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British Journal of Oral & Maxillofacial Surgery

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https://www.readbyqxmd.com/read/30293807/impact-of-reconstructive-microsurgery-on-patients-with-cancer-of-the-head-and-neck-a-prospective-study-of-quality-of-life-particularly-in-older-patients
#1
E Segna, A R Bolzoni, A B Giannì, A Baj, G A Beltramini
Treatment of cancer of the head and neck often requires extended resection and major reconstructive surgery, both of which can have great functional and emotional impact. It is fundamental to evaluate the outcome with respect not only to the clinical aspects but also to the quality of life (QoL) perceived by the patients. In the light of the reported increasing incidence of oral cancer in older patients, we decided to see if there was an association between QoL and age. Between June 2015 and December 2016 we submitted the Italian version of the 36-item Short Form Health Survey (SF-36) to 30 patients (mean (range) age 65...
October 4, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30293806/outcome-of-salvage-procedures-for-recurrent-oral-and-oropharyngeal-cancer
#2
R Smirk, P Kyzas
Despite advances in the primary treatment of oral and oropharyngeal cancer, many patients develop local or regional recurrence, or both, and when radiotherapy has already been used, operation provides the best chance of salvage for these patients. We have looked at the outcomes of salvage procedures in a single unit, including improved survival, morbidity, and treatment-related quality of life. Patients treated with salvage procedures were identified from a prospectively-completed database. Overall and disease-free survival were analysed using Kaplan-Meier curves and logrank tests...
October 4, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30293805/risk-factors-for-bleeding-after-dental-extractions-in-patients-over-60-years-of-age-who-are-taking-antiplatelet-drugs
#3
M Tang, C Yu, P Hu, C Wang, J Sheng, S Ma
The aim of this retrospective, single-centre study was to identify the risk factors for bleeding after dental extractions in patients aged over 60 who were being treated with antiplatelet drugs. A total of 338 patients who fulfilled the inclusion criteria were enrolled, and their personal and clinical details, and complications with bleeding after extraction, were retrieved and recorded. There were 182 men and 156 women (mean (SD) age 72 (8) years). A total of 469 teeth were extracted, with a mean (SD) of 1...
October 4, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30293804/accuracy-of-a-cad-cam-surgical-template-for-mandibular-distraction-a-preliminary-study
#4
B Li, H Sun, F Zeng, T Zhang, X Wang
We have assessed the accuracy and clinical validation of virtual planning using a surgical template in 16 patients with hemifacial microsomia being treated by mandibular distraction osteogenesis. Virtual planning and simulation were first done on three-dimensional models. Distraction was simulated on the virtual model and the new morphology of the mandible was previewed. Both the position and direction of the distractor were calculated to achieve the optimal morphology. The templates were designed based on the virtual planning, and manufactured using a 3-dimensional printing technique...
October 4, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30293803/distribution-of-metastatic-regional-lymph-nodes-in-squamous-cell-carcinoma-of-the-oral-commissure-and-its-implications-for-treatment-in-the-neck
#5
LETTER
Laith Mukdad, Jose E Alonso, Albert Han, Edward C Kuan, Maie A St John
No abstract text is available yet for this article.
October 4, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30293802/transoral-vertical-ramus-osteotomy-fixed-with-kirschner-pins
#6
T-T Huang, K-H Cheng, C-J Chang, K-C Chen, J-K Liu, T-Y Wong
Transoral vertical ramus osteotomy (VRO) has been condemned because the condyle has the potential to sag, and because it needs lengthy maxillomandibular fixation. We have therefore introduced a simple method of fixation, and examined its effectiveness and complications. After the osteotomy, the proximal and distal segments are trimmed to adapt to each other. Four Kirschner (K) pins 0.9mm in diameter are inserted percutaneously from the proximal to the distal segment while the condyle is positioned in the glenoid fossa...
October 4, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30293801/total-virtual-workflow-in-cad-cam-bony-reconstruction-with-a-single-step-free-fibular-graft-and-immediate-dental-implants
#7
D Zweifel, M G Bredell, H Essig, T Gander, M Lanzer, C Rostetter, M Rücker, S Studer
The Surgical reconstruction of defects of the face is challenging. Local and regional flaps have an important part to play, but large defects of bone and soft tissue are a greater problem. Microvascular tissue transfer has become the standard for such patients, and preoperative planning of bony reconstructions is now common. To use these preplanning tools best the implants should be placed in the prosthetically ideal place, and the bone positioned to surround the implants - that is, truly backward planning of the position of the bone...
October 4, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30279007/sublingual-gland-flap-for-soft-tissue-reconstruction-of-oral-defects
#8
T Eguchi, A Basugi, I Kanai, Y Miyata, Y Hamada
No abstract text is available yet for this article.
September 29, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30279006/classification-of-craniofacial-osteoradionecrosis-the-addition-of-end-stage-disease
#9
LETTER
A Kanatas, S Doumas
No abstract text is available yet for this article.
September 29, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30220612/margins-and-survival-in-oral-cancer
#10
D A Mitchell, A Kanatas, C Murphy, P Chengot, A B Smith, T K Ong
In the surgical management of oral squamous cell carcinoma (SCC) we aim to resect the tumour with clear margins in all planes. The aim of this study was to identify and compare overall survival in a group of 591 patients who had resections, and to relate this to the clearance of margins at the tumour bed. We used life tables to calculate survival at one, two, three, five, and 10 years after diagnosis by margin (clear=5mm or more; close=2-5mm; and involved=less than 2mm). Kaplan-Meier curves were produced for the margins alone, which were defined as clear in 480 patients (81%), close in 63 (11%), and involved in 48 (8%)...
September 13, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30220611/primary-reconstruction-of-orbital-fractures-using-patient-specific-titanium-milled-implants-the-helsinki-protocol
#11
M Kärkkäinen, T Wilkman, K Mesimäki, J Snäll
Preoperative virtual planning and the use of patient-specific implants enable exact reconstruction of orbital fractures. We present our results and experience of reconstruction of isolated orbital fractures with patient-specific implants, according to the Helsinki protocol, in 15 patients who were followed up for at least three months postoperatively. The mean (range) difference between the positions of virtually planned, and postoperative, implants was 1.9 (0.5-5.6) mm. The postoperative volume of the fractured orbit was 1...
September 13, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30220610/neurosensory-recovery-after-trauma-to-the-orbital-floor-a-prospective-trial-with-dexamethasone
#12
A Haapanen, H Thorén, S Apajalahti, A L Suominen, J Snäll
Our aims were to document the occurrence of neurosensory disturbances of the infraorbital nerve six months after operation for an orbital blow-out fracture, and to find out whether dexamethasone facilitates neurosensory regeneration. Patients were randomly assigned to one of two groups: the study group was given a total of dexamethasone 30mg, whereas the control group were given neither glucocorticoid nor placebo. Each patient's infraorbital neurosensory state was recorded preoperatively, immediately postoperatively, and six months later...
September 13, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30220609/manufacture-of-a-high-definition-ocular-prosthesis
#13
E Walshaw, T Zoltie, P Bartlett, T Gout
No abstract text is available yet for this article.
September 13, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30220608/the-impact-and-effect-of-emotional-resilience-on-performance-an-overview-for-surgeons-and-other-healthcare-professionals
#14
REVIEW
F Murden, D Bailey, F Mackenzie, R S Oeppen, P A Brennan
Medicine and surgery can be demanding professions with high levels of burnout, but few healthcare professionals are given training or education in the management of stress, and the ability of individuals to cope with work and other pressures is often taken for granted. Emotional resilience - the ability to recover from a stressful event, whether at work or at home - is influenced by factors that are both within and outside our control. In this review, we provide an overview of emotional resilience for surgeons and other healthcare professionals, and focus on the factors that can be modulated to help us cope with difficult or complex situations...
September 13, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30219606/review-of-outcomes-of-500-consecutive-cases-of-non-melanoma-skin-cancer-of-the-head-and-neck-managed-in-an-oral-and-maxillofacial-surgical-unit-in-a-district-general-hospital
#15
A J Dalal, J Ingham, B Collard, G Merrick
We provide a non-melanoma skin cancer (NMSC) service for skin cancers of the head and neck in the south-west of England. We hypothesised that certain anatomical sites such as the nose and eyelid would have a higher incidence of close or involved margins than others, and that the choice of repair might influence the excised margins. We therefore retrospectively analysed the data of 500 consecutive NMSC that were operated on in the oral and maxillofacial surgery unit of Taunton and Somerset NHS Trust. The database reports were crosschecked against the Trust's own pathology reporting system to ensure that they were accurate...
September 12, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30197234/precise-control-of-maxillary-multidirectional-movement-in-le-fort-i-osteotomy-using-a-surgical-guiding-device
#16
C Xue, H Xu, Y Tian, X Yang, E Luo, D Bai
We introduced a surgical protocol to achieve accurate maxillary multidirectional movement in Le Fort I osteotomies. This comprised a way of controlling precision and a guiding device together with prebent titanium plates. We evaluated the protocol using a semiautomated 3-dimensional assessment in 22 patients with maxillary multidirectional movement (movement in three or more of six directions). Operations were all done between October 2015 and April 2017 by the same surgeon, who followed the protocol strictly...
September 6, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30190090/innovative-use-of-a-stereolithographic-model-together-with-the-mirror-image-technique-to-reconstruct-a-defect-in-mandibular-continuity
#17
A J Abbasi, M Parvin, S Bashiri
No abstract text is available yet for this article.
September 3, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30190089/orthodromic-transfer-of-the-temporalis-tendon-with-extension-of-the-fascia-lata-to-reanimate-the-smile-in-facial-palsy
#18
Anson Jose, Shakil Ahmed Nagori, Indranil D Roy, Ajoy Roychoudhury
No abstract text is available yet for this article.
September 3, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30190088/molecular-pathogenesis-of-proliferative-verrucous-leukoplakia-a-systematic-review
#19
REVIEW
E M Okoturo, J M Risk, A G Schache, R J Shaw, M T Boyd
Proliferative verrucous leukoplakia (PVL) is a potentially premalignant lesion that undergoes malignant transformation in over 40% of cases. Its clinical homogeneity suggests that a single or a small number of molecular pathogenic pathways may exist. Using the Cochrane protocol for systematic reviews, we have looked at the reported evidence of the molecular aetiology and pathogenesis of PVL and compared it with that of conventional oral epithelial dysplasia (OED). Of the 43 papers studied, 19 met the inclusion criteria including 13 proteins assayed in 344 tissues, and genes investigated were TP53, p14ARF, and p16INK4A...
September 3, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/30173962/sleep-its-importance-and-the-effects-of-deprivation-on-surgeons-and-other-healthcare-professionals
#20
REVIEW
D A Parry, R S Oeppen, M S A Amin, P A Brennan
As clinicians, we sometimes fail to look after ourselves properly and do not regularly eat healthy foods or drink enough. Sleep is another factor that we often neglect. A lack of it can compromise our personal health and performance at work, and the "sleep debt" that results when this is chronic can take far longer to recover from than one might think. Now that junior doctors work more shift rotas and senior colleagues have onerous on-call responsibilities, we all need to be aware of the effects of sleep deprivation, which can lower the mood and motivation, weaken leadership, and result in more clinical errors...
October 2018: British Journal of Oral & Maxillofacial Surgery
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