British Journal of Oral & Maxillofacial Surgery最新文献

{"title":"Virtual special issue: current thinking in orthognathic surgery","authors":"Geoff Chiu","doi":"10.1016/j.bjoms.2025.04.004","DOIUrl":"10.1016/j.bjoms.2025.04.004","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 413-414"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144398","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 “Surgical management of bilateral mandibular angle fractures: a systematic review”","authors":"Srinivedha Cholappadi Vijayakumar, Rinku Kurian George, Raghu Kumaravelu, Sailesh Kumar Ravichandran","doi":"10.1016/j.bjoms.2025.01.015","DOIUrl":"10.1016/j.bjoms.2025.01.015","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 471-472"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340673","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":"Fixation technique in total temporomandibular joint replacement for edentulous patients: a technical note","authors":"Sinan Yasin Ertem , Daniel E. Perez","doi":"10.1016/j.bjoms.2025.05.003","DOIUrl":"10.1016/j.bjoms.2025.05.003","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 469-470"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176048","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":"Immunotherapy for locally advanced head and neck cancer.","authors":"Panayiotis Kyzas, Vinidh Paleri, Stuart Winter, Clare Schilling, Andrew Schache, Leandros Vassiliou, Brian Bisase, Helen Cocks, Chris Nutting","doi":"10.1016/j.bjoms.2025.06.007","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.06.007","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562054","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":"Real-time indocyanine green angiography optimises anterolateral thigh flap reconstruction in oral and maxillofacial defects: a prospective clinical study.","authors":"Zhongming Wu, Weiqi Wang, Yan Wang, Xuejiao Han, Jianhua Wei","doi":"10.1016/j.bjoms.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.06.002","url":null,"abstract":"<p><p>This study aimed to evaluate the clinical efficacy of indocyanine green angiography (ICGA) in optimising anterolateral thigh (ALT) flap reconstruction for oral and maxillofacial defects. Fifteen consecutive patients (10 males, mean (SD) age 53.8 (14.5) years) undergoing ALT flap reconstruction following tumour resection were prospectively enrolled. Intravenous indocyanine green (ICG) (2.5 mg/ml) administration combined with hand-held Doppler ultrasound (DUS) enabled preoperative mapping of the descending branch of the lateral circumflex femoral artery and localisation of the perforator. Intraoperative real-time ICGA guidance facilitated precise flap trimming, while postoperative monitoring incorporated both DUS and ICGA assessments. Preoperative imaging revealed comparable perforator detection rates between modalities (DUS: 35/42 confirmed vs ICGA: 33/39 confirmed; accuracy 83.3% vs 84.6%, Z = 0.096, p = 0.081, kappa = 0.82, p = 0.026). ICGA-guided intraoperative modifications proved critical in seven cases, all achieving marginal flap viability. Four high-risk patients avoided reoperation through ICGA-guided perfusion monitoring. Notably, ICGA detected salvageable perfusion in two cases with absent DUS signals, and confirmed arterial patency following re-anastomosis in one case. ICGA enhances surgical precision in ALT flap reconstruction through perfusion mapping, enabling real-time intraoperative decision-making and improved postoperative monitoring sensitivity.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621220","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":"Effectiveness of early active mandibular exercise in early recovery of mandibular movement and quality of life after orthognathic surgery: a single-centre randomised clinical trial.","authors":"Hyo-Jin Jang, Jae-Min Song, Yong-Il Kim, Sung-Hun Kim, Seong-Sik Kim, Youn-Kyung Choi","doi":"10.1016/j.bjoms.2025.05.016","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.05.016","url":null,"abstract":"<p><p>This study aimed to evaluate the effectiveness of early active mandibular exercise (AME) to address mouth-opening limitation following orthognathic surgery in patients with skeletal Class III malocclusion. This was a single-centre, randomised, controlled, and double-blinded experimental study. In 44 subjects, the experimental group (n = 21) performed AME 10 times daily and were asked to self-assess the degree of opening by counting the number of tongue depressors they could fit in, whereas the control group (n = 23) performed only basic finger exercises. Efficacy was assessed by the range of mandibular movement in four directions (maximum opening, and right lateral, left lateral, and anterior movements), and pain was assessed using a visual analogue scale. Opening-related quality of life (QoL) was assessed using a questionnaire. All variables were measured immediately (T0), and at one week (T1), two weeks (T2), four weeks (T3), and 12 weeks (T4) after the removal of intermaxillary fixation. Statistical analyses were performed using the Mann-Whitney U, Friedman, and chi-squared tests. The experimental group demonstrated earlier recovery of mandibular range of motion in all directions compared with the control group during T0-T1 (p < 0.05). The control group gradually recovered from T0-T4. At T1 the opening recovery rate was 56-68% in the experimental group and 18-39% in the control group. Pain scores were significantly lower in the experimental group than in the control group at T1 (p < 0.05). The experimental group also showed an earlier positive response to all daily living activities at T3 compared with T4 in the control group. AME not only effectively recovers mouth-opening limitation after orthognathic surgery, but also promotes early improvements in range of motion and pain scores. Furthermore, it is an effective intervention to facilitate an early return to the opening-related activities of daily living.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719194","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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-08","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":"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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-06","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":"Patient reported outcome measures (PROMs) in bilateral sagittal split osteotomy with osseous genioplasty.","authors":"Amit Dattani, Amreeta Aytain, Flora Menzies, Luis Bruzual","doi":"10.1016/j.bjoms.2025.05.015","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.05.015","url":null,"abstract":"<p><p>This study evaluates the impact of genioplasty combined with bilateral sagittal split osteotomy (BSSO) on patient-reported outcomes within the UK's National Health Service (NHS). As the first study of its kind in the UK that we know of, it aims to provide evidence to support the continued commissioning of these procedures. A retrospective, multi-site cohort study was conducted using validated patient-reported outcome measures (PROMs) through postoperative telephone consultations. Outcomes assessed included satisfaction with facial appearance, self-confidence, and quality of life before and after surgery. Of 30 eligible patients, 21 completed follow up at a minimum of six months. Results showed high overall satisfaction rates of 90% and significant improvements in psychological wellbeing (40%), quality of life (32%), and social confidence (42%). Additionally, satisfaction with lower jaw appearance and chin aesthetics improved by 60% and 61%, respectively. These findings highlight the significant benefits of genioplasty with BSSO and support its continued commissioning in the NHS.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692529","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":"The analgesic effect of adding magnesium sulphate to inferior alveolar nerve block in mandibular third molar surgery: a randomised controlled trial.","authors":"Warit Powcharoen, Yanisa Naruenartwongsakul, Kathawut Tachasuttirut","doi":"10.1016/j.bjoms.2025.05.014","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.05.014","url":null,"abstract":"<p><p>Achieving a prolonged analgesic effect from an inferior alveolar nerve block (IANB) following mandibular third molar (MTM) surgery remains a challenge. This study aimed to investigate the analgesic efficacy of adding magnesium sulphate to an IANB on postoperative pain within 24 h following MTM surgery. The eligible participants were randomly assigned to receive articaine with either 150 mg or 250 mg magnesium sulphate, or articaine alone. The primary outcomes were pain intensity at 6 and 24 h postoperatively, using the Heft-Parker visual analogue scale (VAS). Secondary outcomes included the success rate of IANB, characteristics of analgesic consumption, and occurrence of adverse events. Multivariate analysis including multivariate linear regression was performed with a significance level of 0.05. A total of 72 MTMs were included. At 6 h postoperatively, the estimated treatment differences in pain at rest were -42.02 (95% CI: -61.50 to -22.54) for the 150 mg magnesium group, and -42.76 (95% CI: -62.42 to -23.11) for the 250 mg magnesium group. For pain on movement, the differences were -38.07 (95% CI: -60.22 to -15.92) and -29.07 (95% CI: -51.42 to -6.72), respectively. By 24 h, pain intensity did not differ significantly among the groups. First analgesic use was significantly delayed in both magnesium groups. The addition of 150 mg magnesium sulphate to articaine for IANB significantly reduced pain intensity at 6 h following surgery with no adverse events.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592987","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}