{"title":"Comment on: How much variation exists among experienced surgeons in orthognathic surgical planning?","authors":"Rachana Mehta, Ranjana Sah","doi":"10.1016/j.bjoms.2025.06.009","DOIUrl":"10.1016/j.bjoms.2025.06.009","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 8","pages":"Pages 609-610"},"PeriodicalIF":1.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769385","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}
Esra B Amoura, Kate Evans, Peter Metherall, Sachin M Salvi, Nicholas J Lee
{"title":"PEEK-on-PEEK orbital implantation: a secondary augmentation approach for delayed enophthalmos.","authors":"Esra B Amoura, Kate Evans, Peter Metherall, Sachin M Salvi, Nicholas J Lee","doi":"10.1016/j.bjoms.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.07.002","url":null,"abstract":"<p><p>This case report discusses the long-term management of a patient's left zygomatic fracture with an associated orbital floor injury. The initial treatment involved open reduction and internal fixation (ORIF), followed by the placement of a polyetheretherketone (PEEK) implant for globe dystopia. Despite this intervention, the patient developed progressive secondary enophthalmos and globe dystopia. To correct this, a second PEEK implant was used to improve the position of the eye. The aim of this report is to present a novel technique of PEEK-on-PEEK implants to restore globe alignment. This case underscores the importance of a multidisciplinary approach in the management of complex orbital floor fracture.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769386","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}
Nina Fraser, Taiba Jamshaid, Preeji Girijan, Sunil Sah, R James Spencer
{"title":"Is day-case surgery feasible for all orthognathic procedures?","authors":"Nina Fraser, Taiba Jamshaid, Preeji Girijan, Sunil Sah, R James Spencer","doi":"10.1016/j.bjoms.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.07.004","url":null,"abstract":"<p><p>We analysed the feasibility of day-case treatment for orthognathic procedures including bimaxillary osteotomy. A retrospective analysis compared an initial overnight cohort with a default day-case protocol. In 2023 all 23 patients stayed in hospital overnight following surgery. In 2024/25 the default day-case protocol led to 12 of 18 patients electing to return home the day of surgery (p < 0.001). Postoperative complications presented in five patients after more than 48 hours. No complications were related to day-case care. This study suggests that day-case orthognathic procedures are feasible, safe, and preferred by most patients.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859962","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}
Benjamin Palla, Sebastian Graca, Steven Licht, Michael Han, Michael Miloro
{"title":"In reply to the Letter to Editor regarding: How much variation exists among experienced surgeons in orthognathic surgical planning?","authors":"Benjamin Palla, Sebastian Graca, Steven Licht, Michael Han, Michael Miloro","doi":"10.1016/j.bjoms.2025.07.003","DOIUrl":"10.1016/j.bjoms.2025.07.003","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 8","pages":"Pages 611-612"},"PeriodicalIF":1.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765822","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":"Nasal reconstruction – the helical rim flap: an end to paramedian and other local flaps?","authors":"Panayiotis Kyzas","doi":"10.1016/j.bjoms.2025.07.001","DOIUrl":"10.1016/j.bjoms.2025.07.001","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 8","pages":"Pages 543-546"},"PeriodicalIF":1.9,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755189","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: United Kingdom and Ireland oral medicine and oral and maxillofacial surgery multidisciplinary clinics for the management of oral epithelial dysplasia (OED).","authors":"Navini Mannapperuma, Chiew Ying Chieng, Velupillai Ilankovan","doi":"10.1016/j.bjoms.2025.06.008","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.06.008","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765821","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":"10.1016/j.bjoms.2025.03.014","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 435-440"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","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}
Samuel R. Bullis, Elizabeth Z. Goh, Nigel R. Johnson
{"title":"In reply to the Letter to Editor regarding: Surgical management of bilateral mandibular angle fractures: a systematic review","authors":"Samuel R. Bullis, Elizabeth Z. Goh, Nigel R. Johnson","doi":"10.1016/j.bjoms.2025.05.006","DOIUrl":"10.1016/j.bjoms.2025.05.006","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 473-474"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303685","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":"Three-dimensional anatomical model of the facial nerve in 100 parotid tumours: improved planning and personalised surgery","authors":"M. McGurk , I. Sassoon , S. Morley","doi":"10.1016/j.bjoms.2025.05.001","DOIUrl":"10.1016/j.bjoms.2025.05.001","url":null,"abstract":"<div><div>Surgeons currently operate blind to the facial nerve and can encounter unexpected events during surgery. The ability to track the facial nerve through the parotid gland prior to surgery would aid surgical planning and ideally improve outcomes. An audit was undertaken of 100 patients with parotid tumours. Each had a 3 Tesla magnetic resonance imaging (MRI) scan, with the DICOM data segmented into three-dimensional (3D) models of the facial nerve, tumour, and surrounding anatomy. The objective was to assess the value of 3D models in the management of parotid tumours. Of the 86/100 patients who proceeded to surgery, the 3D models were accurate in 98% of cases. The scale of surgical complexity predicted by the models correlated with operative duration and complications (p = 0.01). There was concordance (p = 0.01) between surgeons on the value of 3D models in different patients. 3D images from 3T MRI scans provide accurate visualisation of the facial nerve in parotid surgery. This novel technique facilitates improved preoperative planning, the prospect of improved outcomes, and a personalised approach to parotid surgery.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 455-461"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295416","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}
Rakesh Katna , Priyal Patil , Parth Patni , Aastha Maini , Bharat Bhosale , Ashay Karpe , Vijay Patil , Nikhil Kalyani , Mumbai Oncology Group – Head and Neck
{"title":"Outcomes of selective neck dissection in node positive oral cavity squamous cell carcinoma","authors":"Rakesh Katna , Priyal Patil , Parth Patni , Aastha Maini , Bharat Bhosale , Ashay Karpe , Vijay Patil , Nikhil Kalyani , Mumbai Oncology Group – Head and Neck","doi":"10.1016/j.bjoms.2025.05.007","DOIUrl":"10.1016/j.bjoms.2025.05.007","url":null,"abstract":"<div><div>Management of the neck in oral cavity squamous carcinoma is debatable. The role of selective neck dissection (SND) in node positive neck in oral SCC is controversial. The aim of this study was to determine the efficacy of SND for the node positive neck in patients with oral cancer. A retrospective chart review was done of 424 oral cancer patients undergoing SND, who had pathologically node positive disease on histopathology treated from January 2017 to September 2024. A total of 424 patients were analysed with 82% male predominance. The median age was 49 years. The commonest primary site was the bucco-alveolar complex (60%). A total of 520 SNDs were done in 424 patients. At median follow up of 29 months, 59 patients (13.9%) had neck recurrence among which 15 patients had recurrence at level V, along with recurrence at other nodal levels. Three-year regional control was 82%, while DFS and OS were 65% and 81%, respectively. For oral cancer with a pathologically node positive neck, SND is an effective and oncologically safe treatment. Outcomes are similar to modified neck dissection, as reported in the literature.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 6","pages":"Pages 429-434"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334436","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}