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Article ; Online: Modified transoral approach for excision of parapharyngeal pleomorphic adenoma.

Steel, Ben J / Stirrup, Hannah / Putnam, Graham D

The British journal of oral & maxillofacial surgery

2023 Volume 61, Issue 2, Page(s) 183–185

MeSH term(s)	Humans ; Adenoma, Pleomorphic/surgery ; Tomography, X-Ray Computed ; Pharyngeal Neoplasms/surgery ; Salivary Gland Neoplasms/surgery
Language	English
Publishing date	2023-01-21
Publishing country	Scotland
Document type	Journal Article
ZDB-ID	605685-4
ISSN	1532-1940 ; 0266-4356
ISSN (online)	1532-1940
ISSN	0266-4356
DOI	10.1016/j.bjoms.2022.12.011
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Article: Oral hygiene and mouth care for older people in acute hospitals: part 2.

Steel, Ben J

Nursing older people

2017 Volume 29, Issue 10, Page(s) 20–25

Abstract: Acute hospital admission provides an excellent opportunity to address poor oral health in older people, a group rarely seen by dental professionals and for who oral health activity in hospital is inconsistent and generally suboptimal. This two-part ... ...

Abstract	Acute hospital admission provides an excellent opportunity to address poor oral health in older people, a group rarely seen by dental professionals and for who oral health activity in hospital is inconsistent and generally suboptimal. This two-part article explores oral hygiene and mouth care provision for older adults in acute hospitals. The first article presented the findings of a literature review exploring oral and dental disease in older adults, the importance of good oral health and mouth care, and the current situation. The second article explores clinical recommendations. A change in philosophy is needed to embed oral care as an essential component of holistic practice. More research is needed to determine the best ways to assess and treat oro-dental problems in older people, and promote and restore their oral health in hospitals. Great potential exists to innovate and develop new ways of providing care to this group.
MeSH term(s)	Aged ; Dental Care for Aged ; Hospitalization ; Humans ; Oral Health ; Oral Hygiene ; Practice Guidelines as Topic
Language	English
Publishing date	2017-11-29
Publishing country	England
Document type	Journal Article
ZDB-ID	2028615-6
ISSN	2047-8941 ; 1472-0795
ISSN (online)	2047-8941
ISSN	1472-0795
DOI	10.7748/nop.2017.e947b
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Zs.A 2887: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 591: Show issues

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Article: Oral hygiene and mouth care for older people in acute hospitals: part 1.

Steel, Ben J

Nursing older people

2017 Volume 29, Issue 9, Page(s) 26–31

Abstract: The oral health of older people in acute hospitals has rarely been studied. Hospital admission provides a prime opportunity for identification and rectification of problems, and oral health promotion. This two-part article explores oral hygiene and mouth ...

Abstract	The oral health of older people in acute hospitals has rarely been studied. Hospital admission provides a prime opportunity for identification and rectification of problems, and oral health promotion. This two-part article explores oral hygiene and mouth care provision for older adults in acute hospitals. The first article presents the findings of a literature review exploring oral and dental disease in older adults, the importance of good oral health and mouth care, and the current situation. Searches of electronic databases and the websites of relevant professional health service bodies in the UK were undertaken to identify articles and guidelines. The literature shows a high prevalence of oro-dental disease in this population, with many known detrimental effects, combined with suboptimal oral hygiene and mouth care provision in acute hospitals. Several guidelines exist, although the emphasis on oral health is weaker than other aspects of hospital care. Older adults admitted to acute hospitals have a high burden of oro-dental disease and oral and mouth care needs, but care provision tends to be suboptimal. The literature is growing, but this area is still relatively neglected. Great potential exists to develop oral and mouth care in this context. The second part of this article explores clinical recommendations.
MeSH term(s)	Aged ; Dental Care for Aged ; Hospitalization ; Humans ; Oral Health ; Oral Hygiene ; Practice Guidelines as Topic
Language	English
Publishing date	2017-11-10
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2028615-6
ISSN	2047-8941 ; 1472-0795
ISSN (online)	2047-8941
ISSN	1472-0795
DOI	10.7748/nop.2017.e947a
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Zs.A 2887: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 591: Show issues

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Article ; Online: Chemical constituents, viable micro-organism and malignant cell content in ultrasonic scalpel plume: A literature review.

Steel, Ben J / Horridge, Catherine / Awni, Sarah / Adams, James R

Journal of perioperative practice

2023 Volume 34, Issue 1-2, Page(s) 47–56

Abstract: Purpose: To identify all published data on the chemical, micro-organism and malignant cell contents of ultrasonic scalpel plume, if any, and on any clinical implications of the contents on patients and operating staff.: Methods: Searches were ... ...

Abstract	Purpose: To identify all published data on the chemical, micro-organism and malignant cell contents of ultrasonic scalpel plume, if any, and on any clinical implications of the contents on patients and operating staff. Methods: Searches were conducted aiming to identify all published evidence on the chemical constituents, presence/absence of viable micro-organisms and malignant cells in ultrasonic scalpel plume. Attempts were made to source unpublished industry data. Results: There is evidence from human and in vitro studies of the presence of a range of harmful, and some human carcinogenic, chemicals within ultrasonic plume, mostly at very low concentrations. Any clinical relevance of this has not been studied. There is evidence from experimental studies of the presence of hepatitis virus, human coronavirus and human papillomavirus material within ultrasonic plume. Any clinical effect of this has not been studied. There is conflicting evidence from combined in vitro and mouse model studies of the presence of viable malignant cells within ultrasonic plume. Any clinical relevance of this has also not been studied. Conclusion: Overall, relatively little research into the plume has been published, and further study is required to more clearly delineate any potential risk to patients, surgeons and other theatre staff. Current safety recommendations are discussed.
MeSH term(s)	Animals ; Humans ; Mice ; Ultrasonics ; Equipment Contamination
Language	English
Publishing date	2023-01-12
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2226186-2
ISSN	2515-7949 ; 1750-4589
ISSN (online)	2515-7949
ISSN	1750-4589
DOI	10.1177/17504589221140990
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Zs.A 4006: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MG 83: Show issues

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Article ; Online: Response to letter from Professor Valmaseda-Castellon.

Steel, Ben

Oral surgery, oral medicine, oral pathology and oral radiology

2013 Volume 116, Issue 5, Page(s) 658–659

MeSH term(s)	Humans ; Molar, Third/surgery ; Tooth Extraction/instrumentation ; Tooth, Impacted/surgery
Language	English
Publishing date	2013-11
Publishing country	United States
Document type	Comment ; Letter
ZDB-ID	2650843-6
ISSN	2212-4411 ; 2212-4403
ISSN (online)	2212-4411
ISSN	2212-4403
DOI	10.1016/j.oooo.2013.04.023
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Article ; Online: A 10-year study of penetrating head and neck injury by assault in the North East of England.

Steel, Ben J / Swansbury, Andrew / Wheeler, Louis T

Oral and maxillofacial surgery

2021 Volume 26, Issue 2, Page(s) 213–222

Abstract: Introduction: Assaults inflicting penetrating head and neck trauma have potential for serious morbidity or mortality. This paper studies in-depth all cases treated at a level one trauma centre in the North East of England over 10 years.: Methods: All ...

Abstract	Introduction: Assaults inflicting penetrating head and neck trauma have potential for serious morbidity or mortality. This paper studies in-depth all cases treated at a level one trauma centre in the North East of England over 10 years. Methods: All patients assaulted with sharp implements to the head and neck treated from 2010 to 2019 were identified using clinical codes. Results: Retrospective data collection were as follows: 214 patients identified (189 male, 25 female). Average age was 31.5 years (range 3-80). The majority presented between 20:00 and 05:00. Knives were the commonest weapon. Fifty-two had scalp, 137 face and 69 neck injuries. Forty-eight percent had additional non-head and neck injuries. Eighty-six percent required admission, 16.6% to intensive care. Oral and maxillofacial and plastic surgeons provided most treatment. One hundred two required treatment under general and 96 local anaesthetic. Sixteen patients had significant vascular injury, 1 brachial plexus injury, 4 facial nerve injuries (of which 3 repaired) and one required parotid duct repair. Mean length of stay was 3.7 days. No mortality was recorded. Incidence significantly increased from 2010 to 2019. Conclusions: Head and neck penetrating injuries occur frequently, often with other injuries and mainly in young males. Incidence of significant vascular or nerve injury was low. This study provides important data for those planning trauma services.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; England/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Neck Injuries/complications ; Neck Injuries/epidemiology ; Retrospective Studies ; Trauma Centers ; Wounds, Penetrating/epidemiology ; Wounds, Penetrating/etiology ; Wounds, Penetrating/surgery ; Young Adult
Language	English
Publishing date	2021-06-21
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2406731-3
ISSN	1865-1569 ; 1865-1550
ISSN (online)	1865-1569
ISSN	1865-1550
DOI	10.1007/s10006-021-00980-w
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Zs.A 4767: Show issues

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Article ; Online: Correction to: A 10‑year study of penetrating head and neck injury by assault in the North East of England.

Steel, Ben J / Swansbury, Andrew / Wheeler, Louis T

Oral and maxillofacial surgery

2021 Volume 26, Issue 2, Page(s) 339

Language	English
Publishing date	2021-08-08
Publishing country	Germany
Document type	Published Erratum
ZDB-ID	2406731-3
ISSN	1865-1569 ; 1865-1550
ISSN (online)	1865-1569
ISSN	1865-1550
DOI	10.1007/s10006-021-00989-1
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Article ; Online: Lingual split versus surgical bur technique in the extraction of impacted mandibular third molars: a systematic review.

Steel, Ben

Oral surgery, oral medicine, oral pathology and oral radiology

2012 Volume 114, Issue 3, Page(s) 294–302

Abstract: The relative merits of different surgical techniques to extract impacted mandibular third molars have been debated for many years. A simple classification is those using a bur and those using a chisel. This article seeks to identify any differences in ... ...

Abstract	The relative merits of different surgical techniques to extract impacted mandibular third molars have been debated for many years. A simple classification is those using a bur and those using a chisel. This article seeks to identify any differences in postoperative outcomes between the surgical bur and lingual split techniques. Using inclusion criteria allowing randomized controlled trials only, 5 studies are identified of which 4 are used in the analysis. The following outcomes are investigated: pain, swelling, trismus, bleeding, delayed healing/infection, and disturbance to lingual and inferior alveolar nerve function. The limited analysis allowed by the number and size of the studies leads to tentative conclusions of no difference between postoperative pain and swelling, and some evidence of less trismus for the lingual split technique. There is some weak evidence of a similar incidence of neurological sequelae between the 2 techniques, but this is not a strong conclusion owing to the small size of the included studies. There are inadequate data regarding bleeding and delayed healing/infection for analysis.
MeSH term(s)	Humans ; Mandible/surgery ; Molar, Third/surgery ; Pain, Postoperative/etiology ; Postoperative Complications ; Randomized Controlled Trials as Topic ; Tooth Extraction/instrumentation ; Tooth, Impacted/surgery ; Treatment Outcome ; Trigeminal Nerve Injuries/etiology
Language	English
Publishing date	2012-09
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2650843-6
ISSN	2212-4411 ; 2212-4403
ISSN (online)	2212-4411
ISSN	2212-4403
DOI	10.1016/j.tripleo.2011.07.028
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Article ; Online: Utility of preoperative colour flow Doppler assessment of perforator anatomy in medial sural artery perforator (MSAP) free flaps.

Steel, Ben J / Mehta, Darpan / Nugent, Michael / Wilson, Ajay / Burns, Andrew

Oral and maxillofacial surgery

2022 Volume 27, Issue 4, Page(s) 655–659

Abstract: Purpose: It is known that the vascular perforators upon which the medial sural artery perforator (MSAP) flap is based are subject to considerable variation. This study seeks to evaluate the use of colour flow Doppler (CFD) as an imaging technique to ... ...

Abstract	Purpose: It is known that the vascular perforators upon which the medial sural artery perforator (MSAP) flap is based are subject to considerable variation. This study seeks to evaluate the use of colour flow Doppler (CFD) as an imaging technique to establish the presence of suitable vessels, the discriminatory findings from that imaging, the rate of flap abandonment and flap complications. Methods: All patients undergoing MSAP in our institution since 2015 had a pre-operative CFD using a standardised technique. A prior group of 22 patients not having CFD acted as a control group. Data were collected prospectively. Results: Fourteen patients had CFD. In one patient, no suitable vessels were found. In 13 patients, vessels of suitable size and position were identified, which then correlated precisely with operative findings. Three had suitable vessels in one leg only. No flaps in the CFD group were abandoned. One flap in the CFD group was partially lost. One flap in the prior control group was abandoned. Conclusions: CFD provided reliable discriminatory information to decide on flap suitability/which leg and correlated precisely with operative findings, with no flap abandonment. Flap survival rate was very high.
MeSH term(s)	Humans ; Free Tissue Flaps/surgery ; Color ; Perforator Flap/blood supply ; Leg/blood supply ; Leg/surgery ; Arteries/diagnostic imaging ; Arteries/surgery
Language	English
Publishing date	2022-08-18
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2406731-3
ISSN	1865-1569 ; 1865-1550
ISSN (online)	1865-1569
ISSN	1865-1550
DOI	10.1007/s10006-022-01108-4
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Article ; Online: Factors determining postoperative length of stay and time to resumption of feeding following free flap reconstruction for oral cancer.

Denholm, Katrina A / Steel, Ben J / Wilson, Ajay / Nugent, Michael / Burns, Andy

The British journal of oral & maxillofacial surgery

2022 Volume 60, Issue 9, Page(s) 1240–1245

Abstract: Microvascular free tissue transfer reconstruction following resection of oral cancer is commonly chosen as the first line of treatment due to its superior functional outcomes. Multiple patient and surgical factors impact the length of postoperative stay, ...

Abstract	Microvascular free tissue transfer reconstruction following resection of oral cancer is commonly chosen as the first line of treatment due to its superior functional outcomes. Multiple patient and surgical factors impact the length of postoperative stay, and the time taken for patients to recommence oral feeding. This study aimed to identify factors that increase the length of stay and time to resumption of feeding. We retrospectively evaluated 100 cases from March 2015 to October 2020, and identified variables associated with increased length of stay (LOS) and time to resumption of feeding in univariate and multivariate analyses. Factors found to be associated with increased LOS in multivariate analysis were increasing age, elective tracheostomy, tumours originating from the floor of the mouth and mandible, a longer operating time, and use of fibular free flaps (p<0.05). Tracheostomy, increasing age, and female gender were strongly associated with delays in resumption of some types of oral feeding, and an integrated critical care unit (ICCU) stay of two or more days was associated with a longer time to resumption of free fluids. This information can be used to anticipate extensions to typical LOS, to produce cost analyses, develop individual patient risk stratification, manage patient expectations, and target the use of enhanced recovery programmes.
MeSH term(s)	Humans ; Female ; Free Tissue Flaps/surgery ; Length of Stay ; Retrospective Studies ; Treatment Outcome ; Reconstructive Surgical Procedures ; Mouth Neoplasms/surgery ; Postoperative Complications/surgery
Language	English
Publishing date	2022-07-22
Publishing country	Scotland
Document type	Journal Article
ZDB-ID	605685-4
ISSN	1532-1940 ; 0266-4356
ISSN (online)	1532-1940
ISSN	0266-4356
DOI	10.1016/j.bjoms.2022.07.003
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