British Journal of Oral & Maxillofacial Surgery最新文献

{"title":"Reclassifying cT4b buccal mucosa/gingivobuccal complex cancers: do we need to change?","authors":"Rakesh Katna ,&nbsp;Aastha Maini ,&nbsp;Parth Patni ,&nbsp;Bharat Bhosale ,&nbsp;Ashay Karpe ,&nbsp;Saurabh Chalke ,&nbsp;Nikhil Kalyani ,&nbsp;Mumbai Oncology Group – Head and Neck","doi":"10.1016/j.bjoms.2024.08.004","DOIUrl":"10.1016/j.bjoms.2024.08.004","url":null,"abstract":"<div><div>T4b carcinomas are termed as very locally advanced carcinomas of the oral cavity and are deemed borderline resectable or unresectable. The role of surgery for these patients is not well defined. We therefore aimed to relook at the role of surgery for cT4b carcinoma of the oral cavity. We evaluated 596 patients with cT4 oral cancers. A total of 218 patients were staged as cT4b based on clinicoradiological findings. These patients underwent bite composite resection either before or after neoadjuvant chemotherapy. Additional compartmental infratemporal fossa (ITF) clearance was done in patients with involvement of more than two of following structures: medial and lateral pterygoid muscles, pterygoid plates, temporalis at the tip of the coronoid process, high masseter, retroantral fat pad. Oncological outcomes and prognostic factors were estimated. Patients were treated between August 2013 and May 2021. Compartmental ITF clearance was done in 93 patients; the rest had standard surgical clearance. A total of 112 patients had node-positive disease. The median (range) age of the group was 50 (24–84) years. On a median follow up of 54 months (IQR: 1–111 months), 136 (62.4%) were alive and 82 (37.6%) had died. Five-year locoregional control, disease-free survival, and overall survival were 54%, 52%, and 59%, respectively. On multivariate analysis, the presence of nodal disease, perineural invasion, and bone involvement were statistically significant factors affecting overall survival. Surgery for cT4b oral cancer is therefore feasible and associated with acceptable oncological outcomes.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 12-18"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689778","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":"Efficacy of lasers on reduction of post-surgical lip scar in cleft lip and palate patients: A systematic review","authors":"Ayushi Srivastava,&nbsp;Tejraj P. Kale,&nbsp;Radhika Pathak,&nbsp;Akanksha Garg,&nbsp;Rahul Bichile","doi":"10.1016/j.bjoms.2024.09.010","DOIUrl":"10.1016/j.bjoms.2024.09.010","url":null,"abstract":"<div><div>Cleft lip scars, arising from congenital conditions or corrective surgeries, pose unique challenges in scar management, necessitating interventions that balance efficacy with minimally invasive approaches. Laser therapy, with its ability to precisely target scar tissue, has garnered attention for its potential to address hypertrophic scars. The aim of our systematic review is to evaluate the efficacy of lasers in reducing post-surgical cleft lip scar. A systematic search was conducted in PubMed, Google Scholar, Wiley library, Cochrane library databases for the studies published between 1 January 2003 and 1 October 2023. All studies were included in which a laser was used for scar reduction and had a minimum follow-up period of three months. For all study designs the appropriate Joanna Briggs Institute (JBI) critical appraisal tools were used. Primary outcome was to measure reduction in scar using the Vancouver scar scale or total improvement in the scar. From this systematic review we can conclude that lasers have shown better results on post-surgical cleft lip scar. However, more comparative studies are needed with large sample sizes to assess the laser’s pure potential.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 3-11"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645243","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":"Re: Does intra-articular injection of platelet-rich plasma/platelet-rich fibrin improve outcomes after temporomandibular joint arthrocentesis? A systematic review and meta-analysis","authors":"Hamid Reza Khademi Mansour,&nbsp;Harun Arain,&nbsp;Ali Malik,&nbsp;Sukruth Kundur","doi":"10.1016/j.bjoms.2024.10.237","DOIUrl":"10.1016/j.bjoms.2024.10.237","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 64-65"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796609","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":"Dura-based automated vault expansion – Remodelling (DAVE-R): A technical note on planning posterior cranial distraction vectors","authors":"A. De Gea Rico ,&nbsp;C. Parks ,&nbsp;A. Hennedige ,&nbsp;C. Duncan ,&nbsp;V. Vakharia","doi":"10.1016/j.bjoms.2024.11.004","DOIUrl":"10.1016/j.bjoms.2024.11.004","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 61-63"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819975","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":"Quality of life outcomes in patients receiving dental implants in vascularised bone flaps for mandibular reconstruction","authors":"Vinay Tumuluri ,&nbsp;Emma Charters ,&nbsp;Rebecca L. Venchiarutti ,&nbsp;David Leinkram ,&nbsp;Catriona Froggatt ,&nbsp;Masako Dunn ,&nbsp;James Wykes ,&nbsp;Jasvir Singh ,&nbsp;Tsu-Hui Hubert Low ,&nbsp;Carsten E. Palme ,&nbsp;Dale Howes ,&nbsp;Sydney Ch’ng ,&nbsp;Jonathan R. Clark","doi":"10.1016/j.bjoms.2024.04.017","DOIUrl":"10.1016/j.bjoms.2024.04.017","url":null,"abstract":"<div><div>Resection, reconstruction, and rehabilitation of the mandible impact function and health related quality of life (HRQOL). In this study, we aimed to understand the impact of delayed versus immediate dental implant placement. A cross-sectional and prospective study was conducted including patients who underwent reconstruction of the mandible via osseous vascularised bone flaps and dental implants. The FACE-Q Head and Neck Cancer module and the MD Anderson Dysphagia Inventory and Speech Handicap Index were used to evaluate HRQOL. A total of 187 implants were placed in 52 patients, of which 44 patients (85%) completed questionnaires. Immediate dental implant placement was associated with superior FACE-Q appearance (p = 0.02), oral competence (p = 0.004), smile distress (p = 0.03), and satisfaction with information (p = 0.004). Dentoalveolar rehabilitation through the placement of immediate dental implants at the time of surgery was found to be associated with higher HRQOL scores related to appearance, eating and drinking, oral competence, and smile.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 32-38"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134892","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":"Thanks to Reviewers","authors":"","doi":"10.1016/S0266-4356(24)00567-9","DOIUrl":"10.1016/S0266-4356(24)00567-9","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 1-2"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143228216","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 ‘Do we consent to change? An evaluation of the Oral and Maxillofacial Outpatient Department Dentoalveolar Consent Forms’","authors":"Vaibhav Sahni","doi":"10.1016/j.bjoms.2024.09.013","DOIUrl":"10.1016/j.bjoms.2024.09.013","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Page 68"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796608","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(24)00556-4","DOIUrl":"10.1016/S0266-4356(24)00556-4","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Page IBC"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143227581","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":"Exposure to and awareness of oral and maxillofacial surgery for first degree dental undergraduates in the United Kingdom","authors":"Raian Jaibaji ,&nbsp;Dania Al-zubaidy ,&nbsp;Tanisha Patel ,&nbsp;Mariam Alkateb ,&nbsp;Minhal Al-Khafaji ,&nbsp;Sophie Mairead Carroll ,&nbsp;Christel Bazoua ,&nbsp;Rhea Patel ,&nbsp;Daneyah Kenbar ,&nbsp;Gruffydd McVeigh ,&nbsp;Amina Farouk ,&nbsp;Zakia Shah","doi":"10.1016/j.bjoms.2024.10.228","DOIUrl":"10.1016/j.bjoms.2024.10.228","url":null,"abstract":"<div><div>Evidence shows that the majority of OMFS trainees undertook dentistry as their first degree, however, an increasing number of undergraduates undertaking OMFS training have completed medicine first. It is vital that all undergraduates wanting to commit to another degree have adequate exposure to, and understanding of, the specialty. The aim of our study was to evaluate the perspectives of final-year dental students concerning their exposure to, and perceptions of, OMFS during their undergraduate teaching. This is a cross-sectional cohort study that used an online survey to collect data. All final-year dental students at a UK dental school who will graduate in 2024 were included. Regarding the exposure to OMFS, 122 (71.8%) respondents reported that they had been offered OMFS-related clinical placements from their respective dental schools, while 48 (28.2%) had not. Of the 122 who reported receiving placements, the placement lasted a mean of 3.78 days. Participants were then asked if they thought they had adequate experience and information to make an informed choice regarding OMFS as a career, to which 70 (41.2%) responded that they did have that knowledge and experience whilst 100 (58.8%) responded that they did not. Our study overall shows a better understanding of the scope of oral and maxillofacial surgery amongst final-year dental students in the UK compared with their medical student counterparts from previous literature. However, our results reflect areas in which knowledge, exposure to, and perception of, OMFS can be improved amongst dental undergraduates<strong>.</strong></div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 47-52"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640375","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":"Open management of condylar head fractures. The first 50 cases: What have we learnt and where are we going?","authors":"Nabeel Bhatti ,&nbsp;Hussein Mohamedbhai ,&nbsp;Ximan Poon ,&nbsp;Pippasha Khan ,&nbsp;Frederic Van der Cruyssen ,&nbsp;Simon Holmes","doi":"10.1016/j.bjoms.2024.08.005","DOIUrl":"10.1016/j.bjoms.2024.08.005","url":null,"abstract":"<div><div>This study evaluates a single surgeon’s experience in the development of a practice in open treatment of intracapsular condylar fractures over three years at a tertiary maxillofacial trauma centre. An enhanced dynamic, peer-reviewed, longitudinal audit in keeping with the adoption of elements of new clinical practice was instituted. This aimed to record and analyse clinical and functional outcomes at both the surgeon and patient level. A retrospective review of patients treated for AO craniomaxillofacial (AOCMF)-classified intracapsular fractures was conducted, utilising an extended preauricular approach and positional screw fixation with an emphasis on early joint mobilisation and physiotherapy. The cohort consisted of 45 patients with 50 fractures, exhibiting a mean postoperative mouth opening of 32 mm, which increased over time and was noted to be statistically significant. Patient satisfaction was high, and the majority of radiological outcomes were deemed anatomical. No patients had permanent facial nerve injuries. Other postoperative complications were minimal, including one case of Frey syndrome and a 16% re-intervention rate, primarily for hardware removal. The findings suggest that open treatment can achieve satisfactory early function as part of the implementation of an in-part novel procedure. This paper provides insight into the establishment of a new technique in both experiential and governance domains, and looks at the lessons learned. The high levels of patient and surgeon satisfaction confirm increasing levels of evidence supporting open reduction and fixation in these challenging injuries, but the study’s limitations include the absence of a control group and potential non- generalisability due to the single-surgeon perspective. The study highlights the need to support colleagues providing this treatment and establish a national mentoring programme to achieve it. At this point, long-term studies and a multicentre trial are suggested for a comprehensive understanding of the treatment’s efficacy and the formal development of management protocols.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 19-24"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645245","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}