British Journal of Oral & Maxillofacial Surgery最新文献_第9页

Comment on ‘Oral and maxillofacial surgery accelerated dental programme for medical graduates: a review of fourteen graduating years’ (2010–2023) 对“医学毕业生口腔颌面外科加速牙科课程：十四年毕业回顾”（2010-2023）的评论。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.03.003

Anthony MacKenzie-Gureje

引用次数: 0

Day-case alveolar bone grafting in cleft patients: a two-part retrospective and prospective feasibility study 牙槽骨移植在腭裂患者中的应用：两部分回顾性和前瞻性可行性研究。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.04.002

Ria Shah , Rhodri Davies , Nadeem Saeed , Caroline Mills

{"title":"Day-case alveolar bone grafting in cleft patients: a two-part retrospective and prospective feasibility study","authors":"Ria Shah , Rhodri Davies , Nadeem Saeed , Caroline Mills","doi":"10.1016/j.bjoms.2025.04.002","DOIUrl":"10.1016/j.bjoms.2025.04.002","url":null,"abstract":"<div><div>Alveolar bone grafting (ABG) is an essential procedure for the treatment of cleft alveolus and palate defects, promoting maxillary continuity, dental eruption, functional rehabilitation, and symmetrical facial development. Traditionally performed as an inpatient procedure due to pain management concerns, recent efforts have explored its feasibility as day-case surgery. A two-phase study was conducted. First, a retrospective analysis of 12 ABG cases (July 2023–February 2024) evaluated postoperative pain management and feasibility. This was followed by a prospective pilot study involving 17 patients (March–August 2024), who underwent ABG as day cases under a structured protocol. Pain scores, analgesic requirements, and patient/parent feedback were recorded and analysed. The retrospective analysis concluded that effective pain control was achieved with oral analgesia within six hours postoperatively. In the prospective cohort, mean pain scores were 2.2/10 for the oral site and 2.5/10 for the hip donor site, managed with oral paracetamol and ibuprofen, with minimal opioid use (<30%). No significant complications were reported. Transitioning to day-case ABG reduced bed shortage-related cancellations and was preferred by patients. Day-case ABG is a feasible and safe alternative to inpatient care when strict selection criteria and structured protocols are implemented. This approach optimises resource utilisation, minimises cancellations, and enhances patient satisfaction. Larger studies are warranted to confirm these findings and facilitate broader implementation.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 5","pages":"Pages 385-392"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056250","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

Biopsy or ultrasound? Current best practice for diagnosing giant cell arteritis 活检还是超声检查？目前诊断巨细胞动脉炎的最佳方法。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.03.010

Louis T. Wheeler, Andrew J. Gibbons, Kelly L. Gillan

引用次数: 0

Comment On: “Role of artificial intelligence in magnetic resonance imaging-based detection of temporomandibular joint disorder: a systematic review” 评论：“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 : 2025-06-01 DOI: 10.1016/j.bjoms.2025.01.013

Malika Mostafavi, Ali Malik, Harun Arain, Sukruth Kundur, Hamid Reza Khademi Mansour

引用次数: 0

Dental prophylaxis and alloplastic temporomandibular joint replacement (TMJR): time for a consensus? 牙齿预防和同种异体颞下颌关节置换术（TMJR）：是时候达成共识了？

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.04.001

Madeleine Gadd , Ross O.C. Elledge

{"title":"Dental prophylaxis and alloplastic temporomandibular joint replacement (TMJR): time for a consensus?","authors":"Madeleine Gadd , Ross O.C. Elledge","doi":"10.1016/j.bjoms.2025.04.001","DOIUrl":"10.1016/j.bjoms.2025.04.001","url":null,"abstract":"<div><div>Searches of the literature and current guidelines have revealed inconsistent recommendations regarding dental optimisation prior to alloplastic temporomandibular joint replacement (TMJR). Furthermore, current literature suggests there is no consensus on antibiotic prophylaxis (AP) for dental procedures following TMJR. A 12-question survey was emailed to Professor Mercuri’s TMJ Internetwork Group (144 members) and The European Society of Temporomandibular Joint Surgeons (ESTMJS) (49 members), totalling 177 survey recipients, accounting for those who are members of both groups. Respondents were asked whether routine dental assessments were performed prior to TMJR, if they recommended AP following TMJR, the timeframes and types of procedures for which this was recommended, and the types of antibiotics prescribed. The survey had 50 respondents, as of 15 November 2024, giving an overall response rate of 28.2%, however, the question specific response rate ranged from 29 to 50 respondents. No consensus was reached regarding the types of AP recommended, with 54.2% (n = 26) of respondents offering no prophylaxis for dental treatment following TMJR. The majority of respondents who did provide prophylaxis preferred amoxicillin or co-amoxiclav (n = 25/37), and clindamycin for penicillin allergic patients (n = 13/46). The timeframe for which respondents felt that antibiotics should be offered for dental procedures post-TMJR varied from one month (n = 3/37) to lifelong (n = 6/37), with a modal response of two years (n = 9/35). This survey reflected the lack of consensus seen across available literature and highlights the need for unified guidance to ensure safe and consistent patient care for TMJR patients.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 5","pages":"Pages 373-378"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054556","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

An evaluation of TikTok videos as a source of information for orthognathic surgery 对TikTok视频作为正颌手术信息来源的评估。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.bjoms.2025.02.014

Jenna Pierse (Registrar in Oral and Maxillofacial Surgery) , Saoirse Kilgarriff (Senior House Officer in Oral and Maxillofacial Surgery) , Conor M. Bowe (Consultant Oral and Maxillofacial Surgeon) , David M. McGoldrick (Consultant Oral and Maxillofacial Surgeon)

{"title":"An evaluation of TikTok videos as a source of information for orthognathic surgery","authors":"Jenna Pierse (Registrar in Oral and Maxillofacial Surgery) , Saoirse Kilgarriff (Senior House Officer in Oral and Maxillofacial Surgery) , Conor M. Bowe (Consultant Oral and Maxillofacial Surgeon) , David M. McGoldrick (Consultant Oral and Maxillofacial Surgeon)","doi":"10.1016/j.bjoms.2025.02.014","DOIUrl":"10.1016/j.bjoms.2025.02.014","url":null,"abstract":"<div><div>As social media platforms like TikTok become increasingly popular, patients are turning to them for information about surgical procedures, including orthognathic surgery. This study aimed to evaluate the content quality, reliability, and educational value of videos related to orthognathic surgery on TikTok. A total of 84 videos were analysed using two standardised assessment scales: the modified 5-point DISCERN scale and the Global Quality Score (GQS). These videos were sourced through search terms #JawSurgery and #OrthognathicSurgery, and the data were extracted using a web-scraping tool. The analysis revealed that TikTok videos on orthognathic surgery had a mean DISCERN score of 1.6/5 and a mean GQS of 2.2/5, indicating generally poor quality. Most videos were uploaded by patients (46/84), while 33/84 were by healthcare professionals, particularly maxillofacial surgeons and orthodontists. Despite the high viewership (246 million views across all videos), many videos were limited in content, with 52/84 not containing any information on the procedure, and only 4/84 mentioning risks beyond swelling and bruising. Notably, 82 of the 84 videos had patients interacting in the comments, seeking advice or sharing experiences. While TikTok serves as an important information platform, it also highlights a significant gap in reliable, comprehensive content. Healthcare professionals should direct patients to high quality sources of information that have been approved by them to mitigate the risks of misinformation and anxiety for prospective patients.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 5","pages":"Pages 363-367"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057433","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

A pilot study of the hidden costs of leaving on hospital computer monitors: can OMFS lead the way? 一项关于医院电脑显示器显示的离职隐性成本的试点研究：OMFS能引领潮流吗？

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-05-31 DOI: 10.1016/j.bjoms.2025.05.010

Nathalie Higgs , Laura Jenkins , Ellie Brennan , Tim Van Cleemput , Alexander M.C. Goodson , Peter A. Brennan

引用次数: 0

Comparative accuracy of core-needle and open biopsy in diagnosis, subtyping, and grading of head and neck bone and soft tissue sarcomas 在头颈部骨和软组织肉瘤的诊断、分型和分级方面，芯针活检和开放式活检的比较准确性。

IF 1.9 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-05-22 DOI: 10.1016/j.bjoms.2025.04.006

Golnaz Sadeghian , Jeevan Ubhi , Sieu Ming Ng , Elena Ghotbi , Konstantinos Paraschou , Simon Morley , Xin Kowa , Amrita Jay , Nicholas Kalavrezos , Deepti Sinha

{"title":"Comparative accuracy of core-needle and open biopsy in diagnosis, subtyping, and grading of head and neck bone and soft tissue sarcomas","authors":"Golnaz Sadeghian , Jeevan Ubhi , Sieu Ming Ng , Elena Ghotbi , Konstantinos Paraschou , Simon Morley , Xin Kowa , Amrita Jay , Nicholas Kalavrezos , Deepti Sinha","doi":"10.1016/j.bjoms.2025.04.006","DOIUrl":"10.1016/j.bjoms.2025.04.006","url":null,"abstract":"<div><div><span><span>Head and neck sarcomas are rare and diverse tumours with limited published literature. Choosing a precise </span>biopsy technique<span><span> is vital for accurate diagnosis and therapeutic decisions. This study aimed to compare the accuracy of two commonly used techniques, core needle biopsy (CNB) and </span>open biopsy<span> (OB), in histological diagnosis (benign versus malignant), subtyping, and grading of bone and soft tissue sarcomas. In this retrospective study, sarcoma cases discussed at head and neck multidisciplinary team (MDT) meetings between January 2018 and April 2024 were reviewed. Inclusion criteria were cases performed with either CNB or OB, with available diagnostic and final </span></span></span>histopathology<span> reports. Ninety cases were included in the study. The accuracy of OB in determining benign versus malignant diagnosis, histological type, and subtype was 95%, 90%, and 85%, respectively. There was no statistically significant difference when compared with CNB, with results of 86%, 76 % and 76%, respectively. OB was significantly superior to CNB in terms of tumour grading<span> (87% vs 62%) and this was statistically significant (p = 0.007). While OB may be preferable for bone sarcoma due to sampling challenges, CNB is a feasible, less invasive first-line option for soft tissue sarcomas. Biopsy tract excision or targeted radiotherapy is recommended to minimise the risk of tumour cell seeding. Optimal sample quality and sarcoma specialist histopathology opinion further enhances diagnostic accuracy. CNB is an accurate, minimally invasive, and safe diagnostic modality in cases of head and neck bone and soft tissue sarcoma. The authors recommend a non-inferiority trial to definitively establish this in comparison with OB.</span></span></div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 8","pages":"Pages 576-582"},"PeriodicalIF":1.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610398","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

Quality of life after treatment of dentofacial deformity: a cross-sectional study of 311 patients at various stages of surgical treatment 牙面畸形治疗后的生活质量：311例手术治疗不同阶段患者的横断面研究。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-05-01 DOI: 10.1016/j.bjoms.2025.02.007

Mohammad Ibrahim Zafar , Torbjørn Østvik Pedersen

{"title":"Quality of life after treatment of dentofacial deformity: a cross-sectional study of 311 patients at various stages of surgical treatment","authors":"Mohammad Ibrahim Zafar , Torbjørn Østvik Pedersen","doi":"10.1016/j.bjoms.2025.02.007","DOIUrl":"10.1016/j.bjoms.2025.02.007","url":null,"abstract":"<div><div>The aim of the study was to investigate self-reported quality of life (QoL) following orthognathic surgery for patients with dentofacial deformities (DFD) correlated to the type of osteotomy performed. Self-reported QoL of 311 patients was evaluated, before preoperative orthodontic treatment (n = 91), before surgical treatment (n = 76), two years (n = 35), five years (n = 56) and eight years after treatment (n = 53), using the validated condition specific Orthognathic Quality of Life Questionnaire (OQLQ). Also, previous experience with orthodontic treatment was evaluated for all patients. Patients who underwent single-jaw mandibular setback surgery and Le Fort I osteotomies had the most pronounced change in global OQLQ scores. Oral function was significantly improved in both groups, and dentofacial aesthetics and awareness of dentofacial deformity was significantly improved in the mandibular setback group. The effect did not significantly change over time for any of the groups. The extent of orthodontic treatment in the preoperative stage did not significantly alter QoL scores. Orthognathic surgery improved self-reported quality of life in a Norwegian population. The type of dentofacial deformity and surgical procedure differed in some aspects, but the global OQLQ scores remained consistent.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Pages 303-309"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712218","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 BAOMS FlexFacs Programme: Advancing OMFS education and a potential model for online surgical learning across specialties in the United Kingdom BAOMS FlexFacs项目：推进OMFS教育和英国跨专业在线外科学习的潜在模式。

IF 1.7 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2025-05-01 DOI: 10.1016/j.bjoms.2025.03.001

Montey Garg , Rabindra P. Singh , Michael Nugent , Robert P. Bentley

{"title":"The BAOMS FlexFacs Programme: Advancing OMFS education and a potential model for online surgical learning across specialties in the United Kingdom","authors":"Montey Garg , Rabindra P. Singh , Michael Nugent , Robert P. Bentley","doi":"10.1016/j.bjoms.2025.03.001","DOIUrl":"10.1016/j.bjoms.2025.03.001","url":null,"abstract":"<div><div>The BAOMS FlexFacs programme (June 2021–June 2024) aimed to transform online education within the UK Oral and Maxillofacial Surgery (OMFS) community, setting a new standard for virtual learning. Over its three-year span, the programme delivered 34 expertly curated sessions, drawing a cumulative live attendance of over 3000 participants and maintaining consistently high engagement. With a focus on innovation, accessibility, and curriculum alignment, the programme covered a wide range of topics. Stand out sessions, such as ‘Orbital Trauma’ and the ‘Head and Neck Cancer Study Day’ achieved record attendance of 148 and 181 participants, respectively, highlighting the programme’s relevance and appeal. Feedback underscored the programme’s success, with attendees rating session organisation an average of 4.7 out of 5 and its impact on clinical practice and educational progress 4.5 out of 5. Interactive elements, such as quizzes and dynamic post-session discussions, encouraged active engagement and reinforced learning. A comprehensive online repository further amplified the programme’s reach, allowing participants to revisit recorded sessions aligned with the OMFS curriculum and supporting FRCS exam (Fellowship of the Royal College of Surgeons - Exit Exam) preparation. The seamless transition of FlexFacs to NHS England in July 2024 ensures its enduring influence on OMFS education. By addressing gaps in traditional training and equipping professionals through flexible, high-quality resources, the programme has established itself as a model for surgical education. Its legacy extends beyond its immediate achievements, offering a potential blueprint for future virtual learning initiatives across all surgical specialties.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 4","pages":"Pages 317-323"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755691","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