British Journal of Oral & Maxillofacial Surgery最新文献

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Comment on: “To what extent does social media influence patient choice of surgeon for temporomandibular joint replacement?” 评论：“社交媒体在多大程度上影响了患者对颞下颌关节置换术医生的选择？”

IF 1.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

British Journal of Oral & Maxillofacial Surgery

Pub Date : 2026-02-01 Epub Date: 2025-12-03 DOI: 10.1016/j.bjoms.2025.10.285

Anuj Jain

引用次数: 0

BAOMS interfaces with other organisations and groups: to prepare for the future, we need to look further not closer, wider not narrower… BAOMS与其他组织和团体的接口：为未来做准备，我们需要看得更远而不是更近，更宽而不是更窄....

IF 1.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

British Journal of Oral & Maxillofacial Surgery

Pub Date : 2026-02-01 Epub Date: 2025-12-05 DOI: 10.1016/j.bjoms.2025.11.009

Patrick Magennis

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In reply to the Letter to the Editor regarding “Ghost-writing in oral and maxillofacial literature: facilitator of progress or ethical erosion?” 关于“口腔颌面文学中的代写：进步的推动者还是道德的侵蚀？”致编辑的回复

IF 1.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

British Journal of Oral & Maxillofacial Surgery

Pub Date : 2026-02-01 Epub Date: 2025-12-25 DOI: 10.1016/j.bjoms.2025.11.010

Anuj Jain , Yash Merchant

引用次数: 0

Management of osteomyelitis of the mandible – a 15-year case series 下颌骨骨髓炎的处理-一个15年的病例系列。

IF 1.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

British Journal of Oral & Maxillofacial Surgery

Pub Date : 2026-02-01 Epub Date: 2025-09-04 DOI: 10.1016/j.bjoms.2025.08.012

James Olding , Amanda Fife , Danyal Awal , Kathleen Fan

Osteomyelitis of the mandible is uncommon in the current age of antimicrobials. When it occurs, the effects can be devastating, both functionally and aesthetically. The low volume of cases means clinicians are unlikely to gain significant experience in managing this condition. In this 15-year retrospective case series, all cases of osteomyelitis of the mandible treated at our tertiary referral centre were identified. Data on patient demographics, risk factors, treatment regimens, and outcomes were collected. The Zurich classification system was used to group cases into Acute (AO), Secondary Chronic (SCO) and Primary Chronic (PCO) osteomyelitis. A total of 60 patients were included for analysis. Mean age was 43 years (8-77), and males and females were equally affected. The commonest aetiology was odontogenic (76.7%), followed by trauma. The commonest organisms were mouth commensals, with a significant association of less virulent organisms in SCO compared with AO (p = 0.018). There was a significant difference in the prevalence of systemic factors between AO and SCO patients (p < 0.001). Six weeks of antibiotics was sufficient to treat most AO cases (n = 13). SCO cases (n = 43) treated with surgical debridement combined with antibiotics had better initial outcomes. To our knowledge, this represents one of the largest series of mandibular osteomyelitis to date. Osteomyelitis of the mandible is an uncommon and challenging condition, requiring a multidisciplinary approach. There are important differences between SCO and AO that surgeons must consider, including host factors, organisms and treatment strategies.

下颌骨骨髓炎是罕见的在当前抗菌剂时代。当这种情况发生时，无论是在功能上还是在美学上，其影响都是毁灭性的。病例数量少意味着临床医生不太可能在管理这种情况方面获得重要经验。在这个15年的回顾性病例系列中，所有在我们三级转诊中心治疗的下颌骨骨髓炎病例都被确定。收集了患者人口统计学、危险因素、治疗方案和结果的数据。采用苏黎世分类系统将病例分为急性（AO）、继发性慢性（SCO）和原发性慢性（PCO）骨髓炎。共纳入60例患者进行分析。平均年龄43岁（8 ~ 77岁），男女发病人数相等。最常见的病因是牙源性（76.7%），其次是外伤。最常见的生物是口腔共生生物，与AO相比，SCO中毒性较小的生物显著相关（p = 0.018）。AO和SCO患者的系统性因素患病率有显著差异(p

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Replyto the Letter to the Editor regarding: "Clinical behavior and complications of CAD-CAM subperiosteal implants supporting fixed partial restorations: a scoping review". 回复关于“CAD-CAM骨膜下种植体支持固定部分修复的临床行为和并发症：一项范围审查”的致编辑的信。

IF 1.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

British Journal of Oral & Maxillofacial Surgery

Pub Date : 2026-01-30 DOI: 10.1016/j.bjoms.2026.01.010

Miguel Ruiz-Rincón, Luis Sánchez-Labrador, Tomás Beca-Campoy, Jorge Cortés-Bretón Brinkmann, Juan López-Quiles, José María Martínez-González

引用次数: 0

In reply to the Letter to Editor regarding "Head and neck cancer risk predictive models: a solution to streamline urgent suspected cancer referrals?" 回复关于“头颈癌风险预测模型：简化紧急疑似癌症转诊的解决方案？”

IF 1.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

British Journal of Oral & Maxillofacial Surgery

Pub Date : 2026-01-23 DOI: 10.1016/j.bjoms.2026.01.008

Mark Fishwick, Lucy Walker, Aaron Chai, Craig Nelson, Michael Ho

引用次数: 0

Comment on "Head and neck cancer risk predictive models: a solution to streamline urgent suspected cancer referrals?''. 评论“头颈癌风险预测模型：简化紧急疑似癌症转诊的解决方案？”

IF 1.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

British Journal of Oral & Maxillofacial Surgery

Pub Date : 2026-01-23 DOI: 10.1016/j.bjoms.2025.12.009

C Y Chieng, A Sayan, N Shah

引用次数: 0

Comment on "Clinical behaviour and complications of CAD-CAM subperiosteal implants supporting fixed partial restorations: a scoping review". 对“CAD-CAM骨膜下种植体支持固定部分修复的临床行为和并发症：一项范围综述”的评论。

IF 1.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

British Journal of Oral & Maxillofacial Surgery

Pub Date : 2026-01-23 DOI: 10.1016/j.bjoms.2025.12.010

Anuj Jain

引用次数: 0

Morphometric analysis of the maxillofacial region for Le Fort I osteotomy in patients with cleft lip and palate. 唇腭裂Le Fort I型截骨术颌面部形态计量学分析。

IF 1.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

British Journal of Oral & Maxillofacial Surgery

Pub Date : 2026-01-22 DOI: 10.1016/j.bjoms.2026.01.009

Motoko Tsuruda, Kiyohide Ishihata, Kei Yoshida, Ryouhei Tada, Toshiro Kibe, Hideto Saijo

Patients with cleft lip and palate (CLP) exhibit complex maxillary morphology, including hypoplasia, making Le Fort I osteotomy challenging and prone to complications. The aim of this retrospective, comparative study was to improve the safety of Le Fort I osteotomy by analysing the maxillary structure of patients with CLP. Fifteen unilateral CLP cases with maxillary hypoplasia (six males, nine females) and 15 non-CLP cases undergoing mandibular setback for prognathism (four males, 11 females) were evaluated. Axial computed tomographic (CT) images at 2.5 and 5 mm above the nasal floor were analysed. Ten parameters were measured, focusing on the distances between key anatomical landmarks including lateral and medial pterygoid plates and posterior maxillary sinus wall to pterygoid fossa. In the CLP group, the distance between the lateral and medial pterygoid plates was 4.8 ± 1.2 mm (healthy side) and 5.4 ± 1.3 mm (afflicted side), compared with 6.4 ± 1.2 mm in the non-CLP group. The shortest distance between the posterior maxillary sinus wall and pterygoid fossa was 2.7 ± 1.1 mm (healthy side) and 2.9 ± 1.3 mm (afflicted side) in CLP group, significantly greater than 1.9 ± 0.3 mm in non-CLP group. These findings indicate a thicker pterygomaxillary junction in patients with CLP, which highlights key anatomical differences. Understanding these features may help reduce surgical complications during Le Fort I osteotomy in patients with CLP.

唇腭裂（CLP）患者表现出复杂的上颌形态，包括发育不全，使得Le Fort I截骨具有挑战性并容易发生并发症。本回顾性比较研究的目的是通过分析CLP患者的上颌结构来提高Le Fort I型截骨术的安全性。本文对15例单侧CLP伴上颌发育不全患者（男6例，女9例）和15例因下颌前突而发生下颌后退的非CLP患者（男4例，女11例）进行了评估。分析了鼻底以上2.5 mm和5 mm的轴向CT图像。测量10个参数，重点关注翼状骨外侧、内侧板、上颌后窦壁等关键解剖标志到翼状窝的距离。CLP组翼状骨外、内侧板间距为健康侧4.8±1.2 mm，患病侧5.4±1.3 mm，而非CLP组为6.4±1.2 mm。CLP组上颌后窦壁与翼状窝的最短距离分别为2.7±1.1 mm（健康侧）和2.9±1.3 mm（患病侧），显著大于非CLP组1.9±0.3 mm。这些结果表明，CLP患者的翼颌交界处较厚，这突出了关键的解剖学差异。了解这些特征可能有助于减少CLP患者在Le Fort I型截骨术中的手术并发症。

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引用次数: 0

Preoperative frailty prevalence and risk factors in oral cancer patients: a meta-analysis. 口腔癌患者术前虚弱患病率及危险因素：一项荟萃分析

IF 1.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

British Journal of Oral & Maxillofacial Surgery

Pub Date : 2026-01-20 DOI: 10.1016/j.bjoms.2026.01.007

Huipin Wang, Jianhuan Che, Ye Zhang, Yameng An, Yue Yue, Yaqi Guo, Dongling Liu

To determine the prevalence of preoperative frailty among oral cancer patients and identify its risk factors, a thorough review of observational studies published until 30 August 2025 was performed in various databases, including PubMed, Web of Science, Cochrane Library, Embase, CINAHL, CNKI, CBM, and Wanfang. The primary outcome was the prevalence of preoperative frailty or associated factors. Risk of bias and methodological quality were independently evaluated by two authors using both the Newcastle-Ottawa Scale (NOS) and Agency for Healthcare Research and Quality (AHRQ) criteria. The meta-analysis included 18 articles. The results indicated that the prevalence of preoperative frailty in oral cancer patients was 42.2%. The risk factors included age, cognitive impairment, American Society of Anesthesiologists' (ASA) score of ≥3, more than five medications, Charlson comorbidity index (CCI) score of ≥2, and a low skeletal muscle index (SMI). Body mass index (BMI) was identified as a protective factor. The findings can enable healthcare providers to implement effective interventions to prevent, reverse, or delay the progression of frailty.

为了确定口腔癌患者术前虚弱的患病率并确定其危险因素，我们在PubMed、Web of Science、Cochrane Library、Embase、CINAHL、CNKI、CBM和万方等多个数据库中对截至2025年8月30日发表的观察性研究进行了全面回顾。主要结局是术前虚弱或相关因素的发生率。偏倚风险和方法学质量由两位作者使用纽卡斯尔-渥太华量表（NOS）和卫生保健研究与质量机构（AHRQ）标准独立评估。meta分析包括18篇文章。结果表明，口腔癌患者术前虚弱的患病率为42.2%。危险因素包括年龄、认知障碍、美国麻醉医师学会（ASA）评分≥3分、使用药物超过5种、Charlson合并症指数（CCI）评分≥2分、骨骼肌指数（SMI）较低。身体质量指数（BMI）被认为是一个保护因素。研究结果可以使医疗保健提供者实施有效的干预措施，以预防、逆转或延缓虚弱的进展。

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