British Journal of Oral & Maxillofacial Surgery最新文献

{"title":"Oral and maxillofacial surgery (OMFS) ‘controlled’ second-degree places in the UK – there are sufficient numbers (with high application ratios) to meet current and future OMFS recruitment needs in the UK","authors":"Catherine Magennis ,&nbsp;Anna Davies ,&nbsp;Rhydian King ,&nbsp;Nida Ilahi ,&nbsp;Roseanna Morgan ,&nbsp;Gemma Stonier ,&nbsp;Kate Howson ,&nbsp;Amit Dattani ,&nbsp;Christopher Hamps ,&nbsp;Aimee Rowe ,&nbsp;Ian Jenkyn ,&nbsp;Shadi Basyuni ,&nbsp;Patrick Magennis","doi":"10.1016/j.bjoms.2024.10.236","DOIUrl":"10.1016/j.bjoms.2024.10.236","url":null,"abstract":"<div><div>In 2008 the Postgraduate Medical Education and Training Board (PMETB) Review of Oral and Maxillofacial Surgery (OMFS) recommended that OMFS specialty training should start with second-degree studies. This recommendation has not yet happened. Currently, no OMFS controlled places at medical/dental schools are directly linked to OMFS Specialty Training (ST) posts. ‘OMFS controlled’ in this paper refers to dedicated places on shortened second degree courses to which OMFS specialists/trainers have the key role in selection. Freedom of Information requests were sent to 14 medical schools known to have OMFS ‘controlled’ second-degree MB places: Aberdeen, Birmingham, Bristol, Cambridge, Cardiff, Glasgow, Leeds, Liverpool, Manchester, London–Kings, London–QMUL, Newcastle, Plymouth and York/Hull. Information was also requested from the London-Kings BDS Dental Programme for Medical Graduates (DPMG). These data were supplemented by information from consultants and trainees with experience of the processes. Replies were received from six medical schools in Birmingham, Cambridge, Glasgow, Liverpool, London-Kings, and London-QMUL, plus the dental school of London - Kings DPMG. These seven programmes provide approximately 30 OMFS controlled places per year. The application ratios, between 5:1 and 29:1, are significantly more competitive than selection to ST1 and ST3 places. There are more OMFS controlled second degree places than presented in this paper which only details universities from whom replies were received. If all students in OMFS controlled second-degree places progressed to ST without loss, there are more than sufficient to fill all available OMFS ST places. Linking OMFS controlled second degree places through to OMFS ST posts would deliver the key PMETB recommendation in a process which would be more competitive than current ST selection. For OMFS trainees whose first degree was medicine, OMFS selected places at shortened dental courses are needed outside London.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 104-111"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900632","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":"Working during the second degree: A survey of dentally qualified medical students pursuing a career in OMFS","authors":"Joshua Lopez,&nbsp;Kaisha Patel,&nbsp;Kathleen Fan","doi":"10.1016/j.bjoms.2024.11.008","DOIUrl":"10.1016/j.bjoms.2024.11.008","url":null,"abstract":"<div><div>Attaining degrees in both medicine and dentistry to forge a career in Oral and Maxillofacial Surgery (OMFS) comes at a considerable financial cost. To fund a second degree most must work alongside their full-time studies. This study aims to assess the current working roles and patterns of those qualified in dentistry, studying medicine to pursue a career in OMFS. An online survey was created following a comprehensive literature review. Sixteen questions were included to collect data regarding the working patterns and roles of dentally qualified medical students. Responses from 45 students in the UK were included. Working in OMFS was undertaken by 96%, with 49% working in an OMFS unit associated with their university. First on-call OMFS roles were worked by 78%, with 38% doing second on-call work. Night shifts were worked by 84%. Roles providing primary dental care were undertaken by 31%. The work undertaken had a positive or strong positive effect on the OMFS skill set of 62%, and 84% wished to gain more operative experience in theatre. Most second-degree trainees are working in on-call OMFS roles encompassing night shifts. Many feel they are advancing their clinical skills but wish to gain more operative experience in theatre.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 69-75"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958985","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":"Outcomes of maxillomandibular advancement (MMA) by dentofacial class: A systematic review and meta-analysis","authors":"Sofia Khan ,&nbsp;Sarah R. Sutton ,&nbsp;Shaun A. Nguyen ,&nbsp;Andrea M. Rinn ,&nbsp;Robson Capasso ,&nbsp;Chitra Lal ,&nbsp;Abdelwahab Rakha ,&nbsp;Sarandeep S. Huja ,&nbsp;Timothy J. Tremont ,&nbsp;Mohamed Abdelwahab","doi":"10.1016/j.bjoms.2024.10.241","DOIUrl":"10.1016/j.bjoms.2024.10.241","url":null,"abstract":"<div><div>The aim of this paper was to systematically review and compare the Apnoea-Hypopnoea Index (AHI), Lowest O₂ Saturation (LSAT), Oxygen Desaturation Index (ODI), Epworth Sleep Scale (ESS), and Body Mass Index (BMI) between dentofacial (skeletal) classes I, II, and III before and after maxillomandibular advancement (MMA) for Obstructive Sleep Apnoea (OSA). The PubMed, Scopus, and CINAHL databases were searched from inception to 23 November 2022. Two reviewers screened for articles that reported occlusion/malocclusion class type as I, II, or III, and reported preoperative and postoperative AHI, LSAT, ODI, ESS, and/or BMI. Two reviewers independently screened title/abstracts and subsequently, full-text articles that met eligibility criteria. Preoperative ESS and ODI were significantly higher in Class II (13.77, 95% CI, 11.38% to 16.17% and 47.49, 95% CI, 33.04% to 61.95%) than in Class III (12.47, 95% CI, 9.95% to 14.99% and 32.47, 95% CI, -10.37% to 75.30%) (p &lt; 0.0001). Postoperatively, class I showed the greatest percentage reduction of AHI, with a reduction of 89.61% (95% CI, 84.47% to 94.75%) compared with class II and III (p &lt; 0.0001). Additionally, amongst all malocclusion classes and operative status, meta-regression showed positive correlations between ESS and AHI (r = 0.94, p &lt; 0.001) and ESS and ODI (r = 0.90, p &lt; 0.001). Class I subjects with no dentofacial discrepancy had the greatest improvement in AHI compared with Class II and III. Class II subjects may express more severe ODI and ESS preoperatively compared with Class III subjects. Additionally, subjective outcomes (ESS) may be a predictor for objective outcomes (AHI and ODI) for patients undergoing MMA.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 83-90"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916501","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: Prediction of postoperative complications in patients undergoing head and neck surgery with free-flap reconstruction","authors":"Carlos M. Ardila (PhD in Epidemiology. Postdoctoral Researcher. Professor Department of Basic Sciences),&nbsp;Pradeep Kumar Yadalam (PhD in Periodontics. Professor Department of Periodontics)","doi":"10.1016/j.bjoms.2024.11.013","DOIUrl":"10.1016/j.bjoms.2024.11.013","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 158-159"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016754","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":"Assessing postoperative maxillary advancement stability in patients with cleft lip and palate","authors":"Juliana Dreyer da Silva de Menezes,&nbsp;Isabela Toledo Teixeira da Silveira,&nbsp;Josfran da Silva Ferreira Filho,&nbsp;João Pedro Franchi Gomes,&nbsp;Luciano Reis de Araújo Carvalho,&nbsp;Renato Yassutaka Faria Yaedú","doi":"10.1016/j.bjoms.2024.11.002","DOIUrl":"10.1016/j.bjoms.2024.11.002","url":null,"abstract":"<div><div>This study aims to evaluate the post-surgical stability of patients with cleft lip and palate that underwent maxillary advancement surgery. The study was conducted by means of cephalometric analysis of the soft tissues in digital radiographs acquired preoperatively, immediate postoperatively and six months after surgery using Dolphin Imaging 11.5 software. The effective sample consisted of 87 patients, among whom 50 (57.4%) were male and 37 (42.6%) were female. The mean age of the patients was 23.1 years, the minimum age was 17 years, and the maximum age was 37 years. Patients underwent maxillary advancement with cephalometric analysis during the preoperative and postoperative period, which was around six months. The results revealed a significant tendency for relapse in the vertical direction with instability of the occlusal plane. In the postoperative period, counterclockwise movement of the maxillomandibular complex was observed, leading to height reduction of the lower third of the face and increased facial angle. The observed changes were not correlated with the extent of the sagittal advancement.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 118-124"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911188","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":"The goat as a model for temporomandibular joint disc replacement: Techniques for scaffold fixation","authors":"Mairobys Socorro ,&nbsp;Xudong Dong ,&nbsp;Sara Trbojevic ,&nbsp;William Chung ,&nbsp;Bryan N. Brown ,&nbsp;Alejandro Almarza","doi":"10.1016/j.bjoms.2024.10.233","DOIUrl":"10.1016/j.bjoms.2024.10.233","url":null,"abstract":"<div><div>A state-of-the-art scaffold capable of efficiently reconstructing the temporomandibular joint (TMJ) disc after discectomy remains elusive. The major challenge has been to identify a degradable scaffold that remodels into TMJ disc-like tissue, and prevents increased joint pathology, among other significant complications. Tissue engineering research provides a foundation for promising approaches towards the creation of successful implants/scaffolds that aim to restore the disc. In light of improving the quality of life of patients who undergo TMJ disc removal, it is critical to establish a preclinical animal model to evaluate the properties of promising scaffolds implanted post-discectomy and to determine the most efficient implantation procedures to ensure a more reliable in-depth evaluation of the biomaterial replacing the articular disc. The present study evaluated the outcomes of two protocols for implantation of an acellular scaffold composed of an extracellular matrix (ECM) derived from the small intestinal submucosa (SIS) of the pig, as a regenerative template for the TMJ disc in a goat model. The outcomes suggest that leaving one-half of the disc medially will allow anchoring of the device to the medial aspect of the joint while avoiding lateral displacement of the ECM scaffold. The goat model is ideal to assess the longevity of tissue-engineered solutions for the TMJ disc, considering that goats chew for 12–16 hours a day. This study provides an important reference for the selection of a suitable scaffold implantation procedure and the goat model for the development of new strategies to assess TMJ disc regeneration.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 91-97"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911196","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":"Clinical, histopathological, and epidemiological characterisation of accessory parotid gland tumours in relation to parotid and submandibular gland tumours: observations based on 2653 cases of the Polish Salivary Network Database.","authors":"Małgorzata Wierzbicka, Patrycja Gazinska, Heng-Chang Chen, Pawel Burduk, Ewelina Bartkowiak, Wioleta Pietruszewska, Dominik Stodulski, Agata Leduchowska, Jarosław Markowski, Aleksandra Piernicka-Dybich, Małgorzata Wierzchowska, Joanna Czech, Katarzyna Amernik, Alicja Chańko, Daniel Majszyk, Antonii Bruzgielewicz, Bogusław Mikaszewski","doi":"10.1016/j.bjoms.2024.09.014","DOIUrl":"https://doi.org/10.1016/j.bjoms.2024.09.014","url":null,"abstract":"<p><p>Salivary gland tumours comprise one of the most complex and rare groups of heterogeneous lesions encountered in oral pathology. Large clinical and population-based epidemiological studies are inherently limited. This multicentre prospective study was conducted between 2017 and 2021 using the Polish Salivary Network Database (PSND). A dataset of 2653 cases of salivary gland tumours was analysed, focusing on the submandibular gland (n = 173), accessory parotid gland (n = 100), and parotid gland (n = 2375). Epidemiological and pathological factors were considered to identify the risk of malignancy and differences between tumours of the submandibular, parotid, and accessory parotid glands. A significant difference was observed in the median age of patients with tumours of the submandibular (50.5 years) and accessory parotid glands (51.5 years) compared with that of patients with parotid gland tumours (60.0 years) (p < 0.001). Factors such as tobacco usage (p < 0.001) and place of residence (p = 0.015) were associated with these differences. Sex was not a differentiating factor in the risk of malignancy. In females, 106/173 patients had tumours in the submandibular gland, 61/100 had tumours in the accessory parotid, and 1282/2375 had tumours in the parotid. In males, 67/173 had tumours in the submandibular gland, 39/100 had tumours in the accessory parotid, and 1093/2375 had tumours in the parotid. Significant differences were found in submandibular and parotid tumour locations between village and city inhabitants (p = 0.016). The nature of tumours located in the parotid, comprising the superficial and deep lobes, was distinct in relation to accessory parotid tumours. Accessory parotid tumours exhibited more similarities to those originating in the submandibular region. These findings have the potential to impact future clinical approaches. However, additional validation studies are needed.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303683","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":"Arthroscopic anatomy of the anteromedial wall of the temporomandibular joint: Implications in articular disc displacement","authors":"B García-Medina ,&nbsp;A. Cabello-Serrano ,&nbsp;A. Martínez-Sahuquillo ,&nbsp;P. Cariati ,&nbsp;I. Garcia-Martin","doi":"10.1016/j.bjoms.2024.09.006","DOIUrl":"10.1016/j.bjoms.2024.09.006","url":null,"abstract":"<div><div>Numerous anatomical and imaging studies have established a close relation between disc displacement of the temporomandibular joint (TMJ) and the medial wall of the TMJ. These studies have revealed a direct association between disc displacement without reduction (DDWoR) and the occurrence of fatty degeneration within the superior fascicle of the lateral pterygoid muscle (SPLM). While the aetiology of this phenomenon remains unclear, it has been suggested that it stems from the interaction between this muscle fascicle and the bony surface of the medial wall of the joint.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 25-31"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711906","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":"Could temporomandibular joint arthroscopic discopexy with resorbable pins or disc mobilisation influence mandibular condyle marrow?","authors":"Luis Vicente Gonzalez ,&nbsp;Juan Pablo López ,&nbsp;María Paula Orjuela ,&nbsp;Oscar de la Sen ,&nbsp;David Díaz-Báez ,&nbsp;Rafael Martin-Granizo","doi":"10.1016/j.bjoms.2024.10.226","DOIUrl":"10.1016/j.bjoms.2024.10.226","url":null,"abstract":"<div><div>The aim of this study was to evaluate the relationship between arthroscopic discopexy with resorbable pins or disc mobilisation and its effect on the bone marrow of the mandibular condyle. An observational analytical retrospective cohort study was conducted. The inclusion criteria comprised adult patients with Wilkes IV and V with MRI in T2 sequence undergoing TMJ arthroscopy. The first group included subjects who received discopexy with pins (Level III Arthroscopy), and the second included subjects who underwent disc mobilisation without any fixation (Level IIb Arthroscopy). Variables studied were maximum interincisal opening (MIO), pain, and Signal Intensity Ratio (SIR) index. Data were analysed using the chi-squared test, Fisher’s exact test, the Mann Whitney U test, and the Shapiro-Wilk test. To establish the relationship between the variables and SIR ≥ 2, a multivariate analysis was performed using unconditional logistic regression. A total of 50 joints were divided in two groups. In the multivariate logistic regression analysis, discopexy surgery with pins (Odds Ratio OR = 0.03, 95% [CI] 0.02 to 0.69, p = 0.027) was identified as an independent predictor for the non-development of a high SIR score (≥2.0) after adjusting preoperative covariates. This study shows changes in the medullary signal in patients undergoing discopexy with resorbable pins. However, more studies are required that correlate quantitative measures.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 39-46"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734859","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: comment on: Does intra-articular injection of platelet-rich plasma/platelet-rich fibrin improve outcomes after temporomandibular joint arthrocentesis? A systematic review and meta-analysis","authors":"Shakil Ahmed Nagori","doi":"10.1016/j.bjoms.2024.10.238","DOIUrl":"10.1016/j.bjoms.2024.10.238","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 1","pages":"Pages 66-67"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807367","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}