Gender changes in oral and maxillofacial surgery (OMFS) in the UK 1996 to 2030. Current trends suggest gender parity of those joining the OMFS specialist list may be achieved by 2048.

In their 2022 paper Newman et al compared gender diversity between UK surgical specialties. It omitted the specialty of oral and maxillofacial surgery (OMFS), which is one of the ten General Medical Council recognised surgical specialties. When challenged, the authors did not provide data for OMFS.

Medical associate professionals in oral and maxillofacial surgery.

Recent discourse around the implementation of medical associate professions (MAPs) into medical specialties has proven divisive and controversial. These roles could benefit oral and maxillofacial surgery (OMFS) departments and grant trainees increased operating experience, but their implementation could prove detrimental to training. We discuss the potential impact in OMFS.

Sexual harassment, sexual assault and rape by colleagues in the surgical workforce, and how women and men are living different realities: observational study using NHS population-derived weights.

Background: This observational study, paired with National Health Service (NHS) workforce population data, examined gender differences in surgical workforce members' experiences with sexual misconduct (sexual harassment, sexual assault, rape) among colleagues in the past 5 years, and their views of the adequacy of accountable organizations in dealing with this issue.

Methods: This was a survey of UK surgical workforce members, recruited via surgical organizations.

Results: Some 1704 individuals participated, with 1434 (51.

Oral and Maxillofacial Surgery (OMFS) Consultant Workforce in the UK: reducing consultant numbers resulting from recruitment issues, pension pressures, changing job-plans, and demographics when combined with the COVID backlog in elective surgery, requires urgent action.

Mean retirement age for UK doctors is 59.6 years, giving the average OMFS consultant approximately 20 years of practice. Current pension tax regulations, new consultant posts typically restricted to a maximum of 10 sessions (40 hours), increasing proportions of consultants working less than full time (LTFT), all combined with the backlog of elective care created by COVID-19 will create a significant gap between workforce capacity and clinical demand.

COVID-19: The Oral and Maxillofacial Surgery Experience, Oxford, UK.

Study Design: In response to the COVID-19 pandemic the Oxford Oral and Maxillofacial Surgery Department, that operates as a Hub and Spoke model underwent several changes to its structure to respond to the change in service. This study is an audit of all emergency patients seen during a 10-week period and compared these patients to the same time period 1-year previous.

Objective: The objective was to observe the change in the service provision during the COVID-19 pandemic.

Providing national level teaching to OMFS specialty trainees in a virtual classroom setting using learning theories of education.

COVID-19 has resulted in an expansion of webinar-based teaching globally. Socially distanced e-learning is the new normal. The delivery of regional OMFS teaching programmes in the UK and the Republic of Ireland, for Specialty Trainees (ST's) under the Joint Committee on Surgical Training (JCST) and Intercollegiate Surgical Curriculum Programme (ISCP) umbrellas is variable.

Outcomes of treatment of fractures of the frontal sinus: review from a tertiary multispecialty craniofacial trauma service.

There are no agreed national guidelines for the treatment of fractures of the frontal sinus and the naso-orbitoethmoid complex. The Oxford University Hospitals Craniofacial Trauma unit was set up five years ago as a joint oral and maxillofacial, ENT, and neurosurgical service, and we present our experience to date in the treatment of patients with such fractures. The study includes 91 patients with data collected from a prospective database.

Periodontal Disease, Dental Implants, Extractions and Medications Related to Osteonecrosis of the Jaws.

Patients taking bisphosphonates and other anti-resorptive drugs are likely to attend general dental practice. The term 'bisphosphonate'is often immediately associated with osteonecrosis of the jaws (ONJ). Risk assessment and subsequent management of these patients should be carried out taking into account all the risk factors associated with ONJ.

Acute Haemorrhagic Oedema of Infancy (AHOI): A Case Report.

Acute haemorrhagic oedema of infancy (AHOI) is a benign variant of leukocytoclastic vasculitis which occurs in children up to 2 years of age. It is considered by some to be a variant of Henoch-Schönlein purpura with its hallmark of prominent facial swelling, purpuric rash without visceral involvement, in an otherwise well child. This condition is well recognised in the paediatric and dermatology literature but despite its impressive facial features, often mimicking more serious pathology like orbital cellulitis, to our knowledge AHOI has not been published in the Oral & Maxillofacial Surgery literature.

Odontogenic cervico-fascial infections: a continuing threat.

Statement Of The Problem: Dental abscesses are common and occasionally can progress to life-threatening cervico-fascial infections. Despite medical advances, odontogenic cervico-fascial infections (OCFIs) continue to be a threat. The potential seriousness of odontogenic infections (Ols), or dental abscesses, is frequently underestimated.

A rare case of localised oral amyloid of the labial mucosa.

Amyloidosis is often a systemic process, and localised oral amyloidosis is rare. We present the case of a young woman with amyloid deposition in the labial mucosa of her lower lip. Systemic involvement was excluded by comprehensive assessment at the UK Amyloidosis Centre.

Orbital fractures in children: a review of outcomes.

The third most common facial fractures in children are fractures of the orbit, and the medial wall and floor are the commonest sites affected. The aetiology, clinical presentation, and timing of operation all differ from those of adults. If there are few or no clinical signs, but oculocardiac reflex is present, it is highly suggestive of trapdoor injury.

The effect of anesthetic technique on recovery after orthognathic surgery: a retrospective audit.

We audited the recovery characteristics of 51 patients who had undergone orthognathic maxillofacial surgery at a single center. Patients whose anesthesia had been maintained with intravenous propofol and remifentanil (n  =  21) had significantly higher pain scores during the first 4 hours after surgery than those whose anesthesia was maintained with volatile inhalational agents and longer-acting opioids (n  =  30) (P  =  .016).

Are blood investigations, or group and save, required before orthognathic surgery?

Most patients who require orthognathic surgery are young patients of American Society of Anesthesiologists' (ASA) grade I, and current publications recommend a policy of group and save, with antibody screening for all such patients. We retrospectively studied 284 patients who had orthognathic procedures over a 5-year period at one hospital. We identified patients with a history of bleeding disorders, and those with abnormal coagulation.

Review of evidence for the use of steroids in orthognathic surgery.

Primarily, steroids are used routinely in orthognathic surgery to reduce swelling, but there is no nationally accepted regimen for the use of glucocorticoids in the UK. This article examines the evidence base for the use of steroids to reduce swelling, nausea, vomiting, and pain, and looks at evidence of the ratio of risks:benefits in orthognathic surgery and related publications. Evidence supports their use preoperatively, but the timing of this and their postoperative use may be contentious.

Infantile fibromatosis: a case report and review of the literature.

Desmoid tumours are benign fibrous neoplasms originating from musculoaponeurotic structures throughout the body. These tumours are rare in the mandible and the literature is limited to case reports and retrospective reviews and to date there is no agreed protocol for the management of these lesions in the paediatric mandible. The definition, diagnosis and management of juvenile fibromatosis still presents a challenge to the modern surgeon, radiologist and pathologist.

Role of parental risk factors in the aetiology of isolated non-syndromic metopic craniosynostosis.

To try and identify potential parental risk factors for isolated non-syndromic metopic craniosynostosis, we did a telephone survey of parents of children who attended the craniofacial centre at Birmingham Children's Hospital (BCH), UK, from 1995 to 2004. We calculated the prevalence of a number of potential risk factors and compared them with those of the general population. A total of 103 children with syndromic or non-syndromic isolated metopic craniosynostosis were seen, of which 81 (79%) had non-syndromic, isolated metopic craniosynostosis (M:F ratio 3:1).

A lucky catch: Fishhook injury of the tongue.

Fishhook injuries, particularly those involving the upper limbs, are frequently encountered in recreational and commercial fishing settings. The oral cavity is rarely a site for such injury. We present the case of a 13-month-old male child who sustained a fishhook injury to the tongue whilst 'playing' with an unused fishhook at home.

Multicentre study of operating time and inpatient stay for orthognathic surgery.

Orthognathic surgery has advanced considerably since its development in the mid-twentieth century, and in most maxillofacial units mandibular and maxillary osteotomies are routine procedures. However, to enable accurate health planning and costing, and to obtain meaningful consent, it is important to have reliable data for duration of operation and inpatient stay. Virtually every aspect of orthognathic surgery has been researched, but we know of no recent studies that have looked specifically at how long the procedures take and how long patients stay in hospital.