5,372 results match your criteria British Journal of Oral and Maxillofacial Surgery[Journal]


Epstein-Barr virus-positive mucocutaneous ulcer of the oral cavity in a patient who had had a renal transplant.

Br J Oral Maxillofac Surg 2018 Jun 19. Epub 2018 Jun 19.

Royal Free Hospital, Pond Street, London, NW3 2QG Greater London. Electronic address:

The Epstein-Barr virus-positive mucocutaneous ulcer is a new phenomenon that was first described in 2014, and we know of only 67 reported cases. We describe a case in a patient who had had a renal transplant. Read More

View Article

Synchronous pleomorphic adenoma and oncocytic carcinoma in the ipsilateral parotid gland.

Br J Oral Maxillofac Surg 2018 Jun 19. Epub 2018 Jun 19.

Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Chonnam National University Hwasun Hospital, Hwasun, South Korea.

Synchronous benign and malignant tumours in the ipsilateral parotid gland are rare. We present a case of pleomorphic adenoma and oncocytic carcinoma in the same parotid gland. Clinicians should be aware of the possibility of such synchronous multiple tumours, and that careful dissection and palpation during operation are important to diagnose them. Read More

View Article
June 2018
1 Read

Conscious sedation with midazolam intravenously for a patient with Parkinson's disease and unpredictable chorea-like dyskinesia.

Br J Oral Maxillofac Surg 2018 Jun 13. Epub 2018 Jun 13.

Department of Dental Anesthesiology, Faculty of Dental Medicine and Graduate School of Dental Medicine, Hokkaido University. Electronic address:

Oral surgery can be difficult in patients with chorea-like dyskinesia, which is common in those on long-term levodopa medication for Parkinson's disease, and we know of no conclusive evidence to indicate whether conscious sedation with midazolam is effective in such cases. We report a patient in whom levodopa-induced chorea-like dyskinesia disappeared when midazolam was given intravenously for conscious sedation. Read More

View Article

High levels of socioeconomic deprivation do not inhibit patients' communication of concerns in head and neck cancer review clinics.

Br J Oral Maxillofac Surg 2018 Jun 13. Epub 2018 Jun 13.

Evidence-Based Practice Research Centre (EPRC), Faculty of Health and Social Care, Edge Hill University, St Helens Road, Ormskirk, L39 4QP; Consultant Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, L9 1AE, UK. Electronic address:

To examine associations between socioeconomic status and the extent to which patients with cancer of the head and neck expressed concerns to surgeons during routine follow-up clinics, we analysed audio recordings of 110 consultations with one consultant. We used the Verona Coding Definitions of Emotional Sequences (VRCoDES) to measure communication between the doctor and the patient, and grouped the English indices of multiple deprivation (IMD) 2015 scores into deciles to compare the VRCoDES with socioeconomic status. There were no significant correlations between IMD decile and the number and type of cues and concerns, or the type of response by the consultant, but there was a positive correlation between IMD decile and duration of appointment (r=0. Read More

View Article

Management of the airway in maxillofacial surgery: part 1.

Br J Oral Maxillofac Surg 2018 Jun 12. Epub 2018 Jun 12.

Nottingham University Hospitals NHS Trust, Queen's Medical Centre campus, Derby Road, Nottingham, NG7 2UH. Electronic address:

In part 1 of this review of management of the airway in maxillofacial surgery we discuss preoperative assessment of the airway, and the practical means to deal with difficulties. We review the evidence for videolaryngoscopy and flexible indirect laryngoscopy, together with surgical access to the airway including tracheostomy, cricothyroidotomy, and submental intubation. Read More

View Article

Management of the airway in maxillofacial surgery: part 2.

Br J Oral Maxillofac Surg 2018 Jun 12. Epub 2018 Jun 12.

Nottingham University Hospitals NHS Trust, Queen's Medical Centre Campus, Derby Road, Nottingham NG7 2UH. Electronic address:

Prediction of the difficulty of an airway is unreliable, and failure of one technique of management increases the likelihood of failure of subsequent interventions. Part 2 of this review describes strategies to avoid or mitigate the impact of failure, and the associated airway-related morbidity and mortality. Read More

View Article

Digital cutting guide and endoscopically-assisted vertical ramus osteotomy to treat condylar osteochondroma: a long-term study.

Br J Oral Maxillofac Surg 2018 Jun 9. Epub 2018 Jun 9.

IPS Center, Kyoto University, 53 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, Japan. Electronic address:

We have introduced an effective treatment for mandibular condylar osteochondroma with a digital cutting guide and endoscopically-assisted vertical ramus osteotomy (VRO). Eleven patients with unilateral condylar osteochondroma, who did not require orthognathic surgery or had less than 3mm deviation of the chin and a stable occlusion, were treated during the period April 2013-January 2017 with a digital cutting guide and endoscopically-assisted VRO. Clinical data collected included the occlusion, facial contour, and maximum mouth opening (MMO). Read More

View Article

Radiographic study to assess the reliability of the Gillies approach for biopsy of the superficial temporal artery.

Br J Oral Maxillofac Surg 2018 Jun 9. Epub 2018 Jun 9.

Fiona Stanley Hospital, 11 Robin Warren Dr, Murdoch, WA, 6160. Electronic address:

Biopsy of the superficial temporal artery is often used in the diagnosis of giant cell arteritis, but at traditional sites there is a risk of injury to the facial nerve. Recently the Gillies incision has been suggested as an alternative means of access for the biopsy, but the anatomical basis of this has not been fully elucidated. We therefore undertook a radiographic review of 150 patients, and examining 300 vessels, to find out. Read More

View Article

Change in the posterior airway after mandibular distraction osteogenesis in patients with ankylosis of the temporomandibular joint: a retrospective study.

Br J Oral Maxillofac Surg 2018 Jun 7. Epub 2018 Jun 7.

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral & Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China. Electronic address:

Mandibular distraction osteogenesis (DO) has been shown to lead to considerable improvement in obstruction of the posterior airway space in patients with ankylosis of the temporomandibular joint (TMJ), and our objective was to find out if we could confirm these findings. Seventeen patients had spiral computed tomographic (CT) scans before and after DO. After treatment, the overall posterior airway space was enlarged in all three sections of the airway (oropharyngeal, glossopharyngeal, and laryngeal). Read More

View Article

Long-term quality of life measured by the University of Washington QoL questionnaire (version 4) in patients with oral cancer treated with or without reconstruction with a microvascular free flap.

Br J Oral Maxillofac Surg 2018 Jun 7. Epub 2018 Jun 7.

Department of Maxilla-Facial & ENT Oncology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China. Electronic address:

We used the University of Washington Quality of Life (UW-QoL) questionnaire (version 4) to assess the long-term quality of life (QoL) of patients with oral squamous cell carcinoma treated with or without reconstruction with a microvascular free flap, and all patients with T2-T4 oral squamous cell carcinoma (SCC) treated in this way were eligible for the study. A total of 139 patients' personal details, medical history, and QoL scores were collected and analysed. The mean (SD) overall QoL score was 73. Read More

View Article

Aggression directed towards members of the oral and maxillofacial surgical team.

Br J Oral Maxillofac Surg 2018 Jun 6. Epub 2018 Jun 6.

University of Leeds, Leeds Dental Institute, Clarendon Road, LS2 9LU. Electronic address:

Oral and maxillofacial surgery (OMFS) is an acute surgical specialty, and members of the surgical team may be exposed to challenging incidents. We have evaluated the experiences of members of OMFS teams and their experiences of aggressive and abusive behaviour. Education and training in the resolution of such conflicts should be offered to all members of the team to allow a safe and secure working environment. Read More

View Article

Volumetric comparison of autogenous bone and tissue-engineered bone replacement materials in alveolar cleft repair: a systematic review and meta-analysis.

Br J Oral Maxillofac Surg 2018 May 30. Epub 2018 May 30.

Department of Oral and Maxillofacial Surgery, RWTH Aachen University, Aachen, Germany.

The goal of reconstruction of the alveolar cleft in patients with cleft lip and palate is to improve the quality of tissue, the structural stability, and increase the volume of bone. This study is a systematic review with meta-analysis of volumetric bony filling using autogenous bone and various tissue-engineered bone substitutes. We made an electronic search on MEDLINE, EMBASE, SCOPUS, WEB OF SCIENCE, "grey" publications (materials and research produced by organisations outside traditional channels for commercial or academic publishing and distribution), and relevant cross references according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Read More

View Article

Is there an ideal way to close the donor site of radial forearm free flaps?

Br J Oral Maxillofac Surg 2018 May 30. Epub 2018 May 30.

Department of Oral- and Maxillofacial Surgery, University Clinic RWTH Aachen, Powelsstr. 30, 52074 Aachen, Germany.

Radial forearm free flaps (RFFF) are the "workhorse" of reconstructive head and neck surgery, but have considerable morbidity at the donor site. The aim of this study was to review current publications about the incidence and type of morbidity and the different techniques used for closure of the site. We screened the MEDLINE database to find relevant papers using the terms "RFFF head and neck" and "RFFF donor site". Read More

View Article

Could fetal reduction induce facial cleft? Report of a case.

Br J Oral Maxillofac Surg 2018 May 30. Epub 2018 May 30.

Department of Cranio-Maxillo-Facial Surgery of the Pediatric Hospital, Hôpital Femme Mère Enfant, 59 Boulevard Pinel, 69677 Bron, France; Université Claude Bernard Lyon 1, 43 Boulevard du 11 Novembre 1918, 69100 Villeurbanne; INSERM, National Institute of Health and Medical Research, Unit 1032, 151 Cours Albert Thomas, 69424 Lyon Cedex 03.

We describe a paramedian cleft of the lower lip that cannot be explained by embryological development in a child with only one predisposing factor, which was fetal reduction for a multiple pregnancy. To the best of our knowledge, there has been no report of a cleft that has been induced by the reduction of a multifetal pregnancy. Read More

View Article

Cleft lip vermilion: below the red line.

Authors:
M Y Mommaerts

Br J Oral Maxillofac Surg 2018 May 28. Epub 2018 May 28.

Cleft and Craniofacial Team, Universitair Ziekenhuis Brussel, VUB, Laarbeeklaan 101, 1090 Brussels, Belgium. Electronic address:

View Article

Evaluation of two internal fixation techniques for mandibular parasymphyseal fractures comparing conventional titanium miniplates with customised titanium CRB omega miniplates: a prospective study.

Br J Oral Maxillofac Surg 2018 May 28. Epub 2018 May 28.

Department of Oral & maxillofacial Surgery, Swargiya Dadasaheb Kalmegh Smruti Dental College & Hospital, Wanadongri, Nagpur, Maharashtra 441110, India.

Our aim was to compare the efficacy and outcome of customised, titanium, CRB (Chandrashekhar Rushiji Bande), omega miniplates with those of conventional titanium miniplates in the management of parasymphyseal fractures of the mandible, with or without involvement of the mental nerve, after clinical and radiographic evaluation. A total of 252 parasymphyseal fractures in 200 patients were selected for the study over the period of seven years (January 2010-January2017) and divided randomly into two groups. The first group included 126 fractures treated with two conventional titanium miniplates (conventional group) and the second 126 fractures treated with one customised, titanium, CRB, omega miniplate (customised group). Read More

View Article

Management of oral and maxillofacial infections in a regional unit: a seven day service?

Br J Oral Maxillofac Surg 2018 May 24. Epub 2018 May 24.

Northampton General Hospital.

The provision of a seven-day National Health Service (NHS) has been proposed as a means to halt the weekend delay in treatment that has been described in some studies. We tested the emergency services in the Oral and Maxillofacial Surgery Department at Northampton General Hospital to find out whether they provided a seven-day service. Data were collected prospectively and retrospectively for all patients admitted to the Oral and Maxillofacial Department at Northampton General Hospital with infections of the head and neck during a period of 29months (January 2014-May 2016). Read More

View Article
May 2018
1 Read

Subjective perception of paraesthesia of the lower lip after bilateral sagittal split osteotomy at a district general hospital.

Br J Oral Maxillofac Surg 2018 May 21. Epub 2018 May 21.

Department of Oral and Maxillofacial Surgery, Eastbourne District General Hospital, Kings Drive, Eastbourne, BN21 2UD.

Our aim was to assess patients' perception of paraesthesia of the lower lip after bilateral sagittal split osteotomy (BSSO) at a district general hospital. Patients who had BSSO between August 2013 and August 2014 (n=46) were asked to score their perception of numbness between 0-10 (0=normal sensation. 10=complete loss of sensation/total numbness) one day postoperatively and then weekly for seven weeks, and at three months, 6 months, and one year. Read More

View Article

New approach to the reconstruction of defects deep in the orbital roof.

Br J Oral Maxillofac Surg 2018 May 18. Epub 2018 May 18.

Imperial College Healthcare NHS Trust.

View Article

Laser-speckle imaging to measure tissue perfusion in free flaps in oral and maxillofacial surgery: a potentially exciting and easy to use monitoring method.

Br J Oral Maxillofac Surg 2018 May 18. Epub 2018 May 18.

Department of Oral and Maxillofacial Surgery, Queen Alexandra Hospital, Southwick Hill Rd, Portsmouth, PO6 3LY, UK.

View Article

Persistent buccopharyngeal membrane: a rare entity.

Br J Oral Maxillofac Surg 2018 May 15. Epub 2018 May 15.

Department of Ear, Nose and Throat, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.

View Article
May 2018
1.13 Impact Factor

Perioperative risk factors that predict complications of radial forearm free flaps in oral and maxillofacial reconstruction.

Br J Oral Maxillofac Surg 2018 May 14. Epub 2018 May 14.

Department of Anesthesiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. Electronic address:

The aim of the study was to find out what perioperative risk factors predicted complications in patients having reconstructions with radial forearm free flaps (RFFF). We organised a retrospective study of 169 patients (mean (range) age 54 (22-86) years, 100 of whom were female) who had oral and maxillofacial tumours resected, and reconstructed with RFFF, from January 2011-December 2016. We recorded predictive variables, subdivided into: personal and clinical (sex, age, weight, coexisting conditions, history of smoking, radiotherapy, and primary lesions); haemodynamic (perioperative concentrations of haemoglobin and albumin, blood loss, blood transfusion, urinary output (ml), and rate (ml/kg/hour), and infusion rates for crystalloids and colloids (ml/kg/hour, and volumes given intraoperatively and postoperatively for 24hours); and anaesthetic and surgical (American Society of Anesthesiologists(ASA) grade, visual analogue pain score (VAS), and duration of tourniquet and operation). Read More

View Article

Re: Effectiveness of irrigation with chlorhexidine after removal of mandibular third molars: a randomised controlled trial.

Br J Oral Maxillofac Surg 2018 May 14. Epub 2018 May 14.

Oral and Maxillofacial Surgery Department, University Hospital Bristol NHS Trust.

View Article

Refinement of the approach in virtual surgical planning of osseous genioplasty.

Br J Oral Maxillofac Surg 2018 May 14. Epub 2018 May 14.

Oral and Maxillofacial Department, Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP. Electronic address:

View Article

Application of a resin handle for preparation of lamina for osteo-odontokeratoprosthesis.

Br J Oral Maxillofac Surg 2018 May 14. Epub 2018 May 14.

Department of Oral and Maxillofacial Surgery, Kindai University, Faculty of Medicine.

View Article

Retrospective analysis of postoperative interventions in mandibular fractures: a shift towards outpatient day surgery care.

Br J Oral Maxillofac Surg 2018 May 10. Epub 2018 May 10.

Consultant, Department of Oral and Maxillofacial Surgery, Fiona Stanley Hospital, Murdoch, WA, 6150. Electronic address:

The management of fractured mandibles typically involves admission and operation at the time of presentation. While this should involve only a short stay in hospital these patients are surgically stable, and so priority is often given to more urgent cases. We retrospectively evaluated the postoperative medical requirements of patients who were operated on at Fiona Stanley Hospital, Perth, Western Australia between 1 January 2015 and 31 December 2016. Read More

View Article

Radial forearm flaps with venous compromise: correlations between salvage techniques and their rates of success.

Br J Oral Maxillofac Surg 2018 May 8. Epub 2018 May 8.

Department of Oral and Maxillofacial-Head and Neck Oncology, Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, People's Republic of China. Electronic address:

We retrospectively analysed the reliability of anastomosis of the deep venous system as a salvage technique for a free radial forearm flap that has developed venous compromise. The primary predictors were the salvage techniques, which comprised anastomosis of the deep venous system and a repeat of the original anastomosis, and the primary outcome measure was the rate of success. The potential confounders included original venous outflow, the original causes of the venous compromise, and the number of venous anastomoses. Read More

View Article

New method of alloplastic reconstruction of the mandible after subtotal mandibulectomy for medication-related osteonecrosis of the jaw.

Br J Oral Maxillofac Surg 2018 May 8. Epub 2018 May 8.

Department of Oral & Maxillofacial Surgery, University Hospital of Technische Universität, Dresden, Germany. Electronic address:

View Article
May 2018
1 Read

Factors predicting success in the Intercollegiate Membership of the Royal College of Surgeons (MRCS) examination: a summary for OMFS.

Br J Oral Maxillofac Surg 2018 May 5. Epub 2018 May 5.

Intercollegiate Committee for Basic Surgical Examinations, c/o The Royal College of Surgeons of England, 35/43 Lincolns Inn Fields, London WC2A 3PN, UK.

The Intercollegiate Membership of the Royal College of Surgeons (MRCS, parts A and B) is a mandatory examination for entry into higher surgical training in the UK. We investigated which factors predict success in both the written (Part A) and clinical (Part B) parts of the examination, and provide a summary for oral and maxillofacial surgeons (OMFS). All UK graduates who attempted both parts between 2007 and 2016 were included. Read More

View Article

Cystadenoma of the mandible: a rare presentation.

Br J Oral Maxillofac Surg 2018 May 5. Epub 2018 May 5.

Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ. Electronic address:

To our knowledge this is only the second reported case of a cystadenoma that arose in the mandible. These are rare benign epithelial neoplasms of the salivary gland that comprise 0.8%-6. Read More

View Article
May 2018
1 Read

Maxillofacial injuries in patients with major trauma.

Br J Oral Maxillofac Surg 2018 May 4. Epub 2018 May 4.

University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Mindelsohn Way, Birmingham, United Kingdom.

Major trauma is an important cause of mortality and morbidity worldwide. Mortality is high with rates over 10% commonly reported. We studied the epidemiology and aetiology of maxillofacial injuries in patients who presented with major trauma as recorded nationally by retrospectively analysing the database of the Trauma Audit Research Network from 2001 to 2015. Read More

View Article

Re: re: Is a fractured mandible an emergency?

Authors:
D Hammond R Welbury

Br J Oral Maxillofac Surg 2018 Jun 4;56(5):437. Epub 2018 May 4.

University of Central Lancashire, Harrington Building, Preston PR1 2HE. Electronic address:

View Article

Severe trismus and contraindicated exodontia in a patient with fibrodysplasia ossificans progressiva: case report.

Authors:
A Geddis-Regan

Br J Oral Maxillofac Surg 2018 Jun 3;56(5):427-429. Epub 2018 May 3.

Newcastle University, School of Dental Sciences, Framlington Place, Newcastle upon Tyne, NE2 4BW; Carlisle Dental Centre, Cumbria Partnership NHS Foundation Trust, Infirmary Street, Carlisle, CA2 7AN. Electronic address:

Fibrodysplasia ossificans progressiva is a rare genetic disease of connective tissue in which muscles, ligaments, and tendons ossify either spontaneously or after trauma. Patients can develop physical disabilities and restriction of respiratory function. A patient attended a maxillofacial surgery outpatient clinic with severe trismus and mouth opening limited to 2mm. Read More

View Article

Re: Gillies temporal incision: an alternative approach to biopsy of the superficial temporal artery.

Br J Oral Maxillofac Surg 2018 Jun 30;56(5):433-434. Epub 2018 Apr 30.

Department of Oral & Maxillofacial Surgery, Royal Surrey County Hospital, Guildford. Electronic address:

View Article

New technique for endoscopically-assisted particulate graft reconstruction of the mandible.

Br J Oral Maxillofac Surg 2018 Jun 30;56(5):430-432. Epub 2018 Apr 30.

Bone Research Laboratory, School of Oral Health Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

The reconstruction of mandibular defects using particulate grafts is a proven technique that restores the osseous anatomy effectively. Secondary osseous reconstruction can be accomplished with endoscopic assistance and reduced-access incisions if an intermediate spacer is placed during resection. Two patients required reconstruction after resection of mandibular ameloblastomas. Read More

View Article

Re: re: Gillies temporal incision: an alternative approach to biopsy of the superficial temporal artery.

Br J Oral Maxillofac Surg 2018 Jun 30;56(5):434-435. Epub 2018 Apr 30.

Dept of Oral & Maxillofacial Surgery, Pennine Acute NHS Trust. Electronic address:

View Article

Current thinking in medical education research: an overview.

Authors:
R Elledge

Br J Oral Maxillofac Surg 2018 Jun 30;56(5):380-383. Epub 2018 Apr 30.

University Hospitals Birmingham NHS Foundation Trust. Electronic address:

Medical education is fast becoming a separate focus, and together with their clinical commitments, many clinicians now seek higher qualifications and professional accreditation in the field. Research is also developing, and there is a need for evidence-based practice in education, just as in clinical work. This review gives an overview of research into medical education, and explains the fundamentals of educational theory and the specific considerations for the quantitative and qualitative research methods that pertain to it. Read More

View Article

"Flipped classrooms" in training in maxillofacial surgery: preparation before the traditional didactic lecture?

Br J Oral Maxillofac Surg 2018 Jun 30;56(5):384-387. Epub 2018 Apr 30.

University Hospitals Birmingham NHS Foundation Trust. Electronic address:

While virtual learning environments (VLE) can be used in medical education as stand-alone educational interventions, they can also be used in preparation for traditional "face-to-face" training sessions as part of a "flipped classroom" model. We sought to evaluate the introduction of this model in a single module on maxillofacial radiology from a course on trauma skills. Course delegates were randomised into two groups: one was given access to an e-learning resource (test group) and the other attended a traditional didactic lecture (control group). Read More

View Article

Numbness of the lower lip does not adversely affect quality of life or patients' satisfaction after mandibular orthognathic surgery.

Br J Oral Maxillofac Surg 2018 Jun 27;56(5):421-424. Epub 2018 Apr 27.

Department of Oral and Maxillofacial Surgery, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Edgbaston, Birmingham, B15 2GW. Electronic address:

Measures of patient-reported quality of life (QoL) are increasingly being used to tailor services that are funded by Clinical Commissioning Groups (CCG) in England. Mandibular osteotomies may result in altered sensation of the lower lip, but we know of limited evidence about the resulting effect on QoL. The modified Bristol orthognathic patient outcomes questionnaire was given to patients who had mandibular osteotomies at the Queen Elizabeth Hospital, Birmingham, between March 2006 and April 2016. Read More

View Article

Re: Retroseptal transconjunctival approach for fractures of the zygomaticomaxillary complex: a retrospective study.

Authors:
A Sayan V Ilankovan

Br J Oral Maxillofac Surg 2018 Jun 27;56(5):435. Epub 2018 Apr 27.

Poole Hospital NHS Foundation Trust. Electronic address:

View Article

Open reduction and internal fixation of palatal fractures using three-dimensional plates.

Br J Oral Maxillofac Surg 2018 Jun;56(5):411-415

Dept of Oral and Maxillofacial Surgery.

The maxilla is arguably the most anatomically intricate structure of the craniofacial skeleton, and the hard palate is an important bone that regulates the width and architecture of the face. The management of palatal fractures has long been a matter of debate, and varies with anatomical pattern and other injuries to the craniofacial skeleton. We have studied 18 palatal fractures during a five-year period that were treated using 3-dimensional rectangular plates placed across the palatal vault together with fixation of other fractures of the facial bones. Read More

View Article
June 2018
1 Read

Feasibility of a new V-shaped incision for parotidectomy: a preliminary report.

Br J Oral Maxillofac Surg 2018 Jun 17;56(5):406-410. Epub 2018 Apr 17.

Department of Otolaryngology-Head and Neck Surgery, Kyungpook National University, 50 Samduck 2-Ga, Jung-Gu, Daegu 700-712, Republic of Korea. Electronic address:

We report the design of a new V-shaped incision for parotidectomy that involves only preauricular and postauricular incisions and no hairline or upper cervical incision. It can be used to approach almost all the superficial parotid region, including the superior and anterior divisions, with minimal scarring. To evaluate its technical feasibility, safety, and cosmetic results, we prospectively enrolled 15 patients (between September 2015 and September 2016) who had partial parotidectomy as the primary treatment for benign parotid tumours. Read More

View Article
June 2018
2 Reads

Retrospective study of eligibility for orthognathic surgery using the Index of Orthognathic Functional Treatment Need (IOFTN).

Br J Oral Maxillofac Surg 2018 Jun 17;56(5):416-420. Epub 2018 Apr 17.

Department of Oral and Maxillofacial Surgery, Canterbury District Health Board, 2 Riccarton Ave, Christchurch, New Zealand. Electronic address:

To assess the functional needs of orthognathic patients who had been accepted for treatment by Christchurch Hospital, New Zealand, we made a retrospective assessment of 80 consecutive patients using the Index of Orthognathic Functional Treatment Need (IOFTN). Eligibility was based on the Severity and Outcome Index (SOI) score of ≤3 derived from seven lateral cephalometric measurements (three skeletal, three dental, and one soft tissue), which made allowances for asymmetrical or reported important functional issues. The IOFTN grades 4 or 5 indicated "great" or "very great" need for treatment, and we also used a self-reported oral health-related quality of life (QoL) questionnaire (OHIP-14). Read More

View Article
June 2018
2 Reads

Incidence and treatment of complications in patients who had third molars or other teeth extracted.

Br J Oral Maxillofac Surg 2018 Jun 16;56(5):388-393. Epub 2018 Apr 16.

Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Kapucijnenvoer 33, Leuven 3000, Belgium.

The aim of this study was to compare the incidence of complications after extraction of third molars (M3) or other teeth, and to describe their management. We made a retrospective cohort study of patients having M3 or other teeth extracted, and recorded complications up to two years' follow-up. A total of 142 complications developed after 2355 procedures (6%) - 7% after extraction of M3 compared with 5% after extractions of other teeth (p=0. Read More

View Article
June 2018
2 Reads

Distraction osteogenesis in the surgical management of syndromic craniosynostosis: a comprehensive review of published papers.

Br J Oral Maxillofac Surg 2018 Jun 13;56(5):353-366. Epub 2018 Apr 13.

Department of Oro-Maxillofacial Surgical and Medical Science, Faculty of Dentistry, University of Malaya, 50603 Kuala Lumpur, Malaysia.

Our aim was to summarise current published evidence about the prognosis of various techniques of craniofacial distraction osteogenesis, particularly its indications, protocols, and complications. Published papers were acquired from online sources using the keywords "distraction osteogenesis", "Le Fort III", "monobloc", and "syndromic craniosynostosis" in combination with other keywords, such as "craniofacial deformity" and "midface". The search was confined to publications in English, and we followed the guidelines of the PRISMA statement. Read More

View Article
June 2018
3 Reads

Appearance on face reading (cheek line) after orthognathic surgery.

Br J Oral Maxillofac Surg 2018 Jun 12;56(5):394-400. Epub 2018 Apr 12.

School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. Electronic address:

The cheek line (face reading) is an aesthetic element of the facial profile. The purpose of our study was to investigate the changes in the cheek line after mandibular setback surgery. Forty patients (20 female and 20 male, mean (SD) age 22 (5) years) were diagnosed with mandibular prognathism and treated by intraoral vertical ramus osteotomy alone. Read More

View Article
June 2018
1 Read

Re: Is a fractured mandible an emergency?

Br J Oral Maxillofac Surg 2018 Jun 12;56(5):436. Epub 2018 Apr 12.

Gloucestershire Hospitals NHS Foundation Trust, Department of Oral & Maxillofacial Surgery, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN; University of Bristol.

View Article
June 2018
2 Reads

Oral rehabilitation of patients after maxillectomy. A systematic review.

Br J Oral Maxillofac Surg 2018 May 11;56(4):256-266. Epub 2018 Apr 11.

Department of Dental Materials and Prosthodontics and Oral Oncology Center, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil. Electronic address:

Patients who have maxillectomy can be rehabilitated with reconstructive surgery or obturator prostheses with or without osseointegratable implants. To identify studies on possible treatments in this group, we systematically searched the Scopus, Embase, PubMed/Medline, and Cochrane databases to collect data on patients' characteristics, radiotherapy, and results related to speech, swallowing, mastication or diet, chewing, aesthetics, and quality of life. Of the 1376 papers found, six were included, and one other was included after an additional search of references. Read More

View Article
May 2018
1 Read

Use of the MatrixWAVE™ system with dentures to establish maxillomandibular fixation in edentulous patients.

Br J Oral Maxillofac Surg 2018 May 11;56(4):343-345. Epub 2018 Apr 11.

Division of Plastic Surgery, University of Kentucky.

Various methods have been described to establish maxillomandibular fixation in the treatment of fractures of atrophic, edentulous mandibles. We used the Synthes MatrixWAVE™ system (DePuy Synthes) in combination with dentures in two patients with fractured, edentulous, atrophic mandibles. Fixation was maintained for fractures that were not amenable to, or did not require, open reduction and internal fixation, and the mandibles were both well-healed and had good function at the end of treatment. Read More

View Article
May 2018
3 Reads