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British Journal of Oral & Maxillofacial Surgery

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https://www.readbyqxmd.com/read/29908706/conscious-sedation-with-midazolam-intravenously-for-a-patient-with-parkinson-s-disease-and-unpredictable-chorea-like-dyskinesia
#1
M Shibuya, T Hojo, Y Hase, T Fujisawa
Oral surgery can be difficult in patients with chorea-like dyskinesia, which is common in those on long-term levodopa medication for Parkinson's disease, and we know of no conclusive evidence to indicate whether conscious sedation with midazolam is effective in such cases. We report a patient in whom levodopa-induced chorea-like dyskinesia disappeared when midazolam was given intravenously for conscious sedation.
June 13, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29908705/high-levels-of-socioeconomic-deprivation-do-not-inhibit-patients-communication-of-concerns-in-head-and-neck-cancer-review-clinics
#2
S Allen, R Harris, S L Brown, G Humphris, Y Zhou, S N Rogers
To examine associations between socioeconomic status and the extent to which patients with cancer of the head and neck expressed concerns to surgeons during routine follow-up clinics, we analysed audio recordings of 110 consultations with one consultant. We used the Verona Coding Definitions of Emotional Sequences (VRCoDES) to measure communication between the doctor and the patient, and grouped the English indices of multiple deprivation (IMD) 2015 scores into deciles to compare the VRCoDES with socioeconomic status...
June 13, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29907469/management-of-the-airway-in-maxillofacial-surgery-part-1
#3
REVIEW
S W Evans, R A McCahon
In part 1 of this review of management of the airway in maxillofacial surgery we discuss preoperative assessment of the airway, and the practical means to deal with difficulties. We review the evidence for videolaryngoscopy and flexible indirect laryngoscopy, together with surgical access to the airway including tracheostomy, cricothyroidotomy, and submental intubation.
June 12, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29907468/management-of-the-airway-in-maxillofacial-surgery-part-2
#4
REVIEW
S W Evans, R A McCahon
Prediction of the difficulty of an airway is unreliable, and failure of one technique of management increases the likelihood of failure of subsequent interventions. Part 2 of this review describes strategies to avoid or mitigate the impact of failure, and the associated airway-related morbidity and mortality.
June 12, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29907467/measuring-health-related-benefit-and-quality-of-care-in-oral-and-maxillofacial-surgery-british-association-of-oral-and-maxillofacial-surgeons-outcomes-project
#5
EDITORIAL
J McMahon, F Puglia, I Martin, D Mitchell, S Dover, R Bentley, S Parmar, A T Smith, C Kerawala, I Holland
No abstract text is available yet for this article.
June 12, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29895393/digital-cutting-guide-and-endoscopically-assisted-vertical-ramus-osteotomy-to-treat-condylar-osteochondroma-a-long-term-study
#6
L Huo, M-J Chen, C Yang, S-Y Zhang, J-S Zheng, Y Chen
We have introduced an effective treatment for mandibular condylar osteochondroma with a digital cutting guide and endoscopically-assisted vertical ramus osteotomy (VRO). Eleven patients with unilateral condylar osteochondroma, who did not require orthognathic surgery or had less than 3mm deviation of the chin and a stable occlusion, were treated during the period April 2013-January 2017 with a digital cutting guide and endoscopically-assisted VRO. Clinical data collected included the occlusion, facial contour, and maximum mouth opening (MMO)...
June 9, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29895392/radiographic-study-to-assess-the-reliability-of-the-gillies-approach-for-biopsy-of-the-superficial-temporal-artery
#7
D M Girgis, D J Gibson, C J Wood, S S Subramaniam, A M Bobinskas
Biopsy of the superficial temporal artery is often used in the diagnosis of giant cell arteritis, but at traditional sites there is a risk of injury to the facial nerve. Recently the Gillies incision has been suggested as an alternative means of access for the biopsy, but the anatomical basis of this has not been fully elucidated. We therefore undertook a radiographic review of 150 patients, and examining 300 vessels, to find out. Our results indicated that there is considerable variability in the position of the bifurcation of the superficial temporal artery, and so a Gillies approach may not be reliable, particularly if access to the bifurcation is required...
June 9, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29887252/change-in-the-posterior-airway-after-mandibular-distraction-osteogenesis-in-patients-with-ankylosis-of-the-temporomandibular-joint-a-retrospective-study
#8
R Y Bi, X T Luo, N Jiang, S S Zhu, Y F Li
Mandibular distraction osteogenesis (DO) has been shown to lead to considerable improvement in obstruction of the posterior airway space in patients with ankylosis of the temporomandibular joint (TMJ), and our objective was to find out if we could confirm these findings. Seventeen patients had spiral computed tomographic (CT) scans before and after DO. After treatment, the overall posterior airway space was enlarged in all three sections of the airway (oropharyngeal, glossopharyngeal, and laryngeal). We then compared rates of change in the airway among the sections using 2-dimensional and 3-dimensional assessments, and found that the rate of change in 3-dimensional assessment of volume was significantly higher than that in the 2-dimensional (62% compared with 34%)...
June 7, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29887251/long-term-quality-of-life-measured-by-the-university-of-washington-qol-questionnaire-version-4-in-patients-with-oral-cancer-treated-with-or-without-reconstruction-with-a-microvascular-free-flap
#9
J Yue, S Zhuo, H Zhang, X Liu, W Zhang
We used the University of Washington Quality of Life (UW-QoL) questionnaire (version 4) to assess the long-term quality of life (QoL) of patients with oral squamous cell carcinoma treated with or without reconstruction with a microvascular free flap, and all patients with T2-T4 oral squamous cell carcinoma (SCC) treated in this way were eligible for the study. A total of 139 patients' personal details, medical history, and QoL scores were collected and analysed. The mean (SD) overall QoL score was 73.09 (14...
June 7, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29885985/aggression-directed-towards-members-of-the-oral-and-maxillofacial-surgical-team
#10
C J Mannion, C Gordon
Oral and maxillofacial surgery (OMFS) is an acute surgical specialty, and members of the surgical team may be exposed to challenging incidents. We have evaluated the experiences of members of OMFS teams and their experiences of aggressive and abusive behaviour. Education and training in the resolution of such conflicts should be offered to all members of the team to allow a safe and secure working environment.
June 6, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29859781/volumetric-comparison-of-autogenous-bone-and-tissue-engineered-bone-replacement-materials-in-alveolar-cleft-repair-a-systematic-review-and-meta-analysis
#11
REVIEW
M Kamal, A H Ziyab, A Bartella, D Mitchell, A Al-Asfour, F Hölzle, P Kessler, B Lethaus
The goal of reconstruction of the alveolar cleft in patients with cleft lip and palate is to improve the quality of tissue, the structural stability, and increase the volume of bone. This study is a systematic review with meta-analysis of volumetric bony filling using autogenous bone and various tissue-engineered bone substitutes. We made an electronic search on MEDLINE, EMBASE, SCOPUS, WEB OF SCIENCE, "grey" publications (materials and research produced by organisations outside traditional channels for commercial or academic publishing and distribution), and relevant cross references according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
May 30, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29859780/is-there-an-ideal-way-to-close-the-donor-site-of-radial-forearm-free-flaps
#12
REVIEW
A M Pabst, R Werkmeister, J Steegmann, F Hölzle, A Bartella
Radial forearm free flaps (RFFF) are the "workhorse" of reconstructive head and neck surgery, but have considerable morbidity at the donor site. The aim of this study was to review current publications about the incidence and type of morbidity and the different techniques used for closure of the site. We screened the MEDLINE database to find relevant papers using the terms "RFFF head and neck" and "RFFF donor site". Abstracts were filtered, and the full texts studied carefully...
May 30, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29859779/could-fetal-reduction-induce-facial-cleft-report-of-a-case
#13
J Chauvel-Picard, J Massardier, A Gleizal
We describe a paramedian cleft of the lower lip that cannot be explained by embryological development in a child with only one predisposing factor, which was fetal reduction for a multiple pregnancy. To the best of our knowledge, there has been no report of a cleft that has been induced by the reduction of a multifetal pregnancy.
May 30, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29853198/cleft-lip-vermilion-below-the-red-line
#14
M Y Mommaerts
No abstract text is available yet for this article.
May 28, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29853197/evaluation-of-two-internal-fixation-techniques-for-mandibular-parasymphyseal-fractures-comparing-conventional-titanium-miniplates-with-customised-titanium-crb-omega-miniplates-a-prospective-study
#15
C R Bande, K R Kurawar, A Mishra, A Joshi, M Goel, M R Mahajan
Our aim was to compare the efficacy and outcome of customised, titanium, CRB (Chandrashekhar Rushiji Bande), omega miniplates with those of conventional titanium miniplates in the management of parasymphyseal fractures of the mandible, with or without involvement of the mental nerve, after clinical and radiographic evaluation. A total of 252 parasymphyseal fractures in 200 patients were selected for the study over the period of seven years (January 2010-January2017) and divided randomly into two groups. The first group included 126 fractures treated with two conventional titanium miniplates (conventional group) and the second 126 fractures treated with one customised, titanium, CRB, omega miniplate (customised group)...
May 28, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29804634/management-of-oral-and-maxillofacial-infections-in-a-regional-unit-a-seven-day-service
#16
Marta Cabral, Farhana T Kapasi, Phillip Ameerally
The provision of a seven-day National Health Service (NHS) has been proposed as a means to halt the weekend delay in treatment that has been described in some studies. We tested the emergency services in the Oral and Maxillofacial Surgery Department at Northampton General Hospital to find out whether they provided a seven-day service. Data were collected prospectively and retrospectively for all patients admitted to the Oral and Maxillofacial Department at Northampton General Hospital with infections of the head and neck during a period of 29months (January 2014-May 2016)...
May 24, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29798779/subjective-perception-of-paraesthesia-of-the-lower-lip-after-bilateral-sagittal-split-osteotomy-at-a-district-general-hospital
#17
E Mackinnon, K Bajaj, D Tighe, M Williams
Our aim was to assess patients' perception of paraesthesia of the lower lip after bilateral sagittal split osteotomy (BSSO) at a district general hospital. Patients who had BSSO between August 2013 and August 2014 (n=46) were asked to score their perception of numbness between 0-10 (0=normal sensation. 10=complete loss of sensation/total numbness) one day postoperatively and then weekly for seven weeks, and at three months, 6 months, and one year. Data was collected on score sheets and by regular contact by telephone...
May 21, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29784281/new-approach-to-the-reconstruction-of-defects-deep-in-the-orbital-roof
#18
N Shah, S Kassam, M Perry, K Tsang
No abstract text is available yet for this article.
May 18, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29784280/laser-speckle-imaging-to-measure-tissue-perfusion-in-free-flaps-in-oral-and-maxillofacial-surgery-a-potentially-exciting-and-easy-to-use-monitoring-method
#19
P A Brennan, M T Brands, R Gush, P Alam
No abstract text is available yet for this article.
May 18, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29776775/persistent-buccopharyngeal-membrane-a-rare-entity
#20
LETTER
A Rai, A Jain, M M Khan, V Gupta
No abstract text is available yet for this article.
May 15, 2018: British Journal of Oral & Maxillofacial Surgery
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