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3. Paediatric Orbital Fractures: A Review of Outcomes
Orbital fractures are the third commonest facial fracture in the paediatric population. Orbital floors are the most commonly affected site. Paediatric patients often present with few clinical signs, but increased osteoelasticity means ‘trap door’ fractures are likely – this constitutes a surgical emergency to prevent fibrosis of the periorbita leading to intractable diplopia. (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: Hannah Lawler, Hannah Lawler, David Laraway, Bilal Aslam-Pervez, Eleanor McClure Source Type: research

4. A retrospective observational study assessing craniofacial trauma severity and factors associated with mortality of patients at the Royal London Hospital
Severity of craniofacial injuries were scored using a range of validated craniofacial trauma severity scoring systems. These scores were tested against mortality to look for correlation. (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: Emma Wates, Emma Wates, Basmal Ria, Senem Icel, Simon Holmes Source Type: research

5. Can location and severity of cranial vault fracture predict post-traumatic sequelae?
Traumatic fractures of the cranial vault vary greatly regarding fracture location, volume, pattern, fragmentation and resulting traumatic brain injury. This pilot study sought to analyse cranial vault fractures using a novel algorithm to ascertain the relationship between fracture location and severity and determine a correlation with post traumatic sequelae. (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: Declan Hughes, Declan Hughes, Senem Icel, Simon Holmes Source Type: research

6. TORN Face: Trial of Resorbable Versus Non-Resorbable Sutures in Traumatic Lacerations of the Face
Facial injuries account for 29% of A&E attendances in the UK, 34% of which have lacerations that require suturing. Currently there is no universal consensus on the most appropriate suture material for facial wound repair that gives rise to optimal outcome for both patients and clinicians. This single centre, trainee-led RCT aims to compare patient-reported and long-term aesthetic outcomes between resorbable and non-resorbable sutures in management of traumatic facial lacerations. (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: Shadi Basyuni, Shadi Basyuni, Gareth Nugent, Ashley Ferro, Ian Jenkyn, Jon Chu, Henry Bennett, Clarissa Hjalmarsson, Keri Moorhouse, Maryam Bennani, Vijay Santhanam Source Type: research

7. Digitalisation of Trauma: The Assessment and Clerking Proforma
At Queen ’s Medical Centre, a busy major trauma centre, a digital maxillofacial trauma app was developed to replace the historic paper-based proforma. The app facilitates assessment and management of patients presenting with facial injuries. Often those attending and evaluating patients for the first time are the most junior members of the team. (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: Youssef Mousa, Youssef Mousa, Flora Menzies, Nabeela Ahmed, Rory O'Connor Source Type: research

8. Co-morbid psychiatric conditions with temporomandibular disorders (TMDs) in a tertiary referral clinic
Patient with chronic pain have a higher prevalence of mood disorders with depression and anxiety contributing to higher pain intensity, emotional allodynia and neuro-anatomical changes. We sought to quantify the prevalence of psychiatric comorbidities in a tertiary referrals clinic for TMDs. (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: Madeleine Gadd, Madeleine Gadd, Alan Attard, Jason Green, Ross Elledge Source Type: research

9. Compliance with national guidance for temporomandibular joint replacement (TMJR) surgery at a tertiary referral centre
Alloplastic temporomandibular joint replacement (TMJR) is considered when conservative management has failed and there is evidence of disease involving the condyle. It is intended to re ‑establish function and relieve pain. Our primary objective was to evaluate the compliance of a tertiary TMJR service with 2014 National Institute for Health and Care Excellence (NICE) guidance. (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: Rupinder Sarai, Rupinder Sarai, Asad Ahmed, Alan Attard, Jason Green, Ross Elledge Source Type: research

10. Indicators at the time of arthroscopy that increase the likelihood of requiring open joint surgery
TMD is known to occur in up to 30% of the population and hence a commonly presenting condition both in primary and secondary care. This is a multi factorial disorder requiring accurate diagnosis to plan effective patient treatment. We aim to investigate if there are effective predictive factors that will indicate the likelihood of the need of open joint surgery, helping to streamline care plans and manage patient expectations. (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: Michael Daldry, Michael Daldry, Adam Jones, Robert Banks, David Keith Source Type: research

11. Therapeutic effect of pumping manipulation therapy combined with self mouth opening stretching for patients with anterior disc displacement without reduction of the temporomandibular disorder
Pumping manipulation therapy is mandibular manipulation after pumping and hydraulic pressure to the upper joint cavity using a single puncture technique of the temporomandibular joint (TMJ) reported by Murakami. We investigated the therapeutic effect of pumping manipulation therapy combined with self mouth opening stretching for patients with anterior disc displacement without reduction (ADDwoR) of the temporomandibular disorder (TMD). (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: Kazuhiro Ooi, Kazuhiro Ooi, Rei Jyokaji, Yutaka Sasajima, Kosuke Ueki, Yoko Yamashita, Yutaka Kobayashi, Shuichi Kawashiri Source Type: research

12. Simultaneous Temporomandibular joint Replacement and Orthognathic Surgery
During planning for TMJ replacements, some patients might be identified to have malocclusion. Those would benefit from orthognathic surgery and/or adjustment of occlusion while having TMJ replacement. We are presenting the process for MDT assessment and planning of such cases. (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: Ghaly Adly Ghaly, Ghaly Adly Ghaly, Grant McIntyre, Gautham Sivamurthy, Yvonne Moore, Peter Bowman Source Type: research

13. Risk Adjusted Cumulative Sum chart methodology to monitor of free flap failure rates in the QOMS national audit
We describe the application of a Machine Learning algorithm to apply risk adjustment to reported free flap failure rates after immediate reconstruction of head and neck defects. The algorithm is embedded within a national audit, the Quality Outcomes in Oral& Maxillofacial Surgery. (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: David Tighe, David Tighe, Michael Ho, Fabian Puglia, Panayiotis Kyzas, Simon Provost, Jeremy Mcmahon Source Type: research

14. Audit of Histopathological criteria outcomes for patients who had a Temporal Artery Biopsy
A temporal artery biopsy ( “TABx”) is the gold standard for diagnosis of temporal/giant cell arteritis (GCA); however, there are no standardised histopathological classification systems. Therefore, reported histopathology features vary. Although a positive biopsy is not required by American College of Rheumatology criteri a for diagnosis [1], it increases confidence in it. (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: Shreeya Patel, Shreeya Patel, Asif Hasan, Richard Graham, Stephanie Edwards Source Type: research

15. Why are Primary Care Practitioners Ignoring the 2014 BAOMS RCS TMD Commissioning Guide – A Multi-institution Service Evaluation
The TMD commissioning guide was published in September-2014 to address the problem of over- referral to secondary care. Approximately 75% of patients requesting treatment will improve over 3- 6 months with simple management. (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: Vahe Petrosyan, Vahe Petrosyan, Michail Tsakalidis, Alice Thompson, Phillip Ameerally, Trevor Teemul Source Type: research

16. A Decade of NHS Never Events – Has formal reporting made a difference?
NHS England defines “Never Events” (NE) as 'patient safety incidents that are wholly preventable where guidance or safety recommendations that provide strong systemic protective barriers are available at a national level and have been implemented by healthcare providers'. (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: Vahe Petrosyan, Vahe Petrosyan, Michail Tsakalidis, Phillip Ameerally Source Type: research

17. Virtual learning following the pandemic: where are we now?
During the COVID-19 pandemic we developed a post-graduate virtual learning environment (PGVLE) in the West Midlands region for higher trainees in Oral and Maxillofacial Surgery. We continued to develop this following the pandemic and sought to examine the trainee experience with this resource as restrictions eased. (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: Rishi Pandya, Rishi Pandya, Ahmed Abdel-Rahman, Jason Green, Christopher Fowell, Ross Elledge Source Type: research