Background/objectives: Over 60,000 patients in the United Kingdom are estimated to have artificial eyes. Manufacturing and hand-painting of artificial eyes have not changed significantly since 1948. Delays and colour-matching issues may severely impact a patient's rehabilitation pathway.
View Article and Find Full Text PDFBackground/objective: Around 11,500 artificial eyes are required yearly for new and existing patients. Artificial eyes have been manufactured and hand-painted at the National Artificial Eye Service (NAES) since 1948, in conjunction with approximately 30 local artificial eye services throughout the country. With the current scale of demand, services are under significant pressure.
View Article and Find Full Text PDFBr J Oral Maxillofac Surg
May 2023
Salivary gland malignant tumours are a complex and highly variable pathological group. Their diagnosis can be challenging, and management is guided by multidisciplinary teams. This project aimed to establish clinicopathological and sociodemographic features that significantly impacted overall disease-free or progression-free survival in patients diagnosed with malignant salivary gland disease between 2010 and 2019 in a tertiary referral centre.
View Article and Find Full Text PDFUnlabelled: Head and neck cancer has a significant impact on a patient's health related quality of life (HRQOL). The head and neck specific Patient Concerns Inventory (PCI-HN) has been utilised to enhance doctor-patient dialogue in routine consultations. To date there has been no formal training for oral and maxillofacial surgery (OMFS) surgical trainees in the use of the PCI-HN in consultations.
View Article and Find Full Text PDFIntroduction: Oral cancer surgery is complicated by the diverse nature of clinical and histopathological presentations that occur. Current National guidance recognises the significant role that surgical margin status plays in the overall survival of patients. Many other histopathological factors influence patient survival, the importance of which varies between the literature.
View Article and Find Full Text PDFBr J Oral Maxillofac Surg
December 2022
Managing the physical sequelae of facial trauma is routine for the maxillofacial surgeon. However, managing the psychological consequences is more challenging. The often violent mechanism of injury, changes in appearance, altered self-perception, and self-confidence can significantly impact daily life.
View Article and Find Full Text PDFBr J Oral Maxillofac Surg
September 2022
There is a surprising lack of evidence documenting the volumetric symmetry of the bony orbit. This paper establishes reference values for orbital volume (OV) and symmetry in the 25 - 40 year old caucasian population. Secondarily, this paper sets a landmark for the tolerances in OV that can be expected when reconstructing the bony defects which may occur from trauma.
View Article and Find Full Text PDFThis systematic review provides a summary of all studies published between 2000 and 2019 using a health-related quality of life (HRQOL) patient-completed questionnaire to report outcomes following diagnosis and treatment of thyroid cancer. The search terms were "thyroid cancer" or "thyroid carcinoma," "quality of life" or "health related quality of life," and "questionnaire" or "patient reported outcome." EMBASE, PubMed, Medline, PsycINFO, CINAHL, and HaNDLE-On-QOL search engines were searched between 2 February and 23 February 2020.
View Article and Find Full Text PDFThe use of hand painting an iris button using oil paint remains the conventional method of artificial eye manufacturing. The authors found that replacing this technique with a digital photograph taken of a patient's unaffected eye offers several advantages over the conventional method but the process from capture to print must be standardised and colour accurate. The authors of this paper suggest a tried and tested formulated photographic process of capture and printing prior to polymerisation.
View Article and Find Full Text PDFThis review paper summarises articles regarding orthognathic surgical planning and computerised technology, which were published in two leading national journals in both oral and maxillofacial surgery and orthodontics. This article aims to keep readers up to date with the literature published in this rapidly progressing field.
View Article and Find Full Text PDFBackground: This service evaluation explores patient reported outcomes from patients provided with high definition ocular prostheses (artificial eyes).
Methods: Validated patient questionnaires (FACE-Q, DAS24 and HADS) were utilised to evaluate patient experiences of their new ocular prosthesis. 10 patients were included in the service evaluation, which was conducted between December 2018 and September 2019.
Br J Oral Maxillofac Surg
November 2020
Measuring quality of life (QOL) after head and neck cancer (HNC), is rapidly becoming the standard of care. The Head and Neck Database Listing Evidence on QOL (Handle-On-QOL) is a dedicated QOL resource that includes articles published from 1982 onwards. The aim of this study was to assess the completeness of Handle-On-QOL, when compared with other non-specific search engines.
View Article and Find Full Text PDFBr J Oral Maxillofac Surg
October 2020
Technical notes are known to be a popular method of publishing novel surgical techniques, up-to-date technological advances, and tricks of the trade in oral and maxillofacial surgery (OMFS). The British Journal of Oral and Maxillofacial Surgery (BJOMS) has a dedicated section for such papers, and this article explores the publication of technical notes over the last two years. In addition, comparison is made with previous reviews of technical notes in this journal a decade ago, to explore the progression of diversity and evolving topics of interest to the oral and maxillofacial surgery community.
View Article and Find Full Text PDFBr J Oral Maxillofac Surg
January 2022
Excellence in teaching and learning is fundamental to the provision of quality training for doctors and for this a sound knowledge of the principles of adult learning theory is important. We present an educational course in head and neck trauma skills for emergency medicine (EM) registrars, using the pedagogical principle of active learning. Our aim was to provide trainees with skills in the evaluation and management of hard and soft tissue injuries to the head, neck, and mouth.
View Article and Find Full Text PDFBr J Oral Maxillofac Surg
October 2020
Introduction The use of general anaesthesia in paediatric dentistry should be appropriate and justified. During the treatment of children, a clinician should have foresight into the future dental requirements of the patient and whether a future general anaesthetic will be required in quick succession. Efforts should be made when possible to avoid this.
View Article and Find Full Text PDFDental tooth whitening is used throughout the United Kingdom for patients who have aesthetic concerns regarding the colour of their teeth. Up until recent months it was also frequently used for paediatric patients with enamel opacities of cosmetic concern and discoloured non-vital anterior teeth. This safe and effective treatment option is now not available to paediatric dental patients due to changes in indemnity cover, and we demonstrate three cases from our department where dental whitening was the most appropriate treatment option.
View Article and Find Full Text PDFBackground: Clinical observations suggest molar incisor hypomineralisation (MIH) may present with other dental conditions.
Aims: The study aimed to determine the prevalence and variety of dental anomalies in children presenting with MIH.
Design: A convenience sample of children referred to a UK dental hospital was recruited.
This article introduces dental care professionals to the poorly understood notion of modern day slavery and what this may entail. Recent data from the government indicate that the number of modern day slaves in the UK is increasing. Therefore, there is a high likelihood that we come across such individuals on a more frequent basis than we think.
View Article and Find Full Text PDFBackground/aims: Traumatic dental injuries, including avulsion, are relatively common, with a reported prevalence of up to 4.5%. The Internet and video-sharing websites are frequently used as a resource for patient accessible health information.
View Article and Find Full Text PDFBr J Oral Maxillofac Surg
January 2020
We describe our two-year experience of a nurse led clinic (NLC) in a tertiary centre oral and maxillofacial surgical (OMFS) department. The clinic is run by a specialist nurse, in parallel with a consultant's clinic and focuses on the management and review of non-malignant lesions. Increased clinical flexibility, reduced waiting times, and tailored educational resources have contributed to an improved experience for the patients.
View Article and Find Full Text PDFPutting patients' interests first should always be at the forefront of a dental practitioner's mind. When treatment planning, it can be possible to lose sight of the patient: their primary concerns, ability to cope with treatment and what they regard success to be. Introducing key concepts such as a 'problem list' and applying the current evidence base for patient-reported outcomes and experience measures can ensure the focus of dental treatment never wavers from holistic patient care.
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