British Journal of Oral & Maxillofacial Surgery最新文献_第2页

Comparison of melatonin and music therapy as a preoperative anxiolytic for patients undergoing impacted mandibular third molar extraction: a double-blind randomised controlled trial 褪黑素和音乐治疗作为下颌阻生第三磨牙拔牙患者术前抗焦虑药的比较：一项双盲随机对照试验。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.03.009

Aditi Mukherjee, K. Raghu, Sailesh Kumar, Raja Sethupathy, Souvik Chatterjee

{"title":"Comparison of melatonin and music therapy as a preoperative anxiolytic for patients undergoing impacted mandibular third molar extraction: a double-blind randomised controlled trial","authors":"Aditi Mukherjee, K. Raghu, Sailesh Kumar, Raja Sethupathy, Souvik Chatterjee","doi":"10.1016/j.bjoms.2025.03.009","DOIUrl":"10.1016/j.bjoms.2025.03.009","url":null,"abstract":"<div><div>Dental preoperative anxiety poses significant challenges in healthcare, leading to treatment avoidance and prolonged recovery times. Despite the plethora of pharmacological and psychotherapeutic interventions employed for anxiety management, their relative efficacy remains unclear. This study aims to compare the effectiveness of oral melatonin (6 mg) and music therapy in preoperative anxiety management among patients undergoing surgical extraction of impacted mandibular third molars. A total of 78 patients aged 18–40 years undergoing surgical extraction were selected and randomly assigned into three groups: nil intervention (Group NI) with no intervention, Group ML administered oral melatonin, and Group MT administered 20 min of relaxing music (n = 26). Physiological parameters (pulse rate, blood pressure) and subjective assessments (visual analogue scale for anxiety) were measured on arrival (T1), after the intervention (T2), and after surgical extraction (T3). Salivary cortisol levels, recorded preoperatively and postoperatively, were analysed using ELISA. Results showed significant improvement in physiological parameters for both ML and MT compared with NI (p < 0.05). However, postoperative cortisol levels increased significantly in the NI (0.55 (0.15) - 0.88 (0.32) pmol/ml) and MT groups (from 0.33 (0.15) - 0.62 (0.2) pmol/ml) but decreased in the ML group (from 0.42 (0.19) - 0.3 (0.14) pmol/ml). This indicated a delayed action of melatonin as compared with the immediate impact of music therapy. Understanding the mechanisms and insights obtained can aid in developing advanced anxiety management methods for dental practitioners, thereby enhancing patient care and outcomes in dental practice.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 5","pages":"Pages 393-400"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053667","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 ‘Oral and maxillofacial surgery accelerated dental programme for medical graduates: a review of fourteen graduating years’ (2010–2023) 对“医学毕业生口腔颌面外科加速牙科课程：十四年毕业回顾”（2010-2023）的评论。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.03.003

Anthony MacKenzie-Gureje

引用次数: 0

Day-case alveolar bone grafting in cleft patients: a two-part retrospective and prospective feasibility study 牙槽骨移植在腭裂患者中的应用：两部分回顾性和前瞻性可行性研究。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.04.002

Ria Shah , Rhodri Davies , Nadeem Saeed , Caroline Mills

{"title":"Day-case alveolar bone grafting in cleft patients: a two-part retrospective and prospective feasibility study","authors":"Ria Shah , Rhodri Davies , Nadeem Saeed , Caroline Mills","doi":"10.1016/j.bjoms.2025.04.002","DOIUrl":"10.1016/j.bjoms.2025.04.002","url":null,"abstract":"<div><div>Alveolar bone grafting (ABG) is an essential procedure for the treatment of cleft alveolus and palate defects, promoting maxillary continuity, dental eruption, functional rehabilitation, and symmetrical facial development. Traditionally performed as an inpatient procedure due to pain management concerns, recent efforts have explored its feasibility as day-case surgery. A two-phase study was conducted. First, a retrospective analysis of 12 ABG cases (July 2023–February 2024) evaluated postoperative pain management and feasibility. This was followed by a prospective pilot study involving 17 patients (March–August 2024), who underwent ABG as day cases under a structured protocol. Pain scores, analgesic requirements, and patient/parent feedback were recorded and analysed. The retrospective analysis concluded that effective pain control was achieved with oral analgesia within six hours postoperatively. In the prospective cohort, mean pain scores were 2.2/10 for the oral site and 2.5/10 for the hip donor site, managed with oral paracetamol and ibuprofen, with minimal opioid use (<30%). No significant complications were reported. Transitioning to day-case ABG reduced bed shortage-related cancellations and was preferred by patients. Day-case ABG is a feasible and safe alternative to inpatient care when strict selection criteria and structured protocols are implemented. This approach optimises resource utilisation, minimises cancellations, and enhances patient satisfaction. Larger studies are warranted to confirm these findings and facilitate broader implementation.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 5","pages":"Pages 385-392"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056250","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

Biopsy or ultrasound? Current best practice for diagnosing giant cell arteritis 活检还是超声检查？目前诊断巨细胞动脉炎的最佳方法。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.03.010

Louis T. Wheeler, Andrew J. Gibbons, Kelly L. Gillan

引用次数: 0

Dental prophylaxis and alloplastic temporomandibular joint replacement (TMJR): time for a consensus? 牙齿预防和同种异体颞下颌关节置换术（TMJR）：是时候达成共识了？

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.04.001

Madeleine Gadd , Ross O.C. Elledge

{"title":"Dental prophylaxis and alloplastic temporomandibular joint replacement (TMJR): time for a consensus?","authors":"Madeleine Gadd , Ross O.C. Elledge","doi":"10.1016/j.bjoms.2025.04.001","DOIUrl":"10.1016/j.bjoms.2025.04.001","url":null,"abstract":"<div><div>Searches of the literature and current guidelines have revealed inconsistent recommendations regarding dental optimisation prior to alloplastic temporomandibular joint replacement (TMJR). Furthermore, current literature suggests there is no consensus on antibiotic prophylaxis (AP) for dental procedures following TMJR. A 12-question survey was emailed to Professor Mercuri’s TMJ Internetwork Group (144 members) and The European Society of Temporomandibular Joint Surgeons (ESTMJS) (49 members), totalling 177 survey recipients, accounting for those who are members of both groups. Respondents were asked whether routine dental assessments were performed prior to TMJR, if they recommended AP following TMJR, the timeframes and types of procedures for which this was recommended, and the types of antibiotics prescribed. The survey had 50 respondents, as of 15 November 2024, giving an overall response rate of 28.2%, however, the question specific response rate ranged from 29 to 50 respondents. No consensus was reached regarding the types of AP recommended, with 54.2% (n = 26) of respondents offering no prophylaxis for dental treatment following TMJR. The majority of respondents who did provide prophylaxis preferred amoxicillin or co-amoxiclav (n = 25/37), and clindamycin for penicillin allergic patients (n = 13/46). The timeframe for which respondents felt that antibiotics should be offered for dental procedures post-TMJR varied from one month (n = 3/37) to lifelong (n = 6/37), with a modal response of two years (n = 9/35). This survey reflected the lack of consensus seen across available literature and highlights the need for unified guidance to ensure safe and consistent patient care for TMJR patients.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 5","pages":"Pages 373-378"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054556","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

An evaluation of TikTok videos as a source of information for orthognathic surgery 对TikTok视频作为正颌手术信息来源的评估。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.02.014

Jenna Pierse (Registrar in Oral and Maxillofacial Surgery) , Saoirse Kilgarriff (Senior House Officer in Oral and Maxillofacial Surgery) , Conor M. Bowe (Consultant Oral and Maxillofacial Surgeon) , David M. McGoldrick (Consultant Oral and Maxillofacial Surgeon)

{"title":"An evaluation of TikTok videos as a source of information for orthognathic surgery","authors":"Jenna Pierse (Registrar in Oral and Maxillofacial Surgery) , Saoirse Kilgarriff (Senior House Officer in Oral and Maxillofacial Surgery) , Conor M. Bowe (Consultant Oral and Maxillofacial Surgeon) , David M. McGoldrick (Consultant Oral and Maxillofacial Surgeon)","doi":"10.1016/j.bjoms.2025.02.014","DOIUrl":"10.1016/j.bjoms.2025.02.014","url":null,"abstract":"<div><div>As social media platforms like TikTok become increasingly popular, patients are turning to them for information about surgical procedures, including orthognathic surgery. This study aimed to evaluate the content quality, reliability, and educational value of videos related to orthognathic surgery on TikTok. A total of 84 videos were analysed using two standardised assessment scales: the modified 5-point DISCERN scale and the Global Quality Score (GQS). These videos were sourced through search terms #JawSurgery and #OrthognathicSurgery, and the data were extracted using a web-scraping tool. The analysis revealed that TikTok videos on orthognathic surgery had a mean DISCERN score of 1.6/5 and a mean GQS of 2.2/5, indicating generally poor quality. Most videos were uploaded by patients (46/84), while 33/84 were by healthcare professionals, particularly maxillofacial surgeons and orthodontists. Despite the high viewership (246 million views across all videos), many videos were limited in content, with 52/84 not containing any information on the procedure, and only 4/84 mentioning risks beyond swelling and bruising. Notably, 82 of the 84 videos had patients interacting in the comments, seeking advice or sharing experiences. While TikTok serves as an important information platform, it also highlights a significant gap in reliable, comprehensive content. Healthcare professionals should direct patients to high quality sources of information that have been approved by them to mitigate the risks of misinformation and anxiety for prospective patients.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 5","pages":"Pages 363-367"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057433","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

In reply to the Letter to Editor regarding: Surgical management of bilateral mandibular angle fractures: a systematic review. 回复给编辑的关于：双侧下颌角骨折的外科治疗：系统回顾。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-05-22 DOI: 10.1016/j.bjoms.2025.05.006

Samuel R Bullis, Elizabeth Z Goh, Nigel R Johnson

引用次数: 0

Comment on "Surgical management of bilateral mandibular angle fractures: a systematic review". “双侧下颌角骨折的外科治疗：系统综述”。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-05-22 DOI: 10.1016/j.bjoms.2025.01.015

Cholappadi Vijayakumar Srinivedha, Rinku Kurian George, Kumaravelu Raghu, Ravichandran Sailesh Kumar

引用次数: 0

Outcomes of selective neck dissection in node positive oral cavity squamous cell carcinoma. 淋巴结阳性口腔鳞状细胞癌选择性颈部清扫的疗效。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-05-20 DOI: 10.1016/j.bjoms.2025.05.007

Rakesh Katna, Priyal Patil, Parth Patni, Aastha Maini, Bharat Bhosale, Ashay Karpe, Vijay Patil, Nikhil Kalyani

{"title":"Outcomes of selective neck dissection in node positive oral cavity squamous cell carcinoma.","authors":"Rakesh Katna, Priyal Patil, Parth Patni, Aastha Maini, Bharat Bhosale, Ashay Karpe, Vijay Patil, Nikhil Kalyani","doi":"10.1016/j.bjoms.2025.05.007","DOIUrl":"10.1016/j.bjoms.2025.05.007","url":null,"abstract":"<p><p>Management of the neck in oral cavity squamous carcinoma is debatable. The role of selective neck dissection (SND) in node positive neck in oral SCC is controversial. The aim of this study was to determine the efficacy of SND for the node positive neck in patients with oral cancer. A retrospective chart review was done of 424 oral cancer patients undergoing SND, who had pathologically node positive disease on histopathology treated from January 2017 to September 2024. A total of 424 patients were analysed with 82% male predominance. The median age was 49 years. The commonest primary site was the bucco-alveolar complex (60%). A total of 520 SNDs were done in 424 patients. At median follow up of 29 months, 59 patients (13.9%) had neck recurrence among which 15 patients had recurrence at level V, along with recurrence at other nodal levels. Three-year regional control was 82%, while DFS and OS were 65% and 81%, respectively. For oral cancer with a pathologically node positive neck, SND is an effective and oncologically safe treatment. Outcomes are similar to modified neck dissection, as reported in the literature.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334436","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 'Comparison of Intravelar Veloplasty and Furlow's Palatoplasty in submucous cleft palate: a meta-analysis'. 对“行内velo成形术与Furlow腭成形术治疗黏膜下腭裂的meta分析”的评论。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-05-20 DOI: 10.1016/j.bjoms.2025.04.005

Vaibhav Sahni

引用次数: 0