Description

This bi-monthly, easily readable, high-quality journal has one of the largest circulations of any oral and maxillofacial surgery journal. It receives articles from around the world and has an international Editorial Board. Articles are peer reviewed by at least two referees and when accepted are reviewed by the journal's Technical Editor to ensure a consistently high standard. Each issue publishes articles on current techniques and surgical innovations covering the full spectrum of surgery in the oro-facial and head and neck region. This journal is an excellent resource for oral and maxillofacial, plastic, E.N.T. and ophthalmic surgeons.

Publisher details

Elsevier

Publications in this journal

• Keeping you updated with the online version of the journal.

  Authors: Peter A Brennan, H Spilberg

  The British journal of oral & maxillofacial surgery. 47(3):177-8.

• Re: Breeze J, Andi A, Williams MD, Howlett DC. The use of fine needle core biopsy under ultrasound guidance in the diagnosis of a parotid mass. Br J Oral Maxillofac Surg 2009;47(1):78-9.

  Authors: Neshe Sriskandan, George Manjaly, David C Howlett

  The British journal of oral & maxillofacial surgery.

• Reduction of fractures of the zygomatic arch using a finger.

  Authors: Angelos Chatziavramidis, Maria Kynigou

  The British journal of oral & maxillofacial surgery.

• Malakoplakia of the face: A rare but important diagnosis.

  Authors: Darryl M Coombes, Paul M Norris, A W Barrett, Andrew E Brown

  The British journal of oral & maxillofacial surgery.

  Malakoplakia that presents in the head and neck is rare. We describe a case in a man who presented with a fungating mass in the periauricular skin that was thought to be a malignant tumour.Malakoplakia that presents in the head and neck is rare. We describe a case in a man who presented with a fungating mass in the periauricular skin that was thought to be a malignant tumour. Histopathological and microbiological investigations established a diagnosis of malakoplakia.

• Lemierre's syndrome: the changing face of a life-threatening infection.

  Authors: Michael Joseph Monteiro, Stuart Thompson

  The British journal of oral & maxillofacial surgery.

• Downregulation of Notch1 and its potential correlation with epidermal growth factor receptor signalling in tongue squamous cell carcinoma.

  Authors: Hong-Jie Huang, Fei-Yun Ping, Ji-An Hu, Shi-Fang Zhao

  The British journal of oral & maxillofacial surgery.

  We investigated the expression of Notch1 in human oral squamous cell carcinoma (SCC) and explored its potential correlation with epidermal growth factor receptor (EGFR) signalling in oral SCC.We investigated the expression of Notch1 in human oral squamous cell carcinoma (SCC) and explored its potential correlation with epidermal growth factor receptor (EGFR) signalling in oral SCC. Paraffin sections of primary SCC of the tongue and normal mucosa were screened immunohistochemically for Notch1 and EGFR proteins. Human SCC of the tongue Tca8113 cells were treated with AG1478 to block EGFR signalling, and were transfected with the vector that encodes the specific short hairpin RNA (shRNA) that targets EGFR. In SCC of the tongue expression of Notch1 was cancelled except in sites of squamous metaplasia where it was raised, while expression of EGFR was found in the peripheral cells of carcinomas, but not in sites of squamous metaplasia. In normal tongue mucosa, Notch1 was expressed mainly in the stratum corneum, but not in the stratum basale, while EGFR was expressed mainly in the stratum basale, but not in the stratum granulosum or stratum corneum. The blocking of EGFR signalling or the silencing of the EGFR gene resulted in upregulation of Notch1 at mRNA and protein levels in Tca8113 cells. These observations suggest that downregulation of Notch1 in oral SCC may be associated with upregulation of EGFR signalling.

• Parotid pleomorphic adenoma with solitary renal metastasis.

  Authors: Mahmood F Bhutta, Louisa Dunk, Angus J Molyneux, Ashok Tewary

  The British journal of oral & maxillofacial surgery.

  We present a rare case of renal metastasis of a recurrent pleomorphic adenoma of the parotid gland in an elderly woman. Metastasising pleomorphic adenoma shows malignant clinical behaviour, andWe present a rare case of renal metastasis of a recurrent pleomorphic adenoma of the parotid gland in an elderly woman. Metastasising pleomorphic adenoma shows malignant clinical behaviour, and although it appears histologically benign, there may be unknown molecular features that determine its unusual ability to spread.

• The use of foam sclerotherapy for the treatment of head and neck vascular malformations.

  Authors: Khaleeq-Ur Rehman, Ganeshwaran Sittampalam, Ian McCafferty, Andrew Monaghan

  The British journal of oral & maxillofacial surgery.

• Ultrasound-guided submandibular gland injection of botulinum toxin for hypersalivation in cerebral palsy.

  Authors: Neshe Sriskandan, Andrew Moody, David C Howlett

  The British journal of oral & maxillofacial surgery.

  Hypersalivation associated with cerebral palsy may be treated with injection of botulinum toxin A (BTX-A) into the submandibular gland, and the use of ultrasound permits its accurate administration.Hypersalivation associated with cerebral palsy may be treated with injection of botulinum toxin A (BTX-A) into the submandibular gland, and the use of ultrasound permits its accurate administration. In our series four patients with cerebral palsy and hypersalivation had bilateral ultrasound-guided injection of BTX-A into the submandibular gland. At 4 weeks there was objective improvement in all patients and subjective improvement in three. The only reported side effect was the temporary inability to retain prosthetic orbital globes in one patient. Ultrasound-guided injection of BTX-A for hypersalivation is effective, and side effects are rare, but they have yet to be fully described.

• Evaluation of oral vascular anomalies using optical coherence tomography.

  Authors: Nobuyoshi Ozawa, Yasunori Sumi, Changho Chong, Tohru Kurabayashi

  The British journal of oral & maxillofacial surgery.

  Optical coherence tomography (OCT) is a new method of biomedical imaging that can generate high-resolution, cross-sectional images of microstructures. The purpose of this study was to present theOptical coherence tomography (OCT) is a new method of biomedical imaging that can generate high-resolution, cross-sectional images of microstructures. The purpose of this study was to present the first OCT images of oral vascular anomalies using a new advanced OCT scanner that we have developed, and to discuss the application of our system for oral soft tissues. Knowledge of the size and area of the vascular structures can be useful for the diagnosis and choice of the best treatment. Before excision, oral vascular malformations were assessed by OCT in vivo. Histopathological sections were taken and compared with the OCT images to make clinicopathological correlations. OCT provided clear images of all the vascular lesions examined. Oval to roundish, signal-poor areas sharply demarcated by a surrounding signal-rich layer correlated well with the histopathological diagnosis. OCT images provide information about subsurface structure non-invasively that is otherwise obtainable only by examination of a biopsy specimen. The analysis of oral vascular lesions by OCT provides new insights into non-invasive diagnosis and can be helpful in the selection of the most appropriate treatment.

• Analysis of calvarial bone defects in rats using microcomputed tomography: potential for a novel composite material and a new quantitative measurement.

  Authors: Candan Efeoglu, Julie L Burke, Andrew J Parsons, Graham A Aitchison, Colin Scotchford, Chris Rudd, Aditya Vikram, Sheila E Fisher

  The British journal of oral & maxillofacial surgery.

  Reconstruction of craniomaxillofacial defects is a challenge for surgeons and has psychological and functional burdens for patients. Undoubtedly, there is a need for improved biomaterials andReconstruction of craniomaxillofacial defects is a challenge for surgeons and has psychological and functional burdens for patients. Undoubtedly, there is a need for improved biomaterials and techniques for craniomaxillofacial reconstruction. We assessed the potential regeneration of bone using three modifications of a novel composite and explored the validity of a new measurement using microcomputed tomography (micro-CT). We placed three different composite samples in calvarial defects in rats and analysed healing with micro-CT. The results showed that polycaprolactone (PCL) with phosphate glass fibre is promising for non-load bearing applications in the craniomaxillofacial region. Also, the new micro-CT measurement of the temporal characterisation of the mineralisation of bone (TCBM) has the potential to evolve into a reliable predictor of bony healing and its quality.

• Facial trauma--who should provide care?

  Authors: Simon Holmes

  The British journal of oral & maxillofacial surgery. 47(3):179-81.

  The management of facial trauma is key to the development and longevity of the specialty of Oral and Maxillofacial Surgery. Advances in material technology and surgical evolution have kept pace withThe management of facial trauma is key to the development and longevity of the specialty of Oral and Maxillofacial Surgery. Advances in material technology and surgical evolution have kept pace with increasingly complex fracture configurations. Soft tissue components of major craniofacial injuries are best managed in a multidisciplinary environment. This may be facilitated by a nominated team within specific trauma centres. Trauma management of the face is a continuum with both training implications and clinical governance issues. There is no uniformly accepted staging of severity, and no accepted quantifiable outcome measures. Until there are, craniofacial trauma management will remain anecdotal.

• Re: Postoperative fluid balance in patients having operations on the head and neck.

  Authors: Karen A Eley, S R Watt-Smith

  The British journal of oral & maxillofacial surgery. 47(3):249.

• Re: Shearer J, McManners J. Comparison between the use of an ultrasonic tip and a microhead handpiece in periradicular surgery: a prospective randomised trial. Br J Oral Maxillofac Surg 2008, doi:10.1016/j.bjoms.2008.09.015.

  Authors: A Mangano, A Albertin, C Mangano, L La Colla

  The British journal of oral & maxillofacial surgery.

• Survey of maxillofacial 'out of hours' operating in the United Kingdom.

  Authors: Mohammed El Maaytah, Tahwinder Upile, Lawrence Newman

  The British journal of oral & maxillofacial surgery.

  This survey looks at 'out of hours' maxillofacial operating in the United Kingdom during September 2006 and was sent out to all the maxillofacial consultants in the United Kingdom. Most respondentsThis survey looks at 'out of hours' maxillofacial operating in the United Kingdom during September 2006 and was sent out to all the maxillofacial consultants in the United Kingdom. Most respondents consider out of hours as '2200-0759'; however many hospitals now routinely work extended lists up to 2200h. Since nearly 65% of respondents had no dedicated trauma list, the provision of theatre flexibility with prioritized trauma slots which would be used for other purposes depending upon the immediate departmental needs appears to be a viable compromise for the foreseeable future.

• The basic science of bone induction.

  Authors: Manolis Heliotis, Ugo Ripamonti, Carlo Ferretti, Cyrus Kerawala, Athanasios Mantalaris, Eleftherios Tsiridis

  The British journal of oral & maxillofacial surgery.

  The last few decades of basic science research have provided an increased understanding of the role of osteogenic glycoproteins in bone formation. The isolation of such molecules now permits de novoThe last few decades of basic science research have provided an increased understanding of the role of osteogenic glycoproteins in bone formation. The isolation of such molecules now permits de novo orthotopic induction with increasing evidence of the ability to also induce bone growth in heterotopic sites. The current editorial focuses on the basic science of bone induction with two subsequent issues dedicated to the translation of these principles into both animal subjects and human clinical applications.

• Technical notes published in BJOMS over a 2-year period-Should we be doing it differently?

  Authors: M Singh, K Shekar, M Shelley, N Mackenzie, H Spencer, H Kiani, P A Brennan

  The British journal of oral & maxillofacial surgery.

  Between January 2007 and December 2008, 44 technical notes or related publications (such as letters) were published in the British Journal of Oral and Maxillofacial Surgery (BJOMS). These coveredBetween January 2007 and December 2008, 44 technical notes or related publications (such as letters) were published in the British Journal of Oral and Maxillofacial Surgery (BJOMS). These covered most of the remit of the specialty and ranged from operative surgical techniques to the use of digital photographs to orientate surgical specimens. However, there would seem to be very little feedback on the value of these articles in everyday practice. We reviewed these technical notes and assessed readability, the value and use of illustrations, the possible expense and/or equipment required in their use, and finally the frequency that the techniques could be used. The anonymised publications were read and scored by a minimum of two dentally qualified senior house officers, two doubly qualified specialist registrars, an SAS grade and two consultants in oral and maxillofacial surgery. The six techniques that gained the highest mean average score are briefly discussed. Although we used a relatively small number of assessors who might not be representative of the whole BJOMS readership, this study would suggest that some sort of change in the way that these technical notes are published should be considered. Options might include inviting a commentary from the reviewers who have tried the technique and also encouraging colleagues to report their experiences of these techniques in the 'letters to the editor' section.

• An unusual delayed complication of inferior alveolar nerve block.

  Authors: Joanna Smyth, John Marley

  The British journal of oral & maxillofacial surgery.

  Systemic and localised complications after administration of local anaesthetic for dental procedures are well recognised. We present two cases of patients with trismus and sensory deficit that aroseSystemic and localised complications after administration of local anaesthetic for dental procedures are well recognised. We present two cases of patients with trismus and sensory deficit that arose during resolution of trismus as a delayed complication of inferior alveolar nerve block.

• Tarsal strip technique for correction of malposition of the lower eyelid after treatment of orbital trauma.

  Authors: A C Salgarelli, P Bellini, A Multinu, B Landini, U Consolo

  The British journal of oral & maxillofacial surgery.

  PURPOSE: The transconjunctival, subciliary, subtarsal, and subpalpebral approaches for accessing the infraorbital rim and orbital floor have both advantages and disadvantages. The most commonPURPOSE: The transconjunctival, subciliary, subtarsal, and subpalpebral approaches for accessing the infraorbital rim and orbital floor have both advantages and disadvantages. The most common complications include rounding of the lateral canthal angle, lower eyelid retraction with inferior scleral show, and frank ectropion. MATERIALS AND PATIENTS: From 2000 to 2007, we treated 29 patients with lower eyelid malposition after surgery to manage the floor and infraorbital trauma (22 subciliary approaches, five transconjunctival approaches and lateral canthotomies, and two transconjunctival approaches). To correct lower eyelid malposition, we applied the tarsal strip technique in all patients. RESULTS: Twenty-five patients had scleral show and four patients had ectropion: three were previous treated using transconjunctival access and one using subciliary access. Twenty-six patients obtained satisfactory correction of eyelid malposition in a single-step surgical procedure, while three patients required a second surgical step to correct the remaining scleral show. Good aesthetic and functional results were achieved in all cases. CONCLUSIONS: All approaches to the infraorbital rim or orbital floor have the potential for postoperative sequelae. The tarsal strip technique is a relatively simple technique that oral and maxillofacial surgeons can use to manage lower lid malposition, such as scleral show and ectropion.

• Emergency airway management of patients with a RED frame.

  Authors: Khaleeq-Ur Rehman, Jeffrey L Tong

  The British journal of oral & maxillofacial surgery.

• The danger of publishing "unnamed" in anatomy.

  Authors: Jiří Sedý

  The British journal of oral & maxillofacial surgery.

• Total mandibular subapical osteotomy: modification of the technique.

  Authors: Ricardo I Mohammed-Ali, Andrew Schache, S Walsh, Kenneth Sneddon

  The British journal of oral & maxillofacial surgery.

• The changing face of oral and maxillofacial surgery.

  Authors: M McGurk

  The British journal of oral & maxillofacial surgery.

• Chronic temporal abscess resulting from a periapical abscess of the upper right first molar.

  Authors: Umit Ertaş, Ertan Yalçın

  The British journal of oral & maxillofacial surgery.

• Craniomaxillofacial fibrous dysplasia: A 10-year database 1996-2006.

  Authors: A Kruse, U Pieles, M O Riener, Ch Zunker, M G Bredell, K W Grätz

  The British journal of oral & maxillofacial surgery.

  Fibrous dysplasia is a rare bone disease caused by an abnormal proliferation of fibrous tissue in bone. We retrospectively evaluated eight patients (female to male ratio 3:1, mean age 22.5 years,Fibrous dysplasia is a rare bone disease caused by an abnormal proliferation of fibrous tissue in bone. We retrospectively evaluated eight patients (female to male ratio 3:1, mean age 22.5 years, range 10-32) with a monostotic form who were treated between 1996 and 2006. Two each were affected in the lower jaw, the upper jaw, the midface, and the frontoparietal region. Most patients were referred because of a painless swelling. Biopsy specimens from two patients were examined, six patients had modelling osteotomies, two of whom had further operations because of progressive enlargement. There was no visual impairment or malignant transformation. Fibrous dysplasia should be treated as conservatively as possible, but in cases of functional disturbance that results from malignant transformation, or from the involvement of the optic foramen or the foramen magnum, an immediate operation is needed. Disfigurement can be another reason for operation. When there is a risk of malignant transformation, follow-up of patients is recommended.

Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.