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

Quality of life after treatment of dentofacial deformity: a cross-sectional study of 311 patients at various stages of surgical treatment.

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-20 DOI: 10.1016/j.bjoms.2025.02.007

Mohammad Ibrahim Zafar, Torbjørn Østvik Pedersen

{"title":"Quality of life after treatment of dentofacial deformity: a cross-sectional study of 311 patients at various stages of surgical treatment.","authors":"Mohammad Ibrahim Zafar, Torbjørn Østvik Pedersen","doi":"10.1016/j.bjoms.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.02.007","url":null,"abstract":"The aim of the study was to investigate self-reported quality of life (QoL) following orthognathic surgery for patients with dentofacial deformities (DFD) correlated to the type of osteotomy performed. Self-reported QoL of 311 patients was evaluated, before preoperative orthodontic treatment (n = 91), before surgical treatment (n = 76), two years (n = 35), five years (n = 56) and eight years after treatment (n = 53), using the validated condition specific Orthognathic Quality of Life Questionnaire (OQLQ). Also, previous experience with orthodontic treatment was evaluated for all patients. Patients who underwent single-jaw mandibular setback surgery and Le Fort I osteotomies had the most pronounced change in global OQLQ scores. Oral function was significantly improved in both groups, and dentofacial aesthetics and awareness of dentofacial deformity was significantly improved in the mandibular setback group. The effect did not significantly change over time for any of the groups. The extent of orthodontic treatment in the preoperative stage did not significantly alter QoL scores. Orthognathic surgery improved self-reported quality of life in a Norwegian population. The type of dentofacial deformity and surgical procedure differed in some aspects, but the global OQLQ scores remained consistent.","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712218","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 "Factors affecting the risk of trismus following maxillary ablative surgery comparing free flap reconstruction to prosthetic obturation: a retrospective observational study".

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-12 DOI: 10.1016/j.bjoms.2025.01.011

James S Brown, Andrew Schache

引用次数: 0

Comparing the socio-economic and emotional implications of management of a hypoplastic cleft maxilla with distraction osteogenesis or orthognathic surgery in a developing country.

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-12 DOI: 10.1016/j.bjoms.2025.02.006

Victoria Vincent, Srinivas Gosla Reddy, Anthony Markus

{"title":"Comparing the socio-economic and emotional implications of management of a hypoplastic cleft maxilla with distraction osteogenesis or orthognathic surgery in a developing country.","authors":"Victoria Vincent, Srinivas Gosla Reddy, Anthony Markus","doi":"10.1016/j.bjoms.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.02.006","url":null,"abstract":"Management of a hypoplastic maxilla can be addressed through distraction osteogenesis (DO) or orthognathic surgery (OS), with DO being preferred for severe deformity due to the increased stability of its long-term outcomes. This study aims to compare the economic and emotional implications of DO versus OS at an Indian institute. A total of 20 patients who underwent maxillary DO were compared with 20 patients who underwent orthognathic Le Fort I osteotomy. Sourced from the GSR Institute of Craniofacial Surgery database, patients completed a telephone questionnaire, via a translator, which investigated: return travel costs to hospital, length of hospital stay, Likert scales gauging mood and impact on daily life before, during, and after treatment. There was a marked increased mean length of hospital stay associated with rigid external device (RED) in comparison with OS by 70.5%. This is also associated with a greater mean total cost of hospital stay per patient, also by 70.5%. The mean number of visits to hospital postoperatively was over twice the number of visits for RED in comparison with OS, associated with a staggering 859.9% increase in financial burden on RED patients compared with OS with regards to mean total return travel costs to hospital. There was a 36.8% percentage change in impact on daily life scores for RED patients compared with 25.0% percentage change associated with OS. While DO appears advantageous, its economic drawbacks emphasise the necessity for a comprehensive evaluation of clinical and economic outcomes in low-resource settings. Limitations included challenges due to various regional languages and absence of pre-existing maxillary deficiency data.","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665418","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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In response to "Comment on 'Factors affecting the risk of trismus following maxillary ablative surgery comparing free flap reconstruction to prosthetic obturation: a retrospective observational study'". 针对 "关于'影响上颌消融手术后三趾畸形风险的因素：比较游离皮瓣重建与修复性闭锁的回顾性观察研究'的评论"，发表您的看法。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-12 DOI: 10.1016/j.bjoms.2025.02.003

Glyndwr Jenkins

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Actinic cheilitis: Do stem cells have a role in its management? A case series.

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-10 DOI: 10.1016/j.bjoms.2025.02.004

C Y Chieng, N Mannapperuma, A Sayan, V Ilankovan

{"title":"Actinic cheilitis: Do stem cells have a role in its management? A case series.","authors":"C Y Chieng, N Mannapperuma, A Sayan, V Ilankovan","doi":"10.1016/j.bjoms.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.02.004","url":null,"abstract":"Actinic cheilitis (AC) is a premalignant mucosal lip condition that mainly affects the lower lip and has a high propensity of malignant transformation into squamous cell carcinoma. There is no gold standard for its management, but early intervention aims to minimise the risk of malignant transformation. Here we report our experience of utilising nanofat grafting in the management of AC. Retrospective data analysis was carried out between 2020 and 2024. Patients diagnosed with AC were treated with nanofat grafting. The nanofat preparation was harvested from the abdomen and prepared using the PureGraft® filtration system (Bimini Health Tech), and was infiltrated into the lips in two layers. Outcomes were assessed clinically. Seven patients were included in our analysis with a mean follow up of 23 months. All patients had had previous treatment for AC such as topical 5-fluororacil, steroids, laser ablation, and cryotherapy. Five of the seven received simultaneous nanofat grafting followed by erbium laser resurfacing at the same appointment. The others had nanofat grafting after laser resurfacing. Following the procedure all the patients had no further cracks, ulcerations, or erosions of the lips, with a good definition of the vermilion border, and all patients remained symptom free. The combination of nanofat grafting and laser resurfacing provides an alternative minimally invasive solution for patients with persistent AC. We have formulated an algorithm for management based on our experience.","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675077","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

Combined orthognathic surgery and jaw contouring to improve long face stigma: Lessons learned from facial feminisation.

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-07 DOI: 10.1016/j.bjoms.2025.02.002

Javier Gutiérrez Santamaría, Daniel Simon, Luis Capitán, Miguel Pérez de Perceval Tara, Jorge Masiá Gridilla

引用次数: 0

Navigating treatment ambiguities in head and neck squamous cell carcinoma: A retrospective analysis of equivocal PET-CT findings and decision-making strategies following primary non-surgical treatment. 头颈部鳞状细胞癌治疗中的模糊导航：对正电子发射计算机断层扫描（PET-CT）模棱两可的发现和初级非手术治疗后决策策略的回顾性分析。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-06 DOI: 10.1016/j.bjoms.2025.02.001

Aaron Chai, Subegh Srao, Edward Walker, Nalinda Panditaratne, Michael W S Ho

{"title":"Navigating treatment ambiguities in head and neck squamous cell carcinoma: A retrospective analysis of equivocal PET-CT findings and decision-making strategies following primary non-surgical treatment.","authors":"Aaron Chai, Subegh Srao, Edward Walker, Nalinda Panditaratne, Michael W S Ho","doi":"10.1016/j.bjoms.2025.02.001","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.02.001","url":null,"abstract":"Post-treatment positron emission tomography/computed tomography (PET-CT) scans for head and neck cancer are challenging due to radiation-induced inflammation, leading to equivocal results. The decision by the Leeds-Mid Yorkshire multidisciplinary team (MDT) to proceed with a targeted biopsy or a second PET-CT reflects the uncertainty of balancing timely intervention and potential delays in patient outcomes. A review of the Leeds-Mid Yorkshire radiology database identified 34 head and neck cancer patients with equivocal PET-CT results following chemoradiation between 2019 and 2023. This audit aims to inform the future clinical management of equivocal findings in head and neck squamous cell carcinoma (SCC). Among the 34 analysed cases, oropharyngeal cancer was the most common (n = 28, 70%). All PET-CT reports indicated partial metabolic response, leading to two main management strategies: a second PET-CT (n = 4, 12%) or other interventions (n = 30, 88%). Kaplan-Meier analysis indicated no difference in disease-specific survival between the second PET-CT group and other-interventions group (log rank = 0.758). Similarly, there was no significant difference in overall survival between patients in the two groups, as determined by the log-rank test (p = 0.498). Decision making in this patient cohort is complex and requires MDT input. Our analysis found no significant survival difference between second PET-CT scans and other intervention (for example, biopsy) pathways. We recommend that for primary and nodal sites, radiological reports should include qualitative and quantitative assessments, clear categorisation (negative, positive, or equivocal), and standardised uptake values (SUVmax).","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569002","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 "Clinical effectiveness of polynucleotide TMJ injection compared with physiotherapy: A 3-month randomised clinical trial".

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-04 DOI: 10.1016/j.bjoms.2024.12.005

Srinivedha Cv, Rinku K George, Raghu Kumaravelu, Sailesh Kumar Ravichandran, Tapati Biswas

引用次数: 0

In reply to the comment on "Clinical effectiveness of polynucleotides TMJ injections compared to physiotherapy. A 3-month randomised clinical trial".

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-03 DOI: 10.1016/j.bjoms.2025.01.008

N Cenzato, R Crispino, M Tumedei, G M Tartaglia, M Del Fabbro

引用次数: 0

Augmented reality-guided osteotomies for simulated mandibular reconstruction with fibular bone using virtual cutting guides and 3D navigation.

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-03 DOI: 10.1016/j.bjoms.2025.01.009

C Coppen, T J Snoeijink, W L J Weijs, A Verhulst, T Verhoeven, J T V Rijssel, T J J Maal, E A Dik

{"title":"Augmented reality-guided osteotomies for simulated mandibular reconstruction with fibular bone using virtual cutting guides and 3D navigation.","authors":"C Coppen, T J Snoeijink, W L J Weijs, A Verhulst, T Verhoeven, J T V Rijssel, T J J Maal, E A Dik","doi":"10.1016/j.bjoms.2025.01.009","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.01.009","url":null,"abstract":"In the last decades, maxillomandibular reconstruction has been revolutionised by the use of free flaps and virtual surgical planning technologies. However, the currently available applied physical cutting guides provide no intraoperative flexibility, and adjustments based on intraoperative findings are not possible. A novel augmented reality (AR)-guided technique is presented that allows for quick intraoperative surgical planning adaptations. A mandibular reconstruction using fibular bone was simulated and an application for Microsoft's HoloLens 2 developed for modelling the fibular segments. The application provided real-time feedback on the position of the saw with respect to the virtual planned osteotomy planes projected on the fibular bone. The technique was investigated in a validation test using 3-dimensional printed fibular models. Mean (SD) deviations from the planned osteotomy plane, expressed in degrees and segment length deviation, were 4.1° (2.6) and 2.0 mm (1.1), respectively, for session one, and 3.1° (2.3) and 2.3 mm (1.4), respectively, for session two. The feasibility of the AR-guided technique to perform osteotomies of fibular bone was established in this workflow simulation. The technique can improve the transfer of the preoperative plan to the intraoperative situation. Further development is, however, necessary since conventional cuttings guides are, so far, superior.","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607287","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