Pub Date : 2024-08-22DOI: 10.1016/j.bjoms.2024.08.006
Oliver Jacob , Alexander Rae , Sarah Crummey , Kathleen Fan , Simon N Rogers
Facial trauma is a common presentation to the emergency department, encompassing a spectrum from soft tissue injuries to fractures of the facial skeleton. Beyond the evident physical consequences, patients frequently face significant psychosocial issues, which are often overlooked in the recovery phase of treatment. The purpose of this review was to establish the experiences of patients following facial trauma using qualitative patient-reported data. A scoping review, searching four electronic databases (MEDLINE, Web of Science, PsychINFO, and Cochrane Library) using PRISMA methodology was conducted. Only one paper fulfilled the inclusion criteria. The paper used semi-structured open-ended interviews to obtain 20 patients’ experiences of sustaining maxillofacial trauma and then synthesised the qualitative interviews into different themes. The findings from this scoping review highlight the profound need for prospective qualitative research in craniomaxillofacial traumatology, to better understand and address the experiences and perspectives of patients following facial trauma.
面部创伤是急诊科的常见病，包括软组织损伤和面部骨骼骨折。除了明显的身体后果外，患者还经常面临重大的社会心理问题，而这些问题在治疗恢复阶段往往被忽视。本综述旨在利用患者报告的定性数据，了解面部创伤患者的经历。本研究采用 PRISMA 方法对四个电子数据库（MEDLINE、Web of Science、PsychINFO 和 Cochrane Library）进行了范围界定。只有一篇论文符合纳入标准。该论文采用半结构化开放式访谈的方式，了解了 20 名患者遭受颌面部创伤的经历，然后将定性访谈内容归纳为不同的主题。本范围综述的研究结果突显了颅颌面创伤学领域对前瞻性定性研究的深刻需求，以更好地了解和解决面部创伤后患者的经历和观点。
{"title":"Scoping review of qualitative data of patient experience and unmet needs following facial trauma","authors":"Oliver Jacob , Alexander Rae , Sarah Crummey , Kathleen Fan , Simon N Rogers","doi":"10.1016/j.bjoms.2024.08.006","DOIUrl":"10.1016/j.bjoms.2024.08.006","url":null,"abstract":"<div><div>Facial trauma is a common presentation to the emergency department, encompassing a spectrum from soft tissue injuries to fractures of the facial skeleton. Beyond the evident physical consequences, patients frequently face significant psychosocial issues, which are often overlooked in the recovery phase of treatment. The purpose of this review was to establish the experiences of patients following facial trauma using qualitative patient-reported data. A scoping review, searching four electronic databases (MEDLINE, Web of Science, PsychINFO, and Cochrane Library) using PRISMA methodology was conducted. Only one paper fulfilled the inclusion criteria. The paper used semi-structured open-ended interviews to obtain 20 patients’ experiences of sustaining maxillofacial trauma and then synthesised the qualitative interviews into different themes. The findings from this scoping review highlight the profound need for prospective qualitative research in craniomaxillofacial traumatology, to better understand and address the experiences and perspectives of patients following facial trauma.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367574","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 : 2024-08-21DOI: 10.1016/j.bjoms.2024.08.002
Ghaly A. Ghaly , Angeles Espeso , Grant McIntyre
Temporomandibular joint disorders are common, with alloplastic temporomandibular joint replacement (TMJR) being one method of addressing chronic pain and movement limitations that cannot otherwise be managed. Despite this, TMJR has known complications that can lead to failure. We present our experience of managing these cases and review the current evidence on the management and outcomes of alloplastic TMJR failures. Until 2015 our unit regularly used Dundee full metal prostheses, and encountered multiple issues such as infection, heterotopic bone formation, and progression of osteoarthritis beneath the condylar element. We also present our experience with other standard TMJR implants. One common cause of failure we observed is improper placement of a prosthesis due to poor technique, for instance, placement of the fossa implant too close to the ear canal can cause unresolved postoperative pain. There is no consensus on the management of TMJR, but non-surgical measures are preferred initially and surgical intervention is reserved for later stages. Recently our unit has managed numerous failure cases, employing a multidisciplinary approach combined with thorough preoperative planning and postoperative care, which has proven effective in reducing complications and improving outcomes. Based on our experience, we do not recommend the use of Dundee full metal prostheses for TMJR. Appropriate training in the placement of contemporary implants remains crucial. Suboptimal alignment of the implant in some cases does not need surgical intervention, but surgical management is justifiable in cases of persistent symptoms and functional limitations. When placing stock implants or designing a custom-made implant for an adult, we recommend that the posterior edge of the fossa component is at least 3 mm away from the bone of the ear canal.
{"title":"Temporomandibular joint alloplastic replacement failure","authors":"Ghaly A. Ghaly , Angeles Espeso , Grant McIntyre","doi":"10.1016/j.bjoms.2024.08.002","DOIUrl":"10.1016/j.bjoms.2024.08.002","url":null,"abstract":"<div><div>Temporomandibular joint disorders are common, with alloplastic temporomandibular joint replacement (TMJR) being one method of addressing chronic pain and movement limitations that cannot otherwise be managed. Despite this, TMJR has known complications that can lead to failure. We present our experience of managing these cases and review the current evidence on the management and outcomes of alloplastic TMJR failures. Until 2015 our unit regularly used Dundee full metal prostheses, and encountered multiple issues such as infection, heterotopic bone formation, and progression of osteoarthritis beneath the condylar element. We also present our experience with other standard TMJR implants. One common cause of failure we observed is improper placement of a prosthesis due to poor technique, for instance, placement of the fossa implant too close to the ear canal can cause unresolved postoperative pain. There is no consensus on the management of TMJR, but non-surgical measures are preferred initially and surgical intervention is reserved for later stages. Recently our unit has managed numerous failure cases, employing a multidisciplinary approach combined with thorough preoperative planning and postoperative care, which has proven effective in reducing complications and improving outcomes. Based on our experience, we do not recommend the use of Dundee full metal prostheses for TMJR. Appropriate training in the placement of contemporary implants remains crucial. Suboptimal alignment of the implant in some cases does not need surgical intervention, but surgical management is justifiable in cases of persistent symptoms and functional limitations. When placing stock implants or designing a custom-made implant for an adult, we recommend that the posterior edge of the fossa component is at least 3 mm away from the bone of the ear canal.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301476","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 : 2024-08-19DOI: 10.1016/j.bjoms.2024.08.003
Tan Fo Yew , Chung Tze Kiong , Timothy Jie Han Sng , Firdaus Hariri
Complex functional issues arising from temporomandibular joint (TMJ) ankylosis are associated with abnormal mandibular growth secondary to the condylar-glenoid fossa and its surrounding structures. These include severe limited mouth opening, micrognathia, mandibular asymmetry, and obstructive sleep apnoea (OSA), which necessitate effective treatment to allow optimum functional rehabilitation. This article aims to present a comprehensive systematic review of the surgical strategy for patients who present with a triad of TMJ ankylosis, micrognathia and OSA via a literature search of PubMed, Google Scholar, and Scopus following PRISMA guidelines. The outcomes of interest were difference in maximum mouth opening, incidence of reankylosis, amount of mandibular advancement, posterior airway space, preoperative and postoperative apnoea/hypopnoea index, and arterial oxygen saturation, as well as changes in other cephalometric or polysomnographic variables. Thirty four studies involving 360 patients were included. Surgical interventions included distraction osteogenesis (DO), release of TMJ ankylosis and mandibular advancement, simultaneous arthroplasty and DO, pre-athroplasty DO, and post-arthroplasty DO. Most studies reported functional post-intervention mouth opening, with reankylosis reported in four. Mandibular advancement was between 6 mm and 34 mm. All studies reported improvement in the various polysomnographic variables measured. In conclusion, the systematic review was conducted based on a low level of literature evidence. Even though various surgical strategies were reported, effective case-specific management of TMJ ankylosis with micrognathia and OSA requires comprehensive assessment and careful consideration of surgical options that promote mandibular advancement and airway improvement.
颞下颌关节（TMJ）强直引起的复杂功能问题与继发于髁状突-蝶骨窝及其周围结构的下颌骨发育异常有关。这些症状包括严重的张口受限、小颌畸形、下颌不对称和阻塞性睡眠呼吸暂停（OSA），因此需要进行有效治疗，以实现最佳的功能康复。本文旨在根据 PRISMA 指南，通过对 PubMed、Google Scholar 和 Scopus 的文献检索，对颞下颌关节强直、小颌畸形和 OSA 三联症患者的手术策略进行全面系统的综述。研究结果包括最大张口度、再强直发生率、下颌前突量、后气道空间、术前和术后呼吸暂停/低通气指数、动脉血氧饱和度的差异，以及其他头颅测量或多导睡眠图变量的变化。共纳入 34 项研究，涉及 360 名患者。手术干预包括牵张成骨术（DO）、颞下颌关节强直松解术和下颌骨前移术、同时关节成形术和DO、关节成形术前DO和关节成形术后DO。大多数研究报告了干预后的功能性张口情况，其中有四项研究报告了再强直。下颌前突在 6 毫米到 34 毫米之间。所有研究都报告了所测量的各种多导睡眠图变量的改善情况。总之，该系统综述是基于低水平的文献证据进行的。尽管有各种手术策略的报道，但针对颞下颌关节强直伴小颌畸形和 OSA 的具体病例进行有效治疗需要进行全面评估，并仔细考虑能促进下颌前突和气道改善的手术方案。
{"title":"Triad of temporomandibular joint ankylosis, micrognathia, and obstructive sleep apnoea: a systematic review of surgical management","authors":"Tan Fo Yew , Chung Tze Kiong , Timothy Jie Han Sng , Firdaus Hariri","doi":"10.1016/j.bjoms.2024.08.003","DOIUrl":"10.1016/j.bjoms.2024.08.003","url":null,"abstract":"<div><div>Complex functional issues arising from temporomandibular joint (TMJ) ankylosis are associated with abnormal mandibular growth secondary to the condylar-glenoid fossa and its surrounding structures. These include severe limited mouth opening, micrognathia, mandibular asymmetry, and obstructive sleep apnoea (OSA), which necessitate effective treatment to allow optimum functional rehabilitation. This article aims to present a comprehensive systematic review of the surgical strategy for patients who present with a triad of TMJ ankylosis, micrognathia and OSA via a literature search of PubMed, Google Scholar, and Scopus following PRISMA guidelines. The outcomes of interest were difference in maximum mouth opening, incidence of reankylosis, amount of mandibular advancement, posterior airway space, preoperative and postoperative apnoea/hypopnoea index, and arterial oxygen saturation, as well as changes in other cephalometric or polysomnographic variables. Thirty four studies involving 360 patients were included. Surgical interventions included distraction osteogenesis (DO), release of TMJ ankylosis and mandibular advancement, simultaneous arthroplasty and DO, pre-athroplasty DO, and post-arthroplasty DO. Most studies reported functional post-intervention mouth opening, with reankylosis reported in four. Mandibular advancement was between 6 mm and 34 mm. All studies reported improvement in the various polysomnographic variables measured. In conclusion, the systematic review was conducted based on a low level of literature evidence. Even though various surgical strategies were reported, effective case-specific management of TMJ ankylosis with micrognathia and OSA requires comprehensive assessment and careful consideration of surgical options that promote mandibular advancement and airway improvement.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367575","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 : 2024-08-16DOI: 10.1016/j.bjoms.2024.08.001
S. Sembronio , L. Raccampo , A. Tel, F. Costa, M. Robiony
In this study we retrospectively reviewed our clinic’s treatment of unilateral condylar hyperactivity (UCH). We used computer-guided proportional condylectomy, which was conducted both through preauricular and intraoral approaches, then analysed the advantages and disadvantages of the two techniques. A computer-guided treatment algorithm is also presented. We enrolled 42 patients diagnosed with clinical asymmetry, with or without associated dentofacial deformities, which had been confirmed by single photon emission computed tomography (SPECT) to be UCH. These patients underwent proportional condylectomy: 26 of them had isolated proportional condylectomy, while 16 had proportional condylectomy with concomitant orthognathic surgery. The intraoral approach demonstrated a capacity and precision that was nearly equivalent to the extraoral approach. This mitigates the significant surgical risks associated with the extraoral approach, but it is important to acknowledge the learning curve associated with the intraoral approach. Utilising virtual surgical planning (VSP) and custom cutting guides is essential.
{"title":"Preauricular versus intraoral condylectomy for the treatment of unilateral condylar hyperactivity","authors":"S. Sembronio , L. Raccampo , A. Tel, F. Costa, M. Robiony","doi":"10.1016/j.bjoms.2024.08.001","DOIUrl":"10.1016/j.bjoms.2024.08.001","url":null,"abstract":"<div><div>In this study we retrospectively reviewed our clinic’s treatment of unilateral condylar hyperactivity (UCH). We used computer-guided proportional condylectomy, which was conducted both through preauricular and intraoral approaches, then analysed the advantages and disadvantages of the two techniques. A computer-guided treatment algorithm is also presented. We enrolled 42 patients diagnosed with clinical asymmetry, with or without associated dentofacial deformities, which had been confirmed by single photon emission computed tomography (SPECT) to be UCH. These patients underwent proportional condylectomy: 26 of them had isolated proportional condylectomy, while 16 had proportional condylectomy with concomitant orthognathic surgery. The intraoral approach demonstrated a capacity and precision that was nearly equivalent to the extraoral approach. This mitigates the significant surgical risks associated with the extraoral approach, but it is important to acknowledge the learning curve associated with the intraoral approach. Utilising virtual surgical planning (VSP) and custom cutting guides is essential.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367572","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 : 2024-08-16DOI: 10.1016/j.bjoms.2024.07.014
Sean Glossop, Hamza Duffaydar, Harri Jones, Ethan Peters, Timothy Ryan, Francesca Saleh, Lily Scourfield, Arwel Poacher
Undergraduates in medicine should receive a basic education to ensure understanding of dental concepts, including oral cancer, basic dental health advice, and oral and maxillofacial surgery (OMFS). This review aims to explore the exposure of OMFS and dental education in the UK medical undergraduate curriculum and follows PRISMA protocols. Four databases were used to search for literature: MEDLINE, EMBASE, SCOPUS, and Google Scholar. A three-tier reviewer panel was used to appropriately evaluate data. The Medical Education Research Quality Instrument (MERSQI) was used to assess research quality amongst the included literature. A total of 14 papers were included for review. Surveys assessing medical students' perceptions of OMFS education indicate a need for improvement of the speciality in undergraduate medicine. Mean exposure of graduating medical students to OMFS was 22% (95%CI 11 to 29%). Knowledge of relevant anatomy, physiology, and OMFS-related data was very poor across all surveys. Likewise, oral cancer teaching appears to have room for improvement, only 7% (95%CI 4.1 to 10.3%) of final year medical students can identify oral cancer and less than 20% felt confident in oral assessment and diagnosis. This appears to transfer over into postgraduate medicine where only a mean of 22% of general practitioners can correctly diagnose oral cancer. The results of this review indicate that OMFS and oral cancer are not well covered in the medical curriculum. Doctors require a basic understanding of the OMFS speciality for appropriate referrals and clinical management. Furthermore, the ability of doctors to correctly deal with oral medical problems should be improved to optimise patient outcomes.
{"title":"Oral and maxillofacial surgery and dental health education in undergraduate medicine: a systematic review.","authors":"Sean Glossop, Hamza Duffaydar, Harri Jones, Ethan Peters, Timothy Ryan, Francesca Saleh, Lily Scourfield, Arwel Poacher","doi":"10.1016/j.bjoms.2024.07.014","DOIUrl":"https://doi.org/10.1016/j.bjoms.2024.07.014","url":null,"abstract":"<p><p>Undergraduates in medicine should receive a basic education to ensure understanding of dental concepts, including oral cancer, basic dental health advice, and oral and maxillofacial surgery (OMFS). This review aims to explore the exposure of OMFS and dental education in the UK medical undergraduate curriculum and follows PRISMA protocols. Four databases were used to search for literature: MEDLINE, EMBASE, SCOPUS, and Google Scholar. A three-tier reviewer panel was used to appropriately evaluate data. The Medical Education Research Quality Instrument (MERSQI) was used to assess research quality amongst the included literature. A total of 14 papers were included for review. Surveys assessing medical students' perceptions of OMFS education indicate a need for improvement of the speciality in undergraduate medicine. Mean exposure of graduating medical students to OMFS was 22% (95%CI 11 to 29%). Knowledge of relevant anatomy, physiology, and OMFS-related data was very poor across all surveys. Likewise, oral cancer teaching appears to have room for improvement, only 7% (95%CI 4.1 to 10.3%) of final year medical students can identify oral cancer and less than 20% felt confident in oral assessment and diagnosis. This appears to transfer over into postgraduate medicine where only a mean of 22% of general practitioners can correctly diagnose oral cancer. The results of this review indicate that OMFS and oral cancer are not well covered in the medical curriculum. Doctors require a basic understanding of the OMFS speciality for appropriate referrals and clinical management. Furthermore, the ability of doctors to correctly deal with oral medical problems should be improved to optimise patient outcomes.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481460","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}
Cleft lip and palate deformities are usually accompanied by abnormal external nasal morphology which seriously affects facial aesthetics and quality of life. In-depth understanding of the growth pattern of external nasal morphology in patients with cleft lip and palate is essential for deciding the optimal timing of surgical intervention and for furthering improvements in surgical technique. In this review we systematically depict the cross-sectional changes in external nose morphology during growth in the normal population and in patients with clefts, and summarise the iatrogenic impacts on growth of the cleft nose, aiming to provide a reference to further improve the management of the nose in patients with clefts.
{"title":"Featuring growth of the external nose among patients with congenital cleft anomalies.","authors":"Zhuo Chen, Hao Sui, Bing Shi, Jingtao Li, Xing Yin","doi":"10.1016/j.bjoms.2024.07.013","DOIUrl":"https://doi.org/10.1016/j.bjoms.2024.07.013","url":null,"abstract":"<p><p>Cleft lip and palate deformities are usually accompanied by abnormal external nasal morphology which seriously affects facial aesthetics and quality of life. In-depth understanding of the growth pattern of external nasal morphology in patients with cleft lip and palate is essential for deciding the optimal timing of surgical intervention and for furthering improvements in surgical technique. In this review we systematically depict the cross-sectional changes in external nose morphology during growth in the normal population and in patients with clefts, and summarise the iatrogenic impacts on growth of the cleft nose, aiming to provide a reference to further improve the management of the nose in patients with clefts.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549049","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 : 2024-08-14DOI: 10.1016/S0266-4356(24)00195-5
{"title":"Training groups / Instructions to Authors","authors":"","doi":"10.1016/S0266-4356(24)00195-5","DOIUrl":"10.1016/S0266-4356(24)00195-5","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0266435624001955/pdfft?md5=d98961ee1ec21de1fc2fae738fea37a7&pid=1-s2.0-S0266435624001955-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141990476","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 : 2024-08-13DOI: 10.1016/j.bjoms.2024.07.012
E. Meek , K. Lewis , J. Hulbert , S. Mustafa
Dog bites are common within the United Kingdom, with their incidence increasing over recent years. Bites to the head and neck region can have substantial and multifactorial implications for victims, and can provide a challenge to maxillofacial departments. This study is a 10-year retrospective review of head and neck dog bites that required input from the maxillofacial team within the Cwm Taf Morgannwg University Health Board. Data collected included demographics of the patients involved, relationship with and breed of dog, nature of the injury, treatment received, and nature of any complications. In total, 168 records matched our inclusion criteria. The median age of our cohort was 12 years, with 57.1% of patients being younger than 15. Of the patients, 52.4% were female. Eighty-three per cent of cases involved a known dog, with Jack Russells being the breed most commonly involved. The upper lip was the most commonly affected area (30.3%), followed by the cheek (24.5%). Twenty-eight per cent of patients were admitted for management in theatre, with 8% of the total patients experiencing a complication. In conclusion, head and neck dog bites most commonly affect children and the upper lip.
{"title":"Who let the dogs out? A 10-year review of maxillofacial dog bite injuries","authors":"E. Meek , K. Lewis , J. Hulbert , S. Mustafa","doi":"10.1016/j.bjoms.2024.07.012","DOIUrl":"10.1016/j.bjoms.2024.07.012","url":null,"abstract":"<div><div>Dog bites are common within the United Kingdom, with their incidence increasing over recent years. Bites to the head and neck region can have substantial and multifactorial implications for victims, and can provide a challenge to maxillofacial departments. This study is a 10-year retrospective review of head and neck dog bites that required input from the maxillofacial team within the Cwm Taf Morgannwg University Health Board. Data collected included demographics of the patients involved, relationship with and breed of dog, nature of the injury, treatment received, and nature of any complications. In total, 168 records matched our inclusion criteria. The median age of our cohort was 12 years, with 57.1% of patients being younger than 15. Of the patients, 52.4% were female. Eighty-three per cent of cases involved a known dog, with Jack Russells being the breed most commonly involved. The upper lip was the most commonly affected area (30.3%), followed by the cheek (24.5%). Twenty-eight per cent of patients were admitted for management in theatre, with 8% of the total patients experiencing a complication. In conclusion, head and neck dog bites most commonly affect children and the upper lip.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114982","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 : 2024-08-02DOI: 10.1016/j.bjoms.2024.07.009
Priya Dhar, Jon Jones
Electric scooters (e-scooters) are becoming increasingly popular amongst the public. Oxfordshire is included as part of the government led e-scooter trial. This study was designed to evaluate maxillofacial injuries occurring following e-scooter accidents. A single-centre retrospective study was conducted from October 2022 to September 2023 reviewing all e-scooter-related maxillofacial injuries which presented to the John Radcliffe Hospital in Oxford. During the study period, forty-nine patients (mean [range] age 28 [13-48] years; 32 [65.3%] male) suffered maxillofacial injuries from riding an e-scooter. Twenty patients (40.8%) were under the influence of alcohol and no individual was recorded to have worn a helmet at the time the injury occurred. Ten patients (20.4%) suffered a facial fracture (two mandibular fractures, three zygomatic-orbital fractures, one nasal fracture, and four patients with multiple fractures involving the sphenoid, zygomatic-orbital, and maxillary sinus). Four (40%) of these facial fractures required surgical management. This included one patient with an orbital floor fracture and an associated inferior rectus entrapment, which is a surgical emergency. Thirty-three patients (67.3%) sustained facial lacerations and nine patients (18.4%) sustained dental trauma. Maxillofacial injuries occurring from e-scooter injuries are significant and pose a notable risk to safety. Our study highlights poor compliance and emphasises the need to improve safety through public education, focussing on sobriety. Considerations should be given to speed limitations, safety clothing, e-scooter training, and whether helmets should be mandatory. The Oxfordshire trial is due to end in May 2026 and our results can inform and influence future legislation.
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Pub Date : 2024-08-02DOI: 10.1016/j.bjoms.2024.07.010
Andrew Cronin
{"title":"Rob Bentley – Citation for the Down Prize","authors":"Andrew Cronin","doi":"10.1016/j.bjoms.2024.07.010","DOIUrl":"10.1016/j.bjoms.2024.07.010","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114981","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}
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