Implant-supported oral rehabilitation in oncology patients: a retrospective cohort study
In this study we retrospectively investigated the outcomes of 115 patients (376 dental implants) with a mean (range) follow up of 3.91(0.11-12.76) years. We considered survival of the implants, percentage of those used for prosthetic rehabilitation, time from diagnosis to placement and restoration, additional operations involving soft-tissue revision, and the effects of radiotherapy, chemotherapy, and reconstructive flaps on these outcomes. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 27, 2020 Category: ENT & OMF Authors: J. Patel, H. Antov, P. Nixon Source Type: research

Quality assessment of randomised controlled trials in oral and maxillofacial surgery
Randomised controlled trials are the best way to study the evaluation of treatments. We have evaluated the quantity and quality of clinical trials in three of the main journals in the specialty of oral and maxillofacial surgery between January 2010 and December 2016, using a scientometric analysis, and evaluation by the Jadad scale. In this period, 303 randomised controlled trials (5% of the total) were identified; the largest number of studies were from Asia (45%) followed by Europe (32%). The subgroup that concerned most studies was oral surgery. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 26, 2020 Category: ENT & OMF Authors: B. Trevisan, R.D.P. Garcia, M.L. Musskopf Source Type: research

Provision of Emergency Maxillofacial Service During the COVID-19 Pandemic : A Collaborative Five Centre UK Study
The global pandemic of Coronavirus disease (COVID-19) represents one of the greatest challenges to healthcare systems, and has forced medical specialties to rapidly adapt their approaches to patient care. Oral and Maxillofacial Surgery is considered particularly at risk of disease transmission due to aerosol generation during surgical interventions, patient proximity and operating environment. On day 2 (26th March, 2020) of when severe restrictions in population movement were instigated in the United Kingdom, we began a study to prospectively monitor the presentation and management of maxillofacial emergencies at five hosp...
Source: The British Journal of Oral and Maxillofacial Surgery - May 25, 2020 Category: ENT & OMF Authors: K.K. Blackhall, I.P. Downie, P. Ramchandani, A. Kusanale, S. Walsh, B. Srinivasan, H. Shields, P.A. Brennan, R.P. Singh Source Type: research

Outcome of eminectomy combined with discectomy and silastic interpositional graft for temporomandibular joint dysfunction: a retrospective study of 20 years
Internal derangement of the temporomandibular joint (TMJ) is usually treated conservatively, but about 5% require surgical treatment. We designed a retrospective study to assess the long-term outcomes of eminectomy combined with discectomy and silastic interpositional graft in 44 patients who had chronic TMJ dysfunction that had not responded to traditional conservative treatment and arthrocentesis. The maximum mouth opening, pain score, Wilkes stage, and clinical dysfunction index were measured before, and two years after, operation. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 23, 2020 Category: ENT & OMF Authors: N.N. Baheerathan, A. Sayan, E. Demir, V. Ilankovan Source Type: research

Analysis of velopharyngeal function and speech outcomes of Sommerlad palatoplasty combined with sphincter pharyngoplasty in surgical repair of older patients with cleft palate :experience from a major craniofacial surgery centre in eastern China
We aimed to evaluate velopharyngeal function and speech outcomes of Sommerlad palatoplasty combined with sphincter pharyngoplasty in surgical repair of cleft palate in patients over five years old. Fifty-eight patients were reviewed between the years 2013 and 2017, 31 of whom were treated with Sommerlad palatoplasty combined with sphincter pharyngoplasty, (mean age 15 (range 9 - 22) years), and 27 were treated with Sommerlad palatoplasty alone (mean age 18 (range 10-25) years). Velopharyngeal function was evaluated by radiographic lateral cephalometry and nasoendoscopy. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 23, 2020 Category: ENT & OMF Authors: B.Y. Liu, X.X. Chen, J. Cao, Y. Lu Source Type: research

Is dermis fat arthroplasty better than plain gap arthroplasty? A prospective randomised controlled trial
The aim of the study was to compare interpositional arthroplasty using a dermis fat graft with gap arthroplasty in the management of ankylosis of the temporomandibular joint (TMJ). We organised a prospective randomised study of 22 patients who presented with ankylosis of the TMJ. They were randomised to be treated with either plain gap arthroplasty or dermis fat arthroplasty, and the predictor variable was the method of treatment. The primary outcome variables were mouth opening and pain on jaw exercises. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 23, 2020 Category: ENT & OMF Authors: N.N. Andrade, N. Aggarwal, P. Mathai, S. Nerurkar, H. Desai, V. Gupta Source Type: research

Aerosol-generating procedures in head and neck surgery – can we improve practice after COVID-19?
This study sought to interrogate the literature and evaluate whether which additional measures might provide benefit if routinely adopted in minimising viral transmission. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 23, 2020 Category: ENT & OMF Authors: C. Kerawala, F. Riva Source Type: research

Accuracy of position of cutting and drilling guide for sagittal split guided surgery: a proof of concept study
Guided orthognathic surgery involves increasing the predictability of osteotomy using bone-supported custom-made guides and miniplates specific to the simulation.1,2 (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 21, 2020 Category: ENT & OMF Authors: B. Philippe Source Type: research

Effect of bone marrow mesenchymal stem cells on perforator skin flap survival area in rats
Trans-territory perforator flaps are commonly used to reconstruct large defects of the soft tissues. The distal portion of the flap often becomes necrotic, however, as a result of the jeopardised vasculature of choke zone II. The trophic and vascular regenerative properties of bone marrow mesenchymal stem cells (BMSC) seemed to be a promising approach to prevent flaps becoming ischaemic. The purpose of our study is to evaluate the effects of BMSC on the survival of the three-territory perforator flap. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 20, 2020 Category: ENT & OMF Authors: J.-p. Ding, B. Chen, W.-j. Qian, S.-w. Bao, H.-y. Zhao Source Type: research

Comparison of the postoperative and follow-up accuracy of articulator model surgery and virtual surgical planning in skeletal class III patients
The aim of this study was to evaluate the postoperative and follow-up accuracy of using an intermediate occlusal splint between articulator model surgery (AMS) and virtual surgical planning (VSP) in double-jaw operations. Thirty skeletal class III patients were randomly allocated to have AMS or VSP. In the AMS group surgical planning was done through conventional articulator model surgery, and an intermediate occlusal splint made of acrylic resin was used. In the VSP group the surgical simulation was done virtually, and the same intermediate splint was used in the software and then fabricated using rapid prototyping techno...
Source: The British Journal of Oral and Maxillofacial Surgery - May 20, 2020 Category: ENT & OMF Authors: R. Xu, N. Ye, S. Zhu, B. Shi, J. Li, W. Lai Source Type: research

Skeletal stability in patients with clefts after large maxillary advancements using intraoral distraction
Maxillary hypoplasia is a common outcome in patients with cleft lip and palate after surgical and orthodontic interventions, and maxillary distraction osteogenesis has become a useful procedure for patients with extensive maxillary deformities. The aim of this study was to evaluate long term (two years) stability after maxillary advancement of more than 10mm by distraction osteogenesis in cleft patients using internal devices. We organised a retrospective study on 42 patients with cleft lip and palate using cephalometric analysis before and after maxillary distraction osteogenesis and evaluated them for 24 months. (Source:...
Source: The British Journal of Oral and Maxillofacial Surgery - May 18, 2020 Category: ENT & OMF Authors: A. Rachmiel, S. Turgeman, D. Shilo, D. Aizenbud, O. Emodi Source Type: research

Re: Testing recommendation for COVID-19 (SARS-CoV-2) in patients planned for surgery – continuing the service and ‘suppressing’ the pandemic
A recent publication by Al-Muharraqi recommends a COVID-19 testing protocol which involves both PCR and antibody testing for planned crucial head and neck surgical patients.1 Using the flowchart, surgery would proceed with the exception of where a positive PCR result is obtained in which case the patient would be allowed to recover from the illness and surgery postponed. We solely implemented a PCR testing strategy for all preoperative elective surgical patients in our institution on 31st March. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 16, 2020 Category: ENT & OMF Authors: K. O ’ Connell, F. Fitzpatrick, A. Richmond, M. Foley, F. Martin Tags: Letter to the Editor Source Type: research

Re: Al-Muharraqi MA. Testing recommendation for COVID-19 (SARS-CoV-2) in patients planned for surgery – continuing the service and ‘suppressing’ the pandemic. Br J Oral Maxillofac Surg. 2020 Apr 13 pii: S0266-4356(20)30164-9. doi: 10.1016/j.bjoms.2020.04.014. [Epub ahead of print]
A recent publication by M.A. Al-Muharraqi recommends a COVID-19 testing protocol which involves both PCR and antibody testing for planned crucial head and neck surgical patients.1 Using the flowchart, surgery would proceed with the exception of where a positive PCR result is obtained in which case the patient would be allowed to recover from the illness and surgery postponed. We solely implemented a PCR testing strategy for all pre-operative elective surgical patients in our institution on 31st March. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 16, 2020 Category: ENT & OMF Authors: K. O ’ Connell, F. Fitzpatrick, A. Richmond, M. Foley, F. Martin Tags: Letter to the Editor Source Type: research

Importance of anatomical site in the metastases of auricular cutaneous squamous cell carcinoma: an observational study
Malignancies of the auricular skin tend to metastasise to preauricular, parotid, facial, and level II (possibly to levels IV and V) lymph nodes in an unpredictable manner. Over the years, we have observed that this pattern of metastasis is commonly linked to lesions that involve the lower half of the ear. To find conclusive evidence based on this hypothetical observation, we retrospectively studied 108 patients who presented with squamous cell carcinoma (SCC) of the ear, and looked at the exact auricular site of the lesion at presentation, incidence of metastasis, nodal involvement, treatment, and survival outcome. (Source...
Source: The British Journal of Oral and Maxillofacial Surgery - May 14, 2020 Category: ENT & OMF Authors: A. Sayan, S. Paraneetharan, V. Ilankovan Source Type: research

An unusual cause of a common presentation: a case of metastatic basal cell carcinoma
We present a case highlighting the importance of a thorough history and consideration of metastatic basal cell carcinoma in patients with a basaloid metastasis and an unknown primary. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 12, 2020 Category: ENT & OMF Authors: P. Hankinson, L.H.C. Collins, M. Nusrath, A. Al-Omari, S.A. Khurram Tags: Short communication Source Type: research

Setting up and maximising the usage of an Urgent Dental Care Centre in Blackpool. Sharing our experiences
An integrated Urgent Dental Care Centre with Tier 2 Oral Surgery support was set up in Blackpool starting 24th March 2020. This was in reaction to the COVID-19 pandemic. In the first month 1433 patients had telephone consultations and 713 extractions were performed. The challenges surrounding set up and continuity of care are discussed. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 11, 2020 Category: ENT & OMF Authors: D. Hammond, F. Hughes, P. Stirrup, N. Barkworth Source Type: research

Coronavirus Pandemic: Applying a Whole-of-Society Model for the Whole-of-the World
During a pandemic, a national government is often considered solely responsible for dealing with the outbreak with local-based policies. A whole-of-society approach to a pandemic is evidence-based and used successfully in countries with a history of pandemic infections. This collaborative approach assumes that no single entity has the capacity to successfully manage the dynamic, complex problems that arise in a pandemic environment. Application of the whole-of-society model globally would provide a more harmonious and concerted response with mutual and synergistic benefits to all affected nations. (Source: The British Jour...
Source: The British Journal of Oral and Maxillofacial Surgery - May 11, 2020 Category: ENT & OMF Authors: S.S. Dubb Source Type: research

Success of surgical interventions for direct dental implant-related injuries to the mandibular nerve: a review
To the best of our knowledge there are no guidelines regarding the surgical management of dental implant-related injuries to the mandibular nerve. This review aims to investigate the success of different surgical interventions. Neurosensory injury to the mandibular branch of the trigeminal nerve can occur during administration of local anaesthetic, elevation of the flap, preparation for osteotomy, and placement of the implant. Surgical interventions include extraction of the implant, external decompression, internal neurolysis, excision of a neuroma, neurorrhaphy, nerve grafting, and low-level laser therapy. (Source: The B...
Source: The British Journal of Oral and Maxillofacial Surgery - May 11, 2020 Category: ENT & OMF Authors: L.M. Fee Source Type: research

Is there a difference in judgement of facial appearance depending on ethnic background? Photographic evaluation of facial appearance in orthognathic surgery
Is there a variation in facial ideals depending on ethnic background that affects judgements of outcome in orthognathic surgery? How does the evaluation correlate with patient-reported outcome measures? Two evaluation panels, Singaporean and Swedish, judged photographs of patients undergoing orthognathic surgery taken before and after operation. Improvement in facial aesthetics was calculated between the two ratings. The result was compared between the panels and correlated with health-related quality of life (QoL) measures. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 11, 2020 Category: ENT & OMF Authors: M. Bengtsson, J.S.P. Loh, G. Wall, J.P Becktor, L. Rasmusson Source Type: research

The ‘R’ word – do dental core trainees possess it?
Resilience is the process of "bouncing back" from stresses in life. High resilience is associated with less anxiety and psychological distress, and is therefore an important trait for health professionals. We know of no work to date on the resilience of dental core trainees (DCT) as they make the unique transition from dental practice to a hospital-based setting. To elicit data on the self-perceived resilience of this group, and to find out if resilience correlated with the perceived stress of scenarios in oral and maxillofacial surgery (OMFS), we distributed surveys (the Brief Resilience Scale (BRS) and five cli...
Source: The British Journal of Oral and Maxillofacial Surgery - May 11, 2020 Category: ENT & OMF Authors: N. Adam, C.J. Mannion Source Type: research

Acellular dermal regenerative matrix material “Integra™” as an adjunct for radial forearm free flap donor site closure
Having read with interest the recent review by Pabst et al,1 we would like to add the acellular dermal matrix material “Integra™” to the exhaustive list they have extensively reviewed. We noted that they had excluded any case series of fewer than five patients. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 11, 2020 Category: ENT & OMF Authors: R.J.J. Pilkington, S.K. Bhatia Tags: Letter to the Editor Source Type: research

Human factors recognition at virtual meetings and video conferencing: how to get the best performance from yourself and others
During the current coronavirus pandemic, social distancing and restrictions on travel have resulted in a dramatic rise in the use of technology (including video conferencing) for remote meetings. From local multidisciplinary team (MDT) meetings to national and international committees, this form of communication has been vital to ensure patient-related and other business can continue, albeit in a sometimes unfamiliar environment.In this article we consider some of the human factors elements of remote meetings and provide suggestions to enhance the experience of team and committee members during this unsettling time. (Sourc...
Source: The British Journal of Oral and Maxillofacial Surgery - May 10, 2020 Category: ENT & OMF Authors: R.S. Oeppen, G. Shaw, P.A. Brennan Tags: Review Source Type: research

Re: Toward a consensus view in the management of acute facial injuries during the Covid-19 pandemic
We commend Holmes et al for their recent article regarding the management of facial trauma during the COVID-19 pandemic.1 They addressed the issue of teamwork among medical professionals to deliver safe care to patients. In this letter, we aim to highlight how public institutions and private practitioners can collaborate to manage patients with facial injuries during the pandemic. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 10, 2020 Category: ENT & OMF Authors: H. Bertin, C. Koudougou, F. Marion, P. Corre, R. Deransy Tags: Letter to the Editor Source Type: research

The preventive effect of hydrocolloid dressing to prevent facial pressure and facial marks during use of medical protective equipment in Covid-19 pandemic
There seems to be no end in sight to the coronavirus crisis in Spain yet, and each day more people are becoming infected and are losing their lives due to the epidemic outbreak caused by the SARS-CoV-2 virus. Spain currently has the second-highest number of cases in the world after the United States. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 10, 2020 Category: ENT & OMF Authors: J.L. Del Castillo Pardo de Vera, S. Reina Alcalde, J.L. Cebrian Carretero, M. Burgue ño García Tags: Technical note Source Type: research

Re: Testing recommendation for COVID-19 (SARS-CoV-2) in patients planned for surgery - continuing the service and ‘suppressing’ the pandemic
Sir, (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 10, 2020 Category: ENT & OMF Authors: A. Chai, J. Philip, S. Crank, K. Mizen Tags: Letter to the Editor Source Type: research

Tracheostomy suspension: a modified approach for securing the airway
Surgical tracheostomy is frequently used to wean intensive care patients off mechanical ventilation, or electively in operations on the head and neck. Although a tracheostomy facilitates a safe airway, displacement or accidental decannulation of the tube can potentially be fatal. When it does occur, swift reintubation of the trachea is critical. This, however, can be extremely difficult in patients who have had post-radical ablative operations for cancer of the head and neck, or those with difficult anatomy (short neck or obesity). (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 6, 2020 Category: ENT & OMF Authors: D. Ormandy, V. Kapoor, P. Kyzas, L. Vassiliou Tags: Technical note Source Type: research

Re: Protocol for the management of ankylosis of the temporomandibular joint
I read with respect the article by Khanna and Ramaswami entitled: “Protocol for the management of ankylosis of the temporomandibular joint”.1 The following are some of my concerns regarding this article, and questions for the authors: (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 6, 2020 Category: ENT & OMF Authors: A.F. Hegab Tags: Letter to the Editor Source Type: research

Perils of Intermaxillary Fixation Screws
Intermaxillary fixation (IMF) screws, typically self-tapping, are easy and quick to use, seemingly safe, are compatible with plating systems, reduce buccal and gingival tissue trauma and are used to assist with open reduction and internal fixation (ORIF) of fractured mandibles.1 However, there is limited literature on complications that may arise with their use.2 (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 5, 2020 Category: ENT & OMF Authors: A.S. Ali, R.M. Graham Tags: Letter to the Editor Source Type: research

A perspective from a NYC chief oral and maxillofacial surgery resident during the COVID-19 pandemic
The World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) as a pandemic on March 11, 2020. As the outbreak began to take a grip on New York City (NYC), my intern was consulted for a COVID-19 positive patient with an odontogenic infection. We donned our bouffant cap, eyewear, respirator, faceshield, and gown before walking to the Emergency Department (ED). As we stepped foot into the ED, stretchers overflowed against the walls of the hallways. The background noise was loud from all the COVID-19 patients on rumbling ventilators and beeping monitors. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 5, 2020 Category: ENT & OMF Authors: N.P. Saggese, V.A. Cardo Tags: Letter to the Editor Source Type: research

Aerosol prevention in Osteosynthesis for Maxillofacial Trauma — a Technical Note
In light of the Covid-19 pandemic many governing bodies have hurried to provide guidelines on the risk posed to healthcare workers in the line of their duties. With regard to oral and maxillofacial surgery in the UK this has resulted in a contraction of general elective surgical work and brought into question the safety and necessity of many routine operations.1 This has been particularly troublesome with regard to maxillofacial trauma cases which require fixation in a defined period of time but are not necessarily emergent (life or limb saving). (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 5, 2020 Category: ENT & OMF Authors: J. Grant, A. Shafi, M. Halsnad Tags: Technical note Source Type: research

Management in oral and maxillofacial surgery during the COVID-19 pandemic: Our experience
This article summarises the clinical and surgical experience of Maxillofacial Surgery Unit of “Magna Graecia” University (Catanzaro -Italy) during the COVID-19 pandemic and would like to provide a number of recommendations that should facilitate the scheduling process o f surgical activities during the COVID-19 pandemic and reduce the risk of infection among healthcare professionals. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 5, 2020 Category: ENT & OMF Authors: Ida Barca, Raffaella Cordaro, Elvis Kallaverja, Francesco Ferragina, Maria Giulia Cristofaro Source Type: research

Re: Acellular dermal regenerative matrix material “IntegraTM” as an adjunct for radial forearm free flap donor site closure
The use of acellular dermal matrices as described by Pilkington and Bhatia1 might be of clinical relevance and of interest in covering radial free forearm flap donor sites. As a possible advantage, acellular dermal matrices, such as those of bovine or porcine origin, could preclude the need for an additional donor site for harvesting full or split thickness autogenous skin grafts. This might reduce the operating time and prevent donor site morbidities that could be associated with a discomfort for the patient. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 5, 2020 Category: ENT & OMF Authors: A. Pabst, A. Bartella Tags: Letter to the Editor Source Type: research

Combining trauma severity indices to create a unified craniofacial disruption index: addition of the frontobasal unit to the ZS model
Craniomaxillofacial injuries account for a large number of emergency attendances and a substantial proportion of the workload of acute clinicians. Although data exist on frequency of involvement of the craniofacial bones, assessments of severity are lacking, and scoring systems for fractures of individual bones and complex craniomaxillofacial trauma often fail to include the frontobasal unit. To rectify this, we have devised a validated scoring system to evaluate the severity of trauma to this region and have merged it with a pre-existing model to create a cohesive craniofacial disruption index. (Source: The British Journa...
Source: The British Journal of Oral and Maxillofacial Surgery - May 4, 2020 Category: ENT & OMF Authors: J.A. Douglas, K. Gill, S. Holmes Source Type: research

MSX1 is differentially expressed in the deepest impacted maxillary third molars
An impacted third molar is one of the most common dental abnormalities. Among the reasons for impaction the most common are: insufficient space, time of eruption, improper position of the tooth bud, and genetic disruptions. To investigate if runt-related transcription factor 2 (RUNX2), bone morphogenetic protein 2 (BMP2), and msh homeobox 1 (MSX1) are differently expressed depending on the position of the molar, we studied 32 patients who had been referred for surgical removal. An orthopantomogram was used to separate them according to Winter ’s, and Pell& Gregory ’s, classifications. (Source: The British J...
Source: The British Journal of Oral and Maxillofacial Surgery - May 4, 2020 Category: ENT & OMF Authors: B. Olsson, R.D. Calixto, N.C.S. Machado, M.N. Meger, F.W.G. Paula-Silva, N.L.B. Rebellato, D.J. Costa, E.C. K üchler, R. Scariot Source Type: research

Intraoperative imaging in orbital reconstruction: how does it affect the position of the implant?
Intraoperative imaging enables the surgeon to control the position of the implant during orbital reconstruction. Although it might improve surgical outcome and avoid the need for revision surgery, it may also increase the duration of the operation and the exposure to radiation. The goal of this study was to find out whether intraoperative imaging improves the position of the implant in reconstructions of the orbital floor and medial wall. Two surgeons reconstructed complex orbital fractures in 10 cadavers. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 4, 2020 Category: ENT & OMF Authors: J. Jansen, R. Schreurs, L. Dubois, T.J.J. Maal, P.J.J. Gooris, A.G. Becking Source Type: research

Does maxillary superior repositioning affect nasal airway function?
This study aimed to assess nasal airflow, nasal resistance, and the cross-sectional area of the nasal cavity in patients who have had maxillary superior repositioning (MSR). This is a cross-sectional study, and nasal airflow, nasal resistance, and the cross-sectional area of the nasal cavity were evaluated by rhinometry and acoustic rhinometry techniques in patients who had had MSR. Thirty-two patients were studied, and the mean (SD) MSR was 5.03 (1.61) (range 3-8) mm. There was a significant correlation between the mean MSR and the mean change in nasal airflow and nasal resistance (p=0.001 and p=0.005, respectively). (Sou...
Source: The British Journal of Oral and Maxillofacial Surgery - May 3, 2020 Category: ENT & OMF Authors: H. Mirmohamadsadeghi, R. Zanganeh, B. Barati, R. Tabrizi Source Type: research

TikTok ™: an application that oral and maxillofacial surgery should not overlook
TikTok ™ is a mobile application (app) that has been downloaded over 1 billion times worldwide.1 The app generally contains short videos made by users (less than 30 seconds), which document a small story or narrative, with or without images and music. It is possible that many of the readers of BJOMS have heard of the app from their own children, albeit due to an annoying dance routine. A total of 41% of TikTok™ users are aged between 16–24,2 and on average, spend 52minutes a day viewing these uploaded videos. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 3, 2020 Category: ENT & OMF Authors: E. Walshaw, R. Taylor, S. Iyer, H. Cashman Tags: Letter to the Editor Source Type: research

Impact of COVID-19 epidemic on Maxillofacial Surgery in Italy
Maxillofacial departments all over Italy were increasingly involved in facing the COVID-19 emergency. Elective surgeries have been progressively postponed to free beds and offer human and material sources.We compiled an inventory of 32 questions to evaluate the impact of SARS-COV2 epidemic on Maxillofacial Surgery in 23 selected Italian Maxillofacial departments. The questionnaire focused on three different aspects: the variation of the workload, showing both a reduction of the number of team members (-16% among specialists, -11% among residents) due to reallocation or contamination and a consistent decrease of elective ac...
Source: The British Journal of Oral and Maxillofacial Surgery - May 3, 2020 Category: ENT & OMF Authors: F. Allevi, A. Dionisio, U. Baciliero, P. Balercia, G.A. Beltramini, D. Bertossi, A. Bozzetti, L. Califano, P. Cascone, L. Colombo, C. Copelli, F.S. De Ponte, G. De Riu, M.D. Monaca, S. Fusetti, M. Gali é, A.B. Giann, F. Longo, N. Mannucci, P.F. Nocini, S Source Type: research

Droplet nuclei aerosol and Covid 19 - a risk to healthcare staff
We read with great interest the editorial by Herron JBT et al1 on the Personal protective equipment (PPE) and coronavirus disease 2019 (COVID-19). The authors need to be complimented for a well-timed paper that addresses the current issue of exposure of health care workers to COVID 19. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 3, 2020 Category: ENT & OMF Authors: V. Rao US, G. Arakeri, A. Subash, S. Thankur Tags: Letter to the Editor Source Type: research

Editorial Board
(Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 1, 2020 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 - May 1, 2020 Category: ENT & OMF Source Type: research

The COVID-19 effect: number of patients presenting to The Mid Yorkshire Hospitals OMFS team with dental infections before and during The COVID-19 outbreak
This paper investigates the effect of the COVID-19 outbreak and closure of dental practices on the frequency and severity of dental infections presenting in our emergency department. We compared the mean number of daily ED referrals for dental abscesses in the two weeks prior to and following the Chief Dental Officer ’s statement advising general dental practitioners to cease routine appointments, the mean number decreased from 1 to 0.37. In contrast, the severity and requirement for admission of these infections rose from 35% to 80%. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 1, 2020 Category: ENT & OMF Authors: L. Long, K. Corsar Tags: Short communication Source Type: research

The rapid development of an urgent Dental Care Hub in an Oral Surgery Unit —key learning points
We would like to bring to the attention of your readers working in Oral Surgery and Oral and Maxillofacial Surgery units some of the salient lessons we have learnt whilst establishing and developing an urgent dental care service at King ’s College Hospital in response to the COVID-19 crisis. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 1, 2020 Category: ENT & OMF Authors: O. Obisesan, O. Akintola, C. Bryant, J. Patel, A. Shah, H. Tagar Tags: Letter to the Editor Source Type: research

A new modification of a visor mask for use with a head-light and loupes
Eye protection with face shields, goggles or visors have become a mandatory part of PPE during the COVID-19 pandemic.1 We have seen an increase in orbital trauma in women possibly due to the increase in family violence during the current social distancing measures. Internationally, telephone calls to domestic violence helplines have reportedly increased.2 (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - May 1, 2020 Category: ENT & OMF Authors: J. Barraclough, J. Parmar Tags: Technical note Source Type: research

The importance of olfactory and gustatory disorders as early symptoms of coronavirus disease (COVID-19)
Early detection and isolation of pauci-symptomatic patients with coronavirus disease 19 (COVID-19) is proving to be a key factor in the fight against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 30, 2020 Category: ENT & OMF Authors: Luigi Angelo Vaira, Giovanni Salzano, Giacomo De Riu Tags: Letter to the Editor Source Type: research

Sagittal split of harvested coronoid process: a technique to augment harvested bone
Use of the coronoid process as a donor site for bone grafting was first described by Youmans and Russell1 to treat non-union of a fractured mandible. Since then, the coronoid process with or without the ramus has been used in the following ways: after the release of ankylosis of the temporomandibular joint;2 for grafting of the maxilla, orbital floor, and nose; and augmentation of the sinus3 and alveolar ridge.4 The advantages of using this intraoral donor site are the absence of an extraoral scar and availability of donor bone bilaterally, with potentially minimal complications. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 29, 2020 Category: ENT & OMF Authors: Darpan P. Mehta, Anthony W. Paterson Tags: Technical note Source Type: research

Attendance at a one-off screening clinic for head and neck cancer during Cancer Awareness Week
In October 2019, NHS England published “The Independent Review of Adult Screening Programmes in England”.1 This recognised the many achievements of current screening programmes, but also acknowledged that some still fall short of realising their full potential. It particularly highlighted the fact that access to current screening sch emes must be improved if we are to increase uptake and keep pace with changes in the way we live our lives. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 29, 2020 Category: ENT & OMF Authors: J. Cairns, J. Spellman, A. Kanatas Tags: Editorial Source Type: research

The dos and don ’ts of reporting statistics for the Br J Oral Maxillofac Surg
Writing-up statistical results is as important as selecting the correct statistical test to apply to your data. To convey the message to the readers, statistics need to be reported clearly and in a comprehensible way. Individual academic journals may have slightly different formats and guidelines for how results should be reported. To facilitate the review and editorial process for publication in the British Journal Oral and Maxillofacial Surgery (BJOMS) – and bearing in mind that most submissions will undergo a statistical review alongside the technical review - these guidelines are intended to assist authors in the...
Source: The British Journal of Oral and Maxillofacial Surgery - April 27, 2020 Category: ENT & OMF Authors: Adam B. Smith Tags: Editorial Source Type: research

Intermaxillary fixation with two loop wires: the Rai Technique
Intermaxillary fixation (IMF) is an integral part of the management of facial fractures. A properly achieved IMF will provide a perfect occlusion in the postoperative period. There are various techniques already published for achieving IMF, showing their merits and demerits. The aim of this letter is to add a quick and unique technique of achieving of IMF by simply using two 24-gauge wires (Fig. 1). (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 26, 2020 Category: ENT & OMF Authors: A. Rai, A. Jain, A. Datarkar, D. Mandora Tags: Letter to the Editor Source Type: research

Chronic mucocutaneous candidiasis: a rare diagnosis in paediatric dentistry
We describe such a case in a young boy who failed to respond to conventional therapy. It highlights the important role of the dental team in assessment, treatment, and onwards referral. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - April 26, 2020 Category: ENT & OMF Authors: R. Sanghvi, Dania Siddik, Esther Hullah, Tejshri Shah, Barbara Carey Tags: Short communication Source Type: research