牙科医学毕业生方案：十四年毕业回顾（2010-2023）。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-04-01 DOI: 10.1016/j.bjoms.2024.12.001

Adam Matthew Holden , Lyndon B. Cabot , Jonathan Turner , Kathleen Fan

{"title":"Oral and maxillofacial surgery accelerated dental programme for medical graduates: a review of fourteen graduating years (2010–2023)","authors":"Adam Matthew Holden , Lyndon B. Cabot , Jonathan Turner , Kathleen Fan","doi":"10.1016/j.bjoms.2024.12.001","DOIUrl":"10.1016/j.bjoms.2024.12.001","url":null,"abstract":"<div><div>The accelerated dental degree, pioneered by King’s College London (KCL) to facilitate dual qualification training pathways for primary medical degree trainees, has graduated its fourteenth class. The authors present data to demonstrate and analyse the success of the course, which was accumulated through an online questionnaire, direct communication with the alumni, a freedom of information request from KCL, and review of the General Dental and Medical Council registers. To date 133 students have graduated with updated information collated for 132 (99.2%). Thirty seven percent of the students are female, which is comparable to the wider NHS consultant workforce. Over 70% (n = 95) of graduates work within a dual qualification specialty, with women more likely to take this up than men. Dentistry was the second most common career path at 16.8% (n = 23) and this is most likely to be due to the draws of primary dental care over the NHS secondary care. Attrition rates of the KCL students at each stage of the career pathway were equal to or fewer than other university undergraduate medical and dental degrees, the dentistry-first pathway, and other higher surgical training schemes. KCL alumni attest to 29% of the OMFS higher surgical trainees, with the average time between GMC provisional registration and specialist registration being 14.7 years (range 12-19). The authors strongly advocate the success of the accelerated dental degree in KCL and would encourage other institutions around the United Kingdom to accept the model to increase accessibility and build on the success of the primary medical degree OMFS surgical trainee programme.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 3","pages":"Pages 203-207"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069655","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}

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Comparison of intravelar veloplasty and Furlow palatoplasty in submucous cleft palate: a meta-analysis. 粘膜下腭裂行内快速成形术与Furlow腭成形术的比较：荟萃分析。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-03-26 DOI: 10.1016/j.bjoms.2025.03.005

Krittika Aggarwal, Anshu Tiwari, Aditi Sharma

{"title":"Comparison of intravelar veloplasty and Furlow palatoplasty in submucous cleft palate: a meta-analysis.","authors":"Krittika Aggarwal, Anshu Tiwari, Aditi Sharma","doi":"10.1016/j.bjoms.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.03.005","url":null,"abstract":"<p><p>The submucous cleft palate is a known entity. The two most common techniques are intravelar veloplasty and Furlow palatoplasty. However, a standard technique has not yet been defined and, to our knowledge, there are no systematic reviews on the topic. This study therefore was undertaken to compare these two surgical techniques in terms of improvements in speech and velopharyngeal closure. We used Google Scholar, PubMed Central, Medline, and Cochrane databases. Reference checking and citation searching was done to identify studies to be included. Outcomes measured were speech improvement, objective improvement in velopharyngeal insufficiency, and adverse effects (wound dehiscence, palatal fistula, sleep apnoea, or hyponasal speech).Results were synthesised for each outcome using meta-analysis where possible (inverse variance with random effects analysis model). Four studies were included in the meta-analysis with a total of 170 participants. The comparison between intravelar veloplasty and Furlow palatoplasty in terms of speech was in favour of Furlow palatoplasty (odds ratio: 1.32; 95% confidence interval (CI): 0.55 to 3.18). For velopharyngeal closure, the result was in favour of Furlow palatoplasty (odds ratio: 2.11; 95% CI: 0.54 to 8.23). The rate of fistula formation was lower with intravelar veloplasty (odds ratio: 0.54; 95% CI: 0.11 to 2.71). Furlow palatoplasty may reduce the risk of incomprehensible speech and velopharyngeal insufficiency in comparison with intravelar veloplasty. There is less risk of fistula formation after intravelar veloplasty.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555840","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

Electroencephalographic signature of patients with temporomandibular disorder: clinical implications. 颞下颌紊乱患者的脑电图特征：临床意义。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-03-05 DOI: 10.1016/j.bjoms.2025.02.013

Li Mei, Zhiyi Huang, Zhixin Wang, Sally Sun, Sichao Zhu, Cui Gao, Ajith Polonowita, Guangzhao Guan

{"title":"Electroencephalographic signature of patients with temporomandibular disorder: clinical implications.","authors":"Li Mei, Zhiyi Huang, Zhixin Wang, Sally Sun, Sichao Zhu, Cui Gao, Ajith Polonowita, Guangzhao Guan","doi":"10.1016/j.bjoms.2025.02.013","DOIUrl":"10.1016/j.bjoms.2025.02.013","url":null,"abstract":"<p><p>The aim of this study was to investigate the features of temporomandibular disorder (TMD) and non-TMD subjects on electroencephalogram (EEG) the jaw resting, biting, and opening states. A total of 34 participants were recruited into the study. Participants with TMD were evaluated using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) and the Protocol for Multi-Professional Centres for the Determination of TMD Signs and Symptoms (ProTMDMulti). EEG was recorded using the NeuroSky biosensor at jaw resting, biting, and opening states for the non-TMD subjects, TMD patients before therapy, and TMD patients after therapy. The EEG energy of the TMD patients was significantly greater than that of the non-TMD subjects at the jaw resting, opening and biting states (p < 0.05), except the EEG Beta wave at the jaw biting state. After conventional therapy for TMD, the EEG energy of TMD patients significantly decreased at the jaw resting state (p < 0.01). During the jaw opening state, the EEG energy of TMD patients also significantly decreased after therapy at the low frequency waves but increased at the high frequency waves (p < 0.01). EEG features were significantly different between the non-TMD and TMD participants as well as in the TMD patients before and after therapy. EEG may serve as an objective biomarker and a quantitative diagnostic tool for TMD.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334435","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

Retrospective audit of the recurrence rate amongst pathologically node negative (pN0) staged patients with oral squamous cell carcinoma (OSCC). 病理淋巴结阴性（pN0）分期口腔鳞状细胞癌（OSCC）患者复发率的回顾性分析。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-26 DOI: 10.1016/j.bjoms.2024.12.008

Neena Nayyar, Said Albakov, Soudeh Chegini, Abdul Ahmed

{"title":"Retrospective audit of the recurrence rate amongst pathologically node negative (pN0) staged patients with oral squamous cell carcinoma (OSCC).","authors":"Neena Nayyar, Said Albakov, Soudeh Chegini, Abdul Ahmed","doi":"10.1016/j.bjoms.2024.12.008","DOIUrl":"https://doi.org/10.1016/j.bjoms.2024.12.008","url":null,"abstract":"<p><p>Cases of oral squamous cell carcinoma (OSCC) are becoming more prevalent with an increasing population requiring surgical management. In cases where clinical staging indicates that there is no spread to the neck, surgical treatment options such as an elective neck dissection (END) may be considered. This audit aims to assess the recurrence rate in North London and Bristol Hospitals over a five-to-six-year period and to our knowledge is the first UK published study reporting isolated regional recurrence rate following END of OSCC. Regional MDT databases were used to identify patients given a pathological staging of pN0 following END in the same theatre session from 01.01.2017 to 01.01.2023 in London Northwest NHS Healthcare Trust and 01.01.2019 to 01.01.2024 in University Hospitals Bristol NHS Trust. Medical records were interrogated to retrospectively collect data on histopathology, staging, adjuvant treatments, recurrences, and follow up. A total of 232 patients were identified in total, with a minimum follow up of six months. The isolated regional recurrence rate was 2.2% with the locoregional recurrence rate being 3.9%. When categorising cases as pT1-T2 and pT3-4, the isolated regional recurrence rates were 3.3% and 0.9%, respectively. Overall, isolated neck recurrences were identified in five cases and locoregional recurrences were identified in nine. The findings of this audit show a lower recurrence rate in comparison to other international centres where similar studies have been performed. This supports the evidence that offering END in these trusts to patients with a pN0 staging continues to be an effective treatment option and should always be considered along with effective and consistent follow-up protocols and surveillance measures.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555841","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

Oral and Maxillofacial Surgery Curriculum (2021) and Oral Surgery Curriculum (2023): A forensic comparison of two documents 口腔颌面外科课程（2021）和口腔外科课程（2023）：两份文件的法医比较。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.bjoms.2024.11.003

P.M. Capanni , S. Magill , T. Walker , I. Varley , P. Magennis

{"title":"Oral and Maxillofacial Surgery Curriculum (2021) and Oral Surgery Curriculum (2023): A forensic comparison of two documents","authors":"P.M. Capanni , S. Magill , T. Walker , I. Varley , P. Magennis","doi":"10.1016/j.bjoms.2024.11.003","DOIUrl":"10.1016/j.bjoms.2024.11.003","url":null,"abstract":"<div><div>In the UK Oral and Maxillofacial Surgery (OMFS) and Oral Surgery (OS) are distinct specialties governed respectively by the General Medical Council (GMC) and General Dental Council (GDC) respectively. There has always been overlap of training and care between both specialties. The OMFS curriculum was updated in 2021 and the Oral Surgery Curriculum in 2023. This paper quantitatively compares the two documents. The generic professional elements of both curricula are extensive and similar in content. The specialty specific elements of the OS and OMFS curricula, with focus on knowledge domains and competencies including index procedures and critical conditions, were compared with the level of coincidence colour coded: green (matching), amber (some overlap) and red (not present). OMFS curriculum contains all components of the new UK OS curriculum with the exception of formal documented competence in conscious sedation for dentistry. This overlap between OMFS and OS has been recognised by the General Dental Council who give OMFS specialists direct access to the Oral Surgery specialist list by Route 4. In contrast, the OS overlap with OMFS is limited, particularly in the important critical/emergency conditions where ‘competence’ has been replaced by ‘experience of’ in the 2023 OS curriculum in the domains of trauma and acute infections. This change will preclude OS specialists trained on the new curriculum being able to share on-call with OMFS specialists without significant additional training. We hope this comparison will be useful to those commissioning services and also for young dentists/doctors considering their future careers.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 125-132"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899430","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

Review of the ‘second degree’ universities of Oral and Maxillofacial Surgery (OMFS) specialists and trainees in the UK. Locations of their graduate entry medicine and graduate entry dentistry degrees, graduating between 1979–2019 对英国口腔颌面外科（OMFS）专家和培训生的“第二学位”大学进行审查。1979-2019年毕业的研究生入学医学和研究生入学牙科学位的地点。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.bjoms.2024.07.018

Catherine Magennis , Patrick Magennis

{"title":"Review of the ‘second degree’ universities of Oral and Maxillofacial Surgery (OMFS) specialists and trainees in the UK. Locations of their graduate entry medicine and graduate entry dentistry degrees, graduating between 1979–2019","authors":"Catherine Magennis , Patrick Magennis","doi":"10.1016/j.bjoms.2024.07.018","DOIUrl":"10.1016/j.bjoms.2024.07.018","url":null,"abstract":"<div><div>By spending 3-5 years in a single location studying for their second degree, OMFS trainees often put down domestic roots which they are reluctant to pull up to complete their training elsewhere. The universities at which OMFS specialists/trainees obtained their second degrees were assembled using the General Medical Council’s OMFS specialist list, the General Dental Council’s Dental Register and a database of OMFS trainees and consultants. The second degrees of 818 past and current OMFS specialists/trainees were analysed. The most common location for second degrees of either type was London 287 (35%) followed by Birmingham 67 (8%), then Cardiff 51 (6%) and Manchester 45 (6%). There is a trend, with time, to more OMFS trainees obtaining their second degree in London. For those 689 whose second degree was medicine, London was the top location with 206 (30%) followed by Birmingham 67 (10%) and Cardiff 50 (7%). For those 129 whose second degree was dentistry, London was the top location with 81 (63%) followed by Europe 11 (9%) and Ireland 7 (5%). The predominance of London as a source of their second-degree for both ‘dentistry first’ and ‘medicine first’ OMFS trainees impacts on recruitment. Many who study in London want to train/work in or near London. Understanding where OMFS trainees obtain their second degrees, may help those planning for the future workforce for example creating opportunities outside London.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 98-103"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899937","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: Who let the dogs out? A 10-year review of maxillofacial dog bite injuries 评论：谁把狗放出去的？颌面部犬咬伤10年回顾。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.bjoms.2024.11.007

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

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Assisted dying and head and neck palliation 协助临终和头颈部姑息。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.bjoms.2024.12.002

Kate Bullen (5th Year Medical Student, Ma (Hons))

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