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

The ‘Manchester’ method of minimal access fixation of the zygomatic arch in zygomatic complex fractures: a case series 颧骨复合体骨折的颧弓 "曼彻斯特 "微创固定法：病例系列。

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.04.010

Sunil Dixit Khandavilli , Zachary Cole-Healy , Andrew Douglas

引用次数: 0

Antibiotic prophylaxis in alloplastic temporomandibular joint replacement surgery: A multi-national survey of temporomandibular joint surgeons 颞下颌关节置换手术中的抗生素预防：颞下颌关节外科医生跨国调查

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.03.003

B ES Dawoud , T. Hampson , R. Barrow , L.G. Mercuri

{"title":"Antibiotic prophylaxis in alloplastic temporomandibular joint replacement surgery: A multi-national survey of temporomandibular joint surgeons","authors":"B ES Dawoud , T. Hampson , R. Barrow , L.G. Mercuri","doi":"10.1016/j.bjoms.2024.03.003","DOIUrl":"10.1016/j.bjoms.2024.03.003","url":null,"abstract":"<div><p>Temporomandibular disorders include a wide spectrum of extra-articular and intra-articular conditions affecting the temporomandibular joint (TMJ). In salvage cases involving intra-articular end-stage disease, alloplastic temporomandibular joint replacement (TMJR) is a management option which can be utilised to rehabilitate a disabled joint’s function and form. Whilst post-TMJR infection is rare, it is one of the most serious complications. The principles governing TMJR surgery antibiotic prophylaxis have been based on those established in orthopaedic surgery literature. Antibiotic resistance due to antibiotic over-use is a significant concern, therefore antibiotic stewardship has been developed to deal with this world-wide public health concern. The TMJ’s anatomical proximity to the external auditory canal and oral cavity creates the potential for bacterial contamination. The aim of this study was to explore the views of 39 sub-specialist TMJ surgeons across nine nations usual approach to antibiotic prophylaxis and their management of TMJR infection. To accomplish this, an international survey was developed and conducted using Google Forms. The results demonstrated that 97.4% of the respondents employ prophylactic antibiotics at TMJR surgery, 83.8% on discharge. Variability in antibiotic choice with additional antimicrobial perioperative practices were also reported. Opinions on the management of a TMJR infection also varied. This survey establishes there is an agreement on the use of antibiotic prophylaxis, However the variability in choice, timing, course, duration of antibiotic use as well as the management of a postoperative TMJR infection demonstrates the need for further study leading to development of standardised antibiotic prophylaxis and infection management protocols for TMJR surgery.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140400235","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 unusual presentation of unifocal Rosai-Dorfman disease and surgical treatment 单灶罗赛-多夫曼病的不寻常表现和手术治疗。

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.04.014

Jameela Broadie , John M. Le , Anthony B. Morlandt

引用次数: 0

Systematic review of non-invasive ventilation and craniofacial fractures: a multidisciplinary perspective and recommendations for management 无创通气（NIV）与颅面部骨折的系统回顾：多学科视角和管理建议

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.02.005

Duncan McCrory , Charlotte Kenny , Mark Fisher , Ryan Smit , Richard Cobb

引用次数: 0

UK OMFS consultants and trainees strongly support the recommendations of the 2008 Postgraduate Medical Education and Training Board (PMETB) Review of Training in OMFS. The time for delivering them is now 英国 OMFS 顾问和受训人员强烈支持 2008 年研究生医学教育与培训委员会 (PMETB) 对 OMFS 培训的审查所提出的建议。现在是实施这些建议的时候了

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.02.009

Divya Sharma , James Douglas , Anne Begley , Patrick Magennis , David Koppel

{"title":"UK OMFS consultants and trainees strongly support the recommendations of the 2008 Postgraduate Medical Education and Training Board (PMETB) Review of Training in OMFS. The time for delivering them is now","authors":"Divya Sharma , James Douglas , Anne Begley , Patrick Magennis , David Koppel","doi":"10.1016/j.bjoms.2024.02.009","DOIUrl":"10.1016/j.bjoms.2024.02.009","url":null,"abstract":"<div><p>When the Postgraduate Medical Education and Training Board’s (PMETB) Review of Oral and Maxillofacial Surgery (OMFS) Training was published in 2008 it contained five recommendations about OMFS training. As yet, none of these recommendations has been delivered. An online survey was designed to assess awareness of the PMETB review and the current views of OMFS trainees and consultants about its recommendations. Replies were invited using email and social media (WhatsApp, Twitter, and Facebook). As a result of using social media no denominator for the response rate was possible. A total of 304 responses were received, eight of which were anonymous. There was strong support for all the OMFS-specific recommendations: 1: the OMFS specialty should remain a dual medical and dental degree specialty (255, 84%); 2: OMFS training should be shortened (283, 93%); 3: OMFS training should start at the beginning of the second degree (203, 67%); 4: there should be a single medical regulator (General Medical Council) for OMFS (258, 85%); and 6: the need for a second Foundation Year should be removed (260, 86%). Other suggestions about improving OMFS training were also made by participants in the survey. There remains strong support within the specialty for the recommendations of the review. This support is present across consultants, specialty trainees, and those aiming for OMFS specialty training. Some of the original legislative obstructions to delivery of the recommendations have been removed by Brexit creating a unique opportunity for them to be delivered.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0266435624000512/pdfft?md5=f646de8d69ffaca356c0c7285f20362c&pid=1-s2.0-S0266435624000512-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140469266","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}

引用次数: 0

Training groups / Instructions to Authors 培训小组/作者须知

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/S0266-4356(24)00125-6

引用次数: 0

Conversational artificial intelligence: the interface with the patient concerns inventory 对话式人工智能：与患者关注问题清单的接口

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.02.002

J.E. O'Connell , E. Gilmartin , D. Roche , S.N. Rogers

引用次数: 0

Outcomes in facial transplantation – a systematic review 面部移植手术的结果--系统回顾

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.02.008

Michalis Hadjiandreou , Georgios Pafitanis , Peter M. Butler

{"title":"Outcomes in facial transplantation – a systematic review","authors":"Michalis Hadjiandreou , Georgios Pafitanis , Peter M. Butler","doi":"10.1016/j.bjoms.2024.02.008","DOIUrl":"10.1016/j.bjoms.2024.02.008","url":null,"abstract":"<div><p>Facial transplantations have become a clinical reality as the last reconstructive option in severely disfigured patients. To date, clinical outcomes remain unclear. The purpose of this paper was to analyse the outcomes in facial transplantation (FT) and determine the risks and benefits of FT based on short- and long-term outcomes. An electronic literature search was performed across PubMed, EMBASE and the Cochrane Central Register for Controlled Trials (CENTRAL) databases to capture all the relevant records relating to outcomes in FTs from 2005 to 2021. Articles for inclusion were decided upon pre-defined inclusion and exclusion criteria. A total of 48 FTs has been performed to date. A total of 90 studies met the eligibility criteria and were included in the outcome analysis. Studies were analysed based on each of the 48 cases and outcomes categorised into short-term (<36 months) and long-term (>36 months) outcomes. Primary outcomes included patient and graft survival and secondary outcomes included functional, surgical revision events, immunological, medical complications, aesthetics, psychosocial and quality of life. Mortality rate, infection and malignancy incidence remain high, and patients should be fully informed of the potential life-threatening complications. FTs improve outcomes such as quality of life and psychosocial recovery in the short- and long-term. Outcomes remain under-reported in peer-review journals.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140467871","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

United Kingdom oral and maxillofacial surgeons support changes to current specialty recruitment process, which could include ‘Walport’ style local selection and national benchmarking 英国 OMF 外科医生支持改变目前的专科招聘流程，其中可包括 "沃尔波特 "式的地方选拔和国家基准测试

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.03.002

Divya Sharma , James Douglas , Anne Begley , Iain Hutchison , Patrick Magennis

{"title":"United Kingdom oral and maxillofacial surgeons support changes to current specialty recruitment process, which could include ‘Walport’ style local selection and national benchmarking","authors":"Divya Sharma , James Douglas , Anne Begley , Iain Hutchison , Patrick Magennis","doi":"10.1016/j.bjoms.2024.03.002","DOIUrl":"10.1016/j.bjoms.2024.03.002","url":null,"abstract":"<div><p>Recruitment to oral and maxillofacial Surgical (OMFS) specialty training was centralised in 2010. The ‘flexibility’ for OMFS to respond to specialty specific recruitment issues is reducing and many Specialty Trainees’ (ST) posts are left unfilled. The National Institute for Health and Care Research (NIHR) appointment process designed to address the problem of recruiting and appointing academic surgeons with local selection with national benchmarking has worked. Using a database of all UK OMFS consultants/trainees, an electronic questionnaire was shared by e-mail, WhatsApp, and other social media. Of 306 replies, 125 (41%) were Consultants/post-certificate of completion training (CCT) individuals, 66 (22%) ST, 61 (20%) second degree students, 27 (9%) pre-second degree, 26 (9%) dual degree pre-ST trainees, and one did not indicate their status. A total of 249 (76%) studied dentistry first and 230 (75%) were male. Of those replying, 147 (48%) had no direct experience of national selection. 120 (39%) had experience as a candidate, 20 (7%) as a selector only, 17 (6%) as a candidate and selector, and two did not record their experience. Of 250 expressing an opinion, 156 (62%) supported local selection with 140 (56%) supporting local selection and national benchmarking, which is a process used for research training posts by the NIHR. Geographical continuity was most important for 78% of pre-second-degree trainees, 45% of STs, and 54% of second-degree students. A total of 57 respondents completed free text comments. There is support for changes in OMFS ST selection including creating OMFS posts which include Foundation and second-degree training in NIHR style locally recruited nationally benchmarked posts.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140280789","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

Three-dimensional printed personalised digital guide plate for greater palatine block in trigeminal neuralgia 用于三叉神经痛大腭阻滞的 3D 打印个性化数字导板

IF 1.8 4区医学

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.bjoms.2024.01.010

Yiming Geng, Miao Yu, Haiwei Wu, Dongsheng Zhang, Xuan Wang

{"title":"Three-dimensional printed personalised digital guide plate for greater palatine block in trigeminal neuralgia","authors":"Yiming Geng, Miao Yu, Haiwei Wu, Dongsheng Zhang, Xuan Wang","doi":"10.1016/j.bjoms.2024.01.010","DOIUrl":"10.1016/j.bjoms.2024.01.010","url":null,"abstract":"<div><p>The nerve block is a safe and effective method to theat trigeminal neuralgia (TN). In terms of the V2 trigeminal neuralgia, the most difficult procedure in nerve block is accurate and fast greater palatine foramen (GPF) insertion. In this study, we developed a new technique using a personalised digital tooth-supported guide plate to increase insertion accuracy and success rates and reduce the pain of patients during injection. A total of 18 patients with TN (11 female and 7 male) were enrolled and treated between September 2020 and June 2022. Before injection, the guide plate was designed via Mimics three-dimensional (3D) reconstruction technology and printed via 3D printer. Then, all patients underwent maxillary nerve block with a guide plate for each injection. In this study, placement of all guide plates was completed within one minute and all punctures were successful the first time. The depth of the injection needle was over 2.5 cm in all cases and the guide plate was stability-supported by the maxillary teeth. The various pain scores had an obvious improvement. No patients presented symptoms of local anaesthetic toxicity or onset of new neurological sequelae. Using this new technology, we can significantly reduce the difficulty of GPF insertion and decrease patient pain during injection. The enhanced success rate of nerve block can achieve better therapeutic effect. For surgeons, personalised digital tooth-supported guide plates make the operation easier, especially for novice surgeons.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139669916","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