Javier Gutiérrez Santamaría, Daniel Simon, Luis Capitán, Miguel Pérez de Perceval Tara, Jorge Masiá Gridilla
{"title":"Combined orthognathic surgery and jaw contouring to improve long face stigma: Lessons learned from facial feminisation","authors":"Javier Gutiérrez Santamaría, Daniel Simon, Luis Capitán, Miguel Pérez de Perceval Tara, Jorge Masiá Gridilla","doi":"10.1016/j.bjoms.2025.02.002","DOIUrl":"10.1016/j.bjoms.2025.02.002","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Pages 330-332"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588105","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":"Response to: In response to ’Comment on: Who let the dogs out? A 10-year review of maxillofacial dog bite injuries","authors":"Ali Malik, Harun Arain, Sukruth Kundur, Malika Mostafavi, Hamid Reza Khademi Mansour","doi":"10.1016/j.bjoms.2025.03.002","DOIUrl":"10.1016/j.bjoms.2025.03.002","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Page 335"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722609","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":"Thirty years of experience and current trends in the management of sialolithiasis: a narrative review","authors":"Oded Nahlieli","doi":"10.1016/j.bjoms.2025.02.011","DOIUrl":"10.1016/j.bjoms.2025.02.011","url":null,"abstract":"<div><div>Current trends in the management of sialolithiasis include a proper diagnosis with the help of a differential diagnosis. Cone beam computed tomography may be a good choice for detecting sialoliths because it is more sensitive than sonography. A practitioner should collect precise information about the stone in question, which includes the exact location of the calculus, its size and volume, and the number of calculi in a given case. For submandibular calculi, the orientation of the stone’s location against the gonion and the inferior edge of the mandible creates the system of coordinates almost in a geographical fashion. The next step is management planning, and a proper surgical approach may be selected from a comprehensive list of available techniques. If the sialoendoscopic removal of calculi via ducts is impossible, endoscopy-assisted, ultrasound (US)-guided, or unassisted intraoral surgery, extracorporeal shock-wave lithotripsy (ESWL), a combination of the ESWL with the sialoendoscopy, and endoscopy-assisted ductal stretching procedure are our options. Measures must be taken to avoid or minimise postsurgical complications. The development of our knowledge, skills, diagnostic arsenal, and surgical approaches to sialolithiasis cases over the last hundred years is impressive. However, there is still room for further improvement. Some problems in diagnostics, calculus assessment, and surgical approaches require additional research.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Pages 270-275"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744439","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":"Virtual special issue: current thinking in orthognathic surgery.","authors":"Geoff Chiu","doi":"10.1016/j.bjoms.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.04.004","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-30","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":"Role of MSX1 in the development of non-syndromic clefts in the sub-Himalayan region of India.","authors":"Madhubari Vathulya, Neetu Singh, Manisha Naithani, Sanjay Dvivedi, Mohit Jadli, Nilotpal Chowdhary, Konstanze Scheller, Peter Kessler","doi":"10.1016/j.bjoms.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.04.003","url":null,"abstract":"<p><p>Non-syndromic cleft lip and palate (NSCL/P) is a prevalent congenital anomaly influenced by genetic and environmental factors. The role of the MSX1 gene in NSCL/P has been explored in various populations, with conflicting results. This study investigates the association between MSX1 single nucleotide polymorphisms (SNPs) rs11726039 and rs3821949 and NSCL/P in a sub-Himalayan population of India. A total of 395 subjects, including 216 patients and 179 controls, were genotyped using TaqMan assays. The study also considered environmental factors, such as maternal smoking and folic acid intake. Statistical analysis, including odds ratios (OR), Fisher's exact test, and Hardy-Weinberg equilibrium, was used to assess the association between the SNPs (single nuclear polymorphisms) and NSCL/P. While rs11726039 showed no significant association in either patient or parental samples, rs3821949 indicated a protective effect in fathers (OR = 0.44, p = 0.001) but not in patients. The findings highlight population-specific variations in the genetic aetiology of NSCL/P and the need for larger studies to confirm the role of MSX1 SNPs in the sub-Himalayan region. Despite being located in the same country, differences in genetic associations were noted between the sub-Himalayan and South Indian populations, underscoring the complexity of genetic interactions in NSCL/P.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227782","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}
Daanesh Zakai, Jim Higginson, Ross Elledge, Louis G Mercuri, Bernie Speculand
{"title":"How common is the extended temporomandibular joint replacement (eTMJR)? Output data from a single global producer.","authors":"Daanesh Zakai, Jim Higginson, Ross Elledge, Louis G Mercuri, Bernie Speculand","doi":"10.1016/j.bjoms.2025.03.014","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.03.014","url":null,"abstract":"<p><p>This cohort study focuses on establishing volumes and subclassifications of extended temporomandibular joint replacement (eTMJR) prostheses that are presently being produced compared to the production of standard TMJR devices. The reports of the use of eTMJR devices in the management of large segmental mandibular defects that also involve the temporomandibular joint (TMJ) are increasing in the literature. Data received from Stryker/TMJ Concepts reveals that eTMJR prostheses account for 13.5% of TMJR devices produced. The literature reports eTMJR adverse event issues such as infection, mechanical failures, and heterotopic bone formation. The aim of this study is to provide insights into the use of eTMJR prostheses to guide clinicians and researchers in advancing their use as a management option for complex mandibular reconstructions. Future research directions, focusing on the elements of device embodiments (materials, design, manufacturing), regenerative medicine, and predictive tools to enhance eTMJR longevity and success, are discussed.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113138","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":"Is there any relation between proton pump inhibitors and risk of dental implant failure? A large-scale retrospective study using the BigMouth repository","authors":"Georgios S. Chatzopoulos , Larry F. Wolff","doi":"10.1016/j.bjoms.2025.01.003","DOIUrl":"10.1016/j.bjoms.2025.01.003","url":null,"abstract":"<div><div>The aim of this retrospective large-scale study was to investigate long-term the association between proton pump inhibitors (PPIs) and risk of dental implant failure. This is a retrospective analysis of a cohort of patients rehabilitated with dental implants in the dental clinics of the universities that contribute data to the BigMouth network. Patients’ characteristics including age, gender, ethnicity, race, tobacco use, systemic medical conditions, and intake of PPIs were analysed. Implant failure was defined as the removal of a dental implant for any reason. A total of 20,274 patients who received a total of 50,333 dental implants over a 12-year period were included. At the patient level, omeprazole users exhibited 1.77 (95% CI: 1.30 to 2.42) odds of experiencing implant loss compared with non-users. The use of PPIs was significantly associated with implant loss, with PPI users demonstrating 1.40 (95% CI: 1.04 to 1.88) odds of implant failure. At the implant level, implants placed in pantoprazole users showed a significant protection against implant loss, while implants in omeprazole users demonstrated a significantly lower survival time compared with those in non-users. Cox regression analysis demonstrated that implants placed in omeprazole users exhibited a significantly higher hazard ratio (HR: 1.45, 95% CI: 1.07 to 1.96) compared with those placed in non-users. Within the limitations of this study, omeprazole was significantly associated with implant failure both at a patient and implant level. At patient level, PPI users demonstrated a significantly higher risk of dental implant failure.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 3","pages":"Pages 239-245"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470011","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":"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":"10.1016/j.bjoms.2025.01.005","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 3","pages":"Pages 214-219"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","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}
Rebecca Ridout, Rabab Ahmad, Pujan Rai, Jeremy D. McMahon
{"title":"Predictors of wound complication in patients undergoing major head and neck cancer surgery who require free tissue transfer","authors":"Rebecca Ridout, Rabab Ahmad, Pujan Rai, Jeremy D. McMahon","doi":"10.1016/j.bjoms.2024.12.003","DOIUrl":"10.1016/j.bjoms.2024.12.003","url":null,"abstract":"<div><div>This study aims to improve the understanding of predictors of wound healing issues following major head and neck surgery with free flap repair and allow us to consider how we might mitigate these complications. Over a period of 14 years, 1461 patients had free flap reconstruction within a single oral and maxillofacial surgery unit. Data on patient demographics, comorbidities, factors indicative of the magnitude of the surgical insult, and postoperative complications were obtained and included in the analysis. Wound complications were graded using the Clavien-Dindo classification. In total, 48% experienced one or more donor or recipient site wound complication. Independent predictors were the donor flap selected (<em>p</em> < 0.001) (with bone-containing flaps and truncal donor sites associated with higher complication rates), the requirement for two flaps (<em>p</em> < 0.001), longer procedure duration (<em>p</em> < 0.039), reduced preoperative serum albumin (<em>p</em> < 0.001), recipient site (with laryngopharyngeal sites having higher rates and lateral skull base/ parotid lower rates compared with oral/oropharyngeal sites) (<em>p</em> = 0.001), higher ACE-27 co-morbidity score (<em>p</em> = 0.022), and surgical team (<em>p</em> < 0.001). This study supports the conceptual understanding of complications as a consequence of the interaction between acute and chronic comorbidity, magnitude of the surgical insult, and totality of the perioperative care package, including the importance of appropriate procedure selection for a given patient.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 3","pages":"Pages 208-213"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651896","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}