British Journal of Oral & Maxillofacial Surgery最新文献

{"title":"Systematic review of patients’ experience with temporomandibular disorders","authors":"Sarah Crummey ,&nbsp;Alexander Rae ,&nbsp;Oliver Jacob ,&nbsp;Simon N. Rogers ,&nbsp;Kathleen Fan","doi":"10.1016/j.bjoms.2024.11.001","DOIUrl":"10.1016/j.bjoms.2024.11.001","url":null,"abstract":"<div><div>Temporomandibular disorders (TMD) are a group of common conditions that can have significant detrimental impact on patients functional, emotional and social wellbeing. The aim of this systematic review is to collate and summarise the literature reporting patients’ experience of TMD. This helps put the condition into the context of the patient themselves and their interaction with healthcare professionals. The study was completed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA) guidelines. A systematic literature search was performed on 1 December 2023 using following databases: MEDLINE, Embase, Web of Science, PsychInfo (American Psychological Associated) and the Cochrane Library. Of these 439 articles, 13 met the inclusion criteria for the review. It was a heterogenous sample with relatively poor methodological quality. The cohorts ranged from nine to 44; totalling 280 participants. Two key themes and six subthemes illustrate the experience of patients with TMD: Impact (Physical, Psychological) and Coping (Understanding the disease, Experience of healthcare professionals, Seeking treatment, Adapting behaviours). Clinical care needs to reflect the experience of patients with better explanation of the condition, access to services and support. Further research should explore how to address patients’ concerns more effectively. One method might be through the development of a PCI-TMD.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 76-82"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916505","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":"Training groups / Instructions to Authors","authors":"","doi":"10.1016/S0266-4356(25)00029-4","DOIUrl":"10.1016/S0266-4356(25)00029-4","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Page IBC"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral and maxillofacial surgery (OMFS) ‘controlled’ second-degree places in the UK – there are sufficient numbers (with high application ratios) to meet current and future OMFS recruitment needs in the UK","authors":"Catherine Magennis ,&nbsp;Anna Davies ,&nbsp;Rhydian King ,&nbsp;Nida Ilahi ,&nbsp;Roseanna Morgan ,&nbsp;Gemma Stonier ,&nbsp;Kate Howson ,&nbsp;Amit Dattani ,&nbsp;Christopher Hamps ,&nbsp;Aimee Rowe ,&nbsp;Ian Jenkyn ,&nbsp;Shadi Basyuni ,&nbsp;Patrick Magennis","doi":"10.1016/j.bjoms.2024.10.236","DOIUrl":"10.1016/j.bjoms.2024.10.236","url":null,"abstract":"<div><div>In 2008 the Postgraduate Medical Education and Training Board (PMETB) Review of Oral and Maxillofacial Surgery (OMFS) recommended that OMFS specialty training should start with second-degree studies. This recommendation has not yet happened. Currently, no OMFS controlled places at medical/dental schools are directly linked to OMFS Specialty Training (ST) posts. ‘OMFS controlled’ in this paper refers to dedicated places on shortened second degree courses to which OMFS specialists/trainers have the key role in selection. Freedom of Information requests were sent to 14 medical schools known to have OMFS ‘controlled’ second-degree MB places: Aberdeen, Birmingham, Bristol, Cambridge, Cardiff, Glasgow, Leeds, Liverpool, Manchester, London–Kings, London–QMUL, Newcastle, Plymouth and York/Hull. Information was also requested from the London-Kings BDS Dental Programme for Medical Graduates (DPMG). These data were supplemented by information from consultants and trainees with experience of the processes. Replies were received from six medical schools in Birmingham, Cambridge, Glasgow, Liverpool, London-Kings, and London-QMUL, plus the dental school of London - Kings DPMG. These seven programmes provide approximately 30 OMFS controlled places per year. The application ratios, between 5:1 and 29:1, are significantly more competitive than selection to ST1 and ST3 places. There are more OMFS controlled second degree places than presented in this paper which only details universities from whom replies were received. If all students in OMFS controlled second-degree places progressed to ST without loss, there are more than sufficient to fill all available OMFS ST places. Linking OMFS controlled second degree places through to OMFS ST posts would deliver the key PMETB recommendation in a process which would be more competitive than current ST selection. For OMFS trainees whose first degree was medicine, OMFS selected places at shortened dental courses are needed outside London.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 104-111"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900632","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":"Working during the second degree: A survey of dentally qualified medical students pursuing a career in OMFS","authors":"Joshua Lopez,&nbsp;Kaisha Patel,&nbsp;Kathleen Fan","doi":"10.1016/j.bjoms.2024.11.008","DOIUrl":"10.1016/j.bjoms.2024.11.008","url":null,"abstract":"<div><div>Attaining degrees in both medicine and dentistry to forge a career in Oral and Maxillofacial Surgery (OMFS) comes at a considerable financial cost. To fund a second degree most must work alongside their full-time studies. This study aims to assess the current working roles and patterns of those qualified in dentistry, studying medicine to pursue a career in OMFS. An online survey was created following a comprehensive literature review. Sixteen questions were included to collect data regarding the working patterns and roles of dentally qualified medical students. Responses from 45 students in the UK were included. Working in OMFS was undertaken by 96%, with 49% working in an OMFS unit associated with their university. First on-call OMFS roles were worked by 78%, with 38% doing second on-call work. Night shifts were worked by 84%. Roles providing primary dental care were undertaken by 31%. The work undertaken had a positive or strong positive effect on the OMFS skill set of 62%, and 84% wished to gain more operative experience in theatre. Most second-degree trainees are working in on-call OMFS roles encompassing night shifts. Many feel they are advancing their clinical skills but wish to gain more operative experience in theatre.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 69-75"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958985","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":"Outcomes of maxillomandibular advancement (MMA) by dentofacial class: A systematic review and meta-analysis","authors":"Sofia Khan ,&nbsp;Sarah R. Sutton ,&nbsp;Shaun A. Nguyen ,&nbsp;Andrea M. Rinn ,&nbsp;Robson Capasso ,&nbsp;Chitra Lal ,&nbsp;Abdelwahab Rakha ,&nbsp;Sarandeep S. Huja ,&nbsp;Timothy J. Tremont ,&nbsp;Mohamed Abdelwahab","doi":"10.1016/j.bjoms.2024.10.241","DOIUrl":"10.1016/j.bjoms.2024.10.241","url":null,"abstract":"<div><div>The aim of this paper was to systematically review and compare the Apnoea-Hypopnoea Index (AHI), Lowest O₂ Saturation (LSAT), Oxygen Desaturation Index (ODI), Epworth Sleep Scale (ESS), and Body Mass Index (BMI) between dentofacial (skeletal) classes I, II, and III before and after maxillomandibular advancement (MMA) for Obstructive Sleep Apnoea (OSA). The PubMed, Scopus, and CINAHL databases were searched from inception to 23 November 2022. Two reviewers screened for articles that reported occlusion/malocclusion class type as I, II, or III, and reported preoperative and postoperative AHI, LSAT, ODI, ESS, and/or BMI. Two reviewers independently screened title/abstracts and subsequently, full-text articles that met eligibility criteria. Preoperative ESS and ODI were significantly higher in Class II (13.77, 95% CI, 11.38% to 16.17% and 47.49, 95% CI, 33.04% to 61.95%) than in Class III (12.47, 95% CI, 9.95% to 14.99% and 32.47, 95% CI, -10.37% to 75.30%) (p &lt; 0.0001). Postoperatively, class I showed the greatest percentage reduction of AHI, with a reduction of 89.61% (95% CI, 84.47% to 94.75%) compared with class II and III (p &lt; 0.0001). Additionally, amongst all malocclusion classes and operative status, meta-regression showed positive correlations between ESS and AHI (r = 0.94, p &lt; 0.001) and ESS and ODI (r = 0.90, p &lt; 0.001). Class I subjects with no dentofacial discrepancy had the greatest improvement in AHI compared with Class II and III. Class II subjects may express more severe ODI and ESS preoperatively compared with Class III subjects. Additionally, subjective outcomes (ESS) may be a predictor for objective outcomes (AHI and ODI) for patients undergoing MMA.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 83-90"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916501","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: Prediction of postoperative complications in patients undergoing head and neck surgery with free-flap reconstruction","authors":"Carlos M. Ardila (PhD in Epidemiology. Postdoctoral Researcher. Professor Department of Basic Sciences),&nbsp;Pradeep Kumar Yadalam (PhD in Periodontics. Professor Department of Periodontics)","doi":"10.1016/j.bjoms.2024.11.013","DOIUrl":"10.1016/j.bjoms.2024.11.013","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 158-159"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016754","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":"Assessing postoperative maxillary advancement stability in patients with cleft lip and palate","authors":"Juliana Dreyer da Silva de Menezes,&nbsp;Isabela Toledo Teixeira da Silveira,&nbsp;Josfran da Silva Ferreira Filho,&nbsp;João Pedro Franchi Gomes,&nbsp;Luciano Reis de Araújo Carvalho,&nbsp;Renato Yassutaka Faria Yaedú","doi":"10.1016/j.bjoms.2024.11.002","DOIUrl":"10.1016/j.bjoms.2024.11.002","url":null,"abstract":"<div><div>This study aims to evaluate the post-surgical stability of patients with cleft lip and palate that underwent maxillary advancement surgery. The study was conducted by means of cephalometric analysis of the soft tissues in digital radiographs acquired preoperatively, immediate postoperatively and six months after surgery using Dolphin Imaging 11.5 software. The effective sample consisted of 87 patients, among whom 50 (57.4%) were male and 37 (42.6%) were female. The mean age of the patients was 23.1 years, the minimum age was 17 years, and the maximum age was 37 years. Patients underwent maxillary advancement with cephalometric analysis during the preoperative and postoperative period, which was around six months. The results revealed a significant tendency for relapse in the vertical direction with instability of the occlusal plane. In the postoperative period, counterclockwise movement of the maxillomandibular complex was observed, leading to height reduction of the lower third of the face and increased facial angle. The observed changes were not correlated with the extent of the sagittal advancement.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 118-124"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911188","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 goat as a model for temporomandibular joint disc replacement: Techniques for scaffold fixation","authors":"Mairobys Socorro ,&nbsp;Xudong Dong ,&nbsp;Sara Trbojevic ,&nbsp;William Chung ,&nbsp;Bryan N. Brown ,&nbsp;Alejandro Almarza","doi":"10.1016/j.bjoms.2024.10.233","DOIUrl":"10.1016/j.bjoms.2024.10.233","url":null,"abstract":"<div><div>A state-of-the-art scaffold capable of efficiently reconstructing the temporomandibular joint (TMJ) disc after discectomy remains elusive. The major challenge has been to identify a degradable scaffold that remodels into TMJ disc-like tissue, and prevents increased joint pathology, among other significant complications. Tissue engineering research provides a foundation for promising approaches towards the creation of successful implants/scaffolds that aim to restore the disc. In light of improving the quality of life of patients who undergo TMJ disc removal, it is critical to establish a preclinical animal model to evaluate the properties of promising scaffolds implanted post-discectomy and to determine the most efficient implantation procedures to ensure a more reliable in-depth evaluation of the biomaterial replacing the articular disc. The present study evaluated the outcomes of two protocols for implantation of an acellular scaffold composed of an extracellular matrix (ECM) derived from the small intestinal submucosa (SIS) of the pig, as a regenerative template for the TMJ disc in a goat model. The outcomes suggest that leaving one-half of the disc medially will allow anchoring of the device to the medial aspect of the joint while avoiding lateral displacement of the ECM scaffold. The goat model is ideal to assess the longevity of tissue-engineered solutions for the TMJ disc, considering that goats chew for 12–16 hours a day. This study provides an important reference for the selection of a suitable scaffold implantation procedure and the goat model for the development of new strategies to assess TMJ disc regeneration.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 91-97"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimising morbidity in neck dissection: Avoiding routine carotid sheath removal in N0 and N+ necks without any evidence of clinical extranodal extension.","authors":"Mohsina Hussain, Archana Singh, Richa Sharma, Sucheta Gandhe, Yogesh Pawar, H K Sonal, Vishal Rana, R Humsini, Saurabh Chandalia, Koustabh Kumar, Rajendra Dhondge, Raj Nagarkar, Sirshendu Roy, Onkar Kulkarni","doi":"10.1016/j.bjoms.2025.01.005","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.01.005","url":null,"abstract":"<p><p>The necessity of routine carotid sheath removal during neck dissections for head and neck carcinomas, particularly in clinically N0 and N+ necks without extranodal extension (ENE), remains debatable. This prospective study aimed to document the incidence of pathological involvement of the carotid sheath in such cases. A total of 121 patients with oral squamous cell carcinoma underwent neck dissections with the carotid sheath left intact unless infiltration was suspected. Among these, only one patient (0.8%) exhibited carotid sheath involvement, while 120 (99.2%) did not. No regional recurrences were observed during a minimum follow up of six months. These findings suggest that routine resection of the carotid sheath is unnecessary during elective or therapeutic neck dissection for head and neck carcinomas, as it does not increase the risk of regional recurrence. Preserving the carotid sheath may therefore be a viable approach, potentially reducing surgical morbidity without compromising oncological outcomes. To the best of our knowledge, this study, which includes 121 patients and 145 necks, is the largest sample size to date to examine carotid sheath involvement in routine neck dissections.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473166","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":"Immediate prosthetic nasal rehabilitation following rhinectomy: indications and limitations of the epiplating system - a case series.","authors":"Ioan Davies, R M Sumudu Himesha B Medawela, Peter Llewelyn Evans, M A Kittur, Ketan Shah","doi":"10.1016/j.bjoms.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.01.007","url":null,"abstract":"<p><p>Nasal reconstruction post-rhinectomy is challenging. Nasal prostheses using the Medicon epiplating system (Medicon) provides a simpler alternative with good patient outcomes. Eight patients (mean age 65 years; equal gender distribution) underwent immediate nasal rehabilitation using a unilateral nasal Epiplate implant for magnet-retained prostheses post-rhinectomy, with follow-up from five to 37 months (mean 13 months). No implants failed or required unplanned removal. The Medicon epiplating system is a low-morbidity, quick, cost-saving procedure which should be considered as a viable alternative to zygomatic implants.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484630","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}