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    5194 results match your criteria British Journal of Oral and Maxillofacial Surgery[Journal]

    1 OF 104

    Removal of recurrent intraorbital tumour using a system of augmented reality.
    Br J Oral Maxillofac Surg 2017 Sep 13. 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 Sep 13. 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 Sep 13. 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 Sep 13. 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 Sep 6. 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 Aug 28. Epub 2017 Aug 28.
    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 Aug 29. Epub 2017 Aug 29.
    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 Aug 29. Epub 2017 Aug 29.
    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 Aug 26. 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 Aug 26. 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

    Hard neck lumps: a review of uncommon and sometimes overlooked causes of these worrying presentations.
    Br J Oral Maxillofac Surg 2017 Aug 23. Epub 2017 Aug 23.
    Maxillofacial Unit, Queen Alexandra Hospital, Portsmouth PO3 3LY, UK. Electronic address:
    While a neck lump is a common presentation that can raise suspicion of a potentially serious underlying disease, a hard lump, though less common, may be even more concerning for the patient, and prompt urgent investigation. Metastatic squamous cell carcinoma is the commonest underlying diagnosis that must be excluded, but other diseases or even normal anatomy of the neck can be associated with lumps that are hard or bony. Many of these presentations are relatively rare and may not be familiar to oral and maxillofacial surgeons (OMFS) (particularly more junior clinicians) as a differential diagnosis of a hard neck mass. Read More

    Distance-dependent accuracy in Le Fort I maxillary repositioning procedures.
    Br J Oral Maxillofac Surg 2017 Aug 23. Epub 2017 Aug 23.
    Dept. of Craniomaxillofacial and Plastic Surgery, University of Cologne, Germany.
    It has been hypothesised that, in maxillary repositioning procedures, longer distances correlate with less accurate transfers and particularly the repositioning forces of facial skin and muscles that increase exponentially. However, this has not to our knowledge been confirmed. The purpose of this study was to search for differences in the accuracy of transfer from maxillary repositioning procedures parallel to the three orthogonal planes and with respect to three different anatomical landmarks of the first molar left and right (M1L and M1R) and the first incisor (I). Read More

    Comprehensive analysis of the volume of bone for grafting that can be harvested from iliac crest donor sites.
    Br J Oral Maxillofac Surg 2017 Aug 23. Epub 2017 Aug 23.
    Department of Radiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
    Our aim was to calculate the volumes of cancellous, cortical, and corticocancellous bone that can be harvested as a graft from the anterior and posterior iliac crests using 3-dimensional computed tomography (CT) and software in a living adult population. We selected random CT scans of the pelvis from 31 men and 29 women from the Department of Radiology imaging database. CT data in DICOM file format were imported into the Mimics software. Read More

    Impact of dysfunction of the facial nerve after superficial parotidectomy: a prospective study.
    Br J Oral Maxillofac Surg 2017 Aug 21. Epub 2017 Aug 21.
    Department of Oral and Maxillofacial Surgery, Virgen del Rocio University Hospital, Manuel Siurot Av., Seville 41013, Spain. Electronic address:
    To evaluate the impact of dysfunction of the facial nerve after superficial parotidectomy for pleomorphic adenoma of the superficial lobe, we prospectively analysed the data of 79 patients using the Facial Disability Index (FDI) and the Short-Form 36-Item (SF-36) questionnaires up to 12 months postoperatively. The function of the facial nerve was grading on the House-Brackmann Scale. Results at 1 week and 1, 3, 6, and 12 months were compared with preoperative (baseline) measurement. Read More

    Postoperative complications after head and neck operations that require free tissue transfer- prevalent, morbid, and costly.
    Br J Oral Maxillofac Surg 2017 Aug 12. Epub 2017 Aug 12.
    Dept. of Neuroanaesthesia, Queen Elizabeth University Hospital, Glasgow. Electronic address:
    To understand and reduce the impact of postoperative complications, we studied 568 patients who had had operations over 72 months in our hospital. Multivariate analysis indicated that factors indicative of coexisting conditions (including activated systemic inflammation) and the complexity of the operation are primary determinants of postoperative complications. The enhanced recovery after surgery (ERAS) care pathway did not have an effect on their occurrence or severity. Read More

    Should patients take vitamin D before mandibular operations?
    Br J Oral Maxillofac Surg 2017 Aug 10. Epub 2017 Aug 10.
    Department of Oral and Maxillofacial Surgery, Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE, UK.
    Vitamin D deficiency is endemic in the United Kingdom (UK), particularly in high-risk groups. We report the outcomes of patients with low concentrations of the vitamin who had complications after reduction of mandibular fractures or osteotomy, and those who were screened preoperatively. A deficiency can be diagnosed with a simple and inexpensive blood test, and in the UK the cost of a vitamin D tablet is about £0. Read More

    Medication-related osteonecrosis of the jaw in oncological patients with skeletal metastases: conservative treatment is effective up to stage 2.
    Br J Oral Maxillofac Surg 2017 Jul 28. Epub 2017 Jul 28.
    Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.
    There is currently no widespread strategy for treating medication-related osteonecrosis of the jaw (MRONJ), so our aim was to evaluate retrospectively the outcome of a minimally invasive treatment protocol for patients with both MRONJ and cancer. We designed a retrospective cohort study of patients with cancer who had been diagnosed with MRONJ after treatment with denosumab or bisphosphonates given intravenously. Primary outcome measures were improvement in the clinical stage of MRONJ and the time course to its resolution. Read More

    Free flap reconstruction for patients aged 85 years and over with head and neck cancer: clinical considerations for comprehensive care.
    Br J Oral Maxillofac Surg 2017 Jul 20. Epub 2017 Jul 20.
    Department of Oral and Maxillofacial-Head and Neck Oncology, Ninth People's Hospital School of Medicine, Shanghai Jiao Tong University. Electronic address:
    We aimed to identify and evaluate the clinical challenges involved in microvascular flap reconstructions of defects caused by resection of head and neck cancer among patients aged 85 and over. We designed a retrospective study of patients who were treated in the head and neck department of a tertiary referral centre from 2005 to 2015, and all patients aged 85 years and over who had reconstructions with microvascular flaps for head and neck cancer were entered into the study. A total of 24 patients fulfilled the criteria, of whom 15 were men and nine were women. Read More

    Minimally-invasive removal of a screw in the mandibular condyle using computer-assisted navigation.
    Br J Oral Maxillofac Surg 2017 Jul 20. Epub 2017 Jul 20.
    The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and The Key Laboratory of Oral Biomedicine Ministry of Education, Wuhan University, Wuhan, China; Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, China. Electronic address:

    Severe distortion of an orbital titanium mesh implant after recurrent facial trauma: a potential threat to the orbital contents?
    Br J Oral Maxillofac Surg 2017 Jul 20. Epub 2017 Jul 20.
    Hôpitaux Universitaire de Genève, Department of Surgery, Division of Oral and Maxillofacial Surgery, Faculty of Medicine, Genève, Switzerland.
    Titanium mesh implants have proved their effectiveness in the reconstruction of fractures of the orbital wall, and their compromise between stiffness and elasticity allows for optimal support of the orbital contents. However, after recurrent orbital trauma, these implants (even when properly positioned) can become a potential "penetrating object" that threatens the critical adjacent anatomical structures. We report the case of a patient with recurrent facial trauma whose orbit had previously been reconstructed with a titanium implant, and which resulted in severe deformation. Read More

    Management of upper and lower molars that are displaced into the neighbouring spaces.
    Br J Oral Maxillofac Surg 2017 Jul 20. Epub 2017 Jul 20.
    Ankara University, Faculty of Dentistry, Oral and Maxillofacial Surgery Department. Electronic address:
    Our aim was to describe our experience of retrieval of accidental displacements of upper and lower molars into neighbouring anatomical spaces. Thirteen patients were evaluated retrospectively in terms of age, sex, affected side, jaw (mandible or maxilla), surgeon's experience, whether the extracted teeth had erupted, which portion of the tooth or teeth was displaced, the anatomical space into which the fragment was displaced, postoperative complaints, timing of the retrieval, type of anaesthesia, and surgical approach. There were no significant differences in sex, affected side, which part of the tooth was displaced, whether the extracted teeth had erupted, type of anaesthesia, or timing of retrieval. Read More

    Intraosseous spindle cell lipoma of the mandible: case report.
    Br J Oral Maxillofac Surg 2017 Jul 20. Epub 2017 Jul 20.
    Royal Brisbane and Women's Hospital.
    We describe what is to our knowledge the first reported intraosseous spindle cell lipoma of the mandible. It is the first spindle cell lipoma we have seen that shows dental resorption, and the largest that we have seen published (60×30×20mm). Read More

    A common password improves validation rates for elogbook: A brief overview of how a shared password is a secure and effective method of improving rates of validation of trainees' procedures in elogbook.
    Br J Oral Maxillofac Surg 2017 Jul 14. Epub 2017 Jul 14.
    Department of Oral and Maxillofacial Surgery, Aintree University Hospitals NHS Foundation Trust, University Hospital Aintree, Lower Lane, Liverpool L9 7AL.

    Sialoendoscopy combined with an internal stent and postoperative massage as a comprehensive treatment of delayed I(131)-induced parotitis.
    Br J Oral Maxillofac Surg 2017 Sep 8;55(7):674-678. Epub 2017 Jul 8.
    Department of Oral and Maxillofacial Surgery, 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, #237 Luo Yu Road, Wuhan, Hubei, PR China.
    A common complication of radioiodine (I(131)) treatment of thyroid cancer is parotitis. Here we describe our clinical experience in treating delayed I(131)-induced parotitis using sialoendoscopy together with an internal stent and postoperative massage. In this retrospective cohort study we reviewed 32 patients who were treated in that way under general anaesthesia between July 2010 and March 2015. Read More

    Corrigendum to Aetiology, pathogenesis, and specific management of Stahl's ear: role of the transverse muscle insertion: [British journal of Oral and Maxillofacial Surgery 51/8 (2013) e230-233].
    Br J Oral Maxillofac Surg 2017 Sep 6;55(7):e48. Epub 2017 Jul 6.
    Service de chirurgie maxillo-faciale, Groupement Hospitalier Nord, Centre Hospitalo-Universitaire de Lyon, Université Claude Bernard Lyon 1, 103 Grande Rue de la Croix-Rousse, 69004 Lyon, France. Electronic address:

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