P059 Trigeminocardiac reflex (TCR) – An uncommon case of autonomic dysfunction following temporalis flap reconstruction
A 61 year old female underwent head and neck reconstruction for T2M0N0 SCC left posterior maxilla, utilising a temporalis flap. During the surgery the patient experienced two episodes of asystole/bradycardia, following a further admission due to complications, the patient endured a further three episodes of asystole/bradycardia associated with the temporalis flap, two of which resulted in cardiac arrest. Trigeminocardiac reflex (TCR), relates to the triad of bradycardia, hypotension, apnoea or gastric hypermobility related to the stimulation of the trigeminal nerve. (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: Nihar Chanda, Nihar Chanda, Andrew Stirrup, Vlasios Oktseloglou Source Type: research

P060 A Technique of maintaining the anatomical appearance following excision of more than one cutaneous malignancy from the pinna
The main goal of surgical intervention on any cutaneous malignancy is the complete removal of the tumour to minimise the risk of local recurrence, to restore function whilst achieving an ideal aesthetic outcome. Mohs micrographic surgery can be used for specific cases however this technique requires a large amount of time and resource, often with a long waiting list prior to the start of treatment. High risk patients often present with multiple synchronous tumours requiring surgical intervention and therefore reconstruction of these defects can be challenging in view of the limited amount of healthy tissue that remains aft...
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Authors: Ferouze Mattan, Ferouze Mattan, Nuran Ozyurt, Catherine Lau Source Type: research

P061 The use of fascia lata to protect the radial forearm free flap reconstruction in Brown[StQuote]s Class II maxillary defects
Describe the use of fascia lata to cover the pedicle while reconstructing Brown's Class II maxillary defects as a case series (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: Sophie Wu, Sophie Wu, Pradyumna Naredla, Rehana Gul, David McGoldrick, Prav Praveen Source Type: research

P062 withdrawn
(Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Source Type: research

P063 An unusual complication of the pectoralis major flap
The pectoralis major flap is widely used as a salvage flap for head and neck reconstruction or when local resources or patient health do not allow for microvascular free tissue transfer. While the flap- related complications of this reconstruction option have been described in detail, donor-site complications have been seldom discussed. (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: Thomas Pepper, Thomas Pepper, Sirisha Duggineni, Andrea Bille, Alastair Fry, Mustansir Alibhai Source Type: research

P064 En bloc resection of tumours involving masticator space – the maxible
Management of T4b oral cavity Squamous Cell Carcinomas involving the masticator space is complicated by several factors including difficulty in access , achieving clear margins due to involvement of adjacent structures including oropharynx, skin and the posterior maxilla. In addition, reconstruction is challenging, with some surgical teams offering palliative treatment for potentially resectable disease. (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: Sirisha Duggineni, Sirisha Duggineni, Thomas Pepper, Matthew King, Ann Sandison, Mustansir Alibhai, Alastair Fry Source Type: research

P065 withdrawn
(Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2023 Category: ENT & OMF Source Type: research

P066 Ridge augmentation for the placement of dental implants: one unit ’s experience
Alveolar ridge augmentation adds bone to the alveolus increasing bone volume and improves the stability of dental implants when there is insufficient bone volume or quality in the jaw to support an implant. (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: Subegh Srao, Subegh Srao, Joshua Twigg, Lachlan Carter Source Type: research

P067 Antral exostoses; do they matter? A review of the literature
Exostoses are outgrowths of normal compact and cancellous bone and may occur in different locations of the jaw. (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: Anushri Pindoria, Anushri Pindoria, Sami Stagnell Source Type: research

P068 Orbital apex compression from greater wing of sphenoid fracture – a surgical challenge
We present a case of zygomatic complex and greater wing of sphenoid fracture with compression of the orbital apex, resulting in 3rd nerve palsy following a quad bike accident, and a review of the literature. (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: Aoife Mcdougall, Aoife Mcdougall, David Laraway Source Type: research

P069 The hard-hitting facial trauma postcode lottery – the relationship between facial trauma and socioeconomic deprivation
To main objective of this study was to examine the relationship between Facial trauma and social deprivation over a 5-year period in North London. (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: Omar Yaqoob, Omar Yaqoob, Ali Amini Source Type: research

P070 The reconstruction of mandible defects in war injuries: systematic review and meta-analysis
There has been an increasing incidence of maxillo-facial injuries associated with war and combat trauma. The mandible is the most likely bone to be damaged andtissue loss that occur can be reconstructed with many options. These include vascularised bone grafts (VBG), non-vascularised bone grafts (NVBG), alloplastic implants, reconstruction bars and distraction osteogenesis. (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 Sarwar, Oluwasemilore Adebayo, Peter Brennan Source Type: research

P071 A 5-year retrospective review of mandible fracture patterns presenting to an Oral and Maxillofacial Surgery unit
A mandible fracture can be a serious injury leading to life-altering complications. Prevalence varies across different geographical locations due to a variety of socioeconomic, cultural, and environmental reasons. This is a retrospective study investigating the incidence and aetiology of mandible fractures within a non-trauma centre in North London over a 5-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: Shona Sawhney, Shona Sawhney, Zhijia Zhou, Alisha Amin, Timothy Kwaskowski, Jonathan Dennis, Shilen Patel Source Type: research

P072 Eggerthia catenaformis – a new cause of necrotising head and neck infection
Eggerthia catenaformis (EC) is a non-spore forming anaerobic gram positive bacillus, which is a very rare cause of severe infection in humans. (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: Aoife Mcdougall, Aoife Mcdougall, Eiling Wu, David Laraway Source Type: research

P073 Cosmetic tattoo models: a novel approach for laceration repair instruction
Basic facial laceration repair is a fundamental aspect of early maxillofacial training and indeed will constitute a large proportion of junior trainees' emergency care. While traditional instructional workshops tend to rely on planar silicone pads or animal tissue, this study aimed to explore the viability for using more biomimetic models typically used for cosmetic tattoo training. (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: Rachael Harlow, Rachael Harlow, Yvonne Asiedu Source Type: research