Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.11.005
Tanweer Kamaly , Anna Sayan , Montey Garg
For dental graduates transitioning into junior oral and maxillofacial surgery (OMFS) roles, the shift from general dental practice to the hospital environment presents unique challenges. This article reviews the key resources and training tools that are available and commonly used by these graduates to prepare for their roles. The findings are based on a survey of 61 junior OMFS practitioners, highlighting the most helpful resources and identifying gaps that could be addressed to better support new entrants into the field and enhance training satisfaction.
{"title":"Training and learning resources available for singly-qualified dental graduates entering into junior oral and maxillofacial surgery roles","authors":"Tanweer Kamaly , Anna Sayan , Montey Garg","doi":"10.1016/j.bjoms.2024.11.005","DOIUrl":"10.1016/j.bjoms.2024.11.005","url":null,"abstract":"<div><div>For dental graduates transitioning into junior oral and maxillofacial surgery (OMFS) roles, the shift from general dental practice to the hospital environment presents unique challenges. This article reviews the key resources and training tools that are available and commonly used by these graduates to prepare for their roles. The findings are based on a survey of 61 junior OMFS practitioners, highlighting the most helpful resources and identifying gaps that could be addressed to better support new entrants into the field and enhance training satisfaction.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 151-153"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Novel use of a robot for microvascular anastomosis in head and neck surgery","authors":"Tom Holland-Elliott , Sudhakar Marineni , Nakul Patel , Phillip Ameerally , Manish Mair","doi":"10.1016/j.bjoms.2024.11.009","DOIUrl":"10.1016/j.bjoms.2024.11.009","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 154-155"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.11.001
Sarah Crummey , Alexander Rae , Oliver Jacob , Simon N. Rogers , Kathleen Fan
Temporomandibular disorders (TMD) are a group of common conditions that can have significant detrimental impact on patients functional, emotional and social wellbeing. The aim of this systematic review is to collate and summarise the literature reporting patients’ experience of TMD. This helps put the condition into the context of the patient themselves and their interaction with healthcare professionals. The study was completed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA) guidelines. A systematic literature search was performed on 1 December 2023 using following databases: MEDLINE, Embase, Web of Science, PsychInfo (American Psychological Associated) and the Cochrane Library. Of these 439 articles, 13 met the inclusion criteria for the review. It was a heterogenous sample with relatively poor methodological quality. The cohorts ranged from nine to 44; totalling 280 participants. Two key themes and six subthemes illustrate the experience of patients with TMD: Impact (Physical, Psychological) and Coping (Understanding the disease, Experience of healthcare professionals, Seeking treatment, Adapting behaviours). Clinical care needs to reflect the experience of patients with better explanation of the condition, access to services and support. Further research should explore how to address patients’ concerns more effectively. One method might be through the development of a PCI-TMD.
颞下颌紊乱（TMD）是一组常见疾病，可对患者的功能，情绪和社会福祉产生重大不利影响。本系统综述的目的是整理和总结报道TMD患者经验的文献。这有助于将病情纳入患者自身以及他们与医疗保健专业人员的互动环境中。本研究按照系统评价和荟萃分析方案的首选报告项目（PRISMA）指南完成。于2023年12月1日使用以下数据库进行系统文献检索：MEDLINE、Embase、Web of Science、PsychInfo（美国心理协会）和Cochrane图书馆。在这439篇文章中，13篇符合纳入标准。这是一个异质性样本，方法学质量相对较差。队列从9岁到44岁不等；共有280名参与者。两个关键主题和六个副主题阐述了TMD患者的经历：影响（身体，心理）和应对（了解疾病，医疗保健专业人员的经验，寻求治疗，适应行为）。临床护理需要反映患者的经验，更好地解释病情，获得服务和支持。进一步的研究应探讨如何更有效地解决患者的担忧。一种方法可能是通过开发PCI-TMD。
{"title":"Systematic review of patients’ experience with temporomandibular disorders","authors":"Sarah Crummey , Alexander Rae , Oliver Jacob , Simon N. Rogers , Kathleen Fan","doi":"10.1016/j.bjoms.2024.11.001","DOIUrl":"10.1016/j.bjoms.2024.11.001","url":null,"abstract":"<div><div>Temporomandibular disorders (TMD) are a group of common conditions that can have significant detrimental impact on patients functional, emotional and social wellbeing. The aim of this systematic review is to collate and summarise the literature reporting patients’ experience of TMD. This helps put the condition into the context of the patient themselves and their interaction with healthcare professionals. The study was completed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA) guidelines. A systematic literature search was performed on 1 December 2023 using following databases: MEDLINE, Embase, Web of Science, PsychInfo (American Psychological Associated) and the Cochrane Library. Of these 439 articles, 13 met the inclusion criteria for the review. It was a heterogenous sample with relatively poor methodological quality. The cohorts ranged from nine to 44; totalling 280 participants. Two key themes and six subthemes illustrate the experience of patients with TMD: Impact (Physical, Psychological) and Coping (Understanding the disease, Experience of healthcare professionals, Seeking treatment, Adapting behaviours). Clinical care needs to reflect the experience of patients with better explanation of the condition, access to services and support. Further research should explore how to address patients’ concerns more effectively. One method might be through the development of a PCI-TMD.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 76-82"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/S0266-4356(25)00029-4
{"title":"Training groups / Instructions to Authors","authors":"","doi":"10.1016/S0266-4356(25)00029-4","DOIUrl":"10.1016/S0266-4356(25)00029-4","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Page IBC"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.10.236
Catherine Magennis , Anna Davies , Rhydian King , Nida Ilahi , Roseanna Morgan , Gemma Stonier , Kate Howson , Amit Dattani , Christopher Hamps , Aimee Rowe , Ian Jenkyn , Shadi Basyuni , Patrick Magennis
In 2008 the Postgraduate Medical Education and Training Board (PMETB) Review of Oral and Maxillofacial Surgery (OMFS) recommended that OMFS specialty training should start with second-degree studies. This recommendation has not yet happened. Currently, no OMFS controlled places at medical/dental schools are directly linked to OMFS Specialty Training (ST) posts. ‘OMFS controlled’ in this paper refers to dedicated places on shortened second degree courses to which OMFS specialists/trainers have the key role in selection. Freedom of Information requests were sent to 14 medical schools known to have OMFS ‘controlled’ second-degree MB places: Aberdeen, Birmingham, Bristol, Cambridge, Cardiff, Glasgow, Leeds, Liverpool, Manchester, London–Kings, London–QMUL, Newcastle, Plymouth and York/Hull. Information was also requested from the London-Kings BDS Dental Programme for Medical Graduates (DPMG). These data were supplemented by information from consultants and trainees with experience of the processes. Replies were received from six medical schools in Birmingham, Cambridge, Glasgow, Liverpool, London-Kings, and London-QMUL, plus the dental school of London - Kings DPMG. These seven programmes provide approximately 30 OMFS controlled places per year. The application ratios, between 5:1 and 29:1, are significantly more competitive than selection to ST1 and ST3 places. There are more OMFS controlled second degree places than presented in this paper which only details universities from whom replies were received. If all students in OMFS controlled second-degree places progressed to ST without loss, there are more than sufficient to fill all available OMFS ST places. Linking OMFS controlled second degree places through to OMFS ST posts would deliver the key PMETB recommendation in a process which would be more competitive than current ST selection. For OMFS trainees whose first degree was medicine, OMFS selected places at shortened dental courses are needed outside London.
{"title":"Oral and maxillofacial surgery (OMFS) ‘controlled’ second-degree places in the UK – there are sufficient numbers (with high application ratios) to meet current and future OMFS recruitment needs in the UK","authors":"Catherine Magennis , Anna Davies , Rhydian King , Nida Ilahi , Roseanna Morgan , Gemma Stonier , Kate Howson , Amit Dattani , Christopher Hamps , Aimee Rowe , Ian Jenkyn , Shadi Basyuni , Patrick Magennis","doi":"10.1016/j.bjoms.2024.10.236","DOIUrl":"10.1016/j.bjoms.2024.10.236","url":null,"abstract":"<div><div>In 2008 the Postgraduate Medical Education and Training Board (PMETB) Review of Oral and Maxillofacial Surgery (OMFS) recommended that OMFS specialty training should start with second-degree studies. This recommendation has not yet happened. Currently, no OMFS controlled places at medical/dental schools are directly linked to OMFS Specialty Training (ST) posts. ‘OMFS controlled’ in this paper refers to dedicated places on shortened second degree courses to which OMFS specialists/trainers have the key role in selection. Freedom of Information requests were sent to 14 medical schools known to have OMFS ‘controlled’ second-degree MB places: Aberdeen, Birmingham, Bristol, Cambridge, Cardiff, Glasgow, Leeds, Liverpool, Manchester, London–Kings, London–QMUL, Newcastle, Plymouth and York/Hull. Information was also requested from the London-Kings BDS Dental Programme for Medical Graduates (DPMG). These data were supplemented by information from consultants and trainees with experience of the processes. Replies were received from six medical schools in Birmingham, Cambridge, Glasgow, Liverpool, London-Kings, and London-QMUL, plus the dental school of London - Kings DPMG. These seven programmes provide approximately 30 OMFS controlled places per year. The application ratios, between 5:1 and 29:1, are significantly more competitive than selection to ST1 and ST3 places. There are more OMFS controlled second degree places than presented in this paper which only details universities from whom replies were received. If all students in OMFS controlled second-degree places progressed to ST without loss, there are more than sufficient to fill all available OMFS ST places. Linking OMFS controlled second degree places through to OMFS ST posts would deliver the key PMETB recommendation in a process which would be more competitive than current ST selection. For OMFS trainees whose first degree was medicine, OMFS selected places at shortened dental courses are needed outside London.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 104-111"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.11.008
Joshua Lopez, Kaisha Patel, Kathleen Fan
Attaining degrees in both medicine and dentistry to forge a career in Oral and Maxillofacial Surgery (OMFS) comes at a considerable financial cost. To fund a second degree most must work alongside their full-time studies. This study aims to assess the current working roles and patterns of those qualified in dentistry, studying medicine to pursue a career in OMFS. An online survey was created following a comprehensive literature review. Sixteen questions were included to collect data regarding the working patterns and roles of dentally qualified medical students. Responses from 45 students in the UK were included. Working in OMFS was undertaken by 96%, with 49% working in an OMFS unit associated with their university. First on-call OMFS roles were worked by 78%, with 38% doing second on-call work. Night shifts were worked by 84%. Roles providing primary dental care were undertaken by 31%. The work undertaken had a positive or strong positive effect on the OMFS skill set of 62%, and 84% wished to gain more operative experience in theatre. Most second-degree trainees are working in on-call OMFS roles encompassing night shifts. Many feel they are advancing their clinical skills but wish to gain more operative experience in theatre.
{"title":"Working during the second degree: A survey of dentally qualified medical students pursuing a career in OMFS","authors":"Joshua Lopez, Kaisha Patel, Kathleen Fan","doi":"10.1016/j.bjoms.2024.11.008","DOIUrl":"10.1016/j.bjoms.2024.11.008","url":null,"abstract":"<div><div>Attaining degrees in both medicine and dentistry to forge a career in Oral and Maxillofacial Surgery (OMFS) comes at a considerable financial cost. To fund a second degree most must work alongside their full-time studies. This study aims to assess the current working roles and patterns of those qualified in dentistry, studying medicine to pursue a career in OMFS. An online survey was created following a comprehensive literature review. Sixteen questions were included to collect data regarding the working patterns and roles of dentally qualified medical students. Responses from 45 students in the UK were included. Working in OMFS was undertaken by 96%, with 49% working in an OMFS unit associated with their university. First on-call OMFS roles were worked by 78%, with 38% doing second on-call work. Night shifts were worked by 84%. Roles providing primary dental care were undertaken by 31%. The work undertaken had a positive or strong positive effect on the OMFS skill set of 62%, and 84% wished to gain more operative experience in theatre. Most second-degree trainees are working in on-call OMFS roles encompassing night shifts. Many feel they are advancing their clinical skills but wish to gain more operative experience in theatre.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 69-75"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.10.241
Sofia Khan , Sarah R. Sutton , Shaun A. Nguyen , Andrea M. Rinn , Robson Capasso , Chitra Lal , Abdelwahab Rakha , Sarandeep S. Huja , Timothy J. Tremont , Mohamed Abdelwahab
The aim of this paper was to systematically review and compare the Apnoea-Hypopnoea Index (AHI), Lowest O2 Saturation (LSAT), Oxygen Desaturation Index (ODI), Epworth Sleep Scale (ESS), and Body Mass Index (BMI) between dentofacial (skeletal) classes I, II, and III before and after maxillomandibular advancement (MMA) for Obstructive Sleep Apnoea (OSA). The PubMed, Scopus, and CINAHL databases were searched from inception to 23 November 2022. Two reviewers screened for articles that reported occlusion/malocclusion class type as I, II, or III, and reported preoperative and postoperative AHI, LSAT, ODI, ESS, and/or BMI. Two reviewers independently screened title/abstracts and subsequently, full-text articles that met eligibility criteria. Preoperative ESS and ODI were significantly higher in Class II (13.77, 95% CI, 11.38% to 16.17% and 47.49, 95% CI, 33.04% to 61.95%) than in Class III (12.47, 95% CI, 9.95% to 14.99% and 32.47, 95% CI, -10.37% to 75.30%) (p < 0.0001). Postoperatively, class I showed the greatest percentage reduction of AHI, with a reduction of 89.61% (95% CI, 84.47% to 94.75%) compared with class II and III (p < 0.0001). Additionally, amongst all malocclusion classes and operative status, meta-regression showed positive correlations between ESS and AHI (r = 0.94, p < 0.001) and ESS and ODI (r = 0.90, p < 0.001). Class I subjects with no dentofacial discrepancy had the greatest improvement in AHI compared with Class II and III. Class II subjects may express more severe ODI and ESS preoperatively compared with Class III subjects. Additionally, subjective outcomes (ESS) may be a predictor for objective outcomes (AHI and ODI) for patients undergoing MMA.
{"title":"Outcomes of maxillomandibular advancement (MMA) by dentofacial class: A systematic review and meta-analysis","authors":"Sofia Khan , Sarah R. Sutton , Shaun A. Nguyen , Andrea M. Rinn , Robson Capasso , Chitra Lal , Abdelwahab Rakha , Sarandeep S. Huja , Timothy J. Tremont , Mohamed Abdelwahab","doi":"10.1016/j.bjoms.2024.10.241","DOIUrl":"10.1016/j.bjoms.2024.10.241","url":null,"abstract":"<div><div>The aim of this paper was to systematically review and compare the Apnoea-Hypopnoea Index (AHI), Lowest O<sub>2</sub> Saturation (LSAT), Oxygen Desaturation Index (ODI), Epworth Sleep Scale (ESS), and Body Mass Index (BMI) between dentofacial (skeletal) classes I, II, and III before and after maxillomandibular advancement (MMA) for Obstructive Sleep Apnoea (OSA). The PubMed, Scopus, and CINAHL databases were searched from inception to 23 November 2022. Two reviewers screened for articles that reported occlusion/malocclusion class type as I, II, or III, and reported preoperative and postoperative AHI, LSAT, ODI, ESS, and/or BMI. Two reviewers independently screened title/abstracts and subsequently, full-text articles that met eligibility criteria. Preoperative ESS and ODI were significantly higher in Class II (13.77, 95% CI, 11.38% to 16.17% and 47.49, 95% CI, 33.04% to 61.95%) than in Class III (12.47, 95% CI, 9.95% to 14.99% and 32.47, 95% CI, -10.37% to 75.30%) (p < 0.0001). Postoperatively, class I showed the greatest percentage reduction of AHI, with a reduction of 89.61% (95% CI, 84.47% to 94.75%) compared with class II and III (p < 0.0001). Additionally, amongst all malocclusion classes and operative status, meta-regression showed positive correlations between ESS and AHI (r = 0.94, p < 0.001) and ESS and ODI (r = 0.90, p < 0.001). Class I subjects with no dentofacial discrepancy had the greatest improvement in AHI compared with Class II and III. Class II subjects may express more severe ODI and ESS preoperatively compared with Class III subjects. Additionally, subjective outcomes (ESS) may be a predictor for objective outcomes (AHI and ODI) for patients undergoing MMA.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 83-90"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.11.013
Carlos M. Ardila (PhD in Epidemiology. Postdoctoral Researcher. Professor Department of Basic Sciences), Pradeep Kumar Yadalam (PhD in Periodontics. Professor Department of Periodontics)
{"title":"Comment on: Prediction of postoperative complications in patients undergoing head and neck surgery with free-flap reconstruction","authors":"Carlos M. Ardila (PhD in Epidemiology. Postdoctoral Researcher. Professor Department of Basic Sciences), Pradeep Kumar Yadalam (PhD in Periodontics. Professor Department of Periodontics)","doi":"10.1016/j.bjoms.2024.11.013","DOIUrl":"10.1016/j.bjoms.2024.11.013","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 158-159"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.bjoms.2024.11.002
Juliana Dreyer da Silva de Menezes, Isabela Toledo Teixeira da Silveira, Josfran da Silva Ferreira Filho, João Pedro Franchi Gomes, Luciano Reis de Araújo Carvalho, Renato Yassutaka Faria Yaedú
This study aims to evaluate the post-surgical stability of patients with cleft lip and palate that underwent maxillary advancement surgery. The study was conducted by means of cephalometric analysis of the soft tissues in digital radiographs acquired preoperatively, immediate postoperatively and six months after surgery using Dolphin Imaging 11.5 software. The effective sample consisted of 87 patients, among whom 50 (57.4%) were male and 37 (42.6%) were female. The mean age of the patients was 23.1 years, the minimum age was 17 years, and the maximum age was 37 years. Patients underwent maxillary advancement with cephalometric analysis during the preoperative and postoperative period, which was around six months. The results revealed a significant tendency for relapse in the vertical direction with instability of the occlusal plane. In the postoperative period, counterclockwise movement of the maxillomandibular complex was observed, leading to height reduction of the lower third of the face and increased facial angle. The observed changes were not correlated with the extent of the sagittal advancement.
{"title":"Assessing postoperative maxillary advancement stability in patients with cleft lip and palate","authors":"Juliana Dreyer da Silva de Menezes, Isabela Toledo Teixeira da Silveira, Josfran da Silva Ferreira Filho, João Pedro Franchi Gomes, Luciano Reis de Araújo Carvalho, Renato Yassutaka Faria Yaedú","doi":"10.1016/j.bjoms.2024.11.002","DOIUrl":"10.1016/j.bjoms.2024.11.002","url":null,"abstract":"<div><div>This study aims to evaluate the post-surgical stability of patients with cleft lip and palate that underwent maxillary advancement surgery. The study was conducted by means of cephalometric analysis of the soft tissues in digital radiographs acquired preoperatively, immediate postoperatively and six months after surgery using Dolphin Imaging 11.5 software. The effective sample consisted of 87 patients, among whom 50 (57.4%) were male and 37 (42.6%) were female. The mean age of the patients was 23.1 years, the minimum age was 17 years, and the maximum age was 37 years. Patients underwent maxillary advancement with cephalometric analysis during the preoperative and postoperative period, which was around six months. The results revealed a significant tendency for relapse in the vertical direction with instability of the occlusal plane. In the postoperative period, counterclockwise movement of the maxillomandibular complex was observed, leading to height reduction of the lower third of the face and increased facial angle. The observed changes were not correlated with the extent of the sagittal advancement.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"63 2","pages":"Pages 118-124"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号