ENT & OMF
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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 27.
The implications of a positive sentinel node in head and neck cancer
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Objectives: The role of Sentinel Node Biopsy (SNB) is being explored in head and neck surgery. Preliminary data suggest that a positive sentinel node frequently exists in isolation and that if additional positive nodes are present, they lie in close proximity in the neck. If proven, it may allow a more conservative surgical approach for patients with early disease.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Ben Gurney, M. McGurk, C. Schilling, L. Cascarini, Z. Lei, European SENT Group Tags: On-line Only Abstracts Source Type: journals
Putting the maxilla first—speech outcomes in cleft orthognathic surgeryEmail this article to a colleague.
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Aim: To report speech outcomes in a consecutive series of patients who underwent orthognathic surgery for the correction of cleft related maxillary deformity. Method: Maxillary advancement in patients with a history of cleft palate repair may result in speech deterioration due to the development of new onset velopharyngeal dysfunction or deterioration in existing velopharyngeal insufficiency. The outcome of preoperative speech investigations may influence the surgeon to compromise the magnitude of maxillary advancement with the goal of reducing the risk of undesirable post operative speech changes. Data was collected for ...
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Victoria Beale, Sue Mildinhall, Piet Haers Tags: On-line Only Abstracts Source Type: journals
A double blind randomised control trial of selective neck dissections including level 2b or not 2b on electromyography, clinical examination and questionnaire-based outcomesEmail this article to a colleague.
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Objectives: Damage to the accessory nerve during a neck dissection is associated with morbidity which can affect quality of life. Although there are 22 studies looking at electromyographic findings after neck dissection to our knowledge the question of nerve impairment when level 2b is not dissected as part of a supra-omohyoid neck dissection remains unanswered. Thus this double blind randomised control trial of selective supraomohyoid neck dissection with or without dissection of level 2b for node negative oral cancer and resulting shoulder function.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Stanley Parikh, Brian Tedman, Barry Scott, Derek Lowe, Simon N. Rogers Tags: On-line Only Abstracts Source Type: journals
Aesthetic and occlusal outcomes in cleft orthognathic surgeryEmail this article to a colleague.
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Aim: To measure the increase in midfacial convexity and occlusal stability in a series of patients who underwent orthognathic surgery for correction of the cleft maxillary deformity.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: André Kichenaradjou, Victoria Beale, Naseem Ghazali, Piet Haers Tags: On-line Only Abstracts Source Type: journals
Ultrasound guided interstitial photodynamic therapy of deep seated lesionsEmail this article to a colleague.
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Introduction: Photodynamic therapy is a minimally invasive therapy that results from the interaction between a photosensitiser, oxygen and light. The delivery of light can by either by surface illumination or interstitial application.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Sorcha MacKay, Waseem Jerjes, Tahwinder Upile, Zaid Hamdoon, Syedda Abbas, Farai Nhembe, Shinali Patel, Simon Morley, Colin Hopper Tags: On-line Only Abstracts Source Type: journals
Binge drinking amongst 8845 13–14-year-old English pupils and the harms they sufferedEmail this article to a colleague.
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Introduction: The aim of the research was to find out about attitudes to drinking and the drinking habits of young people in order to inform intervention programmes to discourage binge drinking.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Sharon Cheung, Fran Ridout, Allan Hackshaw, Stephen Sutton, Ken Gannon, Iain Hutchison Tags: On-line Only Abstracts Source Type: journals
Preoperative MRI correlation with postoperative histopathology specimen margins in oral cavity tumoursEmail this article to a colleague.
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This study will attempt to compare the tumour (T-staging) of the disease including margins and extent of the primary identified on pre-operative MRI study with the post-operative pathological T-staging determined on gross and microscopic histopathological analysis.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Zahra Syed, Curtis Offiah, Kim Piper, Emma Caseley Tags: On-line Only Abstracts Source Type: journals
Depressive symptoms and quality of life in head and neck cancer patientsEmail this article to a colleague.
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Introduction: High rates of depression have been reported in head and neck cancer patients, but prevalence appears to vary widely (3–57%) depending on the measures used. Depression in cancer patients increases morbidity as well as reportedly increasing mortality 2.6-fold. Both psychosocial and physiological mechanisms could account for this.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Jo Archer, C. Clark, I. Hutchison, A. Korszun Tags: On-line Only Abstracts Source Type: journals
Is the ratio of functional fibrinogen to platelets as measured by thromboelastography a predictive parameter for thrombotic complications in free tissue transfer surgery?Email this article to a colleague.
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The risk of total flap loss after free microvascular tissue transfer is estimated to be between 2 and 6%. Flap failure is most frequently due to anastomotic thrombosis, occurring in the early postoperative period. The exact causes of events leading to thrombotic occlusion are not clear, although authors have observed detrimental effects of increased platelet counts, platelets aggregation, and fibrinogen levels on flap survival.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Karen Ann Eley, Rachel Parker, S.R. Watt-Smith Tags: On-line Only Abstracts Source Type: journals
Reducing post-operative blood loss in sagittal synostosis: the role of fibrin glueEmail this article to a colleague.
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Aims and objectives: Fibrin's haemostatic properties are well known and we report its application prior to scalp closure in order to reduce post-operative blood transfusion. Patients and methods: Prospective study of 16 calvarial remodellings for sagittal synostosis were performed by the same surgical team. Data collected included post-operative wound drainage at 8 and 48h. Group A had scalp closure alone (10 cases), while Group B had scalp closure with fibrin (Tisseel) glue (6 cases).
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Dilip Srinivasan, D. Rodrigues, N. White, E. Carver, M.S. Dover, H. Nishikawa, S. Magdum, G. Solanki Tags: On-line Only Abstracts Source Type: journals
Assessment of the effects of pressors on graft blood flow after free tissue transfer surgery: interim findingsEmail this article to a colleague.
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Patients with intra-oral carcinoma frequently require support to mitigate the hypotensive effects of sedation in the early recovery period. Sympathomimetic agents may increase the systemic blood-pressure but the resulting vasoconstriction may paradoxically reduce flap perfusion and result in flap failure (Suominem 2004). The aims of this study are to identify the optimal agent to improve systemic blood pressure whilst maintaining flap perfusion.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Karen Ann Eley, D. Young, S.R. Watt-Smith Tags: On-line Only Abstracts Source Type: journals
Factors associated with blood loss and transfusion requirements in craniofacial surgery: a 5 year single-institution reviewEmail this article to a colleague.
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Introduction: Blood loss remains a major challenge in craniofacial surgery. Despite major advances in both craniofacial surgery and replacement of blood products, this area of practice remains challenging.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Dilip Srinivasan, E. Carver, D. Rodrigues, R. Vemaraju, R. Marcus, G. Solanki, H. Nishikawa, M.S. Dover Tags: On-line Only Abstracts Source Type: journals
Microdialysis: have we found the ideal flap monitoring device?Email this article to a colleague.
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Introduction: Flap monitoring should be reliable, safe, accurate and easy to use in any clinical setting. Microdialysis is a method of monitoring interstitial tissue metabolism of free flaps. Previous studies have shown a 77% flap salvage rate with use of microdialysis monitoring and ischaemia prediction 1–2h before it became evident clinically. The aim of this study was to assess the usefulness and reliability of microdialysis for continual free flap monitoring.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Jolie Scannell, Andrew Lyons Tags: On-line Only Abstracts Source Type: journals
The effective management of high flow vascular malformations of the head and neckEmail this article to a colleague.
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Introduction: High flow vascular malformations (arteriovenous malformations) of the head and neck are some of the most challenging lesions to treat. Traditional management includes embolisation followed shortly afterwards by surgical excision. Incomplete excision inevitably leads to recurrence due to recruitment of collateral circulation. Surgery is often associated with massive haemorrhage; the literature has numerous reports of intraoperative deaths.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Andrew Monaghan, I. McCafferty, S. Lamin, H. Nishikawa, R. Williams Tags: On-line Only Abstracts Source Type: journals
The scapula myo-osseous flapEmail this article to a colleague.
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We presented our early results (AAOMS/BAOMS Conference, Boston) in 1999, and now present our further experience of over a decade.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Andrew M.S. Brown Tags: On-line Only Abstracts Source Type: journals
Bone morphogenetic protein (BMP-7) used in the reconstruction of a non-healing, atrophic edentulous mandible—a case reportEmail this article to a colleague.
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Introduction: Bone morphogenetic protein(BMP-7) is osteoinductive. BMPs were identified by the ability of demineralised bone extract to induce endochondrial osteogenesis in vivo in an extraskeletal site. Terheyden et al. concluded that BMP-7 grafts transplanted into mandibular angle defects resulted in significantly superior bone when assessed histologically and with computerised tomography, compared to conventional vascularised bone grafts.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Syedda Abbas, Sheetal Asher, Kaveh Shakib, Manolis Heliotis Tags: On-line Only Abstracts Source Type: journals
Lower eyelid suspension after transconjunctival approach to orbital floor fracturesEmail this article to a colleague.
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We report the technique of the lower eyelid suspension after the transconjunctival approach to the orbital floor. Introduction: A literature review shows the incidence of lower eyelid malposition after the tranconjunctival approach to vary from 1.2% to 23%. Despite this high complication rate, there is very little data in the literature regarding the use of the lower eyelid suspension in the postoperative period. We think that it is necessary to re-visit the use of this technique.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Bagrat Lalabekyan, Bagrat Lalabekyan, Colin Hopper, Naresh Joshi, Niall Kirckpatrick Tags: On-line Only Abstracts Source Type: journals
A retrospective audit of mandibular fractures requiring ORIF: current issuesEmail this article to a colleague.
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Aims: In mandibular fracture patients who require ORIF mandible, to assess: Delay in presentation, operative management and discharge.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Chris Donaldson, Jollie Singh, Mehmet Manisali Tags: On-line Only Abstracts Source Type: journals
Patient centred functional outcome measurement in orthognathic surgery—a review of 300 consecutive operated casesEmail this article to a colleague.
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Demonstration of the benefits and quality of surgical intervention is becoming increasingly important. As with other surgical interventions the value to patients of orthognathic surgery may come under scrutiny by PCT's, commissioners and NICE. Patient assessed rather than clinician assessed outcome arguably is the ideal measure.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Raheela Rafiq, E.J. Woolley, D. Richardson Tags: On-line Only Abstracts Source Type: journals
European Sentinel Node group interim resultsEmail this article to a colleague.
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Objectives: Sentinel Node Biopsy (SNB) is well-established in management of both breast cancer and melanoma. Tumour within cervical lymph nodes spreads in an orderly fashion from one nodal basin to the next. Lymphoscintigraphy accurately identifies the Sentinel Node. If negative for metastasis, a neck dissection can be avoided. The interim results of the European Sentinel Node Study (SENT) are presented
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Clare Schilling, B. Gurney, M. McGurk Tags: On-line Only Abstracts Source Type: journals
Leicester experience in the management of patients with obstructive sleep apnoea with maxillomandibular advancementEmail this article to a colleague.
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Aim: The purpose of this study was to investigate the improvement of the apnoea-hypopnoea index (AHI) in patients who have undergone maxillomandibular advancement (MMA) with genioplasty for obstructive sleep apnoea (OSA). To our knowledge, no single centre in the UK has reported on a series as large as this.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Daya Gahir, Surendra Shenoy, Jason Niamat, Sunil Sah, Ian Ormiston Tags: On-line Only Abstracts Source Type: journals
The importance of lymphovascular invasion in the survival of patient's with oral carcinomaEmail this article to a colleague.
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Introduction: The presence of lymphovascular invasion in oral carcinoma surgical specimens has a significant impact on survival outcome in oral carcinoma patients. Method: The histopathological reports, demographic details and outcome of 72 consecutive patients treated primarily with tumour resection and neck dissection between 1999 and 2003 were analysed. The data was subjected to statistical analysis to discover the histopathological features of the primary tumour predictive of development of cervical metastases and survival. Analysis of candidate variables was undertaken using the Kaplan - Meier product limit method. F...
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Ahmed Messahel, H.B. Jones, M. Patel Tags: On-line Only Abstracts Source Type: journals
Condition-specific quality of life in patients with dentofacial deformities: a comparison of generic and disease-specific measuresEmail this article to a colleague.
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Objectives: To determine the impact of dentofacial deformities and related treatment on quality of life (QOL) of Jordanian patients, and to make a comparison between the generic and specific measures used.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Hazem Al-Ahmad, Wesam S. Al-Sa’di, Iyad K. Al-Omari, Zaid B. Al-Bitar Tags: On-line Only Abstracts Source Type: journals
Correlates and patterns of nodal disease in head and neck cancer. Do they validate the tenets of head and neck surgeryEmail this article to a colleague.
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A 4mm tumour depth has been deemed the critical tumour thickness that is associated with significant risk of occult metastases. Tumours of the anterior floor of mouth and oropharynx may metastasise bilaterally and metastases from the tongue have been reported to skip to level IV without involvement of proximal nodal levels. Dissection of the sub muscular recess produces a poor nodal yield with infrequent involvement, and is associated with an increased incidence of shoulder dysfunction.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Colin Liew, C. Liew, J. McMahon, C. Wales, J. Morrison, G. Robertson, J. Devine Tags: On-line Only Abstracts Source Type: journals
Midface distraction osteogenesis and conventional orthognathic surgery: a comparative study of the patient's perspectiveEmail this article to a colleague.
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Aims/Method: Using a validated questionnaire 22 midface distraction osteogenesis (DO) patients and 22 conventional orthognathic surgery (CO) patients were surveyed. Key themes explored including reasons for surgery, perioperative experiences, benefits of treatment and information provided.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Jag Dhanda, S. Kotecha, R. Williams, I. Sharp, V. Mason Tags: On-line Only Abstracts Source Type: journals
Comparison of patterns of regional metastases from cutaneous melanoma and scc of the face and scalpEmail this article to a colleague.
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Aim: To identify patients with regional metastases from cutaneous melanoma and squamous cell carcinoma (scc) of the face and scalp, and compare rates of metastases and pattern of metastases.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Niall McLeod Tags: On-line Only Abstracts Source Type: journals
The value of PET/CT in head and neck oncology diagnostic dilemmasEmail this article to a colleague.
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PET/CT is currently restricted to specific clinical circumstances such as an unknown primary with neck nodal disease and suspicion of recurrence in previously treated areas when CT and MRI failed to provide a diagnosis.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Liviu Marius Hanu-Cernat, P. Nankivell, G. James Tags: On-line Only Abstracts Source Type: journals
Changes in inferior alveolar nerve following mandibular distraction in dogsEmail this article to a colleague.
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Introduction: DO represents a last time point in the historical evolution of reconstructive surgery through inductive surgery. It is well known fact that the mechanical or physical potentialities can influence the biological tissue behavior.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Mohamed Bahaa Khidr, Aly Abdul Haleem, Mohamed Foda Tags: On-line Only Abstracts Source Type: journals
Post-operative troponin positive cardiac events in patients undergoing head and neck cancer resection admitted on the day of surgeryEmail this article to a colleague.
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Theatre direct admission (TDA), whereby patients for elective operations attend a holding bay on the day of operation, and are admitted to a ward postoperatively, has been introduced in hospitals throughout the UK, including our own. Initial reports about same day surgical admissions in vascular and colorectal surgery have been favourable.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Karen Ann Eley, S.R. Watt-Smith Tags: On-line Only Abstracts Source Type: journals
Three-dimensional imaging and characterisation of bone using a novel omnidirectional ultrasound array: proof of conceptEmail this article to a colleague.
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Introduction/aims: Fundamental to bone surgery is our inability to assess the progression of bone healing. Currently we have to wait for rigid union. Ideally, when is the best time to remove fixation? How successful are bone morphogenic proteins and other advanced techniques? In short, we need better ways to see healing bone.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Duncan F. Campbell, David K. Smythe Tags: On-line Only Abstracts Source Type: journals
Hypoglobus in the acute setting; causes from aboveEmail this article to a colleague.
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Hypoglobus in the acute setting is usually associated with disruption of the inferior orbital rim or floor. The resulting hypoglobus may occur in isolation or associated with enophthalmos.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Mohammed Al-Gholmy, M. Ethunandan, N.J. Baker, A.A. Webb Tags: On-line Only Abstracts Source Type: journals
3D CT scans allow imporved surgical planning in ballistic injuriesEmail this article to a colleague.
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Background: Ballistic injuries to the head and neck are routinely treated in the military environment but are still a rare presentation in the civilian setting. With recent terrorist attacks and an increased risk of attack a knowledge of the assessment and treatment of these patients is an essential part of not only the military maxillofacial surgeons armamentarium but also their civilian counterparts. Tissue loss and comminution of hard tissues are commonly seen with ballistic injuries modern imaging techniques allow accurate surgical planning.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Colin MacIver, Andrew Monaghan Tags: On-line Only Abstracts Source Type: journals
Review of CT imaging of the maxillofacial region in trauma casesEmail this article to a colleague.
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Introduction: Barts and The London NHS trust is a major trauma centre, which is also home to the emergency helicopter service. Many patients involved in major trauma require a CT imaging for suspected brain injury as well of the facial skeleton. It was noted that some of the trauma patients were imaged for the brain but not the facial skeleton even though they have extensive facial injuries.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Richard Burnham, R. Bhandari, C. Bridle Tags: On-line Only Abstracts Source Type: journals
The role of early C-RP levels in predicting outcome in patients with odontogenic infectionEmail this article to a colleague.
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A large proportion of the oral-maxillofacial admissions are due to patients with odontogenc infection. Patients may display benign, or more severe, disease progression which may result in ITU admission, associated with increased morbidity and mortality rates.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Navin Vig, Jonathan Collier Tags: On-line Only Abstracts Source Type: journals
Consenting practice for salivary gland surgery—are we open to litigation?Email this article to a colleague.
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Surgery on the parotid and the submandibular glands are routinely performed in both Maxillofacial and ENT units in the UK for both benign and malignant conditions. The potential risk arising from these procedures can result in significant morbidity affecting patient's function and aesthetics. Informed consent is critical to allow patients to deal with the post-operative recovery and to reduce litigation. The NHS pays out over half a billion pounds a year in litigation, with the cost for consenting errors running into millions (1). The NHSLA database has recorded fourteen cases of litigation related to salivary gland surger...
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Ricardo Imtiaz Mohammed-Ali, Khaled Borghol, Robert Orr, Peter Doyle Tags: On-line Only Abstracts Source Type: journals
The role of radiotherapy in the management of positive margins in parotid malignancyEmail this article to a colleague.
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Introduction: The management of positive margins parotid gland malignancy remains controversial with some units in the United Kingdom advocating further surgery and others adjuvant radiotherapy.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Neil Scott, C. Kerawala Tags: On-line Only Abstracts Source Type: journals
Does extra-capsular dissection of the parotid gland minimise the cosmetic impact of the post-surgical defect?Email this article to a colleague.
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This study sought to quantify if extra-capsular dissection limited such problems.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Cyrus Kerawala Tags: On-line Only Abstracts Source Type: journals
Are opthopantomograms of value in the initial diagnosis and management of tempromandibular joint disorders?Email this article to a colleague.
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Introduction/aims: Tempromandibular joint (TMJ) disorders are common presenting complaints whose diagnosis and management has traditionally involved the use of orthopantomograms (OPGs). It is unclear whether the diagnostic yield of such radiographs justifies their routine use with the radiation dose incurred. In this pilot study we investigated the value of OPGs in the initial management of TMJ disorders.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Rhian Fitzgerald, J. Lyall, E. Fitzgerald Tags: On-line Only Abstracts Source Type: journals
Quantitative measurement of the response of masseteric hypertrophy to treatment with Botulinum Toxin Type-AEmail this article to a colleague.
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Introduction: Botulinum Toxin Type-A (BTTA) has many therapeutic uses in addition to facial aesthetics. Its role in masseteric hypertrophy is well described although quantitative measurements of it effect have been limited to serial CT, ultrasound and electromyography. Facial laser scanning provides an accurate, safe, quick and reproducible measurement of facial contour. The aim of this study was to use facial laser scanning to quantify changes in facial appearance following BTTA administration to the masseter.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Jonathan Collier, Lifong Zou Tags: On-line Only Abstracts Source Type: journals
Doctor, will I have a glass jaw after this?Email this article to a colleague.
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We present a series of six patients who sustained jaw fractures on two separate occasions, and report the pattern of fractures.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Gary C.S. Cousin, A. El Rasheed, K. Shanbhag Tags: On-line Only Abstracts Source Type: journals
Maxillofacial injury patterns in cyclists attending the Emergency Department at The Royal London HospitalEmail this article to a colleague.
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Introduction: There has been a 91% increase in the number of cyclists in London during the past year. Although the trend is for a reduction in the number of cyclists killed or seriously injured on our roads, accidents in London still constitute approximately one fifth of the national total. Our aim is to obtain information about the nature of cycling related maxillofacial injuries in London.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Mayank Shastri, Rishi Bhandari, Christopher Bridle Tags: On-line Only Abstracts Source Type: journals
When is a retro-bulbar hemorrhage not a retro-bulbar hemorrhage?Email this article to a colleague.
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Clinical symptoms and signs of a retro bulbar haemorrhage (RBH) or oedema are periorbital pain, proptosis, decreasing visual acuity, restriction of eye movement and loss of direct light reflex. When these findings occur after facial trauma the diagnosis is traditionally thought to be that of RBH. However in the senior author's experience RBH has rarely been the cause of such findings. Instead this has been due to retrobulbar oedema requiring a different management approach. We therefore wish to challenge the concept that acute proptosis in trauma is usually RBH as currently believed.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Mark Allen, Michael Perry, Fionna Burns Tags: On-line Only Abstracts Source Type: journals
Preserving the skin in necrotising fasciitis of the head and neckEmail this article to a colleague.
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Introduction/aim: Necrotising fasciitis of the head and neck carries a significant mortality of 25–30%. It is usually preceded by relatively trivial trauma. The management of this condition is aggressive pre-operative resuscitation, wide surgical debridement of the necrotic tissue, organ support as required and appropriate antibiotic therapy. The surgical management of these cases often leads to significant loss of integument. This results in significant disfigurement and functional morbidity. It can often require complex reconstructive surgery. The aim of this poster is to present a review of the management of necrotisi...
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: James Morrison, V. Sood, A.T.M. Carton, I.S. Holland Tags: On-line Only Abstracts Source Type: journals
Sagittal split osteotomy and the unfavourable split: investigation using cone beam computed tomographyEmail this article to a colleague.
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Introduction: Cone beam computed tomography (CBCT) has been at the forefront of recent advances in imaging technology within the maxillofacial region. CBCT has proved useful in the pre-operative assessment and planning of patients undergoing orthognathic surgery. We propose that CBCT also has a role in the post-operative evaluation of certain patients in whom complications have occurred.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Timothy Edwin Lloyd, N.A. Drage, A.J. Cronin Tags: On-line Only Abstracts Source Type: journals
Prevalence and impact of previous orthodontic treatment in patients referred to orthognathic combined clinics: does this affect their future management?Email this article to a colleague.
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We have observed that a number of patients presenting to the Orthognathic Combined Clinics have had previous orthodontic treatment. The aim of this study was to determine the proportion of the latter patients and whether their previous treatment had had a detrimental effect on their current management.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Leila Khamashta Ledezma, J. Collier, P. Sharma, N. Ali Tags: On-line Only Abstracts Source Type: journals
A survey to assess general dental practice competence in providing dental rehabilitation of post-treatment oral and maxillofacial cancer patientsEmail this article to a colleague.
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This study investigated these areas and the requirements/requests for further training and education.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Prad Anand, Sam Harding Tags: On-line Only Abstracts Source Type: journals
Postoperative monitoring of microsurgical free tissue transfers for head and neck reconstruction: a systematic review and analysis of current techniquesEmail this article to a colleague.
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Introduction: Optimizing microsurgical success rests on the ability to identify and salvage failing free flaps. The first step in the salvage of a failing free flap is the rapid identification of microvascular compromise. This rapidity is accomplished by the clinical assessment, objective data provided by the monitoring technique(s), or a combination of both.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Khalid Abdel-Galil Tags: On-line Only Abstracts Source Type: journals
Intra-operative haemodynamic optimisation: early experience of use in major head and neck surgeryEmail this article to a colleague.
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Introduction: The use of a monitoring protocol to maximise haemodynamic flow parameters during surgery has been clearly shown to reduce the risk of complications and length of hospital stay in patients undergoing major abdominal and orthopaedic surgery.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Khalid Abdel-Galil, David Craske, James McCaul, David Sutton, Andrew Hatfield Tags: On-line Only Abstracts Source Type: journals
Comparisons between UK and European protocols used in the treatment of osteoradionecrosis with hyperbaric oxygen therapyEmail this article to a colleague.
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Introduction: Previous data has show little standardisation of the protocols used by UK hyperbaric chambers for treatment of patients with osteoradionecrosis (ORN), this data was subsequently used for the HOPON trial. The purpose of this study was to establish the number of patients with ORN being treated by UK and European hyperbaric chambers and a comparison between the protocols used by the two groups.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Jag Dhanda, Durrani, E. Beshara, L. Machon, S. Parmar Tags: On-line Only Abstracts Source Type: journals
Ordeal by post or valuable research?Email this article to a colleague.
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As the deadline for submission of abstracts for the next BAOMS conference approaches, consultant oral and maxillofacial surgeons receive postal questionnaires about their preferred clinical management of various conditions. It seems that the intention of these questionnaires is obvious; to allow enthusiastic trainees to collect information leading to the presentation of a paper at the forthcoming conference. But is acquisition of the opinions of consultants in this way valuable research, or an apparently easy way to obtain data for a presentation?
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Gary C.S. Cousin, A. El Rasheed Tags: On-line Only Abstracts Source Type: journals
