Applying the British Association of Oral and Maxillofacial Surgeons Quality Outcomes Metrics to a UK Oncology and Reconstructive Surgery Service- Benchmarking the Data
The British Association of Oral and Maxillofacial Surgery is soon to implement the Quality Outcomes in Oral in Maxillofacial Surgery (QOMS) to provide a platform for quality management across the specialty in the UK. The initial oncology and reconstruction audits for QOMS involves data collection on specific procedures and metrics. The aim of this report is to determine their appropriateness using extant audit datasets in our institution that overlap substantially with the QOMS audits. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - June 11, 2021 Category: ENT & OMF Authors: Peter Steele, Jeremy McMahon, Kirsty Dickson, Farhan Zubair, Fabien Puglia, Grace McMahon, Craig Wales, James McCaul, Mark Ansell, Stuart Hislop, Ewen Thomson, Shiva Subramaniam Source Type: research

Supine scapular flap harvest planning using staging imaging of the thorax
Harvest of scapular free flaps for head and neck reconstruction has previously been described in the supine position1, avoiding the need for turning the patient part way through the procedure, with the additional advantage of early identification of the vascular pedicle, and the possibility of 2 teams operating simultaneously to allow reduced operative time. Alternatives include putting the patient in a semi-decubitus position2 allowing rotation of the operating table3. Harvest of a true scapular soft tissue flap based upon the transverse cutaneous branch can be challenging in the supine position, particularly as classical...
Source: The British Journal of Oral and Maxillofacial Surgery - June 10, 2021 Category: ENT & OMF Authors: Iain Varley, Peter Metherall Source Type: research

Retropharyngeal lymph node metastasis in oral cancer. Systematic review and survival analysis
Metastasis to retropharyngeal lymph nodes (RPLN) from oral squamous cell carcinoma is rare and associated with poor outcomes. The poor prognosis of RPLN is multifactorial and includes the clinicopathological aggressiveness of the primary disease and the late presentation. The aim of this systematic review is to assess the evidence on RPLN in patients diagnosed with oral squamous cell carcinoma (OSCC), the quality of the diagnostic modalities and the available treatment options. We aimed to analyse the overall survival of these patients diagnosed with RPLN. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - June 9, 2021 Category: ENT & OMF Authors: Ahmed Abdelrahman, David McGoldrick, Aaina Aggarwal, Matthew R. Idle, Prav Praveen, Tim Martin, Sat Parmar Source Type: research

RE: Broderick D, Vassiliou L, Kyzas P. Use of the subclavian vessels for microvascular reconstruction in the vessel-depleted neck. A historical solution to a modern problem – the reverse flow, pedicled radial forearm flap as a back-up option in head and neck reconstruction
We read with interest the short communication by Broderick et al.1 They detail their experience of a single case of head and neck free tissue transfer, performed in a vessel depleted neck, where the subclavian artery and vein were used as recipient vessels. In response to their article, we would like to raise a number of points of interest and gently suggest a safe, historical alternative, for such a challenging case. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - June 8, 2021 Category: ENT & OMF Authors: C. Honeyman, M. Eschete, V. Patel, D. Martin, M. McGurk Tags: Letter to the Editor Source Type: research

Comment on: “Reverse umbrella technique – percutaneous reduction of frontal bone fracture using an intermaxillary fixation screw device”
We read with great interest the study published by Maharaj et al. entitled “Reverse umbrella technique – percutaneous reduction of frontal bone fracture using an intermaxillary fixation screw device” in British Journal of Oral and Maxillofacial Surgery1. In this technical note, the authors have described their percutaneous screw reduction technique for the treatment of noncomminuted isolated anterior table fracture of the frontal sinus with the use of intermaxillary fixation (IMF) screws. We agree that percutaneous reduction techniques should be used for treatment of these type of fractures whenever possi...
Source: The British Journal of Oral and Maxillofacial Surgery - June 6, 2021 Category: ENT & OMF Authors: Gokhan Sert, Halil İbrahim Canter, Emin Mavili Source Type: research

Surgical Excision of Non-Melanoma Skin Cancer: No End in Site?
Non-melanoma skin cancer (NMSC) is the most common type of cancer in the UK and Ireland, accounting for approximately 20% of all new malignancies recorded, with evidence of increasing incidence. Surgical excision is regarded as the gold standard treatment for such lesions; however, incomplete excision incurs both physical and financial strain on patients and the healthcare service. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - June 5, 2021 Category: ENT & OMF Authors: Rhea Chouhan, Raveena Patel, Kaveh Shakib, Konstantinos Mitsimponas Source Type: research

Haemorrhage control beyond Advanced Trauma Life Support (ATLS) protocol in life threatening maxillofacial trauma – experience from a level Ⅰ trauma centre
Maxillofacial injuries are usually not life-threatening and do not get priority over other associated injuries. However, some maxillofacial injuries with active oral or nasal bleeding need immediate management due to threatened airway and blood loss. In the case of major active vascular bleeding, measures such as local pressure, anterior nasal packing, posterior nasal packing, and balloon tamponade are ineffective. In these cases, angiography and transcatheter arterial embolisation (TAE) are used to treat life-threatening haemorrhage caused by maxillofacial trauma. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - June 3, 2021 Category: ENT & OMF Authors: P.M.U.D. Dar, P. Gupta, R.P. Kaul, A. Kumar, S. Gamangatti, S. Kumar, A. Gupta, M. Singhal, S. Sagar Source Type: research

Medical, dental and dual-degree “Oral-Maxillofacial” signatures – What have I seen over the past 22 years?
I read with great interest the article by Al-Muharraqi1 recently published in this journal and would like to share some information on oral-maxillofacial surgery (OMFS) in 3 countries with different OMFS: dental-based (I was a lecturer/hospitalist in Thailand: 1999-2003), medical-based (I was a trainee and Master/PhD student in France: 2003-2008) and dual-qualified (I have been a staff-graded and later consultant surgeon in Germany: since 2008) (Table 1). Medical-based and double-degree OMFS curricula in France and Germany focus mainly on full-scope OMFS/head and neck surgery without other medical rotations. (Source: The B...
Source: The British Journal of Oral and Maxillofacial Surgery - June 1, 2021 Category: ENT & OMF Authors: Poramate Pitak-Arnnop Tags: Letter to the Editor Source Type: research

Going beyond the limitations of the non-patient-specific implant in titanium reconstruction of the orbit
We present a case series of 41 Consecutive patients treated in London and Bern between March 2019 and September 2020 with extensive defects reconstructed with patient specific orbital plates. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - June 1, 2021 Category: ENT & OMF Authors: Simon Holmes, Fabian Lukas Schlittler Source Type: research

Predictors of the severity of oral submucous fibrosis among gutka consumers: a regression analysis
Oral submucous fibrosis (OSMF) is an insidious chronic disease of the oral mucosa that is characterised by severely limited mouth opening, blanching of the oral mucosa, and a burning sensation in the oral cavity. Consumption of betel nut and/or gutka are the known risk factors.We undertook this study to correlate the frequency and duration of gutka intake with the severity of OSMF and to determine the predictors of severe OSMF (mouth opening (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 30, 2021 Category: ENT & OMF Authors: H.K. Siddiqui, F.R. Khan, A. Sadiq, U. Hashmi, Z. Qaiser Source Type: research

Trialling a Novel Socially- Distanced Teaching Approach for OMFS Dental Core Trainees: Case- Based Discussions Through WhatsApp ©
In our tertiary level centre the Oral and Maxillofacial (OMFS) rotas often change at short- notice due to service requirements and developing guidance relating to the Covid-19 pandemic. Consequently, we developed a novel teaching method for our Dental Core Trainees (DCTs) to accommodate hectic schedules and conflicting availability between junior and senior staff. Here, we describe the innovative teaching approach we have established using case- based discussions via Whatsapp ©. Feedback has been excellent; respondents stated the most useful aspect is flexibility to participate in-between tasks and across multiple sit...
Source: The British Journal of Oral and Maxillofacial Surgery - May 30, 2021 Category: ENT & OMF Authors: Aysha Mariam Nijamudeen, Graeme Brown, Stuart Clark Tags: Short communication Source Type: research

Editorial Board
(Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 28, 2021 Category: ENT & OMF Source Type: research

Comparison of the effect of tranexamic acid at various concentrations on the degradation time of platelet-rich fibrin
This study aimed to compare platelet-rich fibrin (PRF) membranes obtained using a conventional method and those obtained using the tranexamic acid-mixed method at various concentrations in terms of appearance, weight, and degradation period. In this in vitro study, 20 PRF membranes were divided into four groups, including a conventional group manipulated using the conventional method. The remaining groups were prepared using tranexamic acid at concentrations of 50, 150, and 200  mg. The PRF membranes were evaluated for gross weight, degradation period, and daily remaining weight for 28 days. (Source: The British Jou...
Source: The British Journal of Oral and Maxillofacial Surgery - May 28, 2021 Category: ENT & OMF Authors: Ekapong Dechtham, Yuthakran Aschaitrakool Source Type: research

Comparison of Single Photon Emission Computed Tomography (SPECT) and implantable Doppler in the monitoring of a vascularised fibular free flap for reconstruction of the mandible
In this study, we aim to compare the accuracy of implantable Doppler and scintigraphy in the monitoring of a vascularised buried fibular graft for reconstruction of the mandible. In a prospective cohort study, an implantable Doppler was placed intraoperatively, and Single Photon Emission Computed Tomography (SPECT) was taken in patients when abnormal blood flow was detected via the implantable Doppler or 48 hours after operations in patients with normal signals on the Doppler. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 27, 2021 Category: ENT & OMF Authors: R. Tabrizi, M.A. Okhovatpour, M. Hassani, A. Rashad Source Type: research

Comparison of the efficacy of 4% articaine with epinephrine 1:100,000 and 2% lidocaine with epinephrine 1:100,000 buccal infiltration for single maxillary molar extraction: a double-blind, randomised, clinical trial
The present study was designed to compare the efficiency of 4% articaine with epinephrine 1:100,000 and 2% lidocaine with epinephrine 1:100,000 in providing adequate anaesthesia for maxillary molar extraction with buccal infiltration only. In this randomised, double-blind clinical trial, 139 patients who needed maxillary molars extracting were enrolled. Individuals were randomly divided into two groups of 2% lidocaine with epinephrine 1:100,000 treated by buccal infiltration without palatal injection and 4% articaine with epinephrine 1:100,000 treated with the same method. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 27, 2021 Category: ENT & OMF Authors: F. Rayati, M. Haeri, A. Norouziha, R. Jabbarian Source Type: research

The Advent of the Virtual MDT Meeting: Do Remote Meetings Work?
The MDT is key in the management and decision-making process of Head and Neck Cancer. The sudden shift to virtual meetings due to the COVID pandemic has been arguably the most dramatic change since inception of the MDT. No studies have evaluated the Head and Neck MDT since this change in working. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 27, 2021 Category: ENT & OMF Authors: Hussein Mohamedbhai, Sancia Fernando, Harmony Ubhi, Simran Chana, Bhavin Visavadia Source Type: research

Reply to Bowe et al: Comparison of the eighth edition of the TNM and Brigham Women's Hospital staging systems for cutaneous squamous cell carcinoma of the head and neck: a six-year review
The comparative retrospective study by Bowe et al. looks to evaluate the performance of the recently adopted eighth edition of Union for International Cancer Control (UICC) TNM Classification of Malignant Tumours against an alternative, Brigham and Women ’s Hospital staging system, for cutaneous SCC (cSCC) of the head and neck, in regards to T stage and the effect on local recurrence and nodal disease.1 We read with interest as this study provides a valuable insight into the performance of the two tumour staging systems for cSCC of the head and ne ck in a British population, which to our knowledge has not been studie...
Source: The British Journal of Oral and Maxillofacial Surgery - May 26, 2021 Category: ENT & OMF Authors: Chad Chang, Samuel P. Munro, Daniel Kyle Tags: Letter to the Editor Source Type: research

Response to letter to the editor on publication “Comparison of the eighth edition of the TNM and Brigham Women's Hospital staging systems for cutaneous squamous cell carcinoma of the head and neck: a six-year review”
I read with great interest the letter relating to our recent paper.1 I would like to thank the authors for their kind and interesting comments. There are some important distinctions between different staging systems for cutaneous squamous cell carcinoma (cSCC) and we are grateful for highlighting them, and we hope this has initiated some fruitful discussion. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 26, 2021 Category: ENT & OMF Authors: C.M. Bowe, S. Walsh Tags: Letter to the Editor Source Type: research

Antibiotic practices in non-condylar mandibular fractures: A Maxillofacial Trainee Research Collaborative (MTReC) UK-Wide Survey
Non-condylar mandibular fractures are considered ‘open’ fractures and as such are considered to require prophylactic antibiotics. There is no overall consensus on the optimal regimen or choice of antibiotics in the pre and post-operative periods due to the lack of high-quality evidence. We set out to ascertain the current UK-wide practice of a ntibiotic prescribing for non-condylar mandibular fractures. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 25, 2021 Category: ENT & OMF Authors: D. Kumar, B.E.S. Dawoud, S. Kent, MTReC, Panayiotis Kyzas Source Type: research

Clinical Negligence Claims in Oral and Maxillofacial Surgery over the last ten years
The cost of harm from clinical activity in the last year was £8.3 billion according to NHS Resolution. The steady increase in litigation within the NHS has led to concerns being raised regarding the sustainability of the NHS, the increasing practice of defensive medicine and the psychological impact on healthcare professionals. Litigation within Oral and Max illofacial Surgery has not been investigated in the UK since 2010 therefore our aims were to identify the trends within our specialty and the common reasons for negligence claims over the last ten years. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 23, 2021 Category: ENT & OMF Authors: Asad Ahmed, David M McGoldrick, Ross Elledge Source Type: research

Antibiotic prophylaxis in Orthognathic Surgery: an overview of systematic reviews
The purpose of this overview was to assess different antibiotic regimens used in orthognathic surgery and establish an evidence-based protocol so that beneficial and adverse effects can be determined. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 18, 2021 Category: ENT & OMF Authors: Ariane Paredes de Sousa Gil, Orion Luiz Haas Jr, Agustin Machado-Fern ández, Mauricio Esteban Muñoz-Pereira, Bibiana Daldasso Velasques, Biniana Melo da Rosa, André Xavier Padilha Favoreto, Rogério Belle de Oliveira Source Type: research

Systematic review and meta-analysis of tracheostomy outcomes in covid-19 patients
A systematic review and meta-analysis of the entire COVID-19 Tracheostomy cohort was conducted to determine the cumulative incidence of complications, mortality, time to decannulation and ventilatory weaning. Outcomes of surgical versus percutaneous and outcomes relative to tracheostomy timing were also analysed. Studies reporting outcome data on patients with COVID-19 undergoing tracheostomy were identified and screened by 2 independent reviewers. Preferred Reporting Items or Systematic Reviews and Meta-Analysis (PRISMA) guidelines were followed. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 17, 2021 Category: ENT & OMF Authors: Ashley Ferro, Sanjeev Kotecha, Georg Auzinger, Elizabeth Yeung, Kathleen Fan Tags: Review Source Type: research

Does arthroscopy cause more complications than arthrocentesis in patients with internal TMJ disorder? Systematic review and meta-analysis
The objective of this study is to compare, through a systematic review with a meta-analysis, risks of arthroscopy and arthrocentesis in temporomandibular joint. MEDLINE / PUBMED, EMBASE, Cochrane Library (CENTRAL), Web of Science, SCOPUS were the researched databases, as well as gray literature and manual search. The search result showed 656 studies, but only five met the eligibility criteria. The evaluation included 194 joints (104 patients): 101 arthroscopy and 93 arthrocentesis. Complications were observed in four patients undergoing arthroscopy (two temporary facial paralysis and two prolonged cervical edema) and in th...
Source: The British Journal of Oral and Maxillofacial Surgery - May 15, 2021 Category: ENT & OMF Authors: Emerson Filipe de Carvalho Nogueira, Cleidiel Aparecido Ara újo Lemos, Ricardo José de Holanda Vasconcellos, Sandra Lúcia Dantas Moraes, Belmiro Cavalcante do Egito Vasconcelos, Eduardo Piza Pellizzer Tags: Review Source Type: research

Re: Aggression directed towards members of the oral and maxillofacial surgical team
I am writing in response to Mannion and Gordon ’s1 paper regarding aggression directed towards members of the oral and maxillofacial team. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 15, 2021 Category: ENT & OMF Authors: Anna Beaven Tags: Letter to the Editor Source Type: research

Mediastinitis of odontogenic origin. A serious complication with 80 years of history
We performed a systematic review of the literature about descending necrotising mediastinitis (DNM) of odontogenic origin. In parallel, a retrospective review of this pathology was carried out in an Oral and Maxillofacial Surgery Service of a reference hospital for a population of 1,100,000 inhabitants. The main objectives were to determine changes in mortality and prevalence of this serious complication. The systematic review included 51 articles with 89 patients and our study comprised seven patients. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 14, 2021 Category: ENT & OMF Authors: M.F. Escobedo, L.M. Junquera, J. Megias, L. Garc ía-San Narciso, M.J. Fernández, S. Junquera Source Type: research

A Novel Modification of Infrahyoid Myocutaneous Flap for Reconstruction of Oral Cavity Defects
This study is intended to describe the technique used and the results obtained with the modification of the infrahyoid flap (IHF) for the reconstruction of oral tongue defects following resection for advanced squamous cell carcinoma (SCC). (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 14, 2021 Category: ENT & OMF Authors: Mehrdad Jafari, Reza Hekmati, Ebrahim Karimi, Farrokh Heidari, Sepideh Alvandi, Kayvan Aghazadeh, Mohammadreza Firouzifar, Reza Erfanian, Saeed Sohrabpour Source Type: research

Hilotherapy following orthognathic surgery – Patient and Cost perspective
A meta-analysis evaluating the effect of hilotherapy following orthognathic surgery demonstrated improvements in postoperative pain and swelling.1 In this prospective survey, we investigated the patient experience with hilotherapy following orthognathic surgery. Forty-five respondents completed the questionnaire. A high proportion of respondents found the Hilotherm mask to be comfortable (n  = 40), were willing to wear it at home (n = 37) and were willing to pay for the rental service (n = 35). This high patient-reported positive experience suggests that at-home use of hilotherapy ...
Source: The British Journal of Oral and Maxillofacial Surgery - May 11, 2021 Category: ENT & OMF Authors: Krishantini Mahendran, Montey Garg, Daniel Armstrong, Kenneth Sneddon Tags: Short communication Source Type: research

Orogastric intubation with dental fixation for enteral nutrition: a proof-of-concept study
In this crossover trial, we evaluated a new technique for enteral nutrition using orogastric intubation. Twelve volunteers were randomly assigned to both orogastric (OGI) and conventional nasogastric intubation (NGI) with a 15-day interval. The tip of the orogastric tube was fixed intraorally into an upper molar. Participants were asked to remain intubated for 24 hours and rated efficacy and safety using a Likert scale (1: worst / 10: best). Tolerance in hours was longer during OGI (median 21 versus 12.5; p=0.022). (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 10, 2021 Category: ENT & OMF Authors: R. dos Santos, Á. Della Bona, F. Fornari Source Type: research

Position of the mandibular canal before and after bilateral sagittal split ramus osteotomy: a cone beam computed tomography study
To evaluate the position of the mandibular canal (MC) before and after bilateral sagittal split ramus osteotomy (BSSRO) using cone-beam computed tomography and to compare the position of MC in Class II and Class III in the preoperative period. Patients were divided into Group 1 - Class II (n  = 38); Group 2 - Class III (n = 41). Measurements of the superior, inferior, buccal and lingual distances of the MC in relation to the cortical bone were performed at three levels located in proximal segment of the mandible. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 10, 2021 Category: ENT & OMF Authors: Fernanda Chiguti Yamashita, Lilian Cristina Vessoni Iwaki, Amanda Lury Yamashita, Elen de Souza Tolentino, Vinicius Eduardo de Oliveira Verginio, Talita Evelin Nabarrete Trist ão de Moraes, Mariliani Chicarelli, Liogi Iwaki Filho Source Type: research

Accuracy of mid-face advancement using patient specific osteotomy/plates locating surgical guides with pre-bent plates vs conventional interocclusal wafer in quadrangular Le Forte II osteotomy: A randomized controlled trial
The aim of this study was to assess the accuracy of quadrangular Le Fort II osteotomy and mid-face advancement utilizing digitally fabricated surgical guides with pre-bent plates compared to the conventional interocclusal wafers. Twenty patients with mid-face deficiency were allocated randomly in two groups: Patient specific osteotomy/plates locating surgical guides and pre-bent titanium mini-plates were utilized in the study group while conventional interocclusal wafers with intraoperatively adapted titanium mini-plates were utilized in the control group. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 10, 2021 Category: ENT & OMF Authors: Mohammed Omara, Sherif Ali, Mamdouh Ahmed Source Type: research

Extra-oral vertical ramus osteotomy combined with internal fixation for the treatment of mandibular deformities
We examined retrospectively the long-term stability and post-operative complications for patients with mandibular deformities who underwent EVRO with internal rigid fixation. Patients who were treated with EVRO for a mandibular deformity in the period 2008 –2017 at Clinic of Oral and Maxillofacial Surgery, Mölndal, Sweden were included (N = 26). (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 10, 2021 Category: ENT & OMF Authors: Behnosh Öhrnell Malekzadeh, Carl-Johan Ivanoff, Anna Westerlund, Roxana MadBeigi, Lars-Olof Öhrnell, Göran Widmark Source Type: research

Application of NATROX ® topical oxygen therapy in neck wounds after radiotherapy
A 75-year-old Asian man presented with Notani Grade 3 osteoradionecrosis of the right mandible with an orocutaneous fistula. He underwent ablative resection with fibular free flap and pectoralis major myocutaneous flap reconstruction. Unfortunately, the neck wound dehisced with purulent discharge from the mandible. Initial management involved antibiotic therapy, debridement, and wound dressings. Further breakdown ensued, exposing the bone and mandibular reconstruction plate (Fig. 1). We debrided the wound, sectioned the exposed plate at the wound edges, and covered with an Integra ® dermal regeneration template and a s...
Source: The British Journal of Oral and Maxillofacial Surgery - May 8, 2021 Category: ENT & OMF Authors: A. Atherley, S. Mumtaz, K. Bickers, J. Dunn, D. Komath Tags: Technical note Source Type: research

Accuracy and cost effectiveness of a waferless osteotomy approach, using patient specific guides and plates in orthognathic surgery: a systematic review
The aim of this systematic review is to evaluate the accuracy of waferless osteotomy procedures in orthognathic surgery with a secondary aim to determine the cost-effectiveness of the procedure. A literature search was conducted on the databases PubMed and Scopus, with PRISMA guidelines followed. An initial yield of 4149 articles were identified, ten of which met the desired inclusion criteria. The total sample of patients undergoing waferless osteotomies included in this review was 142 patients. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 8, 2021 Category: ENT & OMF Authors: Ailish Williams, Kieran Walker, Declan Hughes, Alexander M.C. Goodson, Shakir F. Mustafa Source Type: research

‘Hello, MaxFax on-call?’ – maxillofacial ‘bleep sheet’ proforma for on-call referrals
The on-call component of a dental core training (DCT) post in oral and maxillofacial surgery (OMFS) is considered to be the most daunting and challenging aspect of the job. The average trainee is a singly-qualified dentist with limited knowledge and experience of managing OMFS presentations. Given the short duration of DCT posts, there is a continual rotation of junior staff through OMFS departments with a varying skillset and knowledge mix. As such, the consistent recording of appropriate information remains a constant challenge. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 7, 2021 Category: ENT & OMF Authors: C.C. Donnell, R. Mamidela, B.D. Swinson Source Type: research

Outcomes of free flap reconstructive surgery in Head and Neck cancer patients over eighty years old
An increasing elderly population in the United Kingdom has led to an increasing number of older patients with head and neck cancer, resulting in a greater demand for complex head and neck reconstructive surgery in this potentially high-risk age group. A possible perceived poorer tolerance to such major treatment risks under-treating some of these patients. The purpose of this study was to assess the outcomes in the elderly population (older than 80 years old) who had undergone free flap reconstruction following head and neck cancer resection. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 7, 2021 Category: ENT & OMF Authors: O. Mitchell, E. Kelly, M. Ethunandan, N. Horlock, S. Sharma, R.P. Singh Source Type: research

BAOMS Surgery Prize 2019 Citation for Mr Niall M H McLeod
Niall Mark Hamilton McLeod was born in Hamburg, Germany on 8 June 1971 to Ian and Marion McLeod. Ian ’s pursuit of career opportunities led the McLeod family to relocate several times and by the age of 5, Niall had lived in Germany, France, Zaire (now the Democratic Republic of Congo), and Canada. After attending local primary schools, Niall boarded with his brother, Euan, at Rannoch School in Pe rthshire, Scotland. Being in the middle of nowhere, weekends were spent trekking across the highlands, or playing sports, most notably cross-country skiing where he came 3rd at Scottish schools under 16 s. (Source: Th...
Source: The British Journal of Oral and Maxillofacial Surgery - May 3, 2021 Category: ENT & OMF Authors: Elizabeth A Gruber, Niall MH McLeod Source Type: research

Malignant tumours of the parotid gland: management of the neck (including the clinically negative neck) and a literature review
Major salivary gland malignancies are rare, constituting 1%-3% of head-neck tumours. The surgical management of the clinically negative neck (cN0) does not have a univocal consensus yet. We have carried out a retrospective study on 119 cases of malignant parotid tumours that were surgically treated between January 1999 and January 2014. Our aim was to analyse preoperative findings (cytotype, cTNM) and to correlate these with postoperative results (grading, histotype, occult neck metastasis) in patients with parotid tumours to obtain an appropriate indication for neck management. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 3, 2021 Category: ENT & OMF Authors: G. Dell'Aversana Orabona, G. Salzano, V. Abbate, P. Bonavolont à, U. Committeri, F. Seidita, M. Petrocelli, T. Somma, G. Improta, L.A. Vaira, G. Iaconetta, L. Califano Source Type: research

Hyperbaric oxygen therapy for the placement of dental implants in irradiated patients: systematic review and meta-analysis
This study was a systematic review with meta-analysis to evaluate the influence of hyperbaric oxygen therapy (HBOT) on the survival of dental implants placed in patients who had had radiotherapy for cancer of the head and neck. A systematic literature search was conducted using the PubMed/Medline, Science Direct, Embase and the Cochrane Library, between January 1985 and July 2018. The study observed the PRISMA (Preferred Reporting Items for Systematic review and Meta-Analysis) declaration and norms, and the systematic review was duly recorded in the PROSPERO (International prospective register of systematic reviews) databa...
Source: The British Journal of Oral and Maxillofacial Surgery - May 3, 2021 Category: ENT & OMF Authors: A.F. Benites Condezo, R.Z. Araujo, D.H. Koga, M.M. Curi, C.L. Cardoso Tags: Review Source Type: research

Risk factors for bad splits during sagittal split ramus osteotomy: a retrospective study of 964 cases
To identify the potential risk factors for bad splits, we calculated the incidence of bad splits from 484 patients with 964 cases of sagittal split ramus osteotomy (SSRO) and investigated the association between the occurrence of bad splits and risk factors such as gender, patients ’ age, class of occlusion, unimaxillary or bimaxillary surgery, presence of the lower third molar, thickness of the ascending ramus, and the distance from the mandibular canal to the buccal cortical bone. The results showed that 40 sides (4.149%) with bad splits occurred in 36 patients (7.438%). (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 3, 2021 Category: ENT & OMF Authors: N. Jiang, M. Wang, R. Bi, G. Wu, S. Zhu, Y. Liu Source Type: research

The potential no man ’s land for the 4th year dental graduate
The Royal College of Surgeons of England stipulates that to hold a substantive specialty or associate specialist (SAS) grade post a person must be a minimum of 4 years post-graduation and have at least 2 years ’ experience in their chosen speciality. We have noticed an increasing number of excellent applications for specialty doctor adverts posted by our trust without the necessary 4 years of post-graduate experience. Many of these applicants who do not comply with the RCS stipulations may be forced to take a job outside of their chosen career path. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 1, 2021 Category: ENT & OMF Authors: Tristan Bradshaw, Daryl R.P. Godden, Margaret J. Coyle, Bart Finley, Iffy Beaumont, Andrea N. Beech Source Type: research

The Use of Computer Aided Three-Dimensional Prototyping to Surgically Assist in Tooth Autotransplantation
Autotransplantation is a surgical technique where a donor tooth belonging to the same individual is re-positioned into a surgically prepared socket or a site of a previous tooth extraction. This procedure is beneficial in patients with teeth affected by agenesis, trauma, significant caries, non-restorable condition or are prognostically poor due to other pathology. Autotransplantation is particularly useful in paediatric patients as properly transplanted teeth have a vital periodontium that allow for continuous growth and functional adaptation leading to preservation of the alveolar ridge. (Source: The British Journal of O...
Source: The British Journal of Oral and Maxillofacial Surgery - May 1, 2021 Category: ENT & OMF Authors: Jason Tong, Ben Rahmel, Jen-Ti (Rachel) Hsieh, Geoffrey Findlay Source Type: research

Response to letter regarding Clinical Outcomes of Nerve Repair 10.1016/j.bjoms.2020.07.005
We would like to thank you for our interest in our paper. We would agree that surgery at one month post-injury would be rarely indicated, as a significant proportion of injuries may recover either fully, or to a level where surgery would not be beneficial to a patient. Our suggested management protocol, suggests that if ‘limited or no recovery’ is seen one month post-injury, referral should be made for assessment to a specialist centre such as ours. As highlighted in our paper, in the United Kingdom, many patients have seen significant delay in referral, assessment, and surgery and earlier referrals for poorly ...
Source: The British Journal of Oral and Maxillofacial Surgery - April 26, 2021 Category: ENT & OMF Authors: Simon James Atkins, Elena Kyriakidou Tags: Letter to the Editor Source Type: research

A pilot study to evaluate safety culture perception in the operating theatres of an acute NHS Trust using the National Air Traffic Services (NATS) App
An area critical to safety in an organization is the perceived and actual culture. National Air Traffic Services (NATS) work closely with large safety-critical industries including various aviation companies to enable them to identify strengths and vulnerabilities with an aim to improving safe practice. NATS have developed a simple free downloadable self-assessment App that individuals can use to assess their own culture perception in their organization. The App has 16 questions arranged in four domains but to our knowledge it has not been used to date in healthcare. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 23, 2021 Category: ENT & OMF Authors: Peter A. Brennan, Ayesha Dalal, John Knighton, Richard Jones, Rachel Oeppen Source Type: research

Effectiveness of Glucocorticoids in Orthognathic Surgery: an overview of systematic reviews
Short-term glucocorticoids have been advocated for decades to reduce postoperative swelling, pain, trismus, nausea, and vomiting in patients experiencing maxillofacial surgeries. The purpose of this systematic overview is to identify and assess the best evidence regarding efficacy of glucocorticoid administration in patients who undergo orthognathic surgery. Five databases Medline, Embase, The Cochrane Library, Web of Science, and Epistemonikos were searched from their inception to October 2020. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 22, 2021 Category: ENT & OMF Authors: Maximiliano Bravo Valenzuela, Josefina Bendersky Kohan, Macarena Uribe Monasterio Tags: Review Source Type: research

Editorial Board
(Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 21, 2021 Category: ENT & OMF Source Type: research

Training Groups
(Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 21, 2021 Category: ENT & OMF Source Type: research

Predictive Risk Factors for Facial Nerve Injury in Temporomandibular Joint Replacement Surgery
To determine the prevalence of temporary and permanent facial nerve injury in total TMJ replacement surgery and to identify potential predictive risk factors. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 21, 2021 Category: ENT & OMF Authors: Nadeem R. Saeed, Niall M.H. McLeod Source Type: research

Adverse reactions associated with Perioral Rejuvenation using Laser, Fat and Hyaluronic acid: Systematic Review
Perioral rejuvenation is carried out by surgical and non-surgical tools. The common procedures are laser resurfacing and volumanisation using alloplastic fillers or autogenous fat. Nonetheless, any such procedures are associated with complications. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 21, 2021 Category: ENT & OMF Authors: Anna Sayan, Zeynep Burcin Gonen, Velupillai Ilankovan Source Type: research

Re: Clinical outcomes of lingual nerve repair
It is with great enthusiasm we read the article written by Atkins and Kyriakidou, 20201 regarding the promising clinical outcomes of lingual nerve repair among a case series of 114 patients. As substantiated by the evidence, authors concluded that lingual nerve repair contributed to good sensory outcomes and significant improvements in the incidence and degree of neuropathic pain among patients of all ages despite being delayed. However, in our practice, we found patients who regained a reasonable degree of sensation were willing to accept and did not suffer neurological pain. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 20, 2021 Category: ENT & OMF Authors: Nadeena Sri Swarnagupta Jayasuriya, Sakuntha Ratnapreya, Irosha Rukmali Perera, Loshan Senarathna Source Type: research