BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY英国口腔颌面外科杂志
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY(英文缩写 BRIT J ORAL MAX SURG),ISSN 0266-4356,eISSN 1532-1940,中文译名:英国口腔颌面外科杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间:2025-09-28 至 2026-09-28,按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.018 | Q3 |
| 2022 | 1.800 | Q3 |
| 2023 | 1.700 | Q2 |
| 2024 | 1.900 | Q2 |
| 2025 | 2.000 | Q2 |
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY 最新收录文献
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2. Rehabilitating mandibulectomy defects: a review of prosthetic solutions with case series.
PMID:日期:2026-10-01Prosthetic rehabilitation of mandibular defects is challenging for prosthodontists. Prosthetic treatment strategies require a detailed clinical evaluation of the patient. The first consideration is the mandibular continuity as the residual mandible deviates toward the site of the defect in segmental mandibulectomy without rigid reconstruction. In this condition, the initial prosthetic intervention often focuses on mandibular guidance therapy using interim appliances to re-educate muscles and re-establish acceptable occlusal relationships. Definitive restorations include conventional removable dentures and implant-supported prostheses, which are widely recognised as the gold standard for functional and dental rehabilitation following mandibular reconstruction. When implant placement is not medically indicated or preferred by the patient, complete dentures or removable partial dentures are the minimally invasive restorative options. Implant-supported prostheses are primarily divided into two categories: fixed prostheses and overdentures. Within each category, prostheses have different designs, which vary in the material used and the mechanism of retention. Implant-supported prostheses were designed considering several patient-specific factors, such as the number of implants, implant position, inter-jaw relationship, surrounding tissues, hygiene, and patient expectations. Considering these factors, a prosthetic reconstruction that restores mandibular integrity both functionally and aesthetically can be fabricated. Furthermore, the current use of computer-aided design and computer-aided manufacturing to design and fabricate these prostheses offers multiple advantages, including increased precision, a preview of the final prostheses, reduced fabrication time, and a wider range of material choices. This article provides information on the aetiology and classification of mandibular defects, reviews the management of the prostheses, and presents seven cases that describe different prosthetic treatment solutions and outcomes for such defects.
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3. Next-generation sequencing in head and neck sarcoma: a single-centre institutional experience and review of the literature.
PMID:日期:2026-10-01Head and neck sarcomas (HNS) are rare, heterogeneous malignancies representing less than 1% of head and neck cancers. Their complex anatomy and overlapping morphologies pose significant challenges for traditional diagnosis. We aimed to evaluate the clinical utility of next-generation sequencing (NGS) within a tertiary referral centre and synthesise these findings with current global molecular standards. We conducted a retrospective review of an original, previously unpublished, cohort of 12 patients with histologically verified HNS treated at University College London Hospital (UCLH) between 2023 and 2024. Molecular profiling included targeted DNA (RMH200) and RNA-fusion panels. This was supplemented by a qualitative synthesis of 16 key studies (2010-2026) identified through a systematic search strategy. In the institutional cohort, NGS provided definitive diagnostic or therapeutic clarification in 66% of cases (8/12). Key findings included the identification of pathognomonic fusions (such as EWSR1::FLI1, PAX3::MAML3), a novel MAMLD1::VGLL3 fusion, and actionable variants such as BRAF V600E and MYOD1. Furthermore, the formal exclusion of Neurotrophic tropomyosin receptor kinase (NTRK) fusions in some cases allowed for therapeutic streamlining. Literature synthesis aligned these results and emphasised the need for NGS for more accurate diagnosis and adequate treatment. NGS is a clinical necessity in the management of ultra-rare HNS. By transitioning from traditional morphology to high-resolution molecular interrogation, clinicians can resolve diagnostic ambiguity and identify targeted therapeutic pathways. Integration with emerging 2026 standards, including epigenetic classification and liquid biopsy monitoring, represents the future of precision surgery in head and neck sarcoma.
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4. The Maxillofacial Academic Practice (MAP) study phase 1: oral and maxillofacial surgical trainee research engagement.
PMID:日期:2026-10-01The British Association of Oral and Maxillofacial Surgeons (BAOMS) funded Maxillofacial Academic Practice (MAP) study aims to define the current state of research and academic training within UK Oral and Maxillofacial Surgery (OMFS). Phase One of the study, the OMFS Trainee Research Engagement Survey, explores levels of research involvement, barriers, and facilitators among trainees. An online cross-sectional survey was developed comprising multiple-choice, free-text, and 10-point Likert scale items. It was distributed to OMFS trainees across the UK. The primary outcome was the level of research interest and current engagement, while secondary outcomes included identifying barriers, facilitators, and proposed interventions to be explored in Phase Two. A total of 82 OMFS trainees responded, representing all UK training regions and levels. Of these, 30/82 were specialist trainees and 45/82 were pre-ST3 trainees. A total of 58/82 expressed clear research interest, and 46/82 were actively involved in projects. However, only 19/82 reported working in departments with OMFS-led research, and 51/82 were unaware of local research contacts. Research interest was significantly higher among trainees in research-affiliated units. Despite the high level of interest, 25/82 reported having no opportunity to participate. Mean self-rated exposure to research was 5/10. OMFS trainees demonstrate strong academic interest, yet access to research opportunities remains limited. Trainees with greater exposure are more likely to pursue academic careers. Targeted recommendations include clearer national guidance, improved access to mentorship, and the development of cross-Deanery academic networks to support future OMFS clinical academics - as will be explored in Phase 2 of the MAP study.
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5. Prepared for practice? A national cross-sectional survey of patient safety, human factors, and medicolegal training in UK medical students and resident doctors.
PMID:日期:2026-10-01Recognising how human factors shape workplace behaviour and patient safety, as well as appreciating their medicolegal consequences, is essential for the modern medical graduate. This study examines medical students' and resident doctors' practices, attitudes, and experiences in relation to patient safety and human factors. A UK-wide convenience survey of UK medical students and resident doctors was done between April and June 2025. Results were compared with a pilot group of students from under-represented backgrounds who participated in a tailored human factors and medicolegal workshop. Of 1274 survey respondents, 942 (74.0%) were medical students and 332 (26.0%) resident doctors. Human factors frequently reported were time pressures (57.0%), fatigue (56.2%), and ineffective handover (43.8%). Preparedness to manage human factors (median 3/5) and confidence to speak up (median 3/5) were significantly lower among comprehensive/state-educated respondents (confidence-adjusted odds ratio 0.70, 95% confidence interval 0.57 to 0.87, vs grammar/private/international schools). Most respondents lacked clear institutional guidance on the legal implications of error (62.2%), and nearly half did not know where to seek support. Workshop participants (n = 21) reported greater preparedness to recognise and manage human factors and more confidence to raise concerns (p < 0.001). Despite frequently encountering patient safety-related human factors, UK resident doctors and medical students are only moderately prepared and supported to address them. In a healthcare environment with increasing workloads, resource limitations, and errors, greater training and exposure to key concepts is required. Educational interventions could be drawn from other high-reliability organisations such as aviation to reduce the incidence of patient safety and medical errors.
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6. Evaluation of the surgery-first approach for orthognathic treatment using patient-reported outcome measures (PROMS) and quality and outcomes in oral and maxillofacial surgery (QOMS).
PMID:日期:2026-10-01High-quality healthcare aims to deliver a patient-centred service that adapts to the clinical needs of the patient. The aim of this study was to evaluate the association between Patient-Reported Outcome Measures (PROMS) and Quality and Outcomes in oral and Maxillofacial Surgery (QOMS) and assess the impact and quality of orthognathic surgery, as reported by patients and surgeons, respectively. This prospective study was conducted in patients who received orthognathic treatment, according to the surgery-first approach, between 2023 and 2025. Two questionnaires were used in the study; the validated PROMS and the nationally approved surgeon-reported QOMS for orthognathic surgery. PROMS was completed pre-surgery, and at 4-8 weeks and 1-year post-surgery. QOMS was completed by the clinicians pre-surgery, and at 6 months and 1-year post-surgery. It was hypothesised that a large effect would be found, and a minimal sample size of 31 patients would ensure that the study was powered appropriately at 80%, and to account for dropouts, 33 patients were recruited. Chi-squared and Fisher's exact tests were applied to assess associations between PROMS and QOMS. Thirty-three patients with a mean (SD) age of 26.6 (9.0) years were included in the study. Surgery improved patients' reported quality of life, facial aesthetics, and oral function. Preoperatively, 25 patients out of 31 reported that they were 'very dissatisfied' or 'dissatisfied' with their facial appearance. At 1-year post-surgery, all patients reported being 'satisfied' or 'very satisfied' with their facial appearance, and the total Orthognathic Quality of Life Questionnaire (OQOL) scores improved substantially, reducing from 40.4 pre-treatment to 20.0, which indicates considerable long-term improvement in function, aesthetics, psychological status, and overall quality of life. Two patients required a return to theatre but, within 30 days, both demonstrated reductions in their OQOL scores from the baseline to postoperative assessments, indicating that Return to Theatre (RTT) did not negatively affect overall quality of life outcomes. A statistically significant association was observed between clinicians' and patients' perceptions regarding facial aesthetic improvement as a primary indication for surgery (p = 0.007). However, this was less evident concerning the improvement of function as an indication for surgery (p = 0.078). Both patients and clinicians reported agreement on improved function (p = 0.017), but the association concerning improved aesthetics did not reach statistical significance (p = 0.069). The surgery-first approach to orthognathic treatment yields measurable improvements in patient-reported and clinician-assessed outcomes. The PROMS and QOMS questionnaires are useful tools for the evaluation of the quality of the delivery of orthognathic services.
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7. Handle on QoL corpus - a portrait of a maturing discipline.
7. 生活质量语料库的处理——一门成熟学科的画像PMID:日期:2026-10-01'Handle on QoL' is a unique, online, searchable database of all peer-reviewed papers, published since 1982, regarding health-related quality of life (HRQoL) in head and neck cancer. The aim of this paper is to benchmark our results on the Handle on QoL dataset, against four common bibliometric patterns - author productivity, journal concentration, team size, and the sequencing of growth and diffusion. In this paper, we performed a bibliometric analysis of the database to explore its contents and understand the development of research on HRQoL in head and neck cancer. Publication numbers were small in the 80s and 90s (<20 per year) showing a slow increase from the early 90s, before increasing rapidly from the early 2000s to the late 2010s. The number of authors per paper varied overall between one and 81, with a mean of 7.09 and median of six authors per paper. The top 10 journals, by volume of publications, accounted for 33.5% of all publications in the collected data. Integrating bibliometrics into the characterisation of Handle on QoL data transforms subjective patient reporting into objective and measurable insights. Researchers/clinicians may therefore define the field's scope, monitor real-time trends, and pinpoint critical gaps in knowledge.
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8. Ophthalmological injuries in isolated orbital fractures: which patients need evaluation?
PMID:日期:2026-10-01Orbital fractures are frequently associated with ophthalmological injuries, which range from minor irritation to vision-threatening trauma. This study was intended to identify predictive factors for ophthalmological injuries in patients with isolated orbital fractures, and to assess whether conventional assessment of facial trauma can reliably determine the need for specialist ophthalmological assessment. This prospective cohort study included adult patients with isolated orbital floor and/or medial wall fractures, who underwent standardised ophthalmological evaluation by an ophthalmologist. The outcome variable was the presence of ophthalmological injury. Predictor variables included demographics, injury mechanism, involvement of alcohol, fracture characteristics, and clinical symptoms. Of the 202 patients (206 eyes), 15.3% (31/202 patients) had associated ophthalmological injuries. The most common injuries were retinal haemorrhage (3.0%, six patients), full-thickness eyelid lacerations (2.4%, five patients), and vitreous detachment (2.0%, four patients). Thirteen patients (6.4%) required surgical treatment. No ophthalmological injury was detected in patients who showed no clinical signs or symptoms in the ocular region during the initial conventional facial trauma assessment, which was performed by an oral and maxillofacial surgeon (p<0.001). The results support that asymptomatic patients with isolated orbital fractures may not require a routine ophthalmologist's evaluation. However, patients with clinical signs, such as full-thickness eyelid lacerations, visual disturbances, or abnormal pupillary responses, should be urgently evaluated by an ophthalmologist. Due to the risk of delayed-onset traumatic ocular injuries, orbital fracture patients should be appropriately informed of these eye diseases and increased-risk patients should be followed closely.
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10. Reported outcome measures in orthognathic surgery: a scoping review.
PMID:日期:2026-10-01This review provides a comprehensive overview of the variety of outcome measures reported following orthognathic surgery. A systematic search of the literature was conducted to identify studies reporting on the outcomes of orthognathic surgery until December 2024 within the Embase, PubMed, MEDLINE, Ovid, Web of Science, Cochrane, and Google Scholar databases. The study cohort consisted of 11,703 patients, with 32% undergoing bimaxillary surgery. One hundred and ninety studies were analysed for outcome measures. Five broad categories of outcome measures were identified: Quality of Life (QoL), facial attractiveness scores, masticatory efficiency, occlusal assessment, and cephalometric-based outcomes. QoL was the most reported measure (63%), with in-house and validated questionnaires used inconsistently. Facial attractiveness assessments varied significantly in methods and scoring systems. Masticatory efficiency was commonly evaluated using bite force transducers or particle degradation after chewing, but no consensus on methodology was found. Cephalometric outcomes were primarily angular and linear measurements, though its use was limited. This review highlighted the lack of standardised outcome measures in orthognathic surgery. QoL was the most common measure, yet inconsistencies in the questionnaires highlight the need for global validation and standardisation. Internationally recognised methodologies for facial attractiveness and masticatory efficiency are also essential to enhance comparability and reliability across studies, facilitating advancements in clinical practice worldwide.