首页 > 最新文献

British Journal of Oral & Maxillofacial Surgery最新文献

英文 中文
Citation: Professor Andrew Schache 引用:安德鲁-沙奇教授:2023 年 BAOMS 外科奖。
IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-08-02 DOI: 10.1016/j.bjoms.2024.07.008
Richard Shaw MD FDS FRCS
{"title":"Citation: Professor Andrew Schache","authors":"Richard Shaw MD FDS FRCS","doi":"10.1016/j.bjoms.2024.07.008","DOIUrl":"10.1016/j.bjoms.2024.07.008","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":"142182191","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}
引用次数: 0
Arthroscopic management and recent advancements in the treatment of temporomandibular joint disorders 颞下颌关节疾病的关节镜治疗和最新进展。
IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-31 DOI: 10.1016/j.bjoms.2024.07.007
O. Badri , C.M. Davis , G. Warburton
In oral and maxillofacial surgery, the evolution of minimally invasive techniques has revolutionised the management of temporomandibular joint (TMJ) disorders. At the forefront of this advancement lies TMJ arthroscopy, a procedure that offers a precise approach to diagnosing and treating joint issues. TMJ arthroscopy is indicated in various clinical scenarios where a detailed evaluation and targeted interventions within the TMJ are required to alleviate symptoms, improve joint function, and enhance the overall quality of life of patients suffering from TMJ disorders.
在口腔颌面外科,微创技术的发展彻底改变了颞下颌关节(TMJ)疾病的治疗。颞下颌关节关节镜是这一进步的最前沿,它为诊断和治疗关节问题提供了一种精确的方法。颞下颌关节镜适用于各种临床情况,需要对颞下颌关节进行详细评估和有针对性的干预,以减轻症状,改善关节功能,提高颞下颌关节疾病患者的整体生活质量。
{"title":"Arthroscopic management and recent advancements in the treatment of temporomandibular joint disorders","authors":"O. Badri ,&nbsp;C.M. Davis ,&nbsp;G. Warburton","doi":"10.1016/j.bjoms.2024.07.007","DOIUrl":"10.1016/j.bjoms.2024.07.007","url":null,"abstract":"<div><div>In oral and maxillofacial surgery, the evolution of minimally invasive techniques has revolutionised the management of temporomandibular joint (TMJ) disorders. At the forefront of this advancement lies TMJ arthroscopy, a procedure that offers a precise approach to diagnosing and treating joint issues. TMJ arthroscopy is indicated in various clinical scenarios where a detailed evaluation and targeted interventions within the TMJ are required to alleviate symptoms, improve joint function, and enhance the overall quality of life of patients suffering from TMJ disorders.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057397","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}
引用次数: 0
Re: re: Use of scapular tip flaps in the reconstruction of head and neck defects: a systematic review and meta-analysis 回复致编辑的信,内容涉及在头颈部缺损重建中使用肩胛尖皮瓣:系统综述和荟萃分析
IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-26 DOI: 10.1016/j.bjoms.2024.07.005
Amber Dhoot , Umar Rehman , Mohammad Sohaib Sarwar , Peter A. Brennan
{"title":"Re: re: Use of scapular tip flaps in the reconstruction of head and neck defects: a systematic review and meta-analysis","authors":"Amber Dhoot ,&nbsp;Umar Rehman ,&nbsp;Mohammad Sohaib Sarwar ,&nbsp;Peter A. Brennan","doi":"10.1016/j.bjoms.2024.07.005","DOIUrl":"10.1016/j.bjoms.2024.07.005","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841741","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}
引用次数: 0
Arthroscopic treatment of temporomandibular dysfunction: preliminary results from a prospective follow up of over five years 关节镜治疗颞下颌功能障碍:超过 5 年的前瞻性随访的初步结果
IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-26 DOI: 10.1016/j.bjoms.2024.07.006
Miren de las Fuentes Monreal , Ancor Sanz García , Mario Fernando Muñoz-Guerra
Patients with refractory temporomandibular dysfunction (TMD) despite conservative therapies often require surgical intervention. Although techniques such as arthrocentesis or arthroscopy have been established for years, there remains a dearth of evidence regarding the long-term efficacy of these interventions. This preliminary prospective study aims to elucidate the outcomes of arthroscopic treatment conducted over five years ago in patients with temporomandibular dysfunction. A study involving 31 patients with temporomandibular dysfunction who underwent level II arthroscopic surgery prior to 2019 is presented. The principal objective parameter for joint function was mouth opening, while the primary subjective parameters included pain, which was measured using the visual analogue scale (VAS), and quality of life, assessed using the OHIP-14sp questionnaire. Objective parameters were assessed preoperatively at one year and five years postoperatively, while quality of life was evaluated both preoperatively and five years after the procedure. Subsequently, the long-term status of patients was analysed, including surgical outcomes and the necessity for supplementary techniques such as second arthroscopy or open surgery. The quality-of-life scores significantly improved (p < 0.001) after five years of follow up when compared with preoperative assessments. Pain levels exhibited a statistically significant decrease over the follow-up period (p < 0.001). Significant differences were observed between preoperative and both 12-months’ and five-years’ follow up (both p < 0.001) but not between the 12-month and five-year marks (p = 0.899). Similar trends were noted for maximum mouth opening, with differences between pre-surgery and both 12-months’ and five-years’ follow up (p = 0.049 and p = 0.005, respectively) but not between the 12-month and five-year assessments (p = 0.482). Mouth opening at 12 months (p = 0.003) and five years (p = 0.032), as well as OHIP results at five years (p = 0.003), demonstrated statistically significant differences between groups according to the final status. In all cases, poorer clinical outcomes post-surgery (requiring a second arthroscopy or meniscectomy) correlated with decreased mouth opening and worse OHIP results. Arthroscopy emerges as an effective technique in the long-term treatment of temporomandibular joint dysfunction, as parameters such as pain and maximum mouth opening improve, and this improvement remains stable at the five-year follow up.
保守治疗无效的颞下颌关节功能障碍(TMD)患者通常需要手术干预。尽管关节腔穿刺术或关节镜等技术已应用多年,但有关这些干预措施的长期疗效的证据仍然匮乏。这项初步的前瞻性研究旨在阐明五年前对颞下颌关节功能障碍患者进行关节镜治疗的效果。该研究涉及 31 名在 2019 年之前接受过二级关节镜手术的颞下颌功能障碍患者。关节功能的主要客观参数是张口度,而主要主观参数包括疼痛(使用视觉模拟量表(VAS)测量)和生活质量(使用OHIP-14sp问卷评估)。客观参数在术前一年和术后五年进行评估,而生活质量则在术前和术后五年进行评估。随后,对患者的长期状况进行了分析,包括手术效果和是否需要二次关节镜手术或开放手术等辅助技术。与术前评估相比,随访五年后患者的生活质量评分明显提高(p < 0.001)。在随访期间,疼痛程度出现了统计学意义上的显著下降(p < 0.001)。术前随访与 12 个月随访和 5 年随访之间存在显著差异(均为 p <0.001),但 12 个月随访与 5 年随访之间没有显著差异(p = 0.899)。最大张口度也有类似的趋势,手术前与 12 个月和 5 年随访之间存在差异(分别为 p = 0.049 和 p = 0.005),但 12 个月和 5 年随访之间没有差异(p = 0.482)。12 个月时的张口情况(p = 0.003)和五年时的张口情况(p = 0.032)以及五年时的 OHIP 结果(p = 0.003)显示,根据最终状况,不同组别之间存在显著的统计学差异。在所有病例中,术后较差的临床效果(需要进行第二次关节镜手术或半月板切除术)与张口度下降和 OHIP 结果较差相关。关节镜是一种长期治疗颞下颌关节功能障碍的有效技术,因为疼痛和最大张口度等参数都有所改善,而且这种改善在五年的随访中保持稳定。
{"title":"Arthroscopic treatment of temporomandibular dysfunction: preliminary results from a prospective follow up of over five years","authors":"Miren de las Fuentes Monreal ,&nbsp;Ancor Sanz García ,&nbsp;Mario Fernando Muñoz-Guerra","doi":"10.1016/j.bjoms.2024.07.006","DOIUrl":"10.1016/j.bjoms.2024.07.006","url":null,"abstract":"<div><div>Patients with refractory temporomandibular dysfunction (TMD) despite conservative therapies often require surgical intervention. Although techniques such as arthrocentesis or arthroscopy have been established for years, there remains a dearth of evidence regarding the long-term efficacy of these interventions. This preliminary prospective study aims to elucidate the outcomes of arthroscopic treatment conducted over five years ago in patients with temporomandibular dysfunction. A study involving 31 patients with temporomandibular dysfunction who underwent level II arthroscopic surgery prior to 2019 is presented. The principal objective parameter for joint function was mouth opening, while the primary subjective parameters included pain, which was measured using the visual analogue scale (VAS), and quality of life, assessed using the OHIP-14sp questionnaire. Objective parameters were assessed preoperatively at one year and five years postoperatively, while quality of life was evaluated both preoperatively and five years after the procedure. Subsequently, the long-term status of patients was analysed, including surgical outcomes and the necessity for supplementary techniques such as second arthroscopy or open surgery. The quality-of-life scores significantly improved (p &lt; 0.001) after five years of follow up when compared with preoperative assessments. Pain levels exhibited a statistically significant decrease over the follow-up period (p &lt; 0.001). Significant differences were observed between preoperative and both 12-months’ and five-years’ follow up (both p &lt; 0.001) but not between the 12-month and five-year marks (p = 0.899). Similar trends were noted for maximum mouth opening, with differences between pre-surgery and both 12-months’ and five-years’ follow up (p = 0.049 and p = 0.005, respectively) but not between the 12-month and five-year assessments (p = 0.482). Mouth opening at 12 months (p = 0.003) and five years (p = 0.032), as well as OHIP results at five years (p = 0.003), demonstrated statistically significant differences between groups according to the final status. In all cases, poorer clinical outcomes post-surgery (requiring a second arthroscopy or meniscectomy) correlated with decreased mouth opening and worse OHIP results. Arthroscopy emerges as an effective technique in the long-term treatment of temporomandibular joint dysfunction, as parameters such as pain and maximum mouth opening improve, and this improvement remains stable at the five-year follow up.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848873","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}
引用次数: 0
Re: Use of scapular tip flaps in the reconstruction of head and neck defects: a systematic review and meta-analysis 关于 "在头颈部缺损重建中使用肩胛尖皮瓣:系统回顾和荟萃分析 "的评论
IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-26 DOI: 10.1016/j.bjoms.2024.05.018
C.Y. Chieng, V. Ilankovan
{"title":"Re: Use of scapular tip flaps in the reconstruction of head and neck defects: a systematic review and meta-analysis","authors":"C.Y. Chieng,&nbsp;V. Ilankovan","doi":"10.1016/j.bjoms.2024.05.018","DOIUrl":"10.1016/j.bjoms.2024.05.018","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839548","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}
引用次数: 0
Clinical effectiveness of polynucleotide TMJ injection compared with physiotherapy: a 3-month randomised clinical trial 多核苷酸颞下颌关节注射剂与物理疗法的临床疗效比较。为期 3 个月的随机临床试验
IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-19 DOI: 10.1016/j.bjoms.2024.07.002
N. Cenzato , R. Crispino , A. Russillo , M. Del Fabbro , G.M. Tartaglia
Joint visco-supplementation is an effective therapeutic approach against the degenerative signs and symptoms of osteoarthrosis/osteoarthritis of the mandibular condyle. Supplements of choice are usually delivered inside the temporomandibular joint (TMJ) by intra-articular infiltration. The present study aimed to assess the clinical effectiveness of pericapsular injection of polinucleotides (PN) and hyaluronic acid (HA). Sixty patients suffering from TMJ osteoarthrosis were recruited and divided into two groups (test group: n = 30, pericapsular injection; control group: n = 30, self-delivered physiotherapeutic exercises). For each patient, maximum opening, right and left lateral excursion, and visual analogue scale (VAS) scores were recorded at four different timepoints by a blinded investigator. Paired Student’s t tests were used to compare consecutive measurements of the parameters evaluated within the groups, and unpaired Student’s t tests were used for between-group comparisons. All investigated parameters displayed a progressive clinical improvement in both groups, which was more accentuated in the test group. The decrease in VAS score differed significantly between groups (p < 0.0001). Maximum opening showed a continuous increase from baseline (mean (SD) 37.70 (8.33) mm) to T3 (39.68 (7.64) mm), reflecting a progressive improvement, but it was not statistically significant (p = 0.089 at T3 with respect to T0). PN HA pericapsular injection is a minimally invasive treatment that effectively reduces pain and improves mandibular kinematics.
关节粘弹性补充剂是一种有效的治疗方法,可用于治疗下颌骨髁状突骨关节炎的退行性症状和体征。补充剂通常通过关节内浸润的方式输送到颞下颌关节(TMJ)内。本研究旨在评估囊周注射多聚核苷酸(PN)和透明质酸(HA)的临床效果。研究人员招募了 60 名颞下颌关节骨关节炎患者,将其分为两组(试验组:n = 30,囊周注射;对照组:n = 30,自我理疗锻炼)。由一名盲人调查员在四个不同的时间点记录每位患者的最大张开度、左右外侧偏移量和视觉模拟量表(VAS)评分。组内评估参数的连续测量值比较采用配对学生 t 检验,组间比较采用非配对学生 t 检验。在两组中,所有研究参数都显示出临床症状的逐渐改善,这在试验组中更为明显。VAS 评分的下降在组间有显著差异(p < 0.0001)。最大开口从基线(平均(标清)37.70(8.33)毫米)到 T3(39.68(7.64)毫米)持续增加,反映了渐进性改善,但无统计学意义(与 T0 相比,T3 的 p = 0.089)。PN HA 囊周注射是一种微创治疗方法,可有效减轻疼痛并改善下颌骨运动学。
{"title":"Clinical effectiveness of polynucleotide TMJ injection compared with physiotherapy: a 3-month randomised clinical trial","authors":"N. Cenzato ,&nbsp;R. Crispino ,&nbsp;A. Russillo ,&nbsp;M. Del Fabbro ,&nbsp;G.M. Tartaglia","doi":"10.1016/j.bjoms.2024.07.002","DOIUrl":"10.1016/j.bjoms.2024.07.002","url":null,"abstract":"<div><div>Joint visco-supplementation is an effective therapeutic approach against the degenerative signs and symptoms of osteoarthrosis/osteoarthritis of the mandibular condyle. Supplements of choice are usually delivered inside the temporomandibular joint (TMJ) by intra-articular infiltration. The present study aimed to assess the clinical effectiveness of pericapsular injection of polinucleotides (PN) and hyaluronic acid (HA). Sixty patients suffering from TMJ osteoarthrosis were recruited and divided into two groups (test group: n = 30, pericapsular injection; control group: n = 30, self-delivered physiotherapeutic exercises). For each patient, maximum opening, right and left lateral excursion, and visual analogue scale (VAS) scores were recorded at four different timepoints by a blinded investigator. Paired Student’s <em>t</em> tests were used to compare consecutive measurements of the parameters evaluated within the groups, and unpaired Student’s <em>t</em> tests were used for between-group comparisons. All investigated parameters displayed a progressive clinical improvement in both groups, which was more accentuated in the test group. The decrease in VAS score differed significantly between groups (p &lt; 0.0001). Maximum opening showed a continuous increase from baseline (mean (SD) 37.70 (8.33) mm) to T3 (39.68 (7.64) mm), reflecting a progressive improvement, but it was not statistically significant (p = 0.089 at T3 with respect to T0). PN HA pericapsular injection is a minimally invasive treatment that effectively reduces pain and improves mandibular kinematics.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844327","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}
引用次数: 0
Efficacy of local pain management strategies for patients undergoing anterior iliac crest bone harvesting: a systematic review 髂骨前缘取骨术患者局部疼痛管理策略的疗效:系统回顾
IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-18 DOI: 10.1016/j.bjoms.2024.06.013
C.W.J. van Blommestein, A.L. van der Klauw, T. Forouzanfar, M.A.P. van Swaay
Anterior Iliac crest bone harvesting (AICBH) is a common surgical procedure with applications in various medical specialties, but it is often accompanied by significant postoperative pain. Effective pain management is therefore essential for optimising patient outcomes. This systematic literature review aimed to evaluate the effectiveness of local donor site pain management interventions in AICBH procedures. It followed the Cochrane Handbook for Systematic Reviews of Interventions version 6.4 guidelines and adhered to the PRISMA 2020 statement for comprehensive and high-quality reporting. A comprehensive search was conducted across PubMed, Cochrane, and Embase to identify relevant studies. Inclusion criteria encompassed randomised controlled trials assessing pain management strategies in AICBH patients. The methodological quality of the included studies was assessed using the Jadad scale. Data extraction focused on medication types, administration modes, pain scores, and use of narcotics. Fourteen eligible studies were included. Methodological quality varied, with most studies demonstrating a low risk of bias. Medication types included amide and opioid groups, administered via single-shot injections or infusion systems. Results indicated that indwelling iliac crest catheters with bupivacaine showed significant postoperative reductions in pain scores and narcotics use compared with other techniques. The findings suggest that use of an indwelling catheter with bupivacaine is an effective pain management strategy for AICBH patients. However, heterogeneity among the studies and a lack of standardised methodologies pose limitations. Further homogeneous and standardised studies are therefore needed to strengthen the evidence base and inform clinical practice.
髂嵴前取骨术(AICBH)是一种常见的外科手术,适用于各种医学专科,但往往伴随着明显的术后疼痛。因此,有效的疼痛管理对于优化患者预后至关重要。本系统性文献综述旨在评估 AICBH 手术中局部供体部位疼痛管理干预措施的有效性。该综述遵循 Cochrane 干预系统综述手册 6.4 版指南,并遵守 PRISMA 2020 声明,以进行全面、高质量的报告。在 PubMed、Cochrane 和 Embase 中进行了全面搜索,以确定相关研究。纳入标准包括评估 AICBH 患者疼痛管理策略的随机对照试验。纳入研究的方法学质量采用 Jadad 量表进行评估。数据提取的重点是药物类型、给药方式、疼痛评分和麻醉剂的使用。共纳入了 14 项符合条件的研究。研究方法的质量参差不齐,大多数研究的偏倚风险较低。药物类型包括酰胺类和阿片类,通过单次注射或输液系统给药。结果表明,与其他技术相比,使用布比卡因的髂嵴留置导管可显著降低术后疼痛评分和麻醉药物使用量。研究结果表明,使用布比卡因留置导管是 AICBH 患者有效的疼痛管理策略。然而,研究之间的异质性和标准化方法的缺乏造成了局限性。因此,需要进一步开展同质化和标准化研究,以加强证据基础并为临床实践提供参考。
{"title":"Efficacy of local pain management strategies for patients undergoing anterior iliac crest bone harvesting: a systematic review","authors":"C.W.J. van Blommestein,&nbsp;A.L. van der Klauw,&nbsp;T. Forouzanfar,&nbsp;M.A.P. van Swaay","doi":"10.1016/j.bjoms.2024.06.013","DOIUrl":"10.1016/j.bjoms.2024.06.013","url":null,"abstract":"<div><div>Anterior Iliac crest bone harvesting (AICBH) is a common surgical procedure with applications in various medical specialties, but it is often accompanied by significant postoperative pain. Effective pain management is therefore essential for optimising patient outcomes. This systematic literature review aimed to evaluate the effectiveness of local donor site pain management interventions in AICBH procedures. It followed the Cochrane Handbook for Systematic Reviews of Interventions version 6.4 guidelines and adhered to the PRISMA 2020 statement for comprehensive and high-quality reporting. A comprehensive search was conducted across PubMed, Cochrane, and Embase to identify relevant studies. Inclusion criteria encompassed randomised controlled trials assessing pain management strategies in AICBH patients. The methodological quality of the included studies was assessed using the Jadad scale. Data extraction focused on medication types, administration modes, pain scores, and use of narcotics. Fourteen eligible studies were included. Methodological quality varied, with most studies demonstrating a low risk of bias. Medication types included amide and opioid groups, administered via single-shot injections or infusion systems. Results indicated that indwelling iliac crest catheters with bupivacaine showed significant postoperative reductions in pain scores and narcotics use compared with other techniques. The findings suggest that use of an indwelling catheter with bupivacaine is an effective pain management strategy for AICBH patients. However, heterogeneity among the studies and a lack of standardised methodologies pose limitations. Further homogeneous and standardised studies are therefore needed to strengthen the evidence base and inform clinical practice.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851331","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}
引用次数: 0
New test for systematic skills enhancement and improvement in maxillofacial surgery training: multicentre pilot study 在颌面外科培训中系统增强和提高技能的新测试:多中心试点研究
IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-18 DOI: 10.1016/j.bjoms.2024.07.004
Giuseppe Consorti , Mariagrazia Paglianiti , Gabriele Monarchi , Silvia De Tomaso , Giulio Cirignaco , Marco Gasperoni , Andrea Frosolini , Flavia Cascino , Massimiliano Gilli , Valentino Vellone , Caterina Anastasio , Paolo Balercia , Fabrizio Spallaccia , Antonio Tullio , Bruno Brevi , Paolo Gennaro

We know of few studies in the international scientific literature that specifically address the evaluation of surgical and clinical progress among physicians undergoing specialist training in maxillofacial surgery. Identifying a reliable tool to accurately assess both theoretical knowledge and surgical skills of trainees is essential. The primary aim of this study therefore was to design a comprehensive assessment tool that is capable of evaluating both the theoretical and practical skills of physicians undergoing specialist training in maxillofacial surgery. The methodology employed aims to ensure fairness and effectiveness in skills development, thereby optimising training activities. To meet this need, an evaluation and self-assessment test was developed for maxillofacial surgery trainees at the Ospedali Riuniti of Ancona. Data collection involved digitally administered evaluations and self-assessment tests focused on maxillofacial traumatology, based on AO trauma surgery references. Data were processed into graphs which revealed a progressive learning trend following an initial adjustment phase, leading to optimal outcomes in both clinical and surgical domains. The evaluation and self-assessment test proved to be a valuable learning tool with which to gauge advancements in clinical and surgical skills among maxillofacial surgery residents.

据我们所知,国际科学文献中很少有专门针对正在接受颌面外科专科培训的医生的手术和临床进展评估的研究。找到一种可靠的工具来准确评估受训者的理论知识和手术技能至关重要。因此,本研究的主要目的是设计一种能够评估正在接受颌面外科专科培训的医生的理论和实践技能的综合评估工具。所采用的方法旨在确保技能发展的公平性和有效性,从而优化培训活动。为了满足这一需求,我们为安科纳 Ospedali Riuniti 的颌面外科学员开发了一个评估和自我评估测试。数据收集工作以 AO 创伤外科参考文献为基础,以颌面创伤为重点,采用数字方式进行评估和自我评估测试。数据经过图表处理后,显示出在最初的适应阶段后,逐步学习的趋势,从而在临床和外科领域取得最佳成果。事实证明,评估和自我评估测试是衡量颌面外科住院医师临床和手术技能进步的重要学习工具。
{"title":"New test for systematic skills enhancement and improvement in maxillofacial surgery training: multicentre pilot study","authors":"Giuseppe Consorti ,&nbsp;Mariagrazia Paglianiti ,&nbsp;Gabriele Monarchi ,&nbsp;Silvia De Tomaso ,&nbsp;Giulio Cirignaco ,&nbsp;Marco Gasperoni ,&nbsp;Andrea Frosolini ,&nbsp;Flavia Cascino ,&nbsp;Massimiliano Gilli ,&nbsp;Valentino Vellone ,&nbsp;Caterina Anastasio ,&nbsp;Paolo Balercia ,&nbsp;Fabrizio Spallaccia ,&nbsp;Antonio Tullio ,&nbsp;Bruno Brevi ,&nbsp;Paolo Gennaro","doi":"10.1016/j.bjoms.2024.07.004","DOIUrl":"10.1016/j.bjoms.2024.07.004","url":null,"abstract":"<div><p>We know of few studies in the international scientific literature that specifically address the evaluation of surgical and clinical progress among physicians undergoing specialist training in maxillofacial surgery. Identifying a reliable tool to accurately assess both theoretical knowledge and surgical skills of trainees is essential. The primary aim of this study therefore was to design a comprehensive assessment tool that is capable of evaluating both the theoretical and practical skills of physicians undergoing specialist training in maxillofacial surgery. The methodology employed aims to ensure fairness and effectiveness in skills development, thereby optimising training activities. To meet this need, an evaluation and self-assessment test was developed for maxillofacial surgery trainees at the Ospedali Riuniti of Ancona. Data collection involved digitally administered evaluations and self-assessment tests focused on maxillofacial traumatology, based on AO trauma surgery references. Data were processed into graphs which revealed a progressive learning trend following an initial adjustment phase, leading to optimal outcomes in both clinical and surgical domains. The evaluation and self-assessment test proved to be a valuable learning tool with which to gauge advancements in clinical and surgical skills among maxillofacial surgery residents.</p></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0266435624001827/pdfft?md5=d4767062e66aefeffcd0f446801a8c4c&pid=1-s2.0-S0266435624001827-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852394","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}
引用次数: 0
Re: Re: Video-based online learning - a fast and easy way to teach your team about the oral surgery armamentarium 回复 "致编辑的信",内容涉及基于视频的在线学习--向您的团队传授口腔外科手术设备的快捷方法
IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-15 DOI: 10.1016/j.bjoms.2024.06.012
Fabienne Aurora, Andrew Abdulahad, Samira Tayara, Ganeshwaran Sittampalam, Montey Garg
{"title":"Re: Re: Video-based online learning - a fast and easy way to teach your team about the oral surgery armamentarium","authors":"Fabienne Aurora,&nbsp;Andrew Abdulahad,&nbsp;Samira Tayara,&nbsp;Ganeshwaran Sittampalam,&nbsp;Montey Garg","doi":"10.1016/j.bjoms.2024.06.012","DOIUrl":"10.1016/j.bjoms.2024.06.012","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695321","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}
引用次数: 0
Comment on ‘Video-based online learning – a fast and easy way to teach your team about the oral surgery armamentarium’ 就 "基于视频的在线学习--向团队传授口腔外科手术设备的快捷方法 "发表评论
IF 1.7 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-15 DOI: 10.1016/j.bjoms.2024.05.017
Vaibhav Sahni
{"title":"Comment on ‘Video-based online learning – a fast and easy way to teach your team about the oral surgery armamentarium’","authors":"Vaibhav Sahni","doi":"10.1016/j.bjoms.2024.05.017","DOIUrl":"10.1016/j.bjoms.2024.05.017","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141705795","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}
引用次数: 0
期刊
British Journal of Oral & Maxillofacial Surgery
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1