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Maxillomandibular advancement for sleep apnoea

This is a meta-analysis compiled from India. Of the initial 103 publications 20 were analysed. Surgical cure was defined as postsurgical AHI of fewer than five events per hour. Of the 251 patients assessed for AHI, 12 where considered normal,...

Perioperative management of the head and neck cancer patient

The perioperative care of patients with head and neck cancer is complex and requires significant preoperative planning and patient education. The issues include analgesia, antibiotics, stoma and wound care, general and chest physiotherapy, thromboprophylaxis and nutrition. This article provides a...

Soft tissue changes following maxillary osteotomy, comparison of three computer programmes

This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CTs three months preoperatively and one year postoperatively. A clinical comparison between...

Lymph node ratio in tongue cancer

This is an analysis of 88 patients treated in Switzerland between 2003 and 2012. All patients had a selective neck dissection and recurrence occurred in 25 patients. Overall and disease specific survival were 72% and 80%. They specifically looked at...

Imaging accurately predicting the need for mandibular resection

This is an article from Australia of 109 patients, 83 of which had CT, 72 MRI and the presence of bone invasion on imaging was compared with the histopathology. Bone invasion was present in 44 of 109 resection specimens. Bone...

Bone grafting in orthognathic surgery

This is a systematic review from Belgium and Saudi Arabia of 48 articles. They reviewed the complication, stability, aesthetics and healing of Le Fort I, sagittal split, chin and zygomatic osteotomies. They concluded that there was strong evidence that bone...

Long-term quality outcomes of bimaxillary surgery of obstructive sleep apnoea

This is a review of 12 patients initially two years postoperatively and again at least 17 years postop. Successful outcome of a decrease in apnoea-hypopnoea index (AHI) of greater than 50% was thought to be success. Eight of the initial...

Do bicycle helmets prevent facial injuries

This is an analysis from Germany where they reviewed over 7000 bicycle accidents over a 16-year period that met their inclusion criteria. Over 1000 had a facial injury (bone or soft tissue) with helmets being worn in 11.8% of accidents....

Surgical management of refractory osteoradionecrosis

This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. Thity-six segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used with soft tissue...

Hierarchy of orthognathic surgical stability

This study was designed as ‘an overview’ of secondary studies and analysed 15 articles. Two procedures were considered highly unstable, a bilateral sagittal split osteotomy for clockwise rotation of the mandible with bi-cortical screw rigid internal fixation, and posterior maxillary...

Clinical histopathology of 250 parotidectomy patients

This is a retrospective study of 250 consecutive parotidectomy patients at units in Belgium and the Netherlands. The sensitivity and specificity of FNAC was 64% and 99% respectively. The sensitivity being slightly lower than the often quoted 80%. MRI and...

Extracapsular dissection versus parotidectomy

This is a literature review of 16 papers using the PRISMA protocol. In comparing the two techniques, not surprisingly, they found that the extracapsular dissection had a reduced facial nerve paralysis, Frey syndrome and operation time but also a reduced...