British Journal of Oral & Maxillofacial Surgery最新文献_第7页

Predictors of wound complication in patients undergoing major head and neck cancer surgery who require free tissue transfer.

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-12-31 DOI: 10.1016/j.bjoms.2024.12.003

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":"https://doi.org/10.1016/j.bjoms.2024.12.003","url":null,"abstract":"<p><p>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 (p < 0.001) (with bone-containing flaps and truncal donor sites associated with higher complication rates), the requirement for two flaps (p < 0.001), longer procedure duration (p < 0.039), reduced preoperative serum albumin (p < 0.001), recipient site (with laryngopharyngeal sites having higher rates and lateral skull base/ parotid lower rates compared with oral/oropharyngeal sites) (p = 0.001), higher ACE-27 co-morbidity score (p = 0.022), and surgical team (p < 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.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-31","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}

引用次数: 0

Role of artificial intelligence in magnetic resonance imaging-based detection of temporomandibular joint disorder: a systematic review.

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-12-26 DOI: 10.1016/j.bjoms.2024.12.004

Hariram Sankar, Ragavi Alagarsamy, Babu Lal, Shailendra Singh Rana, Ajoy Roychoudhury, Arivarasan Barathi, Ankush Ankush

{"title":"Role of artificial intelligence in magnetic resonance imaging-based detection of temporomandibular joint disorder: a systematic review.","authors":"Hariram Sankar, Ragavi Alagarsamy, Babu Lal, Shailendra Singh Rana, Ajoy Roychoudhury, Arivarasan Barathi, Ankush Ankush","doi":"10.1016/j.bjoms.2024.12.004","DOIUrl":"https://doi.org/10.1016/j.bjoms.2024.12.004","url":null,"abstract":"<p><p>This systematic review aimed to evaluate the application of artificial intelligence (AI) in the identification of temporomandibular joint (TMJ) disc position in normal or temporomandibular joint disorder (TMD) individuals using magnetic resonance imaging (MRI). Database search was done in Pub med, Google scholar, Semantic scholar and Cochrane for studies on AI application to detect TMJ disc position in MRI till September 2023 adhering PRISMA guidelines. Data extraction included number of patients, number of TMJ/MRI, AI algorithm and performance metrics. Risk of bias was done with modified PROBAST tool. Seven studies were included (deep learning = 6, machine learning = 1). Sensitivity values (n = 7) ranged from 0.735 to 1, while specificity values (n = 4) ranged from 0.68 to 0.961. AI achieves accuracy levels exceeding 83%. MobileNetV2 and ResNet have revealed better performance metrics. Machine learning demonstrated the lowest accuracy 74.2%. Risk of bias was low (n = 6) and high (n = 1). Deep learning models showed reliable performance metrics for AI based detection of temporomandibular joint disc position in MRI. Future research is warranted with better standardisation of design and consistent reporting.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630723","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}

引用次数: 0

The bone growing concept: A call for a paradigm shift in bone reconstruction.

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-12-24 DOI: 10.1016/j.bjoms.2024.11.014

Nardy Casap, Mona Dvir-Ginzberg, Ole T Jensen, Michael Alterman

引用次数: 0

Oral and maxillofacial surgery accelerated dental programme for medical graduates: a review of fourteen graduating years (2010-2023).

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-12-19 DOI: 10.1016/j.bjoms.2024.12.001

Adam Matthew Holden, Lyndon B Cabot, Jonathan Turner, Kathleen Fan

{"title":"Oral and maxillofacial surgery accelerated dental programme for medical graduates: a review of fourteen graduating years (2010-2023).","authors":"Adam Matthew Holden, Lyndon B Cabot, Jonathan Turner, Kathleen Fan","doi":"10.1016/j.bjoms.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.bjoms.2024.12.001","url":null,"abstract":"<p><p>The accelerated dental degree, pioneered by King's College London (KCL) to facilitate dual qualification training pathways for primary medical degree trainees, has graduated its fourteenth class. The authors present data to demonstrate and analyse the success of the course, which was accumulated through an online questionnaire, direct communication with the alumni, a freedom of information request from KCL, and review of the General Dental and Medical Council registers. To date 133 students have graduated with updated information collated for 132 (99.2%). Thirty seven percent of the students are female, which is comparable to the wider NHS consultant workforce. Over 70% (n = 95) of graduates work within a dual qualification specialty, with women more likely to take this up than men. Dentistry was the second most common career path at 16.8% (n = 23) and this is most likely to be due to the draws of primary dental care over the NHS secondary care. Attrition rates of the KCL students at each stage of the career pathway were equal to or fewer than other university undergraduate medical and dental degrees, the dentistry-first pathway, and other higher surgical training schemes. KCL alumni attest to 29% of the OMFS higher surgical trainees, with the average time between GMC provisional registration and specialist registration being 14.7 years (range 12-19). The authors strongly advocate the success of the accelerated dental degree in KCL and would encourage other institutions around the United Kingdom to accept the model to increase accessibility and build on the success of the primary medical degree OMFS surgical trainee programme.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069655","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}

引用次数: 0

Implementation of robotic systems in paediatric craniofacial and head and neck surgery: a narrative review of the literature.

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-12-09 DOI: 10.1016/j.bjoms.2024.11.011

Elena Whiteman, Umar Rehman, Mehitab Hussien, Mohammad Sohaib Sarwar, Rebecca Harsten, Peter A Brennan

{"title":"Implementation of robotic systems in paediatric craniofacial and head and neck surgery: a narrative review of the literature.","authors":"Elena Whiteman, Umar Rehman, Mehitab Hussien, Mohammad Sohaib Sarwar, Rebecca Harsten, Peter A Brennan","doi":"10.1016/j.bjoms.2024.11.011","DOIUrl":"https://doi.org/10.1016/j.bjoms.2024.11.011","url":null,"abstract":"<p><p>Surgical challenges in paediatric craniofacial and head and neck surgery can include operating in a small cavity, limited depth perception, restricted access with difficult angulations, and poor visualisation. Delicate tissue handling, muscle dissection, and suturing at depth require surgical access in congruence with the use of operative microscopes. Robotic assistance may aid surgeons in operating in confined spaces with minimal access incisions by improving the degree of freedom of operative instrumentation. In this study, we aim to review the use of robotic systems in paediatric head and neck and craniofacial surgery by focussing on total complications and length of surgery together with patient and surgeon experience. A literature search was conducted in June 2023 by two independent reviewers on Pubmed, Dynamed, DARE, EMBASE, Cochrane and British Medical Journal (BMJ) electronic databases for articles published between 1960-2024. Seventeen papers met the inclusion criteria. Seventy-nine patients were included. The success rate for head and neck and craniofacial cases that included robotic-assistance was 93.7% (n = 74) and the complication rate was 16.0% (n = 12). Robotic-assisted surgery demonstrates a low complication rate in treating a range of different pathologies in the head and neck in our included studies. Robotic-assistance in craniofacial surgery demonstrates promise in preventing iatrogenic injury from more traditional methods, and could allow for operations to proceed earlier in life in the management of midface distraction, however, more research in the area is necessary with limited research published at present.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433728","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}

引用次数: 0

EP087 The relationship between socioeconomic status and mandibular fractures in an Irish city

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.bjoms.2024.10.076

Saoirse Kilgarriff, Saoirse Kilgarriff, Louise Barry, Akinsola Ogunbowale, Mark Wilson

引用次数: 0

EP069 An audit of sentinel lymph node biopsies in patients with head and neck malignant melanoma

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.bjoms.2024.10.062

Pradeep Sandhu, Pradeep Sandhu, Jayanth Kunjur

引用次数: 0

Factors affecting the risk of trismus following maxillary ablative surgery comparing free flap reconstruction to prosthetic obturation: a retrospective observational study 上颌消融手术后发生三联症风险的影响因素：一项回顾性观察研究，将游离皮瓣重建术与修复性闭合术进行比较。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.bjoms.2024.09.005

Glyndwr W. Jenkins , Cameron C. Lee , Islam Ellabban , Donita Dyalram , Joshua E. Lubek

{"title":"Factors affecting the risk of trismus following maxillary ablative surgery comparing free flap reconstruction to prosthetic obturation: a retrospective observational study","authors":"Glyndwr W. Jenkins , Cameron C. Lee , Islam Ellabban , Donita Dyalram , Joshua E. Lubek","doi":"10.1016/j.bjoms.2024.09.005","DOIUrl":"10.1016/j.bjoms.2024.09.005","url":null,"abstract":"<div><div>The reconstruction of post-ablative maxillary defects is controversial. It is accepted that quality of life indicators are poorer for maxillary reconstruction compared with mandibular reconstruction. One factor highlighted is that of post-treatment trismus. Rates of trismus are reviewed comparing free tissue transfer to that of prosthetic obturation. A retrospective review was undertaken comparing rates of trismus at twelve months post-surgery between free tissue transfer and prosthetic obturation. A total of 85 patients were identified who met the inclusion criteria. Both reconstruction techniques were significant for developing trismus, with a higher rate in the free flap reconstruction cohort than the prosthetic obturation cohort by a factor of 2.51. Modern reconstructive head and neck surgery has moved away from ‘filling a hole’ to a more bespoke, patient-specific reconstruction. The evidence presented here should allow the reconstructive surgeon to better discuss outcomes with patients when considering surgical options for Class II maxillary defects.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"62 10","pages":"Pages 937-943"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549048","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}

引用次数: 0

EP086 A unique case of frontal sinus fracture involving the superior sagittal sinus; A case report and its management

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.bjoms.2024.10.075

Olliver Jackson, Olliver Jackson, Peter van den Bosch, Sunil Khandavilli, Aditya Anshu

引用次数: 0

EP023 Frozen section analysis in detection of occult metastasis in sentinel nodes from oral squamous cell carcinoma: A Systematic review and meta-analysis

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.bjoms.2024.10.022

Munir Abukhder, Munir Abukhder, Panagiotis Vrakas, Selvam Thavaraj, Mark McGurk, Axel Sahovaler, Clare Schilling

引用次数: 0