British Journal of Oral & Maxillofacial Surgery最新文献

{"title":"Comment on 'Comparison of Intravelar Veloplasty and Furlow's Palatoplasty in submucous cleft palate: a meta-analysis'.","authors":"Vaibhav Sahni","doi":"10.1016/j.bjoms.2025.04.005","DOIUrl":"10.1016/j.bjoms.2025.04.005","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":"541"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303684","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":"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":"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":"496-501"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","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}

{"title":"Deep neck infections: a single-centre analysis of 100 cases in the West of Scotland.","authors":"Frederick Corp, Sherif Kholeif, Bilal Pervez, David Laraway","doi":"10.1016/j.bjoms.2025.05.008","DOIUrl":"10.1016/j.bjoms.2025.05.008","url":null,"abstract":"<p><p>This study reviews the clinical presentation, investigation, and management of deep neck infections in our department. We aimed to identify predisposing factors for serious complications, with a view to improving prognostication. This was a single-centre analysis of patients presenting to the OMFS department at Queen Elizabeth University Hospital (Glasgow) with head and neck abscesses who underwent surgery between February 2021 and January 2022. The following clinical data were analysed and compared: age, gender, Scottish Index of Multiple Deprivation (SIMD) rank, admission duration, infection source/ aetiology, treatment modality, signs and symptoms at presentation, complications (return to theatre, airway compromise, necrotising fasciitis, or mediastinitis), imaging modality, microbiology results, inflammatory markers, and antibiotic therapy. Of the 100 patients included, the average SIMD rank was 3.6, with most patients in decile 1. Eighty-seven infections (87%) were odontogenic, with over half of the patients having no signs of systemic inflammatory response syndrome (SIRS) at admission. We demonstrate that C-reactive protein (CRP) level at presentation, even in the absence of SIRS, is indicative of prolonged admission, the need for repeat multiaxis imaging, and repeated surgeries. We also demonstrate that the incidence of deep neck infections (DNI) is strongly correlated with SIMD rank.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":"509-513"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562053","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":"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":"502-508"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","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}

{"title":"Lateralised T3/T4N0 oral squamous cell carcinoma. Is contralateral elective neck dissection or neck radiotherapy indicated? A multicentre retrospective study.","authors":"Luke F Western, Giovanni Diana, Prav Praveen, Michael W Ho, Jagtar Dhanda, David Tighe, Conor Bowe, Adam Holden, Gaurav Barsaiyan, Jeremy McMahon, Walid El Kininy, Stergios N Doumas","doi":"10.1016/j.bjoms.2025.04.007","DOIUrl":"10.1016/j.bjoms.2025.04.007","url":null,"abstract":"<p><p>Oral squamous cell carcinoma (OSCC) is a prevalent malignancy with a propensity for lymphatic spread, particularly to the neck. There are current inconsistencies in the treatment paradigm for cT3/4 OSCC with negative nodal status. The American Society of Clinical Oncology (ASCO) recent guidelines advocate for contralateral neck treatment with neck dissection or radiotherapy, but this approach remains debated and has not been adopted within UK clinical guidance. This study aims to evaluate the recurrence rates and survival outcomes of patients with well lateralised pT3/4N0 OSCC managed with or without contralateral neck interventions. A retrospective cohort study was conducted across five UK Oral and Maxillofacial Surgery (OMFS) units. We included patients with biopsy-proven pT3/T4 OSCC treated between 2012 and 2017. The study compared outcomes between two groups: the standard care group (SC) and the extended neck management group (ENM), which additionally received contralateral neck dissection (CLND) or neck radiotherapy (NRT). The primary outcome measure was the recurrence rate (RR), with secondary outcome measures including overall survival (OS), disease-free survival (DFS) and recurrence-free survival (RFS). Of 583 patients, 210 met the inclusion criteria. The mean follow up was 44 months. The SC group, compared with ENM demonstrated similar overall recurrence rate (24.8% vs 24.6%), higher regional recurrence (7.4% vs. 1.6%) and lower distant recurrence rates (4% vs 6.6%) respectively, however, none of these results reached significance. No significant differences in OS, DFS, or RFS were demonstrated (p > 0.05) between groups, and this was maintained with confounding variables controlled for. Findings suggest that well lateralised T3/4N0 OSCC patients managed more conservatively, without contralateral neck intervention, may have comparable outcomes to those receiving additional neck management. Further research into this area of research paucity may assist in further refinement of management guidelines for this subset of OSCC patients.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":"534-540"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562055","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":"Sagacity of surgical selectivity: a retrospective analysis of occlusal outcome and intermaxillary fixation use in midface fracture fixation.","authors":"D Hughes, R Fussell, N Bhatti, S Holmes, R Davies","doi":"10.1016/j.bjoms.2025.05.011","DOIUrl":"10.1016/j.bjoms.2025.05.011","url":null,"abstract":"<p><p>Advances in surgical techniques and materials have improved midface fracture management, with miniplate fixation replacing traditional intermaxillary fixation (IMF). This study evaluates whether IMF remains necessary, focusing on postoperative malocclusion and the impact of fracture complexity, demographics, and operative techniques on patient outcomes. A retrospective observational analysis of 100 midface trauma cases requiring surgical fixation was conducted at a major trauma centre in London. Patient demographics, injury parameters, and operative details, including IMF use, were assessed. Statistical analysis was performed to evaluate associations between fracture complexity, operative factors, and postoperative malocclusion. Postoperative malocclusion was documented in 8% of cases, with IMF usage showing a statistically significant association with malocclusion (p = 0.027). However, fracture complexity and injury patterns were not significant predictors of occlusal outcomes. IMF was primarily used in more complex cases, often involving a higher number of fractured buttresses requiring fixation. Our study shows that accurate anatomical reduction and fixation of complex midface fractures ensures predictable functional and aesthetic outcomes. Intermaxillary fixation (IMF) remains an essential tool in supporting the reconstruction of deranged occlusion in midface trauma. While useful as an adjunct, our findings suggest that IMF is not always necessary in less complex cases, and its use should be considered judiciously, as a very low rate of postoperative malocclusion can be achieved with more selective application.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":"522-526"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562056","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":"Reply to the Letter to Editor regarding: Comparison of intravelar veloplasty and Furlow's palatoplasty in submucous cleft palate: a meta- analysis.","authors":"Krittika Aggarwal","doi":"10.1016/j.bjoms.2025.05.005","DOIUrl":"10.1016/j.bjoms.2025.05.005","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":"542"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250922","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":"Errors in guided dental implant placement on inclined surfaces with fully-guided systems.","authors":"Jin-Yong Cho, Soobeen Yun, Ahjin Kim, Jaeyoung Ryu","doi":"10.1016/j.bjoms.2025.05.009","DOIUrl":"10.1016/j.bjoms.2025.05.009","url":null,"abstract":"<p><p>This study examines the impact of residual bone inclination on the accuracy of implant placement. In this in vitro study, ten replica models with inclined surfaces were fabricated using three-dimensional (3D) modelling software to assess implant placement accuracy on varying inclinations (90°, 15°, 30°, 45°, 60°). Implants were placed using two drilling protocols: a standard sequence (Group A) and a sequence beginning with a pointed drill to prevent slippage (Group B). Drill slippage and binding were recorded, and placement accuracy was measured by superimposing pre- and post-placement scans to calculate 3D positional errors. In total, 50 implants were placed across ten blocks, categorised by drill type (Group A: without sharp twist drill; Group B: with sharp twist drill) and angle (90°, 15°, 30°, 45°, 60°). Drill binding occurred more frequently at smaller angles, especially at 15° (100% in Group A; 80% in Group B). The Jonckheere-Terpstra test confirmed a significant trend of increased binding with smaller angles (p = 0.001 for Group A; p = 0.028 for Group B). The largest x-axis deviations occurred at 15°, with errors primarily to the left, which reflected expected slippage on inclined surfaces in both groups. While significant differences in anteroposterior (y-axis) and vertical (z-axis) deviations were observed at certain angles between Group A and Group B, the overall placement accuracy between the groups remained comparable. This study highlights the challenges of guided implant placement on inclined surfaces, where decreased drill angles lead to significant x-axis deviations.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":"514-521"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531207","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":"How much variation exists amongst experienced surgeons in orthognathic surgical planning?","authors":"Benjamin Palla, Sebastian Graca, Steven Licht, Michael Han, Michael Miloro","doi":"10.1016/j.bjoms.2025.05.013","DOIUrl":"10.1016/j.bjoms.2025.05.013","url":null,"abstract":"<p><p>Discussions of orthognathic planning are often dogmatic, however, it is a subjective science. The aim of this study was to quantify the variation in orthognathic surgery planning in a group of experienced orthognathic surgeons. A cross-sectional study was designed, and an identical presurgical orthognathic case provided to 13 surgeons. Statistical analysis was performed using descriptive statistics, Fisher's exact test, and MANOVA with p < 0.05 considered significant. The mean (SD) anterior-posterior (AP) movement of the upper incisors was 5.8 (1.5) mm anterior (range 3.0-7.0 mm), and 0.7 mm (-0.7 (1.9) mm; range -2.9 to 4.0 mm). The mean (SD) AP movement of pogonion was 0.6 mm posterior (-0.6 (2.2) mm; range 5.5 mm posterior to 2.1 mm anterior). The standard deviations in movement (AP and superior-inferior) were greatest at pogonion (2.3 mm and 1.9 mm), followed by B-point (1.9 mm and 2.0 mm), maxillary incisor (1.5 mm and 1.9 mm), then A-point (1.4 mm and 1.8 mm). This study shows that significant variation exists in surgical planning among a group of experienced orthognathic surgeons at the level of pogonion and B-point, with less variation at the maxillary central incisor and A-point. Future studies may compare these results with surgeons with less orthognathic expertise, or non-OMS trained surgeons.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":"527-533"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546246","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":"Management of chronic closed lock.","authors":"Emma Charters, Krishnan Parthasarathi, Benjamin Gupta, Michael Hurrell, Masako Dunn, Jonathan Clark","doi":"10.1016/j.bjoms.2025.08.009","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.08.009","url":null,"abstract":"<p><p>Temporomandibular joint dysfunction (TMD) can lead to jaw hypomobility and trismus. There are several treatment options depending on diagnosis, however, where possible, conservative measures are preferred to surgical intervention. This paper investigates the safety and efficacy of using Restorabite^TM (Integrated Prosthetics & Reconstruction, Chris O'Brien Lifehouse), a new jaw-stretching device with regulated and incremental levels of force, to treat trismus in patients with chronic closed lock of the temporomandibular joint. Fifteen consecutively recruited participants used Restorabite^TM as their primary treatment modality. Maximum incisal opening and trismus, swallowing, and speech-related quality of life outcome measures were measured at baseline (time of diagnosis), after 10 weeks of therapy, and at 6 and 12-month follow up. At completion of the intervention mouth opening improved on average by 15.1 mm (p < 0.001). This was maintained at 6 months (average gain of 16.7 mm, p < 0.001) and 12 months (15.5 mm, p < 0.001). Trismus-related quality-of-life scores also significantly improved by 23.6 (p = 0.01). There were no treatment-related adverse events. Restorabite^TM is a safe option for the conservative management of TMD-related trismus. Restorabite™ offers a safe and effective treatment for trismus resulting from chronic TMJ closed lock in patients with TMD.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151960","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}