Pub Date : 2026-01-01DOI: 10.1016/j.bjoms.2025.10.284
Anuj Jain, Yash Merchant
{"title":"In reply to the Letter to the Editor regarding Ghost-writing in oral and maxillofacial literature: Facilitator of progress or ethical erosion?”","authors":"Anuj Jain, Yash Merchant","doi":"10.1016/j.bjoms.2025.10.284","DOIUrl":"10.1016/j.bjoms.2025.10.284","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"64 1","pages":"Pages 83-84"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145678666","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 : 2026-01-01DOI: 10.1016/j.bjoms.2025.07.014
James Olding, Stavroula Stavropoulou-Tatla, Danyal Awal, Ashraf Messiha
Hospital-based clinicians have seen a progressive increase in complications following cosmetic treatments. A challenging late complication of soft tissue filler treatments is granuloma formation. Oral and maxillofacial surgeons have a key role in the discussion around this delayed-onset complication. We present a case of trismus arising from intramasseteric granulomas following soft-tissue filler injections. Collaboration between surgeons and aesthetic medicine clinicians is crucial to preventing and managing complications from treatments which remain largely unregulated.
{"title":"Late complication of cosmetic injectable treatments presenting to oral and maxillofacial surgeons: soft tissue filler granulomas","authors":"James Olding, Stavroula Stavropoulou-Tatla, Danyal Awal, Ashraf Messiha","doi":"10.1016/j.bjoms.2025.07.014","DOIUrl":"10.1016/j.bjoms.2025.07.014","url":null,"abstract":"<div><div>Hospital-based clinicians have seen a progressive increase in complications following cosmetic treatments. A challenging late complication of soft tissue filler treatments is granuloma formation. Oral and maxillofacial surgeons have a key role in the discussion around this delayed-onset complication. We present a case of trismus arising from intramasseteric granulomas following soft-tissue filler injections. Collaboration between surgeons and aesthetic medicine clinicians is crucial to preventing and managing complications from treatments which remain largely unregulated.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"64 1","pages":"Pages 72-74"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006997","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 : 2026-01-01DOI: 10.1016/j.bjoms.2025.08.006
Miss Alice Cameron , Adam Matthew Holden
Many dental core trainees (DCT) feel unprepared to manage unwell patients and emergent situations. Simulation-based education (SBE) is a widely used educational intervention that can facilitate learning without compromising patient safety, and increase preparedness for emergencies. To supplement the predominantly positivist relevant literature, this study endeavoured to answer a research gap through in-depth, meaningful enquiry. The aim was to explore the perceptions of preparedness for practice of oral and maxillofacial surgery (OMFS) DCTs following a one-day, high-fidelity SBE course. The construct under study was preparedness for practice. The study was grounded in the conceptual frameworks of social cognitive theory, constructivist principles, and experiential learning theory. DCTs who had attended an SBE course underwent semi-structured interviews. Thematic analysis of the data generated four main themes: realism; safe learning environment; community of practice; and DCT as a unique experience. The results outlined the importance of physical and psychological fidelity within the SBE design, debrief facilitated by experienced, multidisciplinary faculty, and incorporation of learning through peer-observation, as important SBE features to advance DCT learning and subsequent preparedness. The conclusions reflected participants’ positivity about SBE as an educational technique to increase their preparedness. Overall, the findings illustrate a wide range of benefits from SBE in this context, the concepts of which other educationalists could consider adopting as a medical education strategy to improve DCTs’ preparedness for OMFS.
{"title":"Exploring oral and maxillofacial dental core trainees’ perceptions of preparedness for practice after a high-fidelity simulation course to teach emergencies","authors":"Miss Alice Cameron , Adam Matthew Holden","doi":"10.1016/j.bjoms.2025.08.006","DOIUrl":"10.1016/j.bjoms.2025.08.006","url":null,"abstract":"<div><div>Many dental core trainees (DCT) feel unprepared to manage unwell patients and emergent situations. Simulation-based education (SBE) is a widely used educational intervention that can facilitate learning without compromising patient safety, and increase preparedness for emergencies. To supplement the predominantly positivist relevant literature, this study endeavoured to answer a research gap through in-depth, meaningful enquiry. The aim was to explore the perceptions of preparedness for practice of oral and maxillofacial surgery (OMFS) DCTs following a one-day, high-fidelity SBE course. The construct under study was preparedness for practice. The study was grounded in the conceptual frameworks of social cognitive theory, constructivist principles, and experiential learning theory. DCTs who had attended an SBE course underwent semi-structured interviews. Thematic analysis of the data generated four main themes: realism; safe learning environment; community of practice; and DCT as a unique experience. The results outlined the importance of physical and psychological fidelity within the SBE design, debrief facilitated by experienced, multidisciplinary faculty, and incorporation of learning through peer-observation, as important SBE features to advance DCT learning and subsequent preparedness. The conclusions reflected participants’ positivity about SBE as an educational technique to increase their preparedness. Overall, the findings illustrate a wide range of benefits from SBE in this context, the concepts of which other educationalists could consider adopting as a medical education strategy to improve DCTs’ preparedness for OMFS.</div></div>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":"64 1","pages":"Pages 61-65"},"PeriodicalIF":1.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208495","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 : 2025-12-24DOI: 10.1016/j.bjoms.2025.11.010
Anuj Jain, Yash Merchant
{"title":"In reply to the Letter to the Editor regarding \"Ghost-writing in oral and maxillofacial literature: facilitator of progress or ethical erosion?\"","authors":"Anuj Jain, Yash Merchant","doi":"10.1016/j.bjoms.2025.11.010","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.11.010","url":null,"abstract":"","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835338","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 : 2025-12-24DOI: 10.1016/j.bjoms.2025.12.005
Alvaro Sanabria, David Figueroa-Bohorquez
This meta-analysis compares the safety and efficacy of outpatient or day case parotidectomy versus inpatient therapy. The objective of this study is to integrate current information on postoperative complications, readmission rates, and reoperation rates, as well as to assess the methodological quality of existing studies and provide selection criteria for outpatient surgery. We searched PUBMED, SCOPUS, and Google Scholar from January 1980 to January 2025. Search terms included "parotidectomy", "parotid gland surgery", "outpatient", "ambulatory", and "same-day discharge". We considered studies that compared outpatient and inpatient parotidectomy. The primary outcomes studied were postoperative complications, haematoma, seroma, infection, facial nerve injury, readmission, and reoperation rates. Two reviewers extracted data separately and used the ROBINS-I tool to determine bias. The analysis included 13 trials with a total of 5040 patients (2365 outpatients and 2674 inpatients). Outpatient parotidectomy had a similar complication risk as inpatient surgery (Odds Ratio 0.69, 95% Confidence Interval: 0.49 to 0.98, p = 0.04). Haematoma and permanent facial nerve injury were much lower in outpatients. However, most research showed considerable selection and confounding biases. Outpatient parotidectomy is a safe and effective option for carefully chosen individuals. Standardised selection criteria can help enhance patient outcomes and surgical decision making.
{"title":"Safety and effectiveness of outpatient parotidectomy: a systematic review of comparative studies on ambulatory parotidectomy.","authors":"Alvaro Sanabria, David Figueroa-Bohorquez","doi":"10.1016/j.bjoms.2025.12.005","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.12.005","url":null,"abstract":"<p><p>This meta-analysis compares the safety and efficacy of outpatient or day case parotidectomy versus inpatient therapy. The objective of this study is to integrate current information on postoperative complications, readmission rates, and reoperation rates, as well as to assess the methodological quality of existing studies and provide selection criteria for outpatient surgery. We searched PUBMED, SCOPUS, and Google Scholar from January 1980 to January 2025. Search terms included \"parotidectomy\", \"parotid gland surgery\", \"outpatient\", \"ambulatory\", and \"same-day discharge\". We considered studies that compared outpatient and inpatient parotidectomy. The primary outcomes studied were postoperative complications, haematoma, seroma, infection, facial nerve injury, readmission, and reoperation rates. Two reviewers extracted data separately and used the ROBINS-I tool to determine bias. The analysis included 13 trials with a total of 5040 patients (2365 outpatients and 2674 inpatients). Outpatient parotidectomy had a similar complication risk as inpatient surgery (Odds Ratio 0.69, 95% Confidence Interval: 0.49 to 0.98, p = 0.04). Haematoma and permanent facial nerve injury were much lower in outpatients. However, most research showed considerable selection and confounding biases. Outpatient parotidectomy is a safe and effective option for carefully chosen individuals. Standardised selection criteria can help enhance patient outcomes and surgical decision making.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159396","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 : 2025-12-24DOI: 10.1016/j.bjoms.2025.12.006
Tom Pepper, Dane McMillan, Andrew Jenzer, Darin Johnston, Johno Breeze, David Powers
Surgeons in the United Kingdom and the United States often perform identical oral and maxillofacial operations with strikingly different instrument sets. The extent and practical significance of this divergence have not, to our knowledge, been previously reported. We conducted a descriptive comparative review of contemporary UK and US practice (2023-2024), cataloguing instruments through clinical observation and discussions with peers and scrub teams, then verifying nomenclature, design, and provenance against reference texts and manufacturers' catalogues. Functionally equivalent but non-identical instruments were paired and profiled for origin, form, and typical use. Findings show a small common core (Freer elevator, Minnesota retractor, Austin retractor, DeBakey forceps, Adson forceps, Metzenbaum scissors, and Mayo scissors) with nearly all other instruments differing, illustrating parallel solutions to the same operative tasks. British instruments and their American counterparts (for example, Molt #9, Woodson #1, Seldin elevator, Molt #4, Dean scissors, Army-Navy retractor, Sweetheart retractor, Sistrunk retractor, Hargis retractor, 301 elevator, and Cogswell elevators) were assembled into a practical compendium, with the aim of encouraging cross-pollination of surgical practice. Awareness of transatlantic instrument choices presents an opportunity to refine one's armamentarium. Through selective adoption of unfamiliar but potentially advantageous instruments, the open-minded surgeon can discover new ways to enhance operative precision, efficiency, or ergonomics.
{"title":"Transatlantic tools of the trade: Anglo-American instrumentation in oral and maxillofacial surgery.","authors":"Tom Pepper, Dane McMillan, Andrew Jenzer, Darin Johnston, Johno Breeze, David Powers","doi":"10.1016/j.bjoms.2025.12.006","DOIUrl":"https://doi.org/10.1016/j.bjoms.2025.12.006","url":null,"abstract":"<p><p>Surgeons in the United Kingdom and the United States often perform identical oral and maxillofacial operations with strikingly different instrument sets. The extent and practical significance of this divergence have not, to our knowledge, been previously reported. We conducted a descriptive comparative review of contemporary UK and US practice (2023-2024), cataloguing instruments through clinical observation and discussions with peers and scrub teams, then verifying nomenclature, design, and provenance against reference texts and manufacturers' catalogues. Functionally equivalent but non-identical instruments were paired and profiled for origin, form, and typical use. Findings show a small common core (Freer elevator, Minnesota retractor, Austin retractor, DeBakey forceps, Adson forceps, Metzenbaum scissors, and Mayo scissors) with nearly all other instruments differing, illustrating parallel solutions to the same operative tasks. British instruments and their American counterparts (for example, Molt #9, Woodson #1, Seldin elevator, Molt #4, Dean scissors, Army-Navy retractor, Sweetheart retractor, Sistrunk retractor, Hargis retractor, 301 elevator, and Cogswell elevators) were assembled into a practical compendium, with the aim of encouraging cross-pollination of surgical practice. Awareness of transatlantic instrument choices presents an opportunity to refine one's armamentarium. Through selective adoption of unfamiliar but potentially advantageous instruments, the open-minded surgeon can discover new ways to enhance operative precision, efficiency, or ergonomics.</p>","PeriodicalId":55318,"journal":{"name":"British Journal of Oral & Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047419","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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