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Laser treatment of oral submucous fibrosis
British Journal of Orai and Muxi//o/icia/ Surger.~ ( 1996) 34, 255-269 % 1996 The British Association of Oral and Maxdlofacial Surgeons
Abstracts of posters from the 1996 BAOMS Carbofihn coated stellite dibular fracture fixation. McMuhon*. Department Canniesburn Hospital, Kilmarnock, UK.
miniplates:
an initial
clinical
trial
in man-
cal techniques of incision of the submucosal bands and split skin grafting. Under general anaesthesia, a CO2 laser was used to incise the buccal mucosa and vaporize the submucosal connective tissue to the level of the buccinator muscle. Mouth opening was immediately increased and the lasered surface provided operative haemostasis. Hydrocortisone packs applied and the lasered site caused minimal pain or swelling. The lasered surface mucosalised rapidly without scarring. CO, laser treatment of OSMF appears to have minimal morbidity and enables excision of the pathological submucosal tissue by vaporization. In cases of long standing restriction of mouth opening, coronoidectomy might also be required to enable maximum mouth opening. Review of a series of patients treated by CO, laser is suggested to verify these clinical advantages.
A. JV. Baker*, S. F His/opt & J. D. of
Oral Glasgow.
and
Maxillofacial +Crosshouse
Meeting
Surgery, Hospital,
There is great debate in the literature on fixation methods for mandibular fractures with regard to the properties of the plating system, surgical technique and biocompatability. Carbofilm covered stellite miniplates which have a cross linked carbon molecule stellite construction combine the properties of easy malleability with adequate rigidity, together with a pliable biocompatible integument. This system comprises low profile (0.65 mm) ‘carboplate’ miniplate, flat headed 2.00 mm fixation screws suitable as a low profile biocompatible substitute for miniplates in mandibular fractures. We present a pilot study of 20 consecutive mandibular fractures treated with carboplate fixation, with a minimum of 24 months follow-up. The use of this system in relation to operator acceptance, adequacy of fixation and clinical compatibility of the system with a discussion on the properties of the plate and carbofilm technique.
Imaging
of cervical
metastases
- the importance
of local
L. M Curter, T K. Ong & M. A. Kuriukose. Maxillofacial Newcastle
General
Hospital,
Newcastle
Upon
Tyne,
When BAOMS organised National Oral Cancer Awareness Week, its objectives were to promote awareness of oral cancer and also to raise the profile of the specialty. Although guidelines and a few press releases originated from the central co-ordinating committee, the majority of promotional activity was generated by individual oral and maxillofacial surgery units. To assess the impact of National Oral Cancer Awareness Week, all the printed and broadcast media coverage which mentioned ‘oral cancer’, ‘mouth cancer’ or ‘oral & maxillofacial surgery’ were collected. Media events were identified using professional monitoring services searching for these key-words and by direct contact with every oral and maxillofacial surgery unit in the UK. A total of 300 cuttings were identified in the national, regional and local press, and 112 items were detected in the national, regional and local broadcast media. Cuttings were analysed and details placed in a database which recorded the newspaper title, date of publication, the names of consultants or units mentioned. Broadcasts were similarly classified. For the interest of fellows and members of the Association all the press cuttings are available for viewing. Using the computerised database those cuttings where they or their unit are mentioned will be easily found.
Table
Clinical CT MRI
exam
False -ve
False +ve
True -ve
True + ve
Total
11 4 5
3 1 5
4 2 0
4 2 3
22 9 13
It is concluded that the accuracy of the imaging much lower than reported in the literature.’ Our the need for local audit.
techniques was findings support
Reference 1. Arch
Otolaryngol
Not all parotid
masses
Head
Neck
Surg
are pleomorphic
1990; 116: 1297.
adenomas.
L.
J. Ladakis, D. Tobin & R. Snoddv. Department Besly & P. Banks. Queen
UK.
Sensitivity rates as high as 100% have been quoted for magnetic resonance imaging (MRI) and computed tomography (CT) in detecting cervical metastases. To evaluate the reporting accuracy of clinical examination, MRI and CT scan a study of 22 consecutive patients with oropharyngeal carcinoma who underwent neck dissection was undertaken. All were examined clinically, 9 had CT scans and 13 had MRI preoperatively. The clinical and imaging findings were compared to the pathological results. The results are shown in the Table.
National Oral Cancer Awareness Week. Did you get a mention in the media? Anne Begley & Patrick Mzgennis. Department of Oral & Maxillofacial Surgery, The Royal London Hospital, UK.
Laser treatment of oral submucous fibrosis. W Department of Oral & Maxillofacial Surgery, Hospital, East Grinstead, UK.
auditing. Unit,
Maxillofacial
Surgery,
York
District
Hospital.
York,
H. H. Cheng. of Oral UK.
&
Victoria In a 1 year period from May 1994, the Maxillofacial Unit in York managed 24 cases of parotid pathology. Six of these cases were unusual in terms both of their pathology and mode of presentation and are illustrated clinically in the poster. They illustrate that while most parotid lesions will be benign salivary neoplasms, this is not always a safe assumption. Awareness of patients’ medical history, appropriate examination and investigation along with differential diagnosis is as necessary in the salivary glands as masses elsewhere in the body. These cases were the primary presentation of disease elsewhere in the body and led to the diagnoses of cat scratch fever, sarcoidosis,
Oral Submucous Fibrosis (OSMF) causes progressive restriction of mouth opening by pathological deposition of collagen in the submucosal connective tissue and may be accompanied by premalignant mucosal changes. Chewing of Betel quid, in its various forms, is considered a primary aetiological factor but cessation of the habit does not necessarily reverse the pathology. The aims of management are to increase mouth opening and reduce the risk of mucosal malignancy. CO2 laser surgery offers advantages in alleviating the functional restriction when compared to traditional surgi255
Abstracts of posters from the 1996 BAOMS Carbofihn coated stellite dibular fracture fixation. McMuhon*. Department Canniesburn Hospital, Kilmarnock, UK.
miniplates:
an initial
clinical
trial
in man-
cal techniques of incision of the submucosal bands and split skin grafting. Under general anaesthesia, a CO2 laser was used to incise the buccal mucosa and vaporize the submucosal connective tissue to the level of the buccinator muscle. Mouth opening was immediately increased and the lasered surface provided operative haemostasis. Hydrocortisone packs applied and the lasered site caused minimal pain or swelling. The lasered surface mucosalised rapidly without scarring. CO, laser treatment of OSMF appears to have minimal morbidity and enables excision of the pathological submucosal tissue by vaporization. In cases of long standing restriction of mouth opening, coronoidectomy might also be required to enable maximum mouth opening. Review of a series of patients treated by CO, laser is suggested to verify these clinical advantages.
A. JV. Baker*, S. F His/opt & J. D. of
Oral Glasgow.
and
Maxillofacial +Crosshouse
Meeting
Surgery, Hospital,
There is great debate in the literature on fixation methods for mandibular fractures with regard to the properties of the plating system, surgical technique and biocompatability. Carbofilm covered stellite miniplates which have a cross linked carbon molecule stellite construction combine the properties of easy malleability with adequate rigidity, together with a pliable biocompatible integument. This system comprises low profile (0.65 mm) ‘carboplate’ miniplate, flat headed 2.00 mm fixation screws suitable as a low profile biocompatible substitute for miniplates in mandibular fractures. We present a pilot study of 20 consecutive mandibular fractures treated with carboplate fixation, with a minimum of 24 months follow-up. The use of this system in relation to operator acceptance, adequacy of fixation and clinical compatibility of the system with a discussion on the properties of the plate and carbofilm technique.
Imaging
of cervical
metastases
- the importance
of local
L. M Curter, T K. Ong & M. A. Kuriukose. Maxillofacial Newcastle
General
Hospital,
Newcastle
Upon
Tyne,
When BAOMS organised National Oral Cancer Awareness Week, its objectives were to promote awareness of oral cancer and also to raise the profile of the specialty. Although guidelines and a few press releases originated from the central co-ordinating committee, the majority of promotional activity was generated by individual oral and maxillofacial surgery units. To assess the impact of National Oral Cancer Awareness Week, all the printed and broadcast media coverage which mentioned ‘oral cancer’, ‘mouth cancer’ or ‘oral & maxillofacial surgery’ were collected. Media events were identified using professional monitoring services searching for these key-words and by direct contact with every oral and maxillofacial surgery unit in the UK. A total of 300 cuttings were identified in the national, regional and local press, and 112 items were detected in the national, regional and local broadcast media. Cuttings were analysed and details placed in a database which recorded the newspaper title, date of publication, the names of consultants or units mentioned. Broadcasts were similarly classified. For the interest of fellows and members of the Association all the press cuttings are available for viewing. Using the computerised database those cuttings where they or their unit are mentioned will be easily found.
Table
Clinical CT MRI
exam
False -ve
False +ve
True -ve
True + ve
Total
11 4 5
3 1 5
4 2 0
4 2 3
22 9 13
It is concluded that the accuracy of the imaging much lower than reported in the literature.’ Our the need for local audit.
techniques was findings support
Reference 1. Arch
Otolaryngol
Not all parotid
masses
Head
Neck
Surg
are pleomorphic
1990; 116: 1297.
adenomas.
L.
J. Ladakis, D. Tobin & R. Snoddv. Department Besly & P. Banks. Queen
UK.
Sensitivity rates as high as 100% have been quoted for magnetic resonance imaging (MRI) and computed tomography (CT) in detecting cervical metastases. To evaluate the reporting accuracy of clinical examination, MRI and CT scan a study of 22 consecutive patients with oropharyngeal carcinoma who underwent neck dissection was undertaken. All were examined clinically, 9 had CT scans and 13 had MRI preoperatively. The clinical and imaging findings were compared to the pathological results. The results are shown in the Table.
National Oral Cancer Awareness Week. Did you get a mention in the media? Anne Begley & Patrick Mzgennis. Department of Oral & Maxillofacial Surgery, The Royal London Hospital, UK.
Laser treatment of oral submucous fibrosis. W Department of Oral & Maxillofacial Surgery, Hospital, East Grinstead, UK.
auditing. Unit,
Maxillofacial
Surgery,
York
District
Hospital.
York,
H. H. Cheng. of Oral UK.
&
Victoria In a 1 year period from May 1994, the Maxillofacial Unit in York managed 24 cases of parotid pathology. Six of these cases were unusual in terms both of their pathology and mode of presentation and are illustrated clinically in the poster. They illustrate that while most parotid lesions will be benign salivary neoplasms, this is not always a safe assumption. Awareness of patients’ medical history, appropriate examination and investigation along with differential diagnosis is as necessary in the salivary glands as masses elsewhere in the body. These cases were the primary presentation of disease elsewhere in the body and led to the diagnoses of cat scratch fever, sarcoidosis,
Oral Submucous Fibrosis (OSMF) causes progressive restriction of mouth opening by pathological deposition of collagen in the submucosal connective tissue and may be accompanied by premalignant mucosal changes. Chewing of Betel quid, in its various forms, is considered a primary aetiological factor but cessation of the habit does not necessarily reverse the pathology. The aims of management are to increase mouth opening and reduce the risk of mucosal malignancy. CO2 laser surgery offers advantages in alleviating the functional restriction when compared to traditional surgi255