British Journal of Oral & Maxillofacial Surgery最新文献

{"title":"Citation for the Down Surgical Prize 2024 - Simon N Rogers.","authors":"Anastasios Kanatas","doi":"10.1016/j.bjoms.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.08.002","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979600","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":"Adapting the University of Washington Quality of Life Questionnaire for Oral Cancer to trauma patients.","authors":"Therese Schembri, Chrysavgi Oikonomou, Simon Holmes","doi":"10.1016/j.bjoms.2025.07.012","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.07.012","url":null,"abstract":"<p><p>Assessing the health-related quality of life (HRQOL) in maxillofacial trauma patients is essential for understanding the holistic impact of injury. Whilst validated tools exist for oral cancer, trauma-specific HRQOL questionnaires are lacking. The University of Washington Quality of Life (UOW-QOL) questionnaire for oral cancer was adapted to evaluate maxillofacial patients as a pilot study. The aim was to capture functional and psychosocial challenges unique to trauma, thereby improving patient care. Thirty-five patients who sustained facial injuries then underwent surgery at the Royal London Hospital were recruited. They were routinely followed up in clinic one to six months postoperatively and completed the adapted QOL questionnaire, tailored for maxillofacial trauma. Version 28 IBM SPSS statistics software was used for data analysis. There was a statistically significant association between the dentoalveolar region and QOL (p < 0.001), indicating a lower QOL, potentially reflecting current NHS dental care deficiencies. The total severity of complications was significantly correlated with QOL (p < 0.047), meaning an increase in the number and severity of complications led to QOL deterioration. Among the complications, appearance and scarring were significant (p < 0.03 and p < 0.029, respectively), with a negative self-perception of appearance and more severe scarring contributing to a lower QOL. A validated QOL questionnaire is needed to assess maxillofacial patients postoperatively for more standardised comparisons of outcomes. The researchers found this tool effective in evaluating the QOL of these patients, and believe that if future studies adopt it, more consistent and comparable data can be generated.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115071","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":"Learning curve in minimally invasive orthognathic surgery.","authors":"Luis Manuel Bustos Aguilera, Arturo Téllez Santamaría, Jonathas Daniel Paggi Claus, Matheus Spinella Almeida, Jorge Soto, José Luis Muñoz-Carrillo","doi":"10.1016/j.bjoms.2025.08.001","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.08.001","url":null,"abstract":"<p><p>Minimally invasive orthognathic surgery (MIOS) offers numerous advantages, including reduced morbidity, faster recovery, and better aesthetic outcomes compared to conventional methods. However, the learning curve associated with MIOS has not been well studied. This study aims to evaluate the learning curve associated with MIOS. A consecutive series of 30 bimaxillary orthognathic surgeries (30 patients), including genioplasty, was performed by a single surgeon, using the minimally invasive approach. Surgical time, intraoperative blood loss, and incision sizes were measured. All surgeries followed the described MIOS protocol. The learning curve for MIOS was evident in the first 12 cases, where surgical time, bleeding, and incision sizes improved significantly. Incision lengths in the maxillary approach increased significantly (*p < 0.05), while a significant (*p < 0.05) reduction in genioplasty incision size was observed. Four reoperations were required. Six major complications were reported, with most occurring during the initial 10 cases. Complications decreased after the initial cases, reflecting the surgeon's increasing proficiency. Compared with conventional surgery, MIOS showed a significant reduction in blood loss and duration of hospital stay, therefore, MIOS appears to be a safe, feasible and effective technique. However, further research is needed to confirm these findings and establish standardised MIOS protocols.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093113","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":"Immunohistochemical evaluation of Ki67 in predicting malignant transformation in oral submucous fibrosis.","authors":"K A Kamala, S Sankethguddad, Mohmed Isaqali Karobari","doi":"10.1016/j.bjoms.2025.07.007","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.07.007","url":null,"abstract":"<p><p>Oral submucous fibrosis (OSMF) is a potentially malignant disorder with a risk of progressing to oral squamous cell carcinoma. A key indicator of malignant transformation is increased and uncontrolled cell proliferation, which can be evaluated using markers such as Ki67. This study aimed to assess Ki67 expression in OSMF, compare its levels across different associated habits, and correlate expression with clinical and histological grading. This prospective study included 180 histopathologically confirmed cases, divided into three groups: 60 each of oral submucous fibrosis, oral squamous cell carcinoma, and normal oral mucosa. Immunohistochemistry was performed on 3 µm thick formalin-fixed, paraffin-embedded tissue sections using a monoclonal Ki67 antibody (clone MIB-1). Statistical analysis was conducted using SPSS version 21, and chi squared tests were applied, with significance set at p < 0.05. High Ki67 expression was observed in 51 of 60 Oral submucous fibrosis cases, significantly greater than in normal oral mucosa and slightly lower than in oral squamous cell carcinoma, where 57 of 60 cases showed high expression. A statistically significant correlation was found between Ki67 expression and high-risk habits, clinical stages, and histological grades (p < 0.05). The progressive rise in Ki67 expression from normal oral mucosa to oral submucous fibrosis and oral squamous cell carcinoma underscores its role as a biomarker for malignant transformation. While not a direct cause, elevated Ki67 reflects increased proliferative activity and malignancy risk. These findings highlight the utility of Ki67 in early detection, prognosis, and monitoring of oral submucous fibrosis patients to prevent malignant progression.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979561","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":"What are the limits of orthodontic treatment before surgical intervention is required?","authors":"Deirdre Coffey, Richard Needham","doi":"10.1016/j.bjoms.2025.07.008","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.07.008","url":null,"abstract":"<p><p>Orthognathic surgery is one of the modalities used to treat dentofacial deformities which cannot be corrected with an acceptable outcome by conventional orthodontic treatment. In certain circumstances, orthodontic camouflage can be a viable treatment alternative and involves orthodontic appliances to correct the malocclusion with a view to disguising the underlying skeletal discrepancy. The decision-making process is multi-faceted and can often pose a challenge to the clinical team in borderline cases. This article outlines the rationale behind both orthodontic and orthognathic treatment along with a discussion of the factors to consider when deciding between each treatment modality.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066282","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 posterior velar apex defined and its importance in the assessment of velopharyngeal dysfunction. An update of the surface anatomy of the hard and soft palate.","authors":"Alistair R M Cobb, Billy Leung, Nitisha Narayan, Ben Tudor-Green, Anne Roberts, Jo Waldron, Shaheel Chummun","doi":"10.1016/j.bjoms.2025.07.010","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.07.010","url":null,"abstract":"<p><p>Soft palate (velar) elevation closes the posterior nasopharynx and prevents the escape of nasal passage air in speech or food during swallowing. However, when the velum is not symmetrical, incomplete closure may occur on one side, which is important in the assessment of speech hypernasality, principally after previously repaired cleft palate. This may present as a short anteroposterior length on one side of the uvula that leaves a gap in closure behind the velum. In the absence of an anatomical term, we have defined the posterior velar apex as the most anterior point on the free edge of the posterior border of the soft palate. It is a paired point, with one on each side of the uvula, and is important in the assessment of unilateral anatomical causes of velopharyngeal dysfunction. Synonymous terms would be \"left/right posterior velar apex,\" \"posterior hemivelar apex,\" or even simply, \"left/right velar apex\".</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979595","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":"Five-year follow up on risk factors for condylar resorption after maxillomandibular advancement surgery.","authors":"Trine Wulff Nielsen, Michael Boelstoft Holte, Gabriele Berg-Beckhoff, Janne Ingerslev, Jens Jørgen Thorn, Else Marie Pinholt","doi":"10.1016/j.bjoms.2025.07.009","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.07.009","url":null,"abstract":"<p><p>Limited long-term 3-dimensional (3D) studies exist evaluating risk factors for condylar resorption following orthognathic surgery. Our aim was to evaluate patient demographics, clinical and radiographic characteristics, and orthognathic surgical effects on long-term postoperative condylar volume and height, and horizontal skeletal stability, using a 3D approach. Analysis of clinical data and cone-beam computed tomography before, and approximately two weeks and five years after surgery was carried out on 50 subjects (17 male, 33 female), mean (range) age 25.62 (18-51) years. Multiple significant predictive factors for horizontal skeletal relapse and loss of condylar volume and height were identified which, when combined, were indicative of progressive condylar resorption. The magnitude of mandibular advancement, vertical movement, and preoperative body mass index (BMI) explained 50% of the variance in horizontal skeletal relapse, with mandibular horizontal advancement being the most important factor (31%). Significant predictive factors for long-term loss of condylar volume comprised preoperative BMI and mandibular plane angle, mandibular horizontal advancement, and vertical movement. Loss of condylar height was significantly associated with preoperative condylar volume, condylar neck inclination, and horizontal mandibular advancement. In conclusion, horizontal skeletal relapse and loss of condylar volume and height were affected by multiple predictive factors indicating a multifactorial correlation. The magnitude of mandibular advancement had the largest effect on long-term horizontal skeletal relapse, however, it also had a significant impact on loss of condylar volume and height. Preoperative BMI, mandibular plane angle, condylar volume, condylar neck inclination, and surgical vertical movement were also identified as significant predictive factors for long-term horizontal skeletal relapse and loss of condylar volume and height.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006991","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":"Ghost-writing in oral and maxillofacial literature: facilitator of progress or ethical erosion?","authors":"Anuj Jain, Yash Merchant","doi":"10.1016/j.bjoms.2025.07.011","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.07.011","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859961","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":"Citation for the BAOMS Surgery Prize 2024 - Rabin Pratap Singh.","authors":"Peter A Brennan","doi":"10.1016/j.bjoms.2025.07.006","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.07.006","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765820","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":"Ten-year retrospective review of long-term outcomes of temporomandibular joint arthroscopic discopexy with resorbable pins.","authors":"Simona Barone, Diana Marcela Bernal Bermúdez, Luis Vicente González, Alejandrina Millón Cruz, Alejandro Encinas-Bascones, Rafael Martin-Granizo","doi":"10.1016/j.bjoms.2025.07.005","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.07.005","url":null,"abstract":"<p><p>This study aimed to evaluate the long-term effectiveness of arthroscopic discopexy using resorbable pins in the treatment of temporomandibular joint (TMJ) disc displacement over a 10-year follow-up period. A retrospective analysis was conducted on thirty-three patients who underwent arthroscopic discopexy with resorbable pins between January 2007 and November 2013. Clinical outcomes, including maximal interincisal opening (MIO), lateral movements (LM), protrusive movement (PM), joint pain with the visual analogue scale (VAS), joint locking, and clicking; were assessed at one, three, and six months and at 1.5 and 10 years postoperatively. The results showed significant improvements in MIO, increasing from 31.66 mm preoperatively to 45.50 mm at 10 years (p < 0.05). LM and PM also increased significantly, with PM improving from 3.63 mm to 6.21 mm (p < 0.001). Joint pain decreased substantially, with a mean improvement of 66.02 points on the VAS scale (p < 0.001). Joint locking and clicking were significantly reduced, with no locking observed at five and 10 years postoperatively (p < 0.001). These findings confirm that arthroscopic discopexy with resorbable pins provides durable clinical improvements in pain relief, mandibular function, and joint stability, over 10 years.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008529","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}