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

In reply to the comment on “Clinical effectiveness of polynucleotides TMJ injections compared to physiotherapy. A 3-month randomised clinical trial” 回复“多核苷酸TMJ注射与物理治疗的临床疗效比较”评论。一项为期3个月的随机临床试验。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-04-01 DOI: 10.1016/j.bjoms.2025.01.008

N. Cenzato , R. Crispino, M. Tumedei , G.M. Tartaglia , M.Del Fabbro

引用次数: 0

Health and wellbeing of second-degree students pursuing oral and maxillofacial surgery 追求口腔颌面外科的二学位学生的健康和福祉。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-04-01 DOI: 10.1016/j.bjoms.2024.08.009

Umar Rehman (Senior House Officer) , Mohammad Sohaib Sarwar (Locum Clinical Fellow) , Garikai Kungwengwe (Core Surgical Trainee) , Rozina Yasmin Choudhury (Medical Education Fellow) , Elena Whiteman (Foundation Doctor) , Peter A. Brennan (Honorary Professor of Surgery, Consultant Oral, Maxillofacial Surgeon)

{"title":"Health and wellbeing of second-degree students pursuing oral and maxillofacial surgery","authors":"Umar Rehman (Senior House Officer) , Mohammad Sohaib Sarwar (Locum Clinical Fellow) , Garikai Kungwengwe (Core Surgical Trainee) , Rozina Yasmin Choudhury (Medical Education Fellow) , Elena Whiteman (Foundation Doctor) , Peter A. Brennan (Honorary Professor of Surgery, Consultant Oral, Maxillofacial Surgeon)","doi":"10.1016/j.bjoms.2024.08.009","DOIUrl":"10.1016/j.bjoms.2024.08.009","url":null,"abstract":"<div><div>Second-degree students pursuing oral and maxillofacial surgery (OMFS) may be at particular risk of burnout when striving to find a balance between a full-time degree, locum work, and developing portfolios for specialist training applications. The current study aimed to explore self-reported burnout and identify risk factors for burnout amongst second-degree students considering a career in OMFS. An online survey was distributed via social media to second-degree students across the United Kingdom and 122 responses were received. A majority of students felt they had suffered from burnout during their second degree (n = 74, 60.7%). Burnout was more likely to be reported by students enrolled on a four-year dental degree (p = 0.016, OR 6.291, 95% CI: 1.402 to 28.235), by female students (p = 0.006, OR 5.791, 95% CI: 1.659 to 20.219), and those aged 28-30 (p = 0.032, OR 5.818, 95% CI: 1.165 to 29.054) or between 34 and 36 years (p = 0.008, OR 14.882, 95% CI 1.998 to 110.826). Students doing zero night shifts per month were significantly less likely to suffer from burnout compared with those doing more than six night shifts per month (p = 0.016, OR: 0.034, 95% CI: 0.002 to 0.537) or more than six day shifts per month (p = 0.028, OR: 15.272, 95% CI: 1.335 to 174.732). It may be possible to reduce the risk of burnout amongst second-degree students and enhance their wellbeing by improving financial and clinical development incentives as part of regular locum work opportunities, by providing access to tailored OMFS mentorship, and by streamlining training.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 3","pages":"Pages 189-194"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460879","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

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-04-01 DOI: 10.1016/j.bjoms.2025.01.002

Mohammed Ochiba Lukandu , Lilian Chepkorir Koskei , Cyrus Songwa Micha

{"title":"Health-related quality of life among patients undergoing jaw resection at a referral hospital in Western Kenya","authors":"Mohammed Ochiba Lukandu , Lilian Chepkorir Koskei , Cyrus Songwa Micha","doi":"10.1016/j.bjoms.2025.01.002","DOIUrl":"10.1016/j.bjoms.2025.01.002","url":null,"abstract":"<div><div>In many developing countries, successful care for patients with jaw tumours often focuses on morbidity and survival rates. Limited attention is accorded to the impact of the disease and its treatment on patients’ health-related quality of life (HRQoL). This study evaluated HRQoL among patients before and in the short term following jaw resection as treatment for oral tumours using the University of Washington quality of life (UW-QoL) questionnaire. Forty participants were consecutively recruited over a period of two years; 70% of whom were female, 75% had mandibular lesions and half of them had ameloblastoma. Their mean age was 34.4 years. Participants returned high scores on most of the 12 disease-specific domains, suggesting a low level of dysfunction. Shoulder dysfunction, taste and speech returned the best scores, whereas chewing, appearance, and saliva returned the lowest scores. Saliva had reduced scores after surgery, with an increase in proportion of participants who reported it as an important issue. Mean scores for physical functions were lower than were for socio-emotional functions. Surgical care had a positive impact on socio-emotional functions such as activity, mood and recreation, but with a negative impact on physical functions such as chewing, swallowing, and saliva. Male patients as well as patients with benign and mandibular tumours returned higher scores when compared with female patients as well as patients with malignant and maxillary tumours, respectively. This study revealed important changes in the HRQoL of patients with jaw tumours in Kenya, which ought to be considered during their care.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 3","pages":"Pages 232-238"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477158","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

Augmented reality-guided osteotomies for simulated mandibular reconstruction with fibular bone using virtual cutting guides and 3D navigation 增强现实引导下的骨切开术在模拟下颌骨重建中应用虚拟切割指南和3D导航。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-04-01 DOI: 10.1016/j.bjoms.2025.01.009

C. Coppen , T.J. Snoeijink , W.L.J. Weijs , A. Verhulst , T. Verhoeven , J.T.v Rijssel , T.J.J. Maal , E.A. Dik

{"title":"Augmented reality-guided osteotomies for simulated mandibular reconstruction with fibular bone using virtual cutting guides and 3D navigation","authors":"C. Coppen , T.J. Snoeijink , W.L.J. Weijs , A. Verhulst , T. Verhoeven , J.T.v Rijssel , T.J.J. Maal , E.A. Dik","doi":"10.1016/j.bjoms.2025.01.009","DOIUrl":"10.1016/j.bjoms.2025.01.009","url":null,"abstract":"<div><div>In the last decades, maxillomandibular reconstruction has been revolutionised by the use of free flaps and virtual surgical planning technologies. However, the currently available applied physical cutting guides provide no intraoperative flexibility, and adjustments based on intraoperative findings are not possible. A novel augmented reality (AR)-guided technique is presented that allows for quick intraoperative surgical planning adaptations. A mandibular reconstruction using fibular bone was simulated and an application for Microsoft’s HoloLens 2 developed for modelling the fibular segments. The application provided real-time feedback on the position of the saw with respect to the virtual planned osteotomy planes projected on the fibular bone. The technique was investigated in a validation test using 3-dimensional printed fibular models. Mean (SD) deviations from the planned osteotomy plane, expressed in degrees and segment length deviation, were 4.1° (2.6) and 2.0 mm (1.1), respectively, for session one, and 3.1° (2.3) and 2.3 mm (1.4), respectively, for session two. The feasibility of the AR-guided technique to perform osteotomies of fibular bone was established in this workflow simulation. The technique can improve the transfer of the preoperative plan to the intraoperative situation. Further development is, however, necessary since conventional cuttings guides are, so far, superior.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 3","pages":"Pages 246-251"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607287","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

Comment on ‘Current thinking in the management of temporomandibular disorders in children, a narrative review’ 对“儿童颞下颌障碍治疗的当前思路，叙述性回顾”的评论。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-04-01 DOI: 10.1016/j.bjoms.2024.10.243

Vaibhav Sahni

引用次数: 0

Role of artificial intelligence in magnetic resonance imaging-based detection of temporomandibular joint disorder: a systematic review 人工智能在基于磁共振成像的颞下颌关节疾病检测中的作用：系统综述。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-04-01 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":"10.1016/j.bjoms.2024.12.004","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 3","pages":"Pages 174-181"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","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

Training groups / Instructions to Authors 培训小组/对作者的指导

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-04-01 DOI: 10.1016/S0266-4356(25)00066-X

引用次数: 0

Oral and maxillofacial surgery accelerated dental programme for medical graduates: a review of fourteen graduating years (2010–2023) 口腔颌面外科加速牙科医学毕业生方案：十四年毕业回顾（2010-2023）。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-04-01 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":"10.1016/j.bjoms.2024.12.001","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 3","pages":"Pages 203-207"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","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

Electroencephalographic signature of patients with temporomandibular disorder: clinical implications. 颞下颌紊乱患者的脑电图特征：临床意义。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-03-05 DOI: 10.1016/j.bjoms.2025.02.013

Li Mei, Zhiyi Huang, Zhixin Wang, Sally Sun, Sichao Zhu, Cui Gao, Ajith Polonowita, Guangzhao Guan

{"title":"Electroencephalographic signature of patients with temporomandibular disorder: clinical implications.","authors":"Li Mei, Zhiyi Huang, Zhixin Wang, Sally Sun, Sichao Zhu, Cui Gao, Ajith Polonowita, Guangzhao Guan","doi":"10.1016/j.bjoms.2025.02.013","DOIUrl":"10.1016/j.bjoms.2025.02.013","url":null,"abstract":"<p><p>The aim of this study was to investigate the features of temporomandibular disorder (TMD) and non-TMD subjects on electroencephalogram (EEG) the jaw resting, biting, and opening states. A total of 34 participants were recruited into the study. Participants with TMD were evaluated using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) and the Protocol for Multi-Professional Centres for the Determination of TMD Signs and Symptoms (ProTMDMulti). EEG was recorded using the NeuroSky biosensor at jaw resting, biting, and opening states for the non-TMD subjects, TMD patients before therapy, and TMD patients after therapy. The EEG energy of the TMD patients was significantly greater than that of the non-TMD subjects at the jaw resting, opening and biting states (p < 0.05), except the EEG Beta wave at the jaw biting state. After conventional therapy for TMD, the EEG energy of TMD patients significantly decreased at the jaw resting state (p < 0.01). During the jaw opening state, the EEG energy of TMD patients also significantly decreased after therapy at the low frequency waves but increased at the high frequency waves (p < 0.01). EEG features were significantly different between the non-TMD and TMD participants as well as in the TMD patients before and after therapy. EEG may serve as an objective biomarker and a quantitative diagnostic tool for TMD.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334435","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

Oral and Maxillofacial Surgery Curriculum (2021) and Oral Surgery Curriculum (2023): A forensic comparison of two documents 口腔颌面外科课程（2021）和口腔外科课程（2023）：两份文件的法医比较。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.bjoms.2024.11.003

P.M. Capanni , S. Magill , T. Walker , I. Varley , P. Magennis

{"title":"Oral and Maxillofacial Surgery Curriculum (2021) and Oral Surgery Curriculum (2023): A forensic comparison of two documents","authors":"P.M. Capanni , S. Magill , T. Walker , I. Varley , P. Magennis","doi":"10.1016/j.bjoms.2024.11.003","DOIUrl":"10.1016/j.bjoms.2024.11.003","url":null,"abstract":"<div><div>In the UK Oral and Maxillofacial Surgery (OMFS) and Oral Surgery (OS) are distinct specialties governed respectively by the General Medical Council (GMC) and General Dental Council (GDC) respectively. There has always been overlap of training and care between both specialties. The OMFS curriculum was updated in 2021 and the Oral Surgery Curriculum in 2023. This paper quantitatively compares the two documents. The generic professional elements of both curricula are extensive and similar in content. The specialty specific elements of the OS and OMFS curricula, with focus on knowledge domains and competencies including index procedures and critical conditions, were compared with the level of coincidence colour coded: green (matching), amber (some overlap) and red (not present). OMFS curriculum contains all components of the new UK OS curriculum with the exception of formal documented competence in conscious sedation for dentistry. This overlap between OMFS and OS has been recognised by the General Dental Council who give OMFS specialists direct access to the Oral Surgery specialist list by Route 4. In contrast, the OS overlap with OMFS is limited, particularly in the important critical/emergency conditions where ‘competence’ has been replaced by ‘experience of’ in the 2023 OS curriculum in the domains of trauma and acute infections. This change will preclude OS specialists trained on the new curriculum being able to share on-call with OMFS specialists without significant additional training. We hope this comparison will be useful to those commissioning services and also for young dentists/doctors considering their future careers.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 125-132"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899430","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