Search our Database of Scientific Publications and Authors

I’m looking for a

    5291 results match your criteria British Journal of Oral and Maxillofacial Surgery[Journal]

    1 OF 106

    Use of ultrasound-activated resorbable sheets and pins in the management of fractures of the condylar neck of the mandible: a case series.
    Br J Oral Maxillofac Surg 2018 Feb 7. Epub 2018 Feb 7.
    Oxford University Hospitals NHS Foundation Trust, Department of Oral & Maxillofacial Surgery, The John Radcliffe, Headley Way, Oxford OX3 9DU, UK.
    The need to treat fractures of the mandibular condyle remains controversial, but when the decision to operate has been made, then multiple forms of fixation are advocated. Traditionally, metal plates and screws have been used, but this is thought to have several disadvantages, particularly in the growing skeleton. Resorbable fixation for maxillofacial fractures has not gained widespread acceptance because of technical difficulties with the materials and concern about inflammatory reactions during their resorption. Read More

    Forehead reduction and orbital contouring in facial feminisation surgery for transgender females.
    Br J Oral Maxillofac Surg 2018 Feb 7. Epub 2018 Feb 7.
    The Queen Victoria Hospital, Holtye Road, East Grinstead, West Sussex RH19 3DZ. Electronic address:
    Forehead reduction and orbital contouring form a considerable component of the procedures available to feminise the face in transgender females. In this paper I shall discuss the history and development of techniques to reduce bossing of the forehead and contour the orbits, and describe their classification, assessment, surgical approach, and complications. Read More

    Percutaneous treatment of orofacial vascular malformations.
    Br J Oral Maxillofac Surg 2018 Feb 5. Epub 2018 Feb 5.
    Department of Oral and Maxillofacial surgery, Poole Hospital NHS Foundation Trust.
    The aim of this study was to evaluate the efficacy of fluoroscopy-guided percutaneous injection of bleomycin as the primary treatment for low-flow vascular malformations. A total of 34 patients (mean (range) age 24 (8-51) years) with orofacial vascular lesions were treated in the Department of Interventional Radiology and Maxillofacial Surgery. There were 20 low-flow venous malformations, 11 lymphatic malformations, and three of mixed type. Read More

    Transdermal scopolamine for the prevention of a salivary fistula after parotidectomy.
    Br J Oral Maxillofac Surg 2018 Feb 2. Epub 2018 Feb 2.
    Department of Otolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
    Our aim was to investigate whether perioperative transdermal application of scopolamine could help to prevent fistulas after parotidectomy, and to this end we retrospectively studied the records of all patients (n=645) who had benign parotid tumours treated by partial parotidectomy between 2011 and 2016. We found that scopolamine led to a significant decrease in the incidence of salivary fistulas from 54/371(15%) in the group not given it to 10/274 (4%) in the group given it (p<0.0001). Read More


    Outcomes of treatment for intracapsular fractures of the mandibular condyle: recommendation for a new classification.
    Br J Oral Maxillofac Surg 2018 Feb 1;56(2):139-143. Epub 2018 Feb 1.
    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:
    We know of no universally accepted classification for intracapsular condylar fractures. We propose here a new classification based on the concept of a "disc-condyle" unit, and validate the classification based on outcomes of treatment. From 1 January 2010 - 31 December 2014, 55 patients with unilateral intracapsular condylar fractures were classified into three types: type A has no reduction in mandibular height or displacement of the disc (n=7); type B has displacement of the disc with no reduction in mandibular height (n=17); and type C has reduced mandibular height with or without displacement of the disc (n=31). Read More

    Genomic analysis to assess disease progression and recurrence in patients with oral squamous cell carcinoma: - a preliminary study.
    Br J Oral Maxillofac Surg 2018 Jan 30. Epub 2018 Jan 30.
    Leeds Institute of Cancer and Pathology, University of Leeds, Leeds LS9 7TF, UK. Electronic address:
    We studied the progression from dysplasia to invasive carcinoma and subsequent second primaries or locoregional recurrences in 11 patients with recurrent squamous cell carcinoma (SCC). Between one and six samples were sequenced/patient. DNA samples were prepared, and libraries multiplexed to between 40 and 80 samples/lane of an Illumina HiSeq 3000 and sequenced with 2×100bp paired end sequencing. Read More

    Evaluation of stress by finite element analysis of the midface and skull base at the time of midpalatal osteotomy in models with or without pterygomaxillary dysjunction.
    Br J Oral Maxillofac Surg 2018 Jan 30. Epub 2018 Jan 30.
    Selcuk Universtiy, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Konya, Turkey.
    Surgically-assisted rapid maxillary expansion (SARME) is commonly used to treat skeletally mature patients with transverse discrepancies. Some osteotomies are made in areas that resist expansion, but there is no clear consensus about the sequence in which the osteotomies are made. Some clinicians do the pterygomaxillary osteotomy last, while others do it before the midpalatal osteotomy. Read More

    Do signs of an effusion of the temporomandibular joint on magnetic resonance imaging correlate with signs and symptoms of temporomandibular joint disease?
    Br J Oral Maxillofac Surg 2018 Feb 1;56(2):96-100. Epub 2018 Feb 1.
    Department of Oral and Maxillofacial Surgery, University of Michigan, Ann Arbor, MI.
    Effusions are common among patients with disorders of the temporomandibular joint (TMJ), but publications are limited and results inconsistent about the correlation between them and important clinical variables, in particular severity of pain and degenerative disease. We organised a retrospective study of patients who presented for the evaluation and management of arthralgia of the TMJ and myofascial pain at the University of Michigan between 2011 and 2014. Inclusion criteria were: patients who had pain that was primarily arthrogenous, and coexisting myogenous pain, who had had initial non-surgical treatment, and arthroscopy of the TMJ with or without intramuscular injection of onabotulinumtoxinA (Botox,Allegan, Weston, Fl, USA). Read More

    Management of self-inflicted gunshot wounds to the face: retrospective review from a single tertiary care trauma centre.
    Br J Oral Maxillofac Surg 2018 Jan 27. Epub 2018 Jan 27.
    Department of Oral and Maxillofacial Surgery, University of Maryland, Baltimore, MD 21201.
    There are limited published data about the surgical management of self-inflicted facial gunshot wounds. The aim of this retrospective study was to review our management of subjects who initially survive such a wound and were admitted to a tertiary care trauma centre between 2002 and 2012. Only subjects with definitive evidence of a self-inflicted facial gunshot wound and who were admitted alive were included. Read More

    Tuberculosis: the great imitator in the head and neck - our experience of 24 cases in 22 years.
    Br J Oral Maxillofac Surg 2018 Jan 27. Epub 2018 Jan 27.
    Dublin Dental University, St James and Mater Hospitals, Dublin, Ireland. Electronic address:
    This retrospective study covered over two decades, during which an individual head and neck surgeon treated 24 patients with cervicofacial lymphadenitis that was related to both Mycobacterium tuberculosis complex (n=17, made up of M tuberculosis (n=16) and M bovis (n=1)), and non-tuberculous mycobacteria. The seven cases of non-tuberculous mycobacteria were caused by M avium complex (n=3), M malmoense (n=3), and M kansaii (n=1). By using a tailored management approach, at times selective combined surgical and antimycobacterial treatment, he achieved a success rate of 23/24 cases, with only one recurrence and no major complications. Read More

    Assessment of the anterior loop of the inferior alveolar nerve using reformatted computed tomography: a retrospective study.
    Br J Oral Maxillofac Surg 2018 Jan 27. Epub 2018 Jan 27.
    Department of Periodontics and Oral Medicine, School of Dentistry, University of Pretoria, South Africa.
    The anterior loop of the inferior alveolar nerve (IAN) is an important landmark in the anterior mandible that must be considered during the placement of dental implants. We measured the length and prevalence of loops of the IAN in 188 consecutive, dentate patients using reformatted computed tomography (CT). A total of 158/188 (84%) had at least one anterior loop; 111/188 (59%) had bilateral loops. Read More

    Structured review of the patient-reported outcome instruments used in clinical trials in head and neck surgery.
    Br J Oral Maxillofac Surg 2018 Jan 27. Epub 2018 Jan 27.
    Leeds Teaching Hospitals; St James Institute of Oncology; Leeds Dental Institute. Electronic address:
    The number of clinical trials that relate to patients with cancer of the head and neck is growing. Patient-reported outcomes, which are rarely the primary outcome, are now an important component, and in this structured review to identify and report the characteristics of the questionnaires that have been used in these trials, we summarise the findings reported. We searched several online databases using the key terms: head and neck oncology, head and neck surgery, reconstruction, clinical trials patient-reported outcomes, questionnaires, quality of life (QoL), validated instruments, and patients' satisfaction. Read More

    Sialendoscopy for sialolithiasis in children: 4-8 years follow up.
    Br J Oral Maxillofac Surg 2018 Feb 17;56(2):120-123. Epub 2018 Jan 17.
    Department of Otolaryngology, Head and Neck Surgery, University Hospital, Geneva, Switzerland.
    Sialolithiasis is rare in children, there are no guidelines for its treatment, and there are few, if any, long term follow-up studies. We report a retrospective review of medical records of children who were treated for sialolithiasis by sialendoscopy between 1 January 2007 and 31 December 2011, and who have been followed up for 4-8 years. Personal and clinical details, including age, sex, symptoms, whether the lithiasis was parotid or submandibular, the technique of sialendoscopy and complications, were recorded. Read More

    WHO is in and WHO is out of the mouth, salivary glands, and jaws sections of the 4th edition of the WHO classification of head and neck tumours.
    Br J Oral Maxillofac Surg 2018 Feb 17;56(2):90-95. Epub 2018 Jan 17.
    Oral/Head and Neck Pathology, Guy's Hospital, King's College London, 4th Floor, Tower Wing, London SE19RT. Electronic address:
    This review of changes to the 4th edition of the WHO classification of head and neck tumours focuses on their impact on the surgical care of diseases that affect the salivary glands, jaws, and oral cavity. Updates to the chapter on the salivary glands include the addition of secretory carcinoma and sclerosing polycystic adenosis. The odontogenic cysts are back, and the odontogenic keratocyst is listed among them, as it has now lost its brief and confusing designation as a neoplasm. Read More

    Treatment of intraoral ranulas with a two-incision fistula technique: the management of recurrence.
    Br J Oral Maxillofac Surg 2018 Feb 12;56(2):129-133. Epub 2018 Jan 12.
    Department of Oral Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Key Laboratory of Stomatology, National Clinical Research Center of Stomatology, Shanghai 200011, China. Electronic address:
    The two-incision fistula technique for the treatment of oral ranulas has recently been introduced to clinical practice. We reviewed 52 patients who had recurrences after this treatment, and explored the possible causes and underlying mechanisms. A total of 13/53 ranulas had recurred, so we repeated the operation, and one patient had the ranula and the sublingual gland resected. Read More

    How do oral and maxillofacial surgeons manage concussion?
    Br J Oral Maxillofac Surg 2018 Feb 8;56(2):134-138. Epub 2018 Jan 8.
    Harrington Building, University of Central Lancashire, Preston, PR1 2HE. Electronic address:
    Craniofacial trauma results in distracting injuries that are easy to see, and as oral and maxillofacial surgeons (OMFS) we gravitate towards injuries that can be seen and are treatable surgically. However, we do tend not to involve ourselves (and may potentially overlook) injuries that are not obvious either visually or radiographically, and concussion is one such. We reviewed the records of 500 consecutive patients who presented with facial fractures at the Queen Elizabeth Hospital, Birmingham, to identify whether patients had been screened for concussion, and how they had been managed. Read More

    Modification of the measurement of the major variables in mandibular condylar fractures: angulation of sidewards displacement and shortening of the height of the ramus.
    Br J Oral Maxillofac Surg 2018 Feb 5;56(2):113-119. Epub 2018 Jan 5.
    State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, School of Stomatology, The Fourth Military Medical University, 145 West Changle Road, Xi'an, Shaanxi, China. Electronic address:
    Our aim was to improve the accuracy of measurement of the angulation and the shortening of the height of the ramus in fractures of the mandibular condyle using modified methods. We analysed spiral computed tomography (CT) of 67 unilateral fractures with the OsiriX v 5.0 (©Pixmeo Sarl) and Mimics 19. Read More

    Cosmetic facial surgery: are online resources reliable and do patients understand them?
    Br J Oral Maxillofac Surg 2018 Feb 4;56(2):124-128. Epub 2018 Jan 4.
    Department of Dental and Maxillofacial Surgery, Great Ormond Street Hospital for Children, Great Ormond Street, London, WC1N 3JH.
    Our aim was to assess the quality and readability of online resources regarding common cosmetic maxillofacial procedures. We searched Google for "rhytidectomy", "rhinoplasty", "orthognathic surgery", "genioplasty", "malar implants", "blepharoplasty", "otoplasty", and related terms. In each case we assessed the top 50 results for quality and readability. Read More

    Review of HaNDLE-on-QoL: a database of published papers that use questionnaires to report quality of life in patients with cancer of the head and neck.
    Br J Oral Maxillofac Surg 2018 Feb 3;56(2):e5-e9. Epub 2018 Jan 3.
    Evidence-Based Practice Research Centre (EPRC), Faculty of Health and Social Care, Edge Hill University, St Helens Road, Ormskirk L39 4QP; Maxillofacial Unit, University Hospital Aintree, Liverpool L9 1AE, UK. Electronic address:
    HaNDLE-on-QoL (Head And Neck Database Listing Evidence on QoL) is a searchable database that comprises abstracts of papers that have used questionnaires to report on quality of life (QoL) in patients with cancer of the head and neck. It can be searched by title, first author, year of publication, words used in the abstract, site of cancer, study design, and questionnaires used. The aim of this paper was to summarise its contents. Read More

    Fluorodeoxyglucose activity associated with a cosmetic poly-L-lactide filler: a potential confounder on positron emission tomography and computed tomography.
    Br J Oral Maxillofac Surg 2018 Feb 28;56(2):148-150. Epub 2017 Dec 28.
    Department of Radiology and Nuclear Medicine, Oxford University Hospital NHS Foundation Trust. Electronic address:
    Injectable cosmetic fillers are increasingly popular, but are not often considered as a cause of abnormal findings on imaging. We present a case of poly-L-lactic acid (PLLA) filler associated with 18-fluorodeoxyglucose (FDG) uptake, which had the potential to interfere with staging of a squamous cell carcinoma of the lateral tongue. We characterise the FDG-positron emission tomography/computed tomography (PET/CT) properties of a PLLA dermal filler, Sculptra(Aventis), and highlight its potentially confounding appearance in the staging scans of oncological patients, particularly those with oral tumours. Read More

    Can dietary supplements improve a clinician's well-being and health?
    Br J Oral Maxillofac Surg 2018 Feb 15;56(2):85-89. Epub 2017 Dec 15.
    Queen Alexandra Hospital, Portsmouth PO6 3LY, UK. Electronic address:
    Many people use dietary supplements to improve their physical and mental well-being and their general health, but do not know if they really have any benefit. To our knowledge, little has been published on their use in the clinical environment, so we evaluated the evidence for their benefits in people whose work is physically and mentally challenging. Studies on nutrition and supplementation in athletes and military personnel have clearly shown that several compounds improve cognition, mental well-being, and physical performance. Read More

    Grafts of autogenous coronoid process to reconstruct the mandibular condyle in children with unilateral ankylosis of the temporomandibular joint: long-term effects on mandibular growth.
    Br J Oral Maxillofac Surg 2018 Feb 15;56(2):107-112. Epub 2017 Dec 15.
    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, Sichuan 610041, China. Electronic address:
    Injury to the mandibular condyle in children usually leads to malocclusion and disharmony of facial growth. Our aim was to study the facial growth after reconstruction of the mandibular condyle using autogenous coronoid process grafts in children with unilateral ankylosis of the temporomandibular joint (TMJ). We followed up 10 growing patients with unilateral bony ankylosis of the TMJ who had been admitted to the West China Hospital of Stomatology, Sichuan University (Chengdu, China) between 1 January 2008 and 31 December 2012. Read More

    Epidemiology of basal cell carcinoma: a 10-year comparative study.
    Br J Oral Maxillofac Surg 2018 Feb 15;56(2):101-106. Epub 2017 Dec 15.
    Division of Oral and Maxillofacial Surgery, Poole Hospital NHS Foundation Trust, United Kingdom.
    Basal cell carcinoma (BCC) is a slow-growing and locally aggressive skin cancer. Despite its high incidence, good quality epidemiological data are sparse. We therefore organised a retrospective study of two separate years' incidence of BCC in one county within the United Kingdom (Dorset) with an interval of 10 years between them. Read More

    Primary intraosseous squamous cell carcinoma of the mandible: locoregional control and survival is significantly reduced if the tumour is more than 4cm in size.
    Br J Oral Maxillofac Surg 2018 Jan 8;56(1):48-53. Epub 2017 Dec 8.
    Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Stomatology Key Laboratory, Ninth People's Hospital Affiliated School of Medicine, Shanghai Jiao Tong University, 639 Zhizaoju Road, Shanghai 200011, China. Electronic address:
    To establish the prognostic factors for primary intraosseous squamous cell carcinoma we designed a retrospective study of patients treated in the head and neck department of a tertiary referral centre in China from 2010-2015. We collected clinical, radiological, and histopathological data from 36 patients treated during the given time period, among which 34 were followed up. There were 22 male and 12 female patients, 13 of whom gave a history of smoking tobacco and four who drank alcohol. Read More

    Revisiting lip shave: a solution for disorders of the vermilion border.
    Br J Oral Maxillofac Surg 2018 Jan 6;56(1):60-63. Epub 2017 Dec 6.
    Maxillofacial Unit, Poole Hospital NHS Trust, Dorset BH15 2JB, UK.
    Actinic keratosis, leukoplakia, carcinoma in situ, and superficially invasive carcinomas of the lower lip are caused mainly by the cumulative effects of exposure of the vermilion of the lower lip to ultraviolet radiation. Current treatments all have limitations: cryosurgery or electrosurgery is suitable to treat only focal lesions; topical chemotherapy, which is an option for diffuse actinic damage, yields unreliable results; and laser treatment fails to rejuvenate the vermilion. However, "lip shave", which involves full-thickness excision of the damaged vermilion and reconstruction with an advancement labial mucosal flap, will produce a fresh mucosal lining to the vermilion border. Read More

    Three-dimensional superimposition for patients with facial palsy: an innovative method for assessing the success of facial reanimation procedures.
    Br J Oral Maxillofac Surg 2018 Jan 6;56(1):3-7. Epub 2017 Dec 6.
    Maxillo-Facial Surgical Unit, Ospedale San Paolo, Dipartimento di Scienze della Salute, Facoltà di Medicina e Chirurgia, Università degli Studi di Milano, Italy.
    Facial palsy is a severe condition that may be ameliorated by facial reanimation, but there is no consensus about how to judge its success. In this study we aimed to test a new method for assessing facial movements based on 3-dimensional analysis of the facial surfaces. Eleven patients aged between 42 and 77 years who had recently been affected by facial palsy (onset between 6 and 18 months) were treated by an operation based on triple innervation: the masseteric to temporofacial nerve branch, 30% of the hypoglossal fibres to the cervicofacial nerve branch, and the contralateral facial nerve through two cross-face sural nerve grafts. Read More

    Effectiveness of irrigation with chlorhexidine after removal of mandibular third molars: a randomised controlled trial.
    Br J Oral Maxillofac Surg 2018 Jan 6;56(1):54-59. Epub 2017 Dec 6.
    Maxillofacial Unit, Royal Brisbane and Women's Hospital, Brisbane, Australia.
    To evaluate the effect of postoperative irrigation with chlorhexidine on inflammatory complications after the extraction of lower third molars under local anaesthesia, we recruited 100 patients to participate in a controlled, single-blind, randomised clinical trial. They were assigned to one of two groups: the intervention group (postoperative irrigation of the surgical site with chlorhexidine for seven days) or the control group (postoperative chlorhexidine mouth rinse for seven days). The primary outcome variables were pain, swelling, trismus, infection, and alveolar osteitis. Read More

    Nodular fasciitis of the temporomandibular joint: a case report.
    Br J Oral Maxillofac Surg 2018 Jan 29;56(1):70-73. Epub 2017 Nov 29.
    Oral and Maxillofacial Surgery Department, University Hospital Southampton, Southampton SO16 6YD, United Kingdom.
    Nodular fasciitis is a relatively rare benign lesion of the soft tissue, which often presents in the fascia or deep subcutaneous tissues. It most commonly presents in the upper extremities and trunk and the head and neck region, particularly in younger patients. Its pathogenesis is poorly understood and it is predominantly thought to be a reactive lesion, although some have suggested that it may be a benign neoplasm. Read More

    Retroseptal transconjunctival approach for fractures of the zygomaticomaxillary complex: a retrospective study.
    Br J Oral Maxillofac Surg 2018 Jan 29;56(1):29-33. Epub 2017 Nov 29.
    Dept of Preventive & Social Medicine, Armed Forces Medical College, Pune, India.
    We designed a retrospective study to evaluate the efficacy of retroseptal transconjunctival approaches in the management of fractures of the zygomaticomaxillary complex (ZMC). The patients were from a single institution, and had had three-point fixation of fractures of the ZMC between 2008 and 2016. A total of 77 patients (56 men and 21 women with a mean (range) age of 28 (18-54) years), were divided into two groups. Read More

    Making and working of a new electronic resource for patients, carers and professionals: maxfacts.uk.
    Br J Oral Maxillofac Surg 2018 Jan 29;56(1):14-18. Epub 2017 Nov 29.
    York Cross-Disciplinary Centre for Systems Analysis (YCCSA), University of York, Heslington YO10 5GE, UK; Department of Electronic Engineering, University of York, Heslington YO10 5DD, UK. Electronic address:
    Many maxillofacial patients have serious short, medium, or long-term problems, as well as having to make informed decisions about often life-changing interventions. Validated comprehensive information, at the right time and the right level for a diverse group of users (patients, carers, and professionals), is vital if patients are to make a serious contribution to their treatment. We describe the development of an online resource for this purpose. Read More

    Prognosis of oral cancer: a comparison of the staging systems given in the 7th and 8th editions of the American Joint Committee on Cancer Staging Manual.
    Br J Oral Maxillofac Surg 2018 Jan 29;56(1):8-13. Epub 2017 Nov 29.
    Department of Otorhinolaryngology, Head and Neck Surgery, University of Trieste, Cattinara Hospital, Strada di Fiume 447, I-34149 Trieste, Italy. Electronic address:
    The 8th edition of the American Joint Committee on Cancer (AJCC) Staging Manual introduces "depth of invasion" and "extranodal extension" into the head and neck section, and our aim was to find out if these changes have an impact on prognosis. We evaluated 174 patients who had had oral squamous cell carcinomas (SCC) resected between 2003 and 2012. The clinical records were reviewed, the patients' tumours restaged according to the 8th edition of the AJCC, and we analysed five-year survival to verify whether different correlations were made between the T and N stages and disease-specific survival using the 7th and 8th editions. Read More

    Is it better to bend wires occlusally or apically during placement of arch bars for intermaxillary fixation?
    Br J Oral Maxillofac Surg 2018 Jan 6;56(1):67-69. Epub 2017 Dec 6.
    Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, Telangana, India.
    We evaluated 78 patients who had intermaxillary fixation (IMF) of fractured mandibular condyles with arch bars and wires. Depending on whether the wires were bent apically or occlusally during placement of the arch bars, we randomly divided the patients into two groups (n=39 in each), then compared pain, satisfaction with oral hygiene, and complications between the groups at five to six weeks postoperatively when the arch bars were removed. Outcomes were significantly better in the occlusal group than in the apical group. Read More

    1 OF 106