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    5226 results match your criteria British Journal of Oral and Maxillofacial Surgery[Journal]

    1 OF 105

    Patients' experience of the monitoring of free flaps after reconstruction for oral cancer.
    Br J Oral Maxillofac Surg 2017 Nov 8. Epub 2017 Nov 8.
    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. Electronic address:
    Regular monitoring of free flaps is essential after microvascular free tissue transfer, but the frequency and duration of the observations vary between units and there is no consensus nationally. Best practice can be informed by the feedback of patients, but as we know of no such studies, we did a cross-sectional survey of a consecutive group of patients after free tissue transfer to find out what they thought about monitoring. We designed a study-specific questionnaire after consultation with the patient and carer forum, and sent it to 150 patients who had had free tissue transfer in the maxillofacial department at Aintree University Hospital during 2015 and 2016. Read More

    Robot-assisted excision of the submandibular gland by a postauricular facelift approach: comparison with the conventional transcervical approach.
    Br J Oral Maxillofac Surg 2017 Nov 6. Epub 2017 Nov 6.
    Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, South Korea. Electronic address:
    Various approaches have been described for excision of a submandibular gland including endoscopic and robot-assisted techniques. We present the outcome of excision by a robot-assisted postauricular facelift approach and compare it with the conventional transcervical approach. We studied 30 cases of excision of the gland for benign disease (16 transcervical and 14 robot-assisted), and collected clinical and personal data, and details of patients' satisfaction with the result. Read More

    Study of anatomical variations of the zygomaticofacial foramen and calculation of reliable reference points for operation.
    Br J Oral Maxillofac Surg 2017 Nov 6. Epub 2017 Nov 6.
    Department of Oral and Maxillofacial Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Hills Road, Cambridge CB2 0QQ, United Kingdom.
    Dissection on to the facial aspect of the zygoma is common in procedures of the midface for trauma, craniofacial deformity, and cosmesis. These procedures carry the risk of injury to the neurovascular structures that exit from the zygomaticofacial foramen (ZFF). The purpose of this study was to map the ZFF, and to establish reliable reference points from which to identify it before and during operation. Read More

    C-reactive protein concentration as a prognostic factor for inflammation in the management of odontogenic infections.
    Br J Oral Maxillofac Surg 2017 Nov 4. Epub 2017 Nov 4.
    Oral and Maxillofacial surgery department, "Baruch Padhe" Medical Center, Poria, Israel.
    Our aim was to find out if it is possible to correlate the duration of stay in hospital, the severity of infection, involvement of particular anatomical spaces, white cell count, efficacy of surgical treatment, and fever with C-reactive protein (CRP) concentrations on admission. One hundred patients met our inclusion criteria. After their notes had been examined they were subdivided according to whether the infection of the main facial space involved was less severe, moderately severe, or very severe. Read More

    Injury to the inferior alveolar and lingual nerves in successful and failed coronectomies: systematic review.
    Br J Oral Maxillofac Surg 2017 Nov 20;55(9):892-898. Epub 2017 Oct 20.
    Department of Oral and Maxillofacial Surgery, Eastbourne District General Hospital, King's Dr., Eastbourne, BN21 2UD, East Sussex, United Kingdom. Electronic address:
    The aim of this systematic review was to evaluate the incidence of damage to the inferior alveolar (IAN) and dental nerves in successful coronectomies, and to compare the results with coronectomies that failed. To the best of our knowledge no such analyses have been reported. Between January 1990 and October 2016 we surveyed published papers to find those that examined clinical outcomes after coronectomy. Read More

    Calcification of a huge orthokeratinised odontogenic cyst: a rare case of plugging with polymethylmethacrylate after curettage.
    Br J Oral Maxillofac Surg 2017 11 19;55(9):981-982. Epub 2017 Oct 19.
    The State Key Laboratory Breeding Base of Basic Science of Stomatology & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China; Department of Oral and Maxillofacial Surgery, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China. Electronic address:

    Three-dimensional macroporous materials for tissue engineering of craniofacial bone.
    Br J Oral Maxillofac Surg 2017 Nov 19;55(9):875-891. Epub 2017 Oct 19.
    Department of Paediatric Dentistry, Nova Southeastern University, Fort Lauderdale, Florida. Electronic address:
    Repair of critical-size defects caused by trauma, removal of a tumour, or congenital abnormalities is a challenge in the craniomaxillofacial region because of the limitations associated with treatment. We have reviewed research papers and updated information relevant to the various types of macroporous scaffolds. We have included papers on several biomaterials and their use in various craniofacial defects such as mandibular, calvarial, and others, as well as the latest technological developments such as 3-dimensional printed scaffolds. Read More

    Bleomycin electrosclerotherapy: new treatment to manage vascular malformations.
    Br J Oral Maxillofac Surg 2017 Nov 18;55(9):977-979. Epub 2017 Oct 18.
    Department of Plastic and Reconstructive Surgery, James Cook University Hospital, Middlesbrough, UK.
    Venous malformations are congenital anomalies of the vascular system. The injection of bleomycin (a cytotoxic, antitumour drug) into the lesion is a safe and effective treatment for low-flow (venous and lymphatic) malformations, but its use systemically has been associated with pulmonary fibrosis. Intralesional injection of bleomycin is considered to have a lower risk, but caution should be used when planning treatment, with particular regard to respiratory function. Read More

    Prescription of antibiotics: does it alter the outcome for patients who have fractures of the angle of the mandible?
    Br J Oral Maxillofac Surg 2017 Nov 18;55(9):958-961. Epub 2017 Oct 18.
    University of Central Lancashire, Harrington Building, Preston, PR1 2HE. Electronic address:
    We retrospectively studied 708 consecutive patients at the Queen Elizabeth Hospital, Birmingham, to find out whether one of the four antibiotic protocols in use conferred any advantage (or disadvantage) on a patient who had a fractured angle of the mandible, and there was none. However, the time from initial injury until the time of the first dose of antibiotic was important. Clinically, if patients waited more than 72hours after the injury before the first dose of antibiotic was given, they had a three times higher rate of postoperative infection than patients who were given their first dose between 24 and 72hours after the injury. Read More

    Evaluation of facial blood flow using three-dimensional scanning.
    Br J Oral Maxillofac Surg 2017 Nov 18;55(9):974-976. Epub 2017 Oct 18.
    Department of Plastic and Hand Surgery - Burn Center, University Hospital of Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany.
    The Vectra X3 3-dimensional face scanner allows us to visualise the erythema of superficial layers of skin in addition to its regular scanning functions. The aim of our study was to find out whether changes we provoked in the circulation of the skin would be registered and displayed by the face scanner. We measured the circulation in the skin of the cheeks of 20 volunteers with a face scanner, a laser Doppler device, and a skin pigmentation analyser before and after the application of a nitric oxide cream. Read More

    Surgical and social implications of extraction of mandibular third molars as a separate procedure before bilateral sagittal split osteotomy.
    Br J Oral Maxillofac Surg 2017 Nov 18;55(9):937-939. Epub 2017 Oct 18.
    Salisbury Hospital, Odstock Road, Salisbury, SP2 8BJ. Electronic address:
    In some units, lower wisdom teeth are extracted in a separate procedure before bilateral sagittal split osteotomy (BSSO), whereas in others they are removed at the time of the osteotomy. We identified 57 patients who had BSSO at Salisbury Hospital between October 2013 and September 2015, 40 of whom had their wisdom teeth extracted at the same time. The remaining 17 did not have wisdom teeth. Read More

    Extraction of mandibular third molars: proposal of a new scale of difficulty.
    Br J Oral Maxillofac Surg 2017 Nov 18;55(9):952-957. Epub 2017 Oct 18.
    Department of Neuroscience, Reproductive Science and Odontostomatology, University Federico II of Naples, Italy.
    We evaluated the accuracy of a new scale of surgical difficulty for the extraction of impacted mandibular third molars, which includes consideration of previously underestimated variables. Two hundred patients with impacted third molars were enrolled, and a preoperative clinical and radiographic assessment of difficulty was made by an oral surgeon using the new index. Five oral surgeons with similar degrees of experience then evaluated the surgical difficulty during operation. Read More

    Iatrogenic mandibular fracture after open reduction and internal fixation in a patient with osteogenesis imperfecta.
    Br J Oral Maxillofac Surg 2017 Nov 14;55(9):971-973. Epub 2017 Oct 14.
    Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan, South Korea. Electronic address:
    To the best of our knowledge, this is the first report to discuss the possible mechanisms of an iatrogenic fracture during operation on an original mandibular fracture in a patient with osteogenesis imperfecta. Read More

    Management of cervicofacial infections: a survey of current practice in maxillofacial units in the UK.
    Br J Oral Maxillofac Surg 2017 Nov 13;55(9):940-945. Epub 2017 Oct 13.
    Queen Elizabeth University Hospital, Glasgow. Electronic address:
    Cervicofacial infections are common emergency presentations to maxillofacial departments in the UK, there is no consensus about their management and, in particular, the role of corticosteroids is not clear. Our aim was to find out the current practice of UK maxillofacial surgeons in managing these infections using a multicentre questionnaire study. The questionnaire was designed, piloted, and revised before distribution, and questions were asked to assess preoperative, operative, and postoperative management. Read More

    Medial approach for minimally-invasive harvesting of a deep circumflex iliac artery flap for reconstruction of the jaw using virtual surgical planning and CAD/CAM technology.
    Br J Oral Maxillofac Surg 2017 Nov 21;55(9):946-951. Epub 2017 Oct 21.
    Department of Oral, Maxillofacial and Facial Plastic Surgery, RWTH Aachen University Hospital, Aachen, Germany.
    Donor site morbidity is the most common limitation of the deep circumflex iliac artery (DCIA) flap, so the purpose of this paper is to describe a new, minimally-invasive, approach to its harvest using virtual surgical planning and CAD/CAM technology to reduce functional and aesthetic morbidity at the donor site. Virtual surgical planning was based on preoperative computed tomographic data. A newly-designed surgical guide made using CAD/CAM technology was used to transfer the virtual surgical plan to the site of operation. Read More

    Anatomy of the vasculature of the lower leg and harvest of a fibular flap: a systematic review.
    Br J Oral Maxillofac Surg 2017 Nov 9;55(9):904-910. Epub 2017 Oct 9.
    Department of Oral & Maxillofacial Surgery, St. Richard's Hospital, Western Sussex Hospitals NHS Foundation Trust, Chichester PO19 6SE, UK. Electronic address:
    The fibular free flap (FFF) is based on the peroneal artery, which has a consistent anatomy and makes a minimal contribution to the pedal circulation. However, certain anatomical variations in the vasculature of the leg might leave the peroneal artery with a major role in the perfusion of the foot, and to raise a FFF could lead to ischaemic complications. Our aim was to review the implications of anatomical variants on planning and harvest of a FFF. Read More

    Staging of squamous cell carcinoma of the tongue: extrinsic lingual muscles and the 8th editions of the American Joint Committee on Cancer/Union for International Cancer Control staging manuals.
    Br J Oral Maxillofac Surg 2017 Nov 28;55(9):921-926. Epub 2017 Sep 28.
    Health Education England, Kent, Surrey, Sussex Deanery, and University of Kent, Centre for Professional Practice, Compass Centre South, Chatham Maritine, Kent ME4 4YG.
    Our aim was to find out first whether the extrinsic muscles of the tongue are histologically identifiable, and secondly to what degree the use of the new criteria in the 8th editions of the American Joint Committee on Cancer(AJCC)/Union for International Cancer Control (UICC) manuals (which have recognised the importance of depth of invasion of tumour, rather than invasion of the extrinsic muscles of the tongue and extranodal extension), will alter staging of lingual squamous cell carcinoma (SCC). The histological sections from 165 patients who had had primary resection of lingual SCC were reviewed, and one or more extrinsic muscles of the tongue was identified in 100 patients (61%), with the genioglossus seen the most often (in 96). By contrast, the hyoglossus was identified in only eight patients, the styloglossus in two, and the palatoglossus in none. Read More

    Multidisciplinary team approach in the oral rehabilitation of patients with cleidocranial dysplasia to achieve a functional aesthetic outcome.
    Br J Oral Maxillofac Surg 2017 Nov 28;55(9):932-936. Epub 2017 Sep 28.
    Department of Oral Surgery, Guy's Hospital, Great Maze Pond, London, SE1 9RT.
    Cleidocranial dysplasia is a hereditary congenital disorder that results in delayed ossification of midline structures, and is caused by mutations in the RunX2 (runt-related transcription factor 2) gene located on the short arm of chromosome 6. Successful treatment depends on multidisciplinary assessment and a comprehensive staged treatment plan. We present a case series of 12 patients who were managed with a specifically tailored combination of surgery, orthodontics, and prosthodontics to provide a functional dentition and restore their smile and facial contour. Read More

    Beneficial effect of botulinum toxin A on secondary ischaemic injury of skin flaps in rats.
    Br J Oral Maxillofac Surg 2017 Sep 27. Epub 2017 Sep 27.
    Plastic and Reconstructive Surgery, Beijing Anzhen Hospital, Capital Medical University, China. Electronic address:
    Botulinum toxin A (BTX-A) protects against primary ischaemia of skin flaps, but its effect on secondary ischaemia is unknown. We induced secondary arterial or venous ischaemia in skin flaps of 32 Wistar rats, and tested the effectiveness of BTX injected subcutaneously 12hours before the flap was raised. The animals were divided into two groups of 16 (arterial or venous). Read More

    Recurrent synovial chondromatosis of the temporomandibular joint: report of two cases.
    Br J Oral Maxillofac Surg 2017 Nov 28;55(9):965-967. Epub 2017 Sep 28.
    Department of Radiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai 200011, PR China. Electronic address:
    Synovial chondromatosis is the most common tumour-like lesion that is found in the temporomandibular joint (TMJ). Although it is benign and self-limiting, it can recur. We retrospectively reviewed 274 cases that were treated in our department from 2001-16 and found two recurrences, the radiological, surgical, histopathological, and follow-up results of which we report here. Read More

    Comparison of Emla cream and lidocaine injection for local anaesthetic before radiofrequency reduction of the inferior turbinates.
    Br J Oral Maxillofac Surg 2017 Nov 28;55(9):917-920. Epub 2017 Sep 28.
    Department of Otorhinolaryngology, Gaziantep 25 Aralık State Hospital, Gaziantep, Turkey. Electronic address:
    We compared the effectiveness of local anaesthetic with Emla cream with that of an injection of lidocaine for radiofrequency reduction of the inferior turbinates. We studied 98 consecutive patients with hypertrophied inferior turbinates, 46 of whom were given Emla cream and 52 lidocaine injection. The procedure began five minutes after the injection of lidocaine and 10minutes after the Emla cream had been applied. Read More

    Removal of recurrent intraorbital tumour using a system of augmented reality.
    Br J Oral Maxillofac Surg 2017 Nov 13;55(9):962-964. Epub 2017 Sep 13.
    Division of Neurosurgery, Department of Clinical Neuroscience, University of Geneva & University Hospitals of Geneva, Geneva, Switzerland.
    The most crucial step in the management of pleomorphic adenoma of the lacrimal gland is choosing the optimal approach for excision. We report the successful removal of a recurrent pleomorphic adenoma of the lacrimal gland in a 42-year-old woman using a specific microscope-based system of augmented reality. Read More

    Survival after surgery for oral cancer: a 30-year experience.
    Br J Oral Maxillofac Surg 2017 Nov 13;55(9):911-916. Epub 2017 Sep 13.
    Calderdale & Huddersfield NHS Foundation Trust.
    Oral squamous cell carcinoma is the most common intraoral malignancy, for which we advocate radical primary resection with adjuvant treatment where indicated. The main aims of this paper are to identify the overall survival of a consecutive series of patients and to relate survival to clinical and pathological factors. Kaplan-Meier curves were produced for site, sex, TNM status, and use of postoperative radiotherapy. Read More

    UK temporomandibular joint replacement database: a report on one-year outcomes.
    Br J Oral Maxillofac Surg 2017 Nov 13;55(9):927-931. Epub 2017 Sep 13.
    University Hospitals Birmingham NHS Foundation Trust. Electronic address:
    Alloplastic temporomandibular joint (TMJ) replacements are increasingly subspecialised, and supraregional centres that treat sufficient numbers to ensure high standards are emerging. Having recently reported the introduction of a national TMJ joint replacement database that is endorsed by the British Association of TMJ Surgeons (BATS), we now present the first-year outcomes. This was a review of all data in the BATS National Case Registration of TMJ Replacement as of June 2014. Read More

    Flared sign of flail mandible on computed tomography: an unstable fracture associated with a compromised airway.
    Br J Oral Maxillofac Surg 2017 Nov 13;55(9):968-970. Epub 2017 Sep 13.
    School of Dentistry, Athens.
    A mandibular fracture alone rarely causes a life-threatening injury. The aim of this paper was to emphasise the importance of prompt identification of the radiological signs of a flail mandible in a patient with maxillofacial trauma who eventually needed definitive management of her airway. Read More

    Integra(®) as a single-stage dermal regeneration template in reconstruction of large defects of the scalp.
    Br J Oral Maxillofac Surg 2017 Oct 6;55(8):844-846. Epub 2017 Sep 6.
    Royal Free London NHS Foundation Trust. Electronic address:
    Dermal regeneration templates may be used in the reconstruction of large defects after the excision of cutaneous malignancies. We describe the successful use of Integra(®) (Integra Lifesciences Corporation, Plainsboro, NJ, USA) as a single-stage regeneration template after the excision of multiple lesions of the scalp with a surface area of 96.7cm(2). Read More

    Success rates and complications of autologous onlay bone grafts and sinus lifts in patients with congenital hypodontia and after trauma.
    Br J Oral Maxillofac Surg 2017 Oct 30;55(8):830-833. Epub 2017 Aug 30.
    Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Edgbaston, Birmingham B15 2GW.
    Autogenous bone remains the gold standard for augmentation of the alveolar ridge in congenital hypodontia and appreciable post-traumatic deformity. This generally reflects the volume of material required for such defects and the osteogenic potential of the grafts. Morbidity at the donor site and success rates may lead to autogenous grafts being superseded by xenografts or alloplastic materials in the future, but we know of little evidence to confirm this. Read More

    Sentinel lymph node biopsy for oral squamous cell carcinoma. Where are we now?
    Br J Oral Maxillofac Surg 2017 Oct 30;55(8):757-762. Epub 2017 Aug 30.
    Department of Oral and Maxillofacial Surgery, University College London Hospital, 235 Euston Road, Fitzrovia, London NW1 2BU.
    Recent data have confirmed that elective surgical management of the cN0 neck improves survival in patients with early (T1-T2) oral squamous cell carcinoma (SCC), and is better than watchful waiting. However, elective neck dissection (END) may not always be necessary. Sentinel node biopsy (SNB), which is a reliable staging test for patients with early disease and a radiologically N0 neck, can detect occult metastases with a sensitivity of 86%-94%. Read More

    Randomised controlled clinical trial of augmentation of the alveolar ridge using recombinant human bone morphogenetic protein 2 with hydroxyapatite and bovine-derived xenografts: comparison of changes in volume.
    Br J Oral Maxillofac Surg 2017 Oct 30;55(8):822-829. Epub 2017 Aug 30.
    Department of Oral & Maxillofacial Surgery, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea; Oral Cancer Research Institute, Yonsei University College of Dentistry, Republic of Korea; Research Institute of Dental Biomaterials & Bioengineering, Yonsei University College of Dentistry, Republic of Korea. Electronic address:
    The aim of this randomised controlled clinical trial was to assess the early efficacy of bone morphogenetic protein-2 with hydroxyapatite granules (BMP-2/hydroxyapatite) on augmentation of the alveolar ridge, by comparing changes in volume with those associated with the use of an inorganic bovine-derived xenograft (BDX). We studied 20 patients who were divided into two groups using a table of random numbers, and BMP-2/hydroxyapatite and BDX were applied accordingly. Computed tomographic (CT) images and panoramic radiographs were obtained immediately after operation and four months later. Read More

    Diagnostic dilemma between medication-related osteonecrosis and oral squamous cell carcinoma in a mandibular lytic lesion.
    Br J Oral Maxillofac Surg 2017 Nov 26;55(9):e53-e57. Epub 2017 Aug 26.
    Oral and Maxillofacial Surgery Unit, Austin Hospital, Heidelberg, Melbourne, Victoria.
    Osteolytic lesions of the mandible are common, and there are two important differential diagnoses that must be considered: medication-related osteonecrosis of the jaws (MRONJ) and squamous cell carcinoma (SCC). In patients with a history of taking antiresorptive medication as well as risk factors for neoplasia it can be difficult to differentiate between the two. We describe two cases in both of which a mandibular osteolytic lesion was inadequately identified as either MRONJ or SCC because of confusing clinical and histopathological features. Read More

    Intensity-modulated radiotherapy in head and neck cancer - an update for oral and maxillofacial surgeons.
    Br J Oral Maxillofac Surg 2017 Oct 26;55(8):770-774. Epub 2017 Aug 26.
    Department of Oral and Maxillofacial Surgery, Queen Alexandra Hospital, Portsmouth, PO6 3LY, UK.
    Intensity-modulated radiation therapy (IMRT), a relatively new method of delivering radiotherapy, can precisely target a point within a specific tumour and reduce the dose to nearby anatomical structures. This is particularly important in the head and neck where radiotherapy can easily and irreparably damage the salivary glands, spinal cord, and eyes, and where, with increasingly better outcomes and survival, late complications of conventional radiotherapy (including osteoradionecrosis of the cervical spine) can be difficult to manage. IMRT has the potential advantage of reducing side effects including xerostomia and myelopathy of the cervical spinal cord. Read More

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