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 28.
Effect of host defence peptides on human oral epithelial cell apoptosis
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Host defence peptides (HDPs), e.g the human β-defensins (HBDs) and LL-37, are structurally diverse cationic amphipathic peptides that are synthesised in response to inflammation and infection. HDPs are multifunctional, having broad spectrum antimicrobial activity and immune modulatory activities that link the innate and adaptive immune systems. There are conflicting data in respect of their roles in wound healing. In addition, HD2, HBD3 and LL37 are all potentially cytotoxic to a human (dysplastic) oral epithelial cell line (DOK) in vitro. No studies of the effects of HBD2 and HBD3 on apoptosis or necrosis of human oral e...
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Kathryn Taylor, J. Kirkham, D.A. Devine Tags: On-line Only Abstracts Source Type: journals
Dissolution characteristics of degradable phosphate glass fibresEmail this article to a colleague.
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Introduction: Ionic release from phosphate glass fibres, used to construct resorbable implants for use in craniomaxillofacial osteosynthesis, can produce a more osteoinductive peri-implant environment that can lead to improved bone healing particularly in areas of tissue loss. The rate and concentration of ionic release depends on the formulation of the glass fibre.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Lachlan M. Carter, Sheila E. Fisher Tags: On-line Only Abstracts Source Type: journals
Histological characteristics of ligaments between middle ear and temporomandibular jointEmail this article to a colleague.
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We examined histological aspects of the ligaments between the middle ear and temporomandibular joint and suppose a theoretical role of their structural characteristics on mobility of mallear ossicle.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Metin Sencimen, Altan Varol, Baris Baykal, Hasan Ayberk Altug, Kemal Murat Okcu, Necdet Dogan Tags: On-line Only Abstracts Source Type: journals
Microsurgical skills training, assessment and curriculum developmentEmail this article to a colleague.
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Aim: The reduction in training hours, ethical issues of training on patients, patient choice and the need to demonstrate competency requires a change in the traditional Halstedian apprenticeship model of surgical training. It is now well recognised that surgical skills training should start outside the theatre environment and simulation is one means of delivering this requirement. Within our department, there is ongoing research into developing and implementing a proficiency based microsurgical skills curriculum which begins outside the operating theatre.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Indran Balasundaram, Rajesh Aggarwal, Lord Ara Darzi Tags: On-line Only Abstracts Source Type: journals
Survey of pharmacists’ advice for people with classical early mouth cancer symptomsEmail this article to a colleague.
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Introduction: The 2008 Department of Health White Paper on Pharmacy in England proposed changes to expand the role of pharmacists as primary care providers offering appropriate treatment or advice. They would be expected to recognise the symptoms and signs of common mouth diseases and not overlook serious disorders. It is accepted that all patients with a 4 week history of a non-healing mouth ulcer should be rapidly referred to specialist practitioners for diagnosis as they may have oral squamous cell carcinoma (OSCC).
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Jack Dentith, Fran Ridout, Iain Hutchison Tags: On-line Only Abstracts Source Type: journals
Mouth cancer as a tool for preventing or reducing smoking amongst teenagersEmail this article to a colleague.
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Introduction: Smoking is the scourge of today's society. Mouth cancer has not been used as a tool for preventing or reducing smoking prevalence to a great degree. Previously, oral and maxillofacial surgeons have not been used to deliver messages about smoking and mouth cancer. The aim of this research was to assess whether a graphic presentation on mouth cancer victims delivered by surgeons was an effective means of preventing or reducing smoking amongst teenagers.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Iain Hutchison, Fran Ridout, Allan Hackshaw, Stephen Sutton, Ken Gannon, Ann Charlton, haron Cheung Tags: On-line Only Abstracts Source Type: journals
The impact of a surgeon-led intervention using facial injury to discourage 14 year old pupils from excessive alcohol consumptionEmail this article to a colleague.
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Introduction: The 1997 National Facial Injury Survey led by BAOMS identified alcohol as a major aetiological factor in serious facial injury amongst UK 15–25-year olds. In a baseline study 44% of English 13–14-year olds described binge drinking alcohol on at least one occasion in the preceding 3 months and reported on personal harms associated with this.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Iain Hutchison, Fran Ridout, Allan Hackshaw, Ken Gannon, Stephen Sutton Tags: On-line Only Abstracts Source Type: journals
Provision of oral medicine within OMFS Departments in the UK. A national questionnaire postal survey (2009)Email this article to a colleague.
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Introduction: There are currently 17 Oral Medicine (OM) departments in the UK and current levels of OM manpower are inadequate to meet the clinical demands for service. Access to these departments is impractical for many patients not least due to their geographical location.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: William Harrison, Barry O’Regan Tags: On-line Only Abstracts Source Type: journals
Neurosurgery required following a sagittal split osteotomyEmail this article to a colleague.
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We describe a case of inferior alveolar allodynia (hyperaesthesia) following a sagittal split osteotomy and the subsequent treatment provided. The treatment ladder is described, which included radiofrequency and electrical neuromodulation with insertion of a spinal cord stimulator, this being replaced by a right motor cortex stimulator.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Cellan Vaughan Thomas, Andrew Cronin Tags: On-line Only Abstracts Source Type: journals
Oral syphilis—a diagnosis to rememberEmail this article to a colleague.
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Introduction/aim: The incidence of syphilis and other sexually transmitted infections has increased rapidly over recent years. Overall diagnoses of infectious syphilis rose by 24% in men who have sex with men, 32% in heterosexual males and 32% in females.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: James Morrison, R. MacFadzean, L. Colgan, J.C. Devine Tags: On-line Only Abstracts Source Type: journals
The Hyoid Hook—an aid to Hyoid advancemenf for ostructive sleep apnoeaEmail this article to a colleague.
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The role of the Hyoid Advancement procedure is increasingly recognised in the management of Obstructive Sleep Apnoea (OSA) either as an isolated procedure or in combination with multi level surgery. This technique aims to increase the posterior airway space and therefore decrease the severity of OSA.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Stephen Crank, T. Barry, A.J. Dickenson Tags: On-line Only Abstracts Source Type: journals
The current use of oropharyngeal throat packs in the UKEmail this article to a colleague.
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Introduction: The use of oropharyngeal throat packs (OPTP) has been practiced for decades. Indications relate to the prevention of migration of secretions, blood or debris into the hypopharynx or larynx. Disadvantages include post-operative sore throat, mucosal damage, and its retention. The position of the mandible may be significantly altered by an OPTP during mandibular surgery (orthognathic or trauma). This may necessitate a prolonged or second anaesthetic to rectify any occlusion anomalies. Such advantages and disadvantages may explain why the use of OPTP remains controversial to date, as demonstrated by trusts still ...
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Brian Bisase, Shaun Matthews, Cindy Lan Tags: On-line Only Abstracts Source Type: journals
Survey of patients perception of oral and maxillofacial surgery, weekend clinics and satisfaction of service providedEmail this article to a colleague.
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Introduction: Patients are referred to Oral and Maxillofacial surgeons from different sources. Not much is written about or known how the patients regard the speciality and their understanding of it. Patient satisfaction has become one index used to access how units are functioning. With increasing demand to see patients, the need to provide weekend elective services will increase. At Barts and The London a series of weekend clinics were run. The patients that attended these clinics were surveyed.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Rishi Bhandari, T. Macdonald, M. Lessani, J. Collier Tags: On-line Only Abstracts Source Type: journals
Alveolar distraction osteogenesis—versatility of a new compact distractorEmail this article to a colleague.
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Introduction: Alveolar bone distraction osteogenesis (DO) has been shown by prospective clinical studies to give a predictable and effective vertical augmentation of resorbed alveolar ridges. Its role in the armamentarium of the Oral and Maxillofacial surgeon is becoming increasingly important in pre-prosthetic surgery for augmentation of edentulous ridges and movement of dento-alveolar segments for Orthodontic reasons.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Mark Kwaku Buah, S.T. Crank, A.-M. Smith, A. Murray, K. Jones Tags: On-line Only Abstracts Source Type: journals
Surgical tracheostomy vs percutaneous tracheostomy—an auditEmail this article to a colleague.
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This study aims to audit the usage of ST and PT in a District General Hospital and the factors contributing to differences in outcome for patients undergoing either procedure.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Vijay Santhanam, Michael Margarson Tags: On-line Only Abstracts Source Type: journals
A novel oral prosthesis to secure endotracheal tube in facial burns patientsEmail this article to a colleague.
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Introduction: Patients suffering significant facial burns require urgent endotracheal intubation for airway protection, and it is imperative that this airway is secured during the first few days post injury, as re-intubation may be technically difficult once the effects of the burn injury are established. In addition during this period dressing changes and other procedures, may result in restless patients, increasing the risk of accidental extubation. Traditionally tapes have been used to secure endotracheal tubes, but these have the potential for contamination and infection of damaged tissue, particularly at the oral comm...
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: David Graham, J. Millar, J. McManners Tags: On-line Only Abstracts Source Type: journals
Serum zinc levels and oral dysaesthesia—is there a link?Email this article to a colleague.
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Aims: To audit serum zinc levels in patients presenting to our department with oral dysaesthesia. Methods: A retrospective audit was conducted between January and May 2003 on the management of patients presenting with oral dysaesthesia and ulceration. Patients were identified from the biochemistry database and data was collated regarding the number of patients whose serum zinc levels had been assayed and how these patients had been managed.To complete the audit cycle a further retrospective audit was conducted between January and May 2008.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: David Houghton, K.H. Taylor, K.D. Mizen Tags: On-line Only Abstracts Source Type: journals
Oral and maxillofacial bone tumours in the paediatric population of West Midlands: a retrospective analysis, management and long term follow-up outcomes over a 15-year periodEmail this article to a colleague.
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This study presents our experience of paediatric oral and maxillofacial bone tumours treated at the Birmingham Children's Hospital from 1995 to 2008 inclusive. Methods: The oral and maxillofacial unit at Birmingham Children's Hospital serves a population area of 5.2 million. Details including the diagnosis, the age, incidence, management and recurrence rates of the bone tumours over a period of 15 years were entered retrospectively into a database. Data was collected from the case notes, the histopathology reports, the radiographs and biochemical tests.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Flora Kemidi, F. Kemidi, A.R. Rennie, R.W. Williams, A.M. Monaghan Tags: On-line Only Abstracts Source Type: journals
A comparison of skin graft success in the head and neck with and without the use of a pressure dressingEmail this article to a colleague.
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Introduction/aims: There was a perception within the Maxillofacial Unit that there was a higher infection rate of skin grafts in the head and neck where a pressure dressing was applied. The infection usually led to a variable loss of the skin graft and subsequent morbidity.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Christopher Carter, J. Morrison, G. Markose, W.S. Hislop, W.J.R. Currie Tags: On-line Only Abstracts Source Type: journals
Intra-operative use of LiDCO—is there an effect on the volume of intravenous fluids used by anaesthetists during free flap surgery for head and neck cancer?Email this article to a colleague.
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The deleterious effects of inappropriate fluid prescription have been well documented, and include prolonged hospital stay. Patients with head and neck cancer have multiple co-morbidities and optimal fluid administration is paramount. Previously only possible using pulmonary artery catheters, the LiDCOTM plus system calculates the variations in pulse pressure, systolic pressure, and stroke volume that occur through the respiratory cycle, providing reliable information regarding the patient's response to fluids.
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
Use of desflurane to maximise teaching in busy day case oral and maxillofacial surgical operating theatreEmail this article to a colleague.
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Introduction: Training time is pressurised because of the imposition of the European Working Time Directives. In order to maximise the training time in day case theatres without prolonging the patients’ recovery time, less turn round time between patients is crucial. We investigated the feasibility of using Desflurane as an anaesthetic agent to reduce anaesthetic turn round and recovery time.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Leo Cheng, Alastair Mulcahy, John Meads, Helen Drewery Tags: On-line Only Abstracts Source Type: journals
Human factors in maxillofacial surgery; reducing human errorsEmail this article to a colleague.
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Introduction: The Study of Human Factors helps us to manage risk. The study of those characteristics that make us so much more intelligent and versatile than computers and allow us to be highly adaptive, creative and imaginative come with a price. This very flexibility and originality make us unsuitable for tasks requiring precision and repetition.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Sunil Bhatia, P. Smith, D.v. Arx, M. Simpson Tags: On-line Only Abstracts Source Type: journals
The perfect maxillofacial surgical training programme?-the after effects of the Tooke reportEmail this article to a colleague.
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With the advent of MMC and PMETB, there have been major changes to the surgical training pathway for most surgical specialties. Some specialties have moved away from general surgical training and instead have created their own centralised selection process and instituted specialty related examinations allowing an alternative means of gaining Membership at the Royal College of Surgeons.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Samintharaj Kumar, Mohammed Shorafa, Mahesh Kumar Tags: On-line Only Abstracts Source Type: journals
Eponymous instruments in oral and maxillofacial surgeryEmail this article to a colleague.
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Oral and Maxillofacial Surgeons, Dental Surgeons, and Nurses use eponymous instruments daily in their clinical work. It is evident in our own hospital that few know anything about Howarth, Coupland, Warwick James, Kilner, McIndoe, Rowe, Ward, Bristow, Crile and many others who created, developed or simply used the instruments. Many made significant contributions to the advancement of their crafts.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Andrew Sadler, Sujeev Rajapakse Tags: On-line Only Abstracts Source Type: journals
Parathyroid surgery—a local surveyEmail this article to a colleague.
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We present a series of parathyroid surgery performed by a single surgeon.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Sankaranarayanan Ananth, Leo Cheng, John Anderson, Will Drake, Sue Rowe, Steve Burke, Polly Richards, Curtis Offiah, Kim Piper, Dan Berney Tags: On-line Only Abstracts Source Type: journals
Streptococcus milleri in cervicofacial infection: a retrospective analysisEmail this article to a colleague.
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This study investigates the management of this common infection.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: G.J. Knepil, Lachlan M. Carter Tags: On-line Only Abstracts Source Type: journals
Thromboprophylaxis in maxillofacial surgery patients: are low risk patients treated inappropriatelyEmail this article to a colleague.
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Intro/aim: Venous thromboprophylaxis is a major cause of morbidity and expense in hospital patients. The aim of this audit is to examine the current practice of thromboprophylaxis amongst maxillofacial surgery patients in the NNUH and to compare against published protocol.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Timothy Mc Swiney Tags: On-line Only Abstracts Source Type: journals
An audit to assess the effectiveness of CPR training in dental graduatesEmail this article to a colleague.
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Introduction: Training in the management of medical emergencies is considered a core topic by the GDC and should be reflected in dentists’ continuous professional development. This includes regular and effective training in CPR. The Resus council UK update guidelines regularly, in order to ensure that best practice is being employed. Most junior staff in maxillofacial surgery are from a junior background.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Semina Visram, S. Parmar Tags: On-line Only Abstracts Source Type: journals
The activity of www.omfs.co.uk during a year of delivering access to educational information via the internetEmail this article to a colleague.
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www.omfs.co.uk was set up to provide a resource for maxillofacial surgeons, in particular trainee surgeons, that would allow surgeons to locate relevant courses, conferences and other educational aids to training and education.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Stephen Walsh, Nicholas Lee Tags: On-line Only Abstracts Source Type: journals
Theatre efficiency: what the real evidence shows usEmail this article to a colleague.
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Introduction: Theatre time is a precious and expensive resource. Careful planning of operating lists is required to maximise efficiency while allowing time for training and logistic requirements. Surrogate markers (such as start times) are often used as indicators of efficiency in the absence of more accurate data. The aim of this study was to analyse trends in theatre usage by our department over a four year period.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Jonathan Collier, Richard Damerau, Nayeem Ali Tags: On-line Only Abstracts Source Type: journals
Osteo-odonto-keratoprosthesis (OOKP): “a tooth for an eye” techniqueEmail this article to a colleague.
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Introduction: Osteo-odonto-keratoprosthesis (OOKP) is a technique used to replace damaged cornea, irreparable by other means, in blind patients using the patient's own tooth root and alveolar bone to support an optical cylinder. At present, our institute is unique in the UK in providing this service. OOKP surgery is a two-stage process requiring a multidisciplinary approach and life-long follow-up. The maxillofacial surgeon has a key role in harvesting and preparing an osteo-odonto-lamina and buccal mucous membrane graft.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Michael Joseph Monteiro, J. Herold, C. Liu, I. Francis Tags: On-line Only Abstracts Source Type: journals
Are there any prognostic indicators of outcomes in cases of head and neck necrotising soft tissue infections?Email this article to a colleague.
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Background: Necrotising soft tissue infections (NSTIs) of the head and neck are rare and can prove to be a diagnostic challenge. NSTIs are associated with significant morbidity and mortality (25–30%) if not diagnosed early and treated aggressively with surgical debridement, antimicrobial therapy and appropriate organ support. It is likely maxillofacial surgeons will encounter this condition at some point during their career.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Vikas Sood, James Morrison, Colin MacIver, Andrew Carton, Ian Holland Tags: On-line Only Abstracts Source Type: journals
Split nasopharygeal airway to aid safe placement of nasogastric tube ollowing transphenoidal surgeryEmail this article to a colleague.
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Transphenoidal surgery is a common procedure carried out by the neurosurgeons at Kings College Hospital with more than 130 cases annually. All cases are now approached endoscopically as opposed to technique of microsurgical decompression. In a limited number of patients, nasogastric tubes are used for enteral feeding and to reduce the risk of aspiration in patients with altered levels of consciousness. A case is described where an intubated patient 2 weeks post surgery required placement of an NG tube which resulted in inadvertent intracranial placement.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Jairon Majdneya, Henrietta Wilson, Kathleen Fan, Nick Thomas, Robert Bentley Tags: On-line Only Abstracts Source Type: journals
Experience in third molar surgery: a prospective studyEmail this article to a colleague.
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Introduction: The experience of the operating surgeon was compared to postoperative complications following lower third molar surgery under local anaesthesia. Method and materials: This prospective study included 3236 patients who had their third molars removed in an outpatients setting at the Eastman Dental Hospital & the UCLH Head & Neck Unit.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Waseem Jerjes, Tahwinder Upile, Mohammed El-Maaytah, Syedda Abbas, Farai Nhembe, Dipali Gudka, Priya Shah, Shinali Patel, Maria Kalkani, Colin Hopper Tags: On-line Only Abstracts Source Type: journals
Bilateral jaw fractures associated with bisphosphonate induced osteonecrosisEmail this article to a colleague.
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We report a case of a gentleman with metastatic prostate cancer on intravenous bisphosphonates with bilateral pathological fractures of the mandible. Case report: A 78-year-old gentleman was referred with episodes of pericoronitis in relation to the 38 tooth. He was on oral prednisolone and intravenous pamidronate for vertebral bony metastases. Radiographs revealed a mesoangularly impacted 38 tooth and a large radiolucency associated with the 48 tooth, which was asymptomatic. The 38 tooth was surgically removed under local anaesthetic.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Elizabeth Anne Gruber, Aileen Cunningham Tags: On-line Only Abstracts Source Type: journals
A questionnaire study evaluating undergraduate oral surgery teaching in London-based Dental SchoolsEmail this article to a colleague.
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This study aimed to examine the extent to which undergraduate dental students were satisfied with their dentoalveolar training and their relevant experience in the subject.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Ambika Chadha, Ihsaan Al-Hadad, Ailsa Morrison Tags: On-line Only Abstracts Source Type: journals
A four year retrospective study of patients admitted to ITU with severe odontogenic infections in a busy tertiary hospital 2004–2008Email this article to a colleague.
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Aims: To evaluate the trends in ITU Admissions due to severe odontogenic infection in University Hospital, Birmingham.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Shadaab Mumtaz, A. Tanday, S. Parmar, T. Martin, B. Tunicliffe Tags: On-line Only Abstracts Source Type: journals
Reasons for referral to an oral and maxillofacial surgical department: a review of the number of potentially inappropriate referralsEmail this article to a colleague.
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Introduction: Primary Care Trusts (PCTs) are increasingly looking to balance their budgets. In our locality they are adopting the standpoint that a lot of the work undertaken in our oral & maxillofacial department is of low priority or unnecessary and could be done outside at a lower cost. We have pointed out that we are not carrying out treatment inappropriately but that it is more likely that we are receiving inappropriate referrals repeatedly. This is mostly applicable to dento-alveolar surgical referrals. We have pointed out to the PCTs that the best way of dealing with inappropriateness is at the referral source, viz....
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Sujata Sharma, Gerard Gillan, Michael T. Simpson Tags: On-line Only Abstracts Source Type: journals
The implantable Cook Doppler probe for postoperative monitoring in head and neck free flap reconstruction: a critical evaluationEmail this article to a colleague.
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Introduction: Microvascular reconstruction requires postoperative monitoring to prevent vascular occlusion and flap failure. For some head and neck reconstructions, clinical monitoring is difficult and in others impossible due to flap components or site. The Cook–Swartz implantable Doppler flow system provides continual feedback on vascular pedicle status. This provides rapid assessment of minute-to-minute changes in microvascular flow that may allow intervention before total vascular occlusion permitting expeditious re-exploration for threatened flap failure, improving flap salvage.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Khalid Abdel-Galil, David Sutton, David Watt, James McCaul, Zaid Ali 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
Endoscopic assisted removal of mandibular reconstruction platesEmail this article to a colleague.
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We describe the use of an endoscopic assisted technique for the removal of large mandibular reconstruction plates in a series of four cases. To our knowledge the use of an endoscope in this application has not previously been reported.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Sarah Parsonage-Grant, Alan R. Patterson, T.K. Ong, Richard A. Loukota Tags: On-line Only Abstracts Source Type: journals
Pearls and pitfalls in the use of the implantable Doppler probe for head and neck free flap monitoringEmail this article to a colleague.
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Introduction: Microvascular reconstruction of the head and neck requires accurate and continuous monitoring of flap viability. This can be challenging and requires skilled personnel. The Cook–Swartz Doppler system is a technique for monitoring venous flow in free tissue transfers consisting of an implantable, removable, 20MHz ultrasonic micro-probe and a battery or line-powered portable monitor. It provides continual feedback on vascular pedicle status, which in turn provides assessment of changes in flap micro-circulation that may allow intervention before total vascular occlusion. This, in turn, improves flap salvage.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Nadia Ahmed, K. Abdel-Galil, J.A. McCaul, Z. Ali Tags: On-line Only Abstracts Source Type: journals
Ultrasound assessment of bony healing in the management of non-union of composite free flap osteotomy sitesEmail this article to a colleague.
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Introduction: The management of complex bony non-union following composite free flap reconstruction may be both challenging and time consuming. If external fixation has been applied it may be difficult to know when it is safe to remove.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Jason Niamat, Daya Gahir, Ram Vaidhyanath, Christopher Avery Tags: On-line Only Abstracts Source Type: journals
Pathological tissue processing time vs. morbidity and mortalityEmail this article to a colleague.
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Background: It is well documented that delay in diagnosing tumours in the head and neck region can affect morbidity and mortality. Delay in processing a biopsy can also affect the patient as it can delay surgical treatment or adjunct therapy.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Waseem Jerjes, Tahwinder Upile, Aviva Petrie, Farai Nhembe, Priya Shah, Shinali Patel, Ann Sandison, Colin Hopper Tags: On-line Only Abstracts Source Type: journals
The effect of smoking, drinking and smoking cessation on morbidity and mortality in oral cancerEmail this article to a colleague.
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Background: Smoking and alcohol have been implicated in the development and maintenance of squamous cell carcinoma with an almost synergistic effect. We review the effect and timing of smoking, drinking and smoking cessation upon the peri-operative morbidity and mortality for oral cancer surgery.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Waseem Jerjes, Tahwinder Upile, Aviva Petrie, Michael Vourvachis, Farai Nhembe, Priya Shah, Ann Sandison, Colin Hopper Tags: On-line Only Abstracts Source Type: journals
The influence of the condition of surgical margins on local recurrence and overall survival in T1-T2 oral squamous cell carcinoma patientsEmail this article to a colleague.
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Introduction: The clearance of surgical margins at the primary site is widely thought to influence the subsequent course of the disease in patients suffering oral squamous cell carcinoma (OSCC). We have therefore examined the relation between the condition of surgical margins and local recurrence and overall survival.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Waseem Jerjes, Tahwinder Upile, Aviva Petrie, Mohammed El-Maaytah, Michael Vourvachis, Priya Shah, Ann Sandison, Colin Hopper Tags: On-line Only Abstracts Source Type: journals
Two week referral—are we missing something?Email this article to a colleague.
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We present the findings of our audit. Analysis of 1816 head and neck cancer referrals with two week criteria looks at the referral pattern from various referring practices (n=119) covered by twelve primary care trusts. The data is from October 2005 to October 2008. A total number of positive diagnosis (n=221) was recorded and compared to the number of referrals from individual practices.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Irvail Satheesh Prabhu, A.I. Edwards, S. Akhtar Tags: On-line Only Abstracts Source Type: journals
Can transcervical incision alone be used for mandibular segmental resection in SCC cases?Email this article to a colleague.
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Purpose: To assess correlation between lip split and transcervical access for mandibular segmental resection with respect to resection margins, postoperative radiotherapy, osteoradionecrosis and recurrence. Not many previous studies have shown differences in surgical access on resection margin, need for radiotherapy and recurrence.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Jolie Scannell, Graham Smith, Nicholas Hyde Tags: On-line Only Abstracts Source Type: journals
The management of thyroid disease in UK maxillofacial practiceEmail this article to a colleague.
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Thyroid cancer most commonly presents as a lump in the neck. The ‘improving outcomes in head and neck cancers’ guidance (IOG), published by NICE in 2004, recommended that units treating head and neck cancer should offer a neck lump clinic. These clinics should be run by multi-disciplinary teams, which may include Oral & Maxillofacial Surgeons. It is anticipated that Oral & Maxillofacial Surgeons will increasingly treat thyroid disorders.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: James Sloane, A. Fasanmade, C. Hughes Tags: On-line Only Abstracts Source Type: journals
Basal cell carcinoma—do we need to reviewEmail this article to a colleague.
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Introduction: The aim of this study was to assess the need for review of basal cell carcinomas (BCCs), considering the pressures on and time constraints of outpatient clinics, and to compare the findings with the British Association of Dermatologists (BAD) guidelines for BCC management. We aimed to identify groups of patients thought to be of a high risk of recurrence within our local population.
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Michaela Goodson, L.M. Jamieson, R.J. Banks, J.M. Ryan Tags: On-line Only Abstracts Source Type: journals
