33. How fast is too fast? Post-operative & physical function milestones for patients undergoing maxillofacial surgery with free flap reconstruction
Around 75% of patients with oral cavity cancers undergo OMFS with tracheostomy and free flap reconstruction. H&N ERAS is complex and challenging, hence modest uptake. Our tertiary HNC service introduced ERAS in 2010. Aim: Describe postoperative milestones and assess iatrogenic influences by measuring physical function perioperatively (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Rachel Wijayarathna, Rachel Wijayarathna, Matthew Fergusson, Janvi Patel, Sarah Coupe, Gareth Jones Source Type: research

34. Osteoradionecrosis of frontal calvarium presenting as non-healing lesions of the fronto-temporal region
Chronic infection poses diagnostic and therapeutic conundrum along with increased morbidity to the patient. In all situations, finding the aetiology appears to be paramount in dealing with these entities. A combined approach of antimicrobial therapy and surgical ablation is usually utilised, albeit with variable success. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Zhijia Mimi Zhou, Zhijia Zhou, Alisha Amin, Shona Sawhney, Jonathan Dennis, Ravinder Pabla Source Type: research

35. Cranioplasty outcomes following decompressive craniectomy: a 20-year retrospective observational study of 469 patients managed by maxillofacial surgery at a level I trauma centre
Cranioplasty following craniectomy functions to protect the brain, restore craniofacial cosmesis, and promote neurological recovery. Previous studies on cranioplasty outcomes have been restricted by limited sample size. The current retrospective observational study aims to summarise cranioplasty outcomes in a cohort of 469 patients over a 20-year period. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Danyal Awal, Danyal Awal, Aaron Thomas, Ashley Ferro, Stavroula Stavropoulou-Tatla, Edward McParland, Rebecca Ridout, Rutangi Hundia, Alex Rae, Oliver Jacob, Rafal Niziol, Luke Williams, Robert Bentley Source Type: research

36. pT3/T4N0 OCSCC. Is contralateral neck dissection and/or neck PORT indicated?
UK National Multidisciplinary Guidelines recommend that T3/T4N0 oral cancers are generally treated with surgery (primary resection and ipsilateral END if not near the midline). If tumours have adverse features then radiotherapy is added for local control. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Ellen Johnson, Ellen Johnson, Stergios N Doumas, Jeremy McMahon, Prav Praveen, Michael Ho, Jagtar Dhanda, David Tighe, Conor Bowe, Giovanni Diana, Adam Holden, Gaurav Barsaiyan, Walid El Kininy Source Type: research

37. Evaluation of possible role of fluoride in the pathogenesis of Oral Submucous Fibrosis: a pilot study
We hypothesised that chewing gutkha/betel quid releases fluoride in to saliva, resulting in oral mucosal chronic inflammation and oxidative stress, leading to juxta epithelial inflammation and development oral submucous fibrosis (OSMF). This pilot study assessed the potential role of fluoride in the pathophysiology of OSMF. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Rob Isaac, Rob Isaac, Gururaj Arakeri, Vishal Rao, Shekar Patil, Sateesh Kunigal, Roopa Reddy, Alex Goodson, Peter A Brennan Source Type: research

38. Safe and Effective Handover for Head and Neck Surgical Oncology Patients – Enhancing the Patient Journey and Reducing Length of Stay
An increase in current junior doctor shift work inevitably leads to a dilution of pertinent information during handover. High quality handovers are critical to delivery of good standard of care for head and neck cancer (HANC) patients. The aim of this audit is to assess the handover of HANC inpatients in OMFS. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Maryam Butt, Maryam Butt, Alice Donlon, Keval Shah, Amrish Chandegra, Colin Liew Source Type: research

39. Need for Completion Neck Dissections After Positive Sentinel Lymph Node Biopsies (SNB) in Early Oral Squamous Cell Carcinomas (OSCCs): Survival Analysis
Current practice is to complete neck dissection (CND) after a positive SNB in OSCCs. However, 85% of SNB+ patients have no further positive nodes. It may be possible to omit CND in low risk patients, whilst treating those with additional non-sentinel lymph nodes (non-SLN). We aimed to establish the incidence of positive non-SLNs and analyse risk factors and survival outcomes. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Searan Karamchandani, Searan Karamchandani, Elizabeth Crosbie-Jones, Jeevan Ubhi, Mark McGurk, Axel Sahovaler, Clare Schilling Source Type: research

40. Multiple synchronous and metachronous oral carcinomas in an immune- compromised patient; the detrimental role of candidiasis in carcinogenesis
Candida is a prevalent commensal pathogen in the oral cavity. However, an interesting pathological association exists between these fungi, oral precancerous, and cancerous lesions. Candida has been shown to increase the degree of dysplasia, and progression to neoplasia in leukoplakia. Chronic candidiasis in immunocompromised results in colonization of the epithelium by the organism, which can invade the keratinocytes, damage the DNA, and break the tissue matrix, through several proposed mechanisms, resulting in cancer initiation and spread. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Hussein Ali Mohammed Abdulnabi, Hussein Ali Mohammed Abdulnabi, Sabah A Issa, Dalya Q Majid, Bashar Kazaal Source Type: research

41. Oral and Maxillofacial Surgery experience in Transoral Robotic Surgery for oropharyngeal tumour
To describe the use of transoral robotic surgery (TORS) assisted procedures in an Oral and Maxillofacial Surgery unit and patient outcomes. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Priyanka Adatia, Priyanka Adatia, Timothy Liu, Sean Mortimore, Anand Kumar, David Laugharne Source Type: research

42. Does the facial lymph node require removal during neck dissection for oral cancer?
Oral Squamous Cell Carcinoma (OSCC) spreads via lymphatic channels, and neck dissection is a part of standard care. Removal of the facial lymph node (FLN) as part of this adds to the lymph node yield but is of unclear benefit. This procedure carries potential risk to the marginal mandibular nerve (MMN). Our aim is to clarify whether there is benefit from FLN removal. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Muhammad Javed, Muhammad Javed, Nitesh Kumar, Tom Henderson, Rabindra Singh Source Type: research

43. The Accuracy of Post Treatment Imaging Protocols in Oropharyngeal Squamous Cell Carcinoma: A 3 Year Retrospective Review
The aim of this study was to investigate the post treatment surveillance protocols and outcomes of patients presenting with OPSCC within a regional head and neck cancer unit. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Sancia Fernando, Sancia Fernando, Tun Wildan, Julian Leow, Mariam Adeleke Source Type: research

44. using ultrasonography to assess the depth of invasion preoperatively in early-stage buccal and tongue cancer
ajcc 8th edition has introduced the concept of depth of invasion (doi) in the tnm staging of oral cancer. unfortunately, the doi is only determined by the postoperative histopathological measurement, which may hinder clinicians from accurately estimating the clinical stage preoperatively and underestimate the disease severity. this study aims to compare the differences between the preoperative doi obtained by sonography and the postoperative pathological doi. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Han-Chieh Cheng, Han-Chieh Cheng, Ying-Ju Kuo, Cheng-Chieh Yang, Cheng-Hsien Wu Source Type: research

45. A Retrospective Analysis of Speech and Hearing in Patients Receiving Surgery for Submucous Cleft Palate
This study aims to describe surgical techniques and clinical outcomes in patients who underwent surgical repair of submucous cleft palate (SMCP) at a regional specialist cleft centre. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Will Raby-Smith, Will Raby-Smith, Per Hall, Lucy Southby, Victoria Parfect, Georgina Linford, Sam Bannister, Kana Miyagi Source Type: research

46. Does the use of antibiotics prophylaxis affect the rate of postoperative fistula rates in cleft palate patients?
Background: Postoperative infection following cleft palate repair can lead to wound dehiscence and subsequent fistula formation. In order to prevent this, many surgeons advocate the use of post- operative antibiotic prophylaxis which isn ’t without risk. With limited published data and variability both countrywide and in our unit, we wanted to address this research question. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Suhavi Singh, Suhavi Singh, Nitisha Narayan, Alistair Cobb, Shaheel Chummun Source Type: research

47. The use of biomaterials in the reconstruction of posterior lamellar eyelid defects: a systematic review of the literature and meta-analysis
Eyelid defects can occur secondary to tumours, trauma, burns and congenital factors. Among the most challenging aspects of eyelid reconstruction is the reconstruction of a tarsal substitute due to its delicate and multi-layered tissue composition. Attempts to use biomaterials for posterior lamellar reconstruction provide an alternative to traditional autograft reconstructions. The aims of this review were to assess types of biomaterials used for the reconstruction of the posterior lamellar associated with eyelid defects and the associated clinical outcomes. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Umar Rehman, Umar Rehman, Melissa Shemie, Mohammad Sohaib Sarwar, Oluwasemilore Adebayo, Peter A Brennan Source Type: research